Local Human Resources Research Articles

Capacity Building and Organisational Performance in Local Government Context, Kasese District, Uganda

Service sector is predominantly increasing in modern economic system raising prominence of staff competences in achievement of corporate goals. This study was conducted to examine the relationship between capacity building and organizational performance in local government context, Kasese district, Uganda. Mixed methods research design was used guided by both objective and subjective assumptions to achieve the research objectives. Data was collected at one point in time from Kasese district employees working in different departments including; Finance, Human resource, engineering, health, education and sports, natural resources and community based. 80 respondents were seen to be representative in study considering the Kabale district local government Human Resource Manual (2021) where the district had a total number of 100 employees. Apparently out of 80 questionnaires distributed only 65 were returned well filled making an acceptable response rate of 81.25%. Stratified and simple random sampling approaches guided this whole process in ensuring that every staff members had equal chances of participation. Questionnaire and interview guide was used to collect both quantitative and qualitative data. Study findings confirmed a positive and significant relationship between capacity building and Organizational Performance at Kasese district. Specifically, results reveal that conducting Induction training (Beta= .657, P<.01) is a significant influencer of performance; on the job training programs (Beta = .175, P<01) impact on organisational performance; and off the job training (Beta= .682, P > 01) significantly predict organisational performance. One key recommendation drawn from this study, linked to human capital theory is that institutional managers should prioritize individual employee learning and earmark resources that sufficiently caters for knowledge and skills enhancement.

STRATEGI PENGEMBANGAN WISATA BENSAMAR KAMPONG TUHA DI LOA IPUH DARAT KECAMATAN TENGGARONG

This research aims to formulate the right strategy in developing tourism in Bensamar Kampong Tuha by considering five key variables namely environmental protection, revitalization of history and culture, local wisdom, creative economy, and human resource development (HR) to develop tourism in Bensamar Kampung Tuha. The method used in this research is factor analysis using a quantitative approach. The sampling technique is random, with a total of 40 respondents. The results of factor analysis show that local wisdom is the most important variable for the success of Bensamar Kampung Tuha's tourism development strategy. The results show that tourism development strategies that focus on local wisdom can increase destination attractiveness, strengthen local communities, and ensure environmental and cultural sustainability. This study suggests that tourism development in Bensamar Kampung Tuha should focus on strengthening local wisdom, while still considering the importance of environmental protection, historical and cultural revival, creative economy, and human resource development.

Feasibility Analysis of the Integration of Guangdong Online Dispute Resolution (ODR) Mechanism and University Talent Resources

In recent years, online dispute resolution mechanisms have penetrated people's lives with the development of the Internet. Online dispute resolution mechanism not only efficiently solves the disputes of various contradictions of the parties, but also greatly alleviate the pressure of the court due to the lack of judicial resources and high cost, at the same time, the online dispute resolution platform is also faced with the dilemma of the lack of high-quality mediation talents. This paper mainly analyses the feasibility of the introduction of local university human resources into the Guangzhou ODR online dispute resolution platform by the local judicial department according to the development and operation status of the ODR online dispute resolution service platform in Guangzhou, Guangdong Province, and provides a feasible reference plan to alleviate the current situation of the lack of talents in China's online dispute resolution platform.

Pemberdayaan Masyarakat Melalui Sosialisasi Pemanduan Wisata di Desa Ekowisata Pancoh

Rural areas as the locus of tourism development need to prepare themselves to welcome the arrival of tourists. In order to create an empowered village community, one of the initial strategies that can be implemented is through a community service programme through socialisation of community empowerment through tour guiding in Pancoh Ecotourism Village. The socialisation of tour guiding activities is delivered through lecture and discussion methods about tour guiding, what things the guide needs to prepare before meeting tourists, and ways to find out the type or characteristics of tourists. Through this community service programme, the capacity of local human resources is prepared as well as possible to receive tourist visits and be able to provide services and guides according to professional standards. This community service programme is held to create a learning space for the community to improve their knowledge and abilities in the field of tour guiding.

