Aid, Trade and Development: The Future of Globalization, Second Edition

This volume presents a broad sweep of modern economic history underpinning aid, trade, development and globalization in the last half century and the salient challenges facing the global community today. The author draws on his long years as an academic and development practitioner to recommend what needs to be done to cope with the backsliding of the fight against global poverty, fractured geopolitics and the threats to the multilateral economic order. The new, revised edition analyses how unilateralism, rising protectionism and the Covid-19 pandemic seriously threaten global sustainable development. It concludes with recommendations on the policy changes needed to make globalization more equitable and development more sustainable. This book will be of interest to researchers and students of economic development and economic history, as well as all those concerned about global inequality and sustainability. © The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022.

Policy Advisory Systems in Times of Crisis: A Case Study of Slovak Advisory Committees during Covid-19

This paper aims to fill a gap in the understanding of policy advisory systems (PAS) during the Covid‐19 crisis. As governments rely on PAS in uncertain times of crisis, the state of PAS directly impacts the quality of policymaking. This paper studies the changes within Slovak Advisory committees (AC) at the executive level concerning the changes of government during the Covid‐19 pandemic. Slovakia had relatively good results in the first wave of the pandemic but did not utilize any ofthat experience in the second wave, where deadly infection and death rates were higher. The case of Slovak ACs demonstrates a shift towards a more politicized PAS – the new committees, established by the prime minister, were meeting at the expense of already functioning committees at the beginning of the crisis, and their expertise was more political in character. [ FROM AUTHOR] Copyright of NISPAcee Journal of Public Administration & Policy is the property of Sciendo and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

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

Social Mission of Orthodox Churches in the Conditions of 2022 Russian Invasion of Ukraine

The article reveals the peculiarities and specifics of the implementation of the social mission of key domestic Orthodox denominations in the context of Russia's full-scale war against Ukraine. The key aspects of providing assistance and support to the Orthodox Church of Ukraine (hereafter OCU) and Ukrainian Orthodox Church (Hereafter UOC) for both the military and the civilian population were analyzed. Differences in the provision of aid between the Orthodox churches were revealed: if the former helps through volunteers by providing and purchasing weapons, the latter is limited to the purchase of transport, the provision of basic necessities and food and clothing. The areas of activity and the common and distinctive features of the work of both Orthodox churches regarding the support of the population of Ukraine are revealed: to people who survived the occupation or intense fighting (lost loved ones, property), to citizens who, as of the end of summer, are still in the territories where the fiercest fighting is going on battles.

Does communist nostalgia lead to COVID-19 conspiracy beliefs?

Why are people in Central and Eastern Europe more hesitant towards COVID-19 vaccination and more prone to believe in COVID-19 related conspiracy theories than other Europeans? The article claims that the spread of COVID-19 conspiracy beliefs in the post-communist region might be fostered by communist nostalgia. Drawing on the survey data from Lithuania, I show that communist nostalgia is one of the best predictors of COVID-19 conspiracy beliefs, controlling for other related factors such as populist attitudes, trust in political institutions, confidence in media and scientists and pro-Western attitudes. The paper claims that communist nostalgia in Central and Eastern Europe is conducive to conspiracy beliefs in a similar vein as nostalgic narratives employed by populist radical right in Western countries. [ FROM AUTHOR] Copyright of European Societies is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full . (Copyright applies to all s.)

Website information on visiting policies at specialist in-patient palliative care settings during COVID-19 pandemic across Central and Eastern Europe: a quantitative and qualitative study

