Perceived Attitudes Toward Vaccines, Trust and Vaccination Behaviors

Objectives: The decision-making process for taking vaccination is influenced by a multitude of factors such as individual beliefs concerning vaccinations, trust in contextual forces, and sociodemographic. This study established a model to understand the relationship between people's beliefs in the safety, importance and effectiveness of vaccines, their trust in the medical advice from the government and doctors and their behaviors of having their children vaccinated from infectious diseases in low-and-middle-income countries (LMIC). Method(s): We structured a structural equation model with two latent variables, Motivation and Trust, and their relationships with the vaccination taking behavior. Motivation is constructed by people's beliefs in the safety, importance and effectiveness of vaccines and trust is constructed by people's trust in government, medical providers and scientists. This study used the 2018 Wellcome Global Monitor dataset and focused on people in 80 LMIC. The countries were divided into eight geographic regions: Eastern Africa, Central & Southern Africa, Norther Africa & Middle East, Western Africa, Central Asia, Southeast Asia, South Asia and Southern& Eastern Europe. Result(s): The latent variable Motivation is significantly positively associated with parental vaccination behaviors in all geographic areas except for South Asia and Western Africa. South Asia is the only area where the trust in government and medical system, providers had a significant association with vaccination behavior and such association is positive. Conclusion(s): In most LMIC, positive attitudes about vaccines are associated with an improved vaccine rate. Increasing people's belief in vaccines' importance, safety and effectiveness will be essential both for boosting vaccination rates and scaling up a vaccine for COVID-19. In South Asia, trust in the government and the public health system are important in deciding taking vaccines. In these countries, policymakers need to think of ways to improve people's trust in the public health system and further effectively communicate important health messages.Copyright © 2023

Vitamins and minerals, education, and self-care need during preconception to 1000 days of life in Southeast Asia: An expert panel opinion.

Addressing maternal malnutrition and its drivers is paramount in Southeast Asia. This article summarizes the key clinical learnings and evidence-based opinions from the experts to understand the need for vitamins and minerals supplementation, education, and self-care from preconception to the first 1000 days of life, which warranted further attention since COVID-19 pandemic. Evidence describing the importance of vitamins and minerals during preconception, pregnancy, and lactation stages was identified using literature databases. A pre-meeting survey was conducted to determine the current practices and challenges in Southeast Asia. Based on the literature review and clinical experience, experts defined the topics, and an online meeting was held on 13th July 2021. During the meeting, nine experts from Southeast Asia provided evidence-based opinion on the vitamins and minerals supplementation, education, and self-care need during preconception, pregnancy, and lactation stages. The expert opinions underpin maternal malnutrition as a prevalent issue and discuss appropriate interventions and prevention strategies for women in Southeast Asia. The recent pandemic further impacted nutrition status, pregnancy, and neonatal health outcomes. The expert panel emphasized a need to improve existing inadequacies in education, self-care, and social support, and discussed the role of policymakers in addressing the barriers to dietary changes. As inadequacies in regular vitamins and minerals supplementation, education, and self-care for women of reproductive age implicate maternal and child health outcomes, there is an urgent need for addressing malnutrition concerns in this population. Thus, a strong partnership between policymakers, healthcare professionals, and other relevant sectors is required.

