Provinces Of Pakistan Research Articles

Assessing the Arsenic Contents and Associated Risks in Groundwater of Vehari and Lodhran Districts, Pakistan

Exposure to arsenic (As) can induce numerous lethal diseases, such as cancer, cardiovascular issues, skin diseases, and diabetes in humans. The major route of human and animal exposure to As is through drinking As-rich groundwater. This study assessed As occurrence in the groundwater of two districts in the Punjab (Vehari and Lodhran) provinces of Pakistan. Groundwater analysis revealed an average As concentration of 7.7 µg/L (n = 79) in the study area, with a maximum As concentration up to 41.4 µg/L (33% of samples exceeding the WHO limit of 10 µg/L). Arsenic traces were found in animal milk (n = 15, mean: 0.79 µg/L, 17% exceeding 2.0 µg/L), human hair (n = 12, mean: 0.36 µg/g, 17% exceeding 1.0 µg/g), and human nails (n = 8, mean: 0.03 µg/g, none of the samples exceeded 1.0 µg/g). Health risk assessment indices revealed that about 33% of the hazard quotient and 54% of the cancer risk factor exceeded their thresholds. Despite the low–moderate As concentration in groundwater and the accumulation of As in a few biological samples, there is a possibility of potential As poisoning via the long-term and continuous use of groundwater for drinking. Monitoring and blanket testing of wells for As in well water can provide baseline data to minimize the threat of As-mediated arsenicosis in As-affected areas of Pakistan. Moreover, a detailed study of potential As accumulation in biological samples with a higher number of samples is recommended in the area.

CORDEX Ensemble-based drought projections for Sindh Province of Pakistan under climate change

CORDEX Ensemble-based drought projections for Sindh Province of Pakistan under climate change

Digital Equity and Accessibility in Higher Education: Reaching the Unreached

ABSTRACTDigital equity and accessibility for higher education (HE) students have become crucial since the early 21st century, especially for underserved, deprived, marginalised and oppressed students. The present study aimed mainly to reveal the barriers to digital access (BDA) faced by marginalised groups and to find effective strategies for promoting digital inclusion (DI). Another objective of the paper was to provide actionable policy insights (API) to improve DI in Pakistani universities. Participants (students from marginalised groups who face unique barriers to accessing digital education) were selected using a simple random sampling technique from the four provinces of Pakistan (Punjab, Sindh, KPK and Baluchistan). We used a cross‐sectional research design to collect quantitative data from 590 students selected from 12 universities in Pakistan using a self‐developed questionnaire via online platforms. The study's findings revealed a significant difference in digital access for marginalised groups, which contributes to educational inequalities for students in low‐income areas and remote areas facing enormous challenges. We also identified practices to improve digital accessibility, including technology‐based interventions and policy reforms to improve digital infrastructure. Based on preliminary findings, a combined effort toward digital equity can significantly improve educational outcomes for marginalised students, providing a roadmap for universities to bridge the digital divide. The present paper not only highlights the current state of digital equity and accessibility but also focuses on practical insights for policy and teachers and ensures that universities are inclusive and accessible to everyone.

Aligning local governance with SDGs: a study of local government systems in Pakistan

ABSTRACT This study examines the experiences of local government councilors between 2013–2020 in four provinces of Pakistan. The study addresses three key questions: Firstly, it investigates the differences and commonalities in the local government structures across provinces and explores the potential for synchronization to enhance the implementation of Sustainable Development Goals (SDGs) at the local level. Secondly, it examines the main challenges local councilors face in effectively delivering basic services, including water, sanitation, health, education, waste management, and transport, within both rural and urban contexts. Lastly, the study analyses the necessary changes or reforms at the provincial level within the existing local government system in rural and urban areas to ensure the delivery of basic services in alignment with SDGs. The findings reveal that a powerful bureaucracy and political influence at the intermediate to upper levels of the government hierarchy exert significant control over administrative, fiscal, and political.

