Policy Opportunities Research Articles

Teaching and AI in the postdigital age: Learning from teachers’ perspectives

This interview-based study aimed to understand how teachers make sense of their work and themselves in relation to artificial intelligence (AI) and other digital technologies, and was conceived as a means of learning with and from teachers. Navigating recent AI developments raised questions about thinking, creativity, production, and the meaning and value of humanity, along with more practical concerns regarding instruction and assessment. Creating policy and ongoing teacher education opportunities that recognize teachers’ capacities for professional judgement while also providing support would encourage thoughtful and creative uses of AI, and avoid pressuring teachers to thoughtlessly rush forward with AI implementation.

A Narrative Review of Congenital Syphilis in the United States: Innovative Perspectives on a Complex Public Health and Medical Disease.

Over the past two decades, congenital syphilis cases have risen 11-fold in the United States. While disparities across geography, race, and ethnicity exist, lack of timely screening or treatment is identified in 88% of cases nationally. Congenital syphilis is a public health and medical problem rooted in systematic and societal structural determinants of health and healthcare limitations. Early syphilis in pregnancy leads to congenital syphilis if untreated in 50 - 70% of cases, with risk for fetal demise, and among survivors, congenital anomalies, organ damage, and central nervous system disease. Prevention of congenital syphilis lies in early detection and treatment in pregnant persons. In this narrative review, we describe the evolving epidemiology of syphilis and congenital syphilis, highlighting unique aspects among women. We explore the role of novel screening and treatment strategies, public health policy, and medical considerations in terms of congenital syphilis prevention. Readers of this review will understand CS as a complex public health and medical disease that can be prevented through innovative and coordinated strategies in public health policy, expanded screening and research opportunities.

Rural Depopulation in the Context of 4.0 Technologies: Opportunities for Sustainability and Innovation Policies

This paper provides a systematic review of the scientific landscape of the interdisciplinary field of rural depopulation studies, considering the potential contribution of Fourth Industrial Revolution technologies or Industry 4.0 to enhance our contemporary understanding and policy approach to facing the complex challenge of rural transitions. Two levels of intersec search are examined: (a) an aggregated conceptual level of rural population studies and (b) a more policy-based level. Blockchain, the Internet of Things, additive manufacturing, and other 4.0 technologies highlight a scientific panorama in which social and sustainable concerns are integrated with the disruptive potential of these technologies.

Perceptions and Cultural Practices of Vaping Among Lesbian, Bisexual, and Queer Women in Australia

Abstract Background The rising prevalence of vaping poses new challenges and opportunities for health policy and public health interventions. Given that, historically, smoking has been more prevalent among lesbian, bisexual, and queer (LBQ) women than other women, this study explores LBQ women’s perceptions and experiences of vaping. Methods Sixty LBQ women and some non-binary people (aged 18–72) participated in in-depth qualitative interviews between May and July 2023, providing insights into the emerging prevalence and nature of vaping within LBQ women’s communities. Thematic analysis techniques were employed to identify key themes, including (1) risk perceptions and social stigma, (2) gendered perceptions of vaping, and (3) experiences of vaping-related harms. Results Results highlight gendered perceptions of vaping among LBQ women, with participants describing vaping as a feminine practice, influenced by flavour choices and the visual aesthetics of vape devices. Despite perceiving vaping as more socially acceptable than smoking, some participants expressed a sense of embarrassment about vaping, while others reported substantial challenges and health concerns. Conclusion Concerns about vaping-related harms, addiction, and the evolving social dynamics of vaping contribute to LBQ women’s engagement with this emerging practice. Understanding these dynamics is crucial for developing targeted harm reduction strategies and support services tailored to LBQ women’s unique needs in the evolving landscape of vaping. Policy Implications Health and social policy may require specific responses to address higher rates of vaping among LGBTQ populations, including LBQ women.

Strengthening implementation of integrated care for small and nutritionally at-risk infants under six months and their mothers: Pre-trial feasibility study.

