Southern Countries Research Articles

Bilateral health agreements of South Africa: an analysis of issues covered.

The bilateral agreements signed between South Africa and countries in Southern and Eastern Africa are a rare example of efforts to regulate health-related issues in a world region. As far as we know, there are no comparable bilateral health governance mechanisms in regions elsewhere. Furthermore, the rapidly growing literature on global health governance and governance for global health has to date not addressed the issue of patient mobility and how to govern it. In this study, we examine the issues included in these agreements, highlight key issues that they address, identify areas of omission and provide recommendations for improvement. This analysis should inform the development of such governance agreements both in Southern Africa and in regions elsewhere. We obtained 13 bilateral health agreements between South Africa and 11 neighbouring African countries as part of a broader research project examining the impact on health systems of patient mobility in South Africa, and thematically analysed their content and the governance mechanisms described. The agreements appear to be solidarity mechanisms between neighbouring countries. They contain considerable content on health diplomacy, with little on health governance, management and delivery. Nonetheless, given what they do and do not address, and how, they provide a rare insight into mechanisms of global health diplomacy and attempts to address patient mobility and other health-related issues in practice. The agreements appear to be global health diplomacy mechanisms expressing solidarity, emerging from a post-apartheid period, but with little detail of issues covered, and a range of important issues not addressed. Further empirical work is required to understand what these documents mean, particularly in the Covid-19 context, and to understand challenges with their implementation. The documents also raise the need for particular study of bilateral flows and experience of patients and health workers, and how this relates to health system strengthening.

Activity of ceftolozane/tazobactam and imipenem/relebactam against clinical isolates of Enterobacterales and Pseudomonas aeruginosa collected in Greece and Italy—SMART 2017–2021

PurposeThe current study evaluated the in vitro activities of ceftolozane/tazobactam (C/T), imipenem/relebactam (IMI/REL), and comparators against recent (2017–2021) clinical isolates of gram-negative bacilli from two countries in southern Europe.MethodsNine clinical laboratories (two in Greece; seven in Italy) each collected up to 250 consecutive gram-negative isolates per year from lower respiratory tract, intraabdominal, urinary tract, and bloodstream infection samples. MICs were determined by the CLSI broth microdilution method and interpreted using 2022 EUCAST breakpoints. β-lactamase genes were identified in select β-lactam-nonsusceptible isolate subsets.ResultsC/T inhibited the growth of 85–87% of Enterobacterales and 94–96% of ESBL-positive non-CRE NME (non-Morganellaceae Enterobacterales) isolates from both countries. IMI/REL inhibited 95–98% of NME, 100% of ESBL-positive non-CRE NME, and 98–99% of KPC-positive NME isolates from both countries. Country-specific differences in percent susceptible values for C/T, IMI/REL, meropenem, piperacillin/tazobactam, levofloxacin, and amikacin were more pronounced for Pseudomonas aeruginosa than Enterobacterales. C/T and IMI/REL both inhibited 84% of P. aeruginosa isolates from Greece and 91–92% of isolates from Italy. MBL rates were estimated as 4% of Enterobacterales and 10% of P. aeruginosa isolates from Greece compared to 1% of Enterobacterales and 3% of P. aeruginosa isolates from Italy. KPC rates among Enterobacterales isolates were similar in both countries (7–8%). OXA-48-like enzymes were only identified in Enterobacterales isolates from Italy (1%) while GES carbapenemase genes were only identified in P. aeruginosa isolates from Italy (2%).ConclusionWe conclude that C/T and IMI/REL may provide viable treatment options for many patients from Greece and Italy.

I Would Like to but I Cannot: What Influences the Involuntariness of Part-Time Employment in Italy

Over the last two decades, involuntary part-time (IPT) employment has become a more and more pressing issue in Europe, especially in the southern countries, where IPT today constitutes most part-time employment. Using INAPP-PLUS data and different discrete choice model estimations, this paper aims to shed light on the factors that explain the IPT growth in Italy, focusing on what influences the IPT status at the individual, household and labour market levels. The main hypothesis is that what influences the IPT work derive from a combination of workers’ individual, household, and job characteristics which may engender limited power during the bargaining process. The empirical results, based on gender-specific models, highlight that characteristics associated with the IPT status significantly changed over time, reporting a convergent path between the gender profiles of IPT employment. However, IPT employment for women still appears to be mainly originated from the gendered division of domestic and care tasks, while this phenomenon seems to be mainly driven by the labour demand side for men.

