Compliance Monitoring Research Articles

Use of thermal imaging to measure the quality of hand hygiene

Hand hygiene has long been promoted as the most effective way to prevent the transmission of infection. However, due to low compliance and low quality of hand hygiene reported in previous studies, constant monitoring of hand hygiene compliance and quality among healthcare workers is crucial. This study investigated the feasibility of using a thermal camera with an RGB camera to detect hand coverage of alcohol-based formulation, thereby monitoring the quality of hand rubbing. In total, 32 participants were recruited to participate in this study. Participants were required to perform four types of hand rubbing to achieve different coverage of the alcohol-based formulation. After each task, participants' hands were photographed under a thermal camera and an RGB camera, while an ultraviolet (UV) test was used to provide the ground truth of hand coverage of alcohol-based formulation. U-Net was used to segment areas exposed to alcohol-based formulation from thermal images, and system performance was evaluated by comparing differences in coverage between thermal images and UV images in terms of accuracy and Dice coefficient. This system found promising results in terms of accuracy (93.5%) and Dice coefficient (87.1%) when observations took place 10s after hand rubbing. At 60s after hand rubbing, accuracy and Dice coefficient were 92.4% and 85.7%. Thermal imaging has potential for accurate, constant and systematic monitoring of the quality of hand hygiene.

Investigating potential drivers of increased central-line–associated bloodstream infections during the SARS-CoV-2 omicron-variant surge

Background: Central-line–associated bloodstream infection (CLABSI) rates increased nationally during COVID-19, the drivers of which are still being characterized in the literature. CLABSI rates doubled during the SARS-CoV-2 omicron-variant surge at our rural academic medical center. We sought to identify potential drivers of CLABSIs by comparing period- and patient-specific characteristics of this COVID-19 surge to a historical control period. Methods: We defined the study period as the time of highest COVID-19 burden at our hospital (July 2021–June 2022) and the control period as the previous 2 years (July 2019–June 2021). We compared NHSN CLABSI standardized infection ratios (SIRs), central-line standardized utilization ratios (SURs), completion of practice evaluation tools (PETs) for monitoring of central-line bundle compliance, and proportions of traveling nurses. We performed chart reviews to determine patient-specific characteristics of NHSN CLABSIs during these periods, including demographics, comorbidities, central-line characteristics and care, and microbiology. Results: The CLABSI SIR was significantly higher during the study period than the control period (0.89 vs 0.52; P = .03); the SUR was significantly higher during the study period (1.08 vs 1.02; P < .01); the PET completion per 100 central-line days was significantly lower during the study period (23.0 vs 31.5; P < .01); and the proportion of traveling nurses was significantly higher during the study period (0.20 vs 0.08; P < .01) (Fig. 1). Patients with NHSN CLABSIs during the study period were more likely to have a history of COVID-19 (27% vs 3%; P = .01) and were more likely to receive a higher level of care (60% vs 27%; P = .02). During the study period, more patients had multilumen catheters (87% vs 61%; P = .04). The type of catheter, catheter care (ie, dressing changes and chlorhexidine bathing), catheter duration before CLABSI, and associated microbiology were similar between the study and control periods (Table 1). Conclusions: During the SARS-CoV-2 omicron-variant surge, the increase in CLABSIs at our hospital was significantly associated with increased central-line utilization, decreased PET completion, and increased proportion of traveling nurses. Critical illness and multilumen catheters were significant patient-specific factors that differed between CLABSIs from the study and control periods. We did not observe differences in catheter type, duration, or catheter care. Our study highlights key modifiable risk factors for CLABSI reduction. These findings may be surrogates for other difficult-to-measure challenges related to the culture of safety during a global pandemic, such as staff education related to infection prevention and daily review of central-line necessity.Disclosures: None

The Carbon Kuznets Curve in Africa: Do Energy Consumption and Governance Really Matter?