Impact of Influenza in South-East Asia

Influenza infection is asymptomatic in up to 75% of cases, but outbreaks result in significant morbidity. Reports found that severe influenza complications tend to occur among the very young (<5 years) and very old (>65 years), especially those with underlying co-morbidities like diabetes mellitus and heart disease. Even with no co-morbidity, some older persons with severe influenza may require hospitalisation or intensive care, with increased risk of myocardial infarction and stroke. In South-East Asia, influenza was often seen as a mild problem and was not deemed notifiable until the appearance of the Influenza A(H1N1) pandemic in 2009. For decades the data made available were based on extrapolated estimates collected mainly from paediatric populations, resulting in inconsistent findings. Following expanded surveillance across the region using national surveillance systems for influenza-like illness (ILI) and severe acute respiratory illness (SARI), and better diagnostic methods, improved estimates of disease burden was achieved in South-East Asia. However, two studies conducted in 2008-2010 reported findings ranging from 2-3% to 11%. With regards to increased risk of complications, the estimated global annual attack rates for influenza were 5-10% in adults and 20-30% in children, resulting in 3-5 million cases of severe illness and 290,000-650,000 deaths. A study In Singapore reported that influenza is associated with annual excess mortality rates (EMR) of 11-14.8 per 100 000 person-years, especially affecting the elderly;these rates are comparable to that of the USA. As for hospitalisation rates of children under 5 years with seasonal influenza, the USA estimated a rate of 1.4 per 100,000. Comparable rates were reported in Singapore (0.7-0.9), Thailand (2.4), Viet Nam (3.9-4.7), and the Philippines (4.7). In 2018, an updated study reported a mean annual influenza-associated respiratory EMR of 4.0-8.8 per 100 000 individuals, with South-East Asia showing a high mortality rate of 3.5-9.2 per 100,000 individuals. It was already estimated in Thailand in 2004 that influenza resulted in USD23-63 million in economic costs, with the main contribution from lost productivity due to missed workdays. Thus, comparable to countries in temperate climate, the clinical and socioeconomic impact of influenza in South-East Asia appear to be just as substantial. With the emergence of the COVID-19 pandemic in 2020, global influenza incidence dropped dramatically. In South-East Asia, the trend in influenza detections was similar to the rest of the world, with numbers slightly higher than average in early 2020, followed by a quick drop-off by the end of April 2020. After April 2020, the detection rate remained low until late July 2020, when Influenza A(H3N2) predominated in Cambodia, Malaysia, the Philippines, Singapore, Thailand and Timor-Leste;influenza B in Lao People's Democratic Republic but with an upsurge in A(H3N2) activity. Following a two-year hiatus, influenza outbreaks began to re-emerge significantly since early 2022. From February through August 2022, influenza activity in the southern hemisphere remained lower than in pre-COVID-19 pandemic years, but was at the highest level compared to similar periods since the start of the COVID-19 pandemic. Reasons for the reduction during the COVID-19 pandemic include non-pharmaceutical interventions (NPIs), reduced population mixing and reduced travel, and possibly viral interference between SARS-CoV-2 and influenza virus in the same host. In general, the reduction in influenza detections however does not appear to be associated with lack of testing. The World Health Organisation (WHO) continues to recommend that vaccination is the most effective way to prevent infection and severe outcomes caused by influenza viruses. Although influenza vaccine is not commonly used in most countries in South-East Asia, its burden is similar in other parts of the world where influenza vaccine is now routinely used. Currently, the countries in South-East Asia that are providing free influenza vacc na ion for those at high risk include Thailand, Singapore, the Philippines and Lao People's Democratic Republic.Copyright © 2023

‘If I Don't Sell Food, How Would I Eat?' Negotiating Street Vendor Livelihoods in the Context of COVID-19 Lockdowns in Urban Thailand, Vietnam, and Laos

Street vendor livelihoods have long been a point of negotiation in Southeast Asia, with government policies frequently attempting to erase this informal trade from city streets. Government officials and civil society alike tend to disdain street vending, labelling it a disruption to the economic development and daily operations of Southeast Asian cities. Despite such marginalisation, street vendors have persisted, employing creative tactics and resistance measures to ensure their livelihoods. Since the onset of COVID-19, which hit Thailand, Vietnam, and Laos in early 2020, the pandemic has redefined the challenges that urban street vendors face. Focusing on Chiang Mai in Thailand, Hanoi in Vietnam, and Luang Prabang in Laos, we find that governments have approached the pandemic very differently-from more immediate and stricter lockdowns to slower and less aggressive approaches. Drawing on interviews with 61 street vendors, this chapter analyses how the first wave of the COVID-19 pandemic differently affected street vendors in each of these cities. It also focuses on how vendors responded to government lockdowns and staggering declines in their vending incomes, ranging from expected coping mechanisms to more innovative responses. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Pan-Respiratory Disease Surveillance in Southeast Asia: Past, Present and Future

