Sustainable Programs Research Articles

Violent sustainability: Blitzscale and counteraccounting in an Indian agtech start‐up

AbstractIn recent years, there has been rapid digitalization in agriculture, with India seeing a significant rise in agricultural technology (agtech) start‐ups. Many of these start‐ups promise to address the climate crisis by promoting the economic and ecological sustainability of agriculture through market‐driven business models. Using institutional ethnography and counteraccounting at an Indian agtech start‐up, this article illuminates social, economic, and ecological relationships that are obscured by one firm's accounting practices. It shows how, despite tech‐entrepreneurs intending to help farmers, violence remains built into the design and effects of rapidly scaled‐up (“blitzscaled”) sustainability programs. The article proposes violent sustainability as a concept to highlight the unintended harm caused to potential beneficiaries due to structural violence underlying tech‐entrepreneurialism and inherent design flaws in blitzscaled sustainability programs. In doing so, it challenges the normalization and monetization of recurrent failures prevalent in tech‐entrepreneurial ventures.

Does Experience of Vaccination Improve Vaccine Confidence and Trust? Policy Feedback Effects of Mass COVID-19 Vaccination in the United States.

Policy feedback research has demonstrated that a highly tangible policy that shapes public attitudes through direct and day-to-day experiences often reshapes public opinion, with the effect of generating supportive or skeptical constituencies that determine the sustainability of future programs. This paper examines the impact of mass vaccination efforts on attitudes towards vaccines in a context of high vaccine hesitancy in the U.S. We analyzed 73,092 survey responses from 9,229 participants in the longitudinal data from the Understanding America Study project, covering December 2020 to July 2023. Using two-way fixed-effects ordinary least squares regression and ordinal logistic regression, we estimated the changes in attitudes towards vaccines, including trust in vaccine manufacturing and approval processes, following COVID-19 vaccinations. COVID-19 vaccination was associated with improved perceptions of vaccine effectiveness and social benefits and reduced mistrust in vaccine-related processes. However, it did not significantly alleviate concerns regarding vaccine side effects and illness. The strongest effects were observed among respondents initially hesitant but who eventually vaccinated. The experience of COVID-19 vaccination generally improved attitudes and confidence in COVID-19 vaccines among the U.S. public, particularly among vaccine-hesitant people. These effects could have positive impacts on future immunization programs by mitigating vaccine hesitancy.

An in-depth analysis of antimicrobial prescription quality in 10 non-university hospitals, in southwest Germany, 2021.

BackgroundNon-university hospitals are the major provider of inpatient care in Germany, serving 89% of acute care hospital beds. Although surveillance data on antimicrobial use in hospitals are widely available, data on prescription quality are rare.AimWe aimed to provide an in-depth analysis of antimicrobial prescribing patterns and quality in southwest German non-university hospitals.MethodsDuring 2021, we performed three point prevalence surveys (PPS) in 10 non-university hospitals, representing ca 10% of hospital beds in the federal state of Baden-Württemberg (11 million inhabitants). Demographic and clinical information were collected. We assessed the overall performance of 14 validated process quality indicators (QI) covering infection diagnostics, antimicrobial therapy and documentation.ResultsOf 8,560 patients analysed, 2,861 (33%) received at least one antimicrobial. Most (2,789, 80%) antimicrobial prescriptions were for therapeutic indications. Most frequently prescribed agents were beta-lactam/beta-lactamase inhibitors (1,120, 40%) in therapeutic and cefuroxime (269, 37%) in prophylactic indications. According to the World Health Organization's Access, Watch, Reserve classification, the Access-to-Watch ratio was 0.73. Overall adherence to QIs was low and varied substantially (27-93%), with documentation, possible streamlining and switching to oral therapy exhibiting the lowest fulfilment rates (<50%).ConclusionThe results indicate a need to improve antimicrobial prescribing quality in non-university hospitals. The high prevalence of antimicrobial use in our setting underlines the demand for sustainable antimicrobial stewardship programmes in this sector. Our QI-based PPS approach can be used to identify key targets for future antimicrobial stewardship interventions. The results indicate a need for further legislation on antimicrobial stewardship.