ABSTRACT: African countries suffer from the negative effects of climate change more severely compared to other continents, despite contributing only a small fraction of the global carbon emissions. This is attributed to at least three factors. First, Africa relies heavily on solid fuel energy sources to meet its socioeconomic needs. The use of solid fuels is associated with heavy pollution, which exposes the population to significant health risks. Second, environmental policy is less successful on the continent owing to the uncertainty caused by a lack of understanding of the scope of the environmental problem. Third, the African continent has become heedless about the consequences of climate change in its ambition for further growth to catch up with the rest of the world. In this study, we examined the roles of energy consumption and governance in explaining the carbon Kuznets curve hypothesis in African countries from 1995 to 2019. The empirical evidence provided is based on second-generation time-series analysis that accounts for cross-sectional dependency among the assessed factors. Specifically, the Westerlund cointegration approach, Cross-sectional Autoregressive Distributed Lag (CS-ARDL) simulation, Augmented Mean Group (AMG) method, and Dumitrescu and Hurlin heterogeneous panel causality tests were implemented. Together, these results confirm the validity of the CKC hypothesis for Africa. The mechanisms through which economic growth affects carbon emissions have been identified as energy consumption and governance. While it is possible to achieve a significant reduction in carbon emissions in Africa using environmental policy, there is a need to sacrifice growth to achieve desirable environmental quality. Governance arrangements need to be transparent and accountability regarding carbon regulations needs to be taken seriously. Promoting sustainable growth across Africa is important because it holds the key to accelerating global action. We recommend effective regulatory compliance monitoring and enforcement while reducing carbon emissions and advancing sustainable development through energy transitions.

Proactive outcome monitoring and standardisation of physiotherapy stroke rehabilitation- A retrospective functional outcomes analysis of Accelerated Stroke Ambulation Programme (ASAP).

A clinical quality improvement programme named Accelerated Stroke Ambulation Programme (ASAP) was piloted in Physiotherapy Department of Tai Po Hospital from 1st October 2019 to 30th September 2020 and executed as a standard practice afterwards. The goal of ASAP was to facilitate early maximal walking ability of stroke patients in early rehabilitation phase. ASAP featured (1) proactive outcome monitoring and standardised process compliance monitoring by a patient database - Stroke Registry; (2) standardised mobility prediction by Reference Modified Rivermead Mobility Index (MRMI) Gain and (3) standardised intervention database - Stroke Treatment Library. To investigate the effectiveness of ASAP in an inpatient rehabilitation setting for stroke patients in terms of functional outcomes. The design was a retrospective comparative study to analyse the difference in functional outcomes of Pre-ASAP Group (1st October 2018 - 30th September 2019) and Post-ASAP Group (1st October 2020-30th September 2021). The primary outcome measures were MRMI, Berg's Balance Scale (BBS), Modified Barthel Index (MBI), MRMI Gain, BBS Gain, MBI Gain, MRMI Efficiency, BBS Efficiency and MBI Efficiency. There 348 subjects in Pre-ASAP Group and 281 subjects in Post-ASAP Group. Both groups had highly significant within-group improvement in MRMI, BBS and MBI (). The MRMI Gain of Pre-ASAP Group and Post-ASAP Group was 6.32 and 7.42, respectively; and the difference was significant (). The BBS Gain of Pre-ASAP Group and Post-ASAP Group was 8.17 and 9.70, respectively; and the difference was in margin of significance (). The MBI Gain of Pre-ASAP Group and Post-ASAP Group was 10.69 and 11.96, respectively; but the difference was non-significant (). The MRMI Efficiency, BBS Efficiency and MBI Efficiency of Post-ASAP Group were higher than Pre-ASAP Group but the difference was non-significant. The results of this study reflected that stroke rehabilitation programme with proactive outcome monitoring, standardised process compliance monitoring, standardised mobility prediction and standardised intervention database was practical in real clinical practice with better functional outcomes than traditional physiotherapy practice which were dominated by personal preference and experience of therapists. Proactive outcome monitoring, standardised process compliance monitoring, standardised mobility prediction and standardised intervention database may enhance the effectiveness in terms of functional outcomes of stroke rehabilitation programme.

