Global Strategy Research Articles

Global digital overload: how Snapchat communication cycles influence workplace efficiency

Purpose This paper aims to explore the growing integration of social media, specifically Snapchat, into workplace environments and its impact on communication behaviors, especially among Generation Z and Millennials. The focus is on analyzing how Snapchat’s communication cycles, such as notifications, Snap streaks and best friend rankings, affect workplace efficiency. This study also investigates how cultural variations around connectivity and work-life balance amplify or mitigate these effects in global settings. Design/methodology/approach This research uses social comparison theory and self-determination theory to examine the psychological and social impacts of Snapchat’s features on workplace productivity. Drawing on qualitative and quantitative literature, the paper explores how different cultural contexts influence employees’ interaction with Snapchat during work hours. Theoretical frameworks are applied to understand the cognitive and social disruptions caused by social media, while practical strategies for human resource management are explored. Findings Snapchat’s design fosters continuous user engagement, often leading to fragmented attention and reduced productivity, particularly in work environments. Cultural norms surrounding social media usage and work-life boundaries either intensify or alleviate the disruptive effects of Snapchat. For example, the pressure to maintain social ties amplifies workplace distractions in collectivist cultures. In contrast, individualistic cultures may emphasize productivity over social connection, allowing for more effectively managing these distractions. Originality/value This paper contributes to the growing body of literature on social media’s impact on workplace dynamics by offering a culturally nuanced approach to understanding digital distractions. By focusing on Snapchat, a platform with unique features that encourage habitual interaction, the study provides novel insights into how global human resource strategies can be tailored to different cultural settings. The findings suggest practical solutions for managing digital overload and optimizing employee performance in increasingly interconnected work environments.

Enhancing Bulb Turbine Performance Assessing Air Injection for Vibration Mitigation and Hydrofoil Cavitation

Small hydro technology is playing a crucial role in advancing sustainable, clean energy policies as part of the global hydro development strategy. Its contribution to social and economic development is becoming more prominent, particularly in ensuring electricity access for rural communities and supporting industrial expansion. The main causes of bulb turbine failures under high operating conditions are frequently attributed to variations in pressure in the draft tubes, which are aggravated when a spinning vortex rope is formed under load operation. Different fluid injection techniques, namely compressed air and water jet injection, address these issues and reduce the negative results of cavitation. The investigation covers the flow visualization on the suction side of a single hydrofoil utilizing a cavitation tunnel and a bulb turbine. This study assesses the effectiveness of compressed air injection in reducing vibration generated by cavitation in bulb turbines. Positive results of the experimental studies suggest a decrease in noise and vibration by air injection that prevents oscillations of the vortex rope. This research also considers how the hydrofoil design of bulb runner blades influences flow characteristics. Hence, it provides knowledge on cavitation structures in diverse cavitation numbers. Different studies that compare the original and modified hydrofoil designs reveal remarkable improvements that may be due to changes in the key parameters of the hydrofoil, such as later cavitation initiation and reduced intensity. To obtain the optimal output of a bulb turbine by considering air injection for vibration reduction and hydrofoil design changes to limit the negative effect of cavitation, the Reynolds number and cavitation number are to be defined. This multidisciplinary approach possesses enormous potential to increase the reliability and efficiency of bulb turbines in challenging operating conditions.

Metacognitive reading strategies: gender, locality, and age differences among secondary school students

This study ascertained the influence of gender, locality and age on metacognitive reading strategies of secondary school students. The sample size consists of 440 students randomly selected from 23 secondary schools. An adopted questionnaire tagged “metacognitive reading strategies questionnaire,” was used as the data gathering instrument, with a logical validity of 0.88 and Cronbach alpha of 0.73 as internal consistency. The data collected were analysed statistically using descriptive statistics and t-tests. Data analysis revealed that females' reading strategies outnumber males'; females' global strategies ranked highest, while females' problem-solving strategies ranked lowest; and students in urban secondary schools tended to utilise metacognitive reading strategies more frequently than their rural counterparts. This study also shows that students with higher age brackets make more use of metacognitive reading strategies than lower-age students. Therefore, it is recommended that educators should be prepared to educate students how to effectively utilise various components of metacognitive reading strategies.

