Multi-stakeholder Analysis Research Articles

Multi-stakeholder analysis of needs, perceptions, and sociocultural influences on multipurpose prevention technologies (MPT) in India

BackgroundTo ensure the acceptability and effectiveness of potential Multipurpose Prevention Technologies (MPTs), understanding user needs, and preferences are crucial to inform the design of MPTs. This article aims to explore the perceptions towards potential MPT use and to explore the needs of multiple stakeholders in India within their social and behavioural contexts.MethodsA qualitative multicentric study was conducted in three Indian states—Maharashtra, Karnataka, and Tamil Nadu. The study involved a total of 222 interviews: 77 in-depth interviews with women, including those from the general population, HIV-positive women, and street and brothel-based Female Sex Workers (FSWs); 84 in-depth interviews with men and 61 key informant interviews were conducted. Three focus group discussions were conducted with FSWs. Interviews explored perceptions of the potential MPTs, needs, and factors that may potentially affect their use and adherence. Interviews and FGDs were transcribed and translated verbatim. Thematic analysis approach was used to analyse the data in NVivo version 8.ResultThe following themes highlight the need and preferences among women for the potential MPT product: 1) Overall perceptions about new MPT, 2) People at high risk need long acting products, 3) Condom versus new MPT: potential of MPT, 4) Women empowerment through MPTs 5) Secrecy and confidentiality 6) Non-stigmatising MPT product positioning.ConclusionSeveral stakeholders in this study expressed their need for new MPTs, but concerns regarding confidentiality, privacy, stigma and, adherence were identified. Besides efficacy, characteristics such as the size, packaging, formulation, and texture of MPTs, should be taken into account when designing the MPT products, also considering the needs of women, specially, female sex workers.

The influence of foreign aid on the landscape of higher education in Ghana: a multi-stakeholder analysis

The influence of foreign aid on the landscape of higher education in Ghana: a multi-stakeholder analysis

Role of green and sustainable practices in shaping the future of medical imaging technology: A cross-sectional multi-stakeholder analysis among students, radiographers, and academic experts

IntroductionThe detection and treatment of diseases like COVID, diabetes, cancer, cardiovascular conditions, etc., have made medical imaging technology more necessary, so it is expected that the demands of imaging modalities are also increasing and are major contributors to carbon emissions in the healthcare industry. Hence, the Radiology departments, like the rest of the healthcare industry should adapt the procedures to become more sustainable. MethodsA total of 1016 respondents completed the online survey to assess the perception, current practices, and challenges in adopting green and sustainable practices in medical imaging. The radio technologists, teaching faculties, and students of medical imaging were recruited for the study. The survey tool was distributed to the closed groups through social media and emails. ResultsThe majority of participants (66.6%) highlighted the importance of green and sustainable practices in medical imaging whereas only 21.06% of participants seem to have implemented these practices. Most of the participants give positive responses on the use of zero-lead aprons (77%), refurbished medical systems (85.8%), and eco-friendly packaging (89.5%). The mixed response was received from waste segregation and energy-saving measures. The majority (60.3%) of them have no formal education or training. However, they have a good attitude towards the willingness to adopt green practices. ConclusionsThere is a gap between perception and implementation of green and sustainable practices due to leadership and information barriers. Comprehensive training for stakeholders of medical imaging is crucial to fully integrate sustainability practices, possibly through webinars or educational modules. Implications for practiceThe study's findings shed light on how important medical imaging stakeholders view green and sustainable practices as well as potential obstacles to their implementation at the local level whilst suggesting the need for exclusive training on these practices to promote sustainability.

Resilience against Catastrophic Cyber Incidents: A Multistakeholder Analysis of Cyber Insurance

Catastrophic cyber incidents—events of low probability but high impact, with the potential to incur billions of dollars in damages—are prompting insurers to elevate premiums, create higher barriers for potential buyers, and tighten policies with exclusions. While these responses of the insurance industry are important to prevent its insolvency during catastrophic incidents due to excessive claims, they lead to a notable gap in market protection. Using a content analysis of multistakeholder comments submitted in response to a Treasury Department Request for Information (RFI), this study seeks to define what constitutes a catastrophic cyber event, identify mitigation strategies, evaluate the current capacity of the cyber insurance sector to handle such incidents, and investigate the potential roles and support mechanisms that the government can provide to enhance the insurance sector’s capacity to manage these extreme risks. This paper is one of the pioneering studies using data and a multistakeholder perspective to provide essential guidance for policymakers, regulators, the insurance industry, and the cybersecurity sector in formulating robust policies and strategies to address catastrophic cyber risks, ultimately enhancing national economic and technological resilience.

