Search Results (7)

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

Snakebite envenoming remains a critical yet underrecognized public health issue, particularly in tropical and subtropical regions, with India bearing nearly half of the global burden of snakebite-related deaths. Despite its significant impact, underreporting, delayed medical intervention, and insufficiently trained healthcare professionals continue to exacerbate the problem. In response, the Government of India launched the National Action Plan for Prevention and Control of Snakebite Envenoming (NAPSE) in March 2024, aiming to halve snakebite-related deaths by 2030. Key challenges during the development and implementation of NAPSE included the limited multisectoral engagement initially, variations in state-level capacities, and logistical barriers in reaching remote populations. Lessons learned include the value of early stakeholder consultations, the importance of inter-ministerial collaboration, and the need for continuous community engagement. This comprehensive strategy emphasizes strengthening surveillance systems, enhancing anti-snake venom (ASV) distribution and quality, improving healthcare infrastructure, and promoting community awareness through a One Health approach. The plan also addresses critical challenges such as inadequate training at primary healthcare levels, inconsistent ASV supply, and inefficient emergency referral systems. By fostering multisectoral collaboration and targeted interventions, such as strengthening Regional Venom Centres and establishing Poison Information Centre, targeted training, and awareness campaigns, NAPSE aims to reduce mortality and disability associated with snakebite envenoming, aligning with global health objectives and setting an example for regional efforts in Southeast Asia. Full article

The current research work emphasizes the urgent need for a paradigm shift in Mediterranean tourism, advocating for the adoption of a comprehensive framework centered on sustainability in Tunisia. The establishment of an Inter-Ministerial Task Force is proposed to facilitate collaboration across governmental sectors, thereby enhancing governance and addressing the complexities of waste management within the tourism industry. Results reveal significant waste management inefficiencies and underscore the potential of integrated approaches that can lead to substantial environmental improvements. By fostering inter-ministerial collaboration, a strategic roadmap is provided that promotes effective resource recovery and sustainable waste management practices. Furthermore, the integration of the informal sector, exemplified by local recyclers, into formal waste management systems is anticipated to enhance social equity and bolster environmental stewardship. A comprehensive SWOT analysis identifies Tunisia’s intrinsic strengths, including its rich cultural heritage and significant eco-tourism potential, while simultaneously exposing shortcomings such as fragmented governance structures and insufficient infrastructure. It is posited that the creation of a centralized coordination body, coupled with the enhancement of public–private partnerships, could catalyze innovation in sustainable tourism practices, leading to increased investment opportunities and the successful implementation of circular economy principles. Drawing inspiration from Spain’s successful circular economy model, actionable recommendations for policymakers are offered, including the introduction of eco-certification programs aimed at incentivizing environmentally responsible practices within the tourism sector. Ultimately, the proposed framework aspires to position Tunisia as a regional leader in sustainable tourism, delivering long-term benefits to local communities through enhanced environmental protection and economic resilience. Full article

Background: Ministerial Decree (D.M.) 77/2022 aims to reform Italy’s primary care system by establishing community health centres and integrating digital tools to address healthcare access disparities and workforce shortages. This review focuses on frailty assessment tools, digital health innovations, and workforce challenges in the Autonomous Province of Bolzano, South Tyrol, emphasising interprofessional trust and collaboration issues. Methods: Using a narrative custom review approach guided by the SANRA checklist, this study synthesised findings from PubMed, official health websites, and regional surveys on frailty, workforce dynamics, interprofessional collaboration, and digital infrastructure in South Tyrol. Results: General practitioners (GPs) exhibited high professional motivation but expressed concerns about autonomy and administrative burdens in collaborative care models. Trust issues between GPs and specialists hinder workforce cohesion and care coordination, highlighting the need for structured inter-professional communication. Frailty assessments, such as the PRISMA-7 tool, identify over 33% of community-dwelling individuals aged 75 years and older as frail, necessitating targeted interventions. Digital health adoption, particularly electronic health records and telemedicine, is slow because of workforce shortages and infrastructure limitations. Conclusions: The successful implementation of D.M. 77/2022 in South Tyrol requires addressing workforce challenges, improving interprofessional trust, expanding digital infrastructure, and integrating frailty assessment findings into care strategies. These measures are critical for achieving a more resilient, equitable, and effective primary healthcare system. Full article

