Policy Priorities Research Articles

How integration of refugees into national health systems became a global priority: a qualitative policy analysis.

Despite a long history of political discourse around refugee integration, it wasn't until 2016 that this issue emerged as a global political priority. Limited research has examined the evolution of policies of global actors around health service provision to refugees and how refugee integration into health systems came onto the global agenda. This study seeks to fill this gap. Drawing on a document review of 20 peer-reviewed articles, 46 global policies and reports, and 18 semi-structured interviews with actors representing various bilateral, multilateral and non-governmental organizations involved with refugee health policy and funding, we analyze factors that have shaped the global policy priority of integration. We use the Shiffman and Smith Policy Framework on determinants of political priority to organize our findings. Several important factors generated global priority for refugee integration into national health systems. Employing the above-mentioned framework, actor power increased due to network expansion through collaborations between humanitarian and development actors. Ideas took hold through the framing of integration as a human rights and responsibility sharing. While political context was influenced through several global movements, it was ultimately the influx of Syrian refugees into Europe and the increasing securitization of the refugee crisis that led to key policies, and critically, global funding to support integration within refugee hosting nations. Finally, issue characteristics, namely the magnitude of the global refugee crisis, its protractedness and the increasing urbanicity of refugee inflows, led integration to emerge as a manageable solution. The past decade has seen a substantial reframing of refugee integration, along with increased financing sources and increased collaboration, explains this shift towards their integration into health systems. However, despite the emergence of integration as a global political priority, the extent to which efforts around integration have translated into action at the national level remains uncertain.

Service Users’ and Providers’ Experiences and Perceptions of Mental Health Accommodation Services: A Rapid Qualitative Synthesis of International Evidence

Background. There is a high prevalence of homeless people with psychotic disorders and supported housing is often required. However, there is little evidence about supported housing services, especially in low-middle income countries. This rapid review synthesizes evidence about the experiences of users and providers of community-based accommodation services for people living with serious mental illness internationally to understand priorities for policy and practice. Methods. PubMed, PsycINFO, Google Scholar, and reference lists were searched to identify 1344 studies. The inclusion criteria specified qualitative studies about users’ and/or providers’ views of the accommodation services for adults aged 18+ years with serious mental illness. Title, abstract, and full-text screening were conducted in duplicate, and quality appraisal was conducted using the standard for reporting qualitative research tool. Data extraction was conducted using both Excel and Word documents, and we used thematic analysis to report findings. Results. Only 43 studies were identified for inclusion. Service users’ and providers’ experiences of accommodation services from high income countries and low-middle income countries were similar. Both the service providers and users appreciated housing, and service providers mentioned it was not a sufficient step towards independent living. Shortage of resources in low-middle income countries made it challenging for some service providers to provide care because they had to choose between buying medicine or food. While service users needed greater availability of service providers, providers were at risk of burnout. Although some service providers were trained to respond to stigmatizing events, some users continued to experience stigma from their family members, society, and service providers. Conclusions. People living with serious mental illness and service providers value the housing provision but globally their experience of this provision is relatively poor compared to mainstream society, suggesting people living with serious mental illness remain disadvantaged. Further research should explore low-cost housing options that will provide quality person-centered care for people living with serious mental illness.

Bad times keep us together: Policy priorities and economic shocks

AbstractObjectiveWe analyze how economic shocks affect the partisan nature of budgetary trade‐offs and use data from the U.S. Census Annual Survey of Government Finance to illustrate it.MethodsWe propose a compositional approach to model trade‐offs among 10 budgetary categories across both time and space in U.S. states.ResultsWe find support for the notion that partisanship drives the allocation of budgetary expenditures. However, during times of negative economic shocks, either within a state or in neighboring states, Democratic and Republican governors have a similar budgetary response.ConclusionsThe results show the effects of economic and political shifts, as well as the implications of spillovers from other states, on partisan decisions about trade‐offs in government budgets.

Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool.

