Poverty is a major challenge caused by various situations as well as cultural, social, economic, and political interactions. Therefore, poverty alleviation programs and strategies require an integrated approach carried out in consistent and organized stages. It required the participation of all parties, both regional heads, Regional People’s Representative Assembly (RPRA) members, entrepreneurs, and other elements of society. This study aimed to investigate the effect of local spending efficiency on public welfare in Indonesia, using a quantitative and explanatory method. The analysis method used in this study is the panel data regression model. The research population in all provinces in Indonesia was 34 provinces, and a purposive sampling method was used, where a total of 26 provinces were selected. The research period is 2017–2021. The efficiency of local spending (education, health, and infrastructure) is estimated using the Stochastic Frontier Analysis (SFA) cost function approach. The results showed that the higher the efficiency of education spending, the more it will increase public welfare in Indonesia. Meanwhile, the health spending efficiency and the infrastructure spending efficiency do not affect public welfare. The implications of this study for the development of science are that the efficient allocation of education spending will be able to improve the quality of education which is a long-term solution to overcome poverty in Indonesia and for policymakers to be able to optimize education spending to achieve the expected educational goals.

This study examines the adoption and usability of lifestyle (LS) apps, considering demographic factors like age and education that influence adoption decisions. The study employed a mixed-methods design, combining an experiment (spanning 14 weeks of app use) with semi-structured interviews and periodic measurements. The researchers employed the Mobile Application Usability Questionnaire (MAUQ) to identify pivotal aspects of standalone app usability, interface satