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The complex problems of the twenty-first century cannot be effectively addressed with twentieth century top-down bureaucratic governance alone because of limited stakeholder participation in collective decision making and/or implementation. The somewhat limited stakeholder participation in the policy process, especially, that of target populations, can impact generating viable solutions to complex problems. Collaborative governance has emerged as a promising alternative to traditional management in addressing contemporary complex problems. Collaborative governance is thus a type of governance that promotes joint participation of state and non-state stakeholders in decision making and/or implementation by using agreed upon processes of engagement to collectively address problems. Such governance is especially beneficial for addressing the challenges posed by the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). This dissertation uses the collaborative governance concept to explicate the efforts of HIV Health Services Planning Councils in Broward County and Palm Beach County of South Florida with the purpose of accentuating how collaborative governance works in providing various categories of services to meet the needs of people with AIDS (PWAs), as part of the implementation of the Ryan White CARE Act. The study focuses on critical variables of collaborative governance such as facilitative leadership and institutional design, the collaborative process variables such as trust building, commitment to the process and shared understanding, and outputs such as allocation priorities of the Councils. This study employed mixed methods in collecting data from various relevant sources.

Breast and prostate cancers are the most commonly diagnosed forms of cancer in women and men in the United States. The federal government has played an active role in dedicating resources toward breast and prostate cancers since the early 1990s, when policy actors successfully lobbied Congress to adopt policies that increased awareness and spending. Using theories of social construction, I argue that the key to their success was the ability of these policy actors to socially construct the illnesses of breast and prostate cancers into politically attractive public issues that appealed to federal policymakers. Through the use of embedded collective case study and content analysis of newspaper coverage and congressional data, this dissertation demonstrates how the social constructions of these illnesses impacted the way that breast and prostate cancers were treated as they moved through the policy process. The way in which social construction influenced the types of policies that were adopted to deal with these illnesses is also examined. Because social construction is a multidimensional and dynamic process, several different elements of this process were examined in this dissertation: the ways that policy actors attracted attention to these illnesses, how gender influenced advocacy efforts, the symbolic aspects of these illnesses, and the way the illnesses were defined on systemic and institutional agendas. Since this dissertation examines two different policy issues, the similarities and differences in breast and prostate cancer policymaking were analyzed. I found that discussing breast and prostate cancers in relation to their social constructions provides support for the importance of symbolism and non-rational policy-making processes.

With the exponential increase of Internet usage and the embedding of multimedia content on the Web, some of the Internet resources remain inaccessible for people with disabilities. Particularly, people who are deaf or Hard of Hearing (HOH) experience inaccessible Web sites due to a lack of Closed Captioning (CC) for multimedia content on the Web, no sign language equivalents for the content on the Web, and an insufficient evaluation framework for determining if a Web page is accessible to the Hearing Impaired community. Several opportunities for accessing content needed to be rectified in order for the Hearing Impaired community to access the full benefits of the information repository on the Internet. The research contributions of this thesis are to resolve some of the Web accessibility problems being faced by the Hearing Impaired community. These objectives are to create an automated CC for the Web for multimedia content, to embed sign language equivalent for content available on the Web, to create a framework to evaluate Web accessibility for the Hearing Impaired community, and to create a social network for the Deaf community. To demonstrate the feasibility of fulfilling the above listed objectives several prototypes were implemented. These prototypes have been used in real life scenarios in order to have an objective evaluation of the proposed framework. Further, the implemented prototypes have had an impact to both the academic community and to the industry.