Exploring the Persistent Challenges of Reproductive Health Management: Analyzing Use of Contraception Among Wives Across Four Provinces in Pakistan Utilizing MICS Data

This study examines factors influencing contraceptive use among married women aged 15-49 in Pakistan using data from the Multiple Indicator Cluster Survey (MICS). This research aims to identify the demographic, economic, and sociocultural factors contributing to this disparity, focusing on the four provinces (Punjab, Sindh, KPK, and Balochistan). The study employs secondary analysis of data from over 103,000 women, exploring the association of CPR with variables such as age, education, economic status, fertility preference, and internalized patriarchy. Geographically, 40.9% of the sample was from Punjab, 23% from KPK, 18.8% from Balochistan, and 17.3% from Sindh, with 72.3% residing in rural areas and 27.3% in urban areas. Findings contribute to understanding provincial disparities and highlight the need for localized, culturally sensitive family planning strategies in Pakistan. The study calls for targeted interventions to improve birth control use among rural, less-educated, and poorer women, especially in Sindh and Balochistan.

Economic, social, and administrative barriers to achieving the sustainable development goal of good health and well-being

Good health and well-being are embedded in the 3rd Goal amongst the UN Sustainable Development Goals. The primary objective of this research was to identify the most critical economic, social, and administrative barriers to implementing the Expanded Program on Immunization (EPI) in the Punjab Province of Pakistan. A sequential exploratory design and case study technique were used, employing both qualitative and quantitative methods. In the first stage, in-depth interviews with 50 key officials were conducted to identify the most critical barriers to the EPI program. A quantitative analysis was then performed based on the results obtained from qualitative analysis, and rank orders of barriers were received from the same health department experts. The results indicate that twenty-eight barriers can cause implementation problems for this program. Still, the ten barriers that gained the maximum hits are the most important barriers, which include Shortage of vaccinators, mismanagement of vaccines’ cold chain, biometric android application, ice-lined refrigerators, communication gap, inadequate legislation of EPI program, capacity building issues with EPI staff, Misconceptions about EPI program, lack of awareness of the parents and community, refusal cases and inadequate cooperation of lady health workers (LHWs). Coordinated efforts of the government and the public are highly recommended to address these barriers.

Moderating effect of sleep quality in the relationship between coping and distress among medical students.

The present study examined the moderating effects of sleep quality in the relationship between coping and distress among medical college students. Present study was conducted to ensure the mental health of medical students and to dig out the reasons behind their disturbed health which can directly impact their performance at work. The study utilized a cross-sectional survey and was distributed to students at various medical institutions in the Punjab province of Pakistan from October 2019 to June 2020. The sample comprised 369 participants (120 males; 32.5%). The survey included the Pittsburgh Sleep Quality Index (PSQI), Kessler Scale of Psychological Distress (K10), Brief Cope Scale, and Wong and Law Emotional Intelligence Scale. The results showed there was a significant relationship between coping and distress. More specifically, adaptive coping and distress were negatively associated (r=-.24), and maladaptive coping and distress were positively associated (r=.46). Moreover, the present study found that poor sleep quality was a significant positive predictor of distress. Moderation analysis showed that sleep quality was a significant moderator in the relationship between adaptive coping and distress (ΔR2=.011, β=-.36, p<.01) as well as between maladaptive coping and distress (ΔR2=.021, β=-.17, p<.01). The study's findings clearly showed that sleep quality is a significant moderator in the relationship between coping (both adaptive and maladaptive) and distress among medical students.

Factors affecting farmers' choice to adopt risk management strategies: The application of multivariate and multinomial probit models

