Technical Capacity Building Research Articles

Indonesia's economic and environmental resilience in the face of climate change: Analysis and implementation strategies

Backgorund: Climate change is a significant threat to Indonesia, an archipelago that is vulnerable to the negative impacts of this phenomenon. This study aims to identify the effects of climate change in Indonesia and evaluate mitigation and adaptation strategies needed to improve economic and environmental resilience. Based on climate change projections, increases in surface temperature, changes in rainfall patterns, sea level rise, and changes in water salinity have negative impacts on various sectors such as agriculture, fisheries, infrastructure, and public health. Method: The research method includes secondary data analysis from various official sources and a study of relevant literature, with an analytical descriptive approach to identify critical challenges and necessary strategies. Findings: The results show that limited fiscal space and the need for budgetary reform are significant challenges that need to be addressed through the introduction of a carbon tax, budgetary incentives for green technologies, and the removal of fossil fuel subsidies. In addition, mobilization of non-budget funding sources is needed to support green projects, with strategies such as the development of public-private partnerships, access to international funds, and technical capacity building. Conclusion: In conclusion, implementation of the recommended mitigation and adaptation strategies can increase Indonesia's resilience to climate change, reduce its risks and negative impacts, and ensure the sustainability of economic and social development. Novelty/Originality of this study: This research provides practical guidance for policymakers to develop effective strategies to deal with climate change

Informing pandemic management in Germany with trustworthy living evidence syntheses and guideline development: lessons learned from the COVID-19 evidence ecosystem

ObjectivesWe present the ‘COVID-19 evidence ecosystem’ (CEOsys) as a German network to inform pandemic management and to support clinical and public health decision-making. We discuss challenges faced when organizing the ecosystem and derive lessons learned for similar networks acting during pandemics or health-related crises. Study Design and SettingBringing together 18 university hospitals and additional institutions, CEOsys key activities included research prioritization, conducting living systematic reviews (LSRs), supporting evidence-based (living) guidelines, knowledge translation (KT), detecting research gaps, and deriving recommendations, backed by technical infrastructure and capacity building. ResultsCEOsys rapidly produced 31 high-quality evidence syntheses and supported three living guidelines on COVID-19-related topics, while also developing methodological procedures. Challenges included CEOsys’ late initiation in relation to the pandemic outbreak, the delayed prioritization of research questions, the continuously evolving COVID-19-related evidence, and establishing a technical infrastructure. Methodological-clinical tandems, the cooperation with national guideline groups and international collaborations were key for efficiency. ConclusionCEOsys provided a proof-of-concept for a functioning evidence ecosystem at the national level. Lessons learned include that similar networks should, among others, involve methodological and clinical key stakeholders early on, aim for (inter)national collaborations, and systematically evaluate their value. We particularly call for a sustainable network.

Stronger Connections Technical Assistance and Capacity Building Grant Program (ED)

Stronger Connections Technical Assistance and Capacity Building Grant Program (ED)

A Comprehensive Analysis of the Impediments Perceived by the Members of Farmer Producer Organizations in North Bihar, India

The agriculture sector in India is currently facing several challenges, such as increasing landholding fragmentation, diminishing per-capita land availability, and rural youth's disinterest in farming. FPOs help small and marginal farmers by lowering transaction costs, facilitating credit sources for farmers, providing technical guidance, producing support and capacity building, and creating long-term sustainability to improve the farming community. This study investigates the constraints perceived by members of FPOs. Data were collected from 240 members across 6 FPOs. An ex-post facto research design was used to study four broad constraints regarding Producer Organization Promoting Institution’s (POPI’s) support, marketing, organizational technical and operational constraints. The Friedman two-way ANOVA rank test was used to analyze thirty-five statements under four broad constraints. The findings revealed that marketing is the most severe constraint, followed by constraints regarding POPI’s support as well as organizational, technical, and operational support. Under marketing constraints without guaranteed procurement systems, inadequate storage facilities are most severe. Under constraints perceived by FPO members regarding POPI’s support, considering resource-affluent areas and exclusive attention to progressive farmers are significant. Competition of villages to get benefits and irregular procurement of the produce are most significant constraints under organizational and technical constraints. The research indicates that by overcoming these obstacles with better infrastructure, fair distribution of resources, and improved connections to markets, one can boost the sustainability and economic feasibility of Farmer Producer Organizations, thereby enhancing socio-economic benefits for farmers in North Bihar.