REVITALIZING FOREST MANAGEMENT IN INDONESIAN FOREST INDUSTRY POST-COVID-19: EXPECTATIONS FROM YOUNG FORESTERS (A CASE STUDY FROM UNIVERSITY STUDENTS)

The global health emergency triggered by COVID-19 has had a significant impact on Indonesia's forestry industry. This study investigates the expectations of young foresters regarding the post-pandemic landscape, exploring various aspects such as industry performance, focus, worker protection, global strategies, and personal views on the industry's future. In conjunction with descriptive statistics, word cloud analysis was employed to identify salient issues drawing substantial attention. Through purposive sampling at a leading forestry university in Indonesia, the study reveals that young foresters perceive the transition towards developing industries based on non-timber forest products and environmental services as potential areas of growth. However, they acknowledge that the timber-based industry has historically been the backbone of Indonesia's forest industry and is likely to maintain its significance as forest management trends toward plantation forestry. Additionally, the study demonstrates the enduring appeal of the forestry sector to the younger generation, positioning it as a valuable entrepreneurial field.

Correlation between lithium concentrations in drinking water and suicide attempt in the southeast of Iran.

Suicide, as an avoidable cause of death in public health systems, currently lacks effective global strategies to prevent it. However, several epidemiological studies found a correlation between the concentration of lithium (Li) in drinking water and lower suicide rates in the general population. Our ecologicalstudy investigated this hypothesis in the Rafsanjan districtof Iran. Samples from the public water supply in 16 areas in the district were analyzed using the graphite furnace atomic absorption. The resulting data were examined in relation to the suicide attempt from March 2019 to March 2020 obtained from Iran's Ministry of Health's registration system. During that period, 239 suicide attempts were recorded, resulting in an average of 69 individuals (85 women and 54 men) per 100,000 residents of the area. The average Li concentration in the drinking water was 47.30 µg/L (ranging from 9.4 to 141 µg/L). A negative significantcorrelation (r = -0.551, p = 0.027) between Li concentration in water and the rate of suicide attempt were observed in the studied population. Notably, these findings indicate an inverse significantrelationship between Li levels and suicide attempt rate in women (r = -0.725, p = 0.001). This is the first study in Iran that examines the relationship between Li levels in drinking water and suicide attempt rate. The findings of this study support an inverse relationship between the level of Li in public drinking water and the rate of womensuicide attempt.

Effects of Daily Weather on Aedes Genus (Culicidae: Diptera) Arthropod Mosquito Vectors Profusion and Dengue Epidemics Transmission: A Systematic Review

Dengue is a vector borne flavivirus usually caused by DENV1 virus, and a quantity of cases reported with DENV2, DENV3, and DENV4 viruses transmitted by Aedes aegypti and Aedes albopictus (Diptera) day biting female vector mosquitoes, belongs to Culicidae family. The symptoms of dengue were first clinically confirmed in Japan during 1943, and later, it was recorded simultaneously in the Asia, Africa, and North America during the 1980. Dengue epidemics situation was reported in the 142 countries across the world Dengue and severe dengue, (Global Strategy for dengue prevention and control, (2012–2020), 2020) and the epidemics had been changed to endemic situation in many of the countries for the past 2 decades, and the people who have been living in the epidemic countries estimated at risk about 450 million. The occurrence of dengue outbreaks and it’s extend have been reported in the tropical and sub-tropical countries across the globe largely in metropolitan, small towns, and semi-urban settlements. The climate variables viz. temperature, relative humidity, saturation deficiency, and rainfall, are fuelled for conducing environment for the vector longevity, survival and also for dengue virus incubations in mosquitoes. Temperature ranges between > 21 and < 34, and relative humidity >70% and <90% has influence on the impact of variations on the vector survival, fecundity, fertility and longevity of female Aedes aegypti and flying capacity is reduced with temperature < 10 0C, and laying egg is reduced with increase of mean temperature >35 0C. Dengue epidemics clusters are directly correlated with abundance of Aedes species mosquitoes which are controlled by the annual average precipitation 300 mm to 1200 mm. The longitudinal dengue epidemics transmissions are mainly associated with monsoon and tend to have seasonal patterns, particularly, during and after the monsoon. Climatic factors are playing important role in the increase or decrease of vector mosquitoes as well as dengue epidemics. Therefore, the present study is addressed on the echelon of daily weather and seasonal change in climate condition and its control on the incidence of dengue outbreaks.