Platform sub-imperialism

This commentary explores Brazil's role in Latin American platform capitalism, integrating Ruy Mauro Marini's theoretical framework with contemporary studies of platform capitalism. It examines the connections between Latin American platforms, overexploitation, and data accumulation, leading to the concept of platform sub-imperialism: The emergence of certain Southern countries as platform sub-imperialist powers, acting as regional centers of data and capital accumulation through the expansion of their platforms into neighboring countries. This positioning constitutes an intermediate state between hegemonic nations and “digital colonies” in the international division of platform labor, data accumulation, and technological dependency.

Utilization of Health Care Services and Accessibility Challenges among Adults Aged 50+ before and after Austerity Measures across 27 European Countries: Secular Trends in the SHARE Study from 2004/05 to 2019/20.

This study aimed to assess and compare the utilization of preventive and other health services and the cost or availability in different regions of Europe, before and during the economic crisis. The data used in the study were obtained from Wave 8 of the Survey of Health, Ageing and Retirement in Europe (2019/2020) and Wave 1 data (2004/5), with a sample size of 46,106 individuals aged ≥50 across 27 countries, adjusted to represent a population of N = 180,886,962. Composite scores were derived for preventive health services utilization (PHSU), health care services utilization (HCSU), and lack of accessibility/availability in health care services (LAAHCS). Southern countries had lower utilization of preventive services and higher utilization of other health services compared to northern countries, with a significant lack of convergence. Moreover, the utilization of preventive health services decreased, whereas the utilization of secondary care services increased during the austerity period. Southern European countries had a significantly higher prevalence of lack of accessibility. An increase in the frequency of lack of accessibility/availability in health care services was observed from 2004/5 to 2019/20. In conclusion, our findings suggest that health inequalities increase during crisis periods. Therefore, policy interventions could prioritize accessibility and expand health coverage and prevention services.

The chemical composition of the aerial parts’ essential oil of Limonium lobatum (L.f.) Chaz. growing wild in Algeria

The Limonium genus (Plumbaginaceae) includes several species of perennial herbs and shrubs belonging to a particular type of halophytes, known as ‘recretohalophytes’. Limonium species are widely distributed in the Mediterranean region, mainly in the North-Eastern and Southern countries and several bioactivities have been well documented. In the present study, the chemical composition of the essential oil (EO) of the aerial parts of Limonium lobatum (L.f.) Chaz., a species never chemically previously studied and collected in Algeria, which grows in South Spain, North Africa, and SW Asia, was analysed using GC-MS. The main constituents of the EO were monoterpenes involving eucalyptol (14.21%), β-pinene (8.62%), β-myrcene (8.18%). Among the sesquiterpene compounds β-caryophyllene (8.94%) was the major one. The chemical profile of the EO presented here was compared with the EOs of previously investigated Limonium taxa. Furthermore, a complete literature review on the ethno-pharmacological uses of Limonium species was performed.

Coloniality dressed in green: in its current form, climate finance risks becoming a new tool for colonial rule

As the impacts of the climate crisis are being increasingly felt, a critical part of the solution is said to be the issue of mobilising climate finance. Particularly for the Global South, climate finance is crucial for sustainable development; to simultaneously meet the challenges of the climate crisis while addressing issues around economic development, health, poverty and beyond. Yet at present, Southern progress is being held back by ongoing and evolving patterns of Northern neo-coloniality, including through finance and debt relationships. In a context where the mainstream approach to mobilising climate finance – centring private finance, derisked by the state – reflects the dominance of US-style market-based finance, climate finance in this form simply risks becoming a new mechanism by which Southern countries are exposed to new types of subordination and dependence. Instead, structural changes and policy space is required for the Global South to break away from Northern financial dependence. The Bridgetown Agenda and calls for a new Bretton Woods moment are important steps in this direction. However, in addition such countries need the ability to develop financial institutions and regulatory structures that can simultaneously direct credit towards priority areas, regulate capital flows, and develop infrastructure that is democratically owned and oriented towards the needs of public and environment.

