Implementation Of Partnership Research Articles

Analysing Boons & Banes of COVID 19 Pandemic: A Perspective from Healthcare Services & Policy Standpoint

Background: The myriad effects of COVID 19 pandemic on health and beyond are getting being recognized with the passing time. Aims & Objective: We attempted to compile a general assessment of the various positive and negative impacts of COVID 19 on health and healthcare services, drawing on global and Indian experiences, as well as incorporating a contemporary viewpoint of India's health policy. Methodology: A comprehensive search through PubMed, Google Scholar, news articles, and official documents was conducted to gather evidence on pandemic's impacts (March 2020 - April 2022). Policy capacity framework and health policy studies were analysed without time constraints. Results: The COVID-19 pandemic has heightened the demand for emergency services, affecting the availability of healthcare resources for both communicable and non-communicable disorders. Initially, maternal and child health services experienced a decline, but later rebounded. Telemedicine and community-based care emerged as valuable assets during the pandemic. From a health policy perspective, the crisis prompted a shift from a curative to a prevention-oriented approach. Conclusion: Strengthening and refining rules and regulations governing the implementation of public-private partnerships (PPPs) in health, as well as systematic investment in preventive programmes such as WASH and nutrition were identified as possible areas of health reforms.

Роль офсетных контрактов в развитии механизмов государственно-частного партнерства

An offset contract implies a government contract that assumes the existence of counter investment obligations, both on the part of the investor and on the part of the state. The investor assumes responsibility for the creation or modernization of production on the territory of the Russian Federation, and the state, in turn, creates attractive conditions for doing business. From the meaning and content of the offset contract, it can be considered as a manifestation of the mechanism of public-private partnership, which finds its expression as a result of the interaction of the subject of the Russian Federation and the supplier-investor. Offset contracts represent a promising and beneficial mechanism for both sides of interaction, which allows us to focus on long-term cooperation, which entails the creation of new production facilities on the territory of the constituent entities of the Russian Federation, as a result, jobs, and an increase in tax revenues. The urgency of a detailed study of the offset contract mechanism is conditioned by the possibility of implementing the plans of the Government of the Russian Federation to localize the production of technically complex products and increase the pace of import substitution under international sanctions. The study presents the advantages of an offset contract in comparison with other investment attraction tools and options for its adaptation in the Kursk region.
 The purpose to study the role of offset contracts in the development of public-private partnership mechanisms and summarize ideas about the future prospects of its implementation in the mechanism of attracting investment in the regions.
 Objectives: to form an idea of the concept and essence of an offset contract, to identify promising areas for the development of offset contracts, to form proposals for improving the stages of concluding an offset contract, to substantiate proposals for the further development and adaptation of this tool in the mechanism of attracting investment to the region.
 Methodology. In the process of studying the subject under consideration, such methods as analysis, synthesis, generalization, logical, as well as graphical methods of information processing were used. 
 Results. The offset contract should be considered as a mechanism for the implementation of public-private partnership, since it meets the set of features inherent in it (attracting an investor on the terms of long-term interaction, the state acts as one of the parties, there is a possibility of exceeding the limits of budget allocations). The obligations of the parties are reciprocal and imply continuous interaction throughout the implementation period. The offset contract has significant advantages for both private and public parties, however, in fact offset contracts have practically not been distributed on the territory of the subjects of the Russian Federation, which is due to the similarity of offset contracts with other mechanisms of public-private partnership.
 Conclusions. It is proposed to revise the classic procedure for concluding an offset contract, consisting of the sequential execution of stages and expand them to include assistance in site selection and assistance in the implementation of the contract with the help of tax incentives, subsidies and infrastructure development. On the example of the Kursk region, the investment component was analyzed, creating the "soil", the foundation for the development of offset contracts. We have formed proposals to stimulate the conclusion of investment contracts in the region by differentiating tax benefits for residents of the special economic zone "Third Pole" who have concluded an offset contract in the Kursk region.

