Funding Partners Research Articles

Organizational, environmental, and sustainability of inputs to the implementation of a smoke-free area policy: A path analysis of Makassar's health facilities

The implementation of smoke-free policies in healthcare facilities represents a critical public health strategy; however, maintaining sustainable compliance remains a challenge globally. While healthcare institutions are expected to exemplify tobacco control measures, the effectiveness of smoke-free policies depends on multiple factors at the institutional and governmental levels. This study aimed to examine the influence of organizational, environmental, and sustainability factors on input indicators for smoke-free area policy implementation in healthcare facilities in Makassar, Indonesia. A quantitative correlational study was conducted across seven healthcare facilities that provide inpatient services. Using random cluster sampling, 232 healthcare workers were selected from a population of 736. Path analysis was employed to evaluate causal relationships between independent variables (organizational, environmental, and sustainability factors) and dependent variables (input indicators, including written policies, monitoring personnel, and promotional media). Data were collected through validated questionnaires and analyzed via structural equation modeling. Path analysis revealed that sustainability factors significantly influenced input indicators, particularly written policies (t statistic = 2.592, p<0.05, β=0.194). Key sustainability components, including funding stability, partnerships, organizational capacity, program evaluation, adaptation, and strategic planning, have demonstrated positive effects on policy implementation. Organizational and environmental factors had no significant impact on the input indicators. Sustainability factors emerged as crucial determinants for the successful implementation of smoke-free policies in healthcare facilities in Makassar city. Future research should investigate the barriers to policy implementation and explore additional input indicators to increase the effectiveness of smoke-free policies.

Unveiling Disability Empowerment: Evaluating ICT Skill Enhancement Initiatives in Indonesia

This study examines the role of information and communication technology (ICT) skill development programs, such as the Digital Talent Scholarship and ICT Jamboree, in empowering people with disability across Indonesia. Grounded in empowerment theory, it investigates how these programs contribute to personal autonomy, economic engagement, and social inclusion. The research focuses on participants’ perceptions of the impact of ICT training on their independence and social integration. It also identifies challenges in applying ICT skills in daily life, including barriers to employment and limited access to assistive technologies like Braille displays and hearing aids. Through a qualitative approach—using semi-structured interviews and focus group discussions with 99 participants from diverse people with disability groups—the findings reveal significant improvements in self-confidence, digital literacy, and participants’ ability to overcome employment and online communication challenges. While ICT shows potential to reduce social isolation and foster digital inclusion, disparities in proficiency and access to adaptive tools remain. The study emphasizes the need for more tailored interventions and advocates for increased funding, better accessibility, and stronger public-private partnerships to advance disability inclusion through ICT, extending beyond Indonesia to Asia and the Middle East.

Surgery and the first 8000 days of life: a review

Abstract The first 8000 days of life, from birth to adulthood, encompasses critical phases that shape a child's health and development. While global health efforts have focused on the first 1000 days, the next 7000 days (ages 2–21) are equally vital, especially concerning the unmet burden of surgical conditions in low- and middle-income countries (LMICs). Approximately 1.7 billion children globally lack access to essential surgical care, with LMICs accounting for 85% of these unmet needs. Common surgical conditions, including congenital anomalies, injuries, infections, and pediatric cancers, often go untreated, contributing to significant mortality and disability. Despite the substantial need, LMICs face severe workforce and infrastructure shortages, with most pediatric surgical conditions requiring specialized skills, equipment, and tailored healthcare systems. Economic analyses have shown that pediatric surgical interventions are cost-effective, with substantial societal benefits. Expanding surgical care for children in LMICs demands investments in workforce training, infrastructure, and health systems integration, complemented by innovative funding and equitable global partnerships. Prioritizing surgical care within national health policies and scaling up children's surgery through initiatives like the Optimal Resources for Children's Surgical Care can improve health outcomes, align with Sustainable Development Goals, and foster equity in global health. Addressing the surgical care gap in LMICs will reduce preventable mortality, enhance quality of life, and drive sustainable growth, emphasizing surgery as an essential component of universal health coverage for children.

