Search Results (24)

This study evaluates the operational efficiency of accredited private healthcare facilities in Italy, a sector increasingly complementing the public National Health Service. Unlike previous studies that aggregate public and private providers, this research focuses exclusively on private facilities, providing a consistent and detailed evaluation of their performance. Utilizing game-theoretic cross-efficiency Data Envelopment Analysis (DEA) combined with Classification and Regression Tree (CART) analysis, this study identifies endogenous and exogenous efficiency drivers. Results indicate that private facilities operate at high efficiency levels (mean cross-efficiency = 0.923), with smaller facilities outperforming larger ones, though resources remain underutilized. Inactive ward and bed non-occupancy rates emerge as key inefficiency factors. Regional analysis highlights minimal disparities between the north–center and south, but significant local variations persist, shaped by governance, funding allocation, and institutional frameworks. This study also identifies an “efficiency paradox”, as in deficit regions, private expenditure correlates with higher efficiency, whereas in surplus regions, greater spending does not necessarily improve performance. These findings provide actionable insights for healthcare managers and policymakers, emphasizing the need to maximize capacity utilization, optimize staffing, and structure public–private partnerships strategically. Methodologically, integrating game cross-efficiency DEA with CART strengthens accuracy, offering a robust tool for benchmarking and improving private healthcare performance. Full article

Scientific knowledge and international collaboration are critical to achieving the Sustainable Development Goals (SDGs). This study conducts a large-scale bibliometric analysis of 49.4 million publications indexed in the Web of Science (1945–2023) related to the SDGs, with a specific focus on SDG 3 (Good Health and Well-Being). Since 1992, SDG 3 has accounted for 58% of SDG-related scientific output. Using K-means clustering and network analysis, we classified countries/regions by research productivity and mapped core–periphery collaboration structures. Results reveal a sharp concentration: the United States, China, England, and Germany account for 51.65% of publications. In contrast, the group composed of the 195 least productive countries and territories accounts for approximately 5% of the total scientific output on the SDGs, based on the same clustering method. Collaboration patterns mirror this inequality, with 84.97% of partnerships confined to the core group and only 2.81% involving core–periphery cooperation. These asymmetries limit the capacity of developing regions to generate health research aligned with local needs, constraining equitable progress toward SDG 3. Expanding scientific cooperation, fostering North–South and South–South collaborations, and ensuring equitable research funding are essential to promote inclusive knowledge production and support sustainable global health. Full article

This study provides a bibliometric analysis of life cycle assessments (LCAs) to explore the sustainability potential of mass timber buildings, focusing on glulam. The analysis highlights regional differences in carbon footprint performance within the ISO 14040 and EN 15978 frameworks. LCA results from representative countries across six continents show that wood buildings, compared to traditional materials, have a reduced carbon footprint. The geographical distribution of forest resources significantly influences the carbon footprint of glulam production. Europe and North America demonstrate optimal performance metrics (e.g., carbon sequestration), attributable to advanced technology and investment in long-term sustainable forest management. Our review research shows the lowest glulam carbon footprints (28–70% lower than traditional materials) due to clean energy and sustainable practices. In contrast, Asia and Africa exhibit systemic deficits, driven by resource scarcity, climatic stressors, and land-use pressures. South America and Oceania display transitional dynamics, with heterogeneous outcomes influenced by localized deforestation trends and conservation efficacy. Glulam buildings outperformed concrete and steel across 11–18 environmental categories, with carbon storage offsetting 30–47% of emissions and energy mixes cutting operational impacts by up to 67%. Circular strategies like recycling and prefabrication reduced end-of-life emissions by 12–29% and cut construction time and costs. Social benefits included job creation (e.g., 1 million in the EU) and improved well-being in wooden interiors. To further reduce carbon footprint disparities, this study emphasizes sustainable forest management, longer building lifespans, optimized energy mixes, shorter transport distances, advanced production technologies, and improved recycling systems. Additionally, the circular economy and social benefits of glulam buildings, such as reduced construction costs, value recovery, and job creation, are highlighted. In the future, prioritizing equitable partnerships and enhancing international exchanges of technical expertise will facilitate the adoption of sustainable practices in glulam buildings and advance decarbonization goals in the global building sector. Full article