Analisis Kemitraan PT Simply Fresh Organic dengan Petani Sayuran Organik di Kabupaten Cianjur Jawa Barat

Partnership is relationship among two people or more that have purpose which is harmonious and form a deal for doing business together. Partnership also defined as a relationship cooperative relationship which gives profit to each other. Cooperation which is profit each other will give positive impact for business performer to continue developing and increasing business result that is done together. Partnership has important role for farmer who is difficult to sell his product farming. Partnership implementation by PT Simply Fresh Organic with organic vegetable farmer helps farmer in organic vegetable farming activity process. Such as, guarantee market which is available, capital assistance, development and production facilities by company that will help farmer to increase his income. The research aims to see: (1) Partnership pattern which is executed by PT Simply Fresh Organic with organic vegetable farmer, then will be seen category of partnership level relationship that is being intertwined. (2) To Analyze factors that influenced farmer is decision in partnership. The results of this research are: (1) Partnership pattern that is intertwined between PT Simply Fresh Organic with organic vegetable farmer is agribusiness operational partnership with degree of partnership in Prima Utama Partnership. (2) Factors which are significant or influential on farmer’s decision to partner are education factor and frequency of participating counseling.

Развитие взаимодействия государства и бизнеса в промышленности на примере особых экономических зон

The article considers the strategic priorities for the development of the Donetsk People’s Republic (DPR) as an industrial region. The need for new organizational forms in industrial production to increase production capital and attract technologies in order to give impetus to the implementation of the vector of industrial development of the Republic is substantiated. Using the example of special economic zones in the Russian Federation, the role of the state in intensifying industrial development, supporting the diversified economic structure of the new region and exiting the investment pause caused by the influence of the geopolitical situation on the economic state and reproductive processes is substantiated. In this article, the authors suggest an organizational and economic mechanism for the implementation of public-private partnerships in industry and identify promising sectors of industrial development for the new Russian region, which is the DPR. Studying the peculiarities of the functioning of special economic zones in the Russian economy will contribute to a deeper understanding of the republic’s integration processes in the sphere of industrial development.

Exploring the impacts of public-private partnership investments and collaborative solutions for tackling inadequate funding in French language education

Educational institutions are shifting from traditional government bonds to the dynamic landscape of Public-Private Partnerships and collaborative funding models. However, limited research efforts have been directed toward studying the effects of Public-Private Partnerships and collaborative funding solutions in education. The methodology of the paper involves a comprehensive literature analysis to examine the existing body of knowledge related to the implementation of Public-Private Partnerships (PPPs) in French language education. This study delineated the critical financial constraints faced by educational institutions, emphasizing the need for innovative approaches. Within the public-private partnership sphere, the study scrutinizes the effectiveness and viability of these collaborative arrangements. In tandem, the study covered perspectives on the multifaceted impacts of collaborative investments, recognizing the potential of these collaborations to ameliorate the financial gaps in French language education. The study proposed strategies for fostering effective Public-Private Partnerships, offered guidance for educational leaders and policymakers, and illuminated future considerations and emerging trends that may transform the funding landscape in French language education. The culmination of this study is a synthesis of key opinions and findings, shedding light on the implications for the future of French language education and the prospects of addressing inadequate funding. The study provided valuable perspectives and recommendations for stakeholders, policymakers, and educators grappling with the persistent challenge of funding within the sphere of French language education.

Abstract A122: Enhanced Vulnerable Elders Navigation (EVEN) program: Increasing patient navigation capacity and sustainability