Local Government Empowerment and Collaborative Approaches in the Electricity Sector: A Constitutional Analysis

This article explores the constitutional provisions and legislative aspects governing the role of local governments in generating and distributing electricity in South Africa. It encompasses the constitutional framework, which grants municipalities specific powers and responsibilities, highlighting the significance of these "original powers" derived directly from the Constitution. The article emphasises the need for intergovernmental cooperation at national, provincial, and local government levels to effectively address the complexities of electricity provision, taking into account related services such as water, sanitation, and environmental rights. The article further assesses recent amendments to the Electricity Regulation Act 4 of 2006, which grant municipalities greater involvement in electricity generation and procurement from independent power producers. While these amendments are seen as positive, the article highlights the need for financial resources and technical capacity building to empower municipalities to undertake these new responsibilities effectively. Ultimately, it emphasises the critical role of local governments in ensuring a sustainable and reliable supply of electricity for their communities while calling for comprehensive support from higher government levels to realise this goal.

Managing Aflatoxin Contamination Threats in Groundnut (Arachis hypogaea L.) Production in Ghana: The role of adoption of management strategies

Efforts to raise knowledge and awareness of smallholder groundnut farmers about aflatoxin contaminations and its management continue to pose a threat to consumers health along the food value chain. This paper examines smallholder farmers’ awareness and adoption of aflatoxin management strategies using a multistage sampling technique to sample 318 groundnut farmers in Ghana. A 5-point Likert scale and Kendall’s coefficient of concordance was used to examine the perception about aflatoxin contaminations and constraints faced in managing aflatoxins in groundnut production, respectively. A multivariate probit model was further employed to analyze the factors influencing the adoption of aflatoxin management strategies. The results revealed that 92% of the farmers were aware of aflatoxin contaminations, however, only 20.7% of the farmers had received aflatoxins training. The results also showed that farmers are in agreement about aflatoxin contaminations in groundnut production. The most commonly adopted aflatoxin management strategies by farmers were timely harvesting, crop rotation, sorting, and storage in aerated and covered environment. Furthermore, the empirical results showed that education, credit access, membership in farmer based organizations, distance to farm, off-farm activity and location had a significant influence on farmers’ adoption of all aflatoxin management strategies. Pest and disease incidence, and rainfall variability were identified as major constraints faced by smallholder groundnut farmers in Ghana. There is the need for periodic public sensitizations and technical capacity building of smallholder farmers to adopt aflatoxins management strategies which could improve groundnut productivity and ensure food security in Ghana.

Challenges and Strategies in Implementing Hospital Accreditation Standards Among Healthcare Professionals in Healthcare Systems in Yemen: A Phenomenological Study.

The implementation of hospital accreditation standards in healthcare systems in Yemen that ensure safe and high-quality healthcare services is hampered by specific challenges. Therefore, this study was purposed to explore the challenges and strategies for applying hospital accreditation standards among healthcare professionals in Yemen. A qualitative, phenomenological design was adopted to conduct this study. Semi-structured interviews were used to collect data during the period from January 1, 2022, to February 28, 2022. Based on the content analysis, the study outcomes and lack of (i) funding, (ii) competent human resources, (iii) optimal infrastructure, and (iv) equipment and supplies deter the implementation of hospital accreditation standards. Also, this study highlighted the cultural and social barriers limiting the effectiveness of hospital accreditation standards, the need for increased investment in healthcare infrastructure and human resources, and cultural sensitivity training for healthcare professionals to enhance the implementation of and compliance with hospital accreditation standards. Policymakers should engage global corporations and development partners for technical assistance and capacity building that support the local application of hospital accreditation standards.

