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Assessing the impact of sustainability risks on disaster and pandemic vulnerabilities: A global perspective 评估可持续性风险对灾害和大流行病脆弱性的影响:全球视角
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.03.001
Abroon Qazi , Linda C. Angell , Mecit Can Emre Simsekler , Abdelkader Daghfous , M.K.S. Al-Mhdawi
{"title":"Assessing the impact of sustainability risks on disaster and pandemic vulnerabilities: A global perspective","authors":"Abroon Qazi ,&nbsp;Linda C. Angell ,&nbsp;Mecit Can Emre Simsekler ,&nbsp;Abdelkader Daghfous ,&nbsp;M.K.S. Al-Mhdawi","doi":"10.1016/j.glt.2025.03.001","DOIUrl":"10.1016/j.glt.2025.03.001","url":null,"abstract":"<div><div>This study examines the impact of failing to achieve Sustainable Development Goals (SDGs) on disaster and pandemic vulnerabilities, providing a country-level perspective to inform resilience planning. The study introduces the concept of SDG-related risk, defined as the probability of not achieving the desired SDG, and classifies these risks into three categories: high, medium, and low. Using a Bayesian Belief Network (BBN) framework, two probabilistic models are developed to evaluate the influence of SDG performance on disaster risk and COVID-19 vulnerability across 165 countries. The results highlight that shortcomings in SDGs such as ‘quality education’, ‘sustainable cities and communities’, ‘no poverty’, and ‘affordable and clean energy’ significantly increase disaster and pandemic risks. Conversely, strong performance in ‘peace, justice and strong institutions’ and ‘life on land’ enhances systemic resilience. Countries with very high disaster risk are particularly exposed to deficiencies in SDGs related to ‘peace, justice and strong institutions’, ‘sustainable cities and communities’, and ‘good health and well-being’. For COVID-19 risk, ‘affordable and clean energy’ emerges as the most critical SDG influencing high-risk exposure, whereas ‘climate action’ is pivotal in predicting low-risk states. These findings demonstrate the cascading risks posed by failing to achieve critical SDGs and emphasize the need for targeted interventions to mitigate vulnerabilities to disasters and pandemics, providing actionable insights for sustainable resilience strategies.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 159-174"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Navigating climate change impacts on agricultural productivity, food and human health security in developing countries 应对气候变化对发展中国家农业生产力、粮食和人类健康安全的影响
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.07.002
Fatima Azdagaz , Omar Zirari , Mariem Liouaeddine
{"title":"Navigating climate change impacts on agricultural productivity, food and human health security in developing countries","authors":"Fatima Azdagaz ,&nbsp;Omar Zirari ,&nbsp;Mariem Liouaeddine","doi":"10.1016/j.glt.2025.07.002","DOIUrl":"10.1016/j.glt.2025.07.002","url":null,"abstract":"<div><div>This study examines climate change impacts on agricultural productivity and human health across 20 developing countries (2000–2020) using Panel Autoregressive Distributed Lag (Panel-ARDL) methodology. Our systems approach models dynamic relationships between climate variables, food production, and nutritional outcomes, addressing multicollinearity through variance inflation tests and alternative specifications. National carbon dioxide (CO<sub>2</sub>) emissions serve as proxies for multiple climate pathways including temperature variations and economic development patterns affecting food systems. Results reveal strong negative long-run relationships between CO<sub>2</sub> emissions and food production, with positive associations with child stunting. The Pooled Mean Group estimator demonstrates homogeneous long-run coefficients while allowing heterogeneous short-term dynamics across countries. The paradoxical positive CO<sub>2</sub>-food insecurity relationship reflects greater climate stresses and inequitable benefit distribution in higher-emission countries. Health impacts exhibit greater persistence than production shocks, emphasizing comprehensive monitoring needs. Findings suggest integrated policies combining climate mitigation, productivity enhancement, and health system strengthening for resilient food systems.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 430-440"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144634172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early sexual initiation among school youths in Metekel Zone, Benishangul Gumuz Region, Northwestern Ethiopia: Cross sectional study 埃塞俄比亚西北部Benishangul Gumuz地区Metekel地区学校青少年的早期性行为:横断面研究
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.001
Mulatu Agajie , Tesfu Zewdu , Muluwas Amentie Zelka