Acute mental health services report high levels of safety incidents that involve both patients and staff. The potential for patients to be involved in interventions to improve safety within a mental health setting is acknowledged, and there is a need for interventions that proactively seek the patient perspective of safety. Digital technologies may offer opportunities to address this need. This research sought to design and develop a digital real-time monitoring tool (WardSonar) to collect and collate daily information from patients in acute mental health wards about their perceptions of safety. We present the design and development process and underpinning logic model and programme theory. The first stage involved a synthesis of the findings from a systematic review and evidence scan, interviews with patients (n=8) and health professionals (n=17), and stakeholder engagement. Cycles of design activities and discussion followed with patients, staff, and stakeholder groups, to design and develop the prototype tool. We drew on patient safety theory and the concepts of contagion and milieu. The data synthesis, design, and development process resulted in three prototype components of the digital monitoring tool (WardSonar): (1) a patient recording interface that asks patients to input their perceptions into a tablet computer, to assess how the ward feels and whether the direction is changing, that is, "getting worse" or "getting better"; (2) a staff dashboard and functionality to interrogate the data at different levels; and (3) a public-facing ward interface. The technology is available as open-source code. Recent patient safety policy and research priorities encourage innovative approaches to measuring and monitoring safety. We developed a digital real-time monitoring tool to collect information from patients in acute mental health wards about perceived safety, to support staff to respond and intervene to changes in the clinical environment more proactively.

Mapping the dynamics of FDI in China: Convergence, divergence, and policy insights within free trade zones and beyond

The uneven distribution of FDI contributes to inequality in economic development. Most studies on FDI in China use provincial data and parametric tools of analysis while delivering mixed findings regarding FDI’s distribution and free trade zones (FTZs) attractiveness. We investigate the convergence and transitional dynamics of relative FDI (RFDI) in China using visual tools of the distribution dynamics approach to a panel of 273 prefectural cities from 2003 to 2019. Convergence-divergence patterns are examined from inter- and intra-regional perspectives and FTZs vis-à-vis non-FTZ cities. In the long run, most entities within each region converge towards different RFDI values (from 0.05 to 0.25), far below the national average equal to one. FDI is the most unevenly distributed within the poorest western region. Furthermore, three (two) convergence clubs emerge among the non-FTZ (FTZ) entities around RFDI values of 0.05, 0.6 and 2.7 (2.5 and 10). The results corroborate the New Growth and New Economic Geography theories, indicating an absence of desirable spatial diffusion from affluent ‘core’ cities and FTZs to ‘peripheral’ entities outside the FTZs. Additionally, we provide a ‘policy priority list’ comprising western cities with above (below) average RFDI and the highest propensity to diverge further above (below) the national mean.

Health care expenses impact on the disability-adjusted life years in non-communicable diseases in the European Union

BackgroundNon-communicable diseases are a global health problem. The metric Disability-Adjusted Life Years was developed to measure its impact on health systems. This metric makes it possible to understand a disease’s burden, towards defining healthcare policies. This research analysed the effect of healthcare expenditures in the evolution of disability-adjusted life years for non-communicable diseases in the European Union between 2000 and 2019.MethodsData were collected for all 27 European Union countries from Global Burden of Disease 2019, Global Health Expenditure, and EUROSTAT databases. Econometric panel data models were used to assess the impact of healthcare expenses on the disability-adjusted life years. Only models with a coefficient of determination equal to or higher than 10% were analysed.ResultsThere was a decrease in the non-communicable diseases with the highest disability-adjusted life years: cardiovascular diseases (−2,952 years/105 inhabitants) and neoplasms (−618 years/105 inhabitants). Health expenditure significantly decreased disability-adjusted life years for all analysed diseases (p < 0.01) unless for musculoskeletal disorders. Private health expenditure did not show a significant effect on neurological and musculoskeletal disorders (p > 0.05) whereas public health expenditure did not significantly influence skin and subcutaneous diseases (p > 0.05).ConclusionHealth expenditure have proved to be effective in the reduction of several diseases. However, some categories such as musculoskeletal and mental disorders must be a priority for health policies in the future since, despite their low mortality, they can present high morbidity and disability.