Optimized bp Neural Network Based on Improved Dung Beetle Optimization Algorithm to Predict High-Performance Concrete Compressive Strength

In modern architecture, the structural safety of buildings largely depends on the compressive strength of high-performance concrete (HPC), which is determined by the complex nonlinear relationships between its components. In order to more accurately forecast HPC’s compressive strength, this paper proposes a prediction model based on an improved dung beetle optimization algorithm (OTDBO)-optimized backpropagation neural network (BPNN). Extreme Gradient Boosting (XGBoost) is employed to determine the inputs for the BPNN, enhancing the computational efficiency under high-dimensional data feature conditions. To address the issues of local optima entrapment and slow convergence in the dung beetle optimization algorithm (DBO), four improvements were made to enhance its performance. In the initial population generation stage, the optimal Latin hypercube method was used to increase the population diversity. In the rolling stage, the osprey optimization algorithm’s global exploration strategy was introduced to improve the global search capability. The variable spiral search strategy was employed in the reproduction stage, and an adaptive t-distribution perturbation strategy was combined in the foraging stage to enhance the algorithm’s adaptability and search efficiency. The improved dung beetle optimization algorithm (OTDBO) outperformed other algorithms in performance tests on the CEC2017 benchmark functions. In terms of predicting the compressive strength of HPC, the XG-OTDBO-BP model developed in this study outperformed models optimized by other algorithms in terms of fitting outcomes and prediction accuracy. These findings support the XG-OTDBO-BP model’s superiority in the compressive strength of HPC prediction.

Combating drug abuse through pharmacist-led public health campaigns strategic initiatives for global prevention

The global drug abuse crisis continues to pose significant public health challenges, necessitating comprehensive prevention strategies. Pharmacists, as accessible and trusted healthcare professionals, are increasingly recognized for their pivotal role in drug abuse prevention. This paper explores pharmacist-led public health campaigns and interventions designed to mitigate drug abuse, particularly through education, outreach, and collaboration with other healthcare providers. It examines core components of effective campaigns, including targeting at-risk populations such as youth and high-risk communities. Additionally, the paper discusses global prevention strategies, addressing the cultural, economic, and legal barriers that pharmacists face while highlighting opportunities for their leadership in international drug prevention efforts. The conclusion emphasizes the need for policy recommendations to enhance the pharmacist’s role in drug abuse prevention, alongside future directions leveraging digital health technologies and international collaboration to achieve more effective global outcomes.

Assessment of Landscape‐Scale Fluxes of Carbon Dioxide and Methane in Subtropical Coastal Wetlands of South Florida

AbstractCoastal wetlands play a significant role in the storage of “blue carbon,” indicating their importance in the carbon biogeochemistry in the coastal zone and in global climate change mitigation strategies. We present airborne eddy covariance observations of CO2 and CH4 fluxes collected in southern Florida as part of the NASA BlueFlux mission during April 2022, October 2022, February 2023, and April 2023. The flux data generated from this mission consists of over 100 flight hours and more than 6,000 km of horizontal distance over coastal saline and freshwater wetlands. We find that the spatial and temporal heterogeneity in CO2 and CH4 exchange is primarily influenced by season, vegetation type, ecosystem productivity, and soil inundation. The largest CO2 uptake fluxes of more than 20 μmol m−2 s−1 were observed over mangroves during all deployments and over swamp forests during flights in April. The greatest CH4 effluxes of more than 250 nmol m−2 s−1 were measured at the end of the wet season in October 2022 over freshwater marshes and swamp shrublands. Although the combined Everglades National Park and Big Cypress National Preserve region was a net sink for carbon, CH4 emissions reduced the ecosystem carbon uptake capacity (net CO2 exchange rates) by 11%–91%. Average total net carbon exchange rates during the flight periods were −4 to −0.2 g CO2‐eq m−2 d−1. Our results highlight the importance of preserving mangrove forests and point to potential avenues of further research for greenhouse gas mitigation strategies.

