Intersectoral Cooperation Research Articles

Intersectoral Collaboration Between Traditional Bonesetters and Formal Healthcare: A Systematic Review on Past Initiatives and Stakeholder Perspectives.

Bone fractures in low- and middle-income countries are commonly managed by traditional bonesetters (TBSs). Past studies emphasize the potential for improved fracture care through intersectoral cooperation. This review gauged support among stakeholders for intersectoral collaboration and the results of previous initiatives. Five medical databases were reviewed. Studies focusing on stakeholder perspectives and articles detailing collaborative initiatives were included. Data extraction and synthesis were carried out using the Cochrane Consumers and Communication Review Group's template. Additionally, all studies underwent quality assessment. Of the 3821 identified articles, 16 were included after full-text screening. Twelve articles presented stakeholder perspectives, whereas four discussed collaborative initiatives. The overall article quality was low: articles on stakeholder perspectives scored on average 1.42 out of 4 points, whereas articles on collaborative initiatives scored a mean 1.25 points. In total, 62% of stakeholders (75% of TBSs, 92% of hospital staff, and 52% of patients) expressed support for intersectoral collaboration. The ratio between stakeholders expressing support versus those opposing was 4.4:1. No articles presented data on governmental perspectives. The most mentioned collaborative forms were TBS training (24% of stakeholders) and an integrative model (16% of stakeholders). Interventional studies all consisted of TBS training, reporting improved clinical outcomes and increased practice integration. Despite the limited and low-quality evidence on collaboration initiatives and perspectives, most stakeholders seem supportive of intersectoral collaboration, with training and integration being commonly suggested. Future research efforts exploring the feasibility of embedding TBSs into current primary care systems should ensure the involvement of local and national government.

Towards rural proofing (in Spain): (un)founded expectations?

This paper takes as its starting point the high expectations that rural proofing has been arousing in recent years in the European Union. Therefore, the main objective is twofold. Firstly, to carry out an analysis of the state of the art and situation of the RP in general, and in Spain in particular; secondly, to examine the situation and perspectives that this mechanism may have in Spain, considering the institutional environment, the organisational culture, the division of competencies, the (not excessively high) tradition of intersectoral cooperation at the different levels of government, etc. Through various specific objectives, a decalogue of the key aspects of rural proofing is drawn up, as a mirror against which to contrast the processes of practical implementation, and various aspects of the Spanish case are analysed. The conclusions point to the fact that, from our point of view, the rural proofing is the confirmation of the failure of a central aspect of the traditional place-based approach, the integrated approach. On the other hand, we examine the different limitations of the implementation of rural proofing in Spain. These suggest that we should be cautious with the probably excessive, and perhaps unfounded, expectations that have been generated in Spanish rural areas about the real possibilities of rural proofing.

Purpose of forming the state juvenile policy: weekend basis

The article examines the theoretical and practical foundations of the formation of state juvenile policy. In particular, the initial principles on which an effective juvenile policy should be based are considered, in particular the principles of human rights, social justice, a preventive approach and an interdisciplinary approach. The author analyzes the role of state institutions in ensuring children’s rights, as well as the interaction between different levels of government and public organizations. The importance of integrating social, legal and psychological aspects into the process of developing juvenile policy, as well as its adaptation to changing socio-cultural conditions, is emphasized. The key challenges and prospects facing the state in the context of protecting children’s rights and preventing juvenile delinquency are also highlighted. The importance of interagency and intersectoral cooperation for the implementation of juvenile policy is also discussed. The emphasis is placed on the need for a comprehensive approach to the problem, which includes the interaction of social protection bodies, education, healthcare, law enforcement bodies and justice bodies. The author proposes a vision of a model of state juvenile policy, which is aimed not only at punishing offenders, but also at creating favorable conditions for their rehabilitation and social adaptation. The issue of ensuring children’s access to necessary social services, in particular in the field of psychosocial support and education, is also considered. An important aspect of the article is the identification of priority areas for the development of juvenile policy, including improving the legislative framework, modernizing the system of upbringing and support for children, and improving preventive measures to prevent delinquency among minors. In addition, the author emphasizes the need for constant assessment of the effectiveness of state juvenile policy and its adaptation to changes in society, in particular by taking into account the latest approaches in the field of psychology, sociology, and pedagogy. The article provides important recommendations for specialists in the field of juvenile justice, social workers, teachers, and representatives of state bodies who work with children and adolescents in difficult life situations.