An integrated care pathway to manage small and nutritionally at-risk infants under 6 months (u6m) and their mothers (MAMI Care Pathway) is consistent with 2023 WHO malnutrition guidelines and is being tested in a randomised controlled trial (RCT) in Ethiopia. To optimise trial implementation, we investigated contextual fit with key local stakeholders. We used scenario-based interviews with 17 health workers and four district managers to explore perceived feasibility. Eighteen policymakers were also surveyed to explore policy coherence, demand, acceptability, evidence needs, opportunities and risks. The Bowen feasibility framework and an access to health care framework were adapted and applied. Health workers perceived the MAMI Care Pathway as feasible to implement with support to access services and provide care. The approach is acceptable, given consistency with national policies, local protocols and potential to improve routine care quality. Demand for more comprehensive, preventive and person-centred outpatient care was driven by concerns about unmet, hidden and costly care burden for health services and families. Inpatient care only for severe wasting treatment is inaccessible and unacceptable. Support for routine and expanded components, especially maternal mental health, is needed for successful implementation. Wider contextual factors may affect implementation fidelity and strength. Policymakers cautiously welcomed the approach, which resonates with national commitments, policies and plans but need evidence on how it can work within varied, complex contexts without further system overstretch. A responsive, pragmatic randomised controlled trial will generate the most useful evidence for policymakers. Findings have informed trial preparation and implementation, including a realist evaluation to contextualise outcomes.

Policy Text AI Mining Study —— A Comparative Analysis Based on U.S., U.K., and Chinese Policies

Artificial Intelligence (AI) has become a key strategic area to enhance national competitiveness globally. We adopts a textual analysis methodology, based on the three-dimensional framework of policy tools and the LDA thematic model, to conduct a systematic analysis and comparative study of the AI policy texts of the United States, the United Kingdom, and China. The study aims to reveal the policy stance, strategic planning, and challenges and opportunities faced by the three countries in the field of AI. Through the analysis, the study identifies the major themes in the policy texts of each country and maps them to the three dimensions of supply, demand, and environment of policy tools. The study finds that the US AI policy focuses on international cooperation, fair civil rights, and innovation ecology; the UK emphasizes ethical governance and legal regulation; and China highlights innovation-driven and smart economy development. In addition, all three countries emphasize building a stable, predictable and innovation-supportive policy environment. The study puts forward a series of comprehensive recommendations, including strengthening international cooperation, balancing innovation and regulation, optimizing a supportive innovation ecosystem, improving the legal system, focusing on talent cultivation, and building an AI innovation alliance. These recommendations aim to promote the healthy development of global AI technologies and maximize their positive contributions to the economy and society.

Access and care for people with opioid use disorder in U.S. skilled nursing facilities: A policy commentary

Referrals for people with opioid use disorder (OUD) to skilled nursing facilities (SNFs) are increasing in the United States (U.S.). Further, legal guidance from the U.S. Department of Justice states that people with OUD cannot be discriminated against by health care institutions because of OUD or treatment with medications for OUD (MOUD). As such, SNFs are an important touchpoint for initiating or continuing MOUD, particularly amid rising drug-related overdose deaths among older adults and because people with OUD experience frailty and other geriatric syndromes at younger chronological ages. Informed by research, clinical expertise, and lived experience, this commentary describes policy and practice opportunities to help address challenges faced by people with OUD in gaining access to care and MOUD in SNFs. We propose opportunities to intervene against barriers that impede SNF placement and access to MOUD for people with OUD, including further revisions to 42 CFR Part 8 regulations to extend waivers for certification as opioid treatment programs (OTPs) to SNFs, allowing them to administer and dispense methadone in the same way as hospitals. If passed, proposed federal changes under the Modernizing Opioid Treatment Act would eliminate the requirement for methadone to be dispensed through OTPs, offering another opportunity to improve access to methadone for SNF residents. Also, we propose national and state-level investment in mobile substance use disorder services and partnerships with OTPs and hospital-based addiction consult services. We also recognize the need for more compassionate attitudes toward people with OUD in healthcare settings and discuss opportunities to address stigma. Although people with OUD are referred to SNFs for skilled care needs and not specifically for OUD care, it is essential for SNFs to be prepared to continue MOUD. It is both legally mandated and imperative that people with OUD have access to high quality and equitable SNF care.