{"title":"Early sexual initiation among school youths in Metekel Zone, Benishangul Gumuz Region, Northwestern Ethiopia: Cross sectional study","authors":"Mulatu Agajie ,&nbsp;Tesfu Zewdu ,&nbsp;Muluwas Amentie Zelka","doi":"10.1016/j.glt.2025.02.001","DOIUrl":"10.1016/j.glt.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Early sexual activity can have a substantial negative impact on adolescents and youths. Biological, psychological, socio-cultural, and economic factors put youths at high risk of initiating sexual intercourse at an early age. This study aimed to assess the level of early sexual initiation and associated factors among school youth in the Benishangul Gumuz region.</div></div><div><h3>Methods</h3><div>School-based cross-sectional study was conducted from February 4–15, 2022. A pretested and self-administered questionnaire was used to collect the data. Bivariable and multivariable binary logistic regression model was used to determine the presence of a significant association between sexual initiation and independent variables.</div></div><div><h3>Results</h3><div>Out of 424 study subjects, 178 (43 %) had ever initiated sexual intercourse, of which 143 (80.3 %) had initiated before 18 years of age. Students who were in the age category of 15–19 years (AOR = 6.29; 95 % CI: 2.53, 15.63) and those who had multiple sexual partners (AOR = 5.08, 95 % CI = 2.00, 12.87) had higher odds of having early sexual initiation as compared with their counterpart. Similarly, students who consumed alcohol (AOR = 2.91, 95 % CI = 1.03, 8.17) and who had never used a condom during sexual intercourse (AOR = 3.09, 95 % CI = 1.22, 7.81) had a higher odd of initiating sexual intercourse at an early age as compared with their counterpart.</div></div><div><h3>Conclusions</h3><div>This study revealed that there was high magnitude of early sexual intercourse in the region. Predictors were having multiple sexual partners, never used a condom, and drunk alcohol. Delaying age at sexual initiation is a strategy that needs to be incorporated into the curriculums of primary and secondary schools. Parents have also a moral duty and responsibility to educate their children on the impact and consequence of early sexual initiation.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 81-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Water and sanitation access shapes cholera burden in low- and middle-income countries 在低收入和中等收入国家,获得水和卫生设施影响霍乱负担
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.06.001
Wanqi Wen , Wenxuan Zhao , Dashan Zheng , Jianheng Chen , Biao Kan , Haijian Zhou , Bo Pang , Hualiang Lin
{"title":"Water and sanitation access shapes cholera burden in low- and middle-income countries","authors":"Wanqi Wen ,&nbsp;Wenxuan Zhao ,&nbsp;Dashan Zheng ,&nbsp;Jianheng Chen ,&nbsp;Biao Kan ,&nbsp;Haijian Zhou ,&nbsp;Bo Pang ,&nbsp;Hualiang Lin","doi":"10.1016/j.glt.2025.06.001","DOIUrl":"10.1016/j.glt.2025.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>The United Nations Sustainable Development Goals (UN SDG) include targets for safe drinking water, sanitation, and hygiene (WASH), which are critical in preventing cholera, a persistent health threat in low- and middle-income countries (LMICs). We aimed to assess the attributable burden of WASH on cholera under the UN SDG framework to inform global control efforts.</div></div><div><h3>Methods</h3><div>We extracted cholera-related information along with socioeconomic, geographical, and climate data across 89 LMICs from 2000 to 2017. Genome data from Enterobase and World Health Organization (WHO) weekly reports, were utilized to identify cholera occurrence. A modified Poisson generalized additive mixed model (GAMM) was employed to investigate the impact of WASH access on cholera, and the attributable burden and prevention fraction were further estimated.</div></div><div><h3>Results</h3><div>Statistically significant protective effects against cholera were observed for improved WASH facilities (e.g., piped water: prevalence ratio, PR = 0.88, 95 % CI: 0.85–0.91), while harmful effects were noted for unimproved facilities (e.g., open defecation: PR = 1.09, 95 % CI: 1.06–1.12). Regional disparities in WASH access further contributed to unequal cholera burden. In Sub-Saharan Africa, 25.77 % of cholera occurrences were attributed to the high proportion of unimproved drinking water, much higher than 9.09 % in Northern Africa and Western Asia. Achieving universal access to improved sanitation could reduce cholera risk by 32.98 % in Sub-Saharan Africa, compared to 7.47 % in Central and Southern Asia.</div></div><div><h3>Conclusion</h3><div>Our findings highlight the need for maintaining and increasing access to safe WASH in cholera-affected countries, and offer comprehensive information for implementing targeted, local-level control approaches to end cholera globally.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 333-341"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144306476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the factors influencing the intention to use mHealth applications in resource scare settings; a SEM analysis among future nurses 探讨在资源紧张环境下影响使用移动医疗应用程序意愿的因素;未来护士的扫描电镜分析