Beyond start-up formation: Effects of entrepreneurial ecosystem support activities for developing lagging regions

The paper elaborates on the positive effects of support activities for entrepreneurial ecosystems (EEs) on regional development in lagging regions beyond the obvious outcome of new enterprises. The emphasis on entrepreneurship support organisations to develop lively EE in lagging regions has been criticised for its limited success, high costs and low benefits for local citizens. We agree with this criticism in principle but argue that a meaningful evaluation of entrepreneurship support’s effects on regional development must also consider the wider impact of such promotion. Based on a literature review and empirical findings from our engagement in three EEs, we discuss such regional-level ‘outward causation’ and identify five broader effects how entrepreneurship support organisations strengthen development. They (1) promote innovative regional organisations, institutions and actors; (2) qualify and engage aspiring founders who later become qualified and motivated employees for incumbent companies and the public sector; (3) contribute to a positive regional image and identity; (4) enhance inter-sector and inter-municipality cooperation and (5) position start-ups as a positive impulse for developing declining cities. In conclusion, we propose an extended understanding of start-up support for developing lagging regions that considers entrepreneurship support organisations as catalysts of the positive effects associated with vibrant ecosystems.

Comprehensive Examination of Health Technology Assessment in Policy Formulation and Implementation

Health Technology Assessment, or HTA, is conceived as a key instrument to assess the clinical efficacy or efficiency and social impact of specific health technologies for policy purposes. This paper discusses incorporating HTA information in formulating and implementing policies focusing on the rational use of resources in healthcare systems. This study provides an understanding of the global case studies of HTA to outline the problem areas, advantages, and developments in the context of decision-making for health. The paper underscores seven evidence-based ways stakeholder involvement, methodological practices, and intersectoral cooperation create value in HTA.

Bottom-up Analysis of Cases of Collaboration and Integration in Maritime Tourism Policy Domains in South Sulawesi

This research examines the bottom-up approach to maritime tourism policy in South Sulawesi, primarily focusing on collaboration and policy integration. This method involves the local community as the primary stakeholder who can determine the potential and needs of maritime tourism in their area. Data was collected through interviews with the South Sulawesi Provincial Culture and Tourism Office and analysis of relevant documents. The research results indicate that policy collaboration is carried out through cooperation between the government, namely the South Sulawesi Provincial Culture and Tourism Office, local actors, and the private sector. Furthermore, integrating inter-sectoral policies ensures that the development of tourism proceeds synergistically by considering several aspects, such as economic, social, and environmental factors. The bottom-up approach also supports the sustainability of maritime tourism through several empowerment initiatives for local communities. They should also be involved in the management of maritime tourism destinations and the promotion of local products. It can be concluded that a bottom-up approach involving inter-sectoral cooperation and policy integration encourages the development of sustainable maritime tourism while still paying attention to several aspects, such as local economic empowerment, social welfare, and environmental preservation.

Non-discrimination and equality in healthcare: guarantees of implementation in international law and Ukrainian legislation

urpose. The purpose of the article is to provide a comprehensive analysis of legal guarantees of non-discrimination and equality in healthcare in Ukraine and worldwide. The study aims to identify the main types of discrimination, their impact on access to healthcare services, and to develop recommendations for improving legislative mechanisms and policies. Methodology. The study was conducted through a comprehensive analysis of international and national legal acts regulating non-discrimination in healthcare.The following were used methods of scientific cognition, such as terminological, logical and semantic, comparative and legal, systemic and structural, and analytical. Results: The study found that discrimination on financial, territorial, gender and age grounds significantly limits access to healthcare services for socially vulnerable groups. The author emphasises the need to harmonise national legislation with international standards, which will contribute to the creation of an inclusive healthcare system. Priority areas of state policy have been identified, including investments in infrastructure modernisation, development of telemedicine, mobile health units and gender-sensitive approaches. Originality. It is established that ensuring non-discrimination in healthcare requires updating legal and organisational approaches. The author proposes a set of measures, including improvement of the legal framework, implementation of socially oriented programmes and development of intersectoral cooperation. Practical significance. The findings can be used in lawmaking and law enforcement activities, as well as in the development of social programmes to improve access to healthcare services for vulnerable populations.

