Sustainable Implementation Research Articles

A Bibliometrics Visualization Analysis of Sustainable Green Supply Chain Management in Small and Medium Enterprises

This bibliometric study entails an analysis of publications about green supply chain management (GSCM) within small and medium enterprises (SMEs). The research aims to scrutinize the research performance concerning GSCM in SMEs. This study identifies countries, leading journals, scholars, and research themes. This research adopts bibliometric methods to focus on publications between 2007 and 2024, sourced from the Scopus database and limited to English-language publications. The document type analyzed is articles, yielding 133 qualifying articles for analysis using Rstudio and VOSviewer. Results indicate rapid growth in studies on GSCM in SMEs since 2007. Influential countries in the realm of GSCM within SME contexts include China, Indonesia, India, Malaysia, and the United Kingdom. Furthermore, the Journal of Cleaner Production and author Le TT emerge as the most prolific scholarly output in this domain. Supply Chain Management, GSCM, and SMEs are frequently recurring keywords, totalling 407 keyword link strengths. Keyword analysis over time indicates a trend towards adopting newly pertinent terms such as human resources, technology, circular economy (CE), trade, and business. Thus, utilising GSCM signifies promising prospects for SMEs in the future. This study adopts bibliometric methods based on document-type articles from the Scopus database collected as of March 15, 2024. Publications based on document types such as conference papers, conference reviews, book chapters, and sources outside the Scopus database, such as WoS, are disregarded in this research. The study reveals that the sustainable implementation of GSCM in SMEs is an emerging requirement and complex to manage for SMEs, necessitating new concepts and appropriate strategies for implementation. This study objectively evaluates research progress in GSCM within SMEs, highlighting research achievements and gaps while discussing contributions to the scholarly community.

Towards a Greener Tomorrow: Exploring the Potential of AI, Blockchain, and IoT in Sustainable Development

This article examines the potential for artificial intelligence (AI), blockchain, and the Internet of Things (IoT) to advance sustainability. Through a literature review and critical analysis, the study evaluates the possible advantages, difficulties, and opportunities of utilizing these technologies to support a sustainable future. The research study emphasizes how effective AI is at streamlining resource management, increasing system efficiency, and optimizing energy use. It focuses on the potential of blockchain to improve supply chain accountability and transparency, and it also discusses the game-changing potential of IoT to improve resource management. However, some issues must be resolved, including excessive costs, technological difficulties, data privacy concerns, and social repercussions. The essay advocates creating multidisciplinary research programs, funding R&D, and supporting collaborative relationships. It also suggests creating sustainable implementation plans, prioritizing ethical issues and data governance, and encouraging information exchange and awareness. By accepting these proposals, stakeholders may leverage the promise of green technology and innovation to build a sustainable future. It is also clear that the Internet of Things (IoT) can potentially optimize resource management. Real-time data on a variety of topics, including traffic conditions, air and water quality, and water management, can be provided through IoT-enabled sensors. Cities may reduce traffic, increase energy efficiency, enhance environmental conditions, and encourage sustainable water management techniques by utilizing this data to inform their decisions. However, serious consideration must be given to data privacy, security, scalability, and interoperability issues to ensure IoT solutions’ ethical and efficient adoption. Despite their enormous potential, the paper acknowledges the difficulties and constraints in implementing these technologies. Significant obstacles include high implementation costs, complex technical requirements, and the requirement for adequate data privacy and security safeguards. A sustainable and inclusive future also requires resolving ethical issues, including algorithmic prejudice, social fairness, and equitable access to technology. The report recommends encouraging cooperative relationships between academia, business, government, and communities to address these issues. Research and development investments are required to evaluate these technologies’ practical use, scalability, and economic viability. In addition, multidisciplinary research initiatives can comprehensively comprehend green technology and innovation’s social, economic, and environmental effects. It has been concluded that there is great potential for future technologies, such as AI, blockchain, and IoT, to advance sustainability. Stakeholders can use these technologies’ revolutionary potential to build a sustainable future by resolving obstacles, promoting collaboration, and doing additional research. To ensure the ethical and successful application of green technology and innovation for the benefit of the environment and future generations, it is essential to prioritize ethical considerations, establish sustainable implementation strategies, and foster information exchange and awareness.

