Equity In Distribution Research Articles

Identification of Inequities in Green Visibility and Ways to Increase Greenery in Neighborhoods: A Case Study of Wuhan, China

The rapid increase in urban population density driven by urban development has intensified inequity in urban green space distribution. Identifying the causes of changes in green equity and developing strategies to improve urban greening are crucial for optimizing resource allocation and alleviating social inequalities. However, the long-term spatio-temporal evolution of green visibility and equity remains underexplored. This study utilized the “Time Machine” feature to capture street view images from 2014, 2017, and 2021, analyzing changes in green visibility and its equity across residential communities in Wuhan. Deep learning techniques and statistical methods, including the Gini coefficient and location quotient (LQ), were employed to assess the distribution and spatial equity of street-level greenery. The results showed that overall green visibility in Wuhan increased by 4.18% between 2014 and 2021. However, this improvement did not translate into better spatial equity, as the Gini coefficient consistently ranged between 0.4 and 0.5. Among the seven municipal districts, only the Jiang’an District demonstrated relatively equitable green visibility in 2017 and 2021. Despite a gradual reduction in disparities in green visibility, a spatial mismatch persisted between UGS growth and population distribution, leading to uneven patterns in UGS equity. This study explores the factors driving inequities in green visibility and proposes strategies to enhance urban greening. Key recommendations include integrating the green visibility equity evaluation framework into urban planning to guide fair green space allocation, prioritizing greenery in low-income neighborhoods, and reducing hardscapes to support the planting and maintenance of tall canopy trees. These measures aim to enhance accessible and visible green resources and promote equitable access across communities.

The impact of administration practices on student engagement in Nepalese colleges

This paper investigates the intricate relationship between students and administration within academic settings, focusing on a comprehensive study conducted in Kathmandu, Nepal. The research examines several factors influencing this relationship, including leadership, communication, resource allocation, dispute resolution, and student empowerment. A survey research design was employed, gathering data from students across ten university colleges using Likert scale questionnaires. The data were analyzed using Excel and SPSS software, specifically employing correlation and regression analysis to interpret the results. The findings provide significant insights into the effectiveness of communication channels, equity in resource distribution, the impact of leadership on student engagement, conflict resolution methods, and initiatives for student empowerment. Results indicate that positive resource allocation and strong student engagement significantly enhance student-administration relationships. Additionally, effective communication and leadership, along with robust conflict resolution strategies, contribute to a harmonious academic environment. This study underscores the importance of fostering these factors to improve interactions and relationships within educational settings. By applying the principles of People's Multi-Party Democracy (PMPD), which emphasizes inclusivity, representation, social justice, and civic engagement, the study advocates for a more empowered institutions that can contribute to sustainable development. The findings highlight key areas for policy development and strategic implementation aimed at optimizing the dynamics between students and administration in academic institutions across Nepal.

Conceptual Framework for AI-powered fraud detection in E-commerce: Addressing systemic challenges in public assistance programs

Fraud in public assistance programs, such as the Supplemental Nutrition Assistance Program (SNAP) and Electronic Benefit Transfer (EBT), poses significant economic and social challenges, diverting vital resources from vulnerable populations. Traditional fraud detection methods, including manual audits and static rule-based systems, have proven insufficient to address the complexity and adaptability of modern fraudulent schemes. This paper proposes a conceptual framework for AI-powered fraud detection, emphasizing the use of machine learning, anomaly detection, and predictive analytics to combat fraud effectively. The framework addresses systemic challenges, including evolving fraud tactics, sector-specific issues, and technological barriers such as data privacy and scalability. It highlights the core components of AI-driven systems, ensuring interoperability across public assistance programs and e-commerce platforms. Ethical considerations, such as transparency, fairness, and accountability, are integrated into the framework to prevent algorithmic bias and protect beneficiaries' rights. The paper also explores AI adoption's economic and social implications, outlining the potential for cost savings, operational efficiency, and improved equity in benefit distribution. Finally, strategic recommendations are provided to support the ethical design, sector-agnostic deployment, and continuous improvement of AI-based fraud detection systems. By addressing these challenges, this paper aims to contribute to a more efficient, fair, and transparent approach to public resource protection.

Alignment of Air Pollution Exposure Inequality Metrics with Environmental Justice and Equity Goals in the United States.

