Search Results (25)

Italian “Agricultural Engineering”, while evolving toward the broader, interdisciplinary field of “Biosystems Engineering” (which also includes the study of biomasses/biomaterials, field and forest mechanization in difficult contexts and advanced post-harvest agri-food technologies), suffers from a structural critical issue due to its historical academic placement within the Agricultural rather than the Engineering departments. This positioning limits the depth of the technical subjects proposed to the students and does not facilitate the necessary collaboration with core engineering disciplines in research and didactics activities, thereby potentially slowing innovation in crucial fields like agro-bio-energies, precision agriculture and field robotics. To address this misalignment and foster inter-departmental synergy, this study proposes adopting the Contamination Lab (C-Lab) model as the archetype of a possible framework of academic and professional networking involving and centered on Agricultural Engineering. C-Labs (transdisciplinary platforms proposed by the Italian Ministry of University and Research) function as experiential laboratories, gathering students from Engineering, Agronomy, Computer Science, and Economics to collaboratively develop solutions to real-world challenges posed by industry stakeholders. The integration of a permanent, thematic C-Lab focused on agri-forestry and food machinery, supported by methodologies for enhancing creativity in technical fields, such as design thinking, represents an effective (and necessary) strategy to give Agricultural Engineering greater visibility in the Italian (and international) scenario and, prospectively, relocate it to the center of any research involving the technological and technical aspects of agriculture, forestry and food production. It is concluded that this initiative can serve as an institutional bridge for hybrid training, which is essential for aligning academic competencies with the growing demands for innovation and multidisciplinary professionalism in the national agri-food tech sector. Full article

Background/Objectives: Despite ongoing innovation, few interventions—including Clinical Decision Support Systems (CDSS)—are successfully integrated into routine care. Understanding the process through which innovations are implemented is therefore essential for advancing practice and research. In perinatal settings, evidence on how CDSS implementation unfolds and which strategies support adoption, scale-up, and sustainment remains limited. This study aimed to understand the implementation process, key determinants and implementation strategies of a shared antenatal psychosocial CDSS (i.e., the Born in Belgium Professionals [BIB-Pro]) implemented in a real-world, cross-sectoral perinatal care setting. Methods: A qualitative exploratory case study was conducted between January and March 2025. Data included semi-structured interviews with all seven implementation agents, document analysis of the implementation plan. Directed content analysis was applied using the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to categorise contextual determinants and the ERIC taxonomy to classify implementation strategies. Data were synthesised across the four EPIS phases. Results: The implementation process unfolded across all EPIS phases, showing a shift in responsibility from the policy level to the implementation team and healthcare organisations. Implementation was shaped by key determinants across multiple levels: (1) the bridging functions by the BIB-Pro implementation agents connecting policy, innovation, and organisational practice; (2) the system-level leadership and funding by the National Institute for Health and Disability Insurance that enabled initiation and sustainability; and (3) the multilevel stakeholder involvement and inter-organisational collaboration across care settings. In addition, the personal attributes of implementation agents—accessibility, active listening, adaptability, and persistent follow-up—were also identified as relevant factors in the implementation process. Across the implementation process, a broad range of implementation strategies was identified. The most prominent ERIC strategies were developing stakeholder interrelationships, evaluative and iterative strategies, engaging stakeholders, training and educating stakeholders, and providing interactive assistance. Barriers encountered during the implementation process included fragmented care networks, inconsistent regional referral structures, legal uncertainties, and variable digital readiness. In response to these challenges, implementation strategies were applied to support collaboration, clarify procedures and provide targeted support. Conclusions: This study provides insight into how a CDSS was introduced, scaled, and sustained across complex multiple Belgian perinatal care settings. Strong bridging functions, stakeholder interrelationships, iterative evaluation, and system-level support were key factors throughout the implementation process. Across all phases, stakeholder interrelationship strategies and evaluative and iterative strategies were the most prominent and consistently applied, supporting stakeholder engagement and sustained use of the platform. These findings offer actionable guidance for implementing digital tools in multi-organisational and multi-level contexts within perinatal care and other healthcare settings. Full article