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.04.002
Ramya Kundayi Ravi , Atul Shiva , Jaison Jacob , Priya Baby , Bharat Pareek , Kathyayani B. V
{"title":"Exploring the factors influencing the intention to use mHealth applications in resource scare settings; a SEM analysis among future nurses","authors":"Ramya Kundayi Ravi ,&nbsp;Atul Shiva ,&nbsp;Jaison Jacob ,&nbsp;Priya Baby ,&nbsp;Bharat Pareek ,&nbsp;Kathyayani B. V","doi":"10.1016/j.glt.2025.04.002","DOIUrl":"10.1016/j.glt.2025.04.002","url":null,"abstract":"<div><div>Mobile health applications (mHealth apps) in the healthcare industry are rapidly expanding, offering new opportunities for improving healthcare delivery, accessibility, and patient outcomes. They transformed the way medical services are delivered, particularly in resource-scarce settings. The success of these applications largely depends on their acceptance and adoption by healthcare professionals, including nurses. Understanding the factors that influence the intention to use these technologies is essential for designing applications that effectively meet the needs of future healthcare providers. This study aims to empirically explore factors influencing the intention to use mHealth apps among nursing students. A quantitative, exploratory survey tested and validated using the PLS-SEM on a convenience sample of 567 students from two Indian institutes. Findings reveal that ease of use plays a central role in shaping students' willingness to adopt mHealth apps, with time efficiency emerging as a significant determinant. Students were more likely to use these apps when they seamlessly fit into their routines and enhanced their workflow. Social influences, including peer encouragement and institutional support, significantly shaped their attitudes toward adoption. Privacy and trust concerns also played a crucial role, as students expressed a need for secure platforms that protect sensitive health information while ensuring reliability. Additionally, affordability influenced how users perceived accessibility and usability, highlighting the need for cost-effective solutions. However, researchers found that demographic factors such as age, gender, and study year had minimal influence. The study findings emphasize Prioritizing usability, security, and affordability can enhance mHealth app adoption, particularly in resource-limited setting.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 199-210"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Insights on energy, poverty, and gender nexus in urban ger district households: A case study from Ulaanbaatar, Mongolia 城市蒙古包地区家庭的能源、贫困和性别关系:以蒙古乌兰巴托为例
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.04.003
Orgil Balgansuren , Narumon Arunotai
{"title":"Insights on energy, poverty, and gender nexus in urban ger district households: A case study from Ulaanbaatar, Mongolia","authors":"Orgil Balgansuren ,&nbsp;Narumon Arunotai","doi":"10.1016/j.glt.2025.04.003","DOIUrl":"10.1016/j.glt.2025.04.003","url":null,"abstract":"<div><div>The 2030 Sustainable Development Agenda calls for integrating gender equality in all aspects of sustainable development. Still, there is limited understanding of how energy, poverty, and gender intersect in urban areas, particularly in Ulaanbaatar's <em>ger</em> districts, one of the world's coldest and most polluted capitals. <em>Ger</em> districts are disadvantaged residential areas consisting of traditional felt tents or self-built houses. This study addresses this knowledge gap using an intersectional gender perspective to explore how energy and air pollution impact residents. The study collected data through interviews with thirty-one <em>ger</em> district residents of various ages, (dis)abilities, health statuses, and observations and analysis of secondary data. The findings show the impact of severe air pollution and inequities on low-income residents, older individuals, and those with disabilities or poor health. The study reveals that energy poverty disproportionately affects women, highlighting the role of gender norms. It calls for more inclusive energy and environmental policies, emphasizing women's involvement in policy design and implementation for greater justice.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 189-198"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143851364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and evaluation of an artificial intelligence (AI) -assisted chest x-ray diagnostic system for detecting, diagnosing, and monitoring tuberculosis 开发和评估用于检测、诊断和监测结核病的人工智能(AI)辅助胸部x线诊断系统