Intervention of Local Resource-Based MSME Human Resource’s Competency Development

This research aims to obtain a comprehensive and complete picture of local potential-based MSME HR competency development interventions in improving the community economy in Girikerto Village. The findings of this research are that the Girikerto community has various local resources that are developed and utilized to become more economically valuable and competitive. Interventions for developing MSME HR competencies have been carried out by relevant stakeholders consisting of government, academics, supporting institutions, and funding institutions in the form of policies, training programs, mentoring, development, and facilitation in a coordinative and collaborative manner. This research focuses on interventions to develop MSME HR competencies, while previous studies have focused more on the importance of competencies, types of competencies, and the role of HR competencies in MSMEs. This research uses qualitative methods, primary data collection was carried out through observation and interviews with the MSME's Actor in Girekerto, while secondary data was obtained from documents, articles, and social media. The findings from this research have implications for the Village Government and related institutions in preparing intervention strategies for developing MSME HR competencies based on local potential. The government must intervene in collaboration and coordination with related institutions in formulating policies, programs, and facilitation for MSME groups based on available resources. Policies, programs, and facilitation must be carried out continuously and coordinatedly.

Strengthening Creative Local Human Resources In The Field Of Business Models And Marketing Of Coffee Ecotourism In Sukodono Village, Malang District

Sukodono Village in Malang Regency has diverse resource potential, but faces challenges related to branding and optimizing existing potential. Thelevel of community literacy related to science and technology is still low, affecting the ability to operationalize technology to develop a sustainable coffee ecotourism business model. Making Sukodono Village a successful coffee ecotourism destination requires strategic planning to improve the competitiveness of the area. The level of knowledge and skills of local human resources is still lacking, hampering competitiveness and competence in developing sustainable business and marketing models, particularly in the utilization of digital platforms. Therefore, improving the quality of local human resources in Sukodono Village needs to be encouraged in order to apply modern business models such as the business model canvas.Assistance in community empowerment in Sukodono Village, by developing a more productive coffee ecotourism business model through a business model canvas (BMC), can be a solution to this problem. The development of coffee ecotourism begins with the branding process through existing promotional media, including village layout maps, websites, and regional taglines to increase the popularity of Sukodono Village as a coffee ecotourism destination in Malang Regency

Evaluasi Kinerja Pengelolaan Dana Transfer Pusat Ke Daerah Dan Dampaknya Terhadap Pembangunan Daerah Provinsi Kalimantan Tengah

This research aims to evaluate the performance of management of transfer funds from the central to regional government and its impact on development in Central Kalimantan Province. The method used is descriptive analysis with a qualitative and quantitative approach to measure effectiveness, efficiency and accountability in managing these funds. The research results show that the management of transfer funds in Central Kalimantan has been implemented quite well, but there are still several obstacles in the aspects of budget absorption and supervision. The impact of transfer fund management on regional development can be seen from improvements in infrastructure, education and health. However, to achieve more optimal results, it is necessary to increase the capacity of local human resources and a more effective monitoring system.

Peatlands management for sustainable use on the integration of maize and cattle in a circular agriculture system in West Kalimantan, Indonesia

Management of peatlands with an integrated system of maize and cattle is an alternative to circular agriculture in peatland areas that can increase economic growth in rural areas which is environmentally friendly and sustainable (green economy). This study aims to obtain a circular agriculture model with zero waste management based on the integration of maize and cattle which is environmentally friendly and sustainable in peatland areas, in addition to increasing the added value and farmers' income. This circular agriculture model utilizes site-specific technological innovations and local resources that can restore sustainability in the peatland. The analysis methods used were before-and-after study analysis, baseline surveys, field trials using an experimental design and analysis of variance, financial analysis, and institutional engineering. To achieve this goal, two sub-models were implemented, namely a rural agro-industrial approach based on local agricultural resources by managing appropriate site-specific technological innovations (on-farm) and a local human resource approach through rural institutional engineering, that is farmers’ institutional initiation, development, empowerment, and institutional strengthening of agribusiness (off-farm). The results showed that the circular rural agricultural management model on integrating maize and cattle as a benchmark could increase farmers' income in the peatland areas by more than 208 % from IDR 4,760,000 to IDR 14,600,000 per month. The management of peatlands through circular agriculture can improve quality products and add value to the utilization of waste such as animal feed products (silage), organic fertilizers, and biourine. This rural circular agriculture model is carried out by social engineering, initiation, and strengthening of rural agribusiness institutions that are environmentally friendly so that they can be sustainable.

