Public Support Research Articles

The Institutionalisation of Power-Sharing in Zanzibar: Strengths and Challenges

Abstract In 2010, Zanzibar presented a distinctive example of power-sharing in Africa. The introduction of power-sharing governance system was preceded by a referendum, which set the stage for a subsequent constitutional amendment to facilitate this governance approach on the Island. This model was adopted to address the region’s longstanding and entrenched political issues. Despite the strong base of its adoption, power sharing has shown ups and downs throughout its life, passing through the boycott from 2015 to 2020 and the 2020 electoral violence. This study examines the strengths and challenges of power-sharing in Zanzibar, focusing on its potential path for its institutionalization. The study used a qualitative research design, with interviews and documentary reviews as data collection methods. The findings indicate that while power-sharing in Zanzibar benefits from robust public support, which complicates efforts to eliminate or alter it, the system encounters various institutional and behavioral challenges that impede its full institutionalization.

Chinese Public Awareness, Support, and Confidence in China’s Carbon Neutrality Goal

Understanding public attitudes toward China’s carbon neutrality goal is important to inform policy-making and mobilize climate actions. This article investigates public awareness, policy support, and confidence regarding the carbon neutrality goal based on a 2022 survey of 4,162 people across China. We find high awareness, support, and confidence in achieving the goal while analyzing differences in responses by gender, age, location, education, income, occupation, and health.

Current state of quality improvement research across cardiac ICUs: a Pediatric Cardiac Intensive Care Society (PCICS) survey.

Outcomes for children with heart disease improved over the past decades. Quality improvement (QI) research in paediatric cardiac critical care is a key driver of improvement. The availability and variability of QI research across the field is unknown. This project represents a step in understanding the role. The Pediatric Cardiac Intensive Care Society (PCICS) can serve to support institutions' needs, drive collaborations, and utilise available infrastructure at member institutions for improvement work. The PCICS Quality Improvement and Safety Committee developed a survey to assess the state of QI research. The survey was disseminated over several months and available via QR code at the World Congress of Pediatric Cardiology and Cardiac Surgery in 2023. Fifty-eight respondents completed the survey representing at least 38 unique institutions. Most respondents participated in QI research (52/58, 90%). Most QI projects were single centre (41% of respondents), and of those, the majority were from a minority of institutions (13 institutions [34% of total institutions]). QI support is available at slightly more than half of units, and 55% (32/58) have access to a QI specialist. QI support and rate of publications is significantly lower for small/medium units as compared to large units. Respondents suggested most interest from PCICS in networking with other members with similar project ideas (50/58, 86%). PCICS member institutions are committed to QI research, with limitations in support, local specialists, and networking. Increasing connectivity and accessibility to QI resources may reduce burden to individual members and institutions to achieve QI research.

CEO activism: a strategic framework for topic selection, considering issue maturity and congruence

PurposeThis study proposes that strategic planning and execution can make CEO activism an effective public relations practice. It introduces a model for selecting activism topics, emphasizing issue maturity and congruence as critical factors. The study investigates how topic selection influences public trust in CEO activism and perceptions of CEO leadership, ultimately impacting public support for the advocated issue and company loyalty.Design/methodology/approachA randomized 2 × 2 experiment was conducted: issue maturity (mature vs controversial) and issue-company congruence (high vs low).FindingsGenerally, CEO activism on mature issues fostered greater public trust and favorable evaluations of transformational leadership compared to controversial issues. However, issue-company congruency significantly moderated these effects. Mature, high-congruence issues led to increased trust, positive leadership evaluations and greater advocacy and company loyalty. In contrast, mature issues with low congruency did not yield the same positive outcomes. Controversial issues with high congruency resulted in the lowest levels of trust, potentially leading to backlash and diminished the positive impact of CEO activism.Originality/valueThe results underscore the importance of strategic issue selection for CEO activism. Carefully chosen topics, considering both issue maturity and company-issue congruence, can effectively garner public support for the sociopolitical issue the CEO is advocating for while simultaneously enhancing perceptions of the CEO’s leadership and fostering company loyalty.

The political economy of national health insurance schemes: evidence from Zambia.