Risk factors and service gaps affecting a sustainable work: a qualitative multi-stakeholder analysis in the context of persons with acquired brain injury living in Switzerland

IntroductionAlong with the social and economic challenges posed by an aging society, creating work conditions that allow persons to stay healthy and work into old age has become a major task of Western societies. Retaining employment after returning to work is particularly difficult for individuals with a disability, as evidenced by the high rate of premature labor market dropout. Individuals with acquired brain injury (ABI) exemplify this challenge, as it often impairs cognitive, technical, and interpersonal abilities that are crucial in today’s labor market. To effectively support these individuals, vocational integration practitioners require comprehensive knowledge of risk factors for premature labor market dropout and effective strategies for sustainable work.ObjectiveThis study aimed to identify perceived risk factors and related service gaps regarding sustainable work for people with ABI, as reported by affected individuals, employers, vocational integration professionals, and health professionals.MethodsSecondary data analysis. Data that was originally collected through seven focus groups and two interviews with persons with ABI, 15 interviews with employers, and 13 interviews with vocational integration and health professionals in the context of the project ‘Sustainable employment’ was re-analysed thematically.ResultsTwo major themes of risk factors were identified: (1) person-related factors (including the subthemes: post-ABI impairments; lack of understanding of post-ABI impairments; poor health management) and (2) environment-related factors (including the subthemes: challenges related to the service structure; insufficient knowledge and education about ABI; challenges at the workplace; difficulties in private life). While stakeholders noted the variety of the currently available services, they particularly pointed to the missing long-term monitoring and counseling services for persons with ABI following the initial return-to-work, reflecting a major challenge for sustainable work. An overarching gap related to the fragmentation of the service structure and the lack of case coordination along the working life.ConclusionsMultiple stakeholders emphasized the importance of empowering individuals, ensuring easy access to professional support, and providing a suitable work environment to address key risk factors and facilitate sustainable work for individuals with ABI. Continuous coaching, long-term monitoring and counseling following return-to-work, were identified as potential strategies to achieve these goals.

Multi-Stakeholder Analysis on Tourism Development in Zambales, Philippines

This paper outlined the findings from an empirical investigation to ascertain the differences on the extent of tourism development along with PESTLE factor and how tourism should be sustainably developed as analyzed and perceived by three groups of stakeholders in Zambales: Local Government Unit, Selected Resort Management/customers service office and customers. Based from the findings, the researcher concluded that the three groups of stakeholders such as; Local government unit, management/customer service office and customers/guests, had important contribution for the sustainable tourism development in the province of Zambales. The results of this study provide a better understanding of the perceptions held by tourism stakeholders towards the current state of the tourism industry and how it could be developed holistically. The tourism development in Zambales described as high extent as to political, economic, socio-cultural, technological, legal and environmental factor. The results concluded that tourism development could significantly contribute to economic growth in the province of Zambales through creating new business opportunities to improve standard of living of the community by providing employment. In this regard, in order to improve the current situation of tourism industry, Strategic Development Plan for Sustainable Tourism is proposed. Provincial government of Zambales must design and formulate programs to integrate tourism requirements into all levels of local government unit and would have to take a visionary local government official who has the grit to literally fight for a well-defined and managed tourism industry because it is a chance for municipalities to move up through the help of tourism, yet it requires the cooperation or input of every social and institutional organization such as stakeholders. Therefore, planning for the development of tourism based on sustainable economic development, growth and prosperity of local communities can be effective.

