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I will refrain from raising things I have already discussed on numerous occasions, but I want to further clarify a matter that has to do with agents.
In the past, we used to think of the term ‘agent’ as designating only (or mainly) turned elements from the antagonistic classes. It was not all-inclusive. We knew from firsthand operational experience that, in actual struggle, agents constituted covert assets employable in routine surveillance as well as in case-related operational activity. While we now allow ourselves to continue to recruit such assets from among the elements of the antagonistic classes, we should also, in the same way, proceed to recruit them from among the masses and the activists – or even from among Communist Party and Youth League members – as long as they possess the necessary qualifications. To assume that our agents may only be recruited from among the elements of the antagonistic classes, not from among our own base of masses and activists, or to maintain that only individuals from the antagonistic classes serving operational needs may be spoken of as agents (while individuals recruited from among our own base of masses and activists serving operational needs may not) is to have an incomplete understanding.
How should we proceed in merging what [in Shenyang’s economic protection sector] are currently agents, informants, and confidential guardians and in designating all of them agents?
The creation of a single uniform designation calls for identifying the specific utility of each agent, carrying out individual validations, and deciding on the level at which the agent is to be run. (Note: below, informants and confidential guardians are all referred to as agents.) Agents about whom we already have a pretty good idea are to be examined in detail; agents about whom we still really do not have a good idea must be scrutinised in depth and exhaustively, and their recent records as well as their documented pasts must be appraised repeatedly. In the end, we must produce conclusive validation reviews to determine our decisions about whether to retain or to terminate.
New technologies are being developed in a context of scarcity. Health technology assessment (HTA) aims to support decision makers in providing equitable and affordable access to effective innovations. This study aims to summarize the policy-related findings of a Horizon2020 project on innovating HTA methods and discuss their implications for the governance of HTA in Europe.
Methods
A thematic analysis of policy-oriented papers (n = 18) from the Next Generation Health Technology Assessment (HTx) project was carried out to summarize challenges and solutions. Subsequently, via an online survey and in a 2-day meeting, European and global stakeholders (n = 21) were invited to comment on these solutions and to prioritize future strategies.
Results
Reported challenges included a lack of access to standardized data, differences in evidentiary needs, existing policy structures, and a lack of capacity and knowledge. Suggested solutions were capacity building, national and international dialogues, standardization, and increased European collaboration. Stakeholders had different expectations with respect to the likely success of these solutions.
Conclusion
Innovation of HTA requires alignment of evidentiary needs through dialogues, standardization through increased European collaboration, and capacity building. However, without additional investments in personnel capacity, HTA agencies must still prioritize some activities at the expense of others. Furthermore, although European collaboration is important, global alignment might be required to enforce standardization.
In this chapter, we describe content delivery methods and lessons learned when combining the massive open online course (MOOC) with the smaller, remote version of the course offered through MIT in Fall 2020. This approach was tested when MIT school buildings were closed due to the COVID-19 pandemic, and all classes became virtual. For a broader application, we also lay out hands-on tips for sustainable design educators on how to administer a hybrid course that outsources the tutorials, lectures, and assignments from the online course while engaging students through in-person or virtual meetings for in-depth discussions and course project development.
Grassroots organizations have a central place in service provision within many urban communities, particularly as they work with young people. Enhancing the potential of youth serving organizations is vital as many of these small groups lack infrastructure and resources. One organization has gone beyond grant making to organizations to include providing technical assistance, then moving to a model of capacity building to improve their ability to fulfill their mission. This paper describes the efforts of New Detroit to improve the infrastructure of youth serving grassroots organizations through a multi-faceted model and the outcomes evidenced from the first cohort. In addition we explore the contradictions inherent in working with small groups. How do you improve effectiveness without destroying the “homegrown” character these groups possess? The model presented here shows the value of empowering small grassroots groups to build capacity.
Nonprofits have unique strategic concerns, including their dependence on external resources, the management of multiple stakeholders, perceptions about their organizational legitimacy as well as their primary focus on the social value of their organizational mission (Stone and Brush 1996). For shared Jewish–Arab organizations in Israel that are seeking to promote a ‘shared society,’ the obstacles in navigating these various challenges are particularly pronounced and require a very unique kind of adaptive capacity (see Letts et al. 1999; Connolly and York 2003; Strichman et al. 2007). Often operating outside of the general consensus, these organizations are faced with the significant challenge of promoting values of partnership, equality and mutual interests among two populations that are often at odds. This research seeks to shed light on how shared Arab–Jewish nonprofits are continually working to strengthen organizational capacities to more effectively carry out their particular organizational mission, given the myriad of challenges they face.
The purpose of this paper is to present and develop a firmer grasp of the underlying dimensions of organizational capacity in nonprofit human service organizations. The paper draws on the resource-based view of the organization (Barney et al. in Journal of Management 37:1299, 2011; Wernerfelt in Strategic Management Journal 5:171, 1984), which recognizes that organizational attributes and capabilities facilitate performance. Interviews were conducted with 66 executives in moderate sized, human service organizations to discuss factors that influence performance. Findings suggest that human, financial, and social capital all contribute to organizational performance. Executives emphasized the quality of people associated with the organization including the role of the board of directors in supporting performance. Many respondents also believed that maintaining healthy and dynamic external relationships was critical to success.
