Financial Arrangements Research Articles

Shifting gears: Creating equity informed leaders for effective learning health systems.

Leadership is vital to a well-functioning and effective health system. This importance was underscored during the COVID-19 pandemic. As disparities in infection and mortality rates became pronounced, greater calls for equity-informed healthcare emerged. These calls led some leaders to use the Learning Health System (LHS) approach to quickly transform research into healthcare practice to mitigate inequities causing these rates. The LHS is a relatively new framework informed by many within and outside health systems, supported by decision-makers and financial arrangements and encouraged by a culture that fosters quick learning and improvements. Although studies indicate the LHS can enhance patients' health outcomes, scarce literature exists on health leaders' use and incorporation of equity into the LHS. This article begins addressing this gap by examining how equity can be incorporated into LHS activities and discussing ways leaders can ensure equity is considered and achieved in rapid learning cycles.

Challenges and lessons of implementing strategic environmental assessment in a critically endangered ecosystem

Strategic environmental assessment (SEA) can help to ensure that development across a landscape is planned and implemented with minimum environmental and biodiversity impacts. Despite its growing prevalence, few studies have investigated the implementation of biodiversity conservation interventions associated with SEA. Here, we examine an Australian SEA case study, the Melbourne Strategic Assessment, which set out to assess the impacts of Melbourne’s urban growth boundary expansion on threatened species and ecosystems. Using stakeholder interviews and document analysis, we evaluate the implementation of biodiversity conservation interventions under the SEA. We find that key interventions are yet to be fully implemented, including establishing a 15,000-hectare reserve to offset impacts on critically endangered grasslands. We identify systematic and pervasive failures, including questionable funding and enforcement arrangements, and highlight critical improvements needed. Given the growing use of SEA worldwide, urgent action is required to provide confidence in the ability of SEA to deliver biodiversity conservation objectives.

Water governance puzzle in Riau Province: uncovering key actors and interactions

Abstract Sustainable water governance is crucial for addressing the global water crisis and ensuring access to clean water resources. In the Indonesian context, Riau Province faces significant challenges in providing sufficient clean water to its population. Collaborative approaches involving diverse actors have emerged as a potential solution to complex water governance problems. However, limited empirical evidence exists regarding the engagement and interactions of these actors in decision-making processes. This study focuses on Bengkalis Regency, Dumai City, and Rokan Hilir Regency, in Riau Province, using Textual Network Analysis (TNA) to identify key actors in local water governance. The findings of this study highlight: (1) The influential actors (nodes) identified by TNA consist of drinking water systems, financial arrangements, oversight mechanisms, environmental concerns, water accessibility, and eco-friendly water governance. These actors nuance the formation of local policies related to Durolis water governance. (2) The Riau provincial government is empowered to fund pipanization projects from the river to the cities. Meanwhile, local governments are given financial responsibility for pipanization in their respective regions. (3) Durolis water governance follows a centralized approach, with the provincial government acting as a facilitator when problems arise. Meanwhile, problem-solving is based on consensus between the regions as a decision-making tool.

Metals Streaming and Royalty Financing: A Framework for Assessing Mining Sector Financial Benefit–Sharing Implications for Governments

This chapter offers a simplified approach to assessing the potential impact of metals streaming and royalty financing on government revenues. Subject to the availability and quality of information, a revenue impact ratio can be determined by comparing the potential revenues to the government from more traditional forms of financing with potential revenues to the government from metals streaming or royalty financing.The chapter considers the key features, advantages, and disadvantages of these alternative funding options for mining projects, and then develops an illustrative model to demonstrate their potential impact on government revenues. This forms the basis on which to identify the key challenges, and the policy considerations when addressing them.While metals streaming provides upfront capital and a potential hedge against price risk for producers, it could also limit the upside potential for both the mining company and the host government. On the other hand, royalty financing offers stable income streams and diversification opportunities for investors but may lack direct exposure to metal price increases.The ultimate risk faced by resource-rich governments as a result of an increase in the use of metals streaming and royalty financing arrangements is a suboptimal share of the potential benefits that will accrue from the mining operations. Specifically, the risk is of a reduction in taxable income and royalty revenue.At the heart of the policy considerations pertaining to resolving these challenges and risks is reducing information asymmetry between the government, the mining company and the streaming or royalty company. One important way to do this is to strengthen tax legislation and enforcement mechanisms. Implementing anti-avoidance rules, such as interest limitation rules, can limit the ability of metals streaming and royalty financing companies to exploit tax and other loopholes. Other features with which to strengthen the legislation include clear minerals pricing rules, and clearer provisions regarding withholding taxes.

