Policy Actions Research Articles

Reducing personal protective equipment waste in the emergency department of a large regional hospital: codesign informed by system science

BackgroundThis study aimed to bring together health workers from an emergency department (ED) and broader health system changemakers to cocreate a system-oriented understanding of the drivers of single-use personal protective...

Landscape analysis of the Kenyan policy on the treatment and prevention of diarrheal disease among under-5 children

ObjectiveDiarrhoea remains a leading cause of morbidity and death among under-5 children in Kenya, despite multipronged policy and programme initiatives to increase access to treatment. This study interrogates the comprehensiveness...

Cancer Care Disparities: Overcoming Barriers to Cancer Control in Low- and Middle-Income Countries.

The rising global burden of cancer disproportionately affects low- and middle-income countries (LMICs), which account for over half of new patients and cancer deaths worldwide. However, LMIC health systems face profound challenges in implementing comprehensive cancer control programs because of limited health care resources and infrastructure. This analytical review explores contemporary evidence on barriers undermining cancer control efforts in resource-constrained LMIC settings. We conducted a comprehensive literature review of peer-reviewed evidence on cancer control challenges and solutions tailored to resource-limited settings. We provide a conceptual framework categorizing these barriers across the cancer care continuum, from raising public awareness to palliative care. We also appraise evidence-based strategies proposed to overcome identified obstacles to cancer control in the published literature, including task-shifting to nonspecialist health workers, strategic prioritization of high-impact interventions, regional collaborations, patient navigation systems, and novel financing mechanisms. Developing strong primary care delivery platforms integrated with specialized oncology care, alongside flexible and resilient health system models tailored to local contexts, will be critical to curb the rising tide of cancer in resource-limited settings. Urgent global commitments and investments are needed to dismantle barriers and expand access to prevention, early detection, diagnosis, treatment, and palliation services for all patients with cancer residing in LMICs as an ethical imperative. The review elucidates priority areas for policy actions, health systems strengthening, and future research to guide international efforts toward more equitable cancer control globally.

Key Uncertainties and Modeling Needs for Managing Living Marine Resources in the Future Arctic Ocean

AbstractEmerging fishing activity due to melting ice and poleward species distribution shifts in the rapidly‐warming Arctic Ocean challenges transboundary management and requires proactive governance. A 2021 moratorium on commercial fishing in the Arctic high seas provides a 16‐year runway for improved scientific understanding. Given substantial knowledge gaps, characterizing areas of highest uncertainty is a key first step. Marine ecosystem model ensembles that project future fish distributions could inform management of future Arctic fisheries, but Arctic‐specific variation has not yet been examined for global ensembles. We use the Fisheries and Marine Ecosystem Intercomparison Project ensemble driven by two Earth System Models (ESMs) under two Shared Socioeconomic Pathways (SSP1‐2.6 and SSP5‐8.5) to illustrate the current state of and uncertainty among biomass projections for the Arctic Ocean over the duration of the moratorium. The models generally project biomass increases in more northern Arctic ecosystems and decreases in southern ecosystems, but wide intra‐model variation exceeds projection means in most cases. The two ESMs show opposite trends for the main environmental drivers. Therefore, these projections are currently insufficient to inform policy actions. Investment in sustained monitoring and improving modeling capacity, especially for sea ice dynamics, is urgently needed. Concurrently, it will be necessary to develop frameworks for making precautionary decisions under continued uncertainty. We conclude that researchers should be transparent about uncertainty, presenting these model projections not as a source of scientific “answers,” but as bounding for plausible, policy‐relevant questions to assess trade‐offs and mitigate risks.

How to account for nature-based solutions as the ecological assets that support economy and society

Nature-based solutions (NBS) are ecological assets that support economy and society with a variety of services. Through integrated environmental and economic accounting systems, it is possible to measure and monitor these services and eventually integrate NBS into decision-making processes. This commentary presents the System of Environmental and Economic Accounts (SEEA), and in particular the Ecosystem Accounting modules where NBS may find a suitable format to systematically link changes in ecological assets with services and benefits provided to economic activities and people. If well structured, such information could significantly support policy actions through transparent cause-and-effect relationships.