Bioengineering Bacillus spp. for Sustainable Crop Production: Recent Advances and Resources for Biotechnological Applications

AbstractThe goal of sustainable agriculture is to meet the rising need for food, while minimizing adverse impacts on the environment, protecting natural resources, and ensuring agricultural output over the long term. The pressing need to increase agricultural yield through sustainable agriculture is being emphasized. Several Bacillus species have been used as commercial biopesticides since they can act against plant pathogens by potentially suppressing them. At the same time, they can act as plant growth-promoting rhizobacteria and are known for their diverse characteristics and beneficial properties, making them potential candidates for use sustainable crop production programs. Knowledge of genetic information opens the door of possibility for understanding the way these microorganisms behave. By applying biotechnological tools to Bacillus, strategies can be adopted for the purpose of increasing the yield of crops and managing pests and pathogens that infect them. In this review, we identify the genes in the most significant Bacillus spp. that contribute to plant improvement. The most important biotechnological tools and advance computational approaches are described to provide an extended vision on this topic. However, increasing the crop production through application of beneficial microbial strains requires a multifaceted approach that considers ecological, economic, and social aspects. By implementing these strategies and practices, we can work towards a sustainable and resilient agricultural system that meets the growing food demand, while preserving the environment for future generations.

Willingness to Pay for Community-based Health Insurance: A Systematic Review and Analysis of Factors Influencing Participation and Implications for Healthcare Financing

Willingness to pay (WTP) for community-based health insurance (CBHI) is a crucial factor in understanding individuals’ attitudes and behaviours towards participating in insurance schemes. This article aims to examine the concept of WTP for CBHI and its implications for healthcare financing and accessibility. The research gives an organized and retrospective view of the antecedents, decisions and outcomes (ADO) of CBHI using a systematic review. The article also provides an overview of the theories, contexts and methods (TCM) employed to gain this understanding. The analysis concludes by identifying existing knowledge gaps and suggesting relevant ideas for future WTP and CBHI research. This article contributes to the existing body of knowledge on WTP for CBHI and provides insights for policymakers and researchers seeking to enhance the sustainability and effectiveness of CBHI programmes.

Developing Strategies to Promote Physical Fitness for University Students

Background and Aims: The physical fitness problems of university students must be paid great attention to. As the backbone of training university students, how to guide the students to exercise scientifically and achieve the best physical fitness for effect has become an urgent problem for physical educators in universities and universities. The objective of this research was to develop strategies to promote physical fitness for university students. Methodology: This research is mixed methods research. The population for this research includes 5,275 first-year students enrolled at Guangdong University of Foreign Studies for the 2023 academic year. Using the Taro Yamane formula, the sample size was calculated to be 371 university students. The questionnaire was distributed to 371 university students to investigate the problems and current situation of physical fitness of university students. After that, 7 experts were invited to develop a question framework for a focus group. 10 experts conducted a focus group to develop the question framework for use in the Delphi consensus, and 19 experts were invited to conduct a two-round Delphi consensus, to develop the strategies to promote physical fitness for university students. Finally, a connoisseurship method was used to confirm the developed strategies with 9 experts. The data gathered from the questionnaire were analyzed using the average and standard deviation, while consensus data were evaluated through the median and interquartile range. The established criteria for consensus required a median of ≥ 3.50 and an interquartile range of ≤ 1.50. Results: The strategies to promote physical fitness for university students were organized into 6 key aspects and comprised 51 factors. These 6 key aspects include: (1) Policy and Administrative Support, (2) Physical Education Curriculum and Programs, (3) Facilities and Equipment, (4) Engagement and Motivation, (5) Monitoring and Assessment, and (6) Sustainability of Fitness Programs. Conclusion: The study emphasizes a thorough strategy for improving university students' physical fitness by addressing program sustainability, policy, curriculum, facilities, motivation, and assessment. These six tactical elements guarantee a balanced, encouraging atmosphere for sustained health and fitness.

