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Background Legislative provisions in Thailand's National Health Security Act 2002 mandate annual public hearings for providers, beneficiaries and other stakeholders in order to improve the performance of the Universal Health Coverage Scheme (UCS). Objective This study aims to explore the annual public hearing process, evaluate its effectiveness and propose recommendations for improvement. Method In‐depth interviews were conducted with 29 key informants from various stakeholder groups involved in annual public hearings. Results The evaluation showed that the public hearings fully met the criteria of influence over policy decision and partially met the criteria of appropriate participation approach and social learning. However, there are rooms for improvement on public hearing's inclusiveness and representativeness of participants, adequacy of information and transparency. Conclusions Three recommendations were proposed a) informing stakeholders in advance of the agenda and hearing process to enable their active participation; b) identifying experienced facilitators to navigate the discussions across stakeholders with different or conflicting interests, in order to reach consensus and prioritize recommendations; and c) communicating policy and management responses as a result of public hearings to all stakeholders in a timely manner.

While public participation (PP) is a legal requirement for mega projects in most countries, some PP processes are perceived as the ceremonial fulfilment of obligations without the adequate involvement of citizens. However, limited empirical studies have explored the individual factors of PP in infrastructural development. To bridge this knowledge gap, this study investigated the sociodemographic factors influencing citizen participation in the light rail transit (LRT) project in Khon Kaen, Thailand by using sequential mixed methods to quantify and gain an in-depth understanding of citizen participation. Proportionate stratified random sampling was employed to select 505 respondents for the survey with a semi-structured questionnaire. Descriptive statistics were applied to elaborate the respondents’ participation level (non-participation, tokenism, and citizen power), while multinomial logistic regression (MLR) was used to analyze seven sociodemographic attributes potentially associated with the participation categories. The results showed that the majority (67%) of the respondents participated at the medium level of participation (tokenism). The MLR analysis revealed that residential location, age, occupation, and income had significant effects on the likelihood of participation at a high (citizen power) level. Meanwhile, age and occupation had significant effects on medium participation behavior (tokenism). The findings shed light on how PP can potentially be enhanced through sociodemographic targeting when designing citizen involvement in infrastructure planning.

This article investigates the involvement of local stakeholders in the environmental impact assessment (EIA) processes of Ghana’s first off-shore oil fields (the Jubilee fields). Adopting key informants interviews and documentary reviews, the article argues that the public hearings and the other stakeholder engagement processes were cosmetic and rhetoric with the view to meeting legal requirements rather than a purposeful interest in eliciting inputs from local stakeholders. It further argues that the operators appear to lack the social legitimacy and social license that will make them acceptable in the project communities. A rigorous community engagement along with a commitment to actively involving local stakeholders in the corporate social responsibility (CSR) programmes of the partners may enhance the image of the partners and improve their social legitimacy. Local government agencies should be capacitated to actively engage project organisers; and government must mitigate the impact of the oil projects through well-structured social support programmes.

In India, there persists a striking gender gap in political participation. Women’s political participation is important both on normative grounds of inclusion and because when women participate, politics changes. I develop a theoretical model of women’s political behavior, arguing that women’s lack of political participation is the result of the structure of women’s political networks in patriarchal societies. I then evaluate the effect of expanding women’s networks by leveraging a natural experiment that created as-if random variation in access to women-only credit groups. Participation in these groups had a significant and substantial impact on women’s political participation—women’s attendance at public meetings doubled. I provide suggestive evidence of three mechanisms underlying this effect: (1) larger networks, (2) increased capacity for collective action within networks, and (3) development of civic skills. These findings contribute to our understanding of how networks affect political behavior and underlie gendered inequalities in political participation.

Purpose: The purpose of this study was to determine the prevalence of self-reported hearing loss and associated risk factors in a representative population-based study of Wisconsin residents. Method: Survey of the Health of Wisconsin participants with data on self-reported hearing loss were included. We reported prevalence of self-reported hearing loss with corresponding 95% confidence intervals (CIs), overall, and stratified by age and sex. Age- and sex-adjusted and multivariable logistic regression models were used to evaluate determinants of self-reported hearing loss, and results are presented as odds ratios with corresponding 95% CIs. Results: There were 2,767 participants (50.7% men) with a mean age of 46 years (range: 21--74) in this study. Prevalence of self-reported hearing loss was 26.8% (24.4, 28.4) and was higher in men (30.3% [27.1, 33.4]) than in women (22.5% [19.9, 25.0]). Prevalence increased with age. After multivariable adjustment, age (per +1 year increase; 1.05 [1.04, 1.06]), male sex (1.57 [1.18, 2.08]), having two chronic diseases (vs. 0; 1.93 [1.16, 3.23]), occupational (2.47 [1.91, 3.19]) and recreational (1.58 [1.22, 2.04]) noise exposure, and poor diet (1.88 [1.28, 2.78]) were associated with higher odds of self-reported hearing loss. Conclusions: Hearing loss is a highly prevalent public health concern and may be at least partially modifiable via interventions to reduce noise exposure and promote health. Statewide prevalence and risk factor data can be used to inform public health practice and promote hearing loss prevention.

PurposeDrawing on Adams (2017a) conceptualisation of value creation by organisations published in the Accounting, Auditing and Accountability Journal, the purpose of this paper is to develop a conceptualisation of how national governments can create value for society and the economy through their approach to the UN Sustainable Development Goals (SDGs).Design/methodology/approachAn initial conceptual framework was developed from literature situated at the intersection of accountability, public policy and sustainability/sustainable development. The authors' review of extant research on national policy development on value creation, sustainability and the SDGs identified gaps in (understanding of) approaches to national accountability and national governance (by state and civil society) processes. The subsequent thematic analysis of 164 written submissions made to the Australian Senate inquiry on the SDGs between December 2017 and March 2018, together with transcripts of five public hearings where 49 individuals and organisations appeared as witnesses during the second half of 2018, focussed on addressing these gaps.FindingsInput to the Australian Senate Inquiry on the SDGs overwhelmingly emphasised the importance of transparency and stakeholder participation in accountability systems, commenting on data gathering, measuring and communicating. There was an emphasis on the need to involve all parts of society, including business, investors and civil society, and for strong central co-ordination by the Office of the Prime Minister and Cabinet. These data allowed the authors to refine the conceptualisation of how national governments can enhance social and economic value through a focus on the UN SDGs and their approach to accounting, accountability and governance.Practical implicationsThe findings have implications: for national governments in developing approaches to achieve sustainable development; and, for supranational bodies such as the UN in developing agreements, frameworks and guidance for national governments.Originality/valueBuilding on the extant literature about how global governance should be engaged to improve accountability in achieving the SDGs, the conceptual framework developed through the study shifts focus to national governance and accountability, and provides a blueprint for national governments to create value for the economy and society in the face of global sustainable development issues.

This article examines the institution of the public hearing in contemporary constitutional systems. After considering the public hearing in light of the concept of deliberative democracy, the authors present various normative and practical measures implemented in selected countries. It is claimed that public deliberation affects the quality of legislation and makes it more legitimate. The public hearing as a stage in the legislative procedure requires a mature reciprocal dialogue between individuals and the state authorities as well as a readiness to reach appropriate decisions. The authors argue that to make the public hearing more effective, the law-maker or its organs should have a duty to inform the opinion about the extent to which the public proposals have been taken into account.