Regional Autonomy in the Context of the Unitary State of Indonesia: Evaluation of Household Systems, Measurement Parameters, and the Rationality of Decentralization

Regional autonomy in the context of the unitary state of Indonesia is a phenomenon based on constitutional foundations, especially Article 18 paragraph (1) of the 1945 Constitution. This discussion examines the regional household system, parameters for measuring regional autonomy, as well as the rationality and arguments supporting decentralization. The regional household system, consisting of material, formal and real, raises considerations regarding the granting of autonomous rights to regions. The measurement parameters involve authority quotas, supervision systems, methods for selecting regional heads, and the process of making regional regulations, but further clarification is needed. The rationality of regional autonomy includes efficiency, political education instruments, strengthening political stability, political equality, preparation for political careers, and accuracy of development planning. Arguments supporting decentralization highlight the prevention of accumulation of power, popular participation, government efficiency, adaptation to regional specificities, and direct assistance for development. Strengthening regional autonomy requires regulatory capabilities, adjustments to national regulations, local political support, financial resources, and human resource development. This research reflects efforts to understand, evaluate and strengthen regional autonomy systems to support regional development and national stability.

Concept of Micro Healthcare Entrepreneurship (MHE) to Facilitate Universal Health Coverage (UHC): Prospects and Challenges

In the pursuit of Universal Health Coverage (UHC), developing countries with limited resources face significant hurdles. Traditional top-down approaches, spearheaded by governments, often entail lengthy planning periods and substantial costs to reach underserved communities. This paper proposes a bottom-up, cost-effective, and preventive approach aimed at empowering local human resources and using advanced technology. We call it the Micro Healthcare Entrepreneurship (MHE) model. The MHE model comprises four primary components: (1) utilization of local human resources, (2) disruptive healthcare technology, (3) continuous training, and (4) available funds. Extensive testing of the digital health and social business elements across diverse contexts underscores their efficacy. Furthermore, the viability of social business funds has been established. To solicit feedback and refine the MHE concept, three workshops, conducted in phases, engaged 60 community healthcare service providers. This paper elucidates both the potential advantages and the challenges inherent in implementing the MHE model. By shifting the paradigm toward grassroots empowerment and leveraging existing community assets, this approach offers promise in advancing healthcare accessibility and sustainability in resource-constrained settings to achieve UHC.

International Diabetes Federation Position Statement on the 1-hour post-load plasma glucose for the diagnosis of intermediate hyperglycaemia and type 2 diabetes

Many individuals with intermediate hyperglycaemia (IH), including impaired fasting glycaemia (IFG) and impaired glucose tolerance (IGT), as presently defined, will progress to type 2 diabetes (T2D). There is confirmatory evidence that T2D can be prevented by lifestyle modification and/or medications, in people with IGT diagnosed by 2-h plasma glucose (PG) during a 75-gram oral glucose tolerance test (OGTT). Over the last 40 years, a wealth of epidemiological data has confirmed the superior value of 1-h plasma glucose (PG) over fasting PG (FPG), glycated haemoglobin (HbA1c) and 2-h PG in populations of different ethnicity, sex and age in predicting diabetes and associated complications including death. Given the relentlessly rising prevalence of diabetes, a more sensitive, practical method is needed to detect people with IH and T2D for early prevention or treatment in the often lengthy trajectory to T2D and its complications. The International Diabetes Federation (IDF) Position Statement reviews findings that the 1-h post-load PG ≥ 155 mg/dL (8.6 mmol/L) in people with normal glucose tolerance (NGT) during an OGTT is highly predictive for detecting progression to T2D, micro- and macrovascular complications, obstructive sleep apnoea, cystic fibrosis-related diabetes mellitus, metabolic dysfunction-associated steatotic liver disease, and mortality in individuals with risk factors. The 1-h PG of 209 mg/dL (11.6 mmol/L) is also diagnostic of T2D. Importantly, the 1-h PG cut points for diagnosing IH and T2D can be detected earlier than the recommended 2-h PG thresholds. Taken together, the 1-h PG provides an opportunity to avoid misclassification of glycaemic status if FPG or HbA1c alone are used. The 1-h PG also allows early detection of high-risk people for intervention to prevent progression to T2D which will benefit the sizeable and growing population of individuals at increased risk of T2D. Using a 1-h OGTT, subsequent to screening with a non-laboratory diabetes risk tool, and intervening early will favourably impact the global diabetes epidemic. Health services should consider developing a policy for screening for IH based on local human and technical resources. People with a 1-h PG ≥ 155 mg/dL (8.6 mmol/L) are considered to have IH and should be prescribed lifestyle intervention and referred to a diabetes prevention program. People with a 1-h PG ≥ 209 mg/dL (11.6 mmol/L) are considered to have T2D and should have a repeat test to confirm the diagnosis of T2D and then referred for further evaluation and treatment. The substantive data presented in the Position Statement provides strong evidence for redefining current diagnostic criteria for IH and T2D by adding the 1-h PG.