The Analysis of Knowledge to the Skill of Health Cadres in Carrying Out the Early Detection of Pneumonia in Sick Children in the Working Area of Public Health Centre, Belimbing Padang City

Under-five year children death in Indonesia due to pneumonia are 32 per 1000 live birth. Data in 2018 in West Sumatra, the prevalence of ISPA was 5%, pneumonia rose to 2.5%, in the city of Padang in 2018, the number of pneumonia sufferers were 3,196 under-five year children (3.91 %). In public Health Center, Belimbing the cases of respiratory tract infection is ranked first among the ten most common diseases (53%). The aim of the research is to analyze the knowledge to the skill of cadres regarding the early detection of pneumonia in under five year children. This research design is a cross-sectional study. The population in this research were 55 respondents. Data collection used questionnaires and observation sheets. Data processing was used by editing, coding, entrying and cleaning. Univariate analysis was made in frequency distribution in percentages, and bivariate analysis used the Chi square test (CI 95%). The research results showed that there is a relationship between knowledge to health cadres’s skill, with p-value (0.004). It is hoped that cooperation will continue the program for sustainability and conduct continuous evaluation to reduce pneumonia.

Partnering with Communities to Understand Social Determinants of Health (SDoH) Impacts on Access to Shared Micromobility

This study explored the facilitators and barriers of community bike share use in a mid-sized city with high incidence of poverty and racial diversity using a community-based participatory action research (CBPAR) photovoice framework with the Stanford Our Voice (OV) Discovery Tool digital application. Community members participated in one of three community citizen science walks with follow up focus groups facilitated by osteopathic medical student researcher to address “What makes it easy or hard to ride a bike using the bike share?” Twenty-seven diverse community members partnered with four osteopathic medical students exploring vulnerable individuals’ lived experiences, beliefs/understanding of the Social Determinants of Health (SDoH) and access to the bike share program. A total of 322 photos and narrative comments from citizen science walk audits developed deductive themes and follow up focus groups informed inductive themes. Themes addressed challenges to access, maintenance, safety in bike transit, comfort, and environment that create barriers to use and increase inequities for lower income and historically underrepresented communities. The use of OV provided photograph, narrative, and geocoded photo location. This novel approach served as an effective tool for community action with city decision makers. The narrative research identified the impact of the barriers, and the photographs and geocoding provided clear descriptions for locations to prioritize change by adding street signs for access and safety, fixing road safety issues or bike maintenance concerns. It actively engaged the community with the city to drive discussions and plans for change in repair systems and infrastructure that also addressed equity and acknowledged the SDoH supporting residents in lower income or historically underrepresented communities. Citizen science engaged community voices, supporting change in city policies and transportation initiatives to support the sustainability of the bike share program.

The Use of Thyme (Thymus vulgaris) Essential Oil for Controlling Cercospora Leaf Spot (Cercospora beticola) on Sugar Beets (Beta vulgaris)

Decreasing efficacy of fungicides and the withdrawal of further hazardous active ingredients in pesticides from use have prompted the search for alternative methods of crop protection. Essential oils (EOs) are secondary metabolites of plants and have been proven to show antibacterial, antifungal, and pest-repellent properties. This study was undertaken to determine the activity of grapefruit, rosemary, pine, sage, and thyme EOs against the fungus Cercospora beticola, which is the most dangerous pathogen of sugar beet and the causal agent of Cercospora leaf spot. According to the determined Minimum Inhibitory Concentration (MIC), thyme EO was found the most effective against C. beticola. For most of the fungal isolates tested, the MIC of this EO was 0.313 mL/L. Thyme EO also inhibited the growth of multi-resistant isolates. Based on the results obtained, thyme EO was subjected to further testing in field conditions, where its efficiency in controlling C. beticola was also proven. The results indicate that the use of thyme EO may be a promising method for the protection of sugar beets, although it requires further optimization in the context of its inclusion in sustainable protection programs assuming a reduced number of synthetic fungicide treatments.

Firearm Injury Prevention and Survivor Interventions: A Scoping Review.

To examine components of firearm injury prevention and survivor response programs, their outcomes, and gaps in this body of research. A total of 100 publications were identified across four databases: PubMed/Medline, PsycInfo, CINAHL, and Scopus. Articles were screened for inclusion in the scoping review and details were extracted into an electronic table for synthesis. A total of 27 articles were included. Education on firearm injury prevention was shown to be feasible and acceptable in health care settings, including emergency departments. Firearm survivor interventions to reduce violent injury recidivism may include peer or mentored support along with case management for coordination of mental health services, vocational training, and other services to address social determinants of health. Other community initiatives to clean up abandoned lots and engage community members in creating safe neighborhoods have been shown to reduce overall gun violence. Multi-level interventions that encompass education on reducing firearm injuries, strategies to improve psychosocial conditions and access to mental health services, as well as meeting the needs of firearm injury survivors, their families, and communities, are needed. Health sector and community partnerships can lead to integrated and sustainable programs to achieve safer neighborhoods and improve psychosocial outcomes for individuals affected by gun violence and impacted communities. [Journal of Psychosocial Nursing and Mental Health Services, xx(xx), xx-xx.].