Migrant-sensitive healthcare in Europe: advancing health equity through accessibility, acceptability, quality, and trust.

The advancement of migrant-sensitive health care in Europe has been a topic of many initiatives and academics debates for over 20 years in Europe, yet with rather limited progress in terms of comprehensive and sustainable implementation. We argue that a human rights-based approach with clearly defined duties and responsibilities of governments, relevant public and private institutions as well as professionals is needed, in line with a sound understanding and thoughtful implementation and further development of concepts and standards for providing migrant sensitive care as an essential component of Universal Health Coverage. We suggest drawing particular attention to the interrelated features of accessibility, acceptability, quality, and trust to inform policies and practice. Innovative approaches with substantial involvement of social and cultural sciences are needed for adapting clinical care and health services to the growing social and cultural diversity of European societies.

Education Research: Sustained Implementation of Quality Improvement Practices Is Observed in Early Career Physicians Following a Neurology Resident QI Curriculum.

The Accreditation Council for Graduate Medical Education and American Board of Psychiatry and Neurology expect engagement in quality improvement (QI) activities for all residents and practicing neurologists. Our neurology residency program instituted an experiential Neurology Residency QI Curriculum in 2015 for all residents. In this study, we aimed to characterize the role of QI engagement in the early-career paths of program graduates. We distributed an online survey evaluating QI training, scholarship, and leadership (before, during, and after residency training) to all individuals who graduated from our residency program (graduation years 2017-2021). Primary outcomes were QI project leadership or mentorship and QI scholarship (projects, posters, and publications) after residency. Predictors of these outcomes were also evaluated using Fisher exact test. Twenty-nine of 50 graduates (58%) completed the survey. Median time from residency graduation was 3 years. Of the respondents, 14% actively participated in a QI project before residency, 83% during residency, and 48% after graduating. In addition, 41% had led or mentored a QI project and 34% had performed QI scholarship since residency. Fourteen percent of participants held formal roles in QI or patient safety, while 24% received formal full-time equivalents for QI work. Significant predictors (p < 0.05) of QI leadership included older age, time since graduation, rank, and participation in Clinical Effectiveness Leadership Training (CELT-an institutional QI faculty development course). Significant predictors (p < 0.05) of QI scholarship included older age, time since graduation, participation in CELT, and participation in QI scholarship during residency. QI training, participation, and/or project leadership before residency did not predict either QI leadership or scholarship after residency. Many neurology residency graduates continued to lead QI projects and produce QI scholarship in the early years after graduation. However, receiving protected time for leadership and academic work in this area is uncommon. Our findings suggest that more infrastructure, including training, career development, and mentorship, can foster neurologists interested in leading in quality and patient safety. In academic models, promotion pathways that support academic advancement for faculty leading in QI are needed.

Evaluating the Implementation of the Pediatric Acute Care Education (PACE) Program in Northwestern Tanzania: A Mixed-Methods Study Guided by Normalization Process Theory.

In low- and -middle-income countries (LMICs) like Tanzania, the competency of healthcare providers critically influences the quality of pediatric care. To address this, we introduced PACE (Pediatric Acute Care Education), an adaptive e-learning program tailored to enhance provider competency in line with Tanzania's national guidelines for managing seriously ill children. Adaptive e-learning presents a promising alternative to traditional in-service education, yet optimal strategies for its implementation in LMIC settings remain to be fully elucidated. This study aimed to (1) evaluate the initial implementation of PACE in Mwanza, Tanzania, using the constructs of Normalization Process Theory (NPT), and (2) provide insights into its feasibility, acceptability, and scalability potential. A mixed-methods approach was employed across three healthcare settings in Mwanza: a zonal hospital and two health centers. NPT was utilized to navigate the complexities of implementing PACE. Data collection involved a customized NoMAD survey, focus groups and in-depth interviews with healthcare providers. The study engaged 82 healthcare providers through the NoMAD survey and 79 in focus groups and interviews. Findings indicated high levels of coherence and cognitive participation, demonstrating that PACE is well-understood and resonates with existing healthcare goals. Providers expressed a willingness to integrate PACE into their practice, distinguishing it from existing educational methods. However, challenges related to resources and infrastructure, particularly affecting collective action, were noted. The short duration of the study limited the assessment of reflexive monitoring, though early indicators point towards the potential for PACE's long-term sustainability. This study offers vital insights into the feasibility and acceptability of implementing PACE in a Tanzanian context. While PACE aligns well with healthcare objectives, addressing resource and infrastructure challenges is crucial for its successful and sustainable implementation. Furthermore, the study underscores the value of NPT as a framework in guiding implementation processes, with broader implications for implementation science and pediatric acute care in LMICs.