Monitoring the Transition Requirements of the Individuals With Disabilities Education Act: A Critique and a Proposal to Expand the Performance Indicators

Despite extensive transition provisions in the Individuals with Disabilities Education Act (IDEA), the post-school outcomes for students with disabilities continue to be disappointing. The IDEA designated those transition provisions as priority targets for federal and state compliance monitoring to assure that schools are attaining the goal of successful post-school transition for students with disabilities. Yet, we question if the compliance monitoring approach, indicator targets, and data collection requirements are appropriate and adequate to gauge post-school success. We provide a critical examination of the transition performance monitoring indicators and propose recommendations for policy and praxis, including culturally responsive data disaggregation by ethnicity and race. These policy proposals, coupled with effective preservice and inservice professional development praxis, will enhance successful transition outcomes for students with disabilities.

Sazgar IoT: A Device-Centric IoT Framework and Approximation Technique for Efficient and Scalable IoT Data Processing.

The Internet of Things (IoT) plays a fundamental role in monitoring applications; however, existing approaches relying on cloud and edge-based IoT data analysis encounter issues such as network delays and high costs, which can adversely impact time-sensitive applications. To address these challenges, this paper proposes an IoT framework called Sazgar IoT. Unlike existing solutions, Sazgar IoT leverages only IoT devices and IoT data analysis approximation techniques to meet the time-bounds of time-sensitive IoT applications. In this framework, the computing resources onboard the IoT devices are utilised to process the data analysis tasks of each time-sensitive IoT application. This eliminates the network delays associated with transferring large volumes of high-velocity IoT data to cloud or edge computers. To ensure that each task meets its application-specific time-bound and accuracy requirements, we employ approximation techniques for the data analysis tasks of time-sensitive IoT applications. These techniques take into account the available computing resources and optimise the processing accordingly. To evaluate the effectiveness of Sazgar IoT, experimental validation has been conducted. The results demonstrate that the framework successfully meets the time-bound and accuracy requirements of the COVID-19 citizen compliance monitoring application by effectively utilising the available IoT devices. The experimental validation further confirms that Sazgar IoT is an efficient and scalable solution for IoT data processing, addressing existing network delay issues for time-sensitive applications and significantly reducing the cost related to cloud and edge computing devices procurement, deployment, and maintenance.

The Idealization of Infant Formula: A Longitudinal Analysis of Labels in Uruguay.

Labels are a key element of the marketing strategies of infant formula companies, and often include text or images that idealize their use, undermining efforts to promote breastfeeding. To evaluate the prevalence of marketing cues that idealize infant formula on labels of products commercialized in Uruguay and to assess changes after a periodic monitoring of compliance with the International Code of Marketing of Breast-Milk Substitutes (IC). This study is a descriptive, observational, and longitudinal assessment of the information included on infant formula labels. The first data collection was in 2019, as part of a periodic assessment to monitor the marketing of human-milk substitutes. In 2021, the same products were purchased to evaluate changes in their labels. Thirty-eight products were identified in 2019, of which 33 were still available in 2021. All information available on the labels was analyzed through content analysis. Most products included at least one textual or visual marketing cue idealizing infant formula in both 2019 (n = 30, 91%) and 2021 (n = 29, 88%). This represents a violation of both the IC and national regulations. References to nutritional composition were the most frequent marketing cue, followed by references to child growth and development. No relevant changes were observed after the periodic assessment conducted by the Uruguayan government. Monitoring compliance with the IC per se cannot be expected to trigger changes in the marketing strategies of infant formula companies. More explicit regulations and strong enforcement mechanisms are needed to end the inappropriate marketing practices on infant formula labels.