This study investigates the factors that impact farmers' adoption of risk management strategies (RMS) in Pakistan during times of uncertainty. The study examines farmers' RMS adoption choices using both multinomial probit (MNP) and multivariate probit (MVP). Data were collected from 382 sampled farmers from four districts in Khyber-Pakhtunkhwa (KP) province of Pakistan via a multistage sampling technique. This study utilizes the MNP model, considering the assumption of Independence of Irrelevant Alternatives (IIA) and incorporating correlated error terms. The objective is to understand farmers' behavior in risky situations and determine if there is heterogeneity. Results are compared with the MVP model to assess robustness and gain insights into farmers' decision-making processes.The research findings reveal that our results are robust, and farmers behave homogeneously in different settings of the provision of risk management strategies. Farmers adopt RMS individually or in combination to mitigate the adverse effects of natural calamities on their livelihood. The risk-averse farmers, who perceive weather-related risks as a threat, access credits and information, and have farms close to a river are more likely to adopt RMS, irrespective of the format of the strategies available. Moreover, the predicted probabilities and correlation of the RMS and RM categories further strengthened our model estimation. These findings provide insights into the behavior of farmers in adopting RMS which are helpful for policymakers and stakeholders in developing strategies to mitigate the impacts of natural calamities on farmers.

Environmental impacts of the billion tree Tsunami project in Khyber Pakhtunkhwa on the dynamics of Agro-Meteorological Droughts

Changes in forest cover are closely associated with the variability in meteorological and hydrological variables. Therefore, this study delves into investigating how forest cover changes impact the environment (i.e., hydro-meteorological variables, including precipitation, streamflow, relative humidity (RH), evapotranspiration (ET), and temperature) using Trend Projection (TP) methods during 1980–2019. The study is carried out in the Khyber Pakhtunkhwa (KP) province of Pakistan, which witnessed deforestation between 1980 and 2010 followed by afforestation (through billion tree tsunami project, BTTP) initiated in 2014. A new drought index, named as agro-meteorological drought index (AMDI), is developed in this study using the remotely sensed data to analyze the impact of forest cover on drought severity. The robust least square regression (RLSR) model is used to regress the normalized difference vegetation index (NDVI) with AMDI at various time scales to investigate the impact of forest cover on drought severity. The RLSR and paired t-test are used to quantify the impact of forest cover and BTTP, in particular, on the environment. Land use maps prepared for KP province over a span of the past four decades revealed significant deforestation during 1985–2005, transitioning gradually to afforestation in the past decade. Results indicated a decline in streamflow throughout different seasons with an increase in forest cover, particularly during the period of afforestation (i.e., 2015–2019). The precipitation, RH (maximum/minimum), and ET displayed an increasing trend over time, whereas a decrease trend is observed in Tmax/Tmin and streamflow at most of the stations. The trend analyses depicted a significant change before and after the BTTP. The paired t-test results revealed that BTTP has statistically significant impact on the environmental variables. Furthermore, the time series plots of AMDI at different time scales indicated that drought events were frequent and severe prior to 2003, whereas significant decrease in both the frequency and severity of drought was observed in the last decade (2010–2019). The RLSR results at pixel scales demonstrated the crucial role of forest covers in alleviating both the frequency and severity of drought events. The elasticities revealed that increase in the forest cover resulted in substantial increase/decrease in each hydro-meteorological variable. Overall, the results highlighted a positive and statistically significant impact of forest cover (i.e., BTTP) on both the environment and drought variability.

Prevalence-pattern of congenital and hereditary anomalies in Balochistan Province of Pakistan.

This study was aimed to report the prevalence-pattern of hereditary and congenital anomalies (CA) in general population of Balochistan province of Pakistan, and to elucidate the familial/sporadic presentations and parental consanguinity of CA. In a multi-center cross-sectional study, patients with CA were ascertained from various district hospitals and public places throughout Balochistan from 2019 to 2023. Online Mendelian Inheritance in Man (OMIM) and International Classification of Diseases (ICD-10) databases were utilized for uniformity in classification. Descriptive statistics was employed. A cohort of 1185 independent patients diagnosed with CA was recruited and the index males were 71%. The CA were classified into nine major and 118 minor entities. In the major categories, neurological disorders had the highest prevalence (n=317; 27%), followed by limb defects (n=161; 14%), blood-heart defects (n=159; 13%), neuromuscular anomalies (n=156; 13%), sensorineural/ear defects (n=140; 12%), eye/visual impairments (n=90; 8%), musculoskeletal defects (n=83; 7%), ectodermal defects (n=31; 3%), and others (48; 4%). Sixty one percent CA were sporadic in nature and 39% were familial; and parental consanguinity was observed in 51% cases. Several rare CA were witnessed. High preponderance of sporadic presentations in neuromuscular anomalies and musculoskeletal defects and low incidence of parental consanguinity in ectodermal defects and musculoskeletal defects may depict a significant etiological role of non-genetic/environmental factors such as prenatal exposures and maternal conditions. In this context, it is important to increase health education, enhance antenatal and perinatal care, and strengthen the health-care system in Balochistan to reduce the burden of CA.