Praktik ESG terhadap Profitabilitas Perusahaan dengan Kepemimpinan berkelanjutan sebagai Variabel Moderasi

This research aims to examine the impact of ESG (environmental, social and governance) practices on company profitability and the moderating role of sustainable leadership in this influence. Data was obtained from 51 different companies with a total of 357 samples using purposive sampling techniques. Analysis was carried out using Eviews 12 and multiple linear regression methods and moderated regression analysis (MRA). The results of the analysis show that ESG practices as a whole have a significant positive impact on company profitability. However, when broken down, sustainability intentions have an insignificant negative impact, while sustainability integration and implementation have an insignificant positive impact on profitability. Additionally, sustainable leadership moderates the impact of ESG practices on profitability, turning the impact into an insignificant negative. In conclusion, the importance of ESG practices and the important role of leadership in strengthening their impact on company profitability. Keywords: Sustainable Leadership, Profitability, ESG Practices

Challenges That Impact the Development of a Multi-Generational Low-Carbon Passive House in a Small City

The impact of the building and construction sector on climate change is becoming more important and recognized. Multiple initiatives around the globe have been utilized to design and develop residential structures, aiming to reduce energy consumption and carbon emissions; yet, there are several barriers to effective construction processes. This research outlines the gaps and barriers encountered by key stakeholders that were engaged during the preconstruction phase of a three-story multi-generational low-impact Passive House in Fayetteville, Arkansas. Through direct observation and open-ended interviews, the primary data are collected, and secondary data from a comprehensive literature review are detailed to capture the challenges faced during different phases of the implementation of sustainable residential dwellings. This study highlights the limited knowledge and experience in sustainable building design as a common barrier among participants along with the insufficiency of the regulatory framework governing adopted building codes in Arkansas, in facilitating sustainable building design implementation. These challenges, among others, are then thoroughly examined, and recommendations to address them are described.

Analysing inhibitors to BIM implementation: a social network theoretical perspective

Purpose Building information modelling (BIM) implementation in the design, construction and operations (DCO) industry is increasingly becoming essential. While BIM has been adopted on a larger scale in many developed economies, its acceptance is still in the embryonic phases for developing nations in the DCO industry. This study aims to identify the inhibitors to BIM implementation through the social network theoretical lens, intending to understand the associations among the barriers in the Indian context. Subsequently, recommend strategies to mitigate the barriers from the academic practitioner’s perspective. Design/methodology/approach A mixed methods research was adopted, commencing with comprehensive literature reviews to recognise various inhibitors to BIM implementation. These identified barriers were further examined through the questionnaire survey (n = 71). BIM implementation barrier network (BIBN) was created using University of California at Irvine Network (UCINET) is a powerful social network analysis software that functions on the principle of social network theory. The experts’ opinions were captured through the BIBN network through interviews. Network properties such as eigen vector centrality, betweenness centrality, degree centrality, in-degree and out-degree and clustering coefficient were computed, and the metrics were analysed further. Findings Twenty-six BIM implementation barriers were initially identified. A questionnaire survey was conducted. The chain reaction can be minimised by prioritising and regulating these barriers. The issues were categorised into fourfold clusters (standardisation, policy and process, cultural and human resources, change management and operational) issues were generated from the exploratory factor analysis (EFA). The obstacles and barriers resulting from the other main barriers associated with it can be minimised by reducing the challenges with high eigenvector centrality but low betweenness importance. Practical implications This study proves to accelerate sustainable BIM implementation growth in developing nations; this research study assists BIM stakeholders in developing coping mechanisms to monitor and remove BIM implementation barriers. Originality/value Analysing the associativity of the BIM implementation barriers through sociograms for developing nations is a novel concept with this research.