Article: Building a Prosperous Future: Unveiling the Benefits of IPEF Supply Chain Agreement (Pillar II)

The Indo-Pacific Economic Framework for Prosperity (IPEF) is yet to be explored in terms of a new turn in the Indo-Pacific Strategy, and also in terms of benefit to various member countries. The United States (US) launched the IPEF with thirteen initial partners. The IPEF Supply Chain agreement is novel, and through various bodies such as the Supply Chain Council, Labour Rights Advisory Board and Crisis Response Network, seeks to (1) build a collective understanding of supply chain risks; (2) improve crisis coordination and response to supply chain disruption; (3) ensure that workers and businesses, especially Micro Small and Medium Enterprises in the economies of IPEF members, benefit from the resilient, robust and efficient supply chain; (4) ensure a sufficient number of skilled workers in critical sectors and key goods; and (5) create/provide opportunities for technical assistance and capacity building. The IPEF Supply Chain agreement also builds on a partnership model among selected countries based on a shared understanding of the supply chain, associated risk, priority etc. This short article attempts to analyse the IPEF Supply Chain Agreement, labour rights in the supply chain, and a possible shift from the Asia-Pacific to the Indo-Pacific with the regional supply chain and trusted trade partners (friendshoring). The article, among other matters, explores the potential benefits for India. IPEF, Supply Chain, Asia-Pacific, Indo-Pacific, Labour Rights, trusted trade partners, friendshoring

How Do Digital Capabilities Affect Organizational Performance in the Public Sector? The Mediating Role of the Organizational Agility

As public sector agencies face rising imperatives to digitally transform citizen services, data systems, and internal operations, questions persist as to whether investments in big data analytics and automation capabilities, evidenced to drive organizational performance in private industry, translate to bureaucratic government contexts. This research quantitatively investigates the link between digital capabilities and organizational performance in the Jordanian ministry of Justice. Survey data collected from 292 public officials assessed capabilities in data-driven decision making, flexible automation, and interactive constituent communications alongside organizational agility and performance indexes spanning efficiency, quality, and satisfaction metrics. Structural equation modeling analysis reveals that digital capabilities relate significantly to heightened agility and all targeted performance areas. Improved agility mediates over half the performance impact attributable to upgraded technical systems, highlighting the vital role of evolving digitally enabled flexibility in realizing returns on analytics and process modernization initiatives. Findings validate the applicability of conclusions on digitization returns formed in corporate environments to public sector contexts, contingent on bundled change management programming enabling both technical and adaptive capacity building across the workforce. As global regions expand e-governance programs premised on harnessing emerging technologies to enhance civic institutions, this research offers generalizable models guiding multifaceted preparations to amplify impact.

Organizational Formation for Priority Setting: Historical Perspectives and Thematic Analysis of India’s Health Technology Assessment Agency

ABSTRACT Countries pursuing universal health coverage must set priorities to determine which benefits to add to a national health program, but the roles that organizations play are less understood. This article investigates the case of the formation of an organization with a mandate for choice of technology for public health interventions and priorities, the Health Technology Assessment India. First, we narrate a chronology of agenda setting and adoption of national policy for organizational formation drawing on historical documentation, publicly available literature, and lived experiences from coauthors. Next, we conduct a thematic analysis that examines windows of opportunity, enabling factors, barriers and conditions, roles of stakeholders, messaging and framing, and specific administrative and bureaucratic tools that facilitated organization formation. This case study shows that organizational formation relied on the identification of multiple champions with sufficient seniority and political authority across a wide group of organizations, forming a coalition of broad base support, who were keen to advance health technology assessment policy development and organizational placement or formation. The champions in turn could use their roles for policy decisions that used private and public events to raise priority and commitment to the decisions, carefully considered organizational placement and formation, and developed the network of organizations for the generation of technical evidence and capacity building for health technology assessment, strengthened by international networks and organizations with financing, expertise, and policymaker relationships.

