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Background: Non-communicable diseases (NCDs) are rising in low middle income countries (LMICs) mainly driven by cardiometabolic disease (cardiovascular disease, diabetes, and hypertension). Aim(s): To develop a model of care, based on the chronic care model and collaborative care model, to improve care, outcomes and risk factor control for adults with cardio metabolic disease in LMICs in the Covid-19 era. This will contribute to the sustainable development goals of promoting good health, well-being and reducing inequalities. Method(s): Using an iterative consultative approach with healthcare workers, clients, and community leaders in Kenya, Ghana and Mozambique, we developed a model of care, which includes core features from chronic care models: self-management support;decision support;clinical information systems;delivery system design;and community linkages. Result(s): We produced a culturally adapted self-management education programme, a training package for educators delivering the programme, as well as a training package for community and healthcare professional leaders to increase awareness and self-care for cardiometabolic disease. Given the lack of a robust health information system, we are offering a global registry to provide real world data on patient management and quality of care for people with type 2 diabetes, hypertension, heart failure and chronic kidney disease. Conclusion(s): This intervention will be tested in a mixed-methods single-arm feasibility study in five sites across three African countries: Kenya, Ghana, Mozambique.
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Purpose: The purpose of this article is to identify the features of sustainable development of the MERCOSUR countries in the context of the COVID-19 pandemic. Design/methodology/approach: The authors use comparative and retrospective analysis to identify the distinguishing characteristics of countries meeting the sustainable development goals. The objects of research are the MERCOSUR countries. Findings: It has been established that Uruguay is the undisputed leader in sustainable development in the context of COVID-19. Two countries: Brazil and Venezuela slowed down the pace of implementation of national sustainable development strategies due to the pandemic and other reasons. Originality/value: According to the results of the analysis, it was revealed that countries that have long-term national strategies for sustainable development are more stable in achieving sustainable development goals. The size of a national economy does not guarantee that it can successfully overcome an external shock such as the lockdown caused by the COVID-19 pandemic. © 2023, The Author(s), under exclusive license to Springer Nature Switzerland AG.
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The World Health Organization (WHO) has set a goal of elimination of viral hepatitis by 2030. In Japan, the estimated people of chronic hepatitis C virus (HCV) and hepatitis B virus (HBV) infections were 1.7-2.2 and 1.3-1.5 million in 2000, respectively. Although the mortality due to hepatocellular carcinoma (HCC) had been increasing until around 2002, it has been gradually decreasing to date, and approximately 24,000 people died from HCC in 2021 in Japan. Japan has a national action plan for addressing viral hepatitis called, ''Basic Act on Hepatitis Measures'', established in 2009. ''Basic Guidelines for Promotion of Control Measures for Hepatitis'' was issued in 2011 and was updated in 2016 and 2022, comprising 9 principles in order to promote measures to prevent HBV and HCV. According to these guidelines, national and local government share screening costs for testing HBV and HCV for those residents who are over 40 years old. Thus, out-of-pocket expenses from examinees are free of charge or reduced to a minimum. In addition, for patients with chronic HBV or HCV infections treated with nucleotide analogues, interferon, and direct antiviral agents, the drug prices and examination expenses were covered by a medical-expenses support system for viral hepatitis. By these countermeasures against viral hepatitis, the estimated people of chronic HCV infection revealed a decrease to 1.0-1.6 million in 2011 (30-40% decrease from 2000 level) and 0.9-1.3 million in 2015 (40- 50% decrease from 2000 level). If the current situation had been continuing, the number of HCV patients is expected to decrease to 0.2-0.5 million (80-90% decrease from 2000 level and 60-80% decrease from 2015 level) by 2030. However, the COVID-19 pandemic since December 2019 is thought to have affected testing, linkage to care, treatment uptake, and follow-up, and new efforts that do not slow the progress to date toward HCV elimination, which is finally becoming visible, will be necessary in the future. In this lecture, I would also like to talk about the efforts at our hospital to achieve the sustainable development goal targeted by WHO.