Introduction: Since the COVID-19 pandemic, visiting policies in various healthcare centres across the world have changed. Visiting patients by relatives and friends have been stopped or significantly limited. New conditions and legal constraints for family visits had to be implemented also at in-patient palliative care settings, even though accompanying a dying person is crucial for the quality of the end of life. The study aimed to identify and review the visiting policies at in-patient specialist palliative care settings across Central and Eastern Europe. Patients and Methods: The study was conducted one year after the COVID-19 pandemic outbreak from May to October 2021. Information about visiting policies, published on official websites of the in-patient specialised palliative care settings (stationary hospices and hospital-based palliative care units) from Central and Eastern European countries, were identified and categorised. The websites which lacked information about visiting policy during the COVID-19 pandemic were excluded. Qualitative and quantitative analysis of the obtained data was conducted by using content analysis techniques and descriptive analysis. The content from websites was translated into Polish with the usage of the Google Translate machine tool. Result(s): Data from 55 in-patient palliative care settings from 8 countries were collected and analysed (83.6% from Poland, and the other from Bulgaria, Czech Republic, Estonia, Lithuania, Romania, Slovakia and Ukraine). In 43.6% of the organisations, visits were stopped and 56.4% of settings published information about the special requirements for visiting arrangements. In 32.7% of all examined units upfront approval from a physician or the head of a department for visiting a patient was required, and 29.1% published information about personal protective equipment. 32.7% of organizations recommended telephone contact with the patient, and 12.7% provided video calls. Conclusion(s): Web information regarding visiting patients in in-patient palliative care settings is limited. There is a need to establish detailed requirements for the visits with better access to the website for the visitors, in case of a global disease outbreak.Copyright © Via Medica, ISSN 2545-0425, e-ISSN: 2545-1359.

THE POSITION OF THE GOVERNMENT AND SOCIETY OF THE CZECH REPUBLIC TOWARDS THE WAR IN UKRAINE

The aim of the article is to present the position of the Czech government and the society of this country towards the war in Ukraine. The text is an attempt to conduct a comparative analysis of the position of the Czech government and the part of society that has been opposing the government's policy towards Ukraine for some time. The author presented the main consequences of the Czech government's support for Ukraine, which are related to the post-pandemic crisis. These include, above all, problems with the supply of oil, natural gas and nuclear fuel for Czech nuclear power plants. Social problems include high inflation, rising interest rates and rising prices ofbasic commodities. In the summary, synthetic conclusions were drawn that confirm the discrepancies between the government's policy and the position of that part of society.

Association between HLA and SARSCOV- 2 infection in Mexican Mestizos

The Acute Respiratory Syndrome caused by the new coronavirus described in Wuhan, China in 2019 is a viral, respiratory multifactorial infectious disease, which presents different stages depending on genetic and environmental factors that influence severity. As December 19, 2022, 653,192,573 COVID-19 cases worldwide and over six million deaths;330,795 occurred in Mexico, were reported. Our aim was to analyze the contribution of HLA in Mexican patients infected with COVID-19, categorized in different clinical subgroups. A total of 114 COVID-19 patients and 164 healthy controls, all of them Mexican Mestizos from the highlands, were included in the study;RNA columns were used for extraction, and real-time PCR method was performed for the virus identification. DNA was isolated with the Maxwell16 system and 11 HLA loci were typed using NGS (CareDx, Immucor, and One Lambda). The subjects included: 22 asymptomatic, 86 symptomatic and 109 who were previously vaccinated. We compared controls versus positive patients;versus symptomatic;vaccinated negative versus vaccinated positive;controls versus asymptomatic;asymptomatic versus symptomatic individuals. The significant high risk alleles were A*29:02 (OR = 3.95), B*45:01 (OR = 6.92), C*03:04 (OR = 2.24). DPB1*03:01(OR = 3.17) is a susceptibility marker in vaccinated and unvaccinated patients. The latter is prevalent in Hispanics, Russia, Finland, Spain and the United Kingdom. DQA1*02:01 (p = 0.009, OR = 1.96;DQB1*02:02 (p = 0.009, OR = 2.13) was a susceptibility marker in infected patients who were vaccinated. This is prevalent in Argentina, Brazil, Algeria, Australia, Canada, and China, while high-risk B*45:01 and C*03:04 are prevalent in India, Israel, Eastern Europe, and Mediterranean countries. Protective alleles where DRB1*04:01, A*02:01, DQB1*03:01 and DPB1*02:01. These data are relevant to prioritize vaccination, according to the HLA profile in Mexicans, therefore these data are relevant for the epidemiology of COVID-19.