Governments in low and middle-income countries (LMICs) are increasingly considering the introduction of national health insurance scheme (NHIS) as a strategy to achieve universal health coverage (UHC) targets. The literature has widely documented the technical challenges associated with implementing UHC policies in LMICs but much less is known about the political process necessary to pass UHC legislation. In this article, we document the political economy issues surrounding the establishment of the Zambia NHIS in 2018. We adapted a political economy framework incorporating, semi-structured interviews with diverse stakeholders and document analysis of policies, operational reports, and legislatures from 1991 and 2018. Our findings show the 26-year journey towards the establishment of the NHIS in Zambia involved a long sequence of policy dialogue, technical review and stakeholder engagement. Our interviews with key stakeholders suggest that the act was eventually passed due to strong political will and dominant leadership of the Ministry of Health. Passing the law required trade-offs between choices influenced by stakeholder pressures and recommendations from research and actuarial studies. Another equally critical factor was the high public support and legacies of past policies, such as the removal of user fees that had created quality gaps and inequities in the health system. Furthermore, global ideas about UHC and initiatives implemented by other countries also generated support for Zambia's NHIS. Overall, this study highlights the complex set of political economy factors that need to align in order for governments to be able to adopt health insurance in low-income settings. We show that political leadership and commitment to getting reforms passed is crucial. We also highlight how certain narratives about countries in the global health sphere can shape policies in other countries.

Revisiting inter‐Korean events and South Koreans’ perception on unification

AbstractObjectiveThis study aims to examine how inter‐Korean events influence South Korean public opinion on unification. It seeks to understand the impact of various political events, including South‐North contacts and North Korean nuclear provocations, on South Koreans' attitudes towards unification.MethodsUsing annual survey data from the Institute for Peace and Unification Studies at Seoul National University (IPUS), this study creates a novel time‐series dataset spanning from 2007 to 2021. We test how each of the inter‐Korean political events affects support for unification and how key individual dispositions moderate the level of support.ResultsThe empirical findings reveal that inter‐Korean summits and family reunions positively affect unification sentiment, with family reunions showing surprisingly stronger impacts than inter‐Korean summits. Regarding North Korea's provocations, nuclear tests negatively influence public support for unification, while ballistic missile launches do not significantly impact unification sentiment, likely due to public habituation.ConclusionThis study contributes to existing literature by providing new empirical insights into the relationship between inter‐Korean political events and public opinion. The findings suggest that policymakers should focus on strategic short‐term initiatives, particularly increasing inter‐Korean contacts, to foster long‐term positive sentiment towards unification. However, it's important to note that individual variables become more influential in shaping public opinion over the long term.

Judicial Populism and Corruption Prosecutions in the Mani Pulite Operation

Abstract I provide a new analytical framework to understand the effectiveness of corruption prosecutions in the so-called Mani Pulite (Clean Hands) operation by showing how this operation was rooted in a populist interpretation of criminal rules and criminal procedure. The Clean Hands operation represented a successful breakthrough against the vast and complex corruption system that had sustained Italian politics for decades. I show that prosecutors in the Clean Hands operation interpreted legal rules through the lens of a deep-seated hostility between a vague conglomerate of “corrupt elites” and “virtuous citizens.” This populist interpretation of criminal and procedural rules introduced significant legal innovations that empowered judicial actors against systemic corruption by creating unprecedented incentives for defendants to cooperate with legal authorities. Consequently, the judicial professionals leading the Clean Hands operation also felt the need to shield themselves against retaliation for the use of these novel approaches to corruption prosecution by bringing their fight before the court of public opinion. To this end, the Clean Hands prosecutors made use of targeted media interventions to rally public support around their investigation and protect their work from political interference.

The Share of Carbon Emissions by the Non-Rich and Support for Higher Environmental Taxes in Cross-National and Longitudinal Perspective

This comparative study covering 41 countries explores whether the distribution of national carbon emissions shapes the public willingness to pay higher environmental taxes and if this relationship is moderated by the quality of government. Using multilevel regression models, it draws on data from all four waves of the International Social Survey Programme’s Environment modules (1993–2020), combined with carbon emissions data from the World Inequality Database. Cross-sectional and longitudinal results suggest that the public willingness to pay additional taxes is lower in contexts where the non-rich are responsible for a larger or increasing share of national carbon emissions, particularly in contexts with low or declining quality of government. It is concluded that the distribution of emissions may impact public support for environmental taxes, but that well-functioning government institutions can mitigate negative public backlash linked to the often-perceived regressive character of these taxes.