Greece represents a very peculiar case of industrial development due to a series of historical evolutions. Hence, the present paper aims to discuss the shift from the unregulated and unplanned spatial development paradigm of productive activities to the one of modern “Business parks” (hereinafter BPs), expected to adapt to international standards the location and function of industrial activity, in the Greek territory. Inherent problems and constraints hampering the modernization of industrial development are presented and specific policy recommendations are formulated, with the aim of embedding the industrial parks in sustainable territorial development. This is done through a four-step methodology including (a) an inventory of BPs from the international milieu and the review of current trends in view of the green transition, (b) an analysis of the effects of Greek regulations on the development of the so-called “Organized Receptors of Manufacturing and Business Activities” (OYMEDs) and the suggestion of guiding principles as BPs become more attractive, and (c) the construction of a system of indicators that may govern the transformation of existing parks into eco-industrial parks (EIPs) and monitor their multiple performances. Lastly, an attempt to apply this system of indicators on a national and local level was carried out. Findings show that the regulatory and operational framework concerning BPs in Greece requires a comprehensive revision so as to (a) increase synergies of BPs with the implemented or planned territorial policies, (b) establish collaborative mechanisms acting as catalysts of creativity and innovation, (c) introduce a system of indicators to monitor the development of BPs on the basis of the international framework for eco-industrial parks (EIPs), and (d) pursue an evidence-based industrial policy on national and local levels. A critical outcome is also that strong coordination between spatial and industrial policy is needed, through a high-level inter-ministerial body. Full article

Climate Compatible Development (CCD) aims to deliver adaptation and mitigation without compromising development progress. To date, adaptation, mitigation and development related to key climate-sensitive sectors have often been treated separately. This paper uses qualitative document analysis, content analysis, expert interviews and a multi-stakeholder workshop to: examine the extent to which policies in climate-sensitive sectors align in framing adaptation, mitigation and development action; and identify key areas of policy coherence in Ghana. The paper answers the following questions: (i) To what extent are Ghana’s agriculture, energy, water, forest and wildlife sector policies aligned with climate adaptation, mitigation and development? (ii) What is the extent of policy coherence amongst climate-sensitive sector policies? (iii) Where are the key intervention points available to enhance CCD activities? Findings demonstrate that Ghana’s climate-sensitive sector policies in agriculture, water, energy, forest and wildlife arenas have elements that demonstrate good alignment with adaptation, mitigation, and development priorities. However, as yet, there is only “limited coherence” between climate-sensitive sector policies. The paper identifies the following intervention points: (i) the need to attach greater importance to the threat posed by climate change to agriculture; and (ii) the need to address the lack of inter-agency and inter-ministerial approaches for building partnerships with other stakeholders. Multi-stakeholder workshop discussions highlighted significant challenges relating to limited coordination amongst institutions and agencies, limited institutional capacity and a lack of resources in ensuring coherence. This requires strengthening of national institutions such as the Environmental Protection Agency (EPA) to provide appropriate mechanisms to ensure effective collaboration amongst climate-sensitive sectors to deliver “triple wins”. The EPA could exert greater influence by nominating “climate champions” in sector ministries. Full article

This article investigates the transition dynamics related to Jatropha developments in Mozambique. The analysis focuses on how structural conditions (infrastructure, institutions, interaction and collaboration and capabilities and resources) enable or constrain interactions between niche-level Jatropha experiments and incumbent energy, agriculture and rural development regimes in Mozambique. Investors in agro-industrial Jatropha projects focused on establishing projects in areas with relatively good infrastructure, rather than in remote rural areas. Furthermore, they predominantly focused on Jatropha production instead of investing in the entire Jatropha value chain, which turned out to be a challenge in itself, as growing a productive Jatropha crop was much more complex than initially anticipated. The development of institutions that could nurture and protect Jatropha projects from the prevailing regimes lagged behind Jatropha project establishment, leading to an insecure investment climate. Strong inter-ministerial collaboration and organized civil society interaction and representation contrasted with non-organized private sector and rather isolated smallholder Jatropha projects. The global financial crisis and limited adaptive capacity reduced the time and space for experimentation and learning to overcome disappointing crop performance. Together, this hampered Jatropha’s potential to challenge the energy, agricultural and rural development regimes. Nevertheless, the Jatropha experience did initiate the development of policy and regulation and stimulated interaction and collaboration between specific groups of stakeholders, which could provide the basis to capture future biofuel momentum in Mozambique. Full article