Halal food sustainable traceability framework for the meat processing industry

Purpose This study aims to propose a framework for Halal Food Sustainable Traceability, with the purpose of investigating the implementation of traceability and sustainability within organizations operating in the halal food industry as well as exploring the impact of these practices on organizational performance. This study examines the meat processing sector in Indonesia, focusing on medium to large-scale industrial operations. The rationale for this investigation stems from Indonesia’s substantial potential in the competitive worldwide halal food industry. Design/methodology/approach The research framework has been developed by an extensive review of relevant literature, with a specific emphasis on the cycle of the halal food sustainable traceability framework. This cycle encompasses four key stages, including the roles played by authorities, the process of standardization, the implementation phase and the importance of collaboration. The study analyses and validates data using partial least square-structural equation modeling and empirically tests the theoretical framework using 109 Indonesian halal food industry data. Findings The research identifies potential obstacles and difficulties that may arise during different phases of the halal food sustainable traceability framework. Concerns regarding authority, standardization, implementation and collaboration are among these. In addition, strategies for overcoming these obstacles are deliberated upon, including knowledge sharing, transparency, ongoing reporting and strategic collaboration. Originality/value The present study introduces a Halal Sustainable Traceability Framework that incorporates the principles of halal, traceability, sustainability and their effects on organizational performance. This study offers significant perspectives on the difficulties and resolutions pertaining to the traceability and sustainability of halal food in Indonesia.

EXPLORING THE EVOLUTION OF SUSTAINABILITY SCIENCE UNDERSTANDING THE COMPLEXITY AND DEVELOPMENT OF SUSTAINABILITY PROGRAMS

Objective: The objective of this study are to investigate what and how existing sustainability programs are, to group and map these sustainability programs' main ideas to gain a more constructive and integrated understanding, and to find clues or opportunities to improve efforts to achieve sustainability. Theoretical Framework: The concept of sustainable development remains complex, ambiguous, and challenging to implement. The global environmental situation is worsening, leading to disasters and unfavorable climate change. Despite numerous efforts such as seminars, research, conferences, and work programs, both locally and globally, the understanding and implementation of sustainability remain unclear. There are differing views on the focus and strategy needed to address the development paradox, indicating a lack of consensus on the true meaning of sustainability. Method: This qualitative descriptive research employs a two-tiered literature review approach. The first focuses on the historical correlation between development and sustainability, examining early human civilization's development activities during the Neolithic era. The second tier analyzes and categorizes existing sustainability programs, reviewing various research articles on environmental preservation, natural resource protection, impact reduction, and social equity programs since the first industrial revolution. The findings are synthesized critically and comprehensively to identify common themes and core ideas. Results and Discussion: This study acknowledges the complexity and challenges of sustainability, emphasizing the ongoing relevance of conservation and resilience as core concepts. To address the dichotomy of development, new sustainability programs must also consider the revitalization of natural resources, continuity of ecosystem services, biodiversity maintenance, and resilience building. Approaches such as ecosophy and predictive methods based on dynamic phenomena can contribute (as a clue) to achieving sustainability goals by encouraging holistic thinking, balancing human and environmental needs, and promoting co-evolution. Research Implications: The complexity and constellation of diverse and intricate sustainability programs can be seen through this research. Although limited, these findings are expected to contribute to Sustainability science through a more comprehensive and constructive understanding of sustainability history and knowledge that has been described. Originality/Value: This study conducts a comprehensive research method covering various disciplines and a broad scope of sustainable development, including its evolution since the industrial revolution and aspects related to history of development. The research result creates a visual map representing the structure of existing sustainability programs, serving as a guide for proposing new research initiatives. This knowledge facilitates aligning new proposals with existing themes, bridging gaps in theories, and fostering the exploration and development of innovative sustainability ideas.