Agricultural Absentee Land Ownership Rules: Problem or Solution for Farmers on Food Resilience Program?

Abstract: Food resilience is a critical aspect of national sustainability programs. with large and diverse population, Indonesia needs to prioritize food resilience as a primary focus of government programs. Empowering Indonesia's predominantly farming population is one way to achieve food resilience. In this regard, the government can utilize absentee land to achieve food resilience goals and improve the welfare of farmers. However, regulations restricting land ownership to civil servants under Article 3 of Government Regulation No. 224 of 1961 hinder the utilization of absentee land. These regulations pose a significant obstacle to farmers who seek to engage in or expand agricultural endeavors. The conflicts arising from these regulations constitute the most substantial barrier to farmers' efforts to realize food resilience programs in Indonesia. This research uses a normative legal research method, focusing on the absent land through statutory and case approaches. The results of this research suggest that absentee land regulations are no longer relevant given the current state of affairs, as they impede the maximization of food resilience, particularly for farmers in the agricultural sector. Keywords: Absentee Land, Farm Land, Food Resilience

Routine HPV vaccination: Reflection on delivery strategies based on countries’ experiences

Despite the introduction of the human papillomavirus (HPV) vaccine in many low- and middle-income countries (LMICs), countries are still struggling to maintain HPV vaccination coverage and manage sustainable delivery strategies. This article explores the challenges and effective strategies for HPV vaccine delivery in LMICs, with a focus on reflecting upon current HPV vaccine delivery strategies in the World Health Organization (WHO) HPV vaccine introduction guidelines to align with practical implementation experiences. The article utilizes presentations and discussions from Coalition to Strengthen the HPV Immunization Community (CHIC) symposia, field experiences of program implementers who participated in the meeting and immunization expert opinions, to inform its findings. Several countries are spotlighted for their delivery strategies. These include routinized campaign mode vaccinations at schools in The Gambia, Zambia, and Ethiopia; routine health facility services in Tanzania, Kenya, and Maldives; and outreach strategies targeting out-of-school girls. By evaluating these diverse strategies, the article suggests a need to delve deeper and build an understanding of the routinized campaign mode of HPV vaccine delivery, and advocates for expanding the scope of delivery strategies and consequently updating the WHO HPV vaccine delivery guidelines in line with the evolving landscape of HPV vaccination delivery to ensure comprehensive, cost-effective, and sustainable programs in LMICs.

Overview of CHIC symposia series: Summary of Africa and South Asia symposia

This article presents an overview of the main challenges and lessons learned that were presented during the symposia organized by the Coalition to Strengthen the HPV Immunization Community (CHIC) in Africa and South Asia in 2022. Discussions at these meetings revolved around introduction, planning, implementation, and sustainability of HPV prevention and control programmes, with a particular focus in HPV immunisation, as well as cervical cancer screening in South Asian countries. This article also discusses the recently endorsed off-label single-dose HPV vaccination schedule and its potential impact on programme delivery and access. Furthermore, it highlights the importance of intersectional collaboration, effective communication and advocacy strategies, and the need for robust health information systems. Some of the critical factors identified for reducing the burden of cervical cancer in low- and middle-income countries (LMICs) included strategies for increasing access and coverage, addressing vaccine hesitancy, and building capacity among health care providers. The symposia emphasized the importance of face-to-face interactions for collaboration and decision making, with live translation services enabling full participation by stakeholders from diverse backgrounds. The paper concludes with a call for continued collaboration to make progress in reducing the burden of cervical cancer in LMICs.