Knowledge and perception of cereal farmers and extension agents on fungicide use in Northern Ghana.

Agricultural pesticide use in sub-Saharan Africa has doubled over the past three decades; with a greater relative increase for fungicides. As pesticide inputs continues to rise, so does the potential for the development of resistance. Here, we report on a survey conducted to understand pesticide resistance awareness, pesticide use knowledge and practices of growers and agricultural extension officers (AEOs) in the cereals growing-belt of Northern Ghana, with emphasis on fungicides. The results may inform development of strategies for improving pesticide literacy including resistance awareness, extension services, and crop protection outcomes. The survey revealed a low level of pesticide use knowledge for AEOs and growers. This was more so for growers with low education, predominantly women. Education level (and indirectly gender) influenced perceived effectiveness of fungicides and levels of adoption of cultural and agrochemical best practices. Only 28% of growers and 11% of AEOs practice crop and fungicide rotations, respectively. More than half (53%) of the respondents indicated that fungicides used in Northern Ghana are not effective. Given the low level of pesticide literacy of AEOs and growers, training programs on best practice on the use of pesticides, with targeted initiatives for female growers would improve crop protection outcomes, and safety. The limited adoptions of crop rotation and repeated use of fungicides with the same active ingredients, along with >50% of respondents reporting 'fungicides not working' suggest the potential presence of fungicide resistance cases in growers' fields in the Northern region of Ghana. Further work is needed to determine the incidence of resistance in the region. It is recommended that a key policy priority should focus on understanding broader agrochemical use practices, crop losses and household-level food security in the presence of resistance risks. This article is protected by copyright. All rights reserved.

Usability of an Automated System for Real-Time Monitoring of Shared Decision-Making for Surgery: Mixed Methods Evaluation.

Improving shared decision-making (SDM) for patients has become a health policy priority in many countries. Achieving high-quality SDM is particularly important for approximately 313 million surgical treatment decisions patients make globally every year. Large-scale monitoring of surgical patients' experience of SDM in real time is needed to identify the failings of SDM before surgery is performed. We developed a novel approach to automating real-time data collection using an electronic measurement system to address this. Examining usability will facilitate its optimization and wider implementation to inform interventions aimed at improving SDM. This study examined the usability of an electronic real-time measurement system to monitor surgical patients' experience of SDM. We aimed to evaluate the metrics and indicators relevant to system effectiveness, system efficiency, and user satisfaction. We performed a mixed methods usability evaluation using multiple participant cohorts. The measurement system was implemented in a large UK hospital to measure patients' experience of SDM electronically before surgery using 2 validated measures (CollaboRATE and SDM-Q-9). Quantitative data (collected between April 1 and December 31, 2021) provided measurement system metrics to assess system effectiveness and efficiency. We included adult patients booked for urgent and elective surgery across 7 specialties and excluded patients without the capacity to consent for medical procedures, those without access to an internet-enabled device, and those undergoing emergency or endoscopic procedures. Additional groups of service users (group 1: public members who had not engaged with the system; group 2: a subset of patients who completed the measurement system) completed user-testing sessions and semistructured interviews to assess system effectiveness and user satisfaction. We conducted quantitative data analysis using descriptive statistics and calculated the task completion rate and survey response rate (system effectiveness) as well as the task completion time, task efficiency, and relative efficiency (system efficiency). Qualitative thematic analysis identified indicators of and barriers to good usability (user satisfaction). A total of 2254 completed surveys were returned to the measurement system. A total of 25 service users (group 1: n=9; group 2: n=16) participated in user-testing sessions and interviews. The task completion rate was high (169/171, 98.8%) and the survey response rate was good (2254/5794, 38.9%). The median task completion time was 3 (IQR 2-13) minutes, suggesting good system efficiency and effectiveness. The qualitative findings emphasized good user satisfaction. The identified themes suggested that the measurement system is acceptable, easy to use, and easy to access. Service users identified potential barriers and solutions to acceptability and ease of access. A mixed methods evaluation of an electronic measurement system for automated, real-time monitoring of patients' experience of SDM showed that usability among patients was high. Future pilot work will optimize the system for wider implementation to ultimately inform intervention development to improve SDM. RR2-10.1136/bmjopen-2023-079155.