Crowdfunding or crowdsourcing time: Exploring the willingness of private citizens to help prevent forest fires

In Europe, southern countries like Portugal lose extensive forest areas to wildfires every year. Public investment in forest conservation and wildfire prevention is crucial, and public support is necessary. In this study, we explore the adequacy of two citizen engagement mechanisms to help in the prevention of wildfires. We design a preference elicitation survey to study preferences for forests and voluntary contributions towards a fire prevention programme, either through voluntary monetary contributions (crowdfunding the prevention expenses) or by contributing with time (crowdsourcing the execution of prevention tasks). We posit that individuals who value forests and forest fire prevention may be willing to contribute directly in either way.We observe that the elicited willingness to participate in either form is high and that while some individual characteristics have an impact on elicited amounts, forest-related variables have no explanatory power. Additionally, respondents who prefer time contributions contribute relatively more time than those who prefer money contributions, who in turn contribute relatively more monetarily, which suggests that using targeted mechanisms for public involvement can optimise overall contributions to forest fire prevention. Furthermore, when comparing time and monetary contributions, as well as accounting for the cost of labour in Portugal, a crowdsourcing campaign would raise more work time than would a crowdfunding campaign to cover the cost of hiring workers to perform these activities.

Trends in temperatures in Sub-Saharan Africa. Evidence of global warming

Climate change has become a serious environmental matter of global concern. This paper attempts to verify if there is climatic change in Sub-Saharan Africa with the help of monthly station data from January 1901 to December 2020 on the mean temperatures of 48 countries of Sub-Saharan Africa. To do this, we employ fractional integration to account for the data's probable long memory feature. However, because other statistical features such as linear trends and seasonality might also be present in the data, we propose a broad framework that treats these three characteristics (long-range dependence, time trends, and seasonality) in a unified treatment. We first note that long memory is an observed feature in the data and using the original data, the time trends are found to be significant in Southern and Eastern countries, with higher coefficients being observed when the post-War II data are employed. When looking at the anomalies with respect to selected periods, long memory is found in all cases, and a higher number of trends are detected. Thus, 41 countries show significant time trends, with the values being higher again in the post WW2 sample, suggesting that industrialization might have contributed to global warming. The results also indicate some degree of heterogeneity across the African countries.

The diet of the Eurasian eagle-owl (Bubo bubo) in various natural environments across Eurasia

Abstract The Eurasian eagle-owl (Bubo bubo) has adapted to hunt local fauna that are subject to the influence of human agricultural activities. In the sparse forests, marshes and lakes of the mountainous regions of central Norway, the eagle-owl’s diet is dominated by small mammals and gallinaceous birds, but the common frog Rana temporaria features more frequently in regions near the fjords, with various species of seabirds predominating on some islands. The eagle-owls, breeding in several protected regions of the Czech Republic, hunting in agricultural areas small mammals and game animals in addition to waterbirds nesting by fishponds. In Slovakia, the majority of the eagle-owl population nests on the edges of mountain valleys. In the past, they hunted small mammals and amphibians on pastureland located deep in the mountains, but they have adapted to hunting larger prey in more intensively farmed valleys. Predominantly in the eastern part of Turkey, the diet of Eurasian eagle-owl hunting on natural mountain steppes has been studied, where mammals of the family Cricetidae dominate. In the arid conditions of the southern countries of Syria, Jordan and Israel, mammals of the Gerbillinae sub-family predominated in addition to a higher proportion of birds. In the more variable areas of Iran, eagle-owl diets feature a wide range of indigenous mammals and birds, with different species represented in several territories. Studies from the edges of the Fergana Valley in southern Kyrgyzstan found differences in the diets of eagle-owls living at lower elevations and those living higher in the mountains, while birds were the predominant prey in the Kalek site. Smaller samples of eagle-owl diets were also collected in the Altai Mountains of Mongolia, the Barguzinsky Mountains to the east of Lake Baikal and the Vaida Mountain on Sakhalin Island. The results presented in this study can also contribute to our knowledge about the fauna of the above-mentioned regions.

Symphony of sustainability: how technology similarity impacts international trade patterns in environmental goods.