Strengthening science education in basic education through a professional development program on participatory action research for science teachers

Science education empowers individuals with critical thinking and problem-solving skills as well as creativity which drive sustainable development, social progress, and economic growth. Unfortunately, the basic education science curriculum does not seem to prepare students to become scientifically literate for a number of reasons. Toward this vein, this calls for science teachers to be creative being at the forefront of implementing science education curriculum successfully. One mechanism to draw out their creativity is to mentor and engage them in participatory action research. Hence, a four-year professional development program for science teachers aimed at designing, implementing, and publishing participatory action research project was introduced to them by specialists from a higher education institution as their community extension project. The program consisted of mentoring on action research problem conceptualization until publication of teachers' project, continuous monitoring, and feedbacking to support their progress. Guskeys' (2000) five level evaluation model for professional development program effectiveness serves as the guiding framework for evaluation. Quantitative and qualitative data were gathered from the participating science teachers of the school. It started with conducting an initial assessment of their action research skills as basis of the proposed professional development program on participatory action research. At the end of the program, the teachers disseminated their project in a reputable science education journal. The four-year professional development program resulted to a robust impact in all five levels of Guskey's evaluation model, namely: teachers' reactions, teachers' learning, organization support and change, teachers' use of new knowledge and skills, and student learning outcomes. The success of this program highlights the importance of sustained, collaborative, and research-oriented professional development program in form of action research mentoring. Moreover, the outcomes of the study suggest the need for a professional development program evaluation framework that will facilitate the evaluation of the program effectiveness.

Effectiveness of Peer-Led Education in Reducing HIV Transmission among Youths in Urban Areas: A Comprehensive Review

HIV transmission among urban youths remains a significant public health concern, driven by factors such as risky sexual behaviors, limited access to healthcare, and high social connectivity. Peer-led education has emerged as a promising intervention to reduce HIV transmission by utilizing the influence of social networks and delivering relatable, accessible information on HIV prevention. This review assessed the effectiveness of peer-led education programs in urban areas by examining their impact on HIV-related knowledge, behavior change, and HIV testing rates. Studies revealed that peer-led education significantly improves HIV knowledge, promotes condom use, and encourages HIV testing among urban youths, contributing to a reduction in high-risk behaviors. Additionally, the social and emotional benefits of peer-led education create supportive environments for discussing sexual health, reducing stigma, and fostering empowerment among participants. However, challenges such as variability in program quality, sociocultural barriers, and sustainability issues limit the long-term success of these interventions. To address these challenges, future strategies should focus on integrating digital health platforms, personalizing peer education, and employing rigorous program evaluation methods. The methodology for this review included a comprehensive analysis of existing literature, including randomized controlled trials, systematic reviews, and observational studies, to provide a holistic understanding of peer-led education’s effectiveness in reducing HIV transmission among urban youths. Keywords: Peer-led education, HIV prevention, Urban youths, Behavioral change, HIV transmission.

Road to net zero: Greenness of Leadership in Energy and Environmental Design and California Green Building Standards Code in the multifamily sector

AbstractThis study evaluates the effectiveness of Leadership in Energy and Environmental Design (LEED) and California Green Building Standards Code (CALGreen) sustainability programs in reducing greenhouse gas (GHG) emissions in multifamily buildings. We find that CALGreen effectively reduces GHG emissions by 7.2%–11.6%. However, among properties completed during the CALGreen period (on or after 2015), LEED‐certified properties exhibit 14.1%–20.8% higher GHG emissions compared to non‐LEED‐certified buildings. We attribute this result to the emphasis on theoretical design versus actual energy performance of those programs. Furthermore, our research reveals that LEED‐certified buildings completed before the implementation of CALGreen command a rent premium of 4.7%–5.4%. However, this LEED premium diminishes during the CALGreen period. Non‐LEED properties completed during the CALGreen period show limited evidence of rent premiums.