Coal Is a Priority for Energy Security, until It Is Not: Coal Phase-Out in the EU and Its Persistence in the Face of the Energy Crisis

In the wake of the COVID-19 pandemic and the Russian invasion of Ukraine, many countries see coal as the easiest solution to their energy sector challenges, despite the consequences for climate goals. Several countries of the European Union started to re-evaluate their coal policies vis-à-vis the current energy crisis and, although such a change is expected to be short-term in nature, it nevertheless has negative consequences for the Union's 2050 climate goal. However, most of the EU countries did not revise their phase-out goals. This paper examines Slovakia as a country that embarked on a coal phase-out trajectory only a few years before the pandemic broke out and stayed firmly on this path despite benefits stemming from the continued use of domestic coal. Domestic coal used to be considered a safeguard of energy security in Slovakia, especially after the 2009 gas crisis. However, a decision was made in 2018 to phase out coal by 2023, and this has not changed despite increased focus on domestic energy sources as energy security guarantors during the current energy crisis. This paper explains the decision in favour of a coal phase-out and its support vis-à-vis the energy crisis using the concept of ‘financial Europeanisation', which stresses the importance of EU funds for the development of the domestic policies of EU member states. While the expected funds serve as a catalyst for the coal phase-out needed to reach climate goals, short-term advantages of revising a coal phase-out were outweighed by long-term benefits provided by EU funds.

The effects of monetary policy response to the Covid-19 crisis on dynamic connectedness across financial markets in Central and Eastern Europe

This study investigates the effects of monetary policy interventions in Central and Eastern European (CEE) economies on shifts in financial market linkages during the Covid-19-induced crisis. We explore the market reaction to both standard and non-standard (e.g., quantitative easing) monetary policy announcements by central banks in Czechia, Hungary, Poland, and Romania, and analyse the way they affected sovereign bond and stock market linkages. The analysis is further extended to include international spill-over effects. Research Design & Methods: We first quantify a set of time-varying asset correlations using asymmetric generalised DCC-GARCH models and daily data on financial asset returns. Going beyond the domestic stock-bond interdependencies, we explore cross-border connectedness between CEE economies, Germany, and the US. Next, we investigate the effects of detailed central bank announcements, as they unfolded during the Covid-19 crisis.

HIV treatment strategies across Central, Eastern and Southeastern Europe: New times, old problems.

INTRODUCTION: In the last decade, substantial differences in the epidemiology of, antiretroviral therapy (ART) for, cascade of care in and support to people with HIV in vulnerable populations have been observed between countries in Western Europe, Central Europe (CE) and Eastern Europe (EE). The aim of this study was to use a survey to explore whether ART availability and therapies have evolved in CE and EE according to European guidelines. METHODS: The Euroguidelines in Central and Eastern Europe (ECEE) Network Group conducted two identical multicentre cross-sectional online surveys in 2019 and 2021 concerning the availability and use of antiretroviral drugs (boosted protease inhibitors [bPIs], integrase inhibitors [INSTIs] and nucleoside reverse transcriptase inhibitors [NRTIs]), the introduction of a rapid ART start strategy and the use of two-drug regimens (2DRs) for starting or switching ART. We also investigated barriers to the implementation of these strategies in each region. RESULTS: In total, 18 centres participated in the study: four from CE, six from EE and eight from Southeastern Europe (SEE). Between those 2 years, older PIs were less frequently used and darunavir-based regimens were the main PIs (83%); bictegravir-based and tenofovir alafenamide-based regimens were introduced in CE and SEE but not in EE. The COVID-19 pandemic did not significantly interrupt delivery of ART in most centres. Two-thirds of centres adopted a rapid ART start strategy, mainly in pregnant women and to improve linkage of care in vulnerable populations. The main obstacle to rapid ART start was that national guidelines in several countries from all three regions did not support such as strategy or required laboratory tests first; an INSTI/NRTI combination was the most commonly prescribed regimen (75%) and was exclusively prescribed in SEE. 2DRs are increasingly used for starting or switching ART (58%), and an INSTI/NRTI was the preferred regimen (75%) in all regions and exclusively prescribed in SEE, whereas the use of bPIs declined. Metabolic disorders and adverse drug reactions were the main reasons for starting a 2DR; in the second survey, HIV RNA <500 000 c/ml and high cluster of differentiation (CD)-4 count emerged as additional important reasons. CONCLUSIONS: In just 2 years and in spite of the emergence of the COVID-19 pandemic, significant achievements concerning ART availability and strategies have occurred in CE, EE and SEE that facilitate the harmonization of those strategies with the European AIDS Clinical Society guidelines. Few exceptions exist, especially in EE. Continuous effort is needed to overcome various obstacles (administrative, financial, national guideline restrictions) in some countries.