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This article provides an overview of the current landscape and needs for education in emergencies, as well as challenges and opportunities in today's critical juncture, in particular with the creation of a new ally for education in emergencies: the Geneva Global Hub for Education in Emergencies. It covers the disruption of education by the Covid-19 pandemic and the associated exacerbation of child-protection risks, as well as the pandemic's impact on the realization of the right to education of displaced children and youth and those living in humanitarian crises. While there is ample recognition at the international policy level of the importance of education in emergencies, major obstacles still prevail, such as continued underfunding and the underprioritization of education in humanitarian situations. As the world faces unparalleled needs, in particular during crises, and grapples to accelerate progress toward Sustainable Development Goal 4 and meet the commitments set out in the Global Compact for Refugees, new opportunities promise to tap opportune alliances, to inspire commitment, and to boost country-level impact.
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Four broad themes run through this year's N'Galy-Mann lecture: clinical medicine, HIV, health security, and global health. Three patterns of disease characterized medicine in East Africa at the time that AIDS was first described in the United States: diseases of poverty, mainly infectious;non-communicable diseases with differing international epidemiology;and classic tropical diseases restricted in distribution by ecologic needs of parasites and vectors. Limited resources did not prevent the practice of good medicine under adverse circumstances, nor application of basic principles of research. The recognition of a second AIDS virus (HIV-2) in West Africa in the mid-late 1980s required applied research to assess implications and potential global impact of this novel infection. CDC established a second collaborative research site in sub-Saharan Africa, Projet RETRO-CI, in Abidjan, Cote d'Ivoire (the first was Projet SIDA in the Democratic Republic of Congo, where N'Galy and Mann made seminal contributions). Controversy around HIV-2 diagnosis, transmission, and pathogenicity was slowly resolved through West African research showing HIV-2 was an AIDS-causing pathogen, slower than HIV-1 in its progression, and less transmissible until late in the course of infection. Mother-to-child transmission was exceptionally rare. Claims that HIV-2 protected against HIV-1 were not substantiated. Projet RETRO-CI clarified the spectrum of HIVassociated disease and the dominant role of tuberculosis. Placebo-controlled trials demonstrated efficacy of short-course zidovudine for prevention of perinatal transmission of HIV-1, and of cotrimoxazole prophylaxis in reducing hospitalization and mortality in persons with HIV. Global health today is dominated by discourse around health security. The West African and Congolese Ebola epidemics since 2014 aroused strong declarations, yet the world was poorly prepared to address the pandemic of COVID-19. Health in the world has changed substantially since AIDS emerged. As 2030, the year for delivery on the Sustainable Development Goals, approaches, development assistance for health remains essential to address traditional, unfinished commitments yet does not match today's global burden of disease. CROI attendees are encouraged to remember colleagues lost to COVID-19 and other challenges;to assess priorities in today's global health, including relating to HIV;and to reflect on what issues? N'Galy and Mann would focus on today.
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Handling uncertainty is important in decision making, especially for SDGs problems. Robust Optimization (RO) is an applied optimization method that can be employed to handle optimization under uncertain data. With SDGs problems, many uncertain data have been considered in decision making. With RO, the data uncertainties are assumed to lay within a compact, convex continuous set. There are three special sets that can be used to represent the data, i.e., box, ellipsoidal, or polyhedral uncertainty sets. These special sets lead the SDGs problems to a computationally tractable optimization model, such that the global optimal solution is attained. However, literature reviews on the application of RO in SDGs decision-making is sparse, especially during the COVID-19 pandemic period. This paper examines the following topics: (1) the purposes of studies of RO and SDGs during the COVID-19 pandemic, (2) the state-of-the-art in RO-SDGs to determine the research objectives, and (3) the SDGs type of problems that have been modeled using RO. A systematic literature review is conducted in this paper, wherein discussion is based on a PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses) flowchart. To this end, the database reference searching conducted on the Scopus, Science Direct, and SAGE databases, is completed using the help RStudio software. The analysis was carried out on two datasets, assisted by the output visualization using RStudio software with the "bibliometrix” package, and using the ‘biblioshiny()' command to create a link to the "shiny web interface”. In this paper, the research gap on application of RO to SDGs problems is analyzed in order to identify the research objectives, methods, and specific RO-SDGs problems. As a result, the application of RO to SDGs problems is rare;this finding provides a motivation to conduct a further study of RO and SDGs during the COVID-19 pandemic. An expansion is presented using the key phrase "Operations Research and Optimization Modeling”, or "OROM”. SDGs in Indonesia may be referenced as an example of the capacity building available through RO/OROM. © 2023 by the authors.