A growing literature within the field of air pollution exposure assessment addresses the issue of environmental justice. Leveraging the increasing availability of exposure datasets with broad spatial coverage and high spatial resolution, a number of works have assessed inequalities in exposure across racial/ethnic and other socioeconomic groupings. However, environmental justice research presents the additional need to evaluate exposure inequity-inequality that is systematic, unfair, and avoidable-which may be framed in several ways. We discuss these framings and describe inequality and inequity conclusions provided from several contrasting approaches drawn from recent work. We recommend that future work addressing environmental justice interventions include complementary "Exposure-driven" and "Socially weighted" metrics, taking an intersectional view of areas and social groups that are both disproportionately impacted by pollution and are impacted by additional health risks resulting from structural racism and consider implications for environmental justice beyond distributional equity.

Cost of TB care and equity in distribution of catastrophic TB care costs across income quintiles in India

BackgroundTuberculosis (TB) poses a significant social and economic burden to households of persons with TB (PwTB). Despite free diagnosis and care under the National TB Elimination Programme (NTEP), individuals often experience significant out-of-pocket expenditure and lost productivity, causing financial catastrophe. We estimated the costs incurred by the PwTB during TB care and identified the factors associated with the costs.MethodsIn our cross-sectional study, we used multi-stage sampling to select PwTB notified under the NTEP, whose treatment outcome was declared between May 2022 and February 2023. Total patient costs were measured through direct medical, non-medical and indirect costs. Catastrophic costs were defined as expenditure on TB care > 20% of the annual household income. We determined the factors influencing the total cost of TB care using median regression. We plotted concentration curves to depict the equity in distribution of catastrophic costs across income quintiles. We used a cluster-adjusted, generalized model to determine the factors associated with catastrophic costs.ResultsThe mean (SD) age of the 1407 PwTB interviewed was 40.8 (16.8) years. Among them, 865 (61.5%) were male, and 786 (55.9%) were economically active. Thirty-four (2.4%) had Drug Resistant TB (DRTB), and 258 (18.3%) had been hospitalized for TB. The median (Interquartile range [IQR] and 95% confidence interval [CI]) of total costs of TB care was US$386.1 (130.8, 876.9). Direct costs accounted for 34% of the total costs, with a median of US$78.4 (43.3, 153.6), while indirect costs had a median of US$279.8 (18.9,699.4). PwTB < 60 years of age (US$446.1; 370.4, 521.8), without health insurance (US$464.2; 386.7, 541.6), and those hospitalized(US$900.4; 700.2, 1100.6) for TB experienced higher median costs. Catastrophic costs, experienced by 45% of PwTB, followed a pro-poor distribution. Hospitalized PwTB (adjusted prevalence ratio [aPR] = 1.9; 1.6, 2.2) and those notified from the private sector (aPR = 1.4; 1.1, 1.8) were more likely to incur catastrophic costs.ConclusionsPwTB in India incur high costs mainly due to lost productivity and hospitalization. Nearly half of them experience catastrophic costs, especially those from poorer economic quintiles. Enabling early notification of TB, expanding the coverage of health insurance schemes to include PwTB, and implementing TB sensitive strategies to address social determinants of TB may significantly reduce catastrophic costs incurred by PwTB.

How does group availability affect distributional equity of outdoor physical activity facilities? Evidence from Nanjing, China

ABSTRACT Most studies have measured the distributional equity of outdoor physical activity facilities (OPAFs) considering the unified accessible quantity and ignored the disparity of group availability. This study adopts a multidimensional approach to measure the distributional equity of OPAFs from the levels of city and residential units. Considering the old city of Nanjing as a sample, we first categorised the existing OPAFs into equipped sites, multifunctional sites, and trails and quantified the size and composition of three age groups in each residential unit. Second, we modularised OPAFs’ services through which each service type corresponds to one physical activity (PA) module and identified each module’s available groups. Third, we adopted accessibility, diversity, and supply-demand structure consistency (SDSC) to measure the distributional equity of OPAFs at two levels. The results showed that at the city level, the gap in the diversity of the modules between Group C (60 years old and above) and Groups A (15–59 years old) and B (60 years old and above) was more significant than that of accessible quantity, while the mean SDSC for Group C was much higher than those for Groups A and B. At the unit level, the differences in OPAFs’ group availability generated more significant differences in distributing diversity and SDSC than in the distribution of accessibility. Compared to traditional assessments, this tool integrates the disparity of OPAFs’ availability among different groups into the equity measurement, which can enhance the analytical precision and granularity and provide tailored OPAF optimisation strategies.