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.005
Lalita Kaewwilai , Hiroshi Yoshioka , Antoine Choppin , Thepasit Prueksaritanond , Thitisant Palakawong Na Ayuthaya , Chantapat Brukesawan , Somruetai Matupumanon , Sho Kawabe , Yuki Shimahara , Arthit Phosri , Orawan Kaewboonchoo
{"title":"Development and evaluation of an artificial intelligence (AI) -assisted chest x-ray diagnostic system for detecting, diagnosing, and monitoring tuberculosis","authors":"Lalita Kaewwilai ,&nbsp;Hiroshi Yoshioka ,&nbsp;Antoine Choppin ,&nbsp;Thepasit Prueksaritanond ,&nbsp;Thitisant Palakawong Na Ayuthaya ,&nbsp;Chantapat Brukesawan ,&nbsp;Somruetai Matupumanon ,&nbsp;Sho Kawabe ,&nbsp;Yuki Shimahara ,&nbsp;Arthit Phosri ,&nbsp;Orawan Kaewboonchoo","doi":"10.1016/j.glt.2025.02.005","DOIUrl":"10.1016/j.glt.2025.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop an artificial intelligence (AI)-assisted chest x-ray diagnostic system for the detection, differential diagnosis, and follow-up of tuberculosis (TB), and prove its usefulness.</div></div><div><h3>Methods</h3><div>This is a retrospective study. In-house developed AI-assisted chest x-ray diagnostic system was used to identify and diagnose lung abnormalities in participants' chest x-rays and to compare imaging findings from two x-rays. First, 100 chest radiographs were reviewed including TB cases (N = 43) with positive sputum test confirmation and non-TB cases (N = 57) for initial diagnosis and differential diagnosis. Next, 45 pairs of TB cases from the identical patients were reviewed for follow-up. The AI system diagnosed TB and graded the comparison images into three categories (improved, stable, or worsening). The performance was evaluated by four expert radiologists or pulmonary medicine specialists.</div></div><div><h3>Results</h3><div>The AI system demonstrated an exceptional sensitivity of 100 %, successfully identifying all 43 TB cases. Nevertheless, it is also susceptible to misclassify other diseases as TB, resulting in low specificity score of 66.7 %. The comparison function determined that expert physicians and AI-assisted chest x-ray diagnostic system were <strong>58</strong> % in exact agreement and 100 % in within one grade agreement.</div></div><div><h3>Conclusions</h3><div>The AI system successfully detected all TB patients identified in this study and demonstrated a reasonable comparison function. Therefore, our AI assisted chest x-ray diagnostic system is feasible and practical for TB screening.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 87-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The significance of emotional intelligence in academic stress, resilience, and safe transition from high school to university: An SEM analysis among Northern Emirati university students 情商在学业压力、弹性和高中到大学的安全过渡中的意义:阿联酋北部大学生的SEM分析
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.003
Mona Gamal Mohamed , Taliaa Mohsen Al-Yafeai , Shukri Adam , Md Moyazzem Hossain , Ramya Kundayi Ravi , Fatima Mohamed Jalo , Aamna Eltayeb Osman
{"title":"The significance of emotional intelligence in academic stress, resilience, and safe transition from high school to university: An SEM analysis among Northern Emirati university students","authors":"Mona Gamal Mohamed ,&nbsp;Taliaa Mohsen Al-Yafeai ,&nbsp;Shukri Adam ,&nbsp;Md Moyazzem Hossain ,&nbsp;Ramya Kundayi Ravi ,&nbsp;Fatima Mohamed Jalo ,&nbsp;Aamna Eltayeb Osman","doi":"10.1016/j.glt.2025.02.003","DOIUrl":"10.1016/j.glt.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Emotional intelligence and resilience empower students in the academic settings to face and overcome the challenges that comes with demanding academic tasks and social pressure.</div></div><div><h3>Objective</h3><div>This study aimed to examine the role of emotional intelligence in managing academic stress, fostering resilience, and supporting the transition experience among Northern Emirati students in health sciences. Additionally, it sought to assess whether factors such as GPA are related to EI, stress, and resilience levels.</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive survey design was used, with data collected from 230 second -year students at RAK Medical and Health Sciences University. The questionnaire included sections on sociodemographic data, the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), the Brief Resilience Scale (BRS), and the Student Stress Inventory - Stress Manifestations (SSISM). Data analysis involved descriptive statistics in SPSS version 29, Structural Equation Modeling (SEM) for relational insights, and regression analysis in R to evaluate the predictive influence of EI on stress and resilience.