Cancer prevention in people experiencing homelessness: ethical considerations and experiences from the CANCERLESS project

The incidence of cancer in Europe has been increasing in recent years. Despite this, cancer prevention has remained a low priority in health policies. Cancer is one of the main causes of mortality among people experiencing homelessness, who continue to have difficulties accessing prevention programs. A strategy that has been tested to favor cancer prevention is the health navigator figure. The objective of CANCERLESS project is to implement this model among populations experiencing homelessness in four European countries to foster the prevention and early detection of cancer. In this perspective, a presentation of CANCERLESS project is made, and its ethical aspects are discussed according to the ethics of public health, the ethics of care, solidarity, relational autonomy, and the social recognition of the virtue of just generosity. The ethical foundations of CANCERLESS project are rooted in social justice and in equity in access to health systems in general and cancer screening programs in particular. The ethics of public health guided by utilitarianism are insufficient in serving the interests of the most disadvantaged groups of the population. Hence, it is necessary to resort to relational bioethics that includes the ethics of care and solidarity and that recognizes the moral identity of socially excluded persons, reaffirming their position of equality in society. Relational autonomy therefore provides a broader conception by including the influence of living conditions in decisions. For this reason, the CANCERLESS project opts for a dialogue with those affected to incorporate their preferences and values into decisions about cancer prevention.

Solving poverty or tackling healthcare inequalities? Qualitative study exploring local interpretations of national policy on health inequalities under new NHS reforms in England

ObjectivesMajor reforms to the organisation of the National Health Service (NHS) in England established 42 integrated care systems (ICSs) to plan and coordinate local services. The changes are based on...

Campaign communication and legislative leadership

Abstract Do policy priorities that candidates emphasize during election campaigns predict their subsequent legislative activities? We study this question by assembling novel data on legislative leadership posts held by Japanese politicians and using a fine-tuned transformer-based machine learning model to classify policy areas in over 46,900 statements from 1270 candidate manifestos across five elections. We find that a higher emphasis on a policy issue increases the probability of securing a legislative post in the same area. This relationship remains consistent across multiple elections and persists even when accounting for candidates' previous legislative leadership roles. We also discover greater congruence in distributive policy areas. Our findings indicate that campaigns provide meaningful signals of policy priorities.

Awareness, attitudes, and beliefs of dementia in Indonesia.

Tackling dementia stigma is a policy priority. In Indonesia, we have little insight into the general public's knowledge and attitudes about dementia. Cross-sectional study of 4430 Indonesian adults recruited from Jakarta and North Sumatra, Indonesia. Measures included dementia knowledge and attitudes. A total of 86.3% (n=3,803) of adults had not heard of the terms dementia or Alzheimer's disease, and commonly viewed dementia as a normal part of aging. Being older, incorrect knowledge about etiology, not having heard of the terms dementia and/or Alzheimer's disease, having less than primary education, and being from North Sumatra were associated with more negative attitudes (p-values<0.05). Misconceptions and lack of awareness about dementia are common in Indonesia. Attitudes tended not to be negative, but our research highlights factors associated with dementia attitudes. Future research should use this information to better tailor and target potential anti-stigma strategies. Most Indonesians had not heard of the terms dementia and/or Alzheimer's disease and thought it was caused by normal aging.The majority of participants held mixed or positive attitudes towards dementia.A series of demographic factors alongside poor awareness were associated with negative attitudes towards dementia.