Basic principles and integrated approach to the development of Moscow healthcare

In modern socio-political and socio-economic conditions, the task of preserving, strengthening and improving the health of the population of any city, especially the capital, is becoming extremely relevant and important. The capital’s healthcare system implements a state policy in the field of healthcare, providing the necessary conditions for providing citizens with affordable and high-quality medical care. Aim. Describe the main approaches to the modernization of Moscow healthcare, taking into account the pace of development of the megalopolis infrastructure and the needs of its residents in high-quality and affordable medical care. Materials and methods. The analysis of the general morbidity and by classes of diseases, the average number of visits per resident per year by disease, resource provision and activities of medical organizations subordinate to the Moscow Healthcare Department according to federal forms of statistical observation for 2018–2022 was carried out. Results. Against the background of an increase in the general morbidity of adults in the Russian Federation (by 10.4 %), a similar trend is observed in Moscow (by 4.8 % in 2022 compared to 2021). Currently, a number of projects aimed at transforming and modernizing the current healthcare system are being implemented in the capital, thanks to the implementation of which in recent years Moscow has managed to achieve the targets of the Capital Healthcare program and significantly exceed similar national averages – for the period 2010–2022, life expectancy has increased from 74.2 years to 78.2 years; for the period 2018–2022, primary morbidity has significantly decreased (for example, diseases of the digestive system – by more than 28 %, diseases of the musculoskeletal system – by more than 30 %); waiting time for admission by a doctor in the polyclinic network has been reduced by 3.3 times. Including an increase in the average number of visits per resident (8.4) compared to 2018 – by 3.7 %. Conclusion. Modernization of the capital’s medicine is carried out at the level of technical equipment, staffing and organizational solutions. New management technologies include an integrated approach to infrastructure modernization, building scalable processes and maximum automation, which requires both an integrated approach within the Moscow Healthcare Department and intersectoral cooperation.

Historical Analysis of Environmental Degradation in Pakistan: A Narrative Review

The degradation of the environment in Pakistan has become worse through historical, socio-economic, and geopolitical interactions. This narrative review considers burning issues like deforestation, water shortage, and soil and water pollution, which can be linked to colonialism, industrial change, and urbanization. The review is an analysis that takes into consideration the political ecology approach, which demonstrates how political power has led to resource capture and environmental unfairness. This approach enhances the aspect of sustainability, stating measures be drawn from other nations to avoid further harm to ecology. While policy compliance is weak, promoting industrial development has brought negative impacts, according to the review of policy solutions such as afforestation programs, integrated management, and sustainable policies. The recommendations include reinforcing and promoting environmental legislation, improving intersectoral cooperation, and finding sustainable development that would help strengthen Pakistan's ecological base.

Activating the resources of families raising children with autism spectrum disorders

Introduction. Modern family resources in terms of supporting children with autism spectrum disorders are increasingly becoming a subject of discourse at the level of interdepartmental and intersectoral cooperation. At the same time, a large-scale investigation of parental expertise and inclusiveness as basic family resources is required. Metaprofessional qualities of parents’ personality, being a backbone characteristic, are considered as a component of their expertise and inclusiveness. The aim of the article is the analysis of deficiencies and potentialities of families raising children with autism spectrum disorders in terms of personal metaprofessional competence. Materials and methods. The study covered 160 families raising children with autism spectrum disorders and 164 assisting experts. The diagnostic material was grounded on the basic data obtained through the results of parents’ completion of a special document “Personal Card” and following the survey of families and specialists entrusted with upbringing, education, psychological and pedagogical support of children with autism spectrum disorders (the section for assessing the educative competencies group in the structure of the author’s questionnaires: “Self-assessment of parental inclusiveness” and “Expert assessment of inclusive potential”). The significance of the obtained results was evaluated through the analysis of contingency tables based on Pearson’s chi-squared test. Results. The quantitative/qualitative characterisation of resources of families raising children with autism spectrum disorders was derived, demonstrating parental expertise and inclusiveness. The relationship between the category of children and the level of education was established, which level is higher in parents bringing up children with autism spectrum disorders (χ2 = 14.655; p=0.006); in addition, significant differences in professional employment of parents bringing up children with autism spectrum disorders, mental retardation and visual impairment were established. Some differences in the extent of satisfaction with the quality and nature of assistance received by the parents were identified (χ2 = 8.433; p<0.05). The parents of children with autism spectrum disorders, unlike control groups, preferred private educational centres as the main sources of help, support and assistance. The survey established a pronounced deficit of active and effective participation of the second parent, grandparents and people from the immediate environment in the upbringing of a child (more than 26% of the respondents). The shortcomings in the mastery of special methods and techniques of interaction with a child with autism spectrum disorders were highlighted, as well as the lack of a unified, effective and sustainable system of stimulating and encouraging a child within the family. Conclusion. The obtained results are significant for further comprehensive elaboration and comprehension of the inclusive potential of families raising children with autism spectrum disorders. The most important guideline is the adoption of metaprofessional solutions designed to significantly complement the existing applied methods within the framework of realising the strategy for comprehensive support of persons with autism spectrum disorders, their parents and the immediate environment.

