Bridging equity? Washington,D.C.’s new elevated park as a test case for just planning

In the last decade, justice has been revived as a primary criterion for the analysis and evaluation of planning policies. This paper continues this line of research by examining a proposed redevelopment project in Washington, D.C. that sets equitable development as its goal . The proposed 11th Street Bridge Park would be a top-notch elevated park, physically and symbolically connecting D.C’s wealthy west with the disadvantaged east. The project is managed by a nonprofit organization and seemingly stands out in its progressive vision: An Equitable Development Plan has been developed in an attempt to secure the future of the local residents in light of the neighborhood's anticipated gentrification. However, preliminary findings show that despite explicit commitment to equity, the planning of the park also resurfaces racial and class tensions . The analysis of procedural and substantive aspects of justice in this case suggests that issues of recognition, power and representation are instrumental to fully understand urban (in)justices.     

Troubling Positionality: Politics of “Studying Up” in Transnational Contexts

Drawing on research conducted in India's software industry in Bangalore, this article explores the multiple positionalities of differently situated people in the project—state officials, software firm managers and owners, software professionals, and researcher as critic. Challenging conventional notions of positionality centered on individual scholars' negotiations of their own identities, I trace the institutional, geopolitical, and social relations within which all participants are embedded. I argue that moments of tension and uncertainty are not just symbolic of multiple positionalities of both researcher and researched but also indicate the fraught nature of information technology–led development in neoliberal India. This article thus provides a particular opportunity to trouble notions of power, positionality, reflexivity, and feminist commitment to untangling the politics of knowledge production while “studying up” in transnational contexts.     

A Review of “Reconstructing Kobe: The Geography of Crisis and Opportunity”

This paper presents reflections on a research project in women's health, providing both substantive findings surrounding tanning and social status and methodological recommendations for future research. The project under review utilized a picture-elicited storytelling method to: a) understand how women link tanned, bronzed skin to health, status, and attractiveness; and b) test the effectiveness of picture-elicited storytelling as a research method. The project found that, when tanning, women use their bodies to inscribe the social norm of the bronzed aesthetic. While women indicate considerable knowledge of the health dangers of tanning, they continue to link tanned skin to beauty, status, and attractiveness. Further, the research project found that the use of picture-elicited storytelling as a method is potentially powerful but requires considerable attention to concerns of power and representation on the part of the research team.     

Composition and Regeneration of Trees in the Community Forests of Lamjung District,Nepal

The community forest program in Nepal is one of the successful conservation initiatives. Tree species in a forest ecosystem have a fundamental role in maintaining the vegetation structure, complexity, and heterogeneity. This study analyzes the composition and regeneration of tree species in five community forests (CFs) of the sub-tropical region, Lamjung district, Nepal for preparing baseline data for long-term research projects and helps the community to manage their CFs scientifically. Tree species data were generated by stratified random sampling using 35 quadrate plots (size: 20 m x 20 m). The density of adult trees in the forests ranged from 575 Ind ha ^-1 (Tilahar CF) to 1196 Ind/ha (Deurali Thadopakha CF). The sapling ranged from 2533 Ind ha ^-1 (Tilahar CF) to 4000 Ind ha ^-1 (Thuliban CF) and seedling from 19583 Ind ha ^-1 (Tilahar CF) to 37500 Ind ha ^-1 (Thuliban CF). Similarly, the adult tree basal area varied from 28.34 m ² ha ^-1 (Tilahar CF) to 49 m ²ha ^-1 (Deurali CF). The adult tree diversity index (Shannon-Weiner’s H) also ranged from 1.08 (Thuliban CF) to 1.88 (Tilahar CF). The tree species such as Sapium insigne, Ficus benghalensis, Lagerstroemia parviflore, Albizia sp. and Pinus roxburghii were weak regeneration. In general, the forests have good regeneration status except for Tilahar Community Forest, but based on the DBH size class distribution diagram, there is no sustainable regeneration. Among the five community forests the DBH size of adults was significantly different, and the DBH of Deurali Thadopakha was the lowest. But only few species have good regeneration and most of the species have weak, poor to no regeneration. The dominancy of fewer species like Shorea robusta, Castanopsis indica, and Schima wallichii accordingly maintain the overall regeneration of tree of CFs, so further plantation needs to be done inside the CF by triage accordingly those species whose regeneration has poor.     