Health system efficiency and equity in ASEAN: an empirical investigation

BackgroundEquity and efficiency are two fundamental principles for the sound development of health systems, as advocated by the World Health Organization (WHO). Despite the notable progress made by the Association of Southeast Asian Nations (ASEAN) in advancing their health systems, gaps persist in achieving global health goals. This paper examines the efficiency of health system stages and the fairness of health resource distribution in ASEAN countries, analyzes the underlying causes of the existing gaps, and suggests potential solutions to bridge them.MethodsData spanning 2011 to 2019, sourced from the WHO Global Health Observatory and the World Bank Database, form the foundation of this study. This study employs an enhanced two-stage data envelopment analysis (DEA) to assess the efficiency of health system stages in ASEAN countries. Equity in health resource distribution is evaluated using health resource agglomeration degree and concentration curves across demographic, geographic, and economic aspects. Furthermore, the Entropy-Weighted TOPSIS method is utilized to integrate equity across these dimensions, measuring the overall fairness in health resource allocation across different countries. Finally, rankings of health system fairness and efficiency are compared to assess the overall development level of health systems.ResultsThe overall efficiency of the ASEAN health systems from 2011 to 2019 averaged 0.231, with an upward trend in the first stage efficiency at 0.559 and a downward trend in the second stage at 0.502. The health resource agglomeration degree indicated that Singapore, Brunei, and Malaysia had HRAD and HRPD values significantly greater than 1, and Cambodia, Myanmar, and Laos predominantly had indices significantly less than 1. The concentration curve for hospital beds was the closest to the line of absolute equity. During the study period, the health resource concentration curve increasingly approached absolute equity, shifting from above to below the concentration curve. Singapore, Brunei, and Malaysia consistently remained in the first quadrant of the quadrant plot, and Myanmar and Cambodia were consistently in the third quadrant.ConclusionASEAN countries face two key challenges in their healthcare systems: first, while many nations such as Indonesia, Thailand, and Vietnam have improved resource allocation efficiency, this hasn’t yet translated into better health services. To address this, establishing national health sector steering committees, focusing on workforce training and retention, and implementing centralized monitoring systems are crucial. Second, there is a growing disparity in healthcare development across ASEAN. Promoting balanced resource distribution and leveraging ASEAN’s economic integration for regional collaboration will help bridge these gaps and foster more equitable healthcare systems.

Public participation and distributional equity of government spending

ABSTRACT This study investigates whether allowing the public a greater say in governance affects the allocation of government spending. The analysis uses Peterson’s (1981) classification of public programs into developmental, redistributive, and allocational to model budget trade-offs in allocating public resources. Data from 51 countries between 2006 and 2016 demonstrate that when governments are more open to citizen input, public budgets tend to increase their redistributive share compared to developmental or allocational shares. Our findings hold using different operationalizations of participation. The study expands our understanding of the role of citizen participation by demonstrating its equalizing effects on government expenditures.

Cost–benefit analysis as a decision tool for effective conservation planning—The case of the Nyerere Selous‐Udzungwa wildlife corridor in Tanzania

AbstractCost benefit analysis (CBA) is used in many fields to ensure efficient allocation of scarce resources but is rarely applied in conservation. By using a common metric to evaluate projects in complex social‐ecological systems, CBA can help to maximize the impact of conservation funding. It can also help to interrogate issues of distributional equity, plan for effective community‐based conservation, and inform future research and strategic priorities. We demonstrate this using the example of the Nyerere Selous‐Udzungwa Wildlife Corridor in Tanzania, a wildlife corridor aiming to restore connectivity between two protected areas to enhance African elephant (Loxodonta africana) conservation outcomes and mitigate human–elephant conflict. We combine novel data on elephant crop depredation with crop price and productivity data, elephant valuation methods, and ecosystem service values to analyze corridor costs and benefits from contrasting global and local community perspectives. From the global perspective, we find benefits to outweigh costs by at least 4.6:1. From the communities' perspective, we find that while substantial benefits should secure buy‐in to the project, continued subsidy will be required to cover the costs. Our findings support generalized recommendations for application of CBA across diverse systems and conservation priorities.