The Digitalization Imperative: Unveiling the Impacts of Eco-Industry Integration on Sectoral Growth and Transformation

In the context of the global shift toward sustainable development, ecosystem-based ecological industries have become a critical area of focus for achieving green economic transformation and promoting the harmonious development of both society and the environment. This paper aims to explore the impact of industrial integration on the progression of ecological production within the framework of digitalization, with a particular emphasis on key sectors such as agriculture, forestry, and tourism. Utilizing multi-group data from 284 cities spanning the period 2011 to 2020, the study establishes a relationship between industrial integration and the growth of ecological industries, employing a two-way fixed effects model for analysis. The results demonstrate that industrial integration within ecological sectors significantly fosters sectoral development through two main mechanisms: the extension of industrial value chains and cross-sectoral synergies. Moreover, in the era of the digital economy, digitalization plays a pivotal role in facilitating the integrated development of ecological industries. The study further identifies that digital technology, digital finance, and digital expertise serve as mediating factors in this integration process. It is recommended that future initiatives focus on leveraging digital tools to enhance the integration of ecological industries, thereby advancing industrial growth. Furthermore, China is encouraged to continue promoting the integrated development of ecological industries by supporting the expansion of industrial value chains and fostering intersectoral cooperation. Simultaneously, the role of digitalization should be emphasized, with particular attention to the incorporation of relevant digital components into the industrial integration process moving forward.

Assessment of the implementation of early detection of children's growth and development by midwives.

In Indonesia, the SDIDTK (Stimulation of Early Detection and Intervention of Growth and Development) program aims to monitor children's growth and development. SDIDTK monitors growth, encompassing body weight, height, and head circumference. It also monitors development, which includes a development test using KPSP (Developmental Pre-Screening Questionnaire), sight test, hearing test, and emotional-mental development test. This study analysed midwives' application of early growth detection services in Magetan Regency, Indonesia. It used a mixed-method approach. This quantitative study assessed the application of early detection by surveying 53 randomly selected village midwives. The qualitative study was conducted by interviewing 8 participants. The results showed that about 43.9% of midwives falsely reported providing SDIDTK services even when they only monitored the growth aspect without monitoring children's development. Midwives are helped by cadres who undergo routine growth examinations. Unfortunately, development detection is not routine. The challenges in implementing developmental detection included heavy workloads, limited time, and limited human resources. Other influential factors include the lack of intersectoral cooperation and the fact that societal empowerment have not optimally been established. The SDIDTK program's implementation remains suboptimal. The authors concluded that midwives should improve cross-sector collaboration, empower communities, and set standards for community midwifery care.

Povezanost med vročinskimi valovi in obiski na Internistični prvi pomoči Univerzitetnega kliničnega centra Ljubljana v obdobju 2013–2017

Background: Heatwaves have a severe impact on the number of deaths and emergency department visits, making them the most hazardous natural disaster due to climate change in many regions of the world. Our aim was to assess the short-term association between emergency department visits and heat waves from 2013 to 2017 to see whether any difference in the number of visits occurred at the Emergency Department in Ljubljana University Medical Centre during that period. Methods: The design of our study is a retrospective cross-sectional epidemiologic study. We estimated relative risks (RR) for a number of ED visits during heatwave days and reference period days for the observed diagnoses (all causes, diseases of the circulatory system, respiratory system, endocrine diseases, diseases of the digestive system and genitourinary diseases) sex, and age (from 19 to 74 years old, 75 years old and older), as well as 99.6% confidence intervals (CI) and excess ED visits in percent (%) associated with heatwaves occurring in the years from 2014 to 2017. Data were analyzed for the patients arriving at the Emergency Department of the Ljubljana University Medical Centre during summer time, from May to September. The region covers around 550,000 people and is considered an urban and rural area. Results: The results of our study showed that there was no statistically significant increase in number of ED visits during heatwaves for all causes in all observed years. We noticed even statistically significant protective phenomena between heatwaves and the number of ED visits. These happened in the years 2015 and 2017 for both sexes and circulatory system diseases, in 2016 for men, circulatory system diseases, and in 2015 for respiratory system diseases. We showed a statistically significant association between heatwaves and the number of visits in the ED for endocrine diseases in 2013. Conclusion: Despite the increased heat load in the last observed years, the number of ED visits in Ljubljana has remained stable or even decreased. Further studies on how each intervention affects the behavior of the observed population are needed to clarify whether public health measures and inter-sectoral cooperation impact the number of ED visits.