Involving children and young people in supportive cancer care research: the value of FDS grant funding and charitable partnerships

INTRODUCTION Involvement of children and young people in research has a multitude of benefits for children, researchers and the quality of the research itself. Despite the benefits of involvement, this is not always completed or reported in practice. METHODS This paper looks at the involvement of children and young people during a research study exploring the acceptability of photobiomodulation for mucositis management. It considers the importance of costing involvement into grant funding, and the value of charitable partnerships in conducting research with patient and public involvement. RESULTS Children and young people with experience of cancer, and their parents, were involved at the stages of grant application, research design, data analysis and dissemination. Involvement of families resulted in changes to inclusion criteria, plain language summaries and participant information documents. They provided insight into data analysis, and designed and filmed co-created video outputs to support acceptability of the treatment, dissemination of the research and research involvement of other children. Involvement was supported both practically and financially by charitable partnership with the Candlelighters children’s cancer charity as well as research grant funding from the Royal College of Surgeons of England’s Faculty of Dental Surgery. CONCLUSIONS Child and parent contributors shaped the research project, resulting in changes to the study design, data analysis and co-creation of video resources. Charitable partnership and flexibility of involvement supported diversity in the context of paediatric cancer research. Researchers should consider what they can contribute in return to child contributors and charities who provide support.

Questioning Sustainable Environmental Policies and Practices in Indonesia: Would Durkheim’s Structural Functionalism Theory Have a Relevance?

Indonesia, as a signatory to the UNFCCC and the Paris Agreement, is committed to reducing greenhouse gas (GHG) emissions. These commitments, outlined in Law Number 16 of 2016, include limiting global temperature rise, setting Nationally Determined Contributions (NDC) targets, and developing a long-term strategy for net zero emissions by 2050. To meet these obligations, the Indonesian government has introduced Carbon Economic Value (CEV) policies through Presidential Regulation Number 98 of 2021. These policies aim to reduce GHG emissions by implementing carbon pricing mechanisms such as carbon trading, levies, and performance-based payments. However, the implementation of CEV policies has faced various reactions, including criticism and resistance. Despite these challenges, it's imperative not to hinder the policy's implementation, given its potential to drive significant societal and lifestyle changes towards a greener future. This study analyzes Indonesia's progress in reducing GHG emissions through CEV policies. Using normative legal research and qualitative analysis, it explores the positive impacts of these policies, including their alignment with structural functionalism theory. The study highlights that the implementation of CEV policies as an effort to reduce greenhouse gas emissions in Indonesia through carbon trading mechanisms, carbon taxes, and funding partnerships with developed countries aligns with structural functionalism theory according to Emile Durkheim. This is evidenced by the existence of a clear system (legal and governance) in implementing CEV policies, including regulators (Government), implementers (SOEs, private sector, and society), supervisors (UNFCCC), and program donors (World Bank, IMF), where each entity cooperates in an organized manner in accordance with the provisions of the Paris Agreement 2015 and Presidential Regulation 98 of 2021 continuously according to their respective tasks. This policy also brings about functional social change by promoting a harmonious balance to shift dependence away from fossil fuels towards more environmentally friendly Renewable Energy sources.

Bachelor’s Degree Studies Satisfaction in the City of Ostrava

Bachelor education in the Czech Republic plays a vital role in shaping the nation's workforce and economy; this paper investigates Bachelor's Degree programs, emphasizing their duration, diversity, and impact on national development. Through a literature review, it addresses challenges such as educational quality, employability, and student satisfaction. The study highlights the need for improved funding, career support, and industry partnerships to enhance the Bachelor’s Degree Education experience in the Czech Republic. Furthermore, it offers strategic recommendations for policymakers to optimize the accessibility, relevance, and quality of Bachelor's Education, ultimately fostering individual advancement and progress. For clarity purposes, it is necessary to highlight that the results of this research paper are drawn from a preliminary research study that was conducted in 2024 in the City of Ostrava in the Czech Republic.