Community seed banks are farmer-managed organizations that conserve and sustainably manage local crop and tree diversity. They are found in many countries of the Global South and increasingly in the Global North. Altogether, they maintain hundreds of crop and tree species and thousands of mostly local varieties and distribute tons of quality seed per year. Through their activities, they share and safeguard the world’s agrobiodiversity, contribute to seed security, and allow farming households in local communities to produce and consume more affordable, secure, diverse, and nutritious foods. However, community seed banks are knowledge-, resource-, and time-intensive organizations that operate through their members’ voluntary contributions. The purpose of this article is to analyze the sustainability challenge of community seed banks and identify strategies that address it. Focus group discussions and key informant interviews were used, complemented by secondary data analysis of research reports and other deliverables, resulting in five case study countries in Africa and Asia. Five promising sustainability strategies can support viable community seed bank development: value addition; nature-positive agriculture; enabling environment and national genebank partnership; networking and digitalization; and modern, low-cost seed quality technologies. Sustainable community seed banks can make important contributions to national seed sector development but they need stronger policy and legal support to maintain their sustainability. Full article

Background: Japan’s rising health expenditure, driven by an aging population, coincides with growing demands for increased spending. Reducing smoking-related costs could alleviate the burden on the health care system. Despite efforts to promote smoking cessation, success has been limited, indicating a need for strategies beyond cessation. Methods: Using a status quo simulation based on hospital resource data from the Japanese Ministry of Health, Labor, and Welfare, we examine the impact of heated tobacco products (HTPs) on the prevalence of four smoking-attributable diseases (chronic obstructive pulmonary disease, ischemic heart disease, stroke, and lung cancer) and the related direct health care costs. The baseline scenario assumes a 50% switch from combustible cigarettes to HTPs, with a 70% risk reduction. A sensitivity analysis was conducted to assess the effects of parameter variations. Results: If 50% of smokers replaced combustible tobacco products with HTPs, 12 million patients could be averted equivalent to JPY 454 billion in health care savings. Prefectures located in the north and south of Japan would benefit the most. Conclusions: Considering the heterogeneous prevalence rates, a one-size-fits-all tobacco control approach is ineffective. Japan should prioritize cost-efficient measures that promote public health and economic benefits. Encouraging smokers to switch to reduced-risk products, raising awareness of health risks, and adopting a harm-based taxation model can drive positive change. Public–private partnerships can further enhance harm reduction efforts. With a combination of tax reforms, revised regulations, collaborations, and ongoing research, Japan can create a more effective and comprehensive approach to tobacco control. Full article

This article draws on a twenty-year relationship of short-term interventions with Dalit communities living in informal settlements, sub-cities and urban villages in Mumbai, that have sought to create public theatre events based on research by and with communities that celebrate, problematise and interrogate sustainable urban living. In looking back over the developments and changes to our working methods in Mumbai, I explore how the projects priorities the roles of the community as both researchers and artists. I consider where a specific applied theatre project, which focuses on site specific storytelling with Dalit communities in Worli Koliwada and Dharavi, functions on a continuum of interactive, participatory, and emancipatory practice, research and performance. Applied Theatre practices should not and cannot remain static, they need to be constantly reformed and as practitioners and researchers we need to constantly re-examine the ways in which we work. This chapter poses two central questions: firstly, can this long-term partnership between practitioners, researchers and artists from the UK and India working with community members genuinely be a space for co-creating knowledge and theatre? And secondly, if so, is this Theatre-based Research or Research Based Theatre? I interrogate Applied Theatre’s potential to create a space of cognitive justice, which must be the next step for applied theatre, along-side its more widely accepted aims of searching for social and spatial justice and which places the community as both artists and researchers. The Dalit social reality is one of oppression, based on three axes: social, economic and gender. The chapter explores how working as co-researchers and the public performance of their stories has been a form of ‘active citizenship’ for these participants and is a key part of their strategy in their demand for policy changes. In looking forward I ask how working in international partnerships with community members can promote cognitive justice and go beyond a merely participatory practice. I consider why it is vital for the field that applied theatre practice includes partners from both the global south and north working together to co-create knowledge, new methods of practice to ensure an applied theatre knowledge democracy. In doing so I will discuss if and how this work might be considered to be Theatre-based Research. Full article

