Relevant Institutions Research Articles

Integration of Micro-Credentials into Higher Education: Faculty Perspectives

The aim of this study is to examine the views and expectations of instructors regarding micro-competencies, which are believed to have a significant impact on the future of learning and teaching in higher education. In the study, which took a phenomenological approach based on qualitative research methods, interviews were performed with 12 faculty chosen using a criterion sample procedure and semi-structured interview forms. The collected data was evaluated using both content and descriptive analysis. As a result of the investigation, 12 themes emerged. As a result of the research, it was determined that micro-competencies have not been sufficiently conceptualized in higher education; micro-competencies are similar to various structures inside and outside the university; different models for their structuring are proposed; and potential problems are anticipated, as well as facilitating options for their implementation. Although it is known that policy and preparation studies are being carried out in the relevant institutions, it is hoped that the views of the faculties revealed as a result of the research will shed light on the integration of micro-competencies into higher education in a more qualified way.

Control of Helminth Infections in Captive Herbivores: An Overview of Experience

There are numerous challenges associated with helminth control in captive animals. The aim of the present paper is to provide an overview of the research on deworming of captive herbivorous mammals, the associated problems and the solutions sought, in order to derive recommendations for practice in the relevant institutions. The research was conducted by searching electronic internet databases and following the bibliographies in the published articles. The articles found are presented in summarized form. Most of the results relate to herbivores of the family Bovidae, followed by the families Cervidae, Equidae, Elephantidae, Camelidae and Giraffidae. Systematic data are presented on the types of anthelmintics used, dosages and application regimens for different animal species. Anthelmintics were administered at doses similar to or even higher than those used in farm animals, with no evidence of side effects. Treatment results often depended on the animal and parasite species. Incomplete cure, reinfection, and resistance to anthelmintics were the most common problems in the field. Based on the literature reviewed, the optimal prevention measures include the following: quarantine of newly arrived animals; daily or as intensive as possible cleaning of droppings; regular change of substrate in the enclosures; and monitoring of possible infections and their qualitative and quantitative composition (monthly or at least every two months). For treatments and monitoring effectiveness, recommendations include the following: individual assessment of the need for treatment; selective choice of anthelmintics; post-treatment examination between the 10th and 14th day after deworming; carrying out a group treatment after a preliminary drug effect test; conducting mass deworming only in case of a significant increase in fecal egg counts, highly pathogenic helminth species and a deterioration in the condition of the animals. In the future, more attention should be paid to new approaches such as biological control by saprophytic fungi or natural compounds as an alternative to anthelmintics. This would help minimize the use of anthelmintics, protect refugia and allow animals to remain healthy by maintaining a balance with the low levels of parasites present.

Association between attitude and menstrual hygiene management practices among adolescent girls with disabilities in selected schools in Wajir County, Kenya

Background: Menstruation is the recurrent peeling of the uterine lining that occurs monthly on girls and women of the reproductive age. Many adolescent girls in African countries have poor knowledge regarding menstruation and this is even worse among menstruating girls with disabilities who are faced with a greater challenge as they require private and specific sanitation facilities. The study focused on establishing the association between attitude and menstrual hygiene management practices among adolescent girls with disabilities in selected schools in Wajir County. Methods: A descriptive cross-sectional design was adopted. Census method was used to select respondents where 101 were interviewed. Pretested questionnaires were used to collect data. All necessary research approvals from relevant institutions were obtained as well as consent and assent sought from respondents and guardians where applicable. Data was managed using SPSS version 22.0 software. Results: Most 88.1% of the respondents did not practice menstrual hygiene management. Further results revealed that 98.9% of those who had negative attitude had not practiced menstrual hygiene management. There was a significant statistical association between nature of attitude and practice of MHM (χ2=11.009, p*=0.029). Conclusions: About 9 out of 10 adolescents with disabilities in Wajir County did not practice menstrual hygiene management. The nature of attitude towards menstrual hygiene management was significantly associated with practice. The study recommended provision of free sanitary pads by relevant stakeholders to all girls who are living with disabilities and provision of enough washrooms to address privacy issues.