Transformative Advances in Veterinary Laboratory Practices: Evaluating the Impact of Preliminary Training in Khyber Pakhtunkhwa and Balochistan Provinces of Pakistan

Veterinary laboratories face distinct challenges in Pakistan, including inadequate infrastructure, resources, and training opportunities, especially in the Khyber Pakhtunkhwa and Balochistan regions. This study aimed to evaluate the impact of training sessions for veterinary laboratory staff to improve methods and protocols related to sample collection, storage, and transport, while ensuring strict compliance with biosafety and biosecurity guidelines. The study employed a mixed methods approach, incorporating qualitative and quantitative research techniques. Hands-on training, essential laboratory equipment, and a comprehensive training kit, including personal protective equipment (PPE), were provided to 13 laboratories within the Livestock and Dairy Development Departments of Khyber Pakhtunkhwa and Balochistan. A random sample of 152 individuals from a cohort of 314 trained personnel was selected to assess procedural changes post-training, supplemented by Training Needs Assessments (TNAs) and follow-up visits. Data collection involved a combination of open- and closed-ended questionnaires, individual interviews, and focus group discussions by trained enumerators to maintain a standardized approach. Significant improvements were observed in laboratory practices and procedures, staff competency in sample collection, necropsy techniques, labeling, storage, a chain of custody, packaging, and transport, as well as biosafety and biosecurity practices, such as effective use of PPEs, good laboratory practices, standard operating procedures, handling of sharps, and waste management. However, areas needing refinement, particularly waste management protocols, were identified. The integrated approach combining TNAs, training initiatives, and resource distribution, including laboratory equipment and PPEs, was pivotal in achieving these outcomes. This comprehensive strategy provides a basis for improving biosafety and biosecurity measures within laboratories, thereby contributing to the global effort to mitigate unauthorized access to high-risk pathogens.

Climate change impact on water scarcity in the Hub River Basin, Pakistan

The Hub River Basin (HRB), a critical transboundary water source for Sindh and Baluchistan provinces in Pakistan, may face worsening water scarcity due to climate change and population growth. This study aims to assess the current state of water scarcity in the HRB and assesses its vulnerability to these pressures in future. To evaluate the baseline water scarcity in the HRB, a calibrated and validated Soil and Water Assessment Tool (SWAT) was established. Five General Circulation Models (GCMs) were employed to project the future climate under Representative Concentration Pathways (RCP 4.5 and 8.5) for the HRB. Sector-specific indicators were also used to assess the temporal and altitudinal sensitivity of the basin to climate change. These climate projections were incorporated in the SWAT model to simulate flows for three different periods: Early Future (EF; 2010–2039), Mid Future (MF; 2040–2069), and Far Future (FF; 2070–2099). The SWAT model results indicate significant increase in mean flows simulated by SWAT, ranging from 15.27 to 52.78 m3/s under RCP 4.5 and RCP 8.5 compared to baseline flows at HRB. Additionally, the study examines the temporal variation in basin stress and scarcity levels using Falkenmark and Water scarcity indicators. The findings indicate a general decrease in the basin's stress and scarcity levels, potentially benefiting water users of the HRB, especially under RCP8.5. This study offers crucial insights for shaping policies and strategies to adapt to climate change and population growth, ultimately aiming to minimize their impacts on HRB's water resources. By informing water managers and promoting sustainable water management practices, this research can help prevent future conflicts over water allocation and infrastructure development linked with the HRB.