Strengthening Public Financing of Primary Healthcare in India: A Perspective.

Resilient and high-performing health systems that can respond to the global polycrisis hinge upon the effectiveness of their primary healthcare (PHC) system. This requires adequate and sustainable financing for PHC, which should be predominantly government financed. The recent Ayushman Bharat health reforms in India aim to ensure comprehensive PHC services and enhance financial risk protection through increased government financing. The government has augmented investments to fortify the PHC system by establishing Health and Wellness Centers (HWCs), equipped with an expanded benefit package for PHC services & human resource capacity. Aligned with the National Health Mission's targeted and flexible financial mechanisms, this offers States the opportunity to contextualize solutions and offer incentives to healthcare workers. However, aligning public financing arrangements to service delivery complexities and health outcomes pose intricate challenges in shaping the required reforms. The economic growth and room for increased taxation on health products provide an avenue for increased funding. Smart and efficient payment mechanism with improved accountability should complement increased investment.

Joint financing arrangements for E-commerce supply chain with capital constrained online supplier

Joint financing arrangements for E-commerce supply chain with capital constrained online supplier

Çeyrek Yaşam Krizi: Frances Ha Filmi Üzerinden Bir İnceleme

Quarterlife crisis is a concept used to describe the difficulties and indecision faced by individuals in their early twenties and mid-thirties regarding their careers, financial arrangements, where to live and relationships. During the quarterlife crisis, individuals experience mental health disorders such as depression and anxiety. In this study, in order to understand characteristics of the quarterlife crisis the relationships between the discipline of psychology and the art of cinema have been acted upon. The aim of this study is to analyze the Frances Ha movie directed by Noah Baumbach in the context of the quarterlife crisis. Document analysis, which is one of the qualitative research methods, was used in the study. The results of the study revealed that Frances, the main character of the Frances ha movie, experienced many features of the quarterlife crisis. As a result, awareness of the quarterlife crisis by mental health professionals may enable them to intervene more accurately when working with clients who are experiencing difficulties during this crisis.

Adoption of pre-letting and pre-sale financing arrangements for real estate development in a developing economy: an assessment of the influencing factors

PurposePre-letting and pre-sale financing arrangements have been widely adopted to increase housing delivery in the developed economy. Despite the increasing level of adoption in some developed countries, some are reverting to spot property buying because of factors militating the adoption of pre-letting and pre-sale financing. However, little has been done on the factors influencing the adoption of these trust-based financing arrangements in the developing economy where there are challenges of trust and market transparency.Design/methodology/approachUsing a closed-ended questionnaire, 87 property development companies (PDCs), which constituted 63.5% of the 137 PDCs in Lagos metropolis, were sampled. Variables that influence adoption of pre-letting and pre-sale financing arrangements were presented to respondents for rating on a five-point Likert scale, ranging from 1 (not influential) to 5 (very highly influential). With the aid of SPSS software, acquired data were analysed using principal component analysis (PCA), mean rating and standard deviation.FindingsThe PCA finding revealed that factors influencing the adoption of pre-letting and pre-sale financing had 69.641% total variance. Top-rated components were fear of financial risk and firm’s reputation and poor government involvement and contractors' credibility, with 15.114% and 11.895% variances, respectively. The study findings suggested that the buyers' apprehension regarding the transfer of financial risk and the reputation of the firms significantly influence their decision to embrace both arrangements. As a result, the buyers' willingness to engage the financing arrangements is reduced, which consequently imparts adoption negatively. Furthermore, there is worrisome lack of government involvement, a crucial aspect for the success of such arrangements.Practical implicationsPre-letting and pre-sale financing arrangements are found to be highly suitable for environments where there is trust. The findings enlighten the development firms on the need to uphold their reputation, as buyers attach great significance to the credibility and integrity of the companies they engage in business.Originality/valueThis paper is one of the few attempts that have sought to explore the factors influencing pre-letting and pre-sale financing arrangements in an emerging market like Nigeria.