Impact of Monetary Policy on Stock Market Volatility

Purpose: The general objective of the study was to analyze the impact of monetary policy on stock market volatility. Methodology: The study adopted a desktop research methodology. Desk research refers to secondary data or that which can be collected without fieldwork. Desk research is basically involved in collecting data from existing resources hence it is often considered a low cost technique as compared to field research, as the main cost is involved in executive’s time, telephone charges and directories. Thus, the study relied on already published studies, reports and statistics. This secondary data was easily accessed through the online journals and library. Findings: The findings reveal that there exists a contextual and methodological gap relating to the impact of monetary policy on stock market volatility. Preliminary empirical review revealed that monetary policy exerts significant influence on stock market volatility through various channels such as interest rate adjustments, quantitative easing, and forward guidance. It highlighted that the timing and clarity of policy announcements play a crucial role in shaping market reactions, with unexpected shifts often leading to heightened volatility. Global interconnectedness amplified these effects, underscoring the need for coordinated policy responses. Behavioral factors also contributed, as investor sentiment and market psychology could magnify volatility independently of economic fundamentals. Understanding these dynamics is crucial for effective policy design and market stability amidst evolving financial landscapes. Unique Contribution to Theory, Practice and Policy: Efficient Market Hypothesis (EMH, Rational Expectations Theory and Keynesian Economics may be used to anchor future studies on monetary policy on stock market volatility. Recommendations from the study included integrating behavioral finance models into economic frameworks to enhance predictive accuracy. It advocated for clearer and more consistent central bank communications to align market expectations with policy actions, reducing uncertainty-driven volatility. Collaborative efforts among central banks were emphasized to manage international spillovers and enhance global financial stability. Adaptive policy frameworks were proposed to respond flexibly to changing market conditions while promoting regulatory measures to safeguard against excessive risk-taking. These recommendations aimed to foster a stable financial environment supportive of sustainable economic growth and market confidence.

Price level differences in the euro area: the case of Greece

Recent inflationary pressures have significantly affected household disposable incomes across Europe, with Greece being particularly impacted due to its low purchasing power. This study investigates the persistence and evolution of price level differences for fast-moving consumer goods in Greece compared to other euro area countries. It utilises the results of Dixon et al. (2023), who analysed price level differences across 41 product categories in ten euro area countries and found that the main factors contributing to price level differences include producer market competition, retail market structure, local costs and consumer habits. Building on these findings, we construct counterfactual prices and show that aligning Greece’s market structures and consumer behaviour patterns with the euro area average could significantly reduce prices (by 17 percentage points on average for the products with the highest share in total sales). The study also finds that although Greece has become cheaper in relative terms in recent years, it is still, on average, about 10% more expensive compared to euro area countries’ average. These results imply that there is scope for policy action, in particular, in areas that increase competition among producers, improve the structure of the retail market and enhance consumer economic literacy.

Political persuasion in international affairs: A computational sociolinguistic inquiry utilizing historical analysis of US Congressional rhetoric from 1873 to 2017

Negative sentiment, when used in the context of persuasion, can play a significant role in the effectiveness of spoken rhetoric. In this paper, sentiment analysis of publicly delivered Congressional speeches on relevant foreign policy legislation and events will be the center of exploration, evaluated through historical trends of that corresponding period. This evaluation element will be key in determining whether or not negative sentiments were successful and how overall sentiment in a speech evolved over one hundred and fifty years through computational sociolinguistic analysis. The paper explores the increase in negative sentiment by drastic global events, illustrating how negative sentiment became a necessity for significant foreign policy action.

Biodiversity reporting by United Kingdom (UK)‐listed companies: A review of extent, content and readability of disclosures

AbstractThis study examines biodiversity reporting by UK‐listed companies. An instrument is developed, based on earlier research, and used to analyse biodiversity‐related disclosures as either policy considerations or actions taken to conserve biodiversity. A mixed design is employed. The extent of reporting, information content of disclosures and their readability are used to provide an overarching perspective on how firms internalise biodiversity. Outliers are identified and their reports are examined interpretively to identify how leading reporters understand biodiversity as a policy imperative and factor it into their operational and managerial performances. This qualitative analysis highlights best practices that can be used by other entities interested in developing the accounting and management infrastructure necessary for reporting comprehensively on biodiversity. Best practices are, however, isolated and stand in stark contrast with how organisations are dealing with biodiversity on average. At the policy level, there is little on how biodiversity is defined and the rationale for wanting to protect biodiversity. When it comes to performance, few organisations are setting detailed biodiversity‐related targets linked clearly to operational plans, risk assessments and key performance indicators. Post‐implementation reviews of conservation initiatives are seldom conducted and biodiversity is not being factored into valuations, cost assessments and project appraisals. Understanding these limitations is timely given the international community's recent efforts to develop standards for extra‐financial reporting. The results will be relevant for regulators, scholars and practitioners interested in advancing the quality of biodiversity reporting and factoring biodiversity into mainstream business discourses.