Climate change is a global threat that is better understood through global research spanning many regions, countries, and life-supporting ecosystems. This review focused on the bibliometric analysis of the distribution of a global research compendium on phytoplankton, an aquatic community that accounts for half of the carbon fixation in the global carbon cycle. A total of 716 primary research papers published in the immediate past decade (2012–2022) were reviewed. The articles were sampled from Web of Science and described field and laboratory experiments quantifying the impact of global climate change on phytoplankton from different climate zones (tropical, subtropical, temperate, subpolar, and polar) and ecosystems (freshwater, brackish, and marine). Analyses of these studies suggest that the bulk of the global research effort (80%) focused on high-latitude areas, and only a few (17%) were carried out in the tropics, largely led by four countries (Australia, Brazil, India, and Saudi Arabia), while Africa’s contribution was minuscule (<1%). In terms of ecosystems, the majority (76%) of the research was in marine waters, irrespective of the climate zone. Analyses of these studies also highlighted widespread disparities in phytoplankton research in tropical aquatic ecosystems, particularly in Africa. Strategic investment in terms of targeted funding, institutional networks, and partnerships between the global north and global south are necessary to increase phytoplankton research across different ecosystems in the tropics. Full article

This paper describes the development of a transdisciplinary knowledge network dedicated to supporting agroecology knowledge exchange and capacity building that is particularly focused on the sustainable use and conservation of agrobiodiversity. The network—Fostering Effective Agroecology for Sustainable Transformation, or FEAST—includes nodes in Brazil, Cuba, Mexico, and Canada’s Northwest Territories and has been engaged in Participatory Action Research activities since 2015. This paper examines the development of the network over time, including a workshop held in 2019 in and around Curitiba, Brazil, and reflects on the outcomes of knowledge exchange activities. We discuss how the development of the FEAST network has informed participants’ local practice and their sense of belonging to a larger-scale, international movement for agroecology, agrobiodiversity conservation, and food system sustainability. Full article

For centuries, quinoa cultivation was centered only in the Andean countries, and recently it has spread to all regions of the world. Although the number of exporting countries has increased, Bolivia and Peru remain the world’s leading producers and exporters. Today, more than 125 countries are experimenting with or cultivating quinoa. The expansion of the crop has only been possible due to the genetic diversity of seeds maintained by generations of farmers in the Andes. As access to quinoa genetic resources in Andean countries remains limited, this implies that the development of new varieties relies on a narrow genetic base relative to the theoretical potential of the species. The use of improved varieties has increased, especially with the emergence of new countries sourcing seed from commercial varieties to start cultivation. To cope with the increasing effects of climate change, it is essential to increase the resilience of crop by taking advantage of their genetic diversity. The current global crisis can only be overcome in the North or in the South by establishing new partnerships for access to genetic resources and the fair and equitable sharing of the benefits of their use. In the last 30 years, quinoa from the Andean countries gained a position in global markets and improved the quality of life of producers. However, at the end of 2015, producer prices collapsed. Quinoa development is dynamic, and now Andean producers face different scenarios with new competitors and new concerns. Being aware of the new reality is essential to face the new challenges responsibly. Analysis at different scales is fundamental, as is promoting local diversity and cooperating towards innovative production systems and inclusive processes that benefit everyone. Full article