Application and Impact of the “Third Place” Concept — Starbucks as an Example

This essay explores the concept of the “Third Place” as epitomized by Starbucks, analyzing its significance in fostering community and enhancing the customer experience. By positioning itself as a communal hub, Starbucks transcends traditional retail paradigms, offering a space where social interactions flourish. The study found that Starbucks, through its successful global localization strategy, has effectively created a “third space” in different cultural contexts, enhancing customers’ sense of belonging and loyalty. Despite the impact of cultural differences on the brand experience, Starbucks’ space design and branding have become an important medium for customers to demonstrate their identity and interact socially. As the coffee shop market becomes increasingly crowded, Starbucks will need to continue to innovate and differentiate itself to meet customers’ evolving needs. In the future, Starbucks will need to continue to adapt to cultural differences and innovate to meet the challenges of the marketplace to maintain its global competitiveness.

The Analysis of Strategic Development of Tesla in Chinese Electric Vehicles Market

Since 2012, Tesla has established many factories and research and innovation centers in China. This paper examines the strategic development of Tesla in the Chinese electric vehicles (EV) market and reveals several key findings. As one of the world’s leading EV manufacturers, Tesla’s expansion into China has been a significant milestone in its global growth strategy. The analysis focuses on Tesla’s market entry strategy, competitive positioning, localization efforts, and the impact of Chinese policies and market dynamics on its operations. By studying Tesla’s strategic decisions and outcomes in the Chinese EV market, this paper provides insights into the opportunities and challenges faced by multinational companies in the rapidly evolving Chinese EV industry.

The power of one: A single flanker produces compatibility effects in the episodic flanker task

AbstractThe episodic flanker task is an episodic version of the Eriksen and Eriksen (Perception & Psychophysics, 16 (1), 143–149, 1974) perceptual flanker task, showing the same compatibility and distance effects. Subjects are presented with a list followed by a probe display in which one item is cued. The task, to indicate whether the probed letter appeared in the same position in the memory list, requires focusing attention on a single item in memory. The probe display contains flanking items to be ignored. They are same as the memory list or different. Same flankers are compatible with “yes” responses and incompatible with “no” responses. Different flankers are incompatible with “yes” responses and compatible with “no” responses. Previously, we presented multiple flankers in the probe, allowing a global matching strategy. Here, we report two episodic flanker experiments with just one flanker in the probe to encourage focusing sharply on the target. We found flanker compatibility effects in both experiments when a single flanker appeared immediately adjacent to the target. Experiment 2 varied the distance between the flanker and the target in the probe and the memory list and found the compatibility effect in response time only when the flanker was immediately adjacent to the target in both the probe and the memory list. The effect in accuracy also appeared when the flanker was two positions away in both the probe and the memory list. These results show that attention is focused sharply on elements of a memory structure during retrieval, suggesting that memory retrieval is perceptual attention turned inward.

Factors associated with actinic keratoses in people with albinism in the Albivoire program

Abstract Background People with albinism (PWA) face health inequalities partly due to barriers in accessing health care, consequently delaying the diagnosis of skin precancerous and cancerous lesions. Actinic keratoses (AK), are common precancerous lesions, indicating a high risk of skin cancer. Given the scarcity of research on skin cancer prevention among PWA in Africa, this study aimed to determine the prevalence and factors associated with AK in PWA followed in the Albivoire program. Methods This cross-sectional analytical study was conducted within the ongoing Albivoire program in Ivory Cost. Initiated in Ivory Coast in 2021, Albivoire is the largest comprehensive preventive and care initiative with and for PWA, offering medical consultation campaigns in dermatology, ophthalmology, and psychology. Dermatological records of consenting patients were analyzed. The prevalence (95%CI) of AK was estimated, and the associated factors assessed using logistic model. Results To date, a total of 1978 PWA received care across four regions (Abidjan, Bouaké, Korhogo and Man). Available data from 475 PWA were analyzed, among whom 247 (52%) were women. The median age was 14 years (interquartile range [IQR]: 7-25). Of these, 181 individuals (38.1%, 95% CI [33.7 - 42.6]) presented with actinic keratoses (AK). The median age of PWA with AK was 22 years (vs 11 years for without AK (p < 0.001). Among PWA with AK, 87.8% were daily exposed to sun (vs 12.2% for those exposed occasionally, p = 0.026). In the multivariate analysis, factors significantly associated with AK included age 22 years or older (vs age < 22 years, aOR=4.83, p < 0.001), the presence of ephelides (vs absence; aOR=2.08, p = 0.003) and presence of xerosis (vs absence aOR=4.88, p < 0.001). Conclusions This study highlights the high prevalence of AK in PWA in Ivory Cost, and identifies specific modifiable associated factors which should be targeted in global health strategies to prevent skin cancer among this vulnerable population. Key messages • Prevalence of skin precancerous lesions (actinic keratoses) in people with albinism in Ivory Cost is high (38%) and associated with modifiable risk factors. • Tailored public health interventions needed to prevent skin cancers in vulnerable populations, targeting lesions like xerosis, ephelides, and actinic keratoses through skin protection.