The global consensus on sustainable development and environmental cooperation has prompted the promotion of trade in environmental goods (EGs) for green growth. This study delves into the diversity of EGs trade patterns, using decomposed environmental technology similarity indicators to reveal the technological drivers. Linking innovation indicators to trade performance in EGs provides new insights into the determinants of inequality in environmental governance cooperation. Based on an extended gravity model, we empirically analyze their impact on bilateral EGs trade flows among 176 countries over the period 2002-2019. The study finds that (1) the global EGs trade network presents a "core-periphery" structure, with increased network density and participation of developing countries. (2) Technology similarity contributes significantly to EGs trade. Compared to competition, technology complementarity has a greater impact on EGs trade flows. (3) The influence of technology similarity varies across trade patterns and product complexity explains the mechanisms, with technology complementarity promoting more trade in high-complexity products, mainly concentrated in the trade from Northern countries, while technology competition greatly promotes the export of low-complexity products from the South. (4) Technology similarity helps to overcome information barriers in EGs trade, and its trade-enhancing effects exhibit geographical regionalization. The findings offer empirical evidence on the technological drivers of EGs trade and provide policy implications for fostering inclusive global environmental governance and enhancing the competitive advantages of Southern countries, fostering more opportunities for green growth.

The Relationships between Drought Exposure, Fertility Preferences, and Contraceptive Behaviors: A Multicountry Study.

The interplay between population dynamics and the environment has long interested demographers. Although studies have explored how climate patterns affect macrolevel population processes, such as mortality and migration, little is known about their impact on individual-level demographic behaviors. This study fills this research gap by examining the linkages between exposure to drought and women's fertility preferences and contraceptive behaviors in sub-Saharan Africa. We analyze data from the Demographic and Health Surveys Program, focusing on 17 countries in East, Southern, and West Africa. We investigate whether women's recent exposure to drought episodes in their community affects their fertility preferences and modern contraceptive use. Generally, the findings show that drought is relevant to understanding women's fertility preferences and behaviors in the vast majority of countries; however, drought exposure has variable impacts. Moreover, whereas in some countries, drought exposure encourages contraceptive behaviors that align with women's preferences, in select countries it is associated with behavior that is misaligned with women's stated preferences. Overall, the study emphasizes the importance of examining climate events as complex forces that have localized meanings for demographic outcomes.

How Community-based Tourism Improves Community Welfare? A Practical Case Study of ‘Governing the Commons’ in Rural Nglanggeran, Indonesia

Anchored in Ostrom’s (1990) account of Governing the Commons, this article discusses community-based mechanisms and their potential implication for poverty alleviation and well-being improvement of societies. The material for this article draws on our research report on the application of community-based tourism (CBT) as social innovation for poverty alleviation and social well-being improvement in the Nglanggeran village from 2009 to 2016, which continues to be monitored to date. Our findings indicate that community-led initiatives have been successful in alleviating chronic poverty and social problems by integrating local institutions and developing resource-based businesses. However, recent government intervention has limited the initiatives, highlighting a power imbalance between government agencies and the community. Consequently, CBT has become an industry reserved for a select few villagers who have formed partnerships with the government. It reveals the recurring problems of government–community partnership, which, over the last two decades, has expanded in many Southern countries and has resulted in contestations of political interest within the empowerment programme, all of which produced institutional constraints to ‘commons approach’ application to governance. This article contributes to understanding the dynamics of empowerment initiatives by highlighting the intersection of collectivity and welfare capitalism as an analytical framework, enabling the application of ‘the commons theory’ within community/social development studies.

Quel est le rôle des associations dans la prévention du VIH ? Illustration en France et au Burkina Faso

Since the beginning of the epidemic, HIV associations have played an essential role in both northern and southern countries. In France, they have enabled people living with HIV, and more broadly exposed populations, to acquire a role as interlocutors in public debate, in public health strategies and in research orientations. They have also brought about a profound change in the relationship between people living with HIV and the healthcare system. In Burkina Faso, associations play an important role in the national response to infection; their actions, which were once confined to information, awareness-raising and psychosocial support, have gradually evolved towards an increasingly comprehensive service offering (screening, prevention, treatment and follow-up) in line with the epidemic.