Integrated, Multi-Stakeholder Analysis of Electricity System Structures: Methodology and a Case Study

Historically, investment in power system infrastructure has been modeled from the perspective of individual utilities or a central planner, with limited consideration of the diversity of individual consumers', individual suppliers', and societal objectives, incentives, and actions. However, the actual power system involves a variety of stakeholders with different, and sometimes conflicting, objectives. In this paper, we introduce an integrated methodology for capturing the characteristics and behavior of these multi-stakeholder systems with diverse objectives as well as its implementation in the flexible and extensible Holistic Electricity Model (HEM). HEM was developed to simultaneously analyze the interacting decisions of different stakeholders, whose objectives, decision-making processes, and constraints are all configurable. This approach enables analysts, decision makers, and other stakeholders to directly compare electricity systems in different regulatory and policy environments on a consistent basis. We illustrate HEM's capabilities in a case study of distributed photovoltaics adoption in a stylized bulk power system comprised of natural gas and utility-scale photovoltaic generators. The simultaneous and cross-comparable illustration of multiple key dynamics between stakeholders and how they depend on regulatory and policy environment demonstrates the advantages of the integrated analysis approach embodied in HEM.

Managing environmental sustainability in customer experience processes: A multi-stakeholder analysis within the food delivery ecosystem

PurposeThis paper aims to determine how environmental sustainability (ES) can be integrated into the customer experience (CX). In order to accomplish this, the paper uses a customer journey (CJ) perspective. Speculatively, the paper analyses the experiential stakeholder ecosystem beyond the CJ to verify the obstacles to the implementation of ES.Design/methodology/approachThis paper uses a qualitative analysis of in-depth interviews with multiple stakeholders within the food delivery ecosystem. The multi-stakeholder analysis allows the authors to explore the problem not only from an operational point of view but also from a strategic point of view since in the delivery of a service the value for the end customer is the result of the efforts of several players.FindingsThe results shed light on the importance attributed to ES by the players that make up the food delivery ecosystem. The findings emphasise the importance of an ecosystemic view amongst stakeholders to achieve ES.Originality/valueThis research extends the scarce and embryonic literature on a sustainable CX by applying a CJ perspective, by revealing how and with which touchpoints it is possible to be environmentally sustainable in the design of the CX.

Managerial values and corporate social responsibility practices: multilevel and multistakeholder analysis

PurposeThis study aims to posit that managerial value would be one of the responsible factors for the difference in corporate social responsibility practice among businesses. It then empirically tested the effect of managerial value, with the moderation of organizational culture, on corporate social responsibility practice.Design/methodology/approachThe authors have devised a “moderated micro-macro model” type of multilevel model, wherein managerial value took the micro (individual level) predictor variable role, stakeholder-based corporate social responsibility practice the macro (organizational level) outcome variable role and organizational culture the macro level moderating variable role. Because they need the attention of inquiry, large manufacturing firms in the Amhara region of Ethiopia, with a sample size of 53, constituted the organizational level units. The recent performance of the firms against corporate social responsibility practice and organizational culture have been judged by 473 randomly chosen employees. Managerial value has been rated by randomly picked managers, numbered 253. Analytically, Croon and van Veldhoven’s multilevel analytical package and Mplus software suited the designed model.FindingsThe study has revealed that managerial value, indeed, is a potential positive driver of CSR practice, the two managerial value dimensions demonstrated differential effects on corporate social responsibility practice and only one of the organizational culture dimensions, hierarchical culture, played a moderation role in managerial value – corporate social responsibility practice link.Originality/valueThe model and this empirical test have not been previously verified.

Exploring the dynamics of stakeholders’ perspectives towards planning low-carbon energy transitions: a case of the Nigerian power sector

ABSTRACT This study uses a multi-stakeholder analysis approach to consolidate low-carbon energy planning and facilitate energy transition (ET). To do this, we assess factors that influence ET strategies in the Nigerian power sector. Here we employ both quantitative and qualitative data obtained via well-structured, and concise questionnaires and semi-structured interviews. While our study brings to light a sustainable approach to achieving a low-carbon future, it identified technology, motivation and finance as variables that are significant in accelerating the country’s transition to clean energy. It revealed that prioritising low-interest rate and tax holiday for investors’ of solar energy and consistence expansion in energy efficiency (EE) is pertinent to achieving a sustainable low-carbon future in Nigeria. We conclude that robust policy frameworks that prioritise investment in solar energy and EE through incentivising energy management solutions with appropriate financial tools and fostering active verbal support through advocacy are essential to ET in Nigeria.