Joint ICOH-WOPS & APA-PFAW global roundtable perspectives: exploring national policy approaches for psychological health at work through the 'National Policy Index' lens.

Worker psychological health is a significant global imperative which requires national policy action and stakeholder engagement. While national policy is a critical lever for improving worker psychological health, some countries are more progressive than others in relation to policy development and/or implementation. At the Joint Congress of the International Commission on Occupational Health, Scientific Committee on Work Organization and Psychosocial Factors and the Asia Pacific Academy for Psychosocial Factors Work in Tokyo (September 2023), a Global Roundtable was designed to initiate international dialogue and knowledge exchange regarding relevant national policy approaches. The Global Roundtable involved experts from diverse regions alongside an engaged audience of congress attendees and facilitators. Qualitative data were analysed against the five components of the National Policy Index tool, comprising policy priority, specific laws, nation-wide initiatives, sector-oriented initiatives, national survey and/or studies. Analysis revealed that while work-related psychological health is a policy priority across many countries, at the same time, there are global gaps in both legislation specificity and active regulation across different countries. For future policy development across countries, it will be beneficial to continue and deepen international discourse and for countries to share their approaches with others.

Beach Clubs and Tourist Gaze: A Critical Inquiry into the Construction of Social Distinction

This study explores the growing concerns about socioeconomic accessibility, inclusivity, and exclusionary practices of beach clubs as ostensibly public spaces in the tourism destination of Çeşme. The thematic analysis of Google Maps online reviews has provided critical insights into beach clubs’ selective admission practices and has elucidated the factors influencing customer perspectives and driving high demand for these clubs. Also, the findings revealed a relationship between customer expenditure and favorable entrance experiences; guests with lesser spending reported dissatisfaction and reluctance to revisit. Eight beach clubs with ratings deviating from the weighted average were examined to ensure diverse representation. The findings strongly encourage us to take urgent policy action to address the call for the need to create more inclusive beaches that should not be solely open to certain people with privileges. In the case of beach clubs, the adherence to specific dress codes and the emphasis on Instagram followers as a measure of social status reflect the doxa of conspicuous consumption and social hierarchies. This perpetuates a system where the privileged and affluent are more likely to gain access, while others may feel excluded or marginalized. Drawing on the solid theoretical frameworks of Pierre Bourdieu’s social theory and John Urry’s “tourist gaze,” this paper outlines the socio-economic barriers that distort ideals of public space and leisure and invites a reassessment of inclusivity in tourist destinations and luxury tourism.

Climate change and public health in California: A structured review of exposures, vulnerable populations, and adaptation measures

California faces several serious direct and indirect climate exposures that can adversely affect public health, some of which are already occurring. The public health burden now and in the future will depend on atmospheric greenhouse gas concentrations, underlying population vulnerabilities, and adaptation efforts. Here, we present a structured review of recent literature to examine the leading climate risks to public health in California, including extreme heat, extreme precipitation, wildfires, air pollution, and infectious diseases. Comparisons among different climate-health pathways are difficult due to inconsistencies in study design regarding spatial and temporal scales and health outcomes examined. We find, however, that the current public health burden likely affects thousands of Californians each year, depending on the exposure pathway and health outcome. Further, while more evidence exists for direct and indirect proximal health effects that are the focus of this review, distal pathways (e.g., impacts of drought on nutrition) are more uncertain but could add to this burden. We find that climate adaptation measures can provide significant health benefits, particularly in disadvantaged communities. We conclude with priority recommendations for future analyses and solution-driven policy actions.

Family Language Policies for Maintaining Arabic as a Home Language in Italy: The AHLI Project

The AHLI Project, focusing on Arabic as a Home Language in Italy, explores family language policies among Arabic-speaking communities. Employing an interdisciplinary approach and a mixed-method design, the research reveals a complex linguistic spectrum. It uncovers the dynamic interplay between language maintenance and shift, the desire to transmit Arabic, attitudes, and family choices. While highlighting the significant presence of Arabic in linguistic repertoires, disparities between practices and beliefs emerge. The findings bear theoretical and practical implications for promoting democratic plurilingual education and guiding language policy actions at both micro and macro levels.