Examining the ethical and sustainability challenges of legal education’s AI revolution

ABSTRACT Two of the forces that have most shaped the landscape in higher education over the last few years have been sustainability on one hand and Artificial Intelligence (AI) on the other. Bringing these phenomena together, this article examines the multifaceted sustainability challenges posed by integrating AI into legal education. The integration of AI into legal education has promised to revolutionise the field, offering unprecedented opportunities for efficiency and innovation. However, this transformative shift is accompanied by ethical and sustainability challenges. This article explores important sustainability issues arising from AI adoption in legal education, emphasising equity, ethics and the long-term viability of AI-driven initiatives. Strategies to promote fairness, inclusivity and ethical AI practices are explored, alongside resource allocation schemes, digital divide mitigation and sustainable faculty training programmes. Ethical considerations are examined, focusing on AI biases and policies for promoting equity and inclusion. This article also discusses the challenge of regulatory compliance in an evolving AI landscape. The intersection of AI adoption, sustainability ethics and legal education necessitates a conscientious integration of sustainability principles to navigate ethical dilemmas responsibly. By addressing these challenges, legal education can lead the way in shaping a future where AI serves as a valuable tool.

Calculative Practices Shaping the Global Accountability Forum for Climate Agenda

ABSTRACTCalculative practices are everywhere, including the enactment and diffusion of sustainable development goals, such as quantifying and monetizing carbon markets, criteria for allocating donations for sustainability programs, and performance measurement of compromises and goals. We critically explore the performativity and counter‐performativity from the calculative practices orbiting and shaping the annual debate on climate governance and how they are related to the vulnerability of populations. Our qualitative analysis comprised a comprehensive set of documents produced by enrolled participants of meetings and workshops between two annual Conferences of the Parties of the United Nations. We identified and exemplified three calculative practices, and despite their intended performativity, some counter‐effects, like social exclusion and criticism by stakeholders, arise.

A spatially explicit multi-hazard framework for assessing flood, landslide, wildfire, and drought susceptibilities

Sustainable development goals require evaluating vulnerabilities and examining natural and climatic hazards for effective planning that reduces their impact on economic, social, and developmental efforts. Key hazards like floods, landslides, wildfires, and droughts have significantly affected terrestrial ecosystems and human societies, emphasizing the importance of comprehending these hazards. This study aimed to predict and spatially map multi-hazard, identifying historical and potential risks to inform sustainable development and construction programs that mitigate risks and promote resilience. A 34-year drought magnitude map was generated using long-term data, and ensemble and individual machine learning techniques were used to produce maps of flood, landslide, and wildfire hazards in a northwest region of Iran. Results demonstrated that ensemble learning models outperformed individual models, with the top-performing models being the weighted average (WA) of the two best models, random forest, extreme gradient boosting, WA models with over 80% accuracy, and WA incorporating all models, respectively. The CART model performed best among individual models. Variable importance analysis revealed that slope and precipitation were crucial factors for identifying high-hazard landslide areas, distance from waterways, vegetation cover, and topographic humidity index emerged as the most crucial factor for identifying flood hazard areas, while vegetation, rainfall, and proximity to roads significantly impacted wildfire hazard. The multi-hazard map produced by our study indicated that about 30% of the study area was highly and very highly susceptible to floods, landslides, wildfires, and droughts and the hazards mitigation efforts should be primarily directed to these specific portions of the study area. Our study underscored the importance of integrating long-term data and machine learning techniques in multi-hazard prediction and mapping, ultimately guiding mitigation efforts and promoting resilience in the face of natural and climatic hazards.

Sustainability assessment of educational approaches as food waste prevention measures in school catering

A large proportion of school meals are wasted, leading to missed opportunities to nourish pupils, environmental impacts, and economic losses. This intervention study evaluated the long-term efficacy of three educational approaches (giving feedback to guests via plate waste tracker, pedagogic meals, and kitchen workshops) in reducing plate waste in school canteens across Europe (Austria, Germany, and Sweden). Following the intervention, a sustainability assessment was conducted, including environmental, economic, and social perspectives. The results showed that the plate waste tracker significantly reduced plate waste, by 17% (4 g/guest) from an already lower baseline level of 23 g/guest, while demonstrating long-term efficacy with sustained waste reduction up to 15 months post-implementation. This reduction lowered the environmental impacts (by 212 kg carbon dioxide equivalents per school & year) and nutrient losses (1018 MJ, 12 kg protein, and 4 kg fiber per school & year), while proving cost-effective with a payback period of only 1-2 years. Therefore, despite upfront costs and implementation barriers, food waste reduction measures in school canteens provide substantial long-term benefits across environmental, economic, and social dimensions, making them a valuable investment for sustainable school meal programs.