This paper examines the role of leadership development in NGO capacity building and assesses some of the challenges of developing a new generation of NGO leaders. The paper draws on the analysis of new and existing research into the dimensions of NGO leadership highlighting the importance of both individual attributes and contextual relevance. Effective NGO leaders are able to balance a range of competing pressures from different stakeholders in ways that do not compromise their individual identity and values. Leadership development programmes therefore need to focus on both the values and identity of individual leaders while also assisting leaders understand and proactively respond to their rapidly changing external environment. We conclude that there is an urgent need to build the capacity of NGOs to develop their leadership capability. Unless systems and processes to support this work are put in place then the apocryphal warning “trees die from the top” will have more than a ring of truth in it.
Nonprofit organizations (NPOs) often find themselves under pressure to invest all of their available income in mission-related activities rather than in capacity building. We investigate one factor that can influence the decision to invest in such capacity-building tasks: funding sources pursued by an organization. Drawing on the benefits theory of nonprofit finance, we take these funding sources as predetermined by an organization’s mission and propose an extension of the theory by linking it to economic multitasking theory, which states that organizations prioritize tasks that offer greater and more measurable rewards. Through regression analyses of survey data from Swiss nonprofits, we analyze the extent to which funding sources sought affect the amount of effort invested in three areas of capacity building: public relations, impact focus, and resource attraction parameters. The results support the predictions of multitasking theory by showing that the effort invested in certain capacity-building tasks is affected considerably by seeking a specific funding source. The effects are stronger for resource attraction-related tasks than for tasks closer to the service delivery of NPOs. The results indicate that an organization’s mission affects not only the available funding sources but also the extent to which an organization invests in its capacities, which can lead to a ‘lock-in’ status for organizations.
There has been a growing trend for foundations to invest in capacity building to improve the effectiveness of third sector organisations (TSOs). However, understanding of what makes for effective capacity building is not well developed. This article contributes to the development of theory in this area through an in-depth examination of an innovative foundation, which has a longstanding history of capacity building with small- and medium-sized charities in the UK. The findings from this research are related to the developing literature in this field to extend an existing typology of approaches to capacity building and to develop and refine a number of factors that have previously been associated with successful capacity building initiatives by foundations. In particular, it argues that current prescriptions are too simple and that foundations face a number of tensions when pursuing capacity building programmes, which have to be managed and call for difficult judgements to be made.
This case study of Rural Haitian University highlights the complexities and consequences that may arise from a combination of unpredictable streams of international funding, financial vulnerability of communities, and the strategies that civic leaders employ to mobilize resources. We argue that the encounter sketched here of local vulnerability following protracted social conflict and a major natural disaster with the international aid machinery has fostered a cycle of dependence/survival strategies in the higher education institution we examine and undermined its ability to achieve its core mission. More generally, we contend that in situations of extreme poverty and heavy international donor influence, “local ownership” may become synonymous with “local survival” unless predicated on the availability of local capacities and site-specific distribution of international resources. We propose one modest initiative to reduce the university’s dependence on international funding through the development of a sustainable tourism enterprise as a way to nurture local ownership and social capital.
This article examines how international resources can be used to strengthen local support for civil society initiatives in China to improve the circumstances of poor and vulnerable populations. It identifies ways in which international resources have strengthened civil society in other countries, such as enhancing access to financial resources, building capacity of leaders and organizations, reducing sector fragmentation, building public legitimacy and improving cross-sector relations. It examines the characteristics and special circumstances facing civil society in China, arguing that institutional constraints are particularly problematic. Then it explores how international resources might be applied to each of the problem areas identified given the constraints of the Chinese context. Finally the article articulates five principles that might guide international donors for building more local support for civil society activity in China.
Health Technology Assessment (HTA) informs resource allocation and policy decisions, particularly to achieve Universal Health Coverage (UHC). Recognizing the increasing demand for evidence-informed decision-making, the HTAsiaLink network was established in 2011 as a regional platform to strengthen individual and institutional capacity in HTA research and facilitate the integration of HTA evidence into policy decisions across the Asia-Pacific.
Over the years, HTAsiaLink has expanded to over fifty members from twenty economies. In 2024, a structured strategic planning process was undertaken to ensure its continued growth and strengthen its impact on HTA development and implementation. This process involved a targeted review of strategic plans from international networks, alongside comprehensive member engagement, to develop a data-driven and adaptable plan responsive to the evolving healthcare landscape and member needs. As a result, five strategic priorities, corresponding action items, and success indicators were identified.
This commentary outlines the needs and processes involved in developing the network’s first-ever strategic plan, emphasizing the critical role of member engagement in shaping its future direction. We believe that this experience offers transferable insights for other HTA networks, particularly those operating in low- and middle-income country contexts, on the collaborative development of strategic plans that are responsive to shared objectives, accommodate varying institutional capacities, and align with regional priorities.