Abstract Background: The rapidly growing population of older adults and racial/ethnic minorities with cancer necessitates innovative patient navigation strategies to address their unique needs. Our Enhanced Vulnerable Elders Navigation (EVEN) Program aims to increase the capacity to deliver high-quality, evidence-based oncology patient navigation services at a comprehensive cancer center, with the goal of improving equity in cancer care delivery. Methods: Based on a comprehensive needs assessment, the EVEN Program comprises three main domains: health information technology infrastructure enhancements, navigation workflow standardization, and stakeholder engagement. The primary outcome measure is time to treatment initiation. A quasi-experimental design compares outcomes of older adults with cancer who receive enhanced navigation during the implementation period to outcomes of historical controls (matched by age, race, and ethnicity) who received standard navigation during the lead-in "pre-implementation" period. We hypothesize that the EVEN Program will improve the timeliness of cancer treatment initiation among vulnerable older adults. Univariate and multivariable analyses using cox regression models will adjust for patient and health system factors. Logistic regression will assess the likelihood of treatment delay between the standard navigation and EVEN groups. Process metrics across multiple domains will be analyzed at 6-month intervals over 2 years. Qualitative interviews with program stakeholders will provide nearly real-time feedback on program implementation. Baseline Data Approximately half of newly diagnosed cancer patients (N>3000) seen at our institution's main campus in 2021 received navigation services, and at least half of those patients are estimated to be 65+. Patient navigators addressed language/communication barriers (17% of navigated patients) and social determinants of health (15%); they facilitated communication and emotional support (45%) and routinely made referrals to clinical care team members (39%) and for resource coordination (37%), such as interpreters, social work, financial counseling, and external resources. Most navigator contacts were in person (61%), followed by phone calls (34%). We found wide variation in time to initial cancer treatment across cancers, suggesting opportunities for improvement in care coordination. Conclusion: Our multi-component enhanced patient navigation program is conceptually grounded, innovative, with the potential to reduce cancer disparities among older adults from vulnerable populations. Our multidisciplinary project team includes expertise in geriatric oncology, implementation of patient navigator programs, health equity, community partnerships, and patient navigators with over 30 years of experience in compassionate coordination of cancer care. If proven feasible and effective, the EVEN Program has the potential to scale to our entire enterprise, other health delivery systems nationally, and long-term, to improve equitable cancer care for underserved older adults with cancer. Citation Format: Ana Tergas, Annette Mercurio, Lauren Cai, Lorena Gaytan, Marianne Razavi, Deborah Lefkowitz, Chrissy Kim, Terry Hernandez, Steven Morales, William Dale, Narissa Nonzee. Enhanced Vulnerable Elders Navigation (EVEN) program: Increasing patient navigation capacity and sustainability [abstract]. In: Proceedings of the 16th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2023 Sep 29-Oct 2;Orlando, FL. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2023;32(12 Suppl):Abstract nr A122.

Conservation partnership implementation: endangered animal extinction mitigation strategy in Indonesia’s Way Kambas Park

The study examines implementing a conservation partnership program between the government and local communities to mitigate the extinction of endangered species in Way Kambas National Park (WKNP). The study introduces the concept of systems management by considering the bottom-up participation model as an essential factor in the sustainability of conservation partnerships. The study occurred in Way Kambas National Park, Indonesia, and Labuhan Ratu VII village, East Lampung Regency, Lampung, Indonesia. The study uses a qualitative approach and in-depth interviews. The samples taken purposively consisted of the Head of Way Kambas National Park Office, Forest Police Coordinator, Extension Officer, Forest Ecosystem Controller, Head of Labuhan Ratu VII Village, Forest Farmers Group (KTH) and the community of Labuhan Ratu VII village. The study found that the partnership process had successfully formed forest farmer groups (KTH) involving multiple parties based on legal conservation cooperation agreements in ecosystem restoration and rehabilitation zones. KTH’s assistance resulted in progress in changing planning, budgeting, and decision-making models. The study improves new, more appropriate strategies in participation-based endangered species mitigation models.

Public Private Partnership in Resocialization of Convicts

Modern society is at the stage of a serious transformation of social relations, testing the strength of social values and institutions. External and internal threats make national security issues urgent; necessitate the construction of new social systems, chains of social interaction, effective tools to counter such threats. Crime commission has always been regarded as an internal threat to national security. The state has countered the growth of crime with an effective crime counteraction or crime prevention system. Countering crime has never been a task that can be implemented exclusively by the state. In this regard, at the present stage of the development of statehood, it is important to build up mechanisms of public private partnership. The main obstacle to the successful implementation of public private partnership in the penitentiary sphere is the lack of legal regulation. It is vital that various aspects of the interaction between society and the state be subject to detailed regulation as this creates conditions for the socially adapted persons to return to society. This will allow for creation of environment that is understandable and as comfortable as possible for all participants. In addition, such an environment should be attractive to representatives of private business, should facilitate the involvement of the maximum number of investors in projects that have, in addition to economic benefits, also a social orientation.