The Impact of Fiscal and Monetary Policies on Indonesia’s Economic Performance: A Critical Analysis

Fiscal and monetary policies are crucial in steering the direction of a nation’s economy, necessitating coordination to achieve targeted economic growth. This paper explores the character and real-world implementation of fiscal and monetary policies and their implications for Indonesia’s economic direction and performance, based on a literature review. Fiscal policy, primarily shaped by taxation policy, aims to: (i) stimulate economic growth, (ii) promote income distribution equity, and (iii) finance government expenditures. These objectives align with key fiscal priorities, namely: (i) economic recovery, (ii) economic transformation, and (iii) social equity. Meanwhile, monetary policy supports accelerated economic recovery through (i) expansionary and (ii) consolidation policies. Effective monetary policy coordination with fiscal policy is essential to achieve broader macroeconomic goals, highlighting the need for cohesive policy alignment to foster sustainable development.

A Intervenção do Serviço de Atenção Domiciliar junto ao usuário e cuidador na rede de atenção à saúde

**Introduction**: Population aging drives the development of home care practices, expanding the role of healthcare teams. The Home Care Service (SAD) is characterized by comprehensive actions in health promotion, prevention, treatment, and rehabilitation performed at home, ensuring continuity of care and effective integration with healthcare networks and the user. **Objective**: To highlight the relationship between the Home Care Service (SAD) and healthcare networks. **Methodology**: This is a descriptive study in the form of a narrative literature review, which sought to highlight the relationship between the Home Care Service (SAD) and healthcare networks. The research was conducted through online access to the PubMed, Medline, and Scielo databases, using the descriptors "home care services," "SUS," and "healthcare networks." Inclusion criteria were: articles available in full text, in Portuguese and English, addressing the topic, and published between 2019 and 2023. **Results**: The results highlight the importance of home care services in assessing, identifying, and training caregivers, promoting self-care and user autonomy. The lack of professional guidance for caregivers presents an opportunity for improvement in care practices. Furthermore, SAD stands out as an innovative strategy in healthcare, surpassing primary care and emergency services, adopting a humanized approach aligned with SUS. By replacing or complementing hospital stays, it seeks equity in resource distribution for efficient access to home care, with active intervention in caregiver training, playing a crucial role in preventing complications, and consolidating itself as a key agent for a patient-centered approach within the SUS framework. **Conclusion**: The intervention of SAD with the user and caregiver is of utmost importance in training caregivers to assist users, avoiding unnecessary complications and ensuring continuity of care within SUS. Thus, the service complements the care provided in primary care and emergency services and substitutes or complements hospital stays.

Distributional Equity in the Employment and Wage Impacts of Energy Transitions

Distributional Equity in the Employment and Wage Impacts of Energy Transitions

Adherence to Mediterranean diet and cardiometabolic risk among mountain communities in European Alps

Abstract Background The Mediterranean diet has emerged as a model promoting a better health status, particularly for cardiovascular diseases prevention. Adherence to the Mediterranean diet (AMD) may vary depending on geographical location and sociocultural factors. Mountains and rural communities may experience lower adherence, also depending on food provision-related services availability. Our cross-sectional study aims to investigate the association between AMD and cardiometabolic risk in a cohort of mountain dwellers. As a secondary aim, we will test if services availability may influence health status via AMD. Methods In spring/summer 2023, healthy volunteers from 5 small villages in Italian Alps were enrolled. Dietary habits were investigated by Medi-Lite standardized questionnaire. The waist-to-height ratio (WHtR) was calculated by dividing the waist circumference by height, then used as an anthropometric index for central adiposity and related cardiometabolic risk. Services availability was assessed by network analysis implemented in QGIS. A multilevel logistic regression model, with center as random intercept and adjusted for age, sex, BMI, education and physical activity was used to test the association between AMD and cardiometabolic risk. Ethical approval was provided by University of Turin. Results To date, 142 subjects (59.2% females, 49.9±14.0 y.o.) have been enrolled. Preliminary analyses showed that, as compared to the least adherent group, subjects reporting the highest AMD level (3rd tertile of Medi-Lite scoring) were strongly protected from cardiometabolic risk (OR: 0.07, 95% C.I.: 0.01, 0.67; p = 0.021). A similar trend was observed for the 2nd tertile. Conclusions Our preliminary findings suggest the beneficial role of the Mediterranean diet also in remotely located populations. We plan to investigate how service availability may impact AMD and, indirectly, cardiometabolic health to reinforce the importance of equity in services distribution for Public Health Key messages • Independently of age, sex, BMI, education and physical activity, adherence to the Mediterranean diet can promote cardiometabolic health among rural and mountain communities. • Mediterranean eating pattern can positively influence central adiposity and should be promoted to ensure more effective prevention strategies in mountain dwellers.