CIPP모형에 기반한 교육복지정책의 성과평가

Objectives This study aims to assess the effectiveness of educational welfare projects and suggest strategies for enhancing educational welfare policies.
 Methods The study employed the CIPP (Context, Input, Process, Product) evaluation model to evaluate the op-erational procedures and outcomes of educational welfare projects.
 Results The evaluation covered various aspects, including local government support, schools, student involve-ment, public relations, networks, material and human resources, program planning and implementation, intra- and inter-school collaboration, program content, case management, network effectiveness, student progress, and overall satisfaction.
 Conclusions The study's findings offer a comprehensive insight into the performance and potential areas for en-hancement in educational welfare projects. The conclusions and recommendations provide essential insights for developing educational welfare policies.

Tantangan Pendampingan Kepariwisataan Di Masyarakat Baduy

Challenges of Tourism Assistance in the Baduy Community The sustainability of rural tourism management is, among other things, determined by the ability of managers to autonomously govern their tourism. This means that the managers need to have clear guidelines to be accepted by all parties. It seems that not all tourism managers possess the necessary skills in tourism management. For instance, in Baduy, Kanekes Village, Lebak Regency, West Java, the bustling tourism that has been ongoing in Baduy has not significantly benefited its residents and environment. Some challenges faced include the suboptimal performance of local institutions with the legitimacy to regulate tourism activities, a high dependency on tour packages from external parties, and numerous external guides bringing tourists to Baduy. The environmental impacts caused by tourism and limitations in skills and human resource capacity also contribute to the challenges. This article was developed from a mentoring process conducted using a participatory action research approach. Specifically, the article aims to explain the techniques and mentoring processes conducted while highlighting the challenges encountered when assisting the Saba Budaya Baduy managers. As a result, various tourism training needs have been provided to ensure the readiness of local human resources. Post-training, mentoring continues to address challenges in implementing the training program. Mentoring challenges in the Baduy community require the mentoring team to understand the cultural values that are still maintained amidst modernity. Skills and abilities in communication with a cultural approach are essential to ensure that both physical and non-physical mentoring programs are fully accepted by the Baduy residents. The stages of tourism mentoring in indigenous communities require a continuous process to ensure that the Baduy residents have more sovereignty in tourism management.

State and NGO coproduction of health care in the Gran Chaco

The collaboration between state and civil society in the delivery of public services is paramount to sustainable and participatory development in rural areas with marginalized populations. Previous research identified complementarity and embeddedness as two essential features of successful coproduction. However, most of the literature on coproduction studies users and providers who share the same language and culture, even if power asymmetries are high. We combine the literatures on non-state social welfare provision and on coproduction to analyze a collaboration between states and non-governmental organizations (NGOs) in multicultural and multilingual contexts. In such contexts, we argue, embeddedness requires not only language interpreters but also intercultural policies and training, without which the benefits of coproduction are lost in translation.Our study is based on a recent collaboration between the states of Argentina, Bolivia, and Paraguay and two health care NGOs that provide prenatal care to women in the Gran Chaco. In this region, a large portion of the population is Indigenous and maternal and infant mortality are high. Based on participant observation and in-depth interviews, combined with observational data, we analyze the experiences of public health care providers and NGO doctors involved in the intervention. We evaluate if there is complementarity between the state and the NGOs regarding access to preventive health care, diagnosis and treatment, and human resources in the health sector. Finally, we analyze whether state or NGO actors are embedded in local civil society or Indigenous communities. We find that this medical intervention significantly improves access to and delivery of health care to pregnant women, and promotes attention to neglected diseases such as Chagas. It also improves local human resources in the health sector. Despite these benefits, it lacks an intercultural approach to health care, limiting its potential, but also opening new opportunities for future research and practice.

