Background: Non-governmental organisations (NGOs) collect and generate vast amounts of potentially rich data, most of which are not used for research purposes. Secondary analysis of NGO data (their use and analysis in a study for which they were not originally collected) presents an important but largely unrealised opportunity to provide new research insights in critical areas, including the evaluation of health policy and programmes. Methods: A scoping review of the published literature was performed to identify the extent to which secondary analysis of NGO data has been used in health policy and systems research (HPSR). A tiered analytical approach provided a comprehensive overview and descriptive analyses of the studies that (1) used data produced or collected by or about NGOs; (2) performed secondary analysis of the NGO data (beyond the use of an NGO report as a supporting reference); and (3) analysed NGO-collected clinical data. Results: Of the 156 studies that performed secondary analysis of NGO-produced or collected data, 64% (n = 100) used NGO-produced reports (mostly to a limited extent, as a contextual reference or to critique NGO activities) and 8% (n = 13) analysed NGO-collected clinical data. Of these studies, 55% (n = 86) investigated service delivery research topics and 48% (n = 51) were undertaken in developing countries and 17% (n = 27) in both developing and developed countries. NGOs were authors or co-authors of 26% of the studies. NGO-collected clinical data enabled HPSR within marginalised groups (e.g. migrants, people in conflict-affected areas), albeit with some limitations such as inconsistent and missing data. Conclusion: We found evidence that NGO-collected and produced data are most commonly perceived as a source of supporting evidence for HPSR and not as primary source data. However, these data can facilitate research in under-researched marginalised groups and in contexts that are hard to reach by academics such as conflict-affected areas. NGO-academic collaboration could help address issues of NGO data quality to facilitate their more widespread use in research. The use of NGO data use could enable relevant and timely

Making extensive use of census data, this chapter sets out changes over time in the race and colour profile of the labour market. It shows that dark-skinned Jamaicans made considerable advances, especially in the public sector, but that even long after independence they were still largely absent from some fields and in others rarely found at senior levels. It will be argued that the stratification of the labour market by colour was largely the result of race-neutral practices, such as educational qualifications and other hiring and promotion criteria; disadvantage accumulated over time and across racial domains; and government inaction, which was partly triggered by political partisanship and economic factors.

This chapter zooms in on colour blindness. Focussing on the racial domains of politics and criminal justice, it explores the correlation between race and colour and the enjoyment of civil and political rights. It argues that it was not just government inaction but also a lack of collective action from race-first and other groups why dark-skinned Jamaicans struggled more than others to exercise their civil and political rights. But while successive governments lacked the commitment to create a society where all Jamaicans irrespective of race and colour could enjoy their ‘fundamental rights’, they did their best to present Jamaica as a colour-blind nation. This chapter will also explore the purposes of this myth of racial harmony that was developed after the Second World War.

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Based on a wide range of primary materials, including WHO reports and Colonial Office correspondence, this article examines the UNICEF/WHO-funded mass BCG campaigns that were carried out in seven Caribbean colonies between 1951 and 1956. It explores the reasons behind them, their nature and aftermath and also compares them to those in other non-European countries and discusses them within a context of decolonisation. In doing so, it not only adds to the scholarship on TB in non-European contexts, which had tended to focus on Africa and Asia, but also to the relatively new field of Caribbean medical history and the rapidly expanding body of work on international health, which has paid scant attention to the Anglophone Caribbean and the pre-independence period.