Since the introduction of health technology assessment (HTA) in Ukraine, the international technical assistance project “Safe, Affordable, and Effective Medicines for Ukrainians” with financial contributions of the United States Agency for International Development has supported capacity building activities. In 2020, the main HTA stakeholders expressed interest in a comprehensive training program for HTA doers, users, and trainers.
Approach
To inform the design of a training program, the needs of forty HTA doers, users, and potential trainers were assessed using validated surveys. Identified knowledge gaps included comparative effectiveness, health economics, qualitative evidence synthesis, patient and public involvement, and ethical issues. Based on these results a tailored training program consisting of five modules was developed, including an introduction to HTA, as well as a train-the-trainers program.
Results
During January–July 2023, seventy-five persons participated in the training program, while twelve HTA professionals followed the train-the-trainer program. We evaluated participants’ self-reported knowledge and skill gains by asking about their confidence level in each learning objective at the beginning and end of each training module. For each module, a learning effect was observed among participants. Furthermore, the majority of trainers felt confident to provide the introductory module on HTA, while for the other modules only one or two trainers felt completely confident to teach the content.
Conclusion
Establishing a training program based on the needs of HTA doers, users, and trainers as developed for Ukraine can serve as inspiration for other countries that wish to attain sustainable HTA capacity.
Small and medium-sized enterprises (SMEs) are the economic backbone of Latin America and the Caribbean (LAC), generating over 60% of employment and driving local supply chains. Yet, systemic barriers – including limited access to financing, digital exclusion, and regulatory hurdles – prevent them from reaching their full potential. These challenges disproportionately impact informal businesses, restricting their growth and long-term sustainability.
This chapter explores how philanthropy can be a catalyst for change, addressing these barriers and unlocking SME potential. Through the Tienda Cerca initiative by AB InBev, it highlights how blended finance, digital tools, and capacity-building programs can empower small businesses. By digitizing informal enterprises, expanding access to credit, and fostering entrepreneurial resilience, these interventions not only drive financial inclusion but also promote sustainable economic development.
Despite the Arab world’s growing development needs, its third sector remains constrained by outdated regulatory frameworks that limit its potential. This chapter explores how effective policy reforms can unlock catalytic capital, empower civil society organizations (CSOs), and drive systemic change across the region.
Through the case study of Bab Amal in Egypt, an evidence-based poverty alleviation initiative, this chapter illustrates how regulatory inefficiencies increase costs, delay impact, and hinder large-scale social transformation. It highlights five key policy areas – streamlining registration, financial sustainability, data access, multi-sector collaboration, and evidence-based policymaking – offering a pathway for unlocking billions in untapped development capital.
Africa faces a $1.3 trillion annual funding gap to achieve the SDGs and build climate resilience, yet private investors hesitate due to perceived high risks. Despite contributing less than 4% of global carbon emissions, Africa bears disproportionate climate impacts, with over 110 million people already affected by extreme weather events.
This chapter explores how philanthropy is emerging as the most powerful de-risking tool for both sustainable development and climate finance. By absorbing early-stage risks, providing patient capital, and unlocking private investment, philanthropy is catalysing solutions in renewable energy, climate adaptation, and nature-based carbon sequestration. Through real world case studies, it reveals how blended finance, impact investing, and catalytic capital can accelerate Africa’s green transition and economic transformation.
The day-to-day decisions of technologists have a profound role in shaping people’s interactions with the world. As many philosophers of technology have argued, every technological decision can also be seen as an ethical one. The shape and affordances of technologies determine what people can do with them, and how social systems evolve around them. Most technologists generally have positive intentions and strive to do good, but the ethical outcomes of their work can be particularly complex and unpredictable. Adverse consequences can often arise not from malice but from failure to appreciate the full implications of technological advancements amidst the delicate interplay between technology, human behavior, and social dynamics.
In our roles at Google, we have heard a strong desire to reshape technology development processes to explicitly incorporate ethical and social considerations.
The book concludes in Chapter 8 with a summary of the major theoretical and empirical findings on the clean energy regime complex’s emergence and effectiveness across Indonesia and the Philippines, and a discussion of the theory’s broader generalizability, further research opportunities, and policy implications and recommendations for fostering energy transitions in a world of complex governance.
The COVID-19 pandemic revealed the fractured state of global health law infrastructure. Establishing a One Health framework in law and policy is necessary to address the multitude of interlinked global health and sustainability challenges, including the risk of emerging and re-emerging infectious diseases, climate change, antimicrobial resistance, and food insecurity. This chapter will look at domestic and regional institutional collaborative frameworks focused on One Health, drawing on the development and implementation of integrated frameworks at the country level including, Egypt, Vietnam, Kenya, and India. Additionally, it will see how regional cooperation in the Arctic has led to the adoption and implementation of One Health policy guidelines and frameworks at the domestic level. The examination of national approaches will provide a critical analysis of key opportunities and barriers for domestic policy guidelines moving forward.