Has the Digital Economy Enhanced the Income Distribution Effect Among Industries? Evidence from China

A powerful correlation exists among the advancement of the economy of digital, sustainable economic advancement, and income distribution. The advancement of the digital economy provides a significant motivating factor for sustainable economic development, while sustainable economic development provides a strong guarantee for income distribution, and the improvement of income distribution is also conducive to sustainable economic development. What is the connection between the digital economy and income distribution? This is the focus of this paper and also an important way to clarify the association between the advancement of the digital economy, sustainable economic development, and income distribution. This paper aims to explore whether the advancement of the digital economy has enhanced the effect of income distribution among industries and examine the role of production efficiency and human capital. Through the use of the multidimensional fixed-effect model, this study finds that the development of the digital economy is favorable to enhancing the income distribution effect among industries, and this income distribution enhancement effect is more prominent in large-scale non-state-owned enterprises. In addition, we also find that digital transformation can dramatically improve the total factor productivity of enterprises, thus enhancing the income distribution impact among industries. The promotion of digital transformation can also improve the quality of human capital in enterprises, strengthen the income distribution impact between industries, and reduce the income disparity among industries. The industry income gap measurement method and the industry perspective of income distribution adopted in this paper contribute to the existing literature and will contribute to the development of income distribution equity in the era of the digital economy and also provide a new vision for sustainable economic development from the perspective of income distribution.

Assessing social equity of federal disaster aid distribution: A nationwide analysis.

In this study, we conduct the first comprehensive, nationwide assessment of social equity performance of multiple federal post- and pre-disaster assistance programs that differ in targeted recipients, project types, forms of aid, and funding requirements. We draw on the social equity and distributive justice theory to develop and test a set of hypotheses on the influence of program design and specificity on their aid distributional patterns and equity performance. The analysis uses panel data of about 3000 US counties to examine the relationship between a county's receipt of federal assistance and its recent disaster damage, socioeconomic, demographic, political, local government, and geographic characteristics in a two-stage random effects Tobit model. Expectedly, we find that post-disaster grants are largely driven by recent disaster damage, while damage is simultaneously influenced by local socioeconomic conditions. For all disaster programs, disproportionately more federal aid is allocated to populous counties. For programs geared toward state and local governments and targeting community recovery and mitigation, more aid is received by counties with better socioeconomic conditions. Conversely, for programs targeting individual relief and recovery, more aid is given to counties with lower incomes and greater social vulnerability. Results also indicate that counties located in high-risk regions receive greater outlays. These findings shed light on the varying degrees of social equity of federal disaster assistance programs tied to their cost-share requirement, funding caps, and inherent complexity of application procedures.

Tradeoffs and synergies between social equity and environmental benefits in conservation

Conservation programs worldwide pursue social equity alongside environmental benefits and economic efficiency. When the spatial patterning of human diversity differs from the patterning of biological diversity, conservation planners face complex tradeoffs between social and biological objectives. Here, we quantify how these tradeoffs depend on the correlation between the spatial distributions of social and biological diversity. We used empirical patterns in the commonness and rarity of species to generate simulated landscapes with pre-defined correlations between biological diversity and human social diversity. Our analysis shows how tradeoffs between social equity and environmental benefits are unavoidable when human and biological diversity are negatively correlated. However, when human and biological diversity are strongly positively correlated, then biological and social priorities are congruent. In these settings, well-designed conservation programs may engender positive feedbacks between social equity and ecosystem services, enhancing both. Our analysis focused on distributional equity, but similar dynamics are likely to occur with procedural, recognitional and contextual equity. Given growing evidence that socially equitable conservation programs are more likely to be successful, our findings underscore the importance of carefully assessing the potential for conflicts and synergies between the social and biological goals of conservation programs.

