The Army and Chemical Weapons Destruction: Implementation in a Changing Context
In 1985, Congress directed the Army to destroy the nation's stockpile of chemical weapons. The estimate was that this task could be accomplished by 1994 at a cost of $1.7 billion. By 1998, only a portion of the stockpile has been destroyed, the deadline extended to 2007 and the estimated cost had risen to approximately $16 billion. This paper discusses the factors underlying cost escalation and missed deadlines. It examines the diffusion of control over the implementation process surrounding the chemical weapons demilitarization (Chem Demil) program in the United States. Focusing on the role of the Army and its difficulties in adjusting strategies in the face of political change from the Cold War to the post-Cold War setting, it analyzes the course of implementation through three converging “streams of political activity.” What differentiates the federal, intergovernmental, and international stream are the nature an number of actors, and the type of pressures with which the Army must deal.
Healthcare, Policy Implementation, and Culture: What Cultural Values Influence Unpaid Primary Caregivers to Provide Care to Older Adults?
ABSTRACT This research examines home healthcare programs implemented in Puerto Rico and Indiana. Puerto Rico is primarily a Hispanic territory of the United States, while Indiana is a culturally Anglo Midwestern state. This study explores the cultural values that influence unpaid care of older adults in these two settings. I hypothesize that dissimilar cultural values will influence care of unpaid primary caregivers (UPCs) in both jurisdictions. Results supported the hypothesis: UPCs emphasized different cultural values in caregiving. The study recommends that the federal government support families with essential services to enable them render badly-needed care to their elderly family members.
Cultural constraints on the delivery of HIV/AIDS prevention in Ireland.
HIV appeared in Ireland following an opiate epidemic in the early 1980s. Initially, however, the gay community mounted the only response to the spread of the virus while the implementation of early actions by the government was hampered by the constructions of the disease within Irish society. This paper considers the influence of the religious hierarchy in both the development of AIDS policy and in the shaping of public perceptions of the disease and those affected. A qualitative methodology is used to examine the role of such cultural constraints in an evaluation of the social context within which the prevention of HIV infection occurs. Three key issues pertinent to the policy context in Ireland are explored in depth. These are the role of the Catholic Church, the influences on health education programmes, particularly information giving, and the development of services and other interventions. These findings are discussed within the social and political contexts in which health policy is formulated.