Advancing South-South cooperation in education: Indonesian experience with South Africa

Education collaboration is important to increase the quality of human capital. South-South cooperation is conducted to exchange resources, technology, skills, and knowledge between southern countries. The purpose of this research is to investigate the collaboration between Indonesia and South Africa toward advancing South-South Cooperation in education. The data collection used in this qualitative research is an interview and literature study with 9 purposive informants from the Indonesian Ministry of Foreign Affairs, the Indonesia Ministry of Education and Culture, and the Embassy of South Africa. The data were obtained within six months. The interview was primarily used to explore the roles and practices of government institutions and universities in fostering education collaboration and human resources development. In this study, the South-South Cooperation helps Indonesia address its educational needs. The result showed that most international education cooperation between both countries is agreed upon at the University-to-University level through a Memorandum of Understanding (MoU), facing less sustainable challenges and low impact. Therefore, an investment-led model, multi-stakeholder collaboration, and a tool to monitor and evaluate this process are needed to improve South-South Cooperation to achieve its goals.

HIV programme sustainability inSouthern andEastern Africa andthe changing role ofexternal assistance forhealth.

High human immunodeficiency virus (HIV)-prevalence countries in Southern and Eastern Africa continue to receive substantial external assistance (EA) for HIV programming, yet countries are at risk of transitioning out of HIV aid without achieving epidemic control. We sought to address two questions: (1) to what extent has HIV EA in the region been programmed and delivered in a way that supports long-term sustainability and (2) how should development agencies change operational approaches to support long-term, sustainable HIV control? We conducted 20 semi-structured key informant interviews with global and country-level respondents coupled with an analysis of Global Fund budget data for Malawi, Uganda, and Zambia (from 2017 until the present). We assessed EA practice along six dimensions of sustainability, namely financial, epidemiological, programmatic, rights-based, structural and political sustainability. Our respondents described HIV systems' vulnerability to donor departure, as well as how development partner priorities and practices have created challenges to promoting long-term HIV control. The challenges exacerbated by EA patterns include an emphasis on treatment over prevention, limiting effects on new infection rates; resistance to service integration driven in part by 'winners' under current EA patterns and challenges in ensuring coverage for marginalized populations; persistent structural barriers to effectively serving key populations and limited capacity among organizations best positioned to respond to community needs; and the need for advocacy given the erosion of political commitment by the long-term and substantive nature of HIV EA. Our recommendations include developing a robust investment case for primary prevention, providing operational support for integration processes, investing in local organizations and addressing issues of political will. While strategies must be locally crafted, our paper provides initial suggestions for how EA partners could change operational approaches to support long-term HIV control and the achievement of universal health coverage.

An imprecise probability approach-based determination of over-represented southern African plant genera and families used in ethnopharmacology

Ethnopharmacological relevanceThe analyses of patterns of over-representation of southern African traditional medicinal plants at the genus and family level provide information about the differences in plant use among southern African countries and disease categories. ‘Over-representation’ refers to the phenomenon whereby the proportion of plants belonging to a taxonomic group is higher in ethnobotanical pharmacopoeia than in the total flora. Aim of the studyThis study aimed to use the Imprecise Dirichlet Model (IDM) to analyse data from ten southern African countries to establish how over-represented medicinal plant families compare with over-represented genera, how over-represented medicinal taxa differ among countries in this region of Africa, and how over-represented taxa differ among six major disease categories. Materials and methodsFloral data for the total species composition of each country were obtained from online databases. Medicinal plant species lists were generated from published surveys, inventories, and books. IDM calculations were executed using the inverse of the cumulative beta probability density function in Microsoft Excel™. Python programming language source code was used to calculate Pearson correlation (r) values and Jaccard coefficients (J). ResultsNine of forty-two over-represented medicinal plant families in southern Africa (group 1) do not have over-represented genera. Seven of the forty genera with the highest margins of over-representation belong to under-represented families. Nineteen of the forty-two over-represented families have margins of over-representation smaller than the cumulative margins of their over-represented genera. Groups of countries with similar overall flora (J ≥ 0.333) are Botswana and Namibia (group 2), Malawi, Mozambique, Zambia and Zimbabwe (group 3). The families and genera with the highest margins of over-representation are Loganiaceae and Albizia in group 1, Combretaceae and Vachellia in group 2, Dioscoreaceae and Senna in group 3, and Sapotaceae and Solanum in group 4 (South Africa). The families and genera with the highest margins of over-representation across disease categories are Ebenaceae and Albizia, Canellaceae and Dicoma, Combretaceae and Pterocelastrus, Ebenaceae and Bersama, Francoaceae and Erythrina, and Aristolochiaceae and Strychnos for plants used in the treatment of STIs, febrile and mosquito-vector diseases, microbial infections, pain, skin conditions, and female sexual/reproductive problems, respectively. ConclusionsGenus-level calculations are more efficient in generating taxonomic lists that can be used for ethnopharmacological investigations due to the exclusion of under-represented genera. Limiting the size of geographical areas from which medicinal plant lists are sampled and targeting plants used to treat specific types of disease prevents the underestimation of niche over-represented taxa.