The Global Influenza Surveillance and Response System (GISRS) was established by WHO in 1952 to conduct surveillance for influenza to inform strain selection for seasonal vaccines and to monitor for influenza pandemics. In 2016 WHO initiated a pilot project to add RSV to influenza surveillance platforms;this was disrupted by the SARS CoV-2 pandemic, and SARS CoV-2 was the first pathogen to be incorporated into influenza sentinel surveillance on a wide scale. This resulted in a "GISRS-plus" surveillance network for influenza and SARS CoV-2 that is now being standardized by WHO. In the wake of the SARS CoV-2 pandemic, there is global interest and funding to support pan-respiratory disease surveillance, which could result in expanding influenza/SARS CoV-2 surveillance platforms to include other pathogens and enhancing event- and indicator-based surveillance. Challenges with expanding sentinel surveillance include overburdening sentinel surveillance systems, reduced number of samples collected and loss of data quality for influenza and SARS CoV-2;thus, other types of surveillance for respiratory diseases might also be considered. This talk describes CDC-supported influenza surveillance platforms in Southeast Asia and recent successes and challenges in adding SARS CoV-2 to this surveillance. It discusses potential risks and benefits to GISRS-plus surveillance created by including other pathogens. Finally, it discusses decision-making steps on which methods to use for collecting data on respiratory viruses.Copyright © 2023

Rural Livelihoods Amidst the COVID-19 Pandemic: Farmers and Fishers in Thailand and Vietnam

Thailand and Vietnam have done relatively well in terms of containing the COVID-19 pandemic. While hundreds of thousands of cases and thousands of deaths have been registered in Indonesia and the Philippines, Vietnam's number of cases was only 2550 (and only 35 deaths) and Thailand 26, 679 (85 deaths) by 15 March 2021. Nevertheless, it is also important to investigate to what extent weaker sections of society have been affected by the pandemic. As is widely known, the pandemic and lockdowns have led to dramatic socioeconomic upheavals. In this chapter attention is paid to relatively under-researched groups: farmers, fishers and their households. How have they fared amidst economic disruptions? Whereas the media has focused on the impact of lockdowns on urban areas, this chapter highlights livelihood challenges as experienced in rural areas based on 240 semi-structured interviews with farmers and fishers in southern Thailand and northern Vietnam conducted between July 2020 and February 2021. Results show that domestic trade in farm products and both domestic and international trade in seafood were battered by demand slumps, lockdowns and the collapse of the Thai tourism industry. Factors that co-determine the intensity of impacts are socioeconomic status, the crops farmers grow, the size of fishing vessels and numbers of boat crews, jobs and opportunities of relatives and age. This chapter contributes to debates on the nature of poverty reduction given concerns that the pandemic is currently undoing years of progress in middle-income countries and offers options for further empirical and policy-oriented research. © The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Sovereignty scripts and regional governance: ASEAN's response to the Covid-19 pandemic

This article seeks to advance our understanding of the role of sovereignty for regional governance, with a focus on the Association of Southeast Asian Nations (ASEAN). We argue that important insights into this issue can be gleaned by analyzing how ASEAN has responded to the Covid-19 pandemic. Most existing research on ASEAN considers sovereignty an obstacle to effective regional governance without further interrogating it conceptually. Such a monolithic understanding fails to account for ASEAN's variegated response to the pandemic. To develop a fuller account of the relation between sovereignty and regional governance, we engage with scholarship on sovereignty that emphasizes its performative and contextual character, and develop a framework that distinguishes four different sovereignty scripts. Drawing on expert interviews and document analysis, we show that ASEAN's multifaceted Covid-19 response is a result of member states' parallel enactment of diverging and overlapping sovereignty scripts, which engender competing modes of governance. Our study shows that typical governance problems–institutional proliferation and incoherence as well as implementation gaps–can be understood as emerging from diverging imperatives for practicing sovereignty and statehood. We suggest that our framework can be tested in other policy fields and regional organizations beyond ASEAN. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Population Ageing in Lower and Middle-income Countries: Policy Landscape of Southeast Asian Countries.