Flexible Institution Building in the International Anti-corruption Regime: Proposing a Transnational Asset Recovery Mechanism

AbstractAsset recovery is a fundamental principle of anti-corruption law, without which the financial damage from corruption cannot be repaired. Yet recovering assets is notoriously difficult and time-consuming, and the United Nations Convention Against Corruption provides little technical or institutional support to facilitate such returns. To remedy this, we propose the creation of a transnational asset recovery mechanism that could provide myriad services to states upon request, including gathering and publishing information, providing technical assistance and capacity building, helping to conclude agreements on asset return, and monitoring returned funds. Theoretically, we introduce the concepts of customizability and selectability to explain why a flexible transnational asset recovery mechanism has advantages over more formal international institutions, such as an international anti-corruption court. These benefits include lower financial and political costs, enhanced adaptability, and a greater likelihood of enhancing interstate cooperation regarding asset returns.

CYBER SECURITY AND DATA PRIVACY LAW IN PAKISTAN: PROTECTING INFORMATION AND PRIVACY IN THE DIGITAL AGE

The importance of cybersecurity and data privacy cannot be overstated in today's digital age. As Pakistan continues to advance its digital infrastructure and reliance on technology, the need for robust cyber security and data privacy measures has become increasingly urgent. The country has seen a surge in cyber attacks and data breaches in recent years, highlighting the need for a comprehensive legal framework to protect peoples' and organizations' sensitive information. This research paper endeavors to furnish a thorough and up-to-date examination of the existing state of cybersecurity measures and data privacy concerns in Pakistan, with a focus on the challenges and limitations that need to be addressed in order to enhance the country's cyber resilience and protect its citizens' personal information. It will examine the existing legal framework, including the Pakistan Computer Emergency Response Team (Pak-CERT) Act, 2017, the PECA Act, 2016, the Data Protection Act, 2018, and the Cybercrime Act, 2019. The paper will also analyze the various regulations and guidelines related to cybersecurity and data privacy, such as the National Cybersecurity Policy, 2018, and the Data Protection Regulations, 2018. CERT rules 2023 gives a legislative framework to deal with cyber-attacks and vulnerabilities that come up from time to time at the national, industry, and organizational levels. It sets up a working structure for technical support, operational equipment, and capacity building services. The paper will also identify and discuss the challenges and limitations of the current legal framework, including inadequate legal provisions, lack of awareness and enforcement, limited found capacity of law enforcement agencies, and insufficient coordination between government agencies. Furthermore, the paper will provide recommendations for improving the legal framework, such as strengthening legal provisions, increasing awareness and enforcement, building strength for law enforcement agencies, and enhancing coordination between government agencies. The study will employ a qualitative research approach, using a combination of literature review, legal analysis, and expert opinions. The data collection methods will include a review of relevant laws, regulations, and guidelines, as well as interviews with experts in the field of cybersecurity and data privacy. The research paper's conclusions will further the current discussion on cyber security and data privacy in Pakistan., and provide valuable insights for policymakers, regulators, and stakeholders. The paper will also serve as a resource for individuals, businesses, and organizations seeking to understand the lawful framework for cyber security and data privacy in Pakistan. Ultimately, the paper aims to provide a comprehensive knowledge of the present state of cybersecurity and data privacy law in Pakistan and to offer recommendations for improvement, with the goal of enhancing the country's cyber security and data privacy posture.

Connecting the Dots: Aligning human capacity through networks toward a globally interoperable Digital Extended Specimen (DES) infrastructure