Smoking, alcohol, substance, technology, and gambling addiction among university students

Abstract Background University students turn to addictive substances to cope with the anxiety and stress caused by separation from family, adaptation to a new environment, as well as many economic and social problems. This study aimed to examine smoking, alcohol, substance, technology, and gambling addiction among university students. Methods The data of this cross-sectional study were collected between February and March 2024. The study population consisted of 23,446 people studying at Ä°nonu University, and the sample size was calculated as 346 based on a smoking rate of 35.6% among university students. A stratified sampling method was adopted according to the faculty of study, and 366 people were approached regarding the study. The independent variables were age, gender, faculty of study, and smoking status, while the dependent variables were alcohol and substance use status. Descriptive data were expressed in numbers and percentages, and a Chi-square test was used in the statistical analysis. Results Of the students in the research group, 56.8% were female, 54.4% were 22 years of age or older, 30.1% reported smoking cigarettes, 7.7% reported drinking alcohol in the last 30 days, 39.2% reported using the internet for five hours or more per day, 3% reported playing various casino games on the internet once a week or more, and 1.4% stated that they used substances. There was no statistically significant difference between alcohol and substance use according to smoking status (p > 0.05). Conclusions Approximately one-third of the students in the research group reported smoking cigarettes, and one-tenth reported alcohol use, which is quite high. The high percentage of students who use the internet for five hours or more per day and the low rate of online gambling should be considered in relation to these addictions. Key messages • Multidimensional interventions and intersectoral cooperation are required to prevent smoking, alcohol, substance use, technology, and gambling addictions among university students. • In addition, precautions should be taken to protect students against the risks associated with internet addiction and online gaming.

Culture for Health – Example from Serbia

Abstract Using the possibility of social prescribing at the community level integrates several sectors, primarily the health sector and the culture sector. The goal of this project was to strengthen intersectoral cooperation (culture and health) and consider the possibility of providing conditions in the local community for continuous prescribing of the culture ‘on prescription’. Institute for Public Health of Vojvodina invited Matica Srpska Gallery to participate together with the Novi Sad Healthcare Center in a unique project that connects culture and health. The ‘Culture on prescription - culture for health’ consisted of two phases: curatorial guidance and group workshops. Curatorial guidance means the selection of individual works of art whose narration is planned and methodologically adapted to different groups of participants and which evokes different feelings related to quality of life and health. The second part of the program consisted of workshops in the Museum, enriched with works of art and a pleasant atmosphere.The workshops are based on group analytical methods and participants had the opportunity to reflect their observations, experiences and feelings on individual works of art, and they often reflected with personal life experiences that were not only aesthetic, but also pleasant and therapeutic. Participants came in two sessions, with two different curatorial guides, carefully thematically prepared, and which were later the source for substantive reflection. The positive outcomes of these innovative workshops was confirmed through written and oral facts, through which the participants emphasized that the stay in the museum space was therapeutic in itself. The possibility of the so-called ‘depot’ or prolonged effect of the unique prescription was observed, emphasizing that the participation in the workshops left an impression on the participants and that they will stay with a positive feeling and pleasantness after receiving a ‘dose’ of culture for health.