Models of capitalism in Central and Eastern Europe in comparison with Western Europe in the area of product market competition

The article compares 11 Central and Eastern European (CEE) countries, which are new EU members, with 7 countries of Western Europe representing 4 Western European models of capitalism (continental, Mediterranean, Nordic, and Anglo-Saxon) in the area of product market competition. The analysis covers the 2010-2020 period. One of the goals of the study is to determine the degree of similarity of the institutional architecture of the CEE countries in relation to the reference models in the last year before the coronavirus pandemic outbreak and to analyze the changes in these results over the last decade. Particular emphasis was placed on changes in the degree of similarity between two snapshots: 2010 and 2019. The study includes 26 variables characterizing the product market competition. These variables describe both the institutional architecture of the product market competition (the so-called input variables) and the effects of a given institutional order (output variables). The comparison of countries is based on our own concept of the similarity coefficient. One of the elements of novelty and originality is the analysis of robustness in terms of various Western European countries, which are a reference point, as well as alternative methods of calculating the similarity coefficient. The study shows that the results are robust to the assumptions made. The CEE countries are closest to the Mediterranean model of capitalism (both Spain and Italy). The Nordic model ranks last. The classification of Western European models of capitalism in terms of institutional proximity to the CEE countries is also robust to the exact method of calculating the similarity coefficient. © 2022 Authors. All rights reserved.

The determinants of innovative capacity in the medical sector in Central Europe and across the European Union

The recent COVID-19 crisis, as well as the resulting international response, have demonstrated the importance of medical innovation in meeting current and future health challenges. Yet capacity for innovation differs from country to country, and policymakers are wise to find ways to increase each nation's ability to generate new solutions. This study examines medical innovation, measured as patents per capita, for 27 EU countries from 2004 to 2018. Modelling innovation as a function of international and domestic macroeconomic variables, government and private-sector R&D, the rate of return to physical and human capital, and a measure of risk, a dynamic panel analysis finds that real-exchange-rate volatility reduces patent applications for some countries, particularly in Central and Eastern Europe. The response to the explanatory variables differs by countries' overall innovation levels, with innovation in weaker innovators reduced by risk and increased by higher education levels. In stronger innovators, the internal rate of return most strongly drives innovation, suggesting that this process more closely resembles "traditional” investments.