Impact of Hybrid Varieties on the Productivity of Rice Cultivation: The Case of Sindh, Pakistan

Agriculture is a very important sector and crucial for poverty reduction and employment generation. The use of hybrid seeds leading to increased yield of crops and farmers’ income has been widely discussed in the literature. Through this study, an effort has been made to identify factors that impact obtaining high crop yield of rice by using the hybrid varieties. This study focuses on the use of hybrid varieties in the rice crop and presents a comparison in yield with the traditional open-pollinated varieties. The plot level information collected from eight major rice-producing districts of Sindh province of Pakistan was used to conduct this study and a propensity score matching technique was used to estimate the results of the study by using plot level variation between hybrid varieties and open-pollinated varieties. The results of the study showed significant improvement in rice yield with the adoption of hybrid rice varieties in the study area. This study highlights that the farmers have achieved a higher average yield of rice by using hybrid seeds as compared to open-pollinated varieties. Besides the crop yield, the overall income and profit of farmers have also increased by using hybrid seeds in the Sindh province. The study illustrates different interesting patterns relating to different characteristics of the household cultivating rice crops, different plot-level characteristics, and their comparison with hybrid and traditional varieties.

New-onset diabetes mellitus in patients with COVID19 infection admitted to a tertiary care hospital: A single-center experience.

To determine the frequency of new-onset diabetes mellitus (NODM) in patients with COVID-19 in a tertiary care hospital. It was a retrospective descriptive study carried out in Lady Reading Hospital Peshawar, Khyber Pakhtunkhwa province of Pakistan from November 2021 to April 2022. All patients having new onset Diabetes Mellitus (NODM) were identified among a total of 300 patients admitted to the hospital with COVID-19 infection. Patients' data including relevant investigations were accessed through the hospital management information system (HMIS). SPSS version-23 was used for data entry and statistical analysis. Out of 300 COVID-19 patients included in the study, 163 (54.3%) were female and 137(45.7%) were male. The mean age of the patients was 56.80±13.72 (IQR 15) years. Frequency of the new onset diabetes was 44(14.7%); 19 (6.33%) male and 25(8.33%) female. Among the 44 NODM patients, the majority (57%) were female (p=0.720). Most (64%) of the patients with new-onset DM were in the middle age (p=0.018). A significant number of patients with COVID-19 infection are prone to develop new-onset diabetes during their admission to the hospital.

Asymmetrical portrayal of gender within professional, recreational, and domestic spaces in locally developed Pakistani English Language Textbooks: A multimodal analysis

Language textbooks often include visual elements such as images that contribute significantly to the construction of gender ideologies which play a crucial role in shaping the worldview of language learners towards gender. While prior critically oriented studies on gender have contributed to our understanding of discourses that reproduce gender bias in the textual content of English language textbooks (ELT), there has been limited attention to multimodal features in the depiction of gender. Adopting van Leeuwen's socio-semantic inventory, the current study aims to contribute to this niche area by conducting a multimodal examination of gender portrayal in secondary-level English textbooks used across four provinces of Pakistan. Our findings indicate that both text and images contribute to the asymmetrical portrayal of gender within professional, recreational, and domestic spaces. These results underscore the need for a critical review of the textbooks by Pakistani ELT educational authorities in promoting a more balanced and equitable representation of gender in classroom materials.

The dire need of ecological sustainability in Pakistan: the agenda setting role of news media to address environmental problems

Pakistan is struggling from a major challenge stemming from the twin problems of declining economy and environmental degradation. There is sufficient evidence to suggest that the country is failing in its battle to protect its environment. Considering its wider reach and influence, the need for news media’s strategies to set a public agenda for fostering ecological sustainability is felt than ever before in Pakistan. Therefore, drawing on the agenda setting theory, this study explored the Pakistani journalists’ views about possible strategies that the country’s news media can use to set the public agenda of ecological sustainability. In doing so, this study used the qualitative method of in-depth interviews and analyzed the data using inductive thematic analysis. The interviewed Pakistani journalists suggested four key strategies to set a public agenda on ecological sustainability: (i) news verification to combat dis/misinformation, (ii) fostering knowledge-based journalism, (iii) improving public trust and engagement, (iv) and solution-oriented news reports. They emphasized using specialized knowledge and using right sources to consult for information on ecological sustainability solutions relevant to the particularities of the provinces in Pakistan. They also urged for combating disinformation so as to improve the public trust deficit about ecological sustainability news among Pakistanis.