The Use of Storytelling for Understanding Women's Desires to Tan: Lessons from the Field

This paper presents reflections on a research project in women's health, providing both substantive findings surrounding tanning and social status and methodological recommendations for future research. The project under review utilized a picture-elicited storytelling method to: a) understand how women link tanned, bronzed skin to health, status, and attractiveness; and b) test the effectiveness of picture-elicited storytelling as a research method. The project found that, when tanning, women use their bodies to inscribe the social norm of the bronzed aesthetic. While women indicate considerable knowledge of the health dangers of tanning, they continue to link tanned skin to beauty, status, and attractiveness. Further, the research project found that the use of picture-elicited storytelling as a method is potentially powerful but requires considerable attention to concerns of power and representation on the part of the research team.     

Comparing health status and access to health care in Canada’s largest metropolitan areas

Research has shown persistent inequalities in access to health care between and within sociodemographic groups and geographic areas. Yet much of what we know about geographical disparities in access comes from studies of regional and urban/rural contrasts, or from studies of intra-urban, neighborhood-level variations. We know relatively little about variations in access to primary health care across different urban areas, and whether such variations translate into differences among residents’ health. This study examines how health status and access to primary care vary across five of Canada’s largest cities, paying particular attention to populations that may be particularly vulnerable based on age and income. Across all outcomes, there was a consistently strong relationship with individual socioeconomic status. We show that city of residence is important for access to health care but not for health status. Results are discussed in terms of their relevance for urban health-care policy and delivery, and impacts on health and access to care.     

Some things do change: indigenous rights,geographers and geography in Australia

Using a recent editorial comment in this journal as a focus, this paper reviews the extent to which geography has been implicated in the ‘colonial project’ in Australia. It argues that recent work amongst geographers involved with indigenous Australians reflects a commitment to transcend this colonial past. The paper calls for geographers to work toward a wide‐reaching decolonisation of the discipline, and to develop a better understanding of the contemporary legacies of geography's colonial past.     

Late-Stage Breast Cancer Diagnosis and Health Care Access in Illinois∗

The variations of breast cancer mortality rates from place to place reflect both underlying differences in breast cancer prevalence and differences in diagnosis and treatment that affect the risk of death. This article examines the role of access to health care in explaining the variation of late-stage diagnosis of breast cancer. We use cancer registry data for the state of Illinois by zip code to investigate spatial variation in late diagnosis. Geographic information systems and spatial analysis methods are used to create detailed measures of spatial access to health care such as convenience of visiting primary care physicians and travel time from the nearest mammography facility. The effects of spatial access, in combination with the influences of socioeconomic factors, on late-stage breast cancer diagnosis are assessed using statistical methods. The results suggest that for breast cancer, poor geographical access to primary health care significantly increases the risk of late diagnosis for persons living outside the city of Chicago. Disadvantaged population groups including those with low income and racial and ethnic minorities tend to experience high rates of late diagnosis. In Illinois, poor spatial access to primary health care is more strongly associated with late diagnosis than is spatial access to mammography. This suggests the importance of primary care physicians as gatekeepers in early breast cancer detection.     

A Geography of Children's Vulnerability: Gender,Household Resources,and Water‐Related Disease Hazard in Northern Pakistan*

Water‐related diseases continue to pose major threats to children's survival and well‐being in many places in the developing world. This article develops a theoretical perspective on the ways in which children's vulnerability to water‐related disease hazard is produced within the everyday circumstances of livelihood and child care. Central to this analysis is the role that household resources play in mediating or shaping particular microenvironments of health risk. Further, the effects of local geographies of gender on how household resources are accessed and on how child care is structured are examined. Children's vulnerability is evaluated in a community in the District of Gilgit in northern Pakistan, a region presently undergoing tremendous social and economic transformation. The case study highlights household‐level response and adaptation to child health risks associated with diarrheal disease transmission and infection in this mountain environment. The case study draws from ethnographic fieldwork involving qualitative household microstudies and interviewing to elicit mothers' resource and risk‐response strategies in the context of changes in livelihood systems and household dynamics.     