Exploring the equity of distribution of general medical services funding allocations in Wales: a time-series analysis.

Good access to quality primary care in high-income countries can improve population health. Access to primary care is however often not equal among socioeconomic groups; our analysis sought to explore whether funding, a determinant of service supply, is equitably distributed among GP practices in Wales. We sought to explore the relationship between funding and deprivation among GP practices in Wales, to understand the equity of current funding policies. We obtained funding data for general practices in Wales between 2014 and 2022 and explored the equity of distribution using the percentage of practice patients living in the 20% most deprived small areas in Wales. We generated a linear regression model exploring the relationship between practice funding and deprivation, with an interaction term with time in years. Practice funding rose for all practices between 2014 and 2022. Practice deprivation and time in years were both associated with practice funding, with increases in practice deprivation associated with reduced funding allocations, and time being associated with a small increase in funding over the study period. Over the period of analysis of 2004-2022, for every 10% increase in patients living in the most deprived LSOAs, funding per patient decreases on average by 1%. Primary cares in Wales in more deprived areas receive discernibly less funding per patient than those in less deprived areas. Given the potential and likelihood primary care can affect population health outcomes, this underinvestment may be contributing to existing health inequalities and requires urgent further analysis and action.

Equity in the geographical distribution of general practitioners in Iran.

The equitable distribution of workforce is imperative for achieving public health goals. This study was conducted to evaluate the equity of the distribution of general practitioners (GPs) in Iran. In this descriptive and cross-sectional study, data from the Information System of Benefits for Iranians and the Iranian Statistics Center were utilized. The study population encompasses all GPs operating in Iran in 2022. To assess equity in the geographical distribution of physicians, the Gini coefficient and Lorenz curve were calculated using Excel software. Additionally, ArcGIS software was used to create a distribution map. The population of Iran and active GPs in 2022 were 85,874,000 and 67,852 respectively, resulting in an average of 7.9 active GPs per 10,000 people. The provinces of Yazd, Tehran, Mazandaran, and Fars exhibited the highest concentration of active GPs per capita, collectively representing more than 28% of the population and 37% of the active GPs. Fifty percent of the active GPs were women. The Gini coefficients for the provincial and intercity distributions of GPs were 0.08 and 0.2, respectively. The distribution of GPs among provinces and cities was deemed fair and relatively fair, respectively. Iran has a lower ratio of GPs per capita than the European nations. Policymakers should pay more attention to the implementation of appropriate policies with the aim of increasing equity in the geographical distribution of GPs in the country.

Aircraft final assembly line scheduling with user preferences and equity of work distribution

Aircraft final assembly line scheduling with user preferences and equity of work distribution

The new era of Bitcoin: Profits, progress and potential in the inscription-driven crypto industry

The introduction of the Ordinals Protocol and BRC-20 tokens, featuring the pioneering concept of Inscriptions, signifies a pivotal evolution in the Bitcoin network. Officially launched on 21st January, 2023, this innovation embeds a unique blend of tokenisation and non-fungible attributes directly into Bitcoin’s base layer, akin to engraving precious metals. This paper thoroughly examines the technical underpinnings and market implications of BRC-20 tokens, focusing on the stark contrasts with traditional ERC-20 tokens and initial coin offerings. Unlike ERC-20, Inscriptions integrate seamlessly into Bitcoin’s existing structure, offering a decentralised model that strengthens the principles of a true fair launch in decentralised finance. The study critically assesses the reception within the Bitcoin community, balancing the potential enhancements in Blockchain functionality against concerns regarding foundational principles. Furthermore, it explores the profound implications for stakeholders such as miners, exchanges and developers and evaluates the transformative impact on the cryptocurrency ecosystem at large. Ultimately, this paper elucidates the role of Inscriptions in redefining the trajectory of Bitcoin and shaping the future landscape of Blockchain technologies, emphasising their potential to foster equity and innovation in token distribution.