The Need for Innovation in Financial Education: a Study of Household Indebtedness in Peru

Purpose: The main objective of the text is to explore and determine the impact of financial education on the indebtedness of Peruvian households. Theoretical framework: As for the theoretical framework, reference is made to several previous theories and studies, such as Kahneman and Tversky's prospect theory, Modigliani and Brumberg's life-cycle theory, and Friedman's permanent income hypothesis, among others, to support the importance of financial literacy and financial decision-making under conditions of uncertainty and expectations of future income. Design/Methodology/Approach: To address this objective, a quantitative, applied, and non-experimental methodology was used, with a cross-sectional design and a descriptive-correlational approach, surveying 300 Peruvian households. Results: The results revealed that 68% of the participants have a regular level of financial knowledge and 60% have a regular level of household indebtedness. In addition, a significant positive correlation of 0.891 was found between financial literacy and household indebtedness. Practical and social implications: The practical and social implications of the study are notable, highlighting the need to improve financial education, given the prevalence of fair and low financial knowledge and skills among participants. The implementation of financial education programs from an early age and in communities especially vulnerable to financial instability is proposed. In addition, the creation of a certification program for financial educators and the continuous training of financial sector professionals is suggested. Originality/value: In terms of originality and value, the proposals address various areas, such as academic, professional, social, political, economic, and strategic. The idea of seeding financial education from the early years of education and exploring the effectiveness of various financial education strategies is proposed. In addition, the creation of funds for financial innovation and the promotion of fintech companies is proposed, as well as the strategic implementation of partnerships with international organizations, NGOs, and the private sector. It is also suggested to use technology and digital platforms to expand the reach of financial education programs.

Legal Protection of Micro, Small, and Medium Business Partnerships from an Anti-Monopoly Legal Perspective

The role of Micro, Small, and Medium Enterprises (MSMEs) in 2020 was weakened due to the spread of the Corona Virus, which affected consumer behavior to prefer to stay at home. In principle, the government has pursued a partnership program that is expected to provide convenience, legal protection, and empowerment for MSMEs. However, in reality, there are still obstacles, both internal and external. This partnership needs supervision so that medium-sized businesses do not put pressure on micro or small businesses, as stated in KPPU Decision No. 2/KPPU/-L/2005. This article will be analyzed qualitatively through a normative-empirical approach. This article will analyze the legal protection of partnerships between MSEs and medium and large businesses from the perspective of anti-monopoly law through a partnership between the Mercure Makassar Nexa Pettarani Hotel and MSEs in Makassar. The results showed that The legal relationship between MSEs and the Mercure Makassar Nexa Pettarani, hotel can be established through the business partnership principle as stipulated in Law No. 20 of 2008 concerning MSMEs and Government Regulation No. 17 of 2013 concerning the Implementation of Law No. 20 of 2008. This partnership does not indicate abuse of the dominant position, even though the business partnership is still in the form of an underhand agreement. Legal protection for the implementation of MSME partnerships, the Business Competition Supervisory Commission has been given authority through Law No. 5 of 1999 concerning the Prohibition of Monopolistic Practices and Unfair Business Competition, as well as Commission Regulation No. 4 of 2019 concerning Procedures for Supervision and Handling of Partnership Cases.

Investigating alternatives to privatization of public housing: an analysis based on the Quattro Corti project in Italy

After the long-lasting divestment in the Italian public housing system and the privatization of over 20% of the stock, many public dwellings are vacant or in substantial need of maintenance. The article aims at contributing to the literature that addresses the crisis of public housing, by investigating alternatives to its privatization in Italy, a context of heavy divestment and devolution. It draws on original material from the case study of the Quattro Corti project, an unprecedented form of hybrid collaboration between public housing providers and housing cooperatives for the regeneration and management a small portion of the public housing stock in Milan. We investigate the context at different scales (state, neighbourhood, building) and analyze the partnership through extended field work and interviews to stakeholders, tenants and managers. Finally we address opportunities and challenges for a wider implementation of such partnerships in Italy, as part of a strategy to prevent privatization.