Populations are ageing at varying rates of development. Countries with developed economies have experienced such changes to their population structures. Examinations have been conducted with regard to how respective societies can accommodate the said changes in their health and social systems, but this research mostly focuses on more developed regions rather than lower-income countries. This paper discussed the experience of ageing populations in developing economies, which comprise the majority of the global older population. They display a vastly different experience from high-income countries, especially when viewed within the level of world regions. The cases presented here were from Southeast Asian countries in order to have a wide range of examples in terms of differences in country-income categories. In lower and middle-income countries, there are older adults who: continue working as their primary income source, are non-members of pension systems, and provide intergenerational support rather than only receiving it. The COVID-19 pandemic situation was also included here, as policies were reformed to address current needs that highlighted the challenging situation of older adults. The populations of countries that have yet to age substantially, especially those in the least-developed regions, can utilise this paper's recommendations in order to prepare for changes in the age structures of their societies.

Would compensation be necessary? The importance of service recovery strategy in e-retail delivery problems

PurposeThis study examines the different effects of service recovery strategies on customers' future intentions when online shoppers were experiencing delivery failures. Two types of problem severity are evaluated: wrong-product delivery (issues with the product quality or quantity) and late delivery. This study also investigates the impact of service criticality on the relationship between service recovery strategies and customers' future intentions.Design/methodology/approachThis study employs experimental research with 123 online shoppers as participants. Following the results, a subsequent test is conducted to examine the effect of participants' demographics on future intentions. Finally, the current study elaborates the findings using qualitative research, interviewing both sides impacted by the service failures: online shoppers and e-retail managers.FindingsThe findings show that complementing product replacement with monetary compensation is the most effective strategy to improve repurchase intention after a dissatisfaction moment. This effect is indifferent to service criticality and severity. Age influences the participants' repurchase intentions, in which younger people are less tolerant of service failures. In contrast, gender and education level do not provide any differences. To prevent delivery failures, managers participating in this study suggest several best practices regarding systems and infrastructure, people and coordination and collaboration with logistics partners.Research limitations/implicationsThe study mainly examines a limited type of service and service failures. Further studies are encouraged to expand the variables and scenarios, as well as to employ more distinctive methods, to enrich the findings related to recovery strategy in the e-commerce industry.Practical implicationsGiven proper compensation, service failure could create momentum for online retailers to boost customer loyalty. This study suggests that managers design the most effective service recovery to win customers back to the business.Originality/valueThis paper enriches the literature related to a service recovery strategy, particularly within the online shopping context.

Reported shocks, households' resilience and local food commercialization in Thailand

PurposeThe authors examine the factors affecting households' resilience capacities and the impacts of these capacities on household consumption and crop commercialization.Design/methodology/approachThe authors use panel data of 1,648 households from Thailand collected in three years, 2010, 2013 and 2016. The authors employ an econometric model with an instrumental variable approach to address endogenous issues.FindingsThe study results show that the experience of shocks in previous years positively correlates with households' savings per capita and income diversification. Further, a better absorptive capacity in the form of better savings and a better adaptive capacity in the form of higher income diversification have a significant and positive influence on household expenditure per capita and crop commercialization.Practical implicationsDevelopment policies and programs aiming to improve income, increase savings and provide income diversification opportunities are strongly recommended.Originality/valueThe authors provide empirical evidence on the determinants of resilience strategies and their impacts on local food commercialization from a country in the middle-income group.

Tourism Demand Prediction after COVID-19 with Deep Learning Hybrid CNN–LSTM—Case Study of Vietnam and Provinces

The tourism industry experienced a positive increase after COVID-19 and is the largest segment in the foreign exchange contribution in developing countries, especially in Vietnam, where China has begun reopening its borders and lifted the pandemic limitation on foreign travel. This research proposes a hybrid algorithm, combined convolution neural network (CNN) and long short-term memory (LSTM), to accurately predict the tourism demand in Vietnam and some provinces. The number of new COVID-19 cases worldwide and in Vietnam is considered a promising feature in predicting algorithms, which is novel in this research. The Pearson matrix, which evaluates the correlation between selected features and target variables, is computed to select the most appropriate input parameters. The architecture of the hybrid CNN–LSTM is optimized by utilizing hyperparameter fine-tuning, which improves the prediction accuracy and efficiency of the proposed algorithm. Moreover, the proposed CNN–LSTM outperformed other traditional approaches, including the backpropagation neural network (BPNN), CNN, recurrent neural network (RNN), gated recurrent unit (GRU), and LSTM algorithms, by deploying the K-fold cross-validation methodology. The developed algorithm could be utilized as the baseline strategy for resource planning, which could efficiently maximize and deeply utilize the available resource in Vietnam.