International research and development projects (or grand challenge projects) consist of multicultural, multi-country, multi-sectoral, and multi-stakeholder initiatives aimed at poverty reduction. They are usually conceived as partnerships between actors in the global north–south. The COVID-19 pandemic was a major unexpected disruption to ongoing projects and challenged their already complex management. The aim of this paper is to present evidence on how international development projects were impacted by COVID-19 with a particular focus on the relationship between research institutions in the north and south. We conducted a mixed-methods research study, combining a reflective exercise with the co-author team and a survey with principal investigators, project managers, and capacity development leads drawn from 31 Global Challenges Research Fund (GCRF) projects funded through the UK government’s Official Development Assistance (ODA) and focused on social–ecological system research. The survey contained closed- and open-ended questions in order to (i) demonstrate how those involved in managing projects adapted to risks, including both threats and opportunities, presented by the COVID-19 pandemic, and (ii) consider the implications for tailoring adaptive management approaches in international research projects amidst uncertainties, with a special focus on enhancing equities in global north–south partnerships. The paper offers the following recommendations on designing, planning, and implementing international research and development projects: (i) devolve project management in order to enhance project resilience and improve north–south equities; (ii) allocate dedicated resources to enable equitable north–south research partnerships; (iii) rely more on hybrid and agile approaches for managing a project’s life cycle; and (iv) improve resource flexibility, transparency, and communication through enhanced funder–implementer collaboration. Full article

Precipitable water vapor (PWV) is a vitally important factor in atmospheric circulation. PWV is significant for forecasting extreme weather and understanding the dynamics of climate change. Comprehensively evaluating the performance of newly proposed remotely sensed water vapor products is crucial for guaranteeing their suitability for futural PWV applications. In this study, the accuracy of the recently established remotely sensed water vapor product from the Visible Infrared Imaging Radiometer Suite (VIIRS) satellite sensor on the Suomi National Polar-orbiting Partnership (SNPP) (VIIRS-PWV) platform within various regions of mainland China was evaluated via the PWV from Global Positioning System (GPS) observations. The GPS-derived PWV from 231 stations of the Crustal Movement Observation Network of China (CMONOC) from 2012 to 2018 was obtained through precise point positioning (PPP) techniques. The results showed that the mean value of the correlation coefficient (CC), the mean bias (MB), and the root-mean-square error (RMSE) between the VIIRS-PWV and the GPS-PWV were 0.92, −1.6 mm, and 4.7 mm, respectively. These values were comparable with the results of the PWV data derived from the Atmospheric Infrared Sounder (AIRS) and Moderate Resolution Imaging Spectroradiometer (MODIS) products. This indicates that the VIIRS product could provide PWV data with satisfactory accuracy for large-area scientific applications. Moreover, the MB and RMSE of the differences between the GPS-PWV and VIIRS-PWV showed obvious seasonal variations. The VIIRS-PWV generally performed better in winter (with the MB and RMSE values of 0.1 mm and 2.3 mm) than in summer (with the MB and RMSE values of −4.4 and 7.0 mm). Analysis among different regions revealed that the Central South (CS) region of China attained the largest mean RMSE value of 6.3 mm, and the North West (NW) region attained the smallest mean RMSE value of 3.8 mm. In addition, the southern region of China obtained a mean RMSE value of 5.6 mm, while that for the northern region of China was 3.9 mm. This indicates that the VIIRS-PWV has better accuracy within the northern region of China than within the southern region. Full article

This paper showcases the first exhaustive literature review on the public–private–people partnership (4P), as a concept on its own, its backstory, its proposed definitions, and multiple interpretations throughout the last fifteen years. Beyond mapping the discussion on what does the extra ‘P’—the people—component of these partnerships really mean, and how it is understood by scholars and the traditional public and private partners alike, this work also aims to be the starting point for new research avenues, such as corporate–community cooperation, and urban regeneration through different land use and ownership schemes. Hence, the discussion spreads onto analyzing how the concept is approached from different professional fields—for its inherent interdisciplinarity, despite the perceived scarcity of related literature available—but also onto the ambivalence stemming from the nature of the ‘people’ component itself, its functions, and the relationships—formal or informal—that should be established. Finally, the authors go on to critically place the concept within the current urban and real estate trends in both, the Global North and South, while identifying further gaps in the current literature, for example: given today’s critical housing supply and affordability situations, how to get the public and private sectors interested in partnering with people in a more direct way? What needs to be done? What needs to be further researched? Full article