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This paper highlights the functionality of producing a 2-Dimensional animation as a visual supporting material to raise awareness about depression. The study explored the significance of United Nations Sustainable Development Goal 3: Good health and well-being, wherein the discussion emphasized the importance of managing the mental health, particularly raising public awareness about depression among young adults during the COVID-19 pandemic lockdown. The researcher followed the conceptual framework of multimedia production cycle in creating a short-Animated film. The creation of story line and visual assets described the notion of depressive disorder for audiences to have a sense of urgency, awareness, and learnings on how the young adult students become vulnerable in depression throughout the pandemic. © 2022 IEEE.
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Globally, diet quality is poor, with populations failing to adhere to national dietary guidelines.(1) Such failure has been consistently linked with poorer health outcomes.(2) Examples of malnutrition include both under- and over-nutrition, with overweight and obesity now a significant health problem worldwide.(3) Other commonly occurring examples of malnutrition are micronutrient deficiencies with iron, vitamin A and iodine deficiencies being the most frequently occurring globally. These nutritional challenges have been influenced by recent global world events, including the COVID-19 pandemic, the war in Ukraine and the related economic uncertainties;with all of these events influencing food supply and food security. Diet and health status is socio-economically patterned, and such inequalities are likely to have been enhanced as a result of these recent events. In addition to the impact of diet on health outcomes it is increasingly recognised that what we eat, and the resulting food system, has significant environmental or planetary health impacts, and research activity is growing in terms of understanding the detail of these impacts, what changes are required to reduce these impacts and also how the impact of climate change on our food supply can be mitigated. Given the complexity of the interactions between climate change, other world events, food and health, and the different actors and drivers that influence these, a systems thinking approach to capture such complexity is essential.(4) Such an approach will help address the challenges set by the UN 2030 Agenda for Sustainable Development in the form of the Sustainable Development Goals, which are a call to action to end poverty and inequality, protect the planet, and ensure that all people enjoy health, justice and prosperity.(5) Progress against SDGs has been challenging with an ultimate target of 2030. While the scientific uncertainties regarding diet and public and planetary health need to be addressed, equal attention needs to be paid to the structures and systems, as there is a need for multi-level, coherent and sustained structural interventions and policies across the full food system/supply chain to effect behavior change. Such systems-level change must always keep nutritional status, including impact on micronutrient status, in mind. However, benefits to both population and environmental health could be expected from achieving dietary behaviour change towards more sustainable diets.
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The working environment has evolved after the COVID-19 pandemic from office work to working from home because of changing industry needs with the pandemic effect. Globally, organizations continue to identify the right way to balance employee satisfaction by giving them the hybrid working option, but it lacks standardization. In this research paper, the author discusses the emerging need for the Chief Remote Officer in post-pandemic working conditions. The study also reflects the use of Artificial Intelligence and how it can support human resources in the remote setup. The pandemic virus of 2020 has evolved with several variants, and the continued uncontrollable global situation has arisen. In such unpredictable conditions, the need to bring work sustainability shall be the focus among the organizations for remote working conditions. This study discusses the literature and analyzes the industry's Chief Remote Officer role requirement in detail as people continue to work in the presence of the COVID-19 pandemic. The author elaborates on the Chief Remote Officer and discusses the roles, responsibilities, Knowledge skills, and purpose behind this role. This research paper offers a broader aspect along with Artificial Intelligence usage. Since it is a early stage, the proposed approach would require to be tested by the organizations during the pandemic. © 2023 IEEE.