Navigating conflict: a cross-sectional study of farmers and pastoralists conflicts in Kilosa, Tanzania

ABSTRACT The Kilosa area of Tanzania has been affected by conflicts between pastoralists and farmers, leading to interferences in daily economic activities in the district. To resolve this growing issue, a study was conducted to establish the underlying causes of conflict and provide alternative and sustainable solutions for resolving disputes in the area. The study employed qualitative methods to investigate the conflicts between farmers and pastoralists. The saturation method was used to draw a sample size of 115 respondents from five villages which were purposively sampled. In-depth interviews and focus groups were conducted with farmers, pastoralists, and governmental officials to gather complete accounts of the causes and effects of these conflicts. Also, a detailed literature review was undertaken to provide theoretical support from previous studies. Multi-stakeholder analysis was emphasised to ensure a complete understanding of the conflict dynamics from multiple perspectives. The study revealed the interrelated factors, which include resource competition, climate change, inadequate land tenure systems, weak governance structures, and poor resource management policies, that intensify conflicts between farmers and pastoralists. Therefore, the proposed conflict resolution mechanism includes proper land use plans, diversification of their economies, peace-building committees, embracing good governance, and frequency of police patrol in conflict-prone areas.

A study on disruption to recovery in business school of India during COVID-19 using appreciative inquiry approach from a multi-stakeholder perspective

Business schools need to revisit, reflect and re-align to the new normal. The paper makes an attempt to identify the measures for institutional continuity taken by a leading private business school of India. A multi-stakeholder analysis was used to understand the intricacies of 'trilemma' (Admission-Teaching & Learning-Placement) of business education. An Appreciative Inquiry (AI) approach was implemented in the study. A series of 'Brainstorming' sessions were held in the virtual mode involving participants from various stakeholder groups, woven around the 5D approach of Appreciative Inquiry. The study gives an insight to the apprehensions and concerns of the different stakeholders related to the 'trilemma'. The over-arching schema for successful mitigation strategies implementation has been proposed. Research on micro-level measures to reposition management education in the new normal is scarce. The study uncovers the challenges and redundancies due to the abrupt shift and details synergetic and dynamic interventions for their mitigation.

РАЗВИТИЕ ПОЛИТИКИ ЕВРОПЕЙСКОГО СОЮЗА ПО ПРОТИВОДЕЙСТВИЮ ДЕЗИНФОРМАЦИИ СКВОЗЬ ПРИЗМУ МУЛЬТИСТЕЙКХОЛДЕРНОГО ПОДХОДА

The ongoing transformation of the digital space has modified the threat of online disinformation. Various actors search for the ways to mitigate its negative impact. This article examines the counter disinformation actions of the European Union. These actions rely on the cooperation of the EU institutions with civil society and online platforms. The goal of this study is to assess the involvement of various stakeholders in the process of countering disinformation through the analysis of the existing EU programs and strategies. The article studies the evolution of the EU’s policy and is based on a multistakeholder analysis of the disinformation-countering process. The study revealed the EU’sstrong reliance on civilsociety and platforms, as well as a lack oftransparent mechanisms to monitor the implementation of the adopted plans and strategies. The EU externalizes the threat and places excessive emphasis on the self-control of platforms. Yet, the negative impact of disinformation on society becomes recognized in the related EU policies (cybersecurity, education, etc.). This article illustrates important experience and indicates the EU’s strategic vision in tackling disinformation.

Barriers and facilitators for access and utilization of reproductive and sexual health services among Female Sex Workers in urban and rural Maharashtra, India.