Unique characteristics of bone union at the infected vertebrae after minimally invasive posterior fixation without bone grafting in thoracolumbar pyogenic spondylitis: a retrospective multicenter cohort study

BackgroundThe current study aimed to evaluate the bone union rate between infected vertebrae after minimally invasive posterior fixation without bone grafting in thoracolumbar pyogenic spondylitis.MethodsThis retrospective multicenter cohort study evaluated 75 patients of posterior fixation for thoracolumbar pyogenic spondylitis that have been recorded at six relevant institutions from January 2016 to December 2022. Data on age, sex, location of infected vertebrae, number of infected disks, comorbidity, Pola classification, number of vertebrae fixed according to surgery, implant failure requiring revision surgery, and distance according to the type of infected vertebrae after surgery were evaluated. Further, their association with postoperative bone union was investigated > 12 months postoperatively.ResultsFinally, 40 patients were included in the study. In total, 32 (80%) patients achieved bone union at the infected vertebrae after minimally invasive posterior fixation without bone grafting. The mean duration from surgery to union was 10.7 months. Twenty-six (65%) patients initially achieved bone union at the lateral and/or anterior bridging callus. Patients with multiple-level infected disks (33%, 2/6 patients) had a lower bone union rate than those with a single-level infected disk (88%, 30/34 patients) (p = 0.0095).ConclusionsIn 80% of patients, bone union at the infected vertebrae was achieved after minimally invasive posterior fixation without bone grafting in thoracolumbar pyogenic spondylitis. A total of 65% of the patients achieved initial bone union at the lateral and/or anterior bridging callus. Moreover, patients with multiple-level infected disks had a low bone union rate. Hence, the treatment strategy should be cautiously considered.Trial registrationThis study was registered retrospectively and all procedures used in this study including the review of patient records were approved by the institutional review board.

Transformation of Business Licensing through a Single Submission System on Public Service Efficiency: A Case Study of the Indonesia National Single Window Agency (LNSW)

The Indonesia National Single Window (LNSW) Agency developed a single submission system, namely the Indonesia National Single Window (SINSW) System, as a one-stop submission facility. Before the development of SINSW, the process of applying for business permits in Indonesia was complicated and time-consuming. This is because stakeholders have to process permits directly with various relevant ministries or institutions, causing data repetition and cost and time inefficiencies in the export, import and logistics processes. This research aims to analyze the transformation of LNSW into a one-stop business licensing and management agency through the implementation of SINSW and its impact on the efficiency of public services in exports, imports and logistics in Indonesia. This research also compares the implementation of the National Single Window (NSW) in Korea, Singapore, and Japan. The results of the research are recommendations for improving the efficiency of LNSW services in the future through the adoption of artificial intelligence (AI) via chatbots to handle complaints of slow responses for service users.

Assessing primary healthcare quality through avoidable hospitalizations: a systematic review

Abstract Background Avoidable hospitalization (AH) for ambulatory care sensitive conditions (ACSC) has been widely used as a measure of the performance of primary health care. However, the lack of a standardized definition of these conditions and the absence of conclusive evidence regarding their efficacy across diverse healthcare settings remain significant challenges. This review aims to systematically identify and synthesize the utilization of AH for ACSCs as a metric for evaluating the quality of primary healthcare (PHC) and factors influencing such quality. Methods We conducted a systematic search for peer-reviewed studies on 3 electronic databases. Studies that used AH for ACSCs to investigate the quality of PHC were included. The following characteristics were extracted: study design, ACSCs definition, AH rates, intervention if applicable, PHC and or patients’ characteristics associated to AH rates, such as accessibility, continuity of care, demographics, socio-economic status, and comorbidities. Results 73 relevant articles were identified, published between 1994 and 2023 and mostly in USA. Preliminary findings based on 56 articles indicate that the majority (48.2%) employed the list of ACSCs from the AHRQ (i.e. the prevention quality indicators) (48.2%). Meanwhile, 12 studies (17.9%) used lists developed or modified by the authors, and another 7 (12.5%) adopted lists previously utilized in other research. Studies conducted in Brazil, Canada and USA employed lists issued by relevant national institutions. Conclusions Although preliminary, these findings highlight two main trends. Firstly, in countries where health authorities have established a standardized set of ACSCs, a notable uniformity is observed. Conversely, in the absence of such standards, variability in defining these conditions is likely to increase. This variation could hinder the comparability across different Primary Health Care (PHC) service organizations and affect the analysis of care quality. Key messages • Most studies used established indicators for the measuring of primary healthcare quality. • Diverse ACSC definitions across countries impair the generalizability of healthcare quality analysis.