Assessing the Potential of Biomass Power Generation for Renewable Energy Transition in South Papua Province, Indonesia

This study aims to explore the potential for biomass-based power plant to accelerate the development of renewable energy to replace the role of fossil energy in Merauke district, South Papua Province. The method used in this study is, first, to collect data and analyze the load on the grid system and the portion of the energy mix as well as the availability of woody biomass from forest areas by making a simulation of the development of a 2 x 12 MW Biomass Power Plant. Second, by conducting experiments to obtain woodchip conversion, as the fuel of the Biomass Power Plant, from the wood log and conversion from Biomass Power Plant capacity to the required biomass plantation area. The results provide an overview of the big potency for developing biomass-based power generation by utilizing biomass from the local industrial plantation forest and show the energy transition towards energy independence. This study can be useful for policy makers and opportunities for entrepreneurs or suppliers of wood biomass, as well. For the future, in terms of fuel efficiency, it is necessary to reduce the plantation area as a source of biomass for power plants by reducing the moisture content of the woodchip to increase the calorific value and utilizing the forest residue. Furthermore, the comparison cost study between fossil power plant and biomass power plant, as well as the strategy for preserving the plantation to ensure a steady biomass supply is conducted.

A comparative analysis of policies and strategies supporting district heating expansion and decarbonisation in Denmark, Sweden, the Netherlands and the United Kingdom – Lessons for slow adopters of district heating

This paper undertakes a comprehensive comparative analysis of policy challenges and opportunities for the deployment of low-carbon DH. Through literature review and complementary qualitative analysis of interviews with key institutional stakeholders in the heating sector (n= 20) of Denmark, Sweden, the Netherlands, and the UK, the paper draws some important lessons on preconditions for successful roll-out of DH. We find that more governments must create appropriate conditions, provide more support, and speed up actions to enhance the role of DH in heat decarbonisation, to educate, encourage the adoption, and involve citizens, politicians, and other key stakeholders in the heat transition to DH. Amid the current energy price crisis, slow adopters must act fast to develop low-carbon DH networks to ensure the supply of secure, sustainable, and affordable heating sources. They would have to create appropriate conditions to reduce fossil-fuel path dependence, lock-out fossil fuel-based infrastructure and lock-in the diffusion and adoption of low-carbon DH.

Evolving nature-based solutions for Australia’s Indigenous estate in 2024 – opportunities and challenges

Globally, there is growing interest and potential for investment in Nature-based Solutions (NbS) to protect, manage or restore ecosystems through incentive schemes including Payment for Ecosystem Services (PES), Nature Repair, Carbon Markets, Common Asset Trusts. Collectively, these NbS markets establish interchangeable mechanisms to help address biodiversity and climate crises, as well as socio-economic issues concerning many Indigenous Peoples and Local Communities (IPLCs). IPLCs manage and/or own almost 32% of the world’s land area through customary and community-based tenure arrangements. Since 2000 several PES schemes have been implemented in Australia. These schemes have been overwhelmingly implemented as public-good expenditure, with governments providing ~90% of total funding. Indigenous people have either the legal right to run or veto a carbon market or nature repair project over 57% of the Australian land mass, increasing to 63% in savanna and 85% in desert regions. Here we critically assess opportunities and challenges for Australia’s Indigenous estate associated with existing and emerging NbS market approaches, especially the Commonwealth’s current Savanna Fire Management (SFM) and Human Induced Regeneration methods, evolving Integrated Farm & Land Management (IFLM) and Blue Carbon methods, and proposed Nature Repair (NR) market. To date, Indigenous NbS interests have focused especially on SFM across northern Australia, with prospective opportunities especially for IFLM and NR markets. Most available schemes focus on remediation of degraded lands and seas, ignoring cost-effective investment opportunities to maintain habitats and ecosystems in less-degraded condition. Government-supported Common Asset Trusts can provide effective models for governance of stewardship schemes relevant to on-going care for relatively intact ecosystems. In Discussion we summarise key methodological, institutional, and policy opportunities and challenges for constructive Indigenous engagement with developing NbS markets. Our purpose is to provide an Indigenous land and sea management context to inform development of rapidly evolving NbS markets in Australia.