Strategies for primary healthcare in Ukraine: An integrated response to gender-based violence

Abstract Issue/problem Survivors of gender-based violence (GBV) and conflict-related sexual violence (CRSV) in Ukraine face significant challenges in accessing appropriate healthcare services. Despite governmental commitment, acknowledgment and regulatory frameworks, including the ratification of the Istanbul Convention, gaps persist in integrating comprehensive GBV/CRSV services into primary healthcare (PHC) settings, exacerbated by the ongoing conflict with Russia. Description of the problem An analysis of healthcare providers’ knowledge has revealed deficiencies in effectively supporting GBV/CRSV survivors. Barriers include workload pressures, lack of inter-sectoral cooperation and case-management protocols, and insufficient training opportunities on survivor support. In collaboration with the World Health Organization, the global Clinical Management of Rape (CMR) guidelines was adapted for Ukrainian context. Among findings from CMR trainings attended by 443 PHC providers in 2022-2023 (213 participants in 2022 and 230 participants in 2023), the results underscore gaps in PHC workers’ basic knowledge and readiness to effectively support survivors during the war. Results Data from WHO training sessions underscored significant gaps in knowledge among healthcare professionals regarding legal protocols, available resources, and best practices in PHC service delivery. Identified barriers emphasized the urgent need for targeted interventions to enhance PHC workers’ capacity in GBV/CRSV response. Lessons Recommendations focus on systemic enhancements including revising regulatory frameworks, developing standardized protocols, and institutionalizing and providing comprehensive training programs. Innovative approaches like online courses, mentoring programs, and integrated service models are crucial for addressing multifaceted challenges. Key messages • A holistic GBV/CRSV response is an essential component in PHC. • This intersectoral survivor-centered approach provides safe spaces that can be adapted to other contexts in Europe.

Biological safety and biosecurity — the basis for countering new biological threats and challenges

Purpose of the study was analysis of the system of ensuring biosafety and biosecurity on a public scale from an enterprise, a country, and humanity as a whole; systems of response and elimination of biological threats. The method of system analysis and generalization of the obtained information was applied. Biological risks always arise when working with biological objects, this should always be taken into account and factors that increase biological risks should be known. Neglect of these factors creates a constant threat of the emergence and spread of X diseases; and unauthorized use of dual-use knowledge and technologies. The widespread use of artificial intelligence in various fields further exacerbates the problem. Creates conditions for various hybrid forms and methods of biological terrorism. Characteristics of disease X: replication in the cytoplasm; mutation and variability; airborne transmission; the ability to replicate in different hosts (for example, in humans and animals). Another distinctive feature of the new infection is the high speed of spread. The solution to the problem is the widespread implementation of the “One Health” concept throughout the world. Building capacity in the implementation of the One Health approach to strengthen health systems; Integrating environmental considerations into the One Health approach; Limiting the silent pandemic, increasing antimicrobial resistance (AMR). Reducing the risks associated with epidemics and pandemics of emerging and re-emerging zoonotic diseases; Controlling and eradiсating zoonotic, neglected tropical, and vector-borne diseases. Strengthening food safety risk assessment, management, and communication systems. Hybrid methods and approaches of biological terrorism are used during war and military conflicts. As a counteraction to them, it is necessary to form a position of the world community on the inadmissibility of using such methods during war and military actions; the BTWC must offer effective mechanisms aimed at preventing the development and use of biological weapons, as well as preventing hybrid forms of bioterrorism, which is difficult to distinguish from natural outbreaks of diseases, but its consequences can be no less dangerous for humanity. In Ukraine, the following work is being carried out to strengthen the biological safety system: a draft Law of Ukraine “On Biological Safety and Biological Protection” has been developed; an Interdepartmental Commission on Biosafety and Bioprotection under the National Security and Defense Council has been created and is functioning; Modernization of laboratories and centers to meet the requirements of the BSL 2 biosafety level. The system of physical protection of facilities that store collections of microorganism strains has been improved. Scientific projects aimed at identifying and reducing biological threats are being implemented. Electronic systems for monitoring the movement of pathogens and cases of infectious diseases have been introduced; Active position and participation in the work of the BTWC. An interdepartmental roadmap on biosafety has been developed within the framework of the “One Health” concept. Training programs for students and specialists in biological safety have been developed. Biological threats and challenges have become global, and their number and criticality are constantly growing. The increase in biological threats dictates the need to develop more advanced response and prevention systems, taking into account all existing challenges. Interstate and intersectoral cooperation based on a common strategy is of great importance in ensuring measures to prevent and respond to biological threats