Financial Development, Monetary Policy, and the Monetary Transmission Mechanism—An Asymmetric ARDL Analysis

This paper’s objective is to examine the asymmetric cointegration and asymmetric effects of financial development and monetary policy on monetary transmission mechanisms in the Nigerian context using annual data spanning the period from 1986 to 2023. This study pushes the frontiers of knowledge by providing information on the nonlinear impacts of monetary policy and financial sector innovations on monetary transmission mechanisms in Nigeria to help policymakers tailor their strategies to local conditions, enhancing the effectiveness of monetary interventions in the economy. To achieve this, this paper adopted nonlinear ARDL models to understand how changes in the direction of monetary policy and developments in the financial system induce changes in the transmission of monetary policy. The findings document the existence of asymmetries in both the short and long run, revealing that the impacts of financial development and monetary policy on the different monetary policy channels are not uniform. These asymmetries indicate that the responses of various economic variables to monetary policy actions differ depending on the level of financial development. These findings underscore the complexity of the monetary transmission mechanism and the necessity for a nuanced understanding of how financial development and monetary policy interact in different contexts. Consequently, this finding is symptomatic of some characteristics of those financial markets on their way toward advanced developments. As the financial system matures, monetary policy may have a greater impact on the cost of short-term funding for banks without having any discernible effect on the rates at which businesses and households access funding. Therefore, this paper recommends focusing on the policies that will foster the financial system across the banking sector, capital market, bond market, and overall financial sector to improve the efficiency of the monetary transmission process.

Embracing the politics of transformation: Policy action as “battle‐settlement events”

AbstractSocietal transformations for addressing climate change are intensely contested and at risk of resistance and backlash to ambitious policy action. But they are frequently modeled through heuristics such as S‐curves which abstract from such conflicts, assuming increasing returns to scale as a driver of transformations. This is the case even while scholars accept the presence of political conflict in transformation processes. Within political science and allied disciplines, the notions of policy feedback and policy coalitions have been deployed to understand how such political conflicts may be understood. But these approaches risk gravitating toward an instrumental design impulse that inadvertently downplays conflict. We argue that policy action for societal transformations should be re‐conceptualized as an unfolding series of battle‐settlement events whereby heated episodic political struggles over a certain policy object or issue play out and eventually settle in ways that structure future debates while nonetheless remaining indeterminate and open to challenge or reversal. Such an approach reflects the varied empirical experiences of climate policy action to date which include both accumulation and reversal. It also helps explain trajectories of change that are discontinuous and lurching in contrast to common images of transformation as progressive and cumulative. We illustrate this approach through two cases of unfolding societal transformation on climate change: coal phaseout in the United Kingdom and renewable energy uptake in Australia.

Stochastic dominance testing of poverty in Mozambique

AbstractNational assessments produced regularly from 1996/97 to 2019/20 provide standard estimates of the evolution of poverty in Mozambique. Stylised facts point to significant reduction in monetary and multidimensional poverty until 2014/15, even though characterised by persistent urban–rural and regional inequalities in several dimensions, followed by worsening deprivation during 2014/15–2019/20. In this paper, we rely on first-order dominance (FOD) methodology to check the robustness of standard poverty estimates while providing deeper insights into what happened in this poverty-stricken country. Our main findings include that the capital city, Maputo, and surrounding areas progressively came to dominate all other provinces in terms of well-being, and the provincial rankings from spatial FOD analysis are very stable over time. Rural areas, mainly those in the northern and central regions, are, with a few exceptions, always at the bottom of the ranking. Moreover, our FOD temporal analysis reveals that 2019/20 dominates, with a high degree of confidence, the results from earlier years, pointing to positive development over time, but with one important exception. The comparison between 2019/20 and 2014/15 is indeterminate, indicating that no significant advancement took place during this period. What stands out is the compelling need for concerted policy action to address the strong and persistent spatial gaps in welfare and poverty, including the capacity to respond effectively to external and internal shocks.