Managing Carbon Footprint at Music Festivals: A Study at Glastonbury Festival

The Glastonbury Festival, renowned as one of the greatest music festivals globally, has come under environmental scrutiny due to its substantial expansion. While the festival undeniably benefits the economy, it also has adverse effects by contributing to the carbon footprint. This phenomenon is a result of congregating a large number of individuals in a single location concurrently for an extended period of time. The carbon footprint generated is substantial, and when combined with the garbage generated, it can result in significant environmental harm. Recognizing this concern, the organizer has implemented a comprehensive strategy to reduce and control its carbon emissions. Hence, this study evaluated the efficacy of various approaches by employing the framework of energy consumption, trash generation, and transportation emissions (Fredline et al., 2005). The outcome demonstrates that Glastonbury Festival's endeavor to achieve environmental sustainability underscores its dedication to diminishing its carbon emissions while safeguarding its core identity. Glastonbury has implemented novel energy solutions, such as solar and wind power, biodiesel, and recycled vegetable oil waste, to reduce emissions and include sustainable energy sources. Furthermore, waste management has effectively diminished the usage of disposable plastic bottles, decreased trash through recycling efforts, and promoted the practice of participants taking their possessions with them. Lastly, the transportation emissions, which account for the largest proportion of the total emissions, still require a solution, since they remain the primary concern of the event. The Glastonbury Festival's sustainability could be improved by the implementation of additional measures, educational initiatives, and partnerships with environmental organizations.

Implementation of an academic-community partnership model for equitable access to precision oncology decision support in rural community cancer centers.

141 Background: Comprehensive genomic profiling (CGP) is an essential tool for selecting cancer therapies and matching patients to clinical trials, however patients in rural community cancer centers are less likely to receive CGP. We developed an academic-community partnership model to expand Duke’s Molecular Tumor Board (MTB) clinical decision-making and trial-matching services to Duke Cancer Network (DCN), a series of affiliated community cancer centers across rural North Carolina. Methods: The Duke Precision Cancer Medicine Initiative created a Molecular Registry of Tumors database to aggregate CGP results from multiple vendors and enable review by a multidisciplinary MTB. Patients treated at DCN sites had their CGP results and relevant clinical data reviewed by the Duke MTB. After review, clinical recommendations were communicated in a standardized note and returned to DCN providers within one week. One year into implementation, DCN providers were anonymously surveyed to identify persistent barriers to utilization of CGP. Results: Between Jan 2022 and June 2023, 96 patients were consented, enrolled, and reviewed by Duke MTB. 29.2% were Black, 19.8% were Native American, and 5 .2% were of Hispanic ethnicity. 57.3% patients were found to have an actionable genomic biomarker. Of these, 14 of 22 (63.6%) received matched FDA-approved therapies and 0 of 17 (0%) with molecular criteria for a clinical trial at Duke successfully enrolled at time of submission. 85% DCN providers reported comfort ordering CGP and 45% reported comfort interpreting the results. Most frequently reported major barriers to clinical trial participation included distance (70%), lack of transportation (55%), and lack of local trials (50%). Conclusions: Our implementation of a novel academic-community partnership serves as a sustainable and reproducible model to expand access to MTB services. Further research and interventions are necessary to mitigate persistent urban versus rural barriers to utilizing CGP, especially those in clinical trial enrollment. By providing MTB support to historically underserved communities and a framework to identify salient barriers in the process, our model can be adopted by academic cancer centers nationally, contributing to improved and equitable outcomes in oncology.[Table: see text]

Organizational Facilitation of Latino Substance Use Disorder Treatment: Impact of COVID-19.

