Is your maternity policy ready for the '90s?

The increasing number of women in the work force has forced some companies to take a critical look at their maternity policies. Direct costs for these policies are hard to measure. But, demographic, social and legislative pressures may force companies that haven't addressed this issue to do so in the '90s.     

A hospital without walls

Pacific Presbyterian Medical Center has chalked up an impressive string of successes. What's ahead? A $20 million cancer center.     

Socio‐economic factors determining the success achieved among cotton‐adopting households in two magisterial districts of KwaZulu

The aim of the paper is to investigate certain aspects of the post‐adoption behaviour of dryland cotton farmers in the Ubombo and Hlabisa magisterial districts of KwaZulu. Particular attention is paid to the socio‐economic determinants of the success (returns per hectare) of the household cotton enterprise.

Multi‐stage sampling methods were used to draw a random sample of fifty cotton‐farming households from each of the two study districts. The data were collected by interview survey and analysed using principal components and regression techniques.

Results suggest that the success of the household enterprise in both areas is largely determined by the socio‐economic environment under which the producer operates. The most important success‐determining factors are those relating to the human capital endowments and economic status of the household.     

Listen and learn

After making a solicitation, a lot can be gained by listening to a donor's questions. Do not simply answer the question. Consider why they asked it in the first place.     

Reduced Form Auctions Revisited

This note uses the Theorem of the Alternative to prove new results on the implementability of general, asymmetric auctions, and to provide simpler proofs of known results for symmetric auctions. The tradeoff is that type spaces are taken to be finite.     

Aid, Agriculture and Poverty in Developing Countries

The authors make two contributions to the debate on aid‐effectiveness, illustrating that for impact on poverty what matters is not just the level but also the composition and stability of aid. One specific implication of this for aid policy is that aid most effectively reduces poverty if it supports public (and other) expenditures which are supportive of agricultural development. Regression analysis confirms that these are not only direct expenditure on agriculture, but also on education and infrastructure, and military expenditure has a negative impact. Three factors appear to be particularly conducive to the development of stable pro‐poor expenditure patterns (and in particular pro‐agriculture expenditure patterns). These are expenditure strategies which protect the poor against risk, the development of stable relations between governments and aid donors, and long‐term political commitment to pro‐poor strategies by government. The argument is pursued partly by panel‐data econometric analysis of developing countries as a whole, and partly by case studies of sustained and non‐sustained green revolutions in heavily aid‐dependent countries in Africa.     

Putting supplies at the bedside via the Friesen concept

Hospitals designed using the concepts of architect Gordon Friesen are especially conducive to reengineering for patient-focused care. The Nurserver, a closet-like space outside each patient's room, makes it very easy for hospitals to redesign their methods for delivering supplies so that caregivers seldom have to go more than a few feet to get what they need. In this article, staff of Monongalia General Hospital in Morgantown, West Virginia, describe how they have used the Friesen design to modify supply distribution processes.