Thanks to substantial support for biodiversity data mobilization in recent decades, billions of occurrence records are openly available, documenting life on Earth and enabling timely research, awareness raising, and policy-making. Initiatives across local to global scales have been separately funded to serve different, yet often overlapping audiences of data users, and have developed a variety of platforms and infrastructures to meet the needs of these audiences. The independent progress of biodiversity data providers has led to innovations as well as challenges for the community at large as we move towards connecting and linking a diversity of information from disparate sources as Digital Extended Specimens (DES). Recognizing a need for deeper and more frequent opportunities for communication and collaboration across the globe, an ad-hoc group of representatives of various international, national, and regional organizations have been meeting virtually since 2020 to provide a forum for updates, announcements, and shared progress. This group is provisionally named International Partners for the Digital Extended Specimen (IPDES), and is guided by these four concepts: Biodiversity, Connection, Knowledge and Agency. Participants in IPDES include representatives of the Global Biodiversity Information Facility (GBIF), Integrated Digitized Biocollections (iDigBio), American Institute of Biological Sciences (AIBS), Biodiversity Collections Network (BCoN), Natural Science Collections Alliance (NSCA), Distributed System of Scientific Collections (DiSSCo), Atlas of Living Australia (ALA), Biodiversity Information Standards (TDWG), Society for the Preservation of Natural History Collections (SPNHC), National Specimen Information Infrastructure of China (NSII), and South African National Biodiversity Institute (SANBI), as well as individuals involved with biodiversity informatics initiatives, natural science collections, museums, herbaria, and universities. Our global partners group strives to increase representation from around the globe as we aim to enable research that contributes to novel discoveries and addresses the societal challenges leading to the biodiversity crisis. Our overarching mission is to expand on the community-driven successes to connect biodiversity data and knowledge through coordination of a globally integrated network of stakeholders to enable an extensible technical and social infrastructure of data, tools, and working practices in support of our vision. The main work of our group thus far includes publishing a paper on the Digital Extended Specimen (Hardisty et al. 2022), organizing and hosting an array of activities at conferences, and asynchronous online work and forum-based exchanges. We aim to advance discussion on topics of broad interest to our community such as social and technical capacity building, broadening participation, expanding social and data networks, improving data models and building a backbone for the DES, and identifying international funding solutions. This presentation will highlight some of these activities and detail progress towards a roadmap for the development of the human network and technical infrastructure necessary to support the DES. It provides an opportunity for feedback from and engagement by stakeholder communities such as TDWG and other initiatives with a focus on data standards and biodiversity informatics, as we solidify our plans for the future in support of integrated and interconnected biodiversity data and credit for those doing the work.

The HEARTS partner forum-supporting implementation of HEARTS to treat and control hypertension.

Cardiovascular diseases (CVD), principally ischemic heart disease (IHD) and stroke, are the leading causes of death (18. 6 million deaths annually) and disability (393 million disability-adjusted life-years lost annually), worldwide. High blood pressure is the most important preventable risk factor for CVD and deaths, worldwide (10.8 million deaths annually). In 2016, the World Health Organization (WHO) and the United States Centers for Disease Control (CDC) launched the Global Hearts initiative to support governments in their quest to prevent and control CVD. HEARTS is the core technical package of the initiative and takes a public health approach to treating hypertension and other CVD risk factors at the primary health care level. The HEARTS Partner Forum, led by WHO, brings together the following 11 partner organizations: American Heart Association (AHA), Center for Chronic Disease Control (CCDC), International Society of Hypertension (ISH), International Society of Nephrology (ISN), Pan American Health Organization (PAHO), Resolve to Save Lives (RTSL), US CDC, World Hypertension League (WHL), World Heart Federation (WHF) and World Stroke Organization (WSO). The partners support countries in their implementation of the HEARTS technical package in various ways, including providing technical expertise, catalytic funding, capacity building and evidence generation and dissemination. HEARTS has demonstrated the feasibility and acceptability of a public health approach, with more than seven million people already on treatment for hypertension using a simple, algorithmic HEARTS approach. Additionally, HEARTS has demonstrated the feasibility of using hypertension as a pathfinder to universal health coverage and should be a key intervention of all basic benefit packages. The partner forum continues to find ways to expand support and reinvigorate enthusiasm and attention on preventing CVD. Proposed future HEARTS Partner Forum activities are related to more concrete information sharing between partners and among countries, expanded areas of partner synergy, support for implementation, capacity building, and advocacy with country ministries of health, professional societies, academy and civil societies organizations. Advancing toward the shared goals of the HEARTS partners will require a more formal, structured approach to the forum and include goals, targets and published reports. In this way, the HEARTS Partner Forum will mirror successful global partnerships on communicable diseases and assist countries in reducing CVD mortality and achieving global sustainable development goals (SDGs).