THE INTERESTS OF THE UK FOREIGN POLICY IN THE CONTEXT OF THE FORMATION OF THE AUKUS INTERSTATE ASSOCIATION

The article is devoted to the study of the evolution of the UK's foreign policy in the period after its withdrawal from the European Union (post-Brexit period) in the context of the country's participation in the formation of the AUKUS (an abbreviation of the English names of Australia, the United Kingdom and the United States). The research methodology was formed by the principles of historicism, systematicity, and objectivity, general scientific methods of logic, comparative analysis, special historical methods of historiographic analysis, historical-systemic, chronological, historical-genetic, retrospective analysis, and comparative-historical methods of scientific knowledge. It is noted that the creation of the interstate association AUKUS in 2021 was a resonant event in the world of international politics. The agreements provide for the development of systemic military-political cooperation between the three states at the strategic level in the long term with the primacy of the US-British alliance, which will potentially have a significant impact on the configuration of the international security system, especially in the context of current attempts to revise it It is stated that the relatively recently launched international security project AUKUS has already become one of the examples of active foreign policy activities of the British governments in the post-Brexit period, which is fully consistent with the Global Britain strategy. By participating in AUKUS, the British side not only contributes to global security and strengthens its military presence in one of the key regions of world politics, protects its own geopolitical and economic interests, but also guarantees the development of high-tech knowledge-intensive industries for the long term. The project of comprehensive sectoral military and defence cooperation proposed by the United States (with the support of two allied states) reflects an attempt to maintain American and British influence in the Indo-Pacific region and globally in the face of the growing conflict with China. With the resumption of the US policy of isolationism and protectionism, and possible financial problems of the UK as the second most important partner, the AUKUS project faces uncertain prospects. Ukraine's international prospects also depend on the success or failure of the AUKUS project.

Implementation of the international health regulations – global challenges and the COVID-19 pandemic

Abstract The International Health Regulations (IHR) govern how 196 countries and the World Health Organization (WHO) collectively manage global disease spread while preserving international travel and commercial trade. The COVID-19 pandemic set an unprecedented challenge to the IHR commitments. To address this gap, two scoping reviews were conducted: one identifying global challenges in IHR implementation and the other analyzing challenges, successes and limitations of the IHR during the COVID-19 pandemic. The scoping reviews followed Arksey and O’Malley’s framework and PRISMA methodology, utilizing the PubMed, Medline, World of Science, SCOPUS, and Google Scholar databases, plus backwards citation chaining. Data selection and analysis were guided by pretest forms. From 128 articles screened, 52 met inclusion criteria for the IHR implementation review. 135 challenges were identified, in these categories: (1) requirement of financial and technical resources, (2) lack of enforcement and accountability mechanisms, (3) need for rules clarification, (4) deterrents to reporting, (5) inadequate governance, (6) insufficient cooperation between countries, (7) sovereignty issues, (8) scarcity of guidance and technical support from WHO, (9) lack of inclusion of roles for relevant non-state actors, (10) conflicts and emergencies. In the COVID-19 review, 15 articles were included. Although the role of the IHR during Health Emergencies was acknowledged, most countries faced limitations in its implementation during the pandemic. Key lessons included reinforcing the global health security strategy, reviewing the IHR to address current challenges and strengthening countries and states’ commitment to resolutions compliance. The ongoing debate over IHR updates confirms the need for its revision to safeguard global health. A more effective response grounded on the IHR is needed to face upcoming and expected events of COVID-19’s magnitude and severity.