Assessing support for substance use policies among the general public and policy influencers in two Canadian provinces

BackgroundExamining support for substance use policies, including those for harm reduction, among the general public and policy influencers is a fundamental step to map the current policy landscape and leverage policy opportunities. Yet, this is a knowledge gap in Canada. Our paper identifies the level of support for substance use policies in two provinces in Canada and describes how the level of support is associated with intrusiveness and sociodemographic variables.MethodsData came from the 2019 Chronic Disease Prevention Survey. The representative sample included members of the general public (Alberta n = 1648, Manitoba n = 1770) as well as policy influencers (Alberta n = 204, Manitoba n = 98). We measured the level of support for 22 public policies concerning substance use through a 4-point Likert-scale. The Nuffield Council on Bioethics Intervention Ladder framework was applied to assess intrusiveness. We used cumulative link models to run ordinal regressions for identification of explanatory sociodemographic variables.ResultsOverall, there was generally strong support for the policies assessed. The general public in Manitoba was significantly more supportive of policies than its Alberta counterpart. Some differences were found between provinces and samples. For certain substance use policies, there was stronger support among women than men and among those with higher education than those with less education.ConclusionsThe results highlight areas where efforts are needed to increase support from both policy influencers and general public for adoption, implementation, and scaling of substance use policies. Socio-demographic variables related to support for substance use policies may be useful in informing strategies such as knowledge mobilization to advance the policy landscape in Western Canada.

Navigating the Global Marketplace: Indian MSME Integration into Global Supply Chains - Policy Opportunities and Challenges

This study examines the challenges and opportunities that are in the process of incorporating Indian Micro, Small & Medium Enterprises into Global Value Chains. While such GVC participation is likely to enhance the competitiveness of the MSMEs, back economic development, and enhance innovation, effective such integration has several hurdles. Such barriers include lack of technological and financial resources, inadequate skills, regulatory issues, and fair trade and sustainability concerns. The proposed and discussed in this paper challenges includes: gap assessment, recommendations formulation, and legal implementation where more focus is place on Indian traits. These recommendations relate to improving the enabling framework, promoting technological upgrading and innovation, raising skills and human capital, and facilitating GVC participation that is more equitable and environmentally friendly. By focusing on interventions in the above mentioned areas, the Indian policy makers will be able to put in place measures that will foster growth in Indian MSMEs in the global economy which in turn will support broader and more robust economic growth. The research also addresses the questions about the nature of the individual policy measures that are needed, specifics related to sectors, the role of geography, digitalization, and GVC in economic regionalization and growth, etc

Challenges and Opportunities in Nigeria's Renewable Energy Policy and Legislation

Endowed with abundant renewable energy resources, Nigeria stands at a pivotal point in its energy development journey. This study explores the landscape of renewable energy policy and legislation in Nigeria, highlighting the challenges and opportunities that shape the sector. The research begins with an overview of Nigeria's current energy framework, emphasizing the critical role of renewable energy in achieving sustainable development. It examines existing policies and legislative frameworks, identifying the key government agencies responsible and outlining their respective functions. Despite the country's vast potential, numerous barriers impede the growth of renewable energy. These include legal and regulatory inconsistencies, institutional inefficiencies, financial constraints, and technical challenges. The study delves into these issues, providing a comprehensive analysis of how they hinder progress in renewable energy adoption. Conversely, the research identifies significant opportunities to enhance renewable energy policy and legislation including potential legislative reforms, institutional strengthening, financial incentives, and the promotion of technological innovation and infrastructure development. By leveraging these opportunities, Nigeria can create a more robust and conducive environment for renewable energy growth. The study concludes with strategic recommendations for policymakers and stakeholders to bridge the existing gaps and foster a sustainable energy future for Nigeria. It also outlines future research directions aimed at optimizing renewable energy policies and practices. Through this comprehensive analysis, the study aims to contribute to the ongoing discourse on renewable energy in Nigeria, providing insights to guide effective policy-making and legislative action.