Mobile-Assisted Language Teaching A Systematic Review with Implications for Southeast Asia

COVID-19 created a sudden move to online learning modes in Southeast Asia and the rest of the world, highlighting the need for updated teacher training to adopt computer- and mobileassisted learning/teaching techniques. The changes in technology provide a multimedia platform that revolutionizes how people can interact through ICT, including for education. The results of mobile-assisted language learning (MALL) on student performance have not been overwhelmingly positive. Yet, the use of technology-based instruction tools seems inevitable. The proliferation of ICT technologies, including the Internet, broadband, and mobile technologies, will continue to increase and offer advantages to tap into. How are teacherseducational service sector workers-affected by technological change? Education systems in Southeast Asia can benefit from mobile-assisted language teaching (MALT) in ways that address the specific obstacles that are faced by countries in the region. This systematic review considers the topics covered in the literature on MALT for content analysis. The implications will be considered for educational contexts in Southeast Asia. The different strategies that are employed with ICT and/or mobile technology differ from traditional classroom learning. The systematic review findings suggest that the existing research is constrained by the type of technologies studied, especially a bias towards existing technologies.

The Relationship between Stigma and Social Support to Quality of Life in Indonesia and the Philippines during the COVID-19 Pandemic

The importance of quality of life (QoL) was magnified as countries faced the COVID-19 pandemic. This study aimed to determine the relationship between COVID-19-related stigma and preferred social support to QoL in two Southeast Asian countries. This paper examined (1) the differences in the physical and psychological dimensions of QoL (QoL-PSY, QoL-PHL), COVID-19 perceived stigma (PcS) and public stigma (PS), and preferred social support (PSS) between Indonesia (IDN) and the Philippines (PHP);(2) the associations between PS and PcS with QoL;(3) the associations between PSS and QoL;and (4) the role of the country as a moderator between the relationship of PcS and PSS to QoL. Data were collected from 992 participants (PHP = 564;IDN = 428) through an online survey (April-June 2022) and analyzed through multivariate analysis of covariance (MANCOVA), hierarchical multiple regression, and multiple-group path analysis. After controlling for potential covariates, we found significant country differences in QOL and PSS, where Indonesia's estimated means for these two measures were significantly higher than the Philippines. Both domains of PSS had significant positive associations with both QOL domains in the merged sample;similarly, PcS had significant negative associations with both domains of QOL. Path analysis also showed similar significant predictors (PSS and PcS) associated with QoL for both countries with minor coefficient variations, except PS and PSS-ST. The findings show a similar relationship pattern between perceived stigma and social support (strong ties) to the QoL in Indonesia and the Philippines. Cultural interventions to mitigate perceived stigma were suggested in healthcare settings. © 2023 Hogrefe Publishing.

A pioneering effort to give voices to indigenous psychology in Southeast Asia

For this special issue, eight manuscripts were accepted. The contributions showcase a range of indigenous psychological concepts and practices in the Southeast Asia (SEA) region. These include the Filipino values of "kapwa" (shared identity) and Indonesian values of "Mangan ora mangan sing penting kumpul" and "Dalihan Na Tolu" (both referring to the importance of kinship) in relation to one's preferred sources of social supports, Filipino coping strategies of "diskarte" (resourcefulness) and "bayanihan" (mutual, collective support) in managing mental health challenges, the "Sikolohiyang Pilipino" (Filipino Psychology) movement in the Philippines, the "kiasu" mindset (fear of losing out), and traditional Chinese healing practices of "dang-ki" (consultations with a divine deity) in Singapore. The contributions all address sustainable development goals in SEA communities, such as mental health challenges and practices in Indonesia, the Philippines and Singapore;the marginalization of ethnic minority groups;effects of postcolonialism in the Philippines and Malaysia;and issues of urbanization, deforestation, and climate change in Malaysia. Some assessed specifically the effects of the COVID-19 pandemic on SEA populations' well-being, including comparisons of COVID-19 stigma and quality of life in Indonesia and the Philippines, the associated factors of self-harm and suicide ideation among Chinese Indonesians, and the mental health challenges faced and coping strategies utilized by doctors working in rural areas in the Philippines. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Corona Challenging Social Work in Korea and Vietnam