Mobile application: awareness of the population on the environmental impact

Nowadays, pollution keeps increasing due to social, political, economic, cultural, and environmental factors. Environmental awareness is close to zero because people prioritize personal activities. In that sense, the objective of this investigation is to raise environmental awareness in the population regarding the impact of pollution and support this through a mobile application (APP) that helps reduce pollution. The methodology used was the cascade, and through its phases, it was developed the prototype design of the mobile APP. The results obtained from this hybrid research were through a survey using ATLAS.ti 22; it concluded that environmental awareness begins at home and is taught by the parents, also it should be promoted from elementary school to high school and even in college. Moreover, in a survey, the users stated by 89% that the use of this mobile APP can help reduce the environmental impact. Also, in the validation through expert judgment, all the attributes were accepted with an average of 81%, that of functionality was the lowest, and the highest was that of consistency and integration with 83%. Finally, environmental education should be a priority policy in any country, as this will benefit its population.

E-mental health interventions for men: an urgent call for cohesive Australian policy and investment

Abstract Few men who experience a common mental disorder access any mental healthcare from a health professional. E-mental health (eMH; online) interventions may facilitate men’s access to mental healthcare and reduce inequities in access via assistance in a format that aligns with their preferences and needs. Recent reviews show that men who have used these programmes generally find them useful and satisfactory; however, data on their effectiveness and factors impacting effectiveness in men’s use are limited. Few eMH interventions have been designed specifically to suit men’s preferences and circumstances, and little is known about the eMH-related experiences and needs of men from vulnerable and marginalized backgrounds. Despite their potential, Australian men’s health, digital mental health, preventive health, and Aboriginal and Torres Strait Islander mental health and social and emotional well-being policies—and men’s health policies from Malaysia, Ireland, and South Africa—make no specific mention to progressing the use or evaluation of eMH for men. We present a series of policy recommendations, aiming to improve men’s access to effective and acceptable mental health assistance via eMH and increase health professional confidence to recommend and support these programmes. These include (i) the need for specific, connected health policy actions and targeted funding; (ii) policy priorities for intervention development, dissemination and evaluation; and (iii) for the experiences of men, particularly those from marginalized and vulnerable backgrounds, to be centred in policy. eMH for men should be promoted alongside interventions to reduce systems and social-level determinants of men’s mental health inequities.

Sustainable urban transportation performance in Ankara: A comparative study

Urban mobility is increasing rapidly due to the increasing population, number of motor vehicles and economic developments in Türkiye. Private vehicles are given priority in ur-ban transportation policies and practices in metropolitan municipalities. Therefore, prob-lems such as traffic congestion, delays, air pollution, noise, improper land use, traffic ac-cidents and decrease quality of life are experienced. Although sustainable transportation is generally referred to with air pollution, global warming and climate change; It refers to a wide transportation structure that is sustainable in terms of economic, social and envi-ronmental effects. In this study, Ankara's sustainable urban transportation performance was compared with İstanbul, İzmir, Konya and Antalya, using the Sustainable Urban Transportation Index (SURKENT), which was previously developed by the author. In SURKENT, 15 sub-indicators are defined under 4 main indicators. The main indicators are Environmental Performance (EP), Transportation Performance (TP), Energy Perfor-mance (EnP) and Municipality Governance Performance (MGP). 4 sub-indicators were used under Environmental Performance, 7 under Transportation Performance, 2 under Energy Performance and 2 sub-indicators under Municipality Governance Performance. Minimum-maximum normalization was used for sub-indicators containing quantitative data, and 0-100 scoring was used for qualitative data. The ranking of cities with the high-est sustainable urban transportation performance was found as follows: İstanbul, İzmir, Konya, Ankara, Antalya. Ankara; it is 3rd in EP, 3rd in TP, 5th in EnP and 2nd in MGP.