Optimizing the Construction of the NUWSP SPAM Piping Network in Gresik Regency

Water is essential for all living things, including humans. Water, both in terms of quality and quantity, will have an effect on human life. The Indonesian government is preparing the National Urban Drinking Water Supply Plan (NUWSP) with assistance from the World Bank. A significant portion of the Bank's financial resources are allocated to technical assistance and capacity building in support of the Indonesian government's infrastructure expenditures in all urban water distribution platforms. The NUWSP Work was implemented during an 11-month period, from November 18, 2021 to August 22, 2022, with the NUWSP Work Location at Gresik Regency in East Java. During the data collection stages, both primary and secondary data were obtained. The drinking water supply system (SPAM) planning stage comprises calculating BOQ and RAB, as well as DED for drinking water, and planning for the drinking water JDU system. The contractor takes measurements and standards before installing a field-specific bow plank at the tying point. To avoid pipe damage, individual pipe fittings must be lowered into the trench using the right equipment. The volume of excavation is computed using a depth of 180 cm, a breadth of 60 cm, and a length of excavation of 31 km from six pieces of a pipeline. The Bill of Quantity (BOQ) and Budget Plan (RAB) necessary to complete the SPAM pipeline network work in Gresik Regency were IDR 27,823,590,000.00, based on the results and discussion of the Optimization of SPAM Network Work (NUWSP) in Gresik Regency.

SPECIAL AND DIFFERENTIAL TREATMENT (SDT) IN THE WTO AGREEMENTS: A RULE-BASED APPROACH

Members of the World Trade Organization (WTO) hold varying opinions regarding the status of developing countries as WTO members and Special and Differential Treatment (SDT), which reflects various perspectives on what constitutes fair treatment in the WTO. These discrepancies have now became more noticeable, which presents a problem for the organization. The definition of a developing country member, graduation, the efficacy of SDT, and technical support and capacity building have all been complicated topics explored in SDT discussions. Some of the WTO develop country members have suggested modifying the definition of developing country in regard to the Special and Differential Treatment (SDT) in the WTO agreements using a political and economic perspective. As the forum for negotiating agreements aimed at reducing barriers to international trade and ensuring a level playing field for all, the World Trade Organization (WTO) must be able to contribute to economic growth and development regardless of a country member's constitutional or socioeconomic structure, as well as foster peaceful cooperation among nations. The initiative of these members must, of course, be supported by the WTO, which role as the guarantor of the multilateral trading system, and as a bulwark against all forms of protectionism, while recognizing the developmental needs, as well as, the full WTO rights and obligations of members. The WTO can also, among other things, encourage all WTO members participating in plurilateral and multilateral initiatives to take a new approach to SDT in ongoing and future negotiations. Affirming that disputes concerning treaties, like other international disputes, should be settled by peaceful means and in conformity with the principles of justice and international law. By reviewing all laws and regulations that are connected to the status of developing countries as WTO members and Special and Differential Treatment (SDT), the author employs a "rule-based approach" in this article as set forth in article 31 of the Vienna Convention on the Law of Treaties, to analyze and respond to the question of what constitutes a member from a developing country as a beneficiary of SDT in order to achieve the goal of the World Trade Organization (WTO) which primary purpose is to open trade for the benefit of all

Community Compass Technical Assistance and Capacity Building (HUD)

Federal Grants & ContractsVolume 47, Issue 6 p. 6-6 Grants Alerts Community Compass Technical Assistance and Capacity Building (HUD) First published: 14 February 2023 https://doi.org/10.1002/fgc.32871Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat No abstract is available for this article. Volume47, Issue616 February 2023Pages 6-6 RelatedInformation

Current flood warning system in Japan and its effectiveness in mobilizing evacuation: Lessons from case studies.