The transition toward a circular economy has made industrial symbiosis an important approach for improving resource efficiency and reducing environmental impact, especially for small- and medium-sized enterprises (SMEs). However, the extent to which SMEs can adopt these practices differs across countries. This study aims to explore the readiness of SMEs for industrial symbiosis in Türkiye, Jordan, Portugal, and Croatia, and to propose a digital model that can support this transition. The research is based on a qualitative, literature-driven comparative analysis examining institutional structures, technological capacity, sectoral characteristics, and collaboration networks in each country. The findings indicate that, despite contextual differences, all four countries face similar challenges, such as limited data sharing, insufficient digital infrastructure, and weak inter-firm cooperation. While EU member states demonstrate more developed policy frameworks, implementation gaps remain evident across cases. Building on these insights, the study introduces the Digital Recycling and Material Network (DREAM) model, a digital platform that connects waste-generating firms, recycling companies, and businesses that use secondary raw materials. The model enables real-time data sharing and supports sustainability-oriented matching mechanisms. Overall, the study suggests that digital platforms like DREAM can play a key role in strengthening industrial symbiosis practices and supporting SMEs in their transition toward circular production systems. Full article

Building Information Modelling (BIM) has emerged as a transformative approach for improving efficiency, coordination, and sustainability in the construction industry; however, its adoption in developing regions remains limited. In the Kurdistan Region of Iraq (KRG), BIM implementation—particularly within the residential construction sector—remains at an early stage and lacks comprehensive empirical investigation. This study aims to assess stakeholders’ perspectives on current BIM practices, identify key adoption barriers, and develop a context-specific strategic framework to support BIM implementation. A mixed-method research design was employed, incorporating literature review, expert validation through semi-structured interviews, and a structured questionnaire survey. A total of 319 valid responses were analyzed using descriptive statistics, Relative Importance Index (RII), Cronbach’s alpha for reliability, Spearman’s rank correlation, independent samples t-tests, and one-way ANOVA. In addition to ranking barriers, an inter-barrier correlation analysis was conducted to examine the relationships, clustering patterns, and hierarchical structure of BIM adoption challenges. The results indicate that while BIM awareness is moderately established among stakeholders, its practical application remains limited, particularly beyond the design phase. The most critical barriers include lack of training and expertise, absence of regulatory frameworks and standards, insufficient government support, and financial constraints. The correlation analysis reveals that these barriers are interdependent, with policy and institutional deficiencies acting as root drivers influencing technical, financial, and awareness-related challenges. Based on these findings, the study proposes a four pillar conceptual strategic framework encompassing human capital development, regulatory and standardization enablement, awareness and demand generation, and organizational and collaborative enhancement. The framework is explicitly derived from empirical results, linking barrier clusters to prioritized strategies, thereby enhancing its practical applicability. This study contributes to the existing literature by providing one of the first multi-province empirical assessments of BIM adoption in the KRG residential sector, integrating statistical validation with strategic development, and offering transferable insights for other developing regions at a similar stage of BIM adoption. Full article

This study systematically reviews 53 peer-reviewed articles on public sector innovation published between 2021 and 2025 to synthesize knowledge on how innovation is conceptualized, triggered, enacted, and constrained. Findings reveal that innovation is framed across technological, organizational, governance, and social dimensions, reflecting substantial conceptual and theoretical diversity. Key triggers include digital transformation, leadership, inter-organizational collaboration, fiscal pressures, and workforce capabilities, with emphasis shifting toward technology, human capital, and collaboration in recent years. Innovation produces both positive outcomes, such as improved service quality, efficiency, and citizen engagement, and negative or unintended consequences, including implementation failures, equity concerns, and employee resistance. Persistent barriers, such as bureaucratic rigidity, risk-averse culture, accountability pressures, and political interference, operate as structural conditions rather than isolated obstacles. Theoretical foundations remain fragmented, with New Public Management, New Public Governance, institutional theory, and public value theory applied inconsistently. These findings underscore the need for integrative, context-sensitive approaches that combine institutional, human, and technological perspectives to guide innovation effectively. The review offers actionable insights for public managers and policymakers, emphasizing alignment with organizational capacity, leadership, and regulatory design, and highlights directions for future research to advance theory, practice, and policy in public sector innovation. Full article