Work-related SARS-CoV2 and Covid19

ObjectiveTo map the risk of work-related SARS-CoV-2 across occupations and pandemic waves and investigate its impact on morbidity and partner-risk.MethodsThe cohort includes 2,4 million employees aged 20–69 with follow-up from 2020 through 2021. During this period, 261,203 employees had a positive SARS-CoV-2 test and 4416 were admitted to hospital with Covid-19 (HA). At-risk occupations defined at the 4-digit DISCO-08 level were identified using a reference population of mainly office-workers defined a priory by a job-exposure matrix (JEM). Incidence rate ratios (IRR) and effect modification by pandemic wave were computed by Poisson regression. We adjusted for demographic, social and health characteristics including household size, completed Covid-19 vaccination and occupation-specific frequency of testing.ResultsIn addition to eight specific occupations in the healthcare sector, we found increased risk of Covid-19 related HA in bus drivers, kindergarten teachers, domestic helpers, and operators in food production (IRR from 1.5–3) and modestly increased risk of SARS-CoV-2 infection in numerous occupations outside the healthcare sector including police and security guards, supermarket attendants, receptionists, cooks, and waiters. After the first year of the pandemic, the risk fell to background levels among healthcare workers but not in other occupations. The risk of Covid-19 related HA was increased in spouses with partners in high-risk occupations (IRR 1.54, 95% CI 1.1–2.2). Employees born in low-income countries and male employees from Eastern Europe more often worked in at-risk occupations. Being foreign-born modified the risk of PCR test positivity, primarily because of higher risk among men born in Eastern Europe working in at-risk occupations (IRR 2.39, 95% CI 2.09–2.72 versus IRR 1.19 (95% CI 1.14–1.23) in native-born men).ConclusionSARS-Cov2 transmission at the workplace was common during the Covid-pandemic in spite of temporary lock-downs which emphasizes the need for improved safety measures during future epidemics.

Factors associated with burnout among hospital-based healthcare workers during the COVID-19 pandemic: A cross-sectional CRACoV-HHS study.

AIMS: To assess the prevalence of burnout and associated factors among healthcare workers (HCWs) working in a hospital admitting patients with COVID-19. BACKGROUND: Burnout among HCWs is related to age, gender and occupation. However, little is known about organisational factors associated with burnout during the COVID-19 pandemic. DESIGN: A cross-sectional study of 1412 hospital HCWs (748 nurses) was carried out via online survey during the COVID-19 pandemic between 4 and 19 January 2021. METHODS: The Maslach Burnout Inventory-Human Services Survey, the Checklist Individual Strength questionnaire, the interRAI items covering mental health, the WHO questionnaire items assessing HCWs' preparedness and exposure to SARS-CoV-2 were used. Univariable and multivariable linear regression analyses were conducted to clarify factors associated with emotional exhaustion (EE), depersonalisation (DP) and personal accomplishment (PA). This study adheres to the STROBE guidelines. RESULTS: Burnout prevalence varied from 10.0% to 22.0%. Most respondents (83.6%) reported low PA, 22.9% high EE and 18.7% high DP. Nurses and physicians had the highest levels of EE and DP. Staff exposed or uncertain if exposed to contaminated patients' body fluids and materials had higher levels of burnout. Preparedness (training) (b = 1.15; 95%CI 0.26 to 2.05) and adherence to infection prevention and control procedures (b = 1.57; 95%CI 0.67 to 2.47) were associated with higher PA, and accessibility of personal protective equipment (PPE) (b = -1.37; 95%CI -2.17 to -0.47) was related to lower EE. HCWs working in wards for patients with COVID-19 reported lower EE (b = -1.39; 95%CI -2.45 to -0.32). HCWs who contracted COVID-19 reported lower DP (b = -0.71, 95%CI -1.30 to -0.12). CONCLUSIONS: Organisational factors such as better access to PPE, training, and adherence to infection prevention and control procedures were associated with a lower level of burnout. RELEVANCE TO CLINICAL PRACTICE: Healthcare managers should promote strategies to reduce burnout among HCWs with regard to preparedness of all staff.

COVID19: A blessing in disguise for European stock markets?

This study aims to bridge the gap that has remained unfilled after the initial scrutiny and reporting of the damaging effects of Covid-19 on financial markets. The study analyzes 10 European stock markets and compares their pre and post covid return dynamics. Our findings are surprisingly pleasant, albeit counterintuitive to some. We observe a quick and unprecedented recovery in the European stock market, yielding significantly higher returns post covid, given a reasonably large holding period. We also observe an alteration and change in the status quo of countries while transmitting or receiving cross-market spillovers.