Türkiye's Health Diplomacy Activities: A Qualitative Research

Health diplomacy is a field that facilitates the implementation and governance of global health policies. Assisting, such as transferring expertise, experience, and human and medical equipment to different countries, constitutes the content of health diplomacy. The main argument of this study is that Türkiye provides official development assistance abroad, establishes and operates health enterprises, and provides medical rescue and emergency health services in disasters and emergencies. For this reason, it has been tried to reveal Türkiye's perception of health diplomacy, how the health service process is carried out across the border, and the possible contributions of these services. A case study design was used to examine Türkiye's health diplomacy process. In this context, interviews were conducted with the public (n=1) and non-governmental organization personnel (n=8). The research findings were evaluated within the framework of four main themes: perception of health diplomacy, difficulties experienced in the health diplomacy process, solutions to the difficulties encountered in the health diplomacy process, and contributions of health diplomacy. The perception of health diplomacy is fieldwork, experience transfer, support, joint action, foreign policy, soft power, and health priority. In the process of health service delivery, it has been determined that there are difficulties in terms of medical equipment, service delivery, personnel, and politics, and these difficulties are tried to be solved through cooperation, communication, and other means. It has been concluded that health diplomacy contributes to the health of the recipient country or region and supports employment with newly opened health institutions. In addition, it was determined that Turkish health personnel gained experience, sympathy for Türkiye developed, and prejudices were broken.

Food supply in the context of destabilization of the global economy

The goal is to analyze the state of food supply for the country's population in the context of destabilization of the world economy, inflation of prices for goods, primarily food, which in recent years have had a steady growth pattern. Methods – comparative analysis, economicstatistical, cause-and-effect. Results - the main signs of instability in economic situation in the world, their characteristics, main causes and consequences are revealed. The average annual growth rate of agricultural production for 2000-2020, 2020-2022 is shown and their impact on per capita supply of basic products and consumption rates. Comparison of these indicators allows to identify actual level of food support in Kazakhstan for specific years. The authors note that in the last two decades, physiological dietary and calorie standards for certain food products have not yet been achieved. Food security is also determined by the share of imports in consumer demand. Conclusions - it is recommended in the near and medium term to take effective measures to increase main types of products to volumes that will allow to move to import substitution and per capita consumption to the standards of physiological needs. Measures of state support to create favorable economic and organizational conditions for doing business in agricultural sector of the republic are proposed. Resolving food issue is recognized as the highest priority of government policy. The results of the study have practical significance for the organization and management of food supply system. It is important to promote the use of innovative technologies for production, processing, storage and rational use of food; formation of effective system for distribution of raw materials and agricultural products from producers to the final consumer; development of transport and warehouse infrastructure for wholesale trade.

Биологично производство – ефективност и ефикасност в контекста на агроекологията

Over the past 70 years, farming in Europe has changed thanks to policies, technologies and practices that aimed to ensure a stable supply of food at affordable prices. But this success was achieved at the cost of an increasingly deteriorating environment. It is therefore important to highlight the potential of more sustainable alternatives. Organic farming (OF) is an integral part and instrument of the state policy in the field of agriculture in terms of sustainable management of natural resources, compliance with high standards for food quality and safety, and animal welfare. At the same time, OF contributes to the development of viable rural areas. That is why it is a key priority in the agricultural development policy in the EU and in the Republic of Bulgaria and one of the highlights of the CAP for the next program period. Organic production benefits nature and society as a production system that contributes to the reduction of air, soil and water pollution; to increase biodiversity, strengthen the sustainability of agriculture, to ensure healthy food and clean nature for current and future generations, and as such it organically fits into the requirements of the new CAP. The research aims to determine the efficiency and effectiveness of organic production in our country, in the context of the changes, development and dimensions that the implementation of the CAP has on agriculture and more specifically on agroecology. For the purposes of the study, data for the efficiency are compared for Bulgaria and on average for the European Union, by calculating the efficiency coefficient of OF. The calculation of the coefficients of efficiency and effectiveness is done in a way borrowed from Ivanov (Bachev et al., 2020), and the efficiency is considered in relation to the role of the provided compensatory payments (subsidies) in the sector by year. The years from 2010 to 2019 were mainly tracked, and for some of the indicators, data up to 2020 was used. The study is based on and is part of the work on the research project “Perspectives for Bulgarian agriculture and rural areas in the context of CAP 2021 – 2027 and the EU Recovery Plan”, developed by a team led by associate professor Bozhidar Ivanov, IAE, Agricultural Academy – Sofia in 2021 – 2022. The research used the methodology developed for the purposes of the above-mentioned project, using a corresponding algorithm, combining quantitative and qualitative methods, literature research, comparative, institutional and multi-criteria analysis, method of groupings, value-measurement and qualitative analysis, method of relative comparative assessment, indicator method, including efficiency and effectiveness coefficients (Ivanov et al., 2023). The current research establishes that organic production in our country has a changing performance during the period 2010 – 2019. Efficiency – increasing in almost all indicators until 2014 – 2017, and decreasing thereafter. This is calculated on the basis of public support for the sector and shows that support plays an essential role in the development and effectiveness of OF, but also that the change of the funds spent is not always synchronized and in accordance with the expected and obtained results, like a number of others factors also have their important role in increasing the efficiency of the sector. The efficiency of the OF sector is relatively low, although it shows an upward trend (starting, however, from a low base). The share of OF in UAA is still small and there is a need for further support and promotion of OF in our country in order to increase this share and reach the EU average level. The compensatory support per ha and animal, in combination with the provided priority support for investment measures and the higher intensity of financial support are an incentive for farmers to switch to organic production, as a result of which both the areas in the control system and the number of organic producers grew many times in the studied period.