Determinants of COVID-19 vaccination acceptance based on the novel Omale INDEPT FORCIS Framework and recommendations for subsequent pandemics: a qualitative study among community members in Ebonyi state, Nigeria

BackgroundThe unprecedented COVID-19 pandemic has become an endemic disease of global public health importance. Mass COVID-19 vaccination has been an essential global control strategy amidst challenges of limited acceptance. Because of globalization, COVID-19/similar diseases vaccination acceptance and the determinants in any particular setting are important global public health issues. Using a novel and pragmatic framework, this study explored determinants of COVID-19 vaccination acceptance among community members during the pandemic in Ebonyi state, Nigeria, and made policy-relevant recommendations on how to increase vaccination acceptance in subsequent outbreaks/pandemics.MethodsThis qualitative study was based on the novel and pragmatic Individual Experiences and Perceptions and Complacency, Confidence, Convenience, and Compulsion (Four ‘Cis’) Determinants of Vaccination Acceptance Conceptual Framework – Omale INDEPT FORCIS Framework. On April 26 and 27, 2022, 20 semi-structured face-to-face focus group discussions were conducted in local language and pidgin English with 100 purposively selected consenting/assenting community members aged 15 years and above who had resided in the community for at least one year. Data was analysed using deductive (with some inductive) thematic analytic approach.ResultsThe many, diverse, and significant determinants of COVID-19 vaccination acceptance found were factors that were individual-related (individual experiences and perceptions and knowledge about COVID-19, COVID-19 vaccine/vaccination, and the vaccination process/system, sociodemographic, individual’s condition (e.g. pregnancy)); COVID-19-related (factuality, transmissibility, frequency, severity, fatality); COVID-19 vaccine/vaccination-related (safety/side-effects, effectiveness, speedy production); COVID-19 vaccination process/system-related (real availability/accessibility); family, group, and other individual-related (experiences and perceptions and actions); and broader local, national, international, and global (LONING) context-related (socio-political, economic, historic, health system factors). The broader LONING contextual factors included the unprecedented disinformation/conspiracy theories, non-sustained COVID-19 risk/behaviour change communication, enforcement and non-enforcement or termination of peculiar control policies/measures (lockdowns, social/physical distancing, use of face mask etc.), mandatory COVID-19 vaccination policies, provision of incentives, past experiences regarding the Ebola viral disease outbreak, (un)trustworthiness of the Nigerian health system and her international/global partners, and the (un)trustworthiness of the governments in Nigeria and bad/good governance, inclusive of the failure of the Ebonyi state government to distribute the COVID-19 palliatives to the people during the lockdowns.ConclusionThe evidence illuminates complex and interrelated, specific underlying, and peculiar policy-relevant LONING determinants of COVID-19 vaccination acceptance and emphasizes the need for concerted and comprehensive LONING strategies (involving all the relevant LONING stakeholders/policy makers) in addressing these determinants to increase vaccination acceptance among community members in subsequent outbreaks/pandemics in Ebonyi state/Nigeria and similar settings.

Assessing progress towards viral hepatitis B and C elimination in prisons in the European region

Abstract Background In 2016 the WHO launched the global health sector strategy for the elimination of viral hepatitis, alongside a dedicated monitoring&evaluation (M&E) framework to assess progress at national, regional and global levels. Despite being a priority setting for viral hepatitis elimination in Europe, prisons are rarely integrated into national monitoring efforts. Besides, prisons are particular contexts with a high viral hepatitis prevalence, where it is possible to utilize adequate micro-elimination strategies. Objectives We aimed to assess available metrics of viral hepatitis burden and coverage of prevention and control interventions in prison settings in Europe using routine sources of data. Methods We adapted the WHO M&E framework for viral hepatitis elimination to the prison context. The resulting M&E framework has 49 indicators of which 10 are defined as core. Data were sourced from available European prison surveillance systems at European level, namely: European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) and WHO Health in Prisons European Database (HIPED). Results In total 38 countries in the European region provided data to either data sources for 2020. For WHO-HIPED, among core indicators, 3 out of 10 could be calculated for HCV, and covered prevalence, HCV treatment availability and treatment outcome. Concerning HBV, 3 core indicators out of 10 could be calculated and covered prevalence, screening availability and treatment coverage in prison. With EMCDDA surveillance system we could calculate 4 HCV core indicators and 6 HBV core indicators. Lessons Availability of health data from prison settings is scarce, hampering the current capacity to monitor the progress in the viral hepatitis elimination within prisons contexts strategies and its relative contribution to global health goals achievement. A coordinated and standardised M&E framework tailored to this specific setting is needed to foster data collection and systematic monitoring. Key messages • Micro-elimination strategies in prison context contribute to the global health goals achievement. • A coordinated and standardized M&V framework, adapted to the prison context, is needed to foster data collection and monitoring of the viral hepatitis elimination strategy.