PELATIHAN PEMANFAATAN LAPORAN KEUANGAN DAN PENGENALAN INVESTASI PADA UMKM PERUMAHAN MUKA KUNING

The problems found in the field are related to the weak knowledge of MSMEs related to understanding financial statements, lack of expertise based on financial transactions that occur in daily activities. As well as the profits obtained cannot be obtained in any form of investment, so that the impact of the profits they feel is very small. Meanwhile, the level of need for spending often increases. Likewise, MSME actors do not know good financial arrangements, make accounting according to the cycle. Not being able to arrange financial reports as they should, weak knowledge of MSMEs related to finance and investment can make it difficult to control the business they have. The practice method and lecture method are used in financial statement transactions in the form of services, trading and manufacturing companies and the introduction and risk practice of investment banking. The termination of the process in this service activity is that financial business actors record according to the stages. The results of this dedication have been carried out for five meetings with guiding material on financial transactions to ledgers and dissemination of banking investment products.

<em>Three Wedding Journeys, Three Financial Records: Logistics, Court, Princess’s Agency</em>

Through a close reading of account books related to the three mid-sixteenth-century wedding journeys—of Sophie of Jagiellon (1522–1575), Elizabeth of Habsburg (1554–1592), and Anne of Habsburg (1549–1580)—this study examines the overall financing of the bridal transfer, including paying the retinue, provisions, and logistical issues, while also investigating the economic agency of the princely brides in early modern Europe. In the first part, the article offers a brief typology of financial arrangements between the matrimonial parties and then discusses third-party involvement, in the form of the free-of-cost hosting of the princesses. Moving into the second part, the study analyses the salaries of the entourage members and sheds light on travel-related details, such as food or navigation. Based on the financial records, the last part scrutinises the princesses’ activity, arguing that these women were active agents, entering into a dialogue with people they encountered. This was expressed in remuneration for overnight stays, services, gifts, or alms for the poor or new-born children.

Oil Palm Management For The Production Of Superior Quality Seeds And Increasing The Yield Of Fresh Fruit Bunches (FFB) With Islamic Economic Approach: A Case Study AT The Marihat Pematang Siantar OIL PALM Research Center

This study is an indepth analysis of oil palm management with a focus on the production of superior quality seeds and increasing the production of fresh fruit bunches (FFB) by applying a sharia economic approach. The case investigated was the marihat pematang siantar oil palm research center. Selection of seeds that comply with sharian principles has become the main concem in this research. This includes aspects of seed quality, transparency and palm oil entrepreneurs. In addition, this study also explores sustainable resource use in the context of oil palm plantations. This includes selecting oil palm varieties thar are resistant to pests and diseases as well as using fertilizers to maintain environmental sustainability. Financial arrangements in sccordance with sharia law are another focus in this study. Best practices to increase FFB production yields have also been indentified with an emphasis on quality maintenance, sustainable technology and worker training. The results of this study provide important insights into how palm oil industry can be run by considering sharia economic values, creating economic and environmental sustainability and prioritizing aspects of justice and transparency in all aspects of its management.

Building Quality-Oriented Societies in Asia Through Effective Water-Related Disaster Risk Reduction and Climate Change Adaptation

Asia-Pacific countries are facing growing risks from water-related disasters that are being exacerbated by climate change, urbanization, population growth, and development activities. Effective disaster risk reduction (DRR) and climate change adaptation (CCA) are crucial for building quality-oriented societies. This study proposes approaches to DRR and CCA by examining cases and approaches from a special session at the 9th International Conference on Flood Management. This session was held to follow up on the Kumamoto Declaration adopted at the 4th Asia-Pacific Water Summit in Kumamoto in April 2022, and demonstrated the determination of heads of states and governments to resolve water issues in the region. The recent disaster cases in Pakistan, the Republic of Korea, the Philippines, and Indonesia highlight the unprecedented scale of water-related disasters. These countries have developed integrated structural and non-structural measures as fundamental solutions, including planning supported by scientific evidence, institutional reforms, and capacity building. However, there is a need to prioritize and strengthen urban planning and land use regulations for effective DRR and CCA. The Kumamoto Declaration emphasized three critical approaches: science and technology, finance, and governance, while the session clarified the effectiveness of these approaches. Leveraging science and technology can help societies develop and implement effective strategies to mitigate climate risks and safeguard vulnerable populations and ecosystems. However, there is a significant investment gap for flood protection, estimated at USD 64 billion per year. Thus, financial arrangements must be established. Meanwhile, good governance is essential for collaboration between local bodies, national governments, and international assistance. Such governance can leverage green infrastructure as a key solution and promote disaster resilience that is both locally driven and nationally relevant.

Reimbursement of interventional oncology in Australia: How it works and how it does not.