We are in the midst of an unprecedented public and planetary health crisis. A major driver of this crisis is the current nutrition transition—a product of globalization and powerful multinational food corporations promoting industrial agriculture and the consumption of environmentally destructive and unhealthy ultra-processed and other foods. This has led to unhealthy food environments and a pandemic of diet-related noncommunicable diseases, as well as negative impacts on the biophysical environment, biodiversity, climate, and economic equity. Among migrants from the global south to the global north, this nutrition transition is often visible as dietary acculturation. Yet some communities are defying the transition through selective resistance to globalization by recreating their traditional foods in their new home, and seeking crop species and varieties customarily used in their preparation. These communities include Zapotec migrants from the Central Valleys of the southern Mexican state of Oaxaca living in greater Los Angeles, California. Focusing on the traditional and culturally emblematic beverage tejate, we review data from our research and the literature to outline key questions about the role of traditional foods in addressing the public and planetary health crisis. We conclude that to answer these questions, a transnational collaborative research partnership between community members and scientists is needed. This could reorient public and planetary health work to be more equitable, participatory, and effective by supporting a positive role for traditional foods and minimizing their harms. Full article

Contemporary North–South research collaborations are fraught with power relations originating in colonialism. Debates about research ethics have tended to turn around the “procedural ethics” formal model and the “everyday ethics” practical model. We build on that to suggest a second debate that scrutinises ethics and power relations not only in the researcher–researched relationship but also in the relationships within research teams and ethics review boards. The research asked: how can we shift power in research to decolonise research and build more equitable partnerships? We explored this with data obtained through collaborative autoethnography in a multi-country development research programme, Evidence and Collaboration for Inclusive Development (ECID). This included regular self-reflective meetings, visual methods, a self-evaluation survey, and blogs addressing power issues. Coordinated from London, the research had all the cards to adopt a ‘colonial’ gaze in which the North would ‘research’ the South. The case narrates the journey of the research team to decentralise power in the programme, which included sharing control over the selection of research topics, and the research design, budget, and publications. Drawing from the lessons learned from the research approach that was adopted in ECID, this paper offers an 8-step model towards decolonising research ethics. Full article

This paper highlights the potential for learning and virtual collaboration in international research teams to contribute towards sustainability goals. Previous research confirmed the environmental benefits of carbon savings from international virtual conferences. This paper adds the social and economic dimensions by using a combination of qualitative and quantitative methods to measure the constraints and benefits for personal development, economic costs, efficiency and team learning of holding international virtual conferences (VCs). Using the Sustainable and Healthy Food Systems (SHEFS) research programme as a case study, we analysed VC participant survey data to identify strengths, weaknesses, opportunities, and threats of VCs. We estimated ‘saved’ GHG emissions, costs, and time, of using VCs as an alternative for a planned in-person meeting in Chennai, India. Hosting VCs reduced North–South, gender, and researcher inclusivity concerns, financial and travelling time costs, and substantially reduced emissions. For one international meeting with 107 participants, changing to a virtual format reduced the per capita GHG emissions to half the annual global average, and avoided 60% of travel costs. The benefits of VCs outweighed weaknesses. The main strengths were inclusivity and access, with 20% more early/mid-career researchers attending. This study identified opportunities for international research partnerships to mitigate their carbon footprint (environmental benefit) and enhance inclusivity of early/mid-career, women and Global South participants (social benefit), whilst continuing to deliver effective collaborative research meetings (economic benefit). In doing so, we present a holistic view of sustainability opportunities for virtual collaboration. Full article