Small Area Estimation for Disease Prevalence Mapping

Small area estimation (SAE) entails estimating characteristics of interest for domains, often geographical areas, in which there may be few or no samples available. SAE has a long history and a wide variety of methods have been suggested, from a bewildering range of philosophical standpoints. We describe design-based and model-based approaches and models that are specified at the area level and at the unit level, focusing on health applications and fully Bayesian spatial models. The use of auxiliary information is a key ingredient for successful inference when response data are sparse, and we discuss a number of approaches that allow the inclusion of covariate data. SAE for HIV prevalence, using data collected from a Demographic Health Survey in Malawi in 2015–2016, is used to illustrate a number of techniques. The potential use of SAE techniques for outcomes related to coronavirus disease 2019 is discussed.     

Making a play in the policy and politics arena: nursing and the national election

With health care surfacing in political campaigns across the country and referencing virtually every one of the policy topics discussed here, nurses have an important opportunity to share their views regarding both policy substance as well as engage in the political arena. For those nurses not yet ready to run for elective office, participating in grassroots efforts of campaigns, on advisory panels, and making financial contributions to preferred candidates are important opportunities not to be missed. Given the interest in and challenges ahead associated with health care broadly and nursing specifically, there is a great deal at stake.     

Situational price sensitivity: the role of consumption occasion, social context and income

Research on consumer reaction to price has been largely confined to examining consumers’ price information search, evaluation of price alternatives, and individual purchase behaviors without regard to situational influences. At the same time, consumption has often been dichotomized in terms of its functional-hedonic nature and has been examined with regard to social influence. Surprisingly, researchers have heretofore not examined the potential effect of the consumption occasion or social context on consumers’ price sensitivity. Further, research examining the effect of household resources on price sensitivity has produced mixed results. We argue that household income effects on price sensitivity are dependent upon the situation. This research addresses two key issues. First, we examine whether individuals are equally price-sensitive when purchasing products for functional (e.g., purchasing frozen vegetables or paper towels) versus hedonic (e.g., purchasing ice cream or cookies) consumption situations and whether social context (i.e., consuming the product alone or with others) influences price sensitivity. Second, we explore the interaction effects of household income and consumption context on price sensitivity. We examine these issues across a series of three studies, finding that consumers’ price sensitivity is in fact attenuated by both hedonic and social consumption situations and that income moderates these effects. Implications for researchers and practitioners are discussed.     

Pension reform and saving in Britain

The paper examines the pension programme in Britain, focusingon reforms that have increased the fraction of the work-forceopting out of public provision and that have permitted individualsto choose their private pension provider. It also examines theissue of pension provision and household saving. The paper highlightsthe disparities in retirement saving behaviour across typesof pension provision and different households. The paper discussesthe policy issues of the adequacy of household saving, and theimpact of pension reform on household saving and the publicfinances.     

Quality Defined by Public Service Users—The Case of the Avon Probation Service

Avon Probation Service and Bristol Business School have developed a means of assessing user-defined quality of service provision. Building on that work, this article reports on an attempt to involve 'consumers' in devising criteria by which they can judge the performance of a public service. It begins with a review of the debate about quality in public service management, arguing that it is a mistake to import uncritically 'business' approaches to quality into the public services. The impossibility of defining a uniform set of expectations of the probation service's role is a major reason why conventional notions of quality cannot be grafted directly on to public service management. The case study of the probation service suggests broader lessons for public services which wish to involve users in addressing quality issues.     

Where’s the Money? An Investigation into the Whereabouts and Uses of Australian Banknotes

The Reserve Bank of Australia is the sole issuer and redeemer of Australian banknotes, but between issuance and destruction there is little information about where banknotes go or what they are used for. We estimate the whereabouts and uses of Australian banknotes, and find that 15–35 per cent are used to facilitate legitimate transactions, 4–7 per cent are used for transactions in the shadow economy, while the remainder are non-transactional. The vast majority of non-transactional banknotes are likely to be hoarded, and we estimate that 5–10 per cent of outstanding banknotes are lost or collected.