COVID-19-related anxieties do not decrease support for liberal democracy.

The COVID-19 pandemic led to widespread fear among the population. Early studies suggested that this resulted in exclusionary attitudes and increased support for discriminatory policy measures. We still lack an understanding of the longer-term, potentially erosive consequences that COVID-19-specific anxieties may carry for citizens' commitment to liberal democratic norms. In this research note, we present evidence from an original experiment in which we manipulate individuals' cognitive accessibility of their fears related to COVID-19. We implemented this experiment in Hungary and Romania - two cases where illiberal attitudes are most likely to amplify under conditions of fear - a year and a half after the outbreak of the pandemic. The results show that our intervention is successful in elevating respondents' levels of worry, anxiety and fear when thinking about infectious diseases like COVID-19. However, these emotions do not carry secondary effects on individuals' levels of right-wing authoritarianism, nationalism or outgroup hostility, nor do they affect preferences for specific discriminatory policy measures aimed to fight a potential resurgence of COVID-19. We discuss these findings in light of the literature on the demand-side determinants of democratic backsliding and the consequences of emotions on political behaviour.

Mapping Shifts in Russian and European Welfare Polities: Explaining Policy Responses to Shared New Social Risks

Since 2000, literature on West (EU15) and East-Central European (EU8) welfare states has focused on a set of 'new social risks' including insecure employment and income, population ageing, unsustainable social security systems, and large-scale international immigration. Our State-of-the-Art (SOTA) article brings Russia into the dialogue on 'new social risks'. We show that broadly similar structural changes in industrial economies, labour markets and demographic patterns ended the post-World-War-Two (WWII) 'Golden Age' of welfare expansion in both the EU15 and communist states. Shared new social risks rose to the top of policy agendas. Governments responded mainly, though not exclusively, with liberalising, privatising and exclusionary policies. The SOTA compares their policy responses, specifically pension system reforms, demographic (pro-natalist and family) policies, and integration of immigrants. We find both convergence and divergence based on states' differing welfare legacies. The conclusion considers path-departing 'emergency Keynesian' responses to the COVID-19 crisis, and renewed attention to Beveridge welfare models.

Women's perspectives on the quality of maternal and newborn care in childbirth during the COVID-19 pandemic in Latvia: Results from the IMAgiNE EURO study on 40 WHO standards-based quality measures.

OBJECTIVE: To investigate women's perspectives on the quality of maternal and newborn care (QMNC) around the time of childbirth during the COVID-19 pandemic in Latvia, comparing the years 2020 and 2021, among women who went into labor or had a prelabor cesarean. METHODS: Women giving birth in healthcare facilities in Latvia from March 1, 2020, to October 28, 2021, answered an online questionnaire including 40 WHO standards-based quality measures. Descriptive and multivariate quantile regression analyses were performed to compare QMNC in 2020 and 2021. RESULTS: 2079 women were included in the analysis: 1860 women who went into labor (group 1) and 219 with prelabor cesarean (group 2). Among group 1, 66.4% (n = 99/149) of women received fundal pressure in an instrumental vaginal birth, 43.5% (n = 810) lacked involvement in choices, 17.4% (n = 317) reported suffering abuse, 32.7% (n = 609) reported inadequate breastfeeding support while 5.2% (n = 96) lack of early breastfeeding. A significant reduction in QMNC due to the COVID-19 pandemic was reported by 29.5% (n = 219) and 25.0% (n = 270) of respondents in 2020 and 2021, respectively (P = 0.045). Multivariate analyses highlighted a significantly lower QMNC index for 2020 compared with 2021 (P < 0.001). CONCLUSION: This first study investigating QMNC in Latvia showed significant gaps in QMNC perceived by respondents, with slightly better results in 2021. Appropriate healthcare strategies to improve health care for women and newborns in Latvia are required. CLINICALTRIALS: gov Identifier:NCT04847336.