Hurting or healing? How conflict exposure and trauma (do not) shape support for truth commissions

Truth commissions (TCs) are a much-discussed and sometimes controversial means of establishing sustainable peace. Despite their prevalence and potential, the determinants of public support for TCs, particularly the role of conflict exposure, remain poorly understood. We suggest trauma as a key mechanism through which conflict exposure affects support for TCs. Trauma may lead victims to see TCs as hurting or healing, respectively, which may decrease or increase support. We test these competing hypotheses across Nepal, Guatemala, and Northern Ireland; three post-conflict cases with differing truth-seeking experiences. While conflict exposure predicts trauma in all three cases, trauma only determines support for TCs with tangible implications, and only in Nepal and Northern Ireland. By qualitatively examining context-specific scope conditions, we propose that the prospective closure utility of a specific TC could bolster its support. Future research is needed to probe the validity of this novel theoretical construct.

COVID-19 Deaths and Minority Health Social Vulnerability, in the U.S., January 1, 2020 through June 24, 2023.

Health disparities, leading to worse health outcomes such as elevated COVID-19 mortality rates, are rooted in social and structural factors. These disparities notably impact individuals from lower socioeconomic backgrounds and more socially vulnerable areas. We analyzed the relationship between COVID-19 deaths and social vulnerability using the Minority Health Social Vulnerability Index (MHSVI). COVID-19 death data in the U.S. was obtained from the Centers for Disease Control and Prevention (CDC) National Center for Health Statistics, where COVID-19 deaths were defined using the ICD-10 code U07.1. MHSVI composite scores were calculated for 3089 U.S. counties and categorized into social vulnerability quartiles, where values ranged from 0 (lowest vulnerability) to 1 (highest vulnerability). Negative binomial regression was employed to determine death rate ratios for each quartile within each theme. Finally, a multivariate negative binomial regression including all MHSVI sub-themes, excluding the overall index ranking, was used to assess the association between each theme and COVID-19 death rates independently. There were 1,134,272 COVID-19 deaths from January 1, 2020 through June 24, 2023. Adjusted rate ratios for COVID-19 deaths in the overall index ranking were 1.06 (95% CI 0.99-1.13), 1.14 (95% CI 1.06-1.22), and 1.41 (95% CI 1.31-1.52) for the second, third and fourth quartiles, respectively. Sub-themes of socioeconomic status (SES), household characteristics (HC), racial and ethnic minority status (REMS), housing type and transportation (HTT), and medical vulnerability (MV) revealed increasing death rates in higher vulnerability quartiles. The healthcare infrastructure and access (HIA) theme had decreasing death rate ratios of 0.74 (95% CI 0.71-0.78), 0.59 (95% CI 0.56-0.62), and 0.42 (95% CI 0.39-0.44) for the second, third, and fourth quartiles, respectively. Finally, the multivariate analysis showed that the HC, HTT, HIA, and MV themes were associated with COVID-19 deaths (P < 0.05). Counties that were identified as more socially vulnerable experienced higher death rates from COVID-19. These areas may need additional public health and social support during future pandemics.

Staff Perspectives on the Role of Public Libraries in Facilitating College Literacy

The decision-making process for potential college students in the United States is overwhelming because of the volume of information available and the complexity of higher education systems. Prospective students must consider institutional rankings, academic programs, and financial aid opportunities in addition to completing numerous forms. For some students, there exist personal and professional advisors and resources to assist with navigating the process. Others with less social and cultural capital must figure out the system with little or no assistance while facing other barriers. Public libraries can be a resource for the college-bound community; however, research shows that public libraries are not actively engaged in supporting this user group. To provide focused, quality information services to any demographic, it is important to understand the perspectives of public-facing information workers. Through a cross-sectional online questionnaire of library staff across four states, this study sought to learn staff perspectives on the role of public libraries in serving prospective college students. The survey received 160 responses of which 100 open-ended responses pertained to the role of public libraries. Qualitative inductive analysis point to three core themes on the role of public libraries in serving this population, that of connector, provider, and supporter. A fourth theme suggests staff see the role as one for others to meet. This article provides insight into past examinations of public library support of college literacy offering an opening to further discussions on serving this overlooked user group.