Incorporating Easy Language in the ICF: Benefits, opportunities, and challenges

The World Health Organization's International Classification of Functioning, Disability and Health (ICF), the international standard for the description of functioning and disability, completely ignores a specific form of accessible communication despite its potential to improve functioning and reduce disability: Easy Language, a form of standard language with substantially reduced linguistic complexity. Starting with a proposal for how and where Easy Language could be appropriately integrated into the ICF, the commentary then outlines the various benefits and opportunities for social policy that could be associated with doing so. It also notes several potential challenges involved in this process. If used correctly, the integration of Easy Language into the ICF could prove useful for both professional users of the ICF and Easy Language target groups.

The process of developing and implementing health and nursing policy: Implications of research and opportunities to influence.

To provide insight into the process of developing health and nursing policy and how that process can be influenced by both researchers and nursing leaders. Nurses care for people across the life course from birth to death, in our communities, hospitals, care homes and schools. They have unique insight into how people live their lives and how this affects their health. Despite being well placed to influence health policy, nurses often fail to capitalise on this. At the same time, academics often struggle to identify the policy implications of their research resulting in further missed opportunities to use policy influence. Classical policy theory, which is predominantly drawn from economics and public administration together with a range of contemporary nursing and health policy studies, is used in this paper to discuss the policy process and opportunities to influence. Researchers need to focus on realistic policy suggestions that aim to raise awareness, highlight policy problems or set the agenda. In turn, nursing leaders, from National Nursing Associations, need to harness evidence to support their efforts to influence policy. In terms of influence, a range of approaches exist, and each lends itself to different parts of the policy cycle. The role nurses can play in health policy is not well developed in many countries. Nursing researchers and leaders are well placed to influence policy but must do so in a clear and pragmatic way recognising that policymakers make decisions despite being faced with conflicting evidence, competing demands and economic imperatives. Recognising that nurses can offer much in terms of policy development, the paper argues that a pragmatic approach based on different forms of influence at different stages is likely to be most successful. The evidence reviewed in this paper suggests that nursing academics and leaders need to identify realistic policy interventions when examining their own empirical work or identifying ways to individually or collectively influence policymakers.

Policy Recommendations for Coordinated and Sustainable Growth of the Behavioral Health Workforce.

Policy Points Demand for behavioral health services outpaces the capacity of the existing workforce, and the unmet need for behavioral health services is expected to grow. This paper summarizes research and policy evidence demonstrating that the long-standing challenges that impede behavioral health workforce development and retention (i.e., low wages, high workloads, training gaps) are being replicated by growing efforts to expand the workforce through task-sharing delivery to nonspecialist behavioral health providers (e.g., peer specialists, promotores de salud). In this paper, we describe policy opportunities to sustain behavioral health workforce growth to meet demand while supporting fair wages, labor protections, and rigorous training.

Assessing volcanic hazard and exposure in a data poor context: Case study for Ethiopia, Kenya, and Cabo Verde