Sustainable Implementation of Physician-Pharmacist Collaborative Clinics for Diabetes Management in Primary Healthcare Centers: A Qualitative Study

BackgroundAlthough physician-pharmacist collaborative clinics for diabetes management have been shown to be effective and cost-effective worldwide, there is limited understanding of the factors that influence their sustainable implementation. This study aims to identify the associated factors and provide sustainability strategy to better implement physician-pharmacist collaborative clinics for diabetes management in primary healthcare centers in China.MethodsA sample of 43 participants were participated in face-to-face, in-depth, semi-structured interviews. Consolidated Framework for Implementation Research was used to identify facilitators and barriers to implementing physician-pharmacist collaborative clinics for diabetes management in primary healthcare centers, and to explore discriminating factors between low and high implementation units. A sustainable strategy repository based on dynamic sustainability framework was established to inform further implementation.ResultsThis study demonstrated that clear recognition of intervention benefits, urgent needs of patients, adaptive and tailored plan, highly collaborative teamwork and leadership support were the major facilitators, while the major barriers included process complexity, large number and poor health literacy of patients in primary areas, inappropriate staffing arrangements, weak financial incentives and inadequate staff competencies. Six constructs were identified to distinguish between high and low implementation units. Sixteen strategies were developed to foster the implementation of physician-pharmacist collaborative clinics, targeting Intervention, Practice setting, and Ecological system.ConclusionThis qualitative study demonstrated facilitators and barriers to implementing physician-pharmacist collaborative clinics for diabetes management in primary healthcare centers and developed theory-based strategies for further promotion, which has the potential to improve the management of diabetes and other chronic diseases in under-resourced areas.

#347 Long-term effectiveness of a village doctor-led multifaceted strategy on blood pressure control: a cluster randomized trial

Abstract Background and Aims We tested the effectiveness of a village doctor-led multifaceted strategy on blood pressure (BP) control over 36 months among patients with hypertension in rural China. Village doctors are community health workers who provide basic primary health care in rural China. Method 326 villages were randomly assigned to the village doctor-led intervention or usual care. Individuals aged ≥40 years with an untreated mean BP ≥140/90 mmHg (≥130/80 mmHg in individuals with clinical cardiovascular disease) or treated BP ≥130/80 mmHg were recruited. The trained village doctors initiated and titrated antihypertensive medications according to a simple stepped-care protocol with supervision from primary care physicians. They also delivered discounted and free medications to patients and conducted health coaching on lifestyle change, medication adherence, and home BP monitoring. Intention to treat analysis was conducted. Results At baseline, mean age (62.8 vs. 63.2 years), percentage of women (60.9% vs. 61.6%), mean systolic BP (157.0 vs. 155.5 mmHg), and diastolic BP (88.1 vs. 87.3 mmHg) were comparable between intervention and control groups. At 36 months, 72.5% patients in the intervention group and 11.7% patients in the control group had a BP of less than 130/80 mmHg, with a group difference of 60.8% (95% CI 59.4 to 62.2%; p&amp;lt;0.0001). Mean systolic BP decreased by –30.8 mmHg (95% CI –31.7 to –29.9) from baseline to 36 months in the intervention group and by –7.6 mmHg (–8.5 to –6.8) in the control group, with a group difference of –23.1 mmHg (95% CI –24.4 to –21.9 mmHg; p&amp;lt;0.0001). Mean diastolic BP decreased by –14.8 mmHg (–15.3 to –14.3) from baseline to 36 months in the intervention group and by –4.9 mmHg (–5.3 to –4.4) in the control group, with a group difference of –9.9 mmHg (–10.6 to –9.3 mmHg; p&amp;lt;0.0001). No treatment-related serious adverse events were reported in either group. Conclusion In rural China, the village doctor-led multifaceted strategy significantly reduced BP over 36 months in patients with hypertension. This proven-effective and sustainable implementation strategy could be scaled up throughout rural China and in other low- and middle-income countries for hypertension control.

Process evaluation of implementation of the early stages of a whole systems approach to obesity in a small Island.