A Will to Win: The Role of the Public in Taiwan’s Defensive Military Outlook

Public support is a critical factor in the outcome of interstate conflicts, yet, how it operates, interacts with hard power, or influences the overall military outlook remains surprisingly undertheorized. Public support has been particularly salient for such states as Finland and Ukraine that have faced opponents of vastly greater military size, capability, and sophistication. This paper advances an original theory on the strategic utility of public support for conflict through an analysis of the case of Taiwan, a potential current flashpoint for a great power war. This paper assesses trends in Taiwanese public support for resisting a Chinese invasion over time, identifies a major upswing in the public’s willingness to fight, and argues that further coordination by state and societal actors could deter a Chinese attack or at least greatly increase the costs of an invasion and the likelihood of failure.

Public Support for State Challenges to National Laws

State governments are increasingly challenging the national government and pursuing state rules in opposition to national laws. I am interested in whether the public supports this strategy. Do people want state governments to deliver policy outcomes that better fit the interests of state constituents—even if it undercuts the authority of the national government? Or are citizens critical of state actions that challenge national laws? I find that most Americans do not believe that states should be allowed to block the enforcement of federal laws they disagree with. Opposition to state challenges increases with support for the rule of law. Using experiments, I explore whether people are less likely to support policy outcomes when they are described as challenging national provisions. I find limited evidence that people evaluate state policies differently when described as contrary to national laws. People support national supremacy in the abstract and accept state resistance to national mandates in practice.

Strategic coupling beyond borders: Germany’s extraterritorial agency in Namibia’s green hydrogen industry

Abstract Amidst increasing geopolitical threats, geo-economic competition, and climate change concerns, this article reflects on why and how states alter strategic coupling processes abroad. Scrutinizing Germany’s involvement in Namibia’s green hydrogen industry, we conceptualize the decarbonization rationale as a state project that drives extraterritorial agency. Extraterritorial institutions accompany private enterprises with public institutional support, thus leading to three mechanisms through which extraterritorial agency shapes strategic coupling dynamics abroad: extraterritorial de-risking, extraterritorial asset creation, and market creation. We show that, even in liberal and coordinated market economies, states develop extraterritorial strategies to align global production networks with their strategic goals.

Barriers to care for dependent older adults: Brazilian Primary Health Care managers' perspective.

This study analyzes the perspective of 16 managers from different Brazilian regions about the barriers to adequate care for dependent older adults in Brazilian PHC. This qualitative approach is anchored in the hermeneutic-dialectic theoretical framework. It builds on the principle that aging has different epidemiological rhythms and multiple specific demands from older adults' biopsychosocial changes. We highlighted several challenges to health services, since family, educational, organizational, and social contexts are fragmented. The 16 managers were selected by convenience from June to September 2019. They interacted individually in a semi-structured interview lasting approximately 30 minutes. The interviews were transcribed in full, and data were organized into four empirically selected themes: barriers due to dependent older adults' family care problems; lack of priority in PHC scheduling; failure in recruiting and training professionals; and lack of a specific public policy. The results indicated weakened families regarding lack of training and overload, especially female caregivers in care routine. Managers recognize the repeated comings and goings and searching for PHC access, highlighting insufficient primary services to organize care. Noteworthy is that high population demand exacerbates inadequate coverage, since lack of professionals with adequate training, priority on the agenda of services, and a public support policy to meet this population's needs fragment healthcare. Thus, it is essential to remedy the barriers recognized by managers by training more experts and qualifying professionals in the service. Society must recognize the stages of aging and support families, especially those most socially needy. The health sector at the Primary Care level has much to contribute to ensuring social protection and healthy longevity for Brazilians.

Benefits by Luck: A Study of Lotteries as a Selection Method for Government Programs

Lotteries could be a just and cost-effective procedure to distribute government benefits in contexts of oversubscription, with the added benefit of allowing assessments of the impact of government programs. However, little is known about whether there is public support for employing lotteries in this context. We examine support for a lottery that selects recipients of new government-built housing units in Brazil and find that neither lotteries participants nor the general public supports their use. We arrive at this result by employing a three-pronged multi-method approach. Quasi-experimental analysis of an original survey of lottery participants reveals that support not only is tepid, but substantially higher among winners than non-winners. In-depth interviews suggest that applicants believe lotteries miss the most deserving beneficiaries. A general population survey experiment reveals that lotteries are not perceived as just or efficient when compared to alternative beneficiary selection methods. While sometimes normatively desirable, the use of lotteries for government programs enjoys limited popular support.