Implementing a chronic disease self-management program in Moldova: a roadmap for sustainability

Abstract Chronic disease self-management programs are evidence-based interventions but achieving their sustainability can be challenging. We propose a roadmap to sustainability that examines the transferability of intervention components and fosters multi-level and multisectoral partnerships. Since 2019, the Swiss Agency for Development and Cooperation’s Healthy Life project, in cooperation with the Ministry of Health of Moldova, has implemented a self-management program in rural communities. At pilot stage, we achieved a 53% increase in participants’ self-efficacy (Palmeirim et al, 2024). To date, the program has reached 1432 beneficiaries in 70 communities. The intervention cost per participant was approximately 74 Euros. Our evidence supported the inclusion of self-management in the national non-communicable disease program 2023-2027. We designed a roadmap to hand over this innovation to Moldovan public health institutions. Firstly, we unpacked the intervention into transferable resources, processes and roles. These included human resources (a network of 140 facilitators), pedagogical resources (culturally adapted facilitator training and self-management workshop content) and key operational processes (coordination, resource management, partnership building, monitoring and evaluation). Then, we convened a national workshop to discuss the transfer of these components to relevant institutions. We emphasized working in a coordinated partnership across institutions for intervention delivery. Finally, we launched a national working group that will work on the operational modalities of this multi-stakeholder partnership. Achieving an enabling policy environment for self-management created favorable conditions and accountability for institutional partnership building. A strategic reflection on our partner ecosystem was key to leverage local and national interests in continuing self-management approaches. Key messages • We have established priorities among transferable intervention components to match country stakeholders’ ability and readiness to sustain innovative approaches. • We are building an institutional partnership across sectors based on complementarity of experience to sustain the delivery of a self-management intervention.

The involved and responsible outsiders: Norwegian gamer-parents expanding and reinforcing contemporary norms of parenthood

ABSTRACT Gaming is a popular activity among both children and adults. However, research on gaming in a family context often frames gaming as the interest of the child that parents must manage. Because gaming is becoming a more mainstream pastime for parents as well, we need knowledge about the ways gamer-parents position themselves as gamers and parents. Drawing on interviews with 29 Norwegian gamer-parents, we explore how they position themselves and how they assemble parenting. Contemporary parenting norms means engaging in risk-management, and public discourse has framed gaming and screen time as risks that need to be managed. How do gamer-parents position and assemble good parenthood to include gaming? Existing research on families and gaming has given insights into family struggles, dynamics, and mediation within the family. We add to this work by studying how gamer parents position themselves in relationships outside the family to other parents, relevant institutions, and to norms of good parenthood.

Preclinical research (on rare diseases): we need to talk about health equity.

There is a thriving, worldwide, biomedical research community working to understand the molecular bases of diseases of all types, continuously driving improved diagnostics and therapies. Developments in genetics and experimental medicine are yielding novel genetic therapies that were hardly dreamt of 40 years ago. But along with these scientific achievements, there exist challenges in ensuring that 21st century medical interventions are accessible to all who need them. This perspective will discuss how preclinical research, with a focus on rare diseases, can better contribute to healthcare ecosystems that are oriented towards greater health equity. This contribution may require changes to the prevailing scientific research culture that will need support from relevant institutions and the wider community.

The position of diplomacy in Iranian sports

Sports diplomacy is a pervasive phenomenon that at the diplomatic level is one of the most important components of communication between countries and nations, and therefore it is important to know what is the position of Iran, as a powerful country in the field of diplomacy in this area. The purpose of this study was to investigate the position of diplomacy in Iranian sports. The research method was descriptive-analytical and applied in terms of purpose. The statistical population of the study was all political-sports managers and experts in the field of sports diplomacy who were selected by purposive and accessible sampling. The data collection method included library studies, semi-structured interviews with experts and finally the Delphi method in three stages. In order to identify the strategic position, the Internal Factor Evaluation Matrix (IFE) and the External Factor Evaluation Matrix (EFE) were used. The results showed that the position of Iranian sports diplomacy is in the position of WO (conservative strategy). In this regard, it is concluded that high-level officials and policymakers in the Ministry of Sports, the Ministry of Foreign Affairs and other relevant institutions should focus their plans on addressing weaknesses and taking advantage of existing opportunities.