An effective flood warning system is crucial for successful flood management. Flood warning systems have been developed in many countries across the world. However, scientific literature on flood warning systems has been mainly focused on technical capacity building, and the effectiveness of warning systems in mobilizing evacuation was much understudied. Japan is a country with a long history of fighting against flood disasters; the evaluation of its practices in providing flood warnings and the effectiveness are certainly important for further flood research development in Japan, and sharing the experience and lessons with the rest of the world will contribute to flood damage reduction on a global scale. Following this line of thinking, this article is intended to present a clear and concise picture of the current flood warning system in Japan, which has been poorly documented up until now. It is also aimed at providing a performance assessment for the flood warning system through case study approach and the use of Strengths, Weaknesses, Opportunities, and Threats (SWOT) model. Through analyses, the pros and cons of the current flood warning system in Japan are highlighted, and the directions for further development and refinement are explained.

A roadmap toward implementing health technology assessment in Egypt.

The Egyptian healthcare system is currently in the early phase of health technology assessment (HTA) implementation. The aim of this study is to propose an implementation roadmap based on the national healthcare system status. A survey was conducted among Egyptian healthcare sector decision-makers to assess the current and future (preferred) HTA implementation status in Egypt based on a widely used international scorecard methodology. Subsequently, interviews were conducted with experts representing middle- and top-tier management in the Egyptian healthcare system to interpret the survey results and recommend specific actions. Experts recommended more capacity-building programs for HTA and health economics. Additionally, they proposed establishing HTA units in separate healthcare authorities and merging them into a single central HTA unit in the long term. Regarding the scope of implementation, experts recommended commencing with the assessment of innovative pharmaceuticals, and thereafter, expanding the scope to cover all health technologies in the long term. Additionally, they recommended using innovative tools such as "multi-criteria decision analysis (MCDA)" for tendering, and "managed entry agreements" for reimbursement decisions. Local burden of diseases and costing studies were also recommended to facilitate the implementation of HTA. Experts agreed that several actions are required for successful HTA implementation in Egypt, including coordination between HTA bodies, application of an explicit MCDA framework, and strengthening of local evidence generation. To implement these actions, investment in technical capacity-building is indispensable. Most experts favored using multiple and soft cost-effectiveness thresholds. Efforts should be made to publish HTA submission guidelines and timelines of the processes.

Good agriculture practices for safe food and sustainable agriculture in Nepal: A review

Food safety is a growing concern worldwide but is especially prevalent in Nepal. Agriculture is the country's critical economic sector, and its sustainability is challenged due to the increasing use of agrochemicals. As a result, low Soil Organic Matter (SOM), reduced crop productivity, increased food safety hazards, and negative impacts on human health and the environment are reported in the agriculture sector in Nepal. In 2018, the concept of Good Agriculture Practices (GAP) was introduced in Nepal to address the issues of food safety, trade, and sustainability. As GAP is relatively new to Nepal, it is still broad and ambiguous, which makes its use and implementation difficult. For this purpose, we conducted a literature review on available global evidence to present the benefits of GAP and to identify the critical barriers to the adoption of GA. The review shows GAP's potential to increase crop yield by up to 36%, reduce agrochemicals use by 31%, increase SOM from a mean of 3.32%–3.77%, and increase farmers' income by more than 100%. However, the review has also identified barriers to wider adoption of GAP, broadly categorized into production, extension, regulation and standards, and markets and finance. The valuable outcome of this review is that it proposes five key pathways: (i) Technical capacity building, (ii) Awareness creation, (iii) Soil fertility management strategies, (iv) Extension programs, and (v) Market development for institutionalizing GAP in Nepal, based on the learning from global evidence. This review could be useful for policymakers and the government of Nepal to develop detailed implementation guidelines for GAP, including appropriate policies as well as short, medium, and long-term plans and programs for institutionalizing GAP in Nepal. • Aimless use of agrochemicals is challenging the agriculture sustainability in Nepal. • GAP reduces agrochemicals use by 31%, and increase SOM from a mean 3.32%–3.77%. • GAP increases crop yield by up to 36% and farmers' income by more than 100%. • Several barriers to broader adoption of GAP in developed and developing countries. • Five key pathways are proposed for institutionalizing GAP in Nepal.