What Leads to Voting Despite Intention to Abstain?: Emotions, Turnout, and Negative Campaigns in Turkish Elections

Abstract This article sheds light on the factors that pave the way from voter abstention to voter turnout based on extensive research of tweets on national and local elections in Turkey. We find that the negative campaign strategy of the incumbent and the fact that the campaigning process has taken place on a very uneven playing field have triggered a set of emotions, primarily moral outrage and anger among the electorate, which have the power to change voting patterns in a significant way. The effect of negative campaigning on expressive voting was further enhanced by the pulling effect of the candidates and their public supporters and endorsements. We found that other, competing explanations of political outcomes are secondary to the mechanisms above.

Additionalities of innovation voucher schemes: evidence from Lithuania

Purpose The purpose of this study is to improve the understanding of the impact of innovation vouchers (IVs) by assessing the additionality of IV instruments supporting business-research collaboration in Lithuania. Design/methodology/approach The approach relies on studying potential input, behavioural and output additionalities created by IVs. Adopting this perspective, the paper outlines a theoretical framework that indicates the expected contribution of IV schemes and empirically tests its implications. The model is tested by analysing the Inno-vouchers LT instrument implemented in Lithuania in 2012–2014. The study relies on a counterfactual impact evaluation (CIE) and descriptive statistical analysis of survey data of the applicants for IVs. Findings The study findings are structured around three types of additionalities. Evidence on input additionality of IV projects provides mixed results, but a significant share of projects included private investment that would not exist without Inno-vouchers LT. Yet, many beneficiaries would also have implemented projects without public support. Both survey data analysis and CIE provide evidence of behavioural additionality, albeit limited. They strongly support the hypothesis that IVs increase companies’ willingness to cooperate with research organisations. Finally, evidence on output additionality is ambiguous. Long-term or indirect output additionality (measured by employment and turnover) seems to be non-existent according to CIE results. Originality/value Despite the policy relevance and use of IVs instruments, evidence on the effectiveness is limited. The authors present findings on IVs additionality and suggest avenues for further research.

Stated preferences for the colours, smells, and sounds of biodiversity

Forest creation and restoration are embedded in global policy. Both result in landscape changes that have far-reaching socioeconomic consequences. However, there is limited evidence on public preferences for the biodiversity these forests contain. Here we used a choice experiment to explore the British public's willingness to pay (WTP) for different forest biodiversity attributes. We began with a multiple-step deliberative participatory process. This revealed that participants conceptualised forest biodiversity through visual, aural and olfactory senses. We subsequently developed and pre-tested sensory attributes based on colours, smells and sounds. Depending on the size of the proposed change, participants (N = 1711) were willing-to-pay for a greater variety of sensory attributes and for an indicator of improved ecological functioning (deadwood for decomposition). WTP for sensory attributes was influenced by participants' having related sensory impairments or visiting forests frequently. Our wider contribution highlights the importance of participatory methods to unearth novel and uncommon attributes that can then be used in stated preference studies. Ensuring that we evaluate stated preferences in a manner that reflects how the public conceives biodiversity is important if we are to improve the alignment between forest creation/restoration and public views, which could thus help bolster public support for the planning and implementation of landscape changes.

The public use of early-stage scientific advances in carbon dioxide removal: a science-technology-policy-media perspective

Abstract While Carbon Dioxide Removal (CDR) solutions are considered essential to meet Paris Agreement objectives and curb climate change, their maturity and current ability to operate at scale are highly debated. The rapid development, deployment, and diffusion of such methods will likely require the coordination of science, technology, policy, and societal support. This article proposes a bibliometric approach to quantify the public use of early-stage research in CDR. Specifically, we employ generalized linear models to estimate the likelihood that scientific advances in eight different carbon removal solutions may induce (i) further production of scientific knowledge, (ii) technological innovation, and (iii) policy and media discussion. Our main result is that research in CDR is of significant social value. CDR research generates significant, positive, yet heterogeneous spillovers within science and from science to technology, policy, and media. In particular, advances in Direct Air Capture spur further research and tend to result in patentable technologies, while Blue Carbon and Bio-energy with Carbon Capture and Storage appear to gain relative momentum in the policy and public debate. Moreover, scientific production and collaborations cluster geographically by type of CDR, potentially affecting long-term carbon removal strategies. Overall, our results suggest the existence of coordination gaps between science, technology, policy, and public support.