Just Follow the (Ten) Steps

This study investigates infant feeding rhetoric from the Baby-Friendly Hospital Initiative (BFHI), a World Health Organization (WHO) and United Nations Children’s Fund (UNICEF) partnership that prioritizes exclusive breastfeeding. The study approaches patient education materials as user documentation and analyzes the materials for kairos and metaphor. The author argued that the materials function as documentation for the birthing parent’s body operating within the system of the BFHI. The article concludes with recommendations for future research and for creating infant feeding resources that provide critical access to the healthcare system by rejecting the body-as-machine metaphor and reflecting families’ diverse situations, not just the situation of the U.S. healthcare system or BFHI.

Implementation characteristics that may promote sustainability of a rural physical activity initiative: examination of Play Streets through the lens of community implementers

BackgroundPlay Streets, which are community-based environmental initiatives where public spaces/streets are temporarily closed to create safe, low-cost physical activity opportunities, have demonstrated feasibility and physical activity benefit in rural US areas. Yet, information is needed to identify implementation characteristics that may promote sustainability. This study examined rural Play Streets implementation characteristics that could impact sustainability from local partners’ perspectives.MethodsSixteen Play Streets implementation team members in rural Maryland, North Carolina, Oklahoma, and Texas, USA, participated in interviews. Semi-structured in-person individual and group interviews were conducted in the fall of 2018 (after Play Streets implementation in 2017 and 2018), recorded, and transcribed verbatim. Transcripts were analyzed using iterative, content analyses. Coding frameworks were based on the Public Health Program Capacity for Sustainability Framework, and emergent themes were also identified.ResultsInterviewees’ perceived characteristics for facilitating Play Streets implementation aligned with the Public Health Program Capacity for Sustainability Framework: funding stability, political support, partnerships, organizational capacity, program adaption, and communication. Interviewees also noted the importance of cultural alignment/support and the reciprocal impact of community connectedness/engagement.ConclusionsFuture research should examine the reciprocal role of public health impacts, as both outcomes and factors which may influence sustainability.

Analysis of the Reorientation of the National Vocational Training Development Program

ILO found that only 59% of graduates from BLK at the level of UPTD and UPTP - which transformed into BPVP, could be absorbed by industries in 2022 due to the mismatch of competencies with the needs of the labor market. Therefore, the reorientation of the National Vocational Training Development Program is urgently needed to create skilled and competent human resources (HR) in line with the needs of industries and the labor markets. The purpose of this study is, to analyze the issues arising in the management of HR in vocational training institutions in creating skilled and competent HR, along the absorption of BLK graduates into companies/industries. This study uses a descriptive analysis method aimed at analyzing the management of HR in BLK. The results of the study indicate that BLK management has not yet adhered to standardized norms, the level of absorption of BLK graduates into companies/industries is still low, and there is a mismatch between the competencies of BLK graduates and the labor market. The implications of the study results for the Ministry of Manpower are: (1) refocusing training targets based on training needs analysis and national development priorities; (2) standardizing training programs considering the typology of BLK and the distribution of vocational training institutions; (3) identifying potential training needs and revitalizing training resources in vocational training institutions; (4) mainstreaming vocational training and apprenticeships by developing funding patterns and partnership programs between the government and the business/industrial sector, also the central and regional governments.

PASS to End TB in Europe: Accelerated efforts on prevention and systematic screening to end tuberculosis in the WHO European Region by 2030

ObjectivesOutline the objectives, methods, and initial stages of the Prevention and Systematic Screening (PASS) initiative, a complimentary element of the innovative new approach of technical assistance mechanisms of WHO and its partners to countries aligned to the Regional TB Action Plan to End TB in the European Region by 2030. DesignTo provide an objective and critical overview of the existing landscape on TB epidemic in the WHO European Region (the European Region) and ii) identify the strategic significance of proactive measures aimed at approaching TB pre-elimination in the Region. ResultsInterventions primarily include systematic screening for TB disease and treatment for TB infection (TBI). ConclusionsPASS to End TB is an exemplary initiative of how technical and funding partners are joining hands to support national health programmes to work towards global commitments to curb major public health challenges like TB.