Continued high opioid overdose death rates in the United States and increasing New York State (NYS) Latino opioid overdoses make the facilitation of Latino access to NYS substance use disorder (SUD) treatment essential. SUD treatment facilities in NYS sustained an estimated 37% decrease in Latino enrollment during phase one of the pandemic. This study invited NYS SUD service providers to describe ways in which SUD organizations facilitated Latino SUD treatment prior to and during phase one of the pandemic. Using an individual and community interaction framework of vulnerability and a description of organizational enabling resources in four domains, this study used a cross-sectional descriptive design to investigate the levels of organizational facilitators for Latino SUD treatment access and the impact of the pandemic on these organizational facilitators. A convenience sample of 470 NYS SUD clinicians participated in the study. The outcomes suggest an overall erosion of organizational enabling resources during the pandemic. Erosion was greatest in areas with a higher Latino population density in the domains of insured/immigration/legal information and culture. A pattern of strengthening resources in areas with lower Latino population density in the domains of language and telehealth access has defied the overall pattern of deterioration. The increase in telehealth did not cross the digital divide to stop the decrease in Latino enrollment and did not compensate for the overall erosion of access facilitators. The overall outcomes suggest opportunities to explore local variations in resource health. Recommendations to improve health equity include the use of participatory research to assess community needs and the implementation of community partnerships to address systemic barriers and rebuild equitable addiction services.

Public-private collaboration for national security: challenges and opportunities

The purpose of the article is to study public-private collaboration as the main tool to guarantee national security and the sustainability of the State. Research results. The article examines the content, characteristics, and development prospects of public-private collaboration. The system of legal instruments of Ukraine regulating this issue is analyzed. The principles of implementation of the public-private partnership are characterized, as well as the key requirements for its effectiveness. It is summarized that the public-private partnership in the field of national security and defense is a form of cooperation that must guarantee the effectiveness of the implementation of protection and defense measures in the form chosen by the parties in the relevant contracts or agreements. Practical implementation. Public-private collaboration has been used to: build military infrastructure; develop new defense technologies; train military personnel Value/originality. To improve administrative and legal regulation of the public-private partnership, we propose to perform its full transition to online procedures, as it will facilitate the access to information and resources for private companies.

Governance Strategies in Underwater Inspection State-Owned Enterprises: A Study on the Implementation of Public-Private Partnerships (PPP)

This article aims to analyze the need to conduct underwater inspection at a State-Owned Enterprise (SOE) using the application of the Public Private Partnership (PPP) concept. However, until now, the SOE still uses the services of a third party to fulfill this need. The use of third-party services impacts the high allocation of the SOE's operational budget for underwater inspection costs. This study uses qualitative research methods with data collection techniques through in-depth interviews, literature studies, and field observations from January to August 2023. This study's results show that applying the four dimensions of PPP - identify key stakeholders, identify stakeholder needs, address stakeholder needs, and evaluate performance - is appropriate for the governance of underwater inspection implementation. The recommendation for the next governance strategy is to implement acquisition as a follow-up to the PPP concept.

Improving the Legislation on Public-Private Partnerships in Environmental Protection in the BRICS Countries

The Concept of Sustainable Development is one of the basic principles of the modern world. An increasing number of fields are coming under regulation governed by this concept. Recent updates to the environmental agenda have resulted in growing demands for increased environmental responsibility on the part of states and businesses. The global nature of environmental problems, their diversity and scale, and, at times, the irreversibility of the consequences of the negative environmental impact of the economy often provide for the consolidation of efforts by the state and business, particularly, through the implementation of public-private partnership (PPP) mechanisms. This article focuses on the pros and cons of legislation in the BRICS countries in the area of PPP practice in general and in environmental protection in particular. The data and PPP practices have been collected from the World Bank, UNCITRAL, and other official national sources related to PPP. An analysis of the legislation on PPPs in the BRICS countries indicates a lack of uniformity in the legal regulation of the relationships arising from this partnership, as well as a lack of specific legislation on PPPs specifically addressing environmental protection. The analysis shows that only those BRICS countries using the common law system (South Africa and India) have the instruments available to allow potential investors to fully assess the PPP model as it currently exists in a particular country. This practice developed as a result of a more flexible approach to the regulation of public relations. Undoubtedly, one of the many advantages of this approach is the ability to adjust the PPP system and model all of the known forms and types of PPPs in accordance with the specific needs of society and the state. The lack of flexibility, for example, of the Russian legislation on PPP regulation, has led to the limited forms or types and objects of PPPs, which is inconsistent with the modern needs of society and the state to achieve the UN Sustainable Development Goals.