The practice of interventional oncology (IO) embodies all the qualities that one would expect to find in a modern, value-based healthcare system. A dynamic, cutting-edge specialty like IO uses highly-targeted, minimally-invasive, image-guided techniques to deliver cost-effective, personalised medicine for cancer patients. Unfortunately, thetechnical and clinical sophistication of IO is not matched by the reimbursement models and funding arrangements in Australia to fully support this critical component of patient care. Differences between state and federal funding lead to inequity of access to 'standard of care' interventions for patients across public and private hospitals. IO procedures are poorly represented in the Medicare Benefits Schedule and often inadequately funded to cover the true costs of providing care. Complex private health fund reimbursements and inconsistent rebates for prostheses and essential equipment result in inconsistent access to important services and widely variable out-of-pocket costs for patients. IO techniques must be supported by fair, consistent and equitable funding arrangements at all levels to allow for integrated contemporary patient care; only then will the full clinical and economic benefits of IO be realised.

Permeable Housing

This article explores how water acts on permeable housing and the documentary infrastructures that mitigate its impact and enable its flows. It does so through consideration of ongoing litigation brought by public housing tenants at the remote communities of Ltyentye Apurte (Santa Teresa) and Laramba in the Northern Territory of Australia for incomplete repairs and unsafe drinking water. I offer a distinction between pragmatist and functionalist housing, as competing concepts for framing, respectively, the impact of entrenched low expectations on remote housing performance and management and the minimum amenity that contemporary housing should provide. The litigation by Ltyentye Apurte and Laramba householders is notable for challenging the habitability standard that remote community housing must meet and for introducing the provision of safe drinking water as a matter of habitable housing. While water searches out cracks and refuses expulsion from the housing assemblage, necessitating repairs and maintenance, such mobility provides a challenge for allocating specific obligations to various settler colonial authorities that are collectively involved in maintaining house function. Drawing on close analyses of a series of legal decisions, the article examines how legal frameworks and intra-governmental funding arrangements are employed to eschew responsibility for safe drinking water inside remote community housing.

New Dimension in Higher Education in India

Higher Education has an important role in the task of rebuilding a nation and it paves the way for overall development of a nation. The twentieth century has witnessed several revolutions like Green revolution, White Revolution, I.T. Revolution, so on and so forth, taking human civilization to new heights. At the start of 21 st century, we gave a lot of importance given to higher education. Every country realized the value of higher education and the benefits that accrue from it. “The social demands for higher education continue to increase. The inability of the state to support this growing demand resulted in new financing arrangements for higher education. The recent reforms in this area could be broadly divided into two categories: the privatization of public institutions and the establishment of private institutions of higher education. Privatization implies the application of market principles in the operation of public institutions, while ownership rests within the public domain. Promotion of the private sector implies the growth and expansion of the non-state sector in higher education, and very often this sector does not rely on state funding for its growth and expansion. Both of these measures have paved the way for market operations in higher education

Role of Domestic Banking and Financial Institutions in Project Finance: Insights from Hydropower Sector in Nepal

Hydropower is a low carbon renewable energy alternative for replacing carbon emission energy sources. In Nepal, this infrastructure sector is being developed for fulfilling the internal demand of electricity. Previous studies emphasized public-private partnership (PPP) utilizing project finance (PF) model in infrastructure sector. Recognizing the importance of domestic banking and financial institutions (BFIs) in project finance this study delves into factors significantly affecting the role of BFIs in project finance. Cross-sectional survey utilizing questionnaires was conducted among respondents representing the independent power producers (IPPs) and BFIs in Nepal. Regression analysis showed predictor variables like economic environment, guidelines of the central bank and low default rate have significant impact on project finance. issues related to adequate legal provision for non-recourse financingrole of BFIs for project finance arrangement. Credibility of hydropower project sponsors is an important determinant in financing hydropower project. The availability of comparatively more bankable projects in other investment sectors against the investible fund constraints resulted in limited complete project finance arrangement of hydropower projects. Detail investigation on guarantees to the lenders against the project loan and improvements needed in legal frameworks to accommodate the non-recourse finance and making economic and legal environment friendlier to private sector is the limitation of this study left for future researches.