Особливості цифрової трансформації підприємств у країнах Європейського Союзу

Digital transformation plays an important role in ensuring the competitiveness of enterprises in today’s environment. The COVID-19 pandemic has significantly exacerbated this trend, as many companies are facing the threat of bankruptcy due to their inability to quickly adapt to the digital format of work. The European Union is no exception, which, in order to prevent such crisis situations, has developed an appropriate digital transformation strategy for 2030, one of the directions of which is the digital transformation of enterprises. It is found that most scientific studies cover the general aspects of digitalization of enterprises in the European Union, without taking into account the specifics of individual countries, or contain an analysis of the digitalization of enterprises in the EU countries without a detailed consideration of its components. In view of the above, the aim of the article is to study the digital transformation of enterprises in different countries of the European Union. To achieve this goal, the digital intensity index and its main components were analyzed. The article uses the following methods: deduction, analysis, synthesis, generalization, comparison, and tabular method. The results showed that enterprises in Northern and Western Europe are characterized by a fairly high level of digital intensity and values for most of its components. This is especially true for European Union countries such as Denmark, Sweden, Finland and Belgium. The opposite trends have been found in the EU countries in Southern and Eastern Europe, which have a much lower indicator of digital intensity and the importance of its components compared to the above-mentioned ones. These include: Bulgaria, Romania, Greece, Hungary and others. In addition, it was found that the majority of enterprises in the European Union have reached at least a basic level of digital intensity, including small and medium-sized ones. However, in order to achieve the goal of digital transformation of small and medium-sized enterprises in the strategic plan by 2030, it is necessary to reduce the gap between the actual and target indicators by more than 20%. For this purpose, the main directions for increasing the level of the Digital Intensity Index were identified, including: stimulating the integration of e-commerce, especially in the direction of B2C, developing staff skills in the field of ICT, employment of specialists in the field of ICT, the use of industrial or service robots, as well as improving the values of most components of the Digital Intensity Index of enterprises in the EU countries in Southern and Eastern Europe.

Environmental citizen commitment in the process of territorial transition: Perspectives from the global South

Territorial transition in southern countries seems to have a distinctive aspect in comparison to northern countries, as it is governed by a dual challenge. On one hand, to regulate unrestrained urbanisation and, on the other hand, to maintain the principles of sustainability promoted on an international scale. In this article, we focus on the interaction between the two main pillars of sustainability, namely the social and the environment, and in particular on the degree of citizen involvement in processes regarding conservation of natural areas within their cities. Therefore, we question the modalities of territorial transition within theoretical and empirical frameworks for the case of the cities of Duitama in Colombia and Setif in Algeria. Two cities situated in southern countries, amid territorial transition, with rather similar geographical and natural characteristics, yet with very different social conditions. Through a comparative study it is possible to comprehend the diversity of social practices towards protecting the environment in these urban areas. The aim of this study is to understand how the inhabitants of these towns are currently involved in environmental protection, and their potential involvement in the ecological transformation that these two territories will undergo in the future.

From "Bioeconomy Strategy" to the "Long-term Vision" of European Commission: which sustainability for rural areas?

The aim of this paper is to analyze the current and long-term effects of the European Commission Bioeconomy Strategy in order to outline possible scenarios for rural areas and evaluate their sustainability. The focus is on the main economic sectors, with particular reference to employment and turnover, in order to understand what kind of economy and jobs are intended for rural areas, as well as their territorial impacts. For this purpose, we have analyzed the main European Commission documents and datasets concerning the bioeconomy and long-term planning for rural areas, as well as the recent scientific data to verify the impact on forests. The result is that European rural areas are intended to be converted initially into large-scale biomass producers for energy and bio-based industry, according to the digitization process, and subsequently into biorefinery sites, with severe damage to landscape, environment, biodiversity, land use and local economy. Scenarios for rural areas don’t seem neither sustainable nor profitable, particularly for the peripheral countries (Southern and Eastern countries of the European Union).