The escalating threats of zoonotic diseases, antimicrobial resistance (AMR), climate change, and environmental degradation have intensified the need for a unified health approach. One Health—integrating human, animal, and environmental health—is critical for national and global health security. India, with its high population density, biodiversity, and socio-ecological complexity, stands poised to lead in operationalizing this integrated vision. This review analyzes India’s evolving One Health ecosystem, focusing on policy development, inter-ministerial collaborations, surveillance systems, grassroots implementation, and education. Institutions like the National Centre for Disease Control (NCDC), Indian Council of Medical Research (ICMR), and Department of Biotechnology (DBT) are discussed. We propose a strategic blueprint built on integrated surveillance (One Network), cross-sectoral governance (One Nation), and field-level implementation (One Health). Highlighting successful case studies and India’s role in global platforms, the article presents a roadmap to bridge fragmented efforts into a resilient, community-driven national mission to protect human, animal, and environmental health. Full article

Digital transformation has emerged as a key driver of modernization in the private and public sectors. In recent years, governments worldwide have turned to digital technologies to improve efficiency, reduce costs, and enhance citizen engagement. Saudi Arabia, through Vision 2030, launched one of the most ambitious national digital transformation programs, aiming to reposition the country as a leading digital government. The Saudi government initiated a wide range of digital initiatives across ministries, agencies, and public institutions—marking a critical period of structural, technological, and cultural change in the public sector. Despite the scale and significance of this transformation, academic research on Saudi Arabia’s DT efforts remains limited. Most available insights are derived from media reports, conference presentations, or informal commentary, with minimal empirical evaluation. This study addresses that gap by conducting a comprehensive qualitative case study to assess the progress, challenges, and outcomes of digital government transformation in Saudi Arabia during the 2017–2020 period. This research examines digital transformation in the public sector of an emerging economy. It highlights three essentials: institutional coordination, systems to track progress, and long-term investment in digital skills and infrastructure. The researcher interviewed staff from the digital unit and ministry teams, conducted fieldwork, and analyzed official documents and websites. The findings indicate substantial progress in digitizing public services and enhancing user access. However, persistent challenges remain, particularly in data integration, policy alignment, and inter-agency collaboration. Full article

This strategic document outlines Bulgaria’s roadmap for modernizing its cartographic sector from 2025 to 2035, addressing the outdated geospatial infrastructure, lack of standardized digital practices, lack of coordinated digital infrastructure, outdated standards, and fragmented data management systems. The strategy was developed in accordance with the national methodology for strategic planning and through preliminary consultations with key stakeholders, including research institutions, business organizations, and public institutions. It aims to build a human-centered, data-driven geospatial framework aligned with global standards such as ISO 19100 and the EU INSPIRE Directive. Core components include: (1) modernization of the national geodetic system, (2) adoption of remote sensing and AI technologies, (3) development of interactive, web-based geospatial platforms, and (4) implementation of quality assurance and certification standards. A SWOT analysis highlights key strengths—such as existing institutional expertise—and critical challenges, including outdated legislation and insufficient coordination. The strategy emphasizes the need for innovation, regulatory reform, inter-institutional collaboration, and sustained investment. It ultimately positions Bulgarian cartography as a strategic contributor to national sustainable development and digital transformation. Full article

This study aims to explore the experiences and perceptions of service providers working in direct contact with out-of-school youth to identify ways to build a more sustainable and responsive support system within the community. Individual and group interviews were conducted with eight service providers, including a team leader and five directors from public out-of-school support institutions, as well as two schoolteachers from the Board of Education, who were experienced in assisting dropout students. Reflexive thematic analysis of the interview data revealed four key themes: connecting youth to the community system, diversifying programs, minimizing disparities, and increasing societal awareness of out-of-school youth. These findings highlight how various needs and access to opportunities can be provided to all youths, regardless of their school enrollment. The study underscores the importance of shared responsibility in building an inclusive, community-based approach. It also emphasizes the necessity of cross-sector and inter-ministerial collaboration to reduce structural barriers and promote equitable learning opportunities. By centering the voices of practitioners, this study contributes to the broader discourse on building a sustainable community in which out-of-school youth can receive opportunities and resources to thrive as healthy contributing members of the community. Full article