The politics of tied aid: Technology transfer and the maintenance and repair of water infrastructure

In many African countries, international donor funding schemes contribute significantly to financing water infrastructures, especially for constructing new networks and water plants and upgrading existing ones. However, little is known about how these financial arrangements shape infrastructure maintenance and repair. This article explores the politics of tied water aid to show how international donors’ technology transfer schemes and their associated funding conditionalities shape water infrastructure maintenance and repair. Empirically, this study builds on a qualitative study of the cities of Accra (Ghana) and Dar es Salaam (Tanzania), where the maintenance and repair of water infrastructures have been a persistent challenge. The article shows that the compulsory adoption of foreign technologies embedded in donors’ funding schemes limits local capacity to properly maintain and repair water infrastructure. As maintenance and repair increasingly depend on imported expert knowledge, spare parts, and engineering services, donors’ funding schemes undermine effective maintenance and repair in both cities. We argue that to make transferred water technologies work sustainably in recipient countries, funding schemes need to anticipate maintenance and repair by incorporating local capacity building and knowledge transfer to reduce import dependence.

Community engagement and financial arrangements: Navigating institutional change.

Despite their documented benefits, the widespread adoption of community-engaged and participatory approaches among health researchers remains limited. Institutional practices and policies influence the uptake of community engagement and participatory approaches. We examine the role of financial arrangements between university researchers and community partners, by exploring efforts to bridge the gap between research administration and researchers at two research-intensive institutions. The type of financial arrangement a researcher has with a community partner plays an important role in setting the stage for the structure of the partnership as it relates to shared decision-making and ownership of the research. Continued efforts to clarify and streamline subcontracting processes are needed as is infrastructure to support community partners and researchers as they navigate financial arrangements if progress is to be made.

Pre-Letting and Pre-Sale Financing Arrangements: An Assessment of Cost Effectiveness for Real Estate Development in Lagos Metropolis, Nigeria

Real estate development is capital intensive and hence requires a huge capital outlay and the onus of capital provision lies solely on the development firm. However, the largeness of projects usually makes equity insufficient, raising the need for firms to look outward for capital supply. With debt finance as the alternative, associated high cost of capital acquisition made it inaccessible to development firms. The recent attention-shift of real estate development firms towards pre-letting and pre-sale financing arrangements suggests the cost effectiveness of the arrangements over mortgage. However, despite the attention-shift, the cost effectiveness of pre-letting and pre-sale financing arrangements has been given little attention by the researcher. Hence, this study assessed cost effectiveness of pre-letting and pre-sale financing arrangements with a view to providing information that will increase the level of adoption, using selected properties in Lagos Metropolis, Nigeria as a case study. The cost effectiveness of the arrangements was assessed using three case studies analysis. One property in each of year 2018 (pre – COVID19), year 2020 (COVID19 period) and year 2021 (post – COVID19). Property details such as the number of units financed by pre-letting and pre-sale arrangements, units’ type (1-bedroom, 2-bedroom, 3 bedrooms, among others), number of units targeted for pre-letting and/or pre-sale, number of units eventually pre-let and/or pre-sold, duration of property development, annual rent of the pre-let per unit, price of the pre-sale per unit, among others were acquired from the firm’s record. In addition, commercial banks mortgage lending rates was retrieved from Central Bank of Nigeria website for year 2015 to 2021, and was used to capitalise the property rent and/or price.

Expanding access to high-cost medicines under the Universal Health Coverage scheme in Thailand: review of current practices and recommendations

BackgroundThere has been an increasing demand to reimburse high-cost medicines, through public health insurance schemes in Thailand.MethodsA mixed method approach was employed. First, a rapid review of select high-income countries was conducted, followed by expert consultations and an in-depth review of three countries: Australia, England and Republic of Korea to understand reimbursement mechanisms of high-cost medicines. In Thailand, current pathways for reimbursing high-cost medicines reviewed, the potential opportunity cost estimated, and stakeholder consultations were conducted to identify context specific considerations.ResultsHigh-income countries reviewed have implemented a variety of pathways and mechanisms for reimbursing high-cost medicines under specific eligibility criteria, listing processes, varying cost-effectiveness thresholds and special funding arrangements. In Thailand, high-cost medicines that do not offer good value-for-money are excluded from the reimbursement process. A framework for reimbursing high-cost medicines that are not cost-effective at the current willingness-to-pay threshold was proposed for Thailand. Under this framework, specific criteria are proposed to determine their eligibility for reimbursement such life-saving nature, treatment of conditions with no alternative treatment options, and affordability.ConclusionHigh-cost medicines may become eligible for reimbursement through alternative mechanisms based on specific criteria which depend on each context. The application of HTA methods and processes is important in guiding these decisions to support sustainable access to affordable healthcare in pursuit of Universal Health Coverage (UHC).