Learners’ attitudes toward language education based on cultural identities: global citizenship agenda in higher education institutions of Pakistan

PurposeEnglish is the language of global communication, worldwide mobility, job progress, and access to new information and research. Given the numerous roles that English plays in today's society, higher education institutes (HEIs) all over the world are pursuing English-medium education. For Pakistan, however, English-medium education is a colonial legacy rather than a deliberate choice. Research suggests that English-medium education is not devoid of controversy in higher education in Pakistan; nonetheless, students have to seek English-medium education in universities to compete with the world. In fact, being committed to SDG 4.7 Education for sustainable development and global citizenship, Pakistan is supposed to educate its citizens to become global citizens, for which English-medium education is essential. Given the fact that each of the five provinces of Pakistan has a distinct culture and sub-cultures, it is important to see how Pakistani students’ attitudes to English-medium education to become global citizens are different based on their cultural identities. Therefore, the present study aims to analyze undergraduates’ attitudes toward English-medium education based on their cultural identities to become global citizens.Design/methodology/approachUnder the quantitative research paradigm, the present research adopted a comparative design. One hundred and fifty undergraduates participated in the study. The data were collected using a 15-item questionnaire on a 5-point Likert scale, and it was analyzed using the Statistical Package for Social Science (SPSS) version 27.0.FindingsThe results of the study revealed that participants regardless of their cultural identities have positive attitudes towards English-medium education as they believe it to be a source of career development, and improvement of their language, communication, and interpersonal skills. The participants also did not see English-medium education posing any threat to traditional culture and local languages. The findings of the present study also revealed that there is no statistical difference across the different categories of cultural identity.Practical implicationsThe findings of the present study regarding students’ attitudes toward English-medium education will have implications for policymakers and university administration. Since cultural identity does not hinder acceptance of English-medium education, students’ positive attitudes can help policymakers promote multilingualism and English-medium education for career development. However, high-quality English language programs are crucial for maximizing the benefits. Likewise, positive attitudes of students towards English-medium education in Pakistan suggest students’ openness to intercultural dialogue. Therefore, university administration can further enhance student exchange programs for transnational research and development. Likewise, the study implies that cultural identity may not hinder English-medium education implementation in developing countries provided that practical benefits like career advancement and communication skill are emphasized.Originality/valueThe study is unique in the sense that it analyses undergraduates’ attitudes towards English-medium education concerning students’ cultural identities and global citizenship which have not been studied previously.

Whole Genome Analysis in Consanguineous Families Reveals New Loci for Speech Sound Disorder (SSD).

Speech is the most common means of communication in humans. Any defect in accurate speech production ability results in the development of speech sound disorder (SSD), a condition that can significantly impair an individual's academic performance, social interactions, and relationships with peers and adults. This study investigated the genetic basis of SSD in three Pakistani families. We performed family-based genome-wide parametric linkage analysis and homozygosity mapping in three consanguineous families with SSD from the Punjab province of Pakistan. The Test for Assessment of Articulation and Phonology in Urdu (TAAPU) was used to analyze the speech articulation data and determine the Percentage Correct Consonants (PCC) score. The PCC score defined the affected and unaffected individuals in each family. Parametric linkage analysis revealed a linkage to chromosome 5 (5q21.3-5q23.1) with a significant logarithm of the odds (LOD) score of 3.13 in a Pakistani family with specific language impairment-97 (PKSLI-97) under an autosomal recessive mode of inheritance. The other two families showed a suggestive linkage at 6p22.1, 14q12, and 16q12.1 under the recessive mode of inheritance. Interestingly, homozygosity mapping showed a loss of heterozygosity in the linkage region at 5q15-5q23.1, shared among seven affected (mostly in the younger generation) and one unaffected individual of PKSLI-97. Our analysis identified the 6p22 locus previously implicated in dyslexia, childhood apraxia of speech (CAS), and language impairment, confirming the role of KIAA0319 and DCDC2 in this locus. These findings provide statistical evidence for the genomic regions associated with articulation disorder and offer future opportunities to further the role of genes in speech production.