Volcanoes produce a wide variety of hazards across varying spatial and temporal scales. When data are scarce on past eruptions and hazards, it can falsely imply low hazard recurrence and create challenges for robust hazard and risk assessment. Data quality and quantity vary considerably across different regions, volcanoes, and eruptions. Yet, there is a need for regional to global scale information on volcanic hazard and risk, where consistent and reproducible methods are applied. Such information is used by international stakeholders to inform funding priorities, risk reduction policies, and to highlight data and knowledge gaps, contributing towards the Sendai Framework's Sustainable Development Goals. Challenges in gathering this information can be most problematic where large populations are exposed to potential volcanic hazards but there are few comprehensive eruptive histories, as in sub-Saharan Africa. Here, we present a unique study to evaluate hazard and exposure for nine volcanoes in Ethiopia, Kenya and Cabo Verde, as part of an international project to develop multi-hazard Disaster Risk Country Profiles. We applied a two-stage expert elicitation process to volcanoes for the first time, and coupled the results with vent mapping, numerical hazard modelling, and GIS analysis of eight exposure categories to identify where high volcanic hazard and exposure coincide. Testing the sensitivity of our findings to input assumptions, to better understand where uncertainties lay, showed that improving our knowledge of past eruption volumes, frequencies, and dates was key to reducing uncertainty. Expert elicitations proposed that Fogo, Cabo Verde, is the most likely to erupt (eruption on average every 25 years), while Fentale (Ethiopia), Longonot and Suswa (Kenya) were elicited to have the greatest probability for a large explosive (VEI ≥ 4) eruption (on average every 400 years). Menengai and Longonot produce the larger exposure values across most VEI scenarios and categories of exposure, but population and GDP exposure was also large for more distal tephra fall and flows at Corbetti and Suswa, with order of magnitude increases expected between 2010 estimates and 2050 projections. Potentially high impact scenarios include tephra being dispersed across large cities (e.g. Nairobi, 55 km from Suswa) and key infrastructure (e.g. geothermal power station ∼2.5 km from Aluto), as well as important tourist destinations, seats of government and emergency management operations (e.g. islands east of Fogo). This study provided the first hazard and exposure assessment of its kind for these volcanoes and drew attention to volcanic risk at the levels required to inform policy and future in-country funding opportunities.

Ontological pluralism in Saudi Arabia's sustainable urbanization framing

Drawing on urbanization and counter-urbanization dialogues, this paper analyzes how urbanization shapes urban policy and economic opportunities as a way of understanding the ontological pluralism characterizing urban development in Saudi Arabia. Recent debates on urbanization in the global south frequently overlook the potential contribution of counter-urbanization narrative as many countries are undergoing an unprecedented level of urbanization. We use Saudi Arabian cities as a case study to illustrate how rapid urbanization can occur in an Arabian context without accompanying economic growth by analyzing population census data from 1990, 2000, 2010, and 2020. By looking at urbanization and counter-urbanization processes, the paper shows that these processes are already influencing and shaping urban policy in Saudi Arabia. It then discusses the implications of the urbanization and counter-urbanization processes as defining traits of urban policy, and thereby consolidating theoretic and agentic understandings of urban sustainability.

Potential impacts of spatial restrictions on tobacco retail availability in China: a simulation study in Shanghai

ObjectivesRegulating tobacco retail availability provides promising new opportunities for effective tobacco control. This study simulates the potential impacts of introducing spatial restrictions on the availability of tobacco in Shanghai, the...

Policy Challenges and Opportunities: Migrant Female Entrepreneurs in Northern Europe

The article examines the profound influence of public policies on female migrant entrepreneurship, emphasizing their impact at both local and global levels. Highlighting diverse obstacles faced by female entrepreneurs, including financial constraints, limited knowledge, gender bias, and sociocultural factors, it underscores the pivotal role of governmental support. Specifically, in Northern Europe, gender equality, integration, and entrepreneurship policies are identified as crucial facilitators. Thus, migrant women, facing compounded challenges of gender, ethnicity, and immigration status, encounter barriers to accessing local opportunities. Motivations for entrepreneurship span economic survival, flexibility, and escape from domestic challenges. However, low-tech migrant enterprises often remain overlooked. Women’s business groups and governmental initiatives emerge as vital sources of support, emphasizing the need for tailored policies benefiting female entrepreneurs, especially migrants. The integration of such policies within broader entrepreneurial ecosystems ensures alignment and mutual reinforcement, thus policymakers are urged to recognize and address the distinct needs of female migrant entrepreneurs.