Extending social accountability mandates to biomedical research in Canadian faculties of medicine.

Social accountability (SA), as defined by Boelen and Heck, is the obligation of medical schools to address the needs of communities through education, research and service activities. While SA is embedded within health profession education frameworks in medicine, they are rarely taught within graduate-level (MSc/PhD) education. As these programs train future medical researchers, we invited first-year graduate students enrolled in a mandatory professionalism class at our institution (n = 111) to complete a survey on their perceptions of the importance of SA in their research, training, and future careers. Over 80% (n = 87) of respondents agreed that SA is relevant and felt committed to integrating it into their future research activities, only a limited number of students felt confident and/or supported in their abilities to integrate SA into their research. Specific SA training in graduate education is necessary for students to effectively incorporate elements of SA into their research, and as such support the SA mandates of their training institutions. We posit that awareness of SA principles formalizes the professional standards for biomedical researchers and is thus foundational for developing a professionalism curriculum in graduate education programs in medicine. We propose an expansion of the World Health Organization (WHO) partnership pentagon to include partners within the research ecosystem (funding partners, certification bodies) that collaborate with biomedical researchers to make research socially accountable.

Sea Grant Network Contributions to the National Ocean and Coastal Acidification Response

The Sea Grant network has made significant contributions to ocean and coastal acidification (OCA) research through partnerships and investments, education and participatory science opportunities, workforce development, translation into aquaculture applications, and policy blueprints. This study reviewed these contributions using programmatic assessments, bibliographic sources, and case studies. From 2008 until 2021, investments surpassed $22M and funded 106 projects across 22 of the 34 Sea Grant programs. This funding and key partnerships have supported the theses of 80 graduate students and 11 research fellows. In addition, 14 Sea Grant Knauss Marine Policy Fellows have been funded by the NOAA Ocean Acidification Program in OCA graduate experiences. The Sea Grant network plays an integrative role across research institutions, decision-making bodies, and coastal industries, and is well positioned to continue offering opportunities and novel insights to advance applied research and action to mitigate and adapt for OCA impacts on marine resources and ecosystems.

Social Networks and Graduate Entrepreneurial Success: A Conceptual Exploration

This paper develops the Comprehensive Graduate Entrepreneur Network (CGEN) model, a conceptual framework designed to guide graduate entrepreneurs in overcoming the unique challenges they face, such as social isolation, financial constraints, and limited access to resources. Drawing on Social Network Theory (SNT), the Resource-Based View (RBV), and Institutional Theory, the CGEN model offers a structured approach comprising four components: Network Assessment, Network Building, Network Leverage, and Network Evaluation. These components collectively facilitate the transition from isolation to integration within the entrepreneurial ecosystem by enabling graduate entrepreneurs to systematically develop, optimize, and utilize their social networks. The model addresses the need for both strong and weak ties, highlighting how diverse connections can be leveraged to access critical resources such as funding, mentorship, and business partnerships. This paper discusses the theoretical and practical implications of the CGEN model, suggesting its potential to inform entrepreneurship education, policy design, and support programs. While the model provides a robust theoretical foundation, future empirical research is needed to validate its applicability across various contexts. The CGEN framework represents a significant contribution to the literature on graduate entrepreneurship, offering practical guidance for enhancing the success of graduatepreneurs through strategic network development.