A Bad Commute: Travel Time to Work Predicts Teacher Turnover and Other Workplace Outcomes

Research suggests that longer commute times may increase employee turnover probabilities by increasing stress and reducing job attachment and embeddedness. Using administrative data from a midsized urban school district, we test whether teachers with longer commute times are more likely to transfer schools or exit the district. Both descriptively and in regression results employing multiple fixed effects, we find that teachers with longer commutes are more likely to transfer schools within the district. Regression results show that each 5-minute increase in one-way commute time predicts an increase in transfer probability of 0.8 to 1.0 percentage points over most of the commute time distribution. We also find evidence that teachers with the longest commutes (i.e., 40+ minutes each way) have higher district exit probabilities. Moreover, teachers with longer commute times are absent from work more frequently and receive lower observation ratings. We discuss potential implications for local human resources policy and practice.

Categorizing Indian states based on operating condition of photovoltaic system

Electricity generation of a photovoltaic (PV) module is primarily affected by local weather conditions, which vary significantly across vast geographic areas. This work introduces an approach to categorize Indian states based on outdoor operating conditions of PV modules that influence performance and reliability. Module temperature and irradiance are the two most important parameters which affect PV performance. Relative humidity (RH), module temperature, and global horizontal irradiance (GHI) are the three most important parameters that affect PV reliability. In this work, the PV module's most frequent operating condition (MFOC) of temperature and irradiance corresponding to maximum energy production has been analyzed for dominant PV technology (multi-crystalline silicon). Data from various sites across India were analyzed and subsequently grouped by state as PV installation decisions are generally based on state-level factors, such as state business policies, incentives, availability of local human resources, state power policies, etc. The MFOC method used in this work was supported by experimental results. Based on estimated states' MFOC, PV module output power has been obtained and compared with its rated power. Further in this work, major stressors affecting PV modules namely average RH, module temperature, and total annual GHI have been analyzed for different Indian states. Based on these specific stressors, states with similar stressor patterns have been grouped by the k-means clustering method. Results of MFOC estimation show potential for additional standardization methods to estimate PV system performance accurately. Statistical analysis of stressors highlights the importance of selecting PV technology modules carefully.

혁신도시 이전 공공기관의 지역발전사업 투자특성에 관한 연구

The purpose of this study is to analyze the details and investment scale of regional development projects carried out by public institutions relocating in innovative cities to identify regional characteristics and the cause of regional gaps. To this end, the characteristics of regional development projects were analyzed targeting 63 public institutions that moved to 10 innovative cities nationwide. As a result of the analysis, first, the total investment in regional development projects was cut in the order of public enterprises, quasi-governmental institutions, and other public institutions, and statistically, there were differences between groups. Second, the size of investment in the field of regional industrial development was highly correlated with the sales variable among the size characteristics of public institutions, and the priority purchase of local goods had the highest correlation with the number of employees in all three types of public institutions. In particular, it was analyzed that local talent development projects and resident support projects showed a low correlation with institutional size variables in all types of public institutions. This suggests that the system needs to be improved so that public institutions with larger assets and higher sales can promote investment in the field. Finally, it was analyzed that public institutions that are highly related to regional specialized industries have invested more than local industries and human resources development. This could lead to policy implications that the connection between the work of public institutions and local industries should be considered first when additional public institutions are relocated in the future, and that local government-level industrial promotion policies should be carried out to strengthen the connection between public institutions and regional specialized industries that have completed the relocation.

Multi-stakeholder Collaboration In Improving the Quality of Local Human Resources in Super-Priority Tourism Destination Labuan Bajo Manggarai Regency