The public health interventions among Female Sex Workers (FSWs) have mainly addressed HIV/ STI prevention. The focus of the HIV prevention program on FSWs' Reproductive and Sexual Health (RSH) has been limited, thus, rendering them at a higher risk of unintended pregnancies, delayed pregnancy detection, and utilizing unsafe abortion methods. A multistakeholder analysis was performed to study access and use of RSH services among FSWs in urban and rural India. Between January 2016 and June 2019, a qualitative grounded theory approach was used to explore the FSWs' perspectives and experiences about services pertaining to HIV prevention, Antenatal Care (ANC), child delivery, abortion, and pregnancy prevention. Using purposive and convenience sampling, 29 In-Depth Interviews (IDIs), 2 Focus Group Discussions (FGDs) and 22 Key Informant Interviews (KIIs) were conducted with consenting FSWs and indirect stakeholders, respectively. Verbatim translated data was entered in NVivo12 Software and analyzed inductively. The following themes emerged: (1) Condomless sex, unintended pregnancy, vertical transmission, (2) Signs/ indication used for pregnancy detection causing delay (3) Pregnancy prevention methods used, (4) Pregnancy prevention or AIDS prevention, (5) Legal formalities as a barrier to access RSH, (6) Differential facility preference. Pregnancy prevention is a greater motivation for condom use than HIV prevention among FSWs. Therefore, there is an emerging need to reallocate public health resources and redesign policies to meet the RSH needs of FSWs, especially for the prevention of unintended pregnancies. FSW-focused Information Education Communication (IEC) strategies for RSH service utilization are essential to reduce the burden of unintended pregnancies. The National HIV Targeted Intervention (TI) program needs to include pregnancy testing services and information to non-barrier contraceptive methods. An ambient policy environment calls for examining the need for male involvement in pregnancy, family planning and abortion decisions.

Professionals’ perspectives on how to address persistent oral health inequality among young children: an exploratory multi-stakeholder analysis in a disadvantaged neighbourhood of Amsterdam, the Netherlands

BackgroundOral health promotion interventions have had limited success in reaching families in disadvantaged neighbourhoods resulting in persistent oral health inequality. This qualitative study provides insight into professionals’ perspectives on children’s poor oral health (≤ 4 years), their perceptions of the roles and responsibilities, and opportunities for child oral health promotion strategies.MethodsThirty-Eight professionals from different domains (community, social welfare, general health, dental care, public health, private sector) working in a disadvantaged neighbourhood in Amsterdam, the Netherlands, participated through 24 semi-structured (group) interviews. Transcripts and notes were analysed through thematic analysis.ResultsProfessionals indicate that unhealthy diet, children’s non-compliance, poor parental coping, parental low oral health literacy, parent’s negative attitude, family’s daily struggles, and insufficient emphasis on childhood caries prevention in dental practices, general healthcare and social welfare organisations, underlie poor oral health. They hold parents most responsible for improving young children’s oral health, but recognise that families’ vulnerable living circumstances and lack of social support are important barriers. Interestingly, non-dental professionals acknowledge their beneficial role in child oral health promotion, and dental professionals stress the need for more collaboration.ConclusionA broad child-, parental-, and societal-centred educational communication strategy is perceived as promising. Professionals working within and outside the dental sector acknowledge that local and collective action is needed. This involves a better understanding of family’s complex daily reality. Furthermore, intensifying child oral health knowledge in dental practices is essential in collaboration with families, general health and social welfare organisations.

Participatory Approach to Build Up a Municipal Strategy for Coastal Erosion Mitigation and Adaptation to Climate Change

The Ovar coastline is characterized as one of the coastal areas with the highest vulnerability and risk of erosion in the Portuguese coast. The high-energy coast is further threatened by a permanent sediment deficit of anthropic origin, as well as sea level rise due to climate change. It is essential to define modern coastal adaptation strategies to minimize the impacts of these issues on the local communities, while considering social, environmental, and economic factors. It is in this territory that the INCCA project’s case study is located, involving stakeholders with technical, scientific, and operational knowledge in the co-management of the coastal stretch. In the scope of the involvement intended for the project’s development, five participatory events were held, involving local authorities, civil protection, public entities, academia, and the general community. These events allowed a multidisciplinary and multi-stakeholder analysis of the challenges and possible solutions to mitigate coastal erosion, representing the definition of a shared vision for the coastline’s future in this municipality. This work presents the main results of this participatory process as well as reflections on the importance of active citizenship instruments and stakeholder involvement for integrated coastal management in the 21st century.