Фінансова стійкість підприємств в умовах цифрової економіки

The aim of the article is to study the concept of financial sustainability of enterprise and digital economy, to analyze the impact of the digital economy on the financial sustainability of enterprises; identify and describe the positive and negative aspects of the functioning of enterprises under the influence of the transformation processes of the digital economy; to generate theoretical provisions on an effective mechanism for strengthening the financial sustainability of enterprises, which will be adapted to the current conditions of digitalization of the economy. In the course of the study, it was found that financial sustainability represents the basic indicator of the enterprise’s functioning and reflects its overall money balance, the availability of resources necessary for stable development. Due to a number of negative factors, the financial sustainability of domestic enterprises has been significantly shaken. However, the way out of the crisis was the active development of the digital economy, which is a system of economic relations where the basic means of production and driving factors are digital data and transactions on the Internet. It is found that Ukraine’s position in the ranking of the use of information and communication technologies has increased significantly. This suggests that enterprises have begun to rapidly and successfully adapt to new challenges. The article also analyzes the positive and negative aspects of the impact of the digital economy on enterprises and their financial sustainability. The negative aspects of digitalization of the economy are a significant obstacle for domestic enterprises, but they are not crisis ones and can be solved by developing and applying effective development strategies. To increase the financial sustainability of domestic enterprises, it was proposed to apply a number of measures that will strengthen the position of the enterprise in the market and allow it to be more active in the context of active development of the digital economy; allowing to qualitatively monitor the situation and respond in a timely manner to threats and risks associated with competitors, consumers, the State and international relations. Also, new prospects are opening up for the enterprise to attract funding and international partnerships, as well as prospects of an active training on international and domestic platforms remotely and free of charge.

The initiative for medical equity and global health (IMEGH) resuscitation training program: A model for resuscitation training courses in Africa

In high-income countries, outcomes following in hospital cardiac arrest have improved over the last two decades due to the introduction of rapid response teams, cardiac arrest teams, and advanced resuscitation training. However, in low-income countries, such as Rwanda, outcomes are still poor. This is due to multiple factors including lack of adequate resuscitation training, few trainers, and lack of equipment.To address this issue, the Initiative for Medical Equity and Global Health Equity (IMEGH), a training organization founded in 2018 by 5 local anesthesiologists has regularly taught resuscitation courses such as Basic Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support in hospitals throughout Rwanda. The aims of the organization include developing a sustainable model to offer context relevant resuscitation training courses, building a cadre of local instructors to teach on the courses, as well as engaging funding partners to help support the effort. From October 2018 until September 2022, 31 courses were run in 11 hospitals across Rwanda training 1,060 healthcare providers (mainly of non-physician anesthetists, nurses, midwives, and general practitioners). Ongoing challenges include lack of local protocols, inability to tracking resuscitation outcomes, and continued inaccessibility by many healthcare providers. Despite these challenges, the IMEGH program is an example of a successful context-relevant model and has potential to inform the design of resuscitation programs in other similar settings. This article describes the development of the IMEGH program, accomplishments as well as lessons learned, challenges, and next steps for expansion.

Bridging Generosity: A Study of Social Capital's Impact on Islamic Philanthropic Fundraising in Bandar Lampung

The Islamic philanthropic fundraising by philanthropic institutions in Bandar Lampung is vital in supporting social, educational, health, and humanitarian programs. Even though several philanthropic institutions are actively involved in humanitarian activities and poverty alleviation, Bandar Lampung needs to fully optimize the potential for Islamic donations. This shows that there are interesting problems that are worth studying regarding fundraising by Islamic philanthropic institutions. This research aims to bridge the knowledge gapregarding the relationship between social capital and Islamic philanthropic fundraising, especially in Bandar Lampung, and the focus is to understand how social capital influences the success of Islamic philanthropic fundraising in this city. This research aims, among other things, to explain the factors that influence Islamic philanthropic fundraising and show the influence of social capital as a strategic tool in increasing community support for philanthropic programs. Research variables included Philanthropic Fundraising (Y), Trust (X1): Trust Level, Network (X2): Interconnection and Cooperation, and Institutionalization (X3): Organizational Structure and Norms. The data were collected from LAZNAS (Amil Zakat National Agency) donors in Bandar Lampung using Likert-scaled questionnaires and then analyzed using parametric statistics through SPSS version 22. The research results show a solid and positive relationship between trust, networks, institutionalization, and philanthropic fundraising. There is a significant correlation coefficient between these variables. The regression results show that trust, networks, and institutionalization positively influence philanthropic fundraising. Based on these findings, researchers recommend that Islamic philanthropic institutions, especially LAZNAS in Bandar Lampung City, comply with regulations and obtain government recognition, improve communication and transparency, professionalize fund management, develop networks and partnerships, and strengthen organizational structures and norms.