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Using data from a survey we conducted in collaboration with the Association of Flemish Cities and Municipalities (VVSG), this article sought to examine the effects of the COVID-19 pandemic on the implementation of SDGs by Flemish local governments (cities and municipalities). Identifying such effects has usually been conducted on individuals and at a macro level and not at the organization and local government level. By using a counterfactual approach, we were able to disentangle various COVID-19 effects over time and learn how systems at the local level react to external shocks. The approach allowed us to single out the effects of the pandemic at the organizational level while looking into three distinct periods: before the pandemic, during the pandemic, and in its aftermath. Results showed that the COVID-19 pandemic slowed down the Flemish public sector's implementation of SDGs at the local level. At the same time, COVID-19 allowed local public institutions to accelerate the implementation of a few SDGs (e.g., SDG1, SDG3) and to postpone a few SDG-related activities which would be resumed once the pandemic is ‘over'. COVID-19 is not only a challenge;it acts as a wake-up call and an opportunity to commit more towards the implementation of (certain) SDGs. © 2023 by the authors.
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Access to functional water, sanitation and hygiene (WaSH) systems is a necessity for safe health and a fundamental determinant of human well-being. As a result, constant monitoring, tracking and bridging of the gaps in access to WaSH is a global public health requirement. Developing countries are currently disadvantaged in this era of the COVID-19 outbreak, particularly in the area of school-based WaSH. This study assesses the present condition and challenges hindering access to school-based WaSH in the Wa Municipality. Primary data involving 145 health teachers were sourced using survey questionnaires and supported with ocular assessment. Results show that basic schools in the Wa Municipality currently have in place some sort of WaSH facilities, thereby meeting the availability criteria to a large extent. However, these schools do not meet the remaining standards – functionality, accessibility, maintenance and quality of services, education and prac-tices. The major factors affecting the sustainable operationalisation of the school-based WaSH are poor maintenance and inadequate funding of WaSH infrastructure. The school-based WaSH in Ghana requires rapt policy attention if the quest to attain Sustainable Development Goal 6 by 2030 is to be achieved. © 2023 The Authors.
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COVID-19 pandemic has emerged as prime health challenge of 21st century forcing policy makers, health experts and governance institutions world over to revisit and re-invigorate public health policies through inter-institutional collaborations. Subsequent global lockdowns caused unprecedented shock to world economies, downslide of socio-economic development, concern for public safely, emphasis on augmentation of health infrastructure, capacity building of health care providers and development of effective Corona Virus containment strategies. Health institutions world over are grappling to control spread of the infection through Symptomatic Target Testing, Cluster Testing and Phased Vaccination. Multiple vaccines have been developed with varied efficacy, cost concerns and involvement of logistic issues;leading to vaccine-multilateralism and re-emphasis on universalization of public health policies under Sustainable Development Goals (SDGs) mechanism. This paper aims to assess impact of this grievous pandemic on public health sector of Jammu & Kashmir, explore challenges faced by public health institutions, analyze effectiveness of government interventions and suggest measures for revival of public health care services in the region.Copyright © 2021 JK Practitioner. All rights reserved.
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This study aims to advance the understanding of sustainable behaviour by exploring the perceptions, knowledge, and opinions about the sustainability of nearly graduated students in Portugal. A three-wave exploratory and longitudinal study was conducted with Management and Marketing students in 2020, 2021, and 2022. The findings come from both quantitative and qualitative approaches. First, the results reveal low levels of knowledge about sustainability, Sustainable Development Goals, and other related concepts. Then, by a qualitative analysis, this study highlights the terms related to sustainability and perceived sustainable practices. It also examines changes perceived since the COVID-19 pandemic and what their threats and opportunities in the coming years are. The main conclusion of this study is the critical need for education on sustainability and related concepts beyond simple recycling practices. The use of sustainability as a marketing tool is insufficient to create a viable future. Higher education must develop a new shared and sustainable vision for sustainability education. © 2023 by the authors.