The small Atlantic island of St Helena is a United Kingdom Overseas Territory (UKOT) with a high prevalence of childhood obesity (over a quarter of 4-5 and 10-11 year olds) and, anecdotally, adulthood obesity and its associated health detriments. St Helena have taken a whole systems approach to obesity (WSAO) to address the issue. A WSAO recognises the factors that impact obesity as a complex system and requires a 'health in all policies' approach. UK academic and public health technical support was provided to the local St Helena delivery team. This process evaluation sought to explore the early stages of the WSAO implementation and implications for the transferability of the approach to other small island developing states and UKOT. Data was collected via eight semi-structured interviews, paper based and online surveys, and document analysis. Thematic analysis was used to analyse the data. The analysis identified three factors which aided the first phase of WSAO implementation: (1) senior leaders support for the approach; (2) the academic support provided to establish and develop the approach; and (3) effective adaptation of UK Government resources to suit the local context. Key challenges of early implementation included: maintaining and broadening stakeholder engagement; limited local workforce capacity and baseline knowledge related to obesity and systems thinking; and limited capacity for support from the UK-based academic team due to contract terms and COVID-19 restrictions. Early stages of implementation of a WSAO in a UKOT can be successful when using UK's resources as a guide and adapting them to a small island context. All participants recommended other small islands adopt this approach. Continued senior support, dedicated leadership, and comprehensive community engagement is needed to progress implementation and provide the foundation for long-term impact. Small island developing states considering adopting a WSAO should consider political will, senior level buy-in and support, funding, and local workforce knowledge and capacity to enable the best chances of successful and sustainable implementation.

Barriers and benefits of mHealth for community health workers in integrated community case management of childhood diseases in Banda Parish, Kampala, Uganda: a cross-sectional study

BackgroundLow-quality data presents a significant challenge for community health workers (CHWs) in low and middle-income countries (LMICs). Mobile health (mHealth) applications offer a solution by enabling CHWs to record and submit data electronically. However, the barriers and benefits of mHealth usage among CHWs in informal urban settlements remain poorly understood. This study sought to determine the barriers and benefits of mHealth among CHWs in Banda parish, Kampala.MethodsThis qualitative study involved 12 key informant interviews (KIIs) among focal persons from Kampala City Council Authority (KCCA) and NGOs involved in data collected by CHWs, and officials from the Ministry of Health (MOH) and two mixed-sex Focused Group Discussions (FGDs) of CHWs from Banda parish, Kampala district. Data analysis utilised Atlas Ti Version 7.5.7. Thematic analysis was conducted, and themes were aligned with the social-ecological model.ResultsThree themes of institutional and policy, community and interpersonal, and individual aligning to the Social ecological model highlighted the factors contributing to barriers and the benefits of mHealth among CHWs for iCCM. The key barriers to usability, acceptability and sustainability included high training costs, CHW demotivation, infrastructure limitations, data security concerns, community awareness deficits, and skill deficiencies. Conversely, mHealth offers benefits such as timely data submission, enhanced data quality, geo-mapping capabilities, improved CHW performance monitoring, community health surveillance, cost-effective reporting, and CHW empowering with technology.ConclusionDespite limited mHealth experience, CHWs expressed enthusiasm for its potential. Implementation was viewed as a solution to multiple challenges, facilitating access to health information, efficient data reporting, and administrative processes, particularly in resource-constrained settings. Successful mHealth implementation requires addressing CHWs’ demotivation, ensuring reliable power and network connectivity, and enhancing capacity for digital data ethics and management. By overcoming these barriers, mHealth can significantly enhance healthcare delivery at the community level, leveraging technology to optimize resource utilization and improve health outcomes. mHealth holds promise for transforming CHW practices, yet its effective integration necessitates targeted interventions to address systemic challenges and ensure sustainable implementation in LMIC contexts.