Examining the performance of three ballast water compliance monitoring devices for quantifying live organisms in both regulated size classes (≥50μm and ≥10-

A number of ballast water compliance monitoring devices (CMDs) have been made commercially available to verify the efficacy of ballast water management systems by quantifying the living organisms for both plankton size classes (≥50μm and ≥10-<50μm). This study aimed to examine whether new CMDs can provide a reliable indication of compliance regarding Regulation D-2 and to evaluate their performance for indicative analysis of organisms by assessing their accuracy (comparison to microscopy) and precision (comparison within measurement). Challenge fresh water samples were collected in four locations of Lake Ontario, Canada, whereas marine challenge water samples were collected around the Bay of Fundy, New Brunswick, Canada. Ballast water samples were collected from ships visiting several ports across Canada. Overall, accuracy was higher (>80%) in estimating organisms from prepared-challenge water (Ballast Eye and BallastWISE) than from ballast water samples (>70%) (B-QUA only). The sensitivity ranged from 50 to 100% for the ≥50μm organism size class, whereas for the ≥10-<50μm organism size class, it was higher for freshwater samples (>75%) than for marine samples (>50%). The performance of CMDs should be assessed under real-world conditions for a better understanding and to improve their use.

BELL'S PALSY IN PREGNANCY AND PUERPERIUM: A CASE REPORT

Bell's Palsy is an idiopathic facial nerve palsy and also the most common cause of facial nerve palsy. It's incidence is 17/100,000 population per year in women of child bearing age group(WCBA). We, hereby present a case of 26 year old gravida 2, para 1, living 1 with 35 weeks of gestation who presented with gradual onset of facial weakness and few other complaints which after thorough examination were suggestive of Bell's palsy in a case of pre eclampsia. Patient was later posted for C-section at 36 weeks for scar tenderness. In the post operative period patient was on steroids for persistent facial nerve palsy but the patient landed in an unusual complication due to on going steroids as she had failed to follow up. Patient was taken up for exploratory laparotomy, patient tolerated the procedure well and went home on POD-42. Amongst the medications used in this patient for Bell's palsy, we saw that steroids could thus act as a double edged sword and thus close monitoring, follow up and patient compliance is equally important

Proposed Drinking Water Standards for PFAS

Proposed Drinking Water Standards for PFAS

PO-03-078 IS BLUETOOTH HOME MONITORING REALLY THE BEST OPTION FOR AN URBAN POPULATION?

CIED companies are developing Bluetooth (BT) technology for remote monitoring & are advertising adherence rate as high as 95%. For Medtronic (MDT) BT compatible CIEDs, the patient has the option of choosing BT or traditional RF monitor. For Abbott (ABT) BT devices the patient must use a BT monitor- either their own or an ABT provided smart phone. Describe remote monitoring compliance in a real world urban population. Patients implanted with MDT or ABT CIED between 8/1/2020 and 6/1/2022 were reviewed. Demographics, remote follow-up compliance, & device specific information was collected. Categorical variables were compared using Chi-squared test, continuous variable using student T-test. We excluded patients who did not receive a monitor due to supply chain issues. Data is presented in Figure 1. Pairing and providing a traditional monitor at the time of implant had the highest compliance, as is done with ABT CIEDs (ABT PM 95.8% & ABT ICD 93.2% transmissions received). Patients implanted with CIEDs that require BT (ABT ICD) using either their own or company provided smart device had the second-best compliance 86.2%. When the only option is BT, data showed older and non-English speaking patients had lower compliance. Patients with a CIED capable of either BT or traditional monitor (MDT PMs & ICDs), who are given a traditional monitor had follow up 76% PM and 81.6% ICD, & BT had follow up 85% PM and 72.7% ICD. When patients are given the opportunity to decide which type of monitor they are more comfortable with, the compliance was better with BT. Older & non-English speaking patients were less likely to have BT capabilities. With the increasing prevalence of smart phones, many patients already own a BT capable device. BT monitoring, however, requires Wi-Fi or cellular data access in order to transmit; as opposed to traditional monitors that use cellular network. BT must remain on at all times & the app must remain open, resulting in battery depletion. If the monitoring app is closed or BT/Wi-Fi turned off transmissions will not be sent. In our urban clinic many patients do not have access to a smart phone or iPad with BT technology. Even if the company provides a BT enabled monitor, some patients are uncomfortable, hesitant, or fear the device will be stolen. Our data showed pairing & providing a traditional monitor at implant or allowing the patient to decide monitor type based on their existing capability results in the improved remote monitoring compliance.