Collaborative governance of an integrated system for collecting contributions for social health insurance, pension, and taxes from the informal sector: a synthesis of stakeholder perspectives

BackgroundMany low-and middle-income countries have adopted social health insurance schemes. However, the collection of contributions from the large informal sector of these economies poses a significant challenge. Employing an integrated system of contribution collection from all relevant institutions may be cost-effective. We used the integrative framework for collaborative governance, to explore and explain factors that may shape the governance of an integrated system for collecting contributions for social health insurance, pension, and taxes from the informal sector in Zambia.MethodsWe undertook a qualitative case study involving 25 key informants drawn from government ministries and institutions, cooperating partners, non-governmental organizations, and association representatives in the informal sector. Data were analyzed thematically using Emerson’s integrative framework for collaborative governance.ResultsThe main drivers of collaboration included a need for comprehensive policies and legislation to oversee the integrated system for contribution collection, prevent redundancy, reduce costs, and enhance organizational effectiveness. However, challenges such as leadership issues and coordination complexities were noted. Factors affecting principled engagement within the collaborative regime consisted of communication gaps, organizational structure disparities, and the adoption of appropriate strategies to engage the informal sector. Additionally, factors influencing shared motivation involved concerns about power dynamics, self-interests, trust issues, corruption, and a lack of common understanding of the informal sector.ConclusionThis study sheds light on a multitude of factors that may shape collaborative governance of an integrated system for contribution collection for social health insurance, pension, and taxes from the informal sector, providing valuable insights for policymakers and implementers alike. Expanding social health insurance coverage to the large but often excluded informal sector will require leveraging factors identified in this study to enhance collaboration with pension and tax subsystems.

ASSESSING YOUTH INVOLVEMENT IN AGRICULTURE IN YOLA-NORTH LOCAL GOVERNMENT AREA OF ADAMAWA STATE

The study examined youth involvement in agriculture in Yola-North Local Government Area of Adamawa State, Nigeria. Data were collected from 230 farmers using a well-structured questionnaire and analyzed using descriptive and inferential statistics. The results show that the most (52.61%) of respondents were male, with an average age of 21 years. Most respondents (55.22%) were single with an average household size of 4 persons. Educationally, 2.61% had primary education, 7.39% had secondary education, 52.61% had diploma, and 37.39% had HND/Degree, indicating that all the respondents were educated. Additionally, most respondents earned between N40,000 and N200,000 annually. Factors influencing youth participation in agriculture revealed that age and sex were positive and significant at 1% level (P<0.01), while educational level was negative but significant at 10% level (P<0.1). Constraints identified included lack of government assistance, insufficient capital, poor road access, inadequate feed supply, poor extension services, and poor marketing prices. Sex (male) and age were positively associated with youth participation in agriculture, whereas the lack of government support was a significant barrier preventing youth from engaging in agricultural activities. The study recommends that inputs such as agrochemicals and credit should be made available on time and at subsidized rates by both governmental and non-governmental organizations to make agriculture more appealing to youths. Furthermore, the government or relevant institutions should strictly monitor and supervise any development or empowerment initiatives to prevent mismanagement by involved dignitaries.

Marketing Strategy for Mitraguna Online Financing Products in Increasing the Number of Customers

This study aims to determine potential marketing strategies to increase the number of customers in the online mitraguna financing product of Bank Syariah Indonesia, Kisaran sub-branch office. This research uses qualitative research methodology. In qualitative research, the findings are analyzed and then reported by the researcher. In this study, two different types of data were used, namely primary and secondary. Interviews were used to obtain primary data, while publications from relevant financial institutions as well as relevant scientific literature were used to collect secondary data. The results of the data analysis resulted in the largest threat weight of 0.092538, the largest opportunity weight of 0.571429, the highest weakness weight of 0.210526, and the highest strength weight of 0.421053. The average overall score of the Internal Factor Evaluation matrix is 2.736842, but the average score of the External Factor Evaluation matrix is 2.952381. The results of this study indicate that the marketing strategy that needs to be implemented lies in quadrant V, namely the strategy of maintaining and maintaining by obtaining 5 alternative strategies that are expected to contribute to the Bank Syariah Indonesia Kisaran sub-branch office to increase the number of online mitraguna financing customers.