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The emergence of COVID-19 has created many unanticipated changes globally, particularly in terms of the availability and use of water resources. This study aims to estimate the potential increase in global domestic water use, exclusively due to the handwashing requirement for COVID-19. To assess the potential increase in domestic water use, this study analyzed population and water use data of 175 countries. Based on WHO guidelines, the additional water required for handwashing per person per day was estimated to be 0.018 m3 and was integrated with water use and population data for the analysis. These findings reveal that if everyone washes their hands six times a day solely to prevent the spread of coronavirus, global domestic water use and total water use would increase by about 11.96% and 1.25%, respectively. Africa (23.88%), Asia (15.05%), Latin America, and the Caribbean (7.18%) are anticipated to have the most significant increases in domestic water use due to the increased handwashing. This is a concerning phenomenon because these nations are already experiencing water shortages, even before the pandemic. These results may aid these countries in achieving Sustainable Development Goal 6, by guiding stakeholders and decision-makers to take action to address the water resource management challenges posed by the unexpected rise in water use caused by events such as COVID-19.
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Modern production processes have been increasingly responsible for plastic overproduction for various reasons, not limited to containers and packaging. Said situation has reflected its consequences on human and animal health, especially with the COVID-19 pandemic. Because of this, it is imperative to consider the measures taken to reduce plastic contamination and the role of sustainability in plastic production processes. Previous studies and literature about the effects of plastics, the provisional standards, and programs to reduce contamination caused by this material have been analyzed in order to highlight its importance. Green businesses are also proposed as a more efficient solution to the problem of plastic overproduction. Some examples of small green businesses are presented to demonstrate the adoption of sustainable, eco-friendly measures in their business model and that even after some years, said models have proved to be effective by providing revenues and still following the ecological practices such as recycling different kinds of plastics and wastes. © 2023, The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.
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Health systems built based on primary health care are fundamental to succeeding universal health coverage. Well-organised primary healthcare services can play a basic role in improving population health as well as the well-being of the population. Although significant improvements in the health outcomes of the global population during the era of the Millennium Development Goals, nearly half of the population cannot access the health services, they need. Health is central to the 2030 Agenda for Sustainable Development as it relates to many of the Sustainable Development Goals and is the specific focus of Goal 3. Outbreaks of global pandemics or emergencies like COVID-19 are the biggest challenges to the 'resilience' of primary care systems. Therefore, countries need to establish a regular system of facility assessments to provide objective measures for evaluating the health services' availability, readiness, quality, including measures to evaluate preparedness and response capacities. Barbara Starfield was the first author to explore the context of primary care organisation (PCO). She mentioned that organisation of primary care includes four main primary care domains: first-contact care, comprehensiveness, continuity, and coordination. In 2008 Hogg et al., proposed that the conceptual framework for PCO consists of structural and performance domains and this domain classification influenced new authors on the subject until today. The structural domain includes three components;the health care system, the practice context and the organisation of the practice;and the performance domain includes two components;healthcare service delivery and technical quality of clinical care. According to Kringos et al., the structure of primary care consists of three dimensions: primary care governance, financing of primary care and primary care workforce development. They determined the primary care process by four dimensions: accessibility of primary care, comprehensiveness of primary care;continuity of primary care;and coordination of primary care. Senn et al., proposed a consolidated framework, which is particularly beneficial for primary care organisations designing and implementing well-defined monitoring activities. With the addition socio-cultural, economic and biological contexts, the framework became multidimensional and in-depth. Inclusion of needs and outcomes of patients and the population has the potential to cover the productivity of the given organisation. Strong primary care requires well-developed organisational planning between levels of care. Primary care-oriented health systems are required to effectively handle the unmet health needs of the population. An efficient primary care organisation is very important for achieving a primary care-oriented health system. In this keynote, PCO's key aspects and benchmarks will be explored based on previously mentioned frameworks and domains. As an example of health systems in transition, Turkey and Azerbaijan are reforming their health systems, including primary care services. Turkey has completed the implementation of several interventions in the structural component of primary care, however, there is still room for development in the process components. Azerbaijan has established a state health insurance scheme and set up family health centres as primary care facilities serving a defined population. However, serious structural reforms are still needed for a functional primary care service accessible to the whole nation. This keynote will also cover more information on recent primary care reforms in both countries. The frameworks provided above will serve as tools for analysing primary care in these countries.