A Geography of Children's Vulnerability: Gender,Household Resources,and Water-Related Disease Hazard in Northern Pakistan

Abstract

Water-related diseases continue to pose major threats to children's survival and well-being in many places in the developing world. This article develops a theoretical perspective on the ways in which children's vulnerability to water-related disease hazard is produced within the everyday circumstances of livelihood and child care. Central to this analysis is the role that household resources play in mediating or shaping particular microenvironments of health risk. Further, the effects of local geographies of gender on how household resources are accessed and on how child care is structured are examined. Children's vulnerability is evaluated in a community in the District of Gilgit in northern Pakistan, a region presently undergoing tremendous social and economic transformation. The case study highlights household-level response and adaptation to child health risks associated with diarrheal disease transmission and infection in this mountain environment. The case study draws from ethnographic fieldwork involving qualitative household microstudies and interviewing to elicit mothers' resource and risk-response strategies in the context of changes in livelihood systems and household dynamics.

     

ENVIRONMENTAL HEALTH RISKS AND GENDER IN THE KARAKORAM‐HIMALAYA,NORTHERN PAKISTAN*

ABSTRACT. Many mountain peoples face water and environmental health problems. At particular risk is the health of women and of children who live in remote and marginalized mountain areas. Environmental health concerns are often associated with the waterborne parasitic and endemic diseases responsible for much child morbidity and mortality in the Karakoram‐Himalaya of northern Pakistan. Poor environmental health and water‐quality conditions affect child survival, and challenges to viable local interventions are severe. Transformations in women's productive and reproductive work have health consequences for children, and gender and household dynamics shape and mediate women's responses to environmental health risks. Significantly, these findings draw attention to the need for improved water and health policy, especially policy that recognizes different gender and child‐care roles in mountainous regions of the developing world.     

Traces of the New Zealand psychiatric hospital: Unpacking the place of stigma

We survey the status of former public psychiatric hospitals, asking what has happened to the land and buildings. Drawing on Anderson's notion of traces, we argue for the transcendent role of stigma in closure processes and in subsequent reuse. We examine the extent to which evidence of mental health care remains at former hospital sites and developed a fivefold classification of end uses – retained health care; trans‐institutionalisation (to new institutional uses); residential; commercial; and dereliction. We conclude that while stigma is pervasive in shaping traces of the psychiatric hospital, its effects are filtered by locality‐specific factors including commercial potential.     

THE NEED FOR PHYSICAL GEOGRAPHY

As a viable intellectual and professional pursuit with well defined goals, physical geography is alive and kicking but demands greater commitment from the geography profession generally. In particular, physical geographers are exhorted to be thoroughly trained in the subject matter and methodology of their own and related disciplines, to be integrative in the acquisition, analysis and interpretation of data, to be predictive in their work, and to be proud of the role that they can play in serving society's environmental needs.     

Developing Contradictions: Women's Participation as a Site of Struggle Within an Indian NGO*

Women are being hired in increasing numbers by development projects to facilitate women's participation components. Once employed, however, women often find themselves marginalized within their organizations. In this paper, I find that the women's participation component of an Indian drinking water project has enabled the exclusion of women fieldworkers employed by the project. Drawing on the work of Bakhtin, I show participatory approaches as multiple, partial, and contentious. Moves to thwart women fieldworkers and women's participation give rise to struggles over development geography. Analysis of project records, interviews with staff, and observation of staff activities provide evidence for results.     

A LOCATIONAL STUDY OF PRIMARY HEALTH SERVICES IN GUATEMALA CITY

Although public health services are usually available in developing countries, the locational need for such care has received little objective assessment. Using a capacity-constrained location-allocation model, this study evaluates the locational efficiency of a set of primary health centers in Guatemala City. The distribution revealed by the model departs substantially from the existing pattern, indicating a need for greater centralization of administration and planning of health care delivery.     