Wasserstein barycenter regression: application to the joint dynamics of regional GDP and life expectancy in Italy

AbstractWe propose to investigate the joint dynamics of regional gross domestic product and life expectancy in Italy through Wasserstein barycenter regression derived from optimal transport theory. Wasserstein barycenter regression has the advantage of being flexible in modeling complex data distributions, given its ability to capture multimodal relationships, while maintaining the possibility of incorporating uncertainty and priors, other than yielding interpretable results. The main findings reveal that regional clusters tend to emerge, highlighting inequalities in Italian regions in economic and life expectancy terms. This suggests that targeted policy actions at a regional level fostering equitable development, especially from an economic viewpoint, might reduce regional inequality. Our results are validated by a robustness check on a human mobility dataset and by an illustrative forecasting exercise, which confirms the model’s ability to estimate and predict joint distributions and produce novel empirical evidence.

Flexicurity and employment inflows in the EU28 countries: a panel data analysis

PurposeThis paper examines the relationship between flexicurity and employment inflows in the EU28 countries over the 2007–2019 period. Flexicurity is defined as the mix of flexible contractual arrangements, social security systems, active labor market policies and lifelong learning strategies.Design/methodology/approachUsing two-way fixed effects two-stage least squares, we estimate the employment inflows as a function of an equal-weighted flexicurity composite indicator and other labor market, economic and business environment characteristics. To ensure the robustness of results, in additional specifications, we test the sensitivity of the flexicurity’s coefficient to: (1) the change of instruments; (2) the removal of different non-core variables and (3) the consideration of recessionary periods European regions. In addition, we estimate regressions with separate flexicurity components and with differently constructed flexicurity indices.FindingsIn all the estimations, increased flexicurity efforts are positively related to employment inflows. Increased flexicurity efforts benefit Eastern European countries more than the Northern and Anglo-Saxon groups. Not only a synergistic policy action that uses an equal combination of the four pillars of flexicurity has a positive impact on the employment inflow rate. Strategies that give more weight to the formation of skills seem to favor the labor market reinsertion most.Originality/valueTo our knowledge, this is the first comprehensive study in the flexicurity–employment inflows literature since it: (1) follows all the European Union countries over more than a decade; (2) brings some tentative findings on the socio-cultural moderation of flexicurity’s impact on employment inflows and (3) explores different country-level flexicurity indices.

From Startup to Scaleup: Public Policies for Emerging Entrepreneurial Ecosystems

AbstractThe transition from startup to scaleup is a complex process, intricately tied to the dynamic ecosystem in which a startup originates and flourishes. Recognizing the substantial socioeconomic benefits that high-growth firms bring to their operating environments, policy makers try to strategically craft public policies to bolster their development, constituting a pivotal facet of entrepreneurial ecosystems (EE). This research aims to identify the challenges to growth faced by startups and to pinpoint policy focal areas conductive to addressing these challenges in an emerging EE. Effective public policies must be tailored to the specific context, serving as enablers while entrusting leadership roles to entrepreneurs and other EE stakeholders. To achieve our objective, we selected an emerging EE and approached entrepreneurs and influential agents in the EE through questionnaires and focus groups. The findings conclude with a set of recommended public policy actions designed to fortify essential components within an emerging EE that fosters the growth of its startups. These actions are categorized into three broad topics: enhancing talent availability, promoting networking opportunities, and reinforcing the entrepreneurial culture of the region.

Promoting physical activity and healthy diets by modifying the social and/or physical environment at local level: a scoping review of evidence-based policy actions.

Background We aimed to map evidenced-based policy actions proposed by public health institutes or organizations to promote physical activity and healthy diets by modifying the social and/or physical environment at the local level. Methods We conducted a scoping review to identify relevant evidence-based policy actions proposed by public health institutions. We used a two-step strategy to identify government-supported public health institutes or organizations that generate evidence-based recommendations for policy actions. We included policy actions if they 1) aimed at increasing physical activity or improving diet; 2) focused on modifying the physical or social environments; 3) were implemented at the local or community level; 4) were expressed as a concrete action rather than a general aim; and 5) were described explicitly as being based on evidence. Results Starting from 121 public health institutes, we identified 8 relevant organizations and reviewed 63 guidelines or reports that included actions to promote healthy diets and physical activity. Of the 540 proposed actions on diet and 358 on physical activity, 118 met the inclusion criteria. Given that many of the actions were recommended by multiple institutes, we synthesized the information in the infographics to provide recommendations on diet and physical activity in outdoor and indoor settings and schools. Conclusions Public health institutes have generated a wide range of evidence-based recommendations for the promotion of healthy diets and physical activity by modifying the physical and social environment that can be implemented in local settings. Future actions should address barriers to implementing these recommendations and analyze the determinants of local policy decisions.