This article discusses current challenges in the field of global health and the World Health Organization’s (WHO) strategies to address them. It highlights the importance of measuring the health impacts of global recession and globalization and the need for human-centered approaches to sustainable development. Emphasis is placed on commitment to health equity and the use of strategic partnerships for health at global, national, and local levels. Improving the health and well-being of populations, as well as public health equity, are core principles of the 2030 Agenda for the Sustainable Development Goals (SDGs). These principles are expressed in SDG 3, which promotes universal access to health services and systems and recognizes global health as a basic human right. It highlights the importance of strategic partnerships to combat emerging health crises, improve public health indices, and address the burden of chronic disease. These partnerships are contemplated in SDG 17 and are manifested in different modalities, such as network governance, cross-sector collaboration, public–private partnership, and social participation. This diversity of alliances has played an important role in scaling up and strengthening universal health systems around the world, including in Latin America and the Caribbean. The text concludes by presenting the essential characteristics of these inter-organizational and inter-institutional alliances in the field of global health. Full article

Topic: This review explores the important issue of the ‘institutional sustainability’ (IS) of faith-based development organizations (FBDOs) providing microfinance services to the poor in the developing world. IS has often been equated with the financial self-reliance of microfinance service providers, with income from credit charged on loans as well as other fees being used to pay for the service. While the approaches and tensions inherent in the attainment of IS by microfinance providers seeking to help the poorest in society have been well explored in the literature, there has been no specific analysis of FBDO providers and the special challenges they may face. Methodology: This paper is based on a review of the literature using a combination of search terms such as ‘microfinance’, ‘development’, ‘institutional sustainability’, ‘financial self-reliance’ and ‘faith’, with a special emphasis on the literature published between the 1990s and 2023. Results: One of the main findings is that Christian and Hindu FBDOs providing microfinance largely follow the financial self-reliance conceptualization of IS applied by secular providers and apply much the same set of responses regarding the setting of interest rates and other charges and the management of repayment amongst their client base. However, FBDOs of the Islamic faith take a broader perspective on IS and include the need for spirituality and religious development amongst their clients. Future directions: This paper makes a number of suggestions for future research, including (1) the reasons why religious development and spirituality do not appear to be strong issues for Christian and Hindu FBDOs relative to their Islamic counterparts; (2) the potential for inter-faith collaboration between FBDOs and secular providers, between FBDOs of different faiths as well as FBDOs from versions of the same faith (e.g., Protestant and Catholic); and (3) whether FBDOs are more naturally predisposed and able to engage and collaborate with the informal microfinance sector than secular microfinance providers. Full article

Objectives: This study aimed to estimate the prevalence of Giardia lamblia infection and identify associated risk factors at both individual and community levels in a pediatric population in different agroecological zones of Khyber Pakhtunkhwa, Pakistan. Methods: A community-based cross-sectional study was conducted from March to December 2022. Using stratified sampling, 1026 households were recruited from nine agroecological zones. Stool samples were collected from 1026 children up to the age of five years and processed for detection of Giardia using a commercial ELISA kit. Data on potential risk factors were collected using a pre-structured questionnaire. A multivariable logistic regression model was used to identify risk factors associated with giardiasis. Results: The study found that the prevalence of giardiasis in the study area was 3.31%. Children aged 13–24 months were found to be at higher risk for giardiasis. Illiterate mothers and fathers attending daycare institutions/kindergartens, mothers not practicing hand washing during critical times, households with companion animals, and homes where stray dogs/cats enter were identified as predictors of giardiasis at the individual level. Children living in sub-mountain valleys use un-piped water, inadequate domestic water storage vessels, drink un-boiled or unfiltered water, live near rubbish heaps or un-paved streets/pathways, and have unimproved latrine facilities were identified as risk factors of giardiasis at the community level. Conclusions: The study highlights the need for integrated intervention approaches at both individual and community levels to reduce the incidence of giardiasis in Khyber Pakhtunkhwa, Pakistan. Interventions aimed at promoting behavioral change and providing safe and adequate water sources, combined with individual-level interventions such as hand washing and awareness of giardiasis prevention methods, would be critical to addressing this health concern. Inter-sectoral collaboration between the health sector and other sectors would also be necessary to achieve meaningful progress in reducing the incidence of giardiasis in resource-limited areas. Full article