广州市城中村农民工医疗行为及其空间特征——以新凤凰村为例

运用结构式访谈和深度访谈的调查方法,以城中村的农民工为研究对象,分析其医疗行为及空间特征,并探讨其形成原因。研究发现:城中村的农民工医疗保健水平低,医疗机构的使用率低;在医疗制度不完善的背景下,农民工能动地通过各种途径解决医疗需求,形成三种类型的医疗行为模式,即"自力更生"型、"社会资本"依赖型及"经济实力"型。结合医疗机构的空间分布,农民工医疗行为的空间特征符合距离衰减规律,同时表现出明显的波动性,表现为一个跳跃式五圈层结构。本研究试图为改善农民工的健康行为模式提供科学基础,并在一定程度上补充国内城市保健地理及行为地理的研究。     

BETWEEN A REFUGE AND A BATTLEGROUND: BEIRUT'S DISCREPANT COSMOPOLITANISMS*

Beirut has experienced cosmopolitanism and its opposite. It is a site of multicultural encounters and communal entrenchment: a refuge and a battleground. How and where does Beirut's cosmopolitan project turn into violence? The notion of “discrepant cosmopolitanism” provides two answers, blurring accepted distinctions between multicultural openness and communitarian entrenchment. First, openness and closure are not opposed but part of discrepant cosmopolitanisms immanent in urban space. Second, these discrepant cosmopolitanisms originate in Lebanon's encounter with colonial modernity. The making of the Lebanese nation‐state has revolved around the sectarian spatiality of the ta'ifa (religious community), which produced contested but coexisting discourses and practices of rivalry and harmony. The rise of Beirut's international hotels in the 1960s, their destruction, and their role in contemporary urban redevelopment are treated here as embodiments of discrepant cosmopolitanisms. Within Beirut's recurrent tensions, a renegotiation of its cosmopolitan project could stem from a different relationship between the urban and national policies.     

Healthier Geographies: Mediating the Gaps between the Needs of People Living with HIV and AIDS and Health Care in Chiang Mai,Thailand

In this article, I contribute to our understanding of the plurality of approaches that construct the geographies of health care through an examination of the distribution of health care services for people living with HIV/AIDS (PLWHA) in Chiang Mai Province, Thailand. In particular, I focus on the development of a network of support groups for PLWHA in order to examine the differences in the sociospatial organization of these groups, the practices of social actors participating in the groups' activities, and how these activities are mediated through place‐based social relations. The first section of the article analyzes the spatial distribution of PLWHA support groups in relation to the distribution of AIDS cases over two time periods, 1994 and 1997. The second section goes below the surface of the spatial distribution, examining similarities and differences in PLWHA support groups through an analysis of survey data collected on thirty‐five groups in 1997. The final section deepens this examination through an analysis of ethnographic data collected on the outreach efforts of one nongovernmental organization (NGO) and one PLWHA support group with which it worked. Each section offers opportunities for the extension of our understanding of the development of PLWHA support groups, their distribution in relation to the spread of AIDS cases, and their place‐based meanings.     

Healthier Geographies: Mediating the Gaps between the Needs of People Living with HIV and AIDS and Health Care in Chiang Mai,Thailand

In this article, I contribute to our understanding of the plurality of approaches that construct the geographies of health care through an examination of the distribution of health care services for people living with HIV/AIDS (PLWHA) in Chiang Mai Province, Thailand. In particular, I focus on the development of a network of support groups for PLWHA in order to examine the differences in the sociospatial organization of these groups, the practices of social actors participating in the groups' activities, and how these activities are mediated through place-based social relations. The first section of the article analyzes the spatial distribution of PLWHA support groups in relation to the distribution of AIDS cases over two time periods, 1994 and 1997. The second section goes below the surface of the spatial distribution, examining similarities and differences in PLWHA support groups through an analysis of survey data collected on thirty-five groups in 1997. The final section deepens this examination through an analysis of ethnographic data collected on the outreach efforts of one nongovernmental organization (NGO) and one PLWHA support group with which it worked. Each section offers opportunities for the extension of our understanding of the development of PLWHA support groups, their distribution in relation to the spread of AIDS cases, and their place-based meanings.     

Towards a framework for delineating sub-districts for primary health care administration in rural Ghana: A case study using GIS

This paper examines the need to carry out primary health care administration, programming and planning beyond the established 110 districts in Ghana. The framework for delimiting the sub-districts is offered by the availability of digital data such as the district boundary, site location, road network and population. Using the specified travel distance from predetermined sites, network analysis generates approximate polygons around the health centres to create functional areas ? the health sub-districts. Additional sites are proposed based on a set of criteria which includes proximity, centrality, population and existing level of infrastructural development in an attempt to improve coverage and bring the total utilization of health facilities closer to 100% in the study area.