Prohibition of Monopolistic Practices in Business Trials in Indonesia: Reforming on Business Competition Supervisory Commission

Indonesia recognizes the importance of fair competition for economic growth and consumer welfare. To ensure a level playing field, the country has established legislation and regulations that prohibit monopolistic practices and promote healthy competition. Key laws include the Indonesian Anti-Monopoly Law and the Law on Business Competition Supervision and Control. Business trials play a crucial role in enforcing these laws. Courts serve as arbiters in cases involving alleged monopolistic practices, employing thorough examinations of evidence, expert testimonies, and legal arguments presented by the parties involved. The burden of proof rests on the plaintiff, who must demonstrate the existence of anti-competitive behavior and its adverse effects on the market. The Prohibition of Monopolistic Practices in Business Trials in Indonesia encompasses various types of anti-competitive conduct, such as price fixing, market division, and abuse of dominant market position. Violations of these laws can result in significant penalties, including substantial fines, dissolution of companies, and criminal charges for individuals involved. To strengthen the effectiveness of business trials, Indonesia has established regulatory bodies such as the Business Competition Supervisory Commission (KPPU). The KPPU plays a crucial role in investigating alleged violations, providing recommendations to the courts, and monitoring compliance with rulings. Despite the robust legal framework, challenges remain in enforcement. Collaboration between government agencies, the judiciary, and the business community is essential. Additionally, monitoring and updating the legal framework to address evolving market dynamics and emerging forms of anti-competitive practices are necessary.

Assessment of medical staff adherence to infection control measures during the COVID-19 pandemic

The organization of an effective infection control system is one of the main tasks of medical organizations to prevent the occurrence and spread of infections associated with the provision of medical care (ISMP). In connection with the pandemic of the new coronavirus infection (COVID-19) that has engulfed all countries of the world, the problem of ISMP and infection control (IC) in medical organizations has become particularly relevant. The aim of the study was to assess the adherence of medical workers to the principles of IC in the departments for patients with COVID-19 and to determine the occupational risk factors of infection of personnel during the pre-vaccination period of the pandemic. The study included medical workers of «covid» hospital departments (n = 216; age 25–54 years), of which 105 doctors (41.7 %), average medical workers (nurses and nurses) — 111 people (58.3 %). All employees were trained in biological safety and conducting sanitary and anti-epidemic measures with COVID-19 before starting work in the hospital. In most of the staff (114 people, 52.8 ± 8.7 %), the compliance of the IC was assessed as high in the absence of detection of violations of the requirements of infectious safety. The average degree of adherence to IR measures was found in 102 observed medical workers (47.2 ± 9.9 %). In the cohort of medical workers with a high degree of adherence to IR measures, 2 people suffered a new coronavirus infection, which is 1.8 ± 0.5 %, while among the staff with a moderate degree of adherence (n = 102) 10 people (9.8 ± 2.2 %). The difference between the indicators is statistically significant at p &lt; 0.001 and indicates a smaller (5.4 times) number of COVID-19 cases in the cohort of health workers with a high degree of compliance with IR measures. There was no dependence of the degree of adherence of medical personnel to the principles of IC on the age, gender, medical experience and functionality of medical workers. Nosocomial cases of COVID-19 that occurred during monitoring of compliance with the requirements of the IC were characterized by polymorphism of clinical manifestations with leading respiratory syndrome, the presence of mild and moderate forms and the predominance of average medical staff among the sick. Thus, IC in the conditions of global biological threats requires constant, complete and adequate training of medical personnel in various forms, systematic professional development of all personnel on issues of hospital hygiene and infectious occupational safety, including regular annual refresher courses.