This chapter discusses the manner in which the coronavirus (COVID-19) challenged the social work profession in two countries in Asia: Korea and Vietnam. The chapter shows how the two countries responded to COVID-19 and how the two societies were impacted by the pandemic. The chapter is divided into two sections: the first part discusses Korea and the second part focuses on Vietnam. The chapter relies primarily on secondary data and the experiences of the two authors in highlighting the issues in the chapter. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Building Trust and Advancing U.S. Geoeconomic Strength Through Public-Private Partnership Stakeholder Capitalism

The United States and China are currently engaged in a struggle for global influence and critical resources known as the Great Power Competition (GPC). Strategic access to key populations, geographies and supply chains, largely built on trust, will be the deciding factor in determining a competitive advantage. The global devastation of the COVID-19 pandemic has demonstrated that no one wins in a power struggle that overlooks human security for shareholder interests. This chapter explores a new way for the U.S. to engage within the modern GPC that increases competitiveness while better supporting the dignity of human constituents: specifically, to employ stakeholder capitalism rather than shareholder capitalism to win the hearts and minds of global citizens. This chapter will demonstrate that traditional national security policies, based primarily on the state, are less effective geopolitically and should no longer drive foreign policy or U.S. industrial policy. In order for the U.S. to compete in the current global arena, its policy must prioritize human and business security. Additionally, the chapter will explore the interdependent and complex relationship between the U.S. and China within the context of the modern GPC and the effects of this relationship on U.S. economy and industry. Finally, the chapter prescribes Public-Private Partnerships (PPPs), both at home and abroad, as an effective means to bolster U.S. and foreign institutions. Such a strategy will better serve all stakeholders in a post-COVID-19 global society while positioning U.S. security interests uniquely within the modern GPC. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

From the Great Power Competition to Great Power Cooperation: Strategic Lessons from a Pandemic

A swiftly changing geopolitical and geoeconomic landscape in Central Asia-Southeast Asia (CASA) resulting from the COVID-19 pandemic coupled with the modern Great Power Competition (GPC)-calls for a timely shift in U.S. foreign diplomacy to "soft power” facilitation and cooperation in this fragile region. The COVID-19 pandemic has revealed that isolationism and/or the over-reliance on militaristic might are ineffective strategies for maintaining long-term U.S. national interests. As China rapidly expands its "soft power” influence in the Central Region through its Belt and Road Initiative (BRI), the U.S. must enact similar strategic undertakings to remain competitive. To that end, the New Silk Road Initiative (NSRI) is the United States' best option to compete and/or cooperate with China's BRI. Strategic implementation of the NSRI is critical, not only for gaining traction in the modern GPC, but ultimately for expediting a successful recovery from the pandemic, through increased regional trade and economic development. The NSRI can facilitate the commercialization of Afghanistan's vast wealth of natural resources, especially its rare earth and critical minerals, ensuring continued U.S. strategic influence in the CASA region. The NSRI can also be instrumental in affording new opportunities for interstate cooperation within the scientific and technological communities during this crucial time of global recovery. The COVID-19 pandemic has highlighted not only our global interconnectedness and interdependence, but also the prospect of great power cooperation in the service of global healing. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

An Evaluation of ASEAN Renewable Energy Path to Carbon Neutrality

Maintaining our standard of living and keeping the economy running smoothly is heavily reliant on a consistent supply of energy. Renewable energy systems create abundant energy by utilizing resources such as the sun, wind, earth, and plants. The demand for renewable energy is increasing, despite power scarcity, pollution, and climate change posing challenges to long-term development in the Association of Southeast Asian Nations (ASEAN), which has seen significant social and economic growth in recent years. To achieve its 23% renewable energy (RE) target, ASEAN can develop solar photovoltaic (PV) electricity. Members of the ASEAN have established regulations and incentives to encourage individuals and businesses to use renewable energy in the future. This paper explores Southeast Asian countries' comprehensive fossil-free energy options, the region's renewable energy potential, current capacity, goals, and energy needs. Through the ASEAN Plan of Action for Energy Cooperation (APAEC) 2016–2025 and the ASEAN Declaration on Renewable Energy, ASEAN is committed to reducing its greenhouse gas emissions and promoting sustainable development aligning with the Paris Agreement's aim to limit global warming to well below 2 degrees Celsius above pre-industrial levels. Results show that decarbonizing the region's energy system is possible, but current policies and actions must be altered to reach that target level. Further research is necessary to optimize the ASEAN region's renewable resource technical potential and commercial viability with available technology.