Inter-organizational collaboration among healthcare institutions is widely recognized to improve healthcare services. Because there is a research gap in examining the management barriers to inter-organizational collaboration in countries with less efficient healthcare systems and the reasons for non-implementation of innovations, the aim of this study was to identify key management barriers to inter-organizational collaboration in the preoperative treatment of patients with hip or knee osteoarthritis in Slovenia using a mixed-methods approach with key stakeholders. A cross-sectional study was conducted using multiple methods. An online survey (n = 135) and a multilevel qualitative approach were used, interviewing patients (n = 21), healthcare professionals, and other stakeholders (n = 42). The overall assessment of barriers affecting the integrated approach at the macro, meso, and micro levels revealed that macro-level factors were statistically significantly perceived as the major barriers, while micro-level factors were the minor barriers. There was no significant difference between public and private sector respondents in the barriers at the three levels. However, there were significant differences in the perceptions of different professional groups at the micro and meso levels, but not at the macro level. The analysis of the in-depth interviews confirmed the importance of macro-level barriers. A culture of noncooperation combined with “managerial indecision” prevails in the Slovenian healthcare system due to weak management support for inter-organizational collaboration, with managers and other key stakeholders failing to make urgent decisions due to a lack of autonomy. Interviewees commonly noted that one of the major barriers to inter-organizational collaboration was a lack of resources and staff, particularly of primary care physicians and nurses. In the preoperative treatment of patients with hip or knee osteoarthritis, the culture of non-collaboration and executive indecision are the major macro-level barriers to inter-organizational collaboration in Slovenia. Full article

The United Nations’ 2030 Agenda is known for its holistic and global dimension, as demonstrated by the saying “no one left behind”. However, local governments still struggle to take tangible actions and to reallocate resources for implementing Sustainability Strategies. With the aim to improve multi-level governance for sustainable development with complex and cross-sectoral policies, the research investigates how much Regional Sustainable Development Strategies (RSDS) and public authorities’ structures are mutually consistent. Starting from the existing governance framework at the regional and local levels (Province and Metropolitan City), the study analyzes: the organizational structures/functions of the public institutions and the integration between their competences and the RSDS targets. The case study is the Lombardy Region in Italy. The analyses were conducted through a review of key legislations and regulations, and the introduction of a homogeneous reading grid that identifies the principal “Invariant Functional Macro Areas” (IFMA) of local authorities. The paper highlights the structural weakness in implementing and localizing EU strategic Agendas and examines the extent to which public offices are currently structured to adequately address the RSDS challenges. The research shows how sectoral fragmentation of competence can collide with the holistic layout of sustainability: new integrated approaches are needed to strengthen cross-sectoral dialogue and cooperation within and between public institutional bodies. Full article

The public sector continues to be under intense pressure to improve its innovation performance. Consequently, stakeholders are calling for more empirical studies on the antecedents of innovation, especially from a developing country’s perspective. Motivated by this call, we investigate the impact of institutional creativity and institutional innovation capacity on public innovation performance in the context of Ghana. Key to our model is that, institutional creativity and institutional innovation capacity are also enabled by inter-agency collaborations, institutional leadership, and stakeholder pressure. The partial least squares structural equation model is employed to estimate the survey responses of 195 respondents from fifty public sector institutions. The empirical analysis confirms that organizational creativity has a positive and significant impact on innovation performance, innovation capacity has a negative and insignificant impact on innovation performance, and inter-agency collaboration and institutional leadership contribute positively to institutional creativity and innovation capacity. However, stakeholder pressure negatively impacts both institutional creativity and innovation performance. This study contributes to knowledge on the antecedents of public innovation performance from a developing country’s perspective. It also advances theories on public innovation performance. Full article