Comparative Analysis of Final Presidential Debate Closing Statements

This paper analyzed the closing statements of three presidential candidates in Indonesia: Anies Baswedan, Prabowo Subianto, and Ganjar Pranowo. Through a comparative qualitative examination, communication strategies and leadership qualities were evaluated. The objective of this study is to identify the key themes and rhetorical strategies employed by Anies Baswedan, Prabowo Subianto and Ganjar Pranowo in their closing statements; and second, to assess the effectiveness of these strategies in conveying leadership qualities and policy priorities to the electorate. The closing statements of the candidates were transcribed verbatim from recorded debate session. The primary instrument used for data collection was audio/video recordings of the final presidential debate. In conclusion, effective communication played a pivotal role in shaping public perception and influencing electoral outcomes by understanding the nuances of each candidate's rhetorical strategies, future research can provide valuable insights for political communication and leadership in Indonesia.

Threats to the Food Security of the Russian State in the Modern Settings

   Introduction. National security of any state is ensured through development of the various spheres of its life — spiritual, political, military, economic and others. However, the fundamental factor ensuring existence of any society is availability of accessible quality and quantity of food to the citizens. Therefore, the goal of the state socio-economic policy of Russiais to ensure people’s food security. The article analyses the state policy and practices of Russia in countering the threats to the food security of the country in the modern difficult geopolitical settings.   The relevance of studying the food security system of the Russian state is induced by one of the priorities of the state socio-economic policy implying the development of the food security threat preventing and countering measures as the fundamental condition of existence of the society.   The aim of the study is to analyse the criteria of the state governance efficiency on ensuring the food security of the country, to study the state of the art in this field as well as to identify the existing threats and propose the countering measures.   Materials and Methods. The research was conducted using the methods of structural-functional and statistical analysis, content analysis of the normative legal acts in the field of food security, at both national and international levels, the comparative-historical method, comparativism and other methods.   Results. The state of the art of the food security system of Russia, which is an integral part of the national security of the state, has been analysed. The regulatory documents and statistical data on the state of the art of the food security of Russia have been investigated. The measures for ensuring the Russian Federation food security have been proposed through expansion of the domestic production of the environmentally friendly and safe for the human health products and other kind of products that is a necessary condition for preserving the population and the nature of our country and the decent standard of living of the Russian citizens.   Discussion and Conclusion. The degree of ensuring the state food security has significantly improved, but has not reached the normative threshold values for the whole range of goods. Provision of the high-quality affordable food to the Russian citizens remains a riskogenics factor. The economic sanctions imposed by the Western countries against Russia are a newform of the hybrid warfare. The conclusions drawn upon the research aim to supplement and expand the scientific knowledge on the conditions of ensuring the food security of the Russian state that is the most important concern of the government, because food is the basic condition for existence of all the living beings on the planet. The independence of the state and its national sovereignty depend on ensuring the food security.