Combating antimicrobial resistance: A framework for educational tool innovation

Abstract Issue The World Health Organization (WHO) stresses the need for educational and training initiatives to address antimicrobial resistance (AMR) across human, animal, and agricultural sectors. AMR, a growing public health threat, was responsible for approximately 4.95 million deaths in 2019. Traditional educational frameworks tackling AMR are often applied in isolated sectors, failing to incorporate a holistic or collaborative approach. Description of the Policy The Holistic Engagement and Adaptive Response Theoretical framework (HEARTf) proposes a comprehensive, innovative approach combining behavioral theories, and persuasive technology, including the Theory of Planned Behavior, Persuasive Technology, and Diffusion of Innovation. The framework is designed to integrate stakeholders in developing and accessing educational tools, specifically a game designed to teach students about AMR. HEARTf emphasizes a multidisciplinary methodology, beginning with Phase 1 (exploratory phase) to gather baseline information from potential prescribers in Norway and Zambia. Results Initial application of HEARTf is leading the development of an educational game on AMR. This game uniquely combines behavioral theories and digital design, focusing on high-impact areas of AMR. Preliminary feedback indicates enhanced stakeholder engagement and a heightened willingness to adopt AMR best practices across different sectors. Lessons The HEARTf approach demonstrates the potential for enhancing AMR education through innovative, theory-based game design and development. It advocates for the continued integration of comprehensive educational strategies into global health initiatives to combat AMR effectively. These actions, being tailored to diverse sectors, suggest that similar holistic, theory-driven approaches may be beneficial in other public health crises. Key messages • HEARTf fosters innovative, multidisciplinary AMR education, enhancing stakeholder engagement and adoption of best practices. • Theory-based educational tools in AMR developed using HEARTf can significantly impact global health strategies and should be integrated into broader public health efforts.

7.Y.1. Health Literacy in a multi-modal world: innovation challenges

Abstract Good Governance, Healthy Cities and Health Literacy (HL) (The Shanghai Declaration, WHO 2016) are presented as the three pillars of Health Promotion. In order to pursue these pillars as a global strategy to ensure that citizens can make healthy choices, there is a need to explore innovative ways that are accessible and affordable to all, that will ensure that all have the right to health. In this workshop five presentations will trigger a discussion that is proposed to be developed around the consequences of innovating from the health literacy perspective: Floriane Silvestri from Portugal, will focus on health literacy and health coaching as a node towards health promotion; Juliana Bertani from Basil will address Health literacy & somatic education from a salutogenic self-resource critical health intervention; Alcina Ilharco will focus on mental health and the health literacy of university students; Paula Vital will consider the role of social prescription multi-modal approach and Sukran Peker from Turkey will present a qualitative study of the relationship between health information and behaviors. The discussion that will follow these presentations is aimed at providing new perspectives on the topic of health literacy with participants interaction and networking. Key messages • Innovative ways to bring health promotion into effectiveness needs to be established from health literacy focused initiatives. • Salutogenesis is a structural paradigm to drive innovative mechanisms to help improve wellbeing and quality of life by health literacy innovative approaches.

Public–private partnerships and human development

Abstract The restructuring of a state is crucial for promoting human development. For this reason, public–private partnerships (PPPs), the so-called “fourth revolution” in reinventing the state, have become a global strategy of choice. Yet, existing studies on PPPs mainly analyze their effect on growth or inequality, not human development. This article uses data from the human development index (HDI) database to investigate the impact of PPP projects on human development. With the increasing scale of public infrastructure investments and the need to improve public services, it is necessary to examine whether PPPs are justified in improving social welfare. We conducted the analysis for all low- and middle-income countries using propensity score matching (PSM) and multivariate analysis. Additionally, we present the HDI predictions. We believe that assessing the impact of public–private cooperation on increasing social welfare, reducing social exclusion, and implementing investments with a robust social impact is essential. Overall, we found a statistically significant effect of PPPs on human development, demonstrating that the growing scale of PPP investments in low- and middle-income countries enhances their HDI.