Consumption of Milk Beverages Reduces Iron, Vitamin A, Vitamin C, Calcium, and B Vitamins Inadequacies in Pakistani School-Aged Children from Sindh and Punjab: A Diet Modeling Study

BackgroundOnly 47% of households in Pakistan’s Sindh and Punjab provinces are food secure. More than 80% of 5–9 y old children are below recommended intakes of calcium, iron, zinc, and vitamin A and vitamin D. Although 89% consume dairy products daily, only 3% comply with Pakistan’s recommended dairy consumption of 2–3 servings/d. ObjectivesThe objectives of this study were to evaluate the theoretical impact of substituting or adding fortified milk and/or buffalo milk in the diets of Pakistani school-aged children to address nutrient inadequacy. MethodsDairy consumption and nutrient intakes were calculated using dietary data collected from 5842 children via a 24-h diet recall in the School-age Children Health and Nutrition Survey conducted in Sindh and Punjab provinces of Pakistan between 2019 and 2020. Given daily intakes documented in the School-age Children Health and Nutrition Survey, 2 modeling scenarios were applied to test the impact on nutrient intakes of 1) substituting current milk (buffalo, cow, and goat) consumption (volume by volume) with a fortified milk beverage and 2) adding a fortified milk beverage or buffalo milk to current consumption to meet dairy consumption recommendations. ResultsThe hypothetical substitution of current milk consumption with fortified milk lowered nutrient inadequacies for vitamin C (by 86%), vitamin A (by 45%), thiamin (by 26%), riboflavin (by 14%), vitamin B6 (by 13%), calcium (by 8%), and iron (by 7%), compared to baseline (relative percent reduction). Among children consuming <2 dairy servings/d, theoretically adding buffalo milk had a positive contribution to calcium, phosphorous, zinc, vitamin A, vitamin C, riboflavin, niacin, and folate; theoretically adding fortified milk additionally reduced inadequacies of iron, thiamin, vitamin B6, and greatly reduced vitamin C inadequacy. ConclusionsBuffalo milk and fortified milk each have their own value in closing nutrient gaps. Increasing their consumption can be integrated into a multi-pronged public health strategy (including fortified foods, ensuring food security, and diet diversity) to tackle nutrient inadequacies in children.

Under the shadows of COVID-19: school principals’ leadership odyssey

PurposeThe COVID-19 pandemic, as well as its effects on education in general, has influenced the leadership landscape of school principals, which may have necessitated adaptations and transitions in their leadership orientation. To better comprehend any variations in the leadership orientation of school principals in response to the implications of the COVID-19 pandemic, this study examines leadership orientation in both the pre-pandemic and post-pandemic periods.Design/methodology/approachIn this quantitative research, the authors collected data from 297 school principals in the Balochistan province of Pakistan using the leadership orientation survey (LOS) in a quantitative research approach.FindingsThe results indicated that principals’ leadership orientation underwent an observable transition before and after the pandemic. Principals’ preferred leadership orientation notably changed from solely political before the pandemic to a combination of highly political and symbolic after the pandemic.Research limitations/implicationsUsing a survey, the study investigated the transition in school principals’ leadership orientation before and after the pandemic. However, the results do not explain what caused the transition in principals’ leadership orientation, which is the key limitation of this study. Future research within a qualitative approach can study the factors associated with changes in principles’ leadership frames.Practical implicationsThe overall findings of the study have implications for scholars, policymakers and educational leaders to reexamine and gain a deeper understanding of the leadership roles of principals in the post-pandemic age. This is because principals now operate in a distinct context characterized by new difficulties and opportunities compared to the pre-pandemic period.Originality/valueThis is an original study that examined the transition of school principals’ leadership orientation before and after the pandemic. The body of literature related to the transition between pre- and post-pandemic is limited both in Pakistan and the rest of the world. This study illuminates the literature in this regard.