Identifying and Analyzing the Impact of Digital Components of Social Media on the Commercialization of Health to Improve Ergonomics

Objectives: It was expected the healthcare system would help to provide better services by taking advantage of the opportunities provided by the expansion of information and communication technology. In some cases, the efforts of service providers or users to increase their interests have resulted in the commercialization of health at the cost of effectiveness and personal well-being. The present study aimed to identify and analyze the impact of digital components of social media on the commercialization of health with the aim of improving ergonomics at macro and cognitive levels. Methods: This applied research was conducted based on a descriptive cross-sectional design. The statistical population included 300 professors of Hamadan University of Medical Sciences, out of whom 169 cases were selected by simple random method. The components were determined by the descriptive method. The questions were analyzed using exploratory factor analysis in SPSS software. The ranking of the components was performed using Friedman's method, and the final model was then presented. Results: The digital components of social media in the commercialization of health include five parts(the health system, medicine, patient, insurance, and healthcare personnel) and 30 sub-components. Conclusion: The digital components related to the health system have the most marked impact on the commercialization of health, highlighting the need to pay attention to the development of social media regulations in the health sector. Common strategies include controlling data availability, building coalitions among health stakeholders with compliance monitoring, using social responsibility laws for digital companies, and promoting self-regulation among stakeholders.

Topical issues of legal regulation of artificial intelligence in the context of the need to ensure national digital sovereignty during the period of sanctions pressure

The article analyzes the potential of using artificial intelligence technologies (hereinafter referred to as AI) for the purpose of reducing or preventing various kinds of risks for domestic business in the face of increasing sanctions pressure from a number of foreign countries, which reached unprecedented proportions after the start of a special military operation in Ukraine. The article discusses aspects related to the use of modern IT solutions by foreign countries for the purposes of monitoring compliance with sanctions legislation in relation to the Russian Federation, as well as ways to inform the domestic business community about the possibility of taking into account restrictive measures taken against it. The approaches to the definition of the concept of digital sovereignty are analyzed and its criteria are formulated. Based on the analysis of regulatory and doctrinal sources, it is shown that AI technologies are inextricably linked with ensuring national digital sovereignty, and the level of legal regulation should meet the demands of the present time.

Contracting the private health sector in Thailand's Universal Health Coverage.

Private sector plays an import role in health service provision, therefore the engagement of private health facilities is important for ensuring access to health services. In Thailand, two of the three public health insurance schemes, Universal Coverage Scheme and Social Health Insurance, contract with private health facilities to fill gaps of public providers for the provision of health services under Universal Health Coverage. The National Health Security Office (NHSO) and Social Security Office (SSO), which manage the schemes respectively, have designed their own contractual agreements for private facilities. We aim to understand the current situation of contracting private health facilities within UHC of the two purchasing agencies. This qualitative descriptive case study was conducted through document review and in-depth interviews with key informants to understand how they contract private primary care facilities, service types, duration of contract, standard and quality requirement and renewal and termination of contracts. Private providers make a small contribution to the service provision in Thailand as a whole but they are important actors in Bangkok. The current approaches used by two purchasers are not adequate in engaging private sector to fill the gap of public provision in urban cities. One important reason is that large private hospitals do not find public contracts financially attractive. NHSO classifies contracts into 3 categories: main contracting units, primary care units, and referral units; while SSO only contracts main contracting units. Both allows subcontracting by the main contractors. Contractual agreements are effective in ensuring mandatory infrastructure and quality standards. Both purchasers have established technical capacities to enforce quality monitoring and financial compliance although there remains room for improvement especially on identifying fraud and taking legal actions. Contracting private healthcare facilities can fill the gap of public healthcare facilities, especially in urban settings. Purchasers need to balance the right level of incentives and accountability measures to ensure access to quality of care. In contracting private-for-profit providers, strong regulatory enforcement and auditing capacities are necessary. Further studies may explore various aspects contracting outcomes including access, equity, quality and efficiency impacts.