</div></div><div><h3>Results</h3><div>Regression analysis indicated that EI significantly predicted resilience and stress levels, with GPA showing an additional positive relationship to EI and resilience. Regression analysis indicated that EI significantly predicted resilience (β = 0.52, p &lt; 0.001) and stress levels (β = −0.33, p &lt; 0.001). GPA exhibited a positive relationship with resilience (r = 0.29, p &lt; 0.05) and well-being (r = 0.45, p &lt; 0.001). Structural Equation Modeling (SEM) confirmed a well-fitting model (Chi-Square/DF = 2.879, RMSEA = 0.108, CFI = 0.785, TLI = 0.846). The path coefficients demonstrated that well-being had the strongest influence on GPA (β = 0.452, p &lt; 0.001), while stress had a minimal but non-significant impact (β = 0.087, p = 0.107).</div></div><div><h3>Conclusions</h3><div>The findings suggest that emotional intelligence is a significant factor in helping health sciences students manage academic stress and foster resilience. These results highlight the potential benefit of EI development programs to support students during key academic transitions. However, the study's cross-sectional design and reliance on self-reported data suggest that further longitudinal research is needed to confirm these findings.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 109-117"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143553001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals 艾默生关于印尼地区医院血液透析服务公私伙伴关系产出的框架
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.01.001
Masyitoh Basabih , Eko Prasojo , Amy Yayuk Sri Rahayu
{"title":"Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals","authors":"Masyitoh Basabih ,&nbsp;Eko Prasojo ,&nbsp;Amy Yayuk Sri Rahayu","doi":"10.1016/j.glt.2025.01.001","DOIUrl":"10.1016/j.glt.2025.01.001","url":null,"abstract":"<div><h3>Context</h3><div>Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the relationships between variables. This study aims to determine the influence of system context, drivers, and collaborative processes on the outcomes of PPP hemodialysis services in regional hospital in Indonesia.</div></div><div><h3>Methods</h3><div>This study employs a quantitative approach with primary data obtained through a survey. The research sample consists of 75 regional hospitals represented by 111 respondents. Analysis was conducted using the Partial Least Square-Structural Equation Modeling (PLS-SEM) technique.</div></div><div><h3>Findings</h3><div>The system context indirectly influences the process through mediation by the driver variable at 0.451, where the driver significantly affects the collaborative process at 0.534, and the collaborative process significantly influences the outcome at 0.773. The policy dimension makes the largest contribution to the systemic context, as does the consequential incentive dimension to the drivers. In the process variable, the capacity for joint action is the dimension with the greatest contribution.</div></div><div><h3>Conclusions</h3><div>The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 56-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Does climate finance foster happiness in African economies? Assessing the direct and indirect pathways 气候融资能提高非洲经济体的幸福感吗?评估直接和间接途径
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.05.003
Arsene Mouongue Kelly
{"title":"Does climate finance foster happiness in African economies? Assessing the direct and indirect pathways","authors":"Arsene Mouongue Kelly","doi":"10.1016/j.glt.2025.05.003","DOIUrl":"10.1016/j.glt.2025.05.003","url":null,"abstract":"<div><div>In the face of Africa's persistent development and well-being challenges, climate finance emerges as a beacon of hope, promising not only environmental benefits but also potential improvements in quality of life. In this light, the present study set out to examine the effect of climate finance on subjective well-being in Africa using data from 37 African countries between 2012 and 2021. Employing ordinary least squares, the two-step system Generalized Method of Moments, and fixed effects Driscoll and Kraay regressions, the study finds that climate finance positively and significantly affects happiness. This effect remains robust even when considering endogeneity, cross-sectional dependence, alternative measures of climate finance, and sub-regional variations. Furthermore, the analysis of transmission channels validates natural resource rents and political stability as potential indirect pathways through which climate finance enhances well-being. Based on the findings, the study recommends that policymakers prioritize and scale up climate finance initiatives, integrate them with broader development strategies, control inflation, and establish transparent monitoring and evaluation systems to enhance the well-being of the populations.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 310-322"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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