Revolutionizing AI-Assisted Education with Federated Learning: A Pathway to Distributed, Privacy-Preserving, and Debiased Learning Ecosystems

The majority of current research on the application of artificial intelligence (AI) and machine learning (ML) in science, technology, engineering, and mathematics (STEM) education relies on centralized model training architectures. Typically, this involves pooling data at a centralized location alongside an ML model training module, such as a cloud server. However, this approach necessitates transferring student data across the network, leading to privacy concerns. In this paper, we explore the application of federated learning (FL), a highly recognized distributed ML technique, within the educational ecosystem. We highlight the potential benefits FL offers to students, classrooms, and institutions. Also, we identify a range of technical, logistical, and ethical challenges that impede the sustainable implementation of FL in the education sector. Finally, we discuss a series of open research directions, focusing on nuanced aspects of FL implementation in educational contexts. These directions aim to explore and address the complexities of applying FL in varied educational settings, ensuring its deployment is technologically sound, beneficial, and equitable for all stakeholders involved.

Qualitative multi-stakeholder evaluation of the adoption, implementation and sustainment of theschool-based dietary intervention "Jump-in".

Comprehensive school-based programs applying the WHO Health Promoting School Model have the potential to initiate and sustain behavior change and impact health. However, since they often include intervention efforts on a school's policies, physical environment, curriculum, health care and involving parents and communities, they significantly 'intrude' on a complex system that is aimed primarily at education, not health promotion. More insights into and concrete strategies are therefore needed regarding their adoption, implementation, and sustainment processes to address the challenge to sustainable implementation of HPS initiatives in a primarily educational setting. This study consequently evaluates adoption, implementation and sustainment processes of Amsterdam's Jump-in healthy nutrition HPS intervention from a multi-stakeholder perspective. We conducted semi-structured interviews and focus groups with all involved stakeholders (n = 131), i.e., Jump-in health promotion professionals (n = 5), school principals (n = 7), at-school Jump-in coordinators (n = 7), teachers (n = 20), parents (n = 50, 9 groups) and children (n = 42, 7 groups) from 10 primary schools that enrolled in Jump-in in the school year 2016-2017. Included schools had a higher prevalence of overweight and/or obesity than the Dutch average and they were all located in Amsterdam's low-SEP neighborhoods. Data were analyzed using a directed content analysis, in which the Determinants of Innovation Model was used for obtaining theory-based predetermined codes, supplemented with new codes emerging from the data. During intervention adoption, all stakeholders emphasized the importance of parental support, and accompanying workshops and promotional materials. Additionally, parents and teachers indicated that a shared responsibility for children's health and nuanced framing of health messages were important. During implementation, all stakeholders needed clear guidelines and support structures. Teachers and children highlighted the importance of peer influence, social norms, and uniform application of guidelines. School staff also found further tailoring of the intervention and dealing with financial constraints important. For long-term intervention sustainment, incorporating the intervention policies into the school statutes was crucial according to health promotion professionals. This qualitative evaluation provides valuable insights into factors influencing the adoption, implementation, and sustainment processes of dietary interventions, such as the importance of transparent and consistent intervention guidelines, clear communication regarding the rationale behind intervention guidelines, and, stakeholders' involvement in decision-making.

Has the Establishment of National Key Ecological Function Zones Improved Eco-Environmental Quality?—Evidence from a Quasi-Natural Experiment in 130 Counties in Sichuan Province, China

China’s National Key Ecological Function Zones (NKEFZs) currently represent the largest and most extensive ecological conservation policy in China, with one of the core objectives of this policy being to improve eco-environmental quality (EEQ). This study regards the establishment of NKEFZs as a quasi-natural experiment. Based on panel data from 130 counties in Sichuan Province from 2001 to 2021, a multi-period difference-in-differences (DID) model was employed to evaluate the impact of NKEFZ establishment on EEQ. The findings indicate the following: ① The establishment of NKEFZs can significantly enhance the EEQ of the covered areas, albeit as a gradual long-term process. This conclusion not only meets the parallel-trends assumption but also holds true in a series of robustness tests such as placebo tests. ② Mechanism analysis reveals that NKEFZs can enhance EEQ through the effects of optimizing land spatial allocation and upgrading industrial structure. ③ Heterogeneity analysis demonstrates that the beneficial effect of NKEFZs on EEQ varies across different functional zone types, geographic spaces and ethnic regions. Our study not only contributes to the accumulation of empirical evidence and institutional refinement in the sustainable implementation of ecological policies in China but also offers valuable insights and references for other countries in formulating policies for eco-environmental protection.