A multi-stakeholder analysis of the risks to early school leaving: comparing young peoples’ and educators’ perspectives on five categories of risk

ABSTRACT This paper considers the risks to Early School Leaving (ESL) as perceived by young people who are Early Leavers or at-risk of Early Leaving, and their educators in one region in South England. It draws on 38 interviews and focuses groups with 39 young people and 53 adults working in various roles across 11 educational settings including mainstream and specialist schooling, alternative learning provision and vocational education and training, as well as the local authority. Guided by a holistic framework to examine risks to ESL [Brown et al. (2021. “A Conceptual Framework for Researching the Risks to Early Leaving.” Journal of Education and Work 24 (7–8): 723–739. doi:10.1080/13639080.2021.2003007)], the paper analyses findings according to five different categories of risk: personal challenges; familial circumstances; social relationships; institutional features of school/work and structural factors of policy, economic disadvantage and the educational system. The findings highlight that while educators focused upon structural factors and personal challenges, young people themselves identified social relationships and institutional features of school as the most significant influencers on ESL risk. The contribution of this paper is two-fold; firstly, in presenting a comprehensive analysis of the multiple risk factors to Early Leaving; and secondly, in reflecting on the difference in emphases between young people’s perspectives of the key constituents of risk and those of the educators who support them.

Multi-stakeholder validation of entrustable professional activities for a family medicine care of the elderly residency program: A focus group study

ABSTRACT Entrustable Professional Activities (EPAs) have become widely used within Competency-Based Medical Education (CBME) for the training and evaluation of residents. Little is known about the effectiveness of incorporating multiple stakeholder groups in the validation of EPAs. Here, we seek to validate an EPA framework developed for the University of Manitoba Care of the Elderly Enhanced Skills program using online focus groups consisting of five stakeholder groups. Participants were recruited to take part in one of five online focus groups, one for each stakeholder group (physician faculty, residents, non-physician healthcare professionals, administrators/managers, and patients). Each group met one time for 90 minutes over ZOOM®. The themes arising from stakeholder feedback suggest that successful EPAs must neither be too specific nor too expansive in scope, clearly delineate appropriate means of evaluation, and indicate specific clinical settings in which each EPA should be evaluated. Cross-cutting themes included requiring trainees to collaborate with other professionals when it would optimize patient care, and preparing trainees to advocate for their patients’ health (Advocacy). The present study demonstrates that multi-stakeholder analysis yields diverse feedback that can help make EPAs more clear, easier to use in evaluation, and more socially accountable.

Gender Mainstreaming in Nigeria's 2019 General Elections: Evidence and Perspectives from Kano and Oyo states

Nigeria’s politics have been accused of gender imbalance since independence, and scholarship is replete with discussions of factors responsible for the low level of women’s participation and representation in politics, and women’s poor showing in electoral contests. Most studies of women’s political participation in Nigeria have taken a unidirectional approach of analysing or discussing women’s marginalisation in both appointive and elective offices. This study replaces the unidirectional approach with a multidirectional and multistakeholder analysis of the gender mainstreaming effort in Nigeria’s 2019 general election. With a focus on Kano and Oyo states, we argue that increased gender consciousness has not translated to any significant improvement in women’s representation in politics, thus implying that mainstreaming gender is of no effect if women’s participation in politics does not translate to a substantial representation of women in both number and influence.

City readiness for connected and autonomous vehicles: A multi-stakeholder and multi-criteria analysis through analytic hierarchy process

The past decade has seen a rapid acceleration in investment on and development of connected and autonomous vehicles (CAVs). Cities need to be ready for the mass adoption of CAVs, to harness their benefits and minimise negative impacts. However, currently there are no concrete frameworks and criteria to measure city readiness for CAVs, and existing literature lacks quantitative multi-stakeholder analysis for this multi-stakeholder issue. This study thus aims to contribute to the knowledge gaps by exploring different stakeholders' assessment criteria on cities’ infrastructure readiness, policy and regulation readiness, and citizen readiness for CAVs, using analytic hierarchy process (AHP). Data were collected through an online survey (N = 381) with participants representing three professional and three general public stakeholder groups. The results show that infrastructure readiness was overall considered most important, and there were different opinions between stakeholder groups especially regarding policy and regulation readiness. These differences might be associated with stakeholder groups' expectations on the potential impacts of CAVs. Exchanges of views and concerns between different stakeholder groups are needed to gain a comprehensive understanding of how cities can be best prepared for CAVs.