Revisiting 30 years of advances in firefighter protective clothing: a quantitative assessment and bibliometric analysis

Firefighter protective clothing research has undergone rapid development and garnered extensive attention over the past three decades. However, its trajectory lacks quantitative evaluation due to the complex relationship among humans, clothing, and the environment. Here, we aimed to (1) develop an objective and reproducible evaluation index system for the quantitative assessment of firefighter protective clothing research, (2) delineate the developmental stages and their analytical characteristics over the past three decades through bibliometric analysis, and (3) scrutinize the current status, research hotspots, gaps, and future concerns. Our review of 314 publications from the Web of Science Core database (1994–2023) led to the creation of an evaluation index system that integrates the catastrophe progression method with bibliometric analysis, incorporating 10 indicators across 4 dimensions: productivity, influence, development, and innovation. The bibliometric analysis was conducted using the Bibliometrix R package. The results reveal a rapid increase in firefighter protective clothing studies from 1994 to 2023, comprising two stages: the start-up phase (1994–2009) and the rapid development phase (2010–2023). Thematic evolution over three decades indicates a shift from single specific to composite domains, with emerging themes such as achieving a balance in the interaction between the human body, clothing, and environment signaling future research directions. In addition, we visualized the most relevant countries, institutions, journals, authors, articles, and potential challenges during the last 30 years. This review provides an overview of current evidence and minimizes subjectivity bias compared to traditional manual reviews, thus presenting specific future research questions advancing firefighter protective clothing research.

SOME ASPECTS OF ACTIONS TO RESPONSE TO EXTERNAL SECURITY THREATS AND CRISES OF THE EUROPEAN UNION

The European Union is taking action in various areas of security to improve its ability to respond to crises and increase its resilience to future challenges, so this article examines the evolution of crisis response actions of the European Union countries in the face of challenges and threats in a rapidly changing geopolitical environment in relation to European security. This, in turn, is reflected in the speed of decision-making by the competent associations of the European Union regarding legal regulation that corresponds to the current situation. The authors identify and analyze the main directions of action and response measures of member countries in the legal field. In this context, the authors pay special attention to the consideration of the European Union's security policy in relation to hybrid threats from neighboring states, ensuring cyber security, the use of modern information communication technologies, as well as mediation tools in the prevention of these threats. The authors analyze issues of cooperation between the European Union and the United Nations in the field of peacekeeping and military missions. The authors also touched on the specifics of lessons learned from addressing the consequences of crisis situations and the impact of the EU countries’ integrated approach to responding to crisis situations in the context of the past pandemic, as well as the impact of hybrid threats. The results of this study show that the relevant institutions of the European Union skillfully, promptly and effectively coordinate decision-making on response and management in crisis situations, and as part of improving the anti-crisis management strategy, taking measures to prevent the consequences of crisis situations in the EU area (hybrid threats, illegal migration, terrorism, organized crime, etc.)

Digital economy, risk attitudes, and entrepreneurial decision-making in urban and rural households in China

Using data from the 2019 China Household Finance Survey, this study examines how the digital economy and household risk attitudes affect entrepreneurial decision-making in urban and rural Chinese households. Risk-taking families are more likely to become entrepreneurs, particularly in economically developed eastern regions. Furthermore, integrating the digital economy boosts entrepreneurial activities within households, especially in the central and western regions. Based on these findings, the government and relevant institutions should strengthen digital infrastructure in the central and western regions, as well as establish an evaluation and monitoring mechanism to ensure the effectiveness of policy measures to promote balanced economic development and sustainable growth in household entrepreneurial activity.

Contract Farming & Cost of Funding: Evidence from Madurase Solar Salt Small Businesses

This study aimed to estimate the indirect expenses borne by tenant farmers due to credits they receive in community salt farming operations managed through contract farming systems in Pamekasan Regency. Credits constitute a crucial aspect of tenant farmers’ rights within the community salt farming contract farming framework. This study employed a comparative analysis of the cost of funds based on the adopted contract farming models, specifically the two-way and three-way contract farming structures. Moreover, it investigated the correlation between the cultivated salt field’s size and the magnitude of the cost of funds endured by tenant farmers. The results of the analysis reveal that the average costs of funds borne by tenant farmers are notably high, ranging from 5.24% to 6.71% per month. Surprisingly, these figures exceed the loan interest rates offered by two formal financial institutions: BRI and Bank JATIM. Another significant finding is the positive correlation between the size of cultivated salt fields and the magnitude of the cost of funds borne by tenant farmers. Lastly, there is a clear positive relationship between the credit amount received and the corresponding cost of funds endured by tenant farmers. The substantial costs of funds shouldered by tenant farmers involved in the community salt farming, operated through contract farming systems in Pamekasan Regency, signify inefficiencies within the contract farming structure. It is expected that the government can aid these tenant farmers by disbursing subsidized credits through collaborations with relevant ministries and local formal financial institutions.