The Village Head's Strategy to Enhance Social Inclusion in Bulo-Bulo Village Pujananting District Barru Regency

This research aims to analyze the strategies implemented by the Village Head to enhance social inclusion in Bulo-Bulo Village, Pujananting District, Barru Regency. The research methodology utilized is qualitative research with a case study approach. Data were obtained through in-depth interviews with the Village Head, community leaders, and other stakeholders in the village. The results of the study indicate that the Village Head has implemented various effective strategies to improve social inclusion in Bulo-Bulo Village. These strategies include enhancing accessibility to public services, developing inclusive infrastructure, empowering the community through training programs and skill development, and utilizing information technology to expand communication and information dissemination. The implementation of these strategies has had a significantly positive impact on the level of social inclusion in Bulo-Bulo Village. There has been an increase in community participation in social and economic activities, improved access to healthcare and education services, and heightened awareness of the importance of social inclusion in village development. Based on the research findings, it is concluded that the strategies employed by the Village Head to enhance social inclusion in Bulo-Bulo Village can serve as a relevant model for application in other areas. Cooperation among local governments, communities, and the private sector is necessary to support the broader and sustainable implementation of social inclusion strategies across various regions in Indonesia.

Study on Consumers’ Perceived Benefits and Risks of Smart Energy System

This study explores consumer perceptions of smart energy systems, delving into both the perceived benefits and risks associated with their adoption and usage. This study addresses a crucial gap in understanding the consumer side of smart energy system implementation. Through ordinal logistic regression analysis, the study examines the relationship between various independent variables and an ordinal dependent variable represented on a Likert scale. The findings highlight a significant consumer emphasis on 'Safe Energy System Construction' and 'Economic Benefits,' including 'Home Energy Saving' and 'New Profit Creation.' However, the perceived benefits and risks are influenced by these factors and individual propensities, such as sensitivity to environmental destruction and acceptance of new technology. The study uncovers new areas of concern, exceptionally high energy consumption and the 'Uncertainty of Electricity Rates,' which have not been extensively addressed in previous research. The conclusions drawn from this study suggest a need for balanced policy-making that fosters technological advancement while addressing consumer apprehensions about energy consumption, rate volatility, and privacy. This study contributes to the broader discourse on technology acceptance and the sustainable implementation of smart energy solutions by providing a nuanced understanding of consumer perceptions in the evolving landscape of smart energy systems.

Reusing livestock farming wastewater for Tifton 85 irrigation: productivity, morphological, and bromatological indicators

The utilization of wastewater from livestock farming (WLF) represents a common agricultural practice, but the absence of research on its agronomic impacts hinders its sustainable implementation. This study assesses the reutilization of WLF combined with nitrogen fertilization on the morphological, bromatological, and productivity attributes of a Tifton 85 pasture during the winter season. The study involved the application of different types of water via sprinkler: (I) stream water; (II) mixture of WLF and stream water at a 1:1 ratio; and (III) undiluted WLF combined with mineral nitrogen fertilization (0 and 45 kg N ha-1) administered at the commencement of the regrowth period. Irrigation was applied on a weekly basis, totaling 2,440 m3 ha-1. At 106 days post-regrowth, parameters including forage productivity, height, leaf-stem ratio, leaf area index, nitrogen nutrition index, crude protein content, acid detergent fiber, neutral detergent fiber, and mineral matter content were determined. Mineral fertilization at the prescribed dosage (45 kg N ha-1) did not have any discernible impact on the parameters under investigation. On average, the reuse of WLF raised the productivity from 2.50 to 5.12 t ha-1 and the Crude Protein from 12.35% to 14.58% compared to stream water. The reuse of WLF demonstrated superior outcomes (p &lt; 0.01) in terms of pasture productivity, nutritional quality, and nitrogen accumulation compared to irrigation solely with stream water. The reuse of diluted WLF (1:1) without fertilization proved adequate to sustain Tifton 85 pastures during the winter season in the Brazilian Cerrado region. Keywords: Cynodon dactylon, forage, irrigated pasture.