SDGs-centric approach to strategic planning of community development

The research of the community growth and the formation of strategies for their development in the context of an approach focused on achieving sus­tainable development goals have been conduc­ted. The problems of the sustainable community deve­lopment and their crucial understanding of achieving the Sustainable Development Goals (SDGs) at all levels of management have been considered. The research is based on the hypothesis that taking into account the features of the Central Development Center approach to the strategic planning of the community development in Ukraine will lead to the improvement of sustainable development indicators at the current stage of the community growth and the sustainable development of Ukraine. Such research methods were used, as: assessment of qualitative, quantitative and social indicators, as well as methods of positional analysis, focus groups, diagnostic interviews, ex­pert assessments, measurement and comparison, system analysis and modeling. The basic concepts and components of sustainable development were analyzed. It has been proposed to define the features of the Central Development Center-cen­tered approach to the strategic planning of com­munity development. The role of intersectoral cooperation between local authorities, business and civil society in the context of achieving the SDGs was considered in detail. The article focuses on the integration of environmental, social and economic aspects into strategic planning, and ex­plores the problems and challenges faced by communities in implementing these approaches. The importance of building the institutional capa­city of communities for the effective imple­men­tation of the SDGs and their adaptation to the changing conditions of the post-war period was sepa­rately emphasized. Recommendations were given for improving the methods of monitoring and evaluating the SDGs achievement at the local level. It is substantiated that only in the presence of a high-quality strategy, joint efforts and mutual understanding of all stakeholders it is possible to achieve the goal of "rebuilding better than it was". It was emphasized that the reconstruction of the country should be carried out by joint efforts, on the basis of transparency, innovation and strategic vision. The leadership role of communities in the Ukrainian post-war reconstruction was defined, the significance of state regional policy and the Road Map adoption of decentralization, as well as the consideration of the need to achieve the sustainable development goals in communities, were revealed. The ranking of the sustainable deve­lop­ment goals for the communities of Vinnytsia was carried out

The Analysis of Stunting Implementation Policy in Tegal Regency

Tegal is a regency with the highest stunting prevalence in toddlers in Central Java with a percentage of 22.3% in 2022. Currently, the regency has become the prioritized locus of stunting intervention in Indonesia. Tegal regency government issued the Regent Rule of Tegal Number 4 in the Year 2023 about the Communication Strategy of Behavioral Changes in Lowering Stunting Prevalence in 2023 - 2026 as the prevention and effort of decreasing the stunting rate. This research revealed the implementation of stunting prevention policy in Tegal by applying the exploratory implementation model of George Edward III, Marilee S. Grindle, and Mazmanian & Sabatier based on the triangular perspective of policy analysis. This descriptive qualitative research describes a variable orally from the respondents and the doers by observing them. The researchers collected the data by interviewing, documenting, and promoting the literature study. The researchers also interviewed the Health Agency of Tegal and Public Health Care of Kedungbanteng district. The results showed that the applied policy met the regulation in terms of local government and local apparatus organization, OPD, with collaboration and effort to realize inter-sectoral cooperation from regency to village levels. The concrete step in preventing stunting includes the provision of nutritionist teams at Kedungbanteg Public Health Care and the establishment of a police center to prevent stunting prevalence. The results were - gaining the top 99 awards of Public Service Innovation in 2023 by the Ministry of State Apparatus Utilization and Bureaucratic Reform. However, the researchers found hindrances in distributing stunting prevention at most pubic health care units in Tegal. They had not applied the concrete steps and had to improve the human resources by joining training for the cadres so they could use the measuring tool of stunting for toddlers.

Lost in Transition? Market Failure in the Implementation of the Circular Economy. A Comparative Analysis of the Netherlands and Poland

It is necessary for economies to transition to a circular economy (CE). What particularly inhibits the implementation of the CE in linear economies is market failures, whose theoretical principles are embedded in modern welfare economics and neoclassical economics. Market failures shape the functioning of different areas of the markets, including the allocation of and access to resources, competition, and cooperation, among others. Due to their presence in the market, opportunities for industrial symbiosis based on intersectoral cooperation and the creation of resource-efficient production systems are limited. It is crucial because the functioning of local actors within an industrial symbiosis significantly favours the promotion and development of a CE. The aim of the paper is to identify market failures that limit the implementation of CEs in traditional linear economies. The article is based on focus group interviews (FGI) conducted with four groups of stakeholders in the Netherlands and Poland: academia, society, business and the government. The main findings show that one of the greatest barriers in Poland is stakeholders’ low awareness of the CE, which influences their possibilities of cooperating and networking. Existing laws additionally limit opportunities to develop the CE. In contrast, in the Netherlands, where awareness is deeply embedded in the culture, education system and upbringing, the level of market failure is lower.