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PAYMENT (2) answer(s).
 
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ID:   151560


Lost generation : barefoot doctors” in post-reform China / Tu, Jiong   Journal Article
Tu, Jiong Journal Article
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Summary/Abstract In the 1960s and 1970s, China’s barefoot doctor system was acclaimed worldwide for providing inexpensive and equally accessible medical care for rural populations. In the 1980s, with the advent of market reform, the barefoot doctor system came to an end. Many barefoot doctors either became private doctors or gave up medical practice. More than three decades have passed since this dramatic change, and barefoot doctors seem to have been forgotten. However, the legacy of the barefoot doctor system is still felt in the hardship of aging former barefoot doctors who now find themselves pensionless. Based on ethnographic research in a county in Sichuan Province from 2011 to 2012, this article explores the experience of a group of former barefoot doctors to observe their transition in post-reform China, and their struggle for payment, pension, and status in recent years. It records the change these doctors experienced from barefoot doctors working under very difficult conditions in the collective era, to individual doctors in the market era who struggle with qualification requirements, market competition, and selfsupport, to the newly ambiguous status of village doctors, who constitute an important part of the primary health care network but are still marginalised in the health care system.
Key Words Rural China  Health Care  Pension  Barefoot Doctors  Payment 
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ID:   172037


Reshaping the reach of the state: the politics of teacher payment reform in the DR Congo / Brandt, Cyril Owen ; Herdt, Tom De   Journal Article
Cyril Owen Brandt Journal Article
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Summary/Abstract We analyse the politics of the reform of teacher payment modalities in the Democratic Republic of Congo (DRC) in light of the uneven territorial reach of the DRC state. The reform focused on extending this reach by paying all teachers via a bank account, replacing long-standing shared governance arrangements between state and faith-based organisations with a public-private partnership. By using qualitative and quantitative data, we map the political practices accompanying the implementation of the reform. While the reform itself was officially deemed a success, its intended effects were almost completely offset in rural areas. Moreover, governance of teacher payments was not rationalised but instead became even more complex and spatially differentiated. In sum, the reform has rendered governance processes more opaque and deepened the existing unevenness in the geography of statehood.
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