The Ukraine-Russia War and Its Implications for Philippine Foreign Policy: Pushing Further to a Limited Hard Balancing Policy towards China

This article examines the impact of the Ukraine-Russia War on Philippine foreign policy. It observes that Russia's invasion of Ukraine created the widespread idea that China might emulate its strategic partner on how to deal with an irredentist claim by using force against Taiwan. This alarmed the Duterte Administration at the time it was shifting policy towards China from appeasement to limited hard balancing. This policy aims to constrain China's maritime expansion in the South China Sea by building up the Philippine military's external defence capabilities, maintaining its alliance with the United States, and making security arrangements with other middle powers like South Korea, Japan, and Australia. The outbreak of the Ukraine-Russian War further pushed the Duterte administration to this policy of limited hard balancing towards China. This was shown by President Duterte's decision to strengthen the country's security relations with the U.S. In conclusion, the article notes that the current Marcos Administration has followed its predecessor's footsteps in applying a policy of limited hard balancing policy towards the revisionist powers in the 20th century.

Glucose-6-Phosphate Dehydrogenase (G6PD) Measurement Using Biosensors by Community-Based Village Malaria Workers and Hospital Laboratory Staff in Cambodia: A Quantitative Study.

Vivax malaria can relapse after an initial infection due to dormant liver stages of the parasite. Radical cure can prevent relapses but requires the measurement of glucose-6-phosphate dehydrogenase enzyme (G6PD) activity to identify G6PD-deficient patients at risk of drug-induced haemolysis. In the absence of reliable G6PD testing, vivax patients are denied radical curative treatment in many places, including rural Cambodia. A novel Biosensor, 'G6PD Standard' (SD Biosensor, Republic of Korea; Biosensor), can measure G6PD activity at the point of care. The objectives of this study were to compare the G6PD activity readings using Biosensors by village malaria workers (VMWs) and hospital-based laboratory technicians (LTs), and to compare the G6PD deficiency categorization recommended by the Biosensor manufacturer with categories derived from a locally estimated adjusted male median (AMM) in Kravanh district, Cambodia. Participants were enrolled between 2021 and 2022 in western Cambodia. Each of the 28 VMWs and 5 LTs received a Biosensor and standardized training on its use. The G6PD activities of febrile patients identified in the community were measured by VMWs; in a subset, a second reading was done by LTs. All participants were tested for malaria by rapid diagnostic test (RDT). The adjusted male median (AMM) was calculated from all RDT-negative participants and defined as 100% G6PD activity. VMWs measured activities in 1344 participants. Of that total, 1327 (98.7%) readings were included in the analysis, and 68 of these had a positive RDT result. We calculated 100% activity as 6.4 U/gHb (interquartile range: 4.5 to 7.8); 9.9% (124/1259) of RDT-negative participants had G6PD activities below 30%, 15.2% (191/1259) had activities between 30% and 70%, and 75.0% (944/1259) had activities greater than 70%. Repeat measurements among 114 participants showed a significant correlation of G6PD readings (rs = 0.784, p < 0.001) between VMWs and LTs. Based on the manufacturer's recommendations, 285 participants (21.5%) had less than 30% activity; however, based on the AMM, 132 participants (10.0%) had less than 30% activity. The G6PD measurements by VMWs and LTs were similar. With the provisions of training, supervision, and monitoring, VMWs could play an important role in the management of vivax malaria, which is critical for the rapid elimination of malaria regionally. Definitions of deficiency based on the manufacturer's recommendations and the population-specific AMM differed significantly, which may warrant revision of these recommendations.