Relevance of Religious Court Decisions on Marriage to National Development Policy Directions: A Legal and Social Analysis

The results show that the Religious Courts play an important role in harmonising Islamic law with national development policies and international legal standards, particularly in the context of protecting the rights of women and children. However, challenges exist in harmonising interpretations of Islamic law with the principles of human rights and gender equality guaranteed by international conventions such as CEDAW. This research uses a qualitative approach with a case study method to analyse the relevance of Religious Court decisions related to marriage to national development policies as well as their relationship to international law. Primary data was obtained through analysis of Religious Court decisions in several regions of Indonesia in the last five years covering marital issues such as divorce, polygamy, child custody, and division of joint property. Secondary data included national policy documents, such as the RPJMN, as well as international legal instruments such as CEDAW. This research identifies the need for progressive reforms in the Religious Courts system, including capacity building of judges in understanding international law, revision of the Compilation of Islamic Law, and strengthening co-operation between relevant institutions. The innovative contribution of this research lies in its in-depth analysis of how the Religious Courts can serve as a bridge between religious law, national development policy, and Indonesia's international obligations.

Community Partnerships in Digital Cultural Heritage: A Systematic Review

ABSTRACTCommunity partnerships with libraries, archives, and museums are increasingly recognized as essential to developing and stewarding complete, accurate, and equitable digital cultural records. While research and practice in this area has burgeoned, there is limited empirical research characterizing the state of the field. This study offers preliminary findings of a systematic, state‐of‐the‐art review of community‐institutional partnerships in digital cultural heritage collections and initiatives. This review systematically identifies wide‐ranging, active community partnerships among relevant institutions and their high‐level objectives, and a correlated array of approaches taken in pursuit of those objectives. The resulting conceptual framework and open access dataset form the base of a toolkit supporting community‐institutional partnerships for a more sustainable, community‐centered cultural record.

Socioeconomic deprivation correlates with incomplete radiotherapy treatment in head and neck cancer.

There is a high burden of socioeconomic deprivation across Merseyside and, along with this, poorer cancer outcomes. The incidence of head and neck cancer squamous cell carcinoma (HNSCC) within this region is higher than the national average and there are often additional complexities to individual treatment pathways such as poor health literacy, lack of social support and transport options which can impact on adherence to prescribed treatments. AimThis work aims to understand the impact of deprivation on patients diagnosed with HNSCC undergoing chemoradiotherapy (CRT) or radiotherapy (RT) treatment through identifying barriers to adherence. MethodsPatients with HNSCC treated between June 2022-June 2023 were included and data collected through retrospective case note review. Approval was obtained from relevant NHS institution audit departments. Key examined variables were indices of multiple deprivation (IMD), unplanned admission rate, hospital transport use, social support network and provision of additional adhoc appointments during treatment courses. All were correlated with missed radiotherapy appointments. ResultsOut of 359 evaluable patients there were high levels of unplanned appointments with health professionals during CRT/RT (71% of those receiving CRT and 55% of those having RT). 11% (n=39) missed at least one radiotherapy appointment with the commonest reason being unplanned admission to hospital. Despite missed appointments, 25/39 patients completed treatment within prescribed window due to effective RT compensation strategies. On multivariate analysis, unplanned admission, hospital provided transport and crime deprivation quintiles (p=<0.001, p=0.007 and p=0.027 respectively) were found to significantly increase the chance of missed radiotherapy treatment appointments. ConclusionHigh levels of unplanned encounters with health care professionals are encouraging adherence to non-surgical HNSCC treatments. Formalising these adhoc appointments will provide an equitable, robust service. Undertaking hospital transport increases potential for missed treatment appointments. Gaining insight into patient experiences and investing in improved transport services are essential for maximising adherence.