Analisis Pola Kemitraan Petani Penangkar Dengan PT. Sang Hyang Seri (persero) Unit Produksi Benih I Sidrap

This research is entitled analysis of partnership patterns of breeder farmers with PT. Sang Hyang Seri (Persero) Sidrap Seed Production Unit. This study analyzes the partnership pattern of breeder farmers with PT. Sang Hyang Seri (Persero) Sidrap Seed Production Unit. The form of data collection in this study is primary data and secondary data. By using the method of descriptive data analysis by simply tabulating, the data obtained from the sample either by interview or by existing questionnaires. The results of this study indicate that the partnership pattern that exists between breeder farmers and PT. Sang Hyang Seri (Persero) Sidrap Seed Production Unit is included in the ENOUGHLY EFFECTIVE category. From the results of the interviews conducted, it was found that the partnership pattern used was an agribusiness operational cooperation partnership (KOA) pattern. In the partnership implementation process, there are 7 activities carried out, namely: location survey, partnership proposal, administration and partnership contract, implementation/monitoring, evaluation and operational assistance. While the effectiveness of the partnership pattern that has been established is quite effective, however there are several factors that need to be further improved, namely the supply of heavy equipment and the availability of means of transporting captive-bred animals.

Partnering with patients and caregivers to enrich research and care in kidney disease: values and strategies.

Patient and caregiver involvement broadens the scope of new knowledge generated from research and can enhance the relevance, quality and impact of research on clinical practice and health outcomes. Incorporating the perspectives of people with lived experience of chronic kidney disease (CKD) affords new insights into the design of interventions, study methodology, data analysis and implementation and has value for patients, healthcare professionals and researchers alike. However, patient involvement in CKD research has been limited and data on which to inform best practice is scarce. A number of frameworks have been developed for involving patients and caregivers in research in CKD and in health research more broadly. These frameworks provide an overall conceptual structure to guide the planning and implementation of research partnerships and describe values that are essential and strategies considered best practice when working with diverse stakeholder groups. This article aims to provide a summary of the strategies most widely used to support multistakeholder partnerships, the different ways patients and caregivers can be involved in research and the methods used to amalgamate diverse and at times conflicting points of view.

Design and Implementation of the Diabetes Impact Project: A Multisector Partnership to Reduce Diabetes Burden in Indianapolis Communities.

Community-level health disparities have not arisen suddenly but are the result of long-term systemic inequities. This article describes the design and implementation of a community-engaged multisector partnership to address health disparities by reducing the diabetes burden in 3 Indianapolis communities through the implementation of evidence-based strategies across the prevention continuum. The project has 5 foundational design principles: engage partners from multiple sectors to address community health, focus on geographic communities most affected by the health disparity, practice authentic community engagement, commit for the long term, and utilize a holistic approach spanning the prevention continuum. The design principles are incorporated into the following project components in each community: (1) health system community health workers (hCHWs), (2) neighborhood CHWs (nCHWs), (3) community health promotion initiatives, and (4) resident steering committees, as well as a backbone organization responsible for overall coordination, project communication, evaluation, and partnership coordination. This complex multilevel intervention is being evaluated using data sources and methodologies suited to each project component and its purpose overall. Each component is being evaluated independently and included holistically to measure the impact of the project on the health and culture of health in the communities. Key Performance Indicators were established upon project initiation as our common metrics for the partnership. Because complex interventions aiming at population-level change take time, we evaluate Diabetes Impact Project-Indianapolis Neighborhoods (DIP-IN), assuming its impact will take many years to achieve. Health disparities such as the diabetes prevalence in project communities have not arisen suddenly but are the result of long-term systemic inequities. This complex issue requires a complex holistic solution with long-term commitment, trusted partnerships, and investment from diverse sectors as seen in this project. Implications for policy and practice include the need to identify stable funding mechanisms to support these types of holistic approaches.