An e-learning course to support monitoring of food industry compliance with regulation to promote healthier diets in South-East Asia

An e-learning course to support monitoring of food industry compliance with regulation to promote healthier diets in South-East Asia

Investigating potential drivers of increased central line...associated bloodstream infections during the coronavirus disease 2019 (COVID-19) Omicron surge

Central line...associated bloodstream infection rates increased during the Omicron surge at our rural academic medical center. To identify potential drivers of this increase, we investigated period- and patient-specific factors associated with the increase in central line...associated bloodstream infection. Increased central line utilization, decreased central line bundle compliance monitoring, increased proportion of traveling nurses, increased short-term venous catheter use in the internal jugular vein, increased multilumen catheter use, decreased port...associated infection, and increased patient acuity were significantly associated with the surge. Our results helped us target our local infection prevention efforts.

Capability Analysis of AZ91D Magnesium Alloy Precision Milling Process with Coated Tools.

Process capability analysis is the main tool of statistical process control. It is used for the ongoing monitoring of product compliance with imposed requirements. The main objective and novelty of the study were to determine the capability indices for a precision milling process of AZ91D magnesium alloy. Machining was performed in terms of variable technological parameters and using end mills with protective TiAlN and TiB2 coatings intended for the machining of light metal alloys. The Pp and Ppk process capability indices were determined based on the measurements of the dimensional accuracy of the shaped components that were taken on a machining centre with a workpiece touch probe. Obtained results demonstrated that the type of tool coating and variable machining conditions had a significant impact on the machining effect. The selection of appropriate machining conditions enabled a terrific level of capability to be achieved at a tolerance of 12 µm, several times lower than under unfavourable conditions where the tolerance was up to 120 µm. Improvements in process capability are mainly achieved by adjusting the cutting speed and feed per tooth. It was also shown that process estimation based on improperly selected capability indices might lead to an overestimation of the actual process capability.

Critical Perspectives of NGOs on Voluntary Corporate Environmental Reporting: Thai Public Listed Companies

This study examines the nature of environmental disclosures of Thai public listed companies (PLCs) which operate in environmentally sensitive industries and the factors affecting environmental disclosures as well as the need for a critical perspective from Non-Governmental Organizations (NGOs) on corporate environmental reporting. A semi-structured interview approach was used for 19 interviews to attain critical perspectives of NGOs on environmental reporting. Thematic analysis through the lens of legitimacy theory and stakeholder theory is undertaken to identify themes and patterns that emerged from the study. Findings of this study reveal that the lack of quantity and quality when it comes to corporate environmental reports are serious issues, thus activating civil society’s criticism. Quality issues are dominant for the lack of reliance on voluntary environmental reporting by NGOs. The government’s monitoring and regulatory compliance systems is key, which has been highlighted as another factor. NGOs prefer government information over environmental information reported by companies. There is strong support for third-party verification and assurance to make the reports more reliable and useful. This study adds to the environmental disclosures and reporting literature by providing insights into civil society perspectives on corporate environmental reporting in the context of a developing country—Thailand. It sheds light on how companies can improve their stakeholder management and engagement strategy. It provides recommendations which may be used to inform relevant policy makers in improving Thai disclosure regulation and compliance mechanisms to promote greater monitoring and accountability. It also suggests companies further explore and examine potential technologies to support their reporting.