Protecting small and sick newborn care in the COVID-19 pandemic: multi-stakeholder qualitative data from four African countries with NEST360

BackgroundHealth system shocks are increasing. The COVID-19 pandemic resulted in global disruptions to health systems, including maternal and newborn healthcare seeking and provision. Yet evidence on mitigation strategies to protect newborn service delivery is limited. We sought to understand what mitigation strategies were employed to protect small and sick newborn care (SSNC) across 65 facilities Kenya, Malawi, Nigeria and Tanzania, implementing with the NEST360 Alliance, and if any could be maintained post-pandemic.MethodsWe used qualitative methods (in-depth interviews n=132, focus group discussions n=15) with purposively sampled neonatal health systems actors in Kenya, Malawi, Nigeria and Tanzania. Data were collected from September 2021 - August 2022. Topic guides were co-developed with key stakeholders and used to gain a detailed understanding of approaches to protect SSNC during the COVID-19 pandemic. Questions explored policy development, collaboration and investments, organisation of care, human resources, and technology and device innovations. Interviews were conducted by experienced qualitative researchers and data were collected until saturation was reached. Interviews were digitally recorded and transcribed verbatim. A common coding framework was developed, and data were coded via NVivo and analysed using a thematic framework approach.FindingsWe identified two pathways via which SSNC was strengthened. The first pathway, COVID-19 specific responses with secondary benefit to SSNC included: rapid policy development and adaptation, new and collaborative funding partnerships, improved oxygen systems, strengthened infection prevention and control practices. The second pathway, health system mitigation strategies during the pandemic, included: enhanced information systems, human resource adaptations, service delivery innovations, e.g., telemedicine, community engagement and more emphasis on planned preventive maintenance of devices. Chronic system weaknesses were also identified that limited the sustainability and institutionalisation of actions to protect SSNC.ConclusionInnovations to protect SSNC in response to the COVID-19 pandemic should be maintained to support resilience and high-quality routine SSNC delivery. In particular, allocation of resources to sustain high quality and resilient care practices and address remaining gaps for SSNC is critical.

International Coordination of Research on Infectious Animal Diseases (ICRAD) First Call: Editorial and Abstracts

The ICRAD ERA-NET launched its first call in 2020, with funding partners from twenty European countries. The aim was to foster a collaborative and interdisciplinary approach towards developing innovative instruments for the control and prevention of animal infectious diseases. Particularly, with a focus on creating vaccine and diagnostic technology platforms to enhance preparedness for major epidemic threats such as African swine fever and animal influenza. The first ICRAD call received significant support, totaling €17.4 million from partner countries alongside an additional €6.7 million top-up from the European Commission (EC). These funds were allocated to nineteen research project consortiums, consisting of researchers from across Europe. Through their collective efforts, these consortia have made remarkable progress in addressing various infectious disease risks faced by European animal health and the livestock industry. The following text encapsulates abstracts from eleven out of the nineteen projects that received funding through the first ICRAD research call. It’s noteworthy to observe that several of these projects are addressing pressing issues related to ongoing animal health outbreaks. For instance, three of these funded projects are dedicated to enhancing our comprehension of the African swine fever virus (ASFV) and fostering the development of a potential vaccine. Another project is honing its focus on avian influenza, with the objective of deciphering the factors contributing to increased virulence in low pathogenic avian influenza (LPAI) viruses. This could potentially enable us to better predict the severity of emerging avian influenza virus (AIV) strains. In addition, there are several other projects that align seamlessly with the overarching goals of ICRAD. These include but are not limited to, the development of innovative DNA vaccine technologies and the creation of diagnostic tools for a spectrum of pig diseases. Overall, we have funded a range of projects that align excellently with the overall goals of ICRAD, supporting innovative, cross-cutting research on animal health and welfare, with associated benefits for the environment and the economy. These projects represent significant strides in improving animal health, welfare, and food production throughout Europe. By fostering collaboration between partner institutes and bringing together experts from various countries and disciplines, these joint efforts can effectively combine knowledge, resources, and expertise to address complex challenges and threats. This coordination is crucial for identifying, preventing, and responding to emerging animal diseases that could not only endanger animal health but also have direct or indirect implications for human well-being. Moreover, this cross-border cooperation can yield more comprehensive research outcomes while developing innovative solutions and strategies for disease prevention and control. Ultimately, international scientific coordination on animal health showcased in the following abstracts demonstrates a strong commitment to cooperation while providing robust evidence to safeguard the health of animals, humans, and the environment. ICRAD, which organized this call and allocated grants to these projects is an ERA-NET, a co-funded project under the European Union’s Horizon 2020 Research and Innovation program.