Objective: This research aims to explore the dynamics of collaboration between stakeholders and the strategies implemented by a combination of stakeholders in improving the quality of local human resources in Labuan Bajo, West Manggarai Regency. Theoretical Framework: Data from the Central Bureau of Statistics for 2021 and 2022 regarding West Manggarai Regency shows a labor force of 158,269, 150,499 employed, and 7,770 unemployed. 4.91% of the people are unemployed. Local human resources who are working: 59% are elementary school graduates,13% are junior high school graduates, 15% are high school graduates, and 13% are University graduates. As many as 64.71% work in the agricultural sector. There are 164 villages, five sub-districts, and 94 tourism villages. Strong collaboration between stakeholders is needed to empower local communities. The right strategy can accelerate the improvement of the quality of local human resources. Realizing a sustainable destination requires the involvement of local communities. Method: This research uses a qualitative method with a case study approach. Data collection techniques were conducted using in-depth interviews, observation, and literature study. The sample selection technique uses purposive sampling. Results: Stakeholders empowering local communities are academics, the tourism industry, NGOs, community groups, central and regional governments, and the media. The challenges faced in stakeholder collaboration are a lack of understanding of the concept of sustainable super premium tourism destination, the pros and cons between stakeholders regarding tourism development direction policies, and the lack of digital infrastructure in villages. The joint stakeholder strategy in building local human resources is implemented by strengthening local human resources to improve the economy, strengthening local human resources through education and training, building local human resources to care about the environment and culture, empowering human resources in tourism villages, and strengthening human resources in the Regional Government and Komodo National Park Center. Conclusion: Labuan Bajo Flores Tourism Authority (BPOLBP) is the leading actor in building stakeholder collaboration. Strong collaboration between stakeholders and the right strategy is needed to improve the quality of human resources. The involvement of local human resources helps the sustainability of tourist destinations. Originality/Value: The unique value of this research is 1). Strong involvement of central government in empowering local communities. 2). A joint stakeholder strategy to improve the quality of local human resources to participate in the development of premium tourism.

Situated between headquarters and local environment: local managers’ scope for action in training activities

PurposeThe purpose of this paper is to explore the scope for action of local human resource managers, who are employed in foreign subsidiaries of multinational companies (MNCs), for implementing training activities. These managers are situated in relationships to headquarters and the local environment. Related to this is the question whether MNCs contribute to the local skill base by implementing training activities or whether they exploit the existing skill formation system.Design/methodology/approachThis study focusses on German subsidiaries of MNCs with headquarters in the USA and the UK, France, China and Japan. The study is based on 107 expert interviews with subsidiary managers and representatives of local stakeholder organisations, such as educational organisations, chambers, economic promotion agencies and governmental bodies in Germany.FindingsThe study reveals that headquarters introduce general schemes for training. In addition to these MNC-internal trainings, local managers use their information advantage over headquarters to implement dual training activities.Research limitations/implicationsThe training activities of subsidiaries are dependent on the institutional settings of the host country.Practical implicationsAlbeit dual training activities are laborious and tie the local managers down for the medium and long term, the future need of the subsidiary for adequately skilled workforce prompts local managers’ engagement in implementing dual training activities.Social implicationsSubsidiaries contribute to the local skill base and do not act in a free-rider position, at least in the German variety of capitalism.Originality/valueThe study deepens insights on distanced relations within and how subsidiaries generate scope for action by using this kind of relationships.

Abstract 12134: The Utilization Rate of Intravenous Thrombolysis in Asian Countries: A Systematic Review and Meta-Analysis

Introduction: Even though IV thrombolysis has been used for more than two decades, coverage remains inadequate. Asia, the region with the highest age-standardized incidence of ischemic stroke, has no regional data on IVT utilization at present. Objective: This study aimed to provide more accurate estimates of IVT usage for AIS in Asia. Methods: We performed a systematic literature search using PubMed, Embase, and Scopus for relevant articles from inception until 15th March 2023. Results: A total of 67 observational studies with a total of 778,046 patients with ischemic stroke were included in the final analysis. In terms of regional distribution of studies, East Asia was the most common (n=12), followed closely by Arab (n=18), Southeast Asia (n=15), South Asia (n=12) and lastly Central and North Asia (n=2). In terms of the income level stratified by GDP of these countries, 35.8 % of them were classified as high-income countries, 40.3% were of lower-middle income countries and the rest (23.9%) being upper-middle-income countries. Our pooled analysis of 67 Asian studies revealed an IV thrombolysis rate of 9.1%. We discovered substantial variation in the thrombolysis rate across Asia, with 11.3% receiving thrombolysis in HIC countries and only 8.1% in LMICs; far below the American Stroke Association's target rate of 50%. Conclusion: Patients with ischemic stroke in HIC countries, countries/hospitals with their own guidelines/protocols, living in urban areas, and receiving care in hospitals with a public-private partnership are more likely to receive thrombolysis, according to our findings. Improving thrombolysis rates throughout Asia would be greatly aided by reducing prehospital and hospital delays, enhancing local infrastructure and human resources, and educating the public about stroke.