PurposeThis research aims to examine the introduction of participatory budgeting (PB) in local governments in two Francophone countries, namely, Benin and Niger, and how local contextual factors influence its practices.Design/methodology/approachThe research employs a multiple case study design with a comparative approach to analyze the introduction and practices of participatory budgeting across selected municipalities in Benin and Niger. Hopper (2017) and Lassou et al.’s (2018) notion of “pragmatism” within neopatrimonialism is mobilized to analyze the data from sources including interviews and documents. The analysis is conducted at both the country and local government levels.FindingsParticipatory budgeting took roots in a number of municipalities. Its introduction and adoption has promoted participatory governance especially from traditionally marginalized segments of society (e.g. women); albeit to varying degrees, in the face of the prevailing national neopatrimonial context. Furthermore, despite donor's push for a standardized model of PB implementation, actual practices took varying shapes, a consequence of differing local conditions and circumstances.Research limitations/implicationsIn terms of limitation, it was not possible to access a number of research participants sought, particularly in Niger. But access to key documents from government, donors and civil society organizations help mitigate this to a large extent.Practical implicationsA major practical implication is the importance of adaptation to local socio-economic contexts and circumstances. As shown in the study, a blanket introduction and implementation of PB across societies based on a standardized model is unlikely to succeed and be sustained in the long run. A great deal of flexibility is required to accommodate indigenous realities on the grounds.Originality/valueThe study contributes to shed light on public sector budgeting regarding participatory budgeting practices in an under-researched setting: Francophone Africa.
, mob: 063/15-20-573, fax: +381 11 3616318Uvod Srbija je među grupom zemalja sa velikim brojem obolelih i umrlih od kardiovaskularnih bolesti. Kontrola faktora rizika je važna za prevenciju progresije kardiovaskularnih oboljenja i nastanak komplikacija. Prema dosadašnjim studijama kontrola faktora rizika je u većini zemalja nezadovoljavajuća, uključujući i Srbiju. Cilj naše studije je procena regulacije faktora rizika i određi-vanje prediktora regulacije faktora rizika u grupi bolesnika sa izvršenom perkutanom koronarnom intervencijom (PCI). Metodi Sproveli smo prospektivnu studiju sa 352 bolesnika (srednje godine 59±9; 252 muškarca). Bolesnici su dolazili na redovnu kontrolu posle PCI. Urađene su kompletne laboratorijske analize i merenja arterijskog pritiska, obima struka, indeksa telesne mase (body-mass index, BMI). Bolesnici su ispunjavali upitnik koji se odnosio na stil života i navike. Pod optimalnom regulacijom podrazumevali smo dobru regulaciju krvnog pritiska, vrednost ukupnog holesterola, BMI, potpuni prestanak pušenja i preporučeni obim struka. Univarijantnom analizom tražili smo prediktore regulacije faktora rizika. Rezultati U studijskoj populaciji srednji sistolni pritisak bio je 137±14mmHg, srednji dijastolni pritisak je bio 86±9mmHg. Vrednosti ukupnog i LDL holesterola bile su 5,0±1.2 mmol/L i 2.9±1.2 mmol/L. Srednja vrednost HDL holesterola bila je 1.2±0.4 mmol/L a triglicerida 1.9±1.4 mmol/L. Postojala je velika učestalost gojaznih (73%) sa srednjim BMI od 27±3.6 kg/m², kao i obimom struka od 101±10 cm kod muškaraca i 90±13 cm kod žena. Dijabetes melitus tip II je bio prisutan kod 15% pacijenata. Samo 13% bolesnika je imalo dobro regulisane sve navedene faktore rizika. Prediktori loše regulacije faktora rizika su bili dijabetes melitus i fizička neaktivnost. Zaključak Ispitivanje je pokazalo da mali procenat bolesnika ima zadovoljavajuću regulaciju posmatranih faktora rizika. Uprkos postojanju velikog broja prihvaćenih preporuka, njihova implementacija u kliničkoj praksi nije adekvatna. faktori rizika, ishemijska bolest, sekundarna prevencija
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