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高瞻远瞩:将街头吸毒者的新出现做法转化为德班的减少伤害措施——对城市治理的启示

Reaching High: Translating Emergent Practices of Street-Level Drug Users to Institute Harm Reduction in Durban-Implications for Urban Governance.

作者信息

Marks Monique, Moodley Sogen

机构信息

Urban Futures Centre, Durban University of Technology, Steve Biko Campus, Steve Biko Road, Durban, 4001 South Africa.

出版信息

Urban Forum (Johannesbg). 2022;33(4):485-504. doi: 10.1007/s12132-021-09452-6. Epub 2021 Nov 16.

Abstract

Problematic drug use is a growing problem in South African urban spaces. In Durban, as in other cities in the country, the dominant response of the capital-oriented Municipality has been to make drug use invisible through prohibition and a promotion of abstinence approaches. This governance mentality and technology has failed dismally, evidenced in the rise of street-level heroin use. During the COVID-19 hard lockdown, the municipality was forced to re-examine its governance approach to drug use, taking guidance from non-state actors in an attempt to more effectively reduce the harms associated with drug use. In tracing the historical contestations around street-level drug use in Durban, this paper shares the untold story of how, when prompted by an unforeseen crisis, a municipality was able to successfully shift its mentality and technology in governing street-level drug use. Drawing conceptually on nodal governance theory and the quadruple helix approach, it reveals the complexities of urban governance processes and demonstrates the power of political opportunities, the transformative role of unexpected consequences, and the importance of informed political leadership. It also shows how multi-stakeholder partnership projects can be a useful mechanism not only to implement innovative and creative policy goals, but also to build robust relationships to navigate the manifestation of informal urbanism. It also calls for governing through harm minimisation rather than through actuarial risk management approaches that are closely associated with a neoliberal agenda.

摘要

药物滥用问题在南非城市地区日益严重。在德班,与该国其他城市一样,以资本为导向的市政府的主要应对措施一直是通过禁令和推广禁欲方法来使药物滥用问题变得不那么明显。这种治理理念和技术彻底失败了,街头海洛因使用的增加就是明证。在新冠疫情的严格封锁期间,市政府被迫重新审视其药物滥用治理方法,借鉴非国家行为体的指导意见,试图更有效地减少与药物滥用相关的危害。在追溯德班街头药物滥用问题的历史争议时,本文讲述了一个不为人知的故事:一个市政府在一场不可预见的危机的促使下,如何成功转变其治理街头药物滥用的理念和技术。从概念上借鉴节点治理理论和四重螺旋方法,它揭示了城市治理过程的复杂性,展示了政治机遇的力量、意外后果的变革作用以及明智的政治领导的重要性。它还表明,多利益相关方伙伴关系项目不仅可以成为实现创新和创造性政策目标的有用机制,还可以建立强大的关系,以应对非正式城市化的表现。它还呼吁通过危害最小化进行治理,而不是通过与新自由主义议程密切相关的精算风险管理方法。

相似文献

本文引用的文献

1
Heroin hustles: Drugs and the laboring poor in South Africa.《海洛因骗局:南非的毒品与贫困劳工》
Soc Sci Med. 2020 Nov;265:113329. doi: 10.1016/j.socscimed.2020.113329. Epub 2020 Aug 27.
4
Public health and international drug policy.公共卫生与国际药物政策。
Lancet. 2016 Apr 2;387(10026):1427-1480. doi: 10.1016/S0140-6736(16)00619-X. Epub 2016 Mar 24.
8
Harm reduction through a social justice lens.透过社会正义视角减少伤害。
Int J Drug Policy. 2008 Feb;19(1):4-10. doi: 10.1016/j.drugpo.2007.11.005. Epub 2008 Jan 15.
9
Defining harm reduction.界定减少伤害
Drug Alcohol Rev. 1995;14(3):287-90. doi: 10.1080/09595239500185371.

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