Understanding the climate change adaptation policy landscape in South Africa

ABSTRACT Climate change is a key socioeconomic and environmental concern in South Africa. The South African government introduced several climate change initiatives to address the impacts of climate change, resulting in the proliferation of climate adaptation policies across spheres of government. This paper studies different climate change adaptation policies and climate policy paradigms (CPP) to understand the adaptation landscape; it explains and compares the changes in CPP in South Africa over time. We mapped 40 policy documents from 2004 to 2022, which shows 12 national policies, 12 provincial (sub-national) policy documents and 14 metropolitan city policy documents. We then used 12 national policy documents to illustrate and understand the CPP. The research shows that different stakeholders have shaped climate change adaptation policy, both private and public firms advised on climate change policy and there are a number of different funding partners supporting the adaptation policy like GEF, C40 and GIZ. The changing policy environment has introduced new frameworks, objectives and processes. Therefore, more efforts will be needed going forward to guide adaptation policy across national, provincial and local governments. We find that several CPPs have emerged, that is different paradigms encompassing a range of policy goals, framings and instruments. The present National CC Adaptation Strategy (NCCAS) mandates adaptation across all levels of government and allows all important stakeholders to address climate change consequences. This NCCAS increases the number and ambition of adaptation policy, encourages integrated approaches, policy coherence and clear direction on how to handle climate risks and impacts in varied South Africa and its global commitment. Changes in policy paradigm enable the use of new policy instruments, including funding and budget mechanisms. Finally, climate adaptation policy has become more ambitious and stringent, requiring all levels of government to plan for climate change.

Patterns of Sustainability Capacity Among Organizations That Deliver the National Diabetes Prevention Program: A Latent Profile Analysis.

Since the launch of the National Diabetes Prevention Program (DPP) in 2010, more than 3,000 organizations have registered with the Centers for Disease and Control and Prevention to deliver the program; today, however, only approximately 2,000 organizations are registered, indicating challenges with sustainability. We used the Program Sustainability Assessment Tool (PSAT) to explore patterns of sustainability capacity among National DPP delivery organizations. We used data from a cross-sectional online survey conducted in August and September 2021 of staff members (N = 440) at National DPP delivery organizations. We conducted a latent profile analysis to identify latent subpopulations on the basis of respondent PSAT domain scores. Regression analyses were used to estimate associations between derived latent classes, PSAT scores, and respondent characteristics. The 4-class model included 4 groups of capacity for program sustainability, ranging from low to high: low (class 1) with 8.0% of the sample, medium-low (class 2) with 22.0%, medium-high (class 3) with 41.6%, and high (class 4) with 28.4%. Program evaluation (mean score = 5.1 [SD = 1.4]) and adaptation (mean score = 5.3 [SD = 1.3]) were the domains with the highest scores, while funding stability (mean score = 4.0 [SD = 1.6]) and Partnerships (mean score = 4.0 [SD = 1.7]) had the lowest scores. In our sample of National DPP delivery organizations, most reported relatively high capacity for program sustainability, and key indicators associated with sustainability capacity were virtual delivery, location of delivery, funding sources, and organization type. Similar to sustainability capacity findings from other PSAT studies, our study found that funding stability and partnerships are areas to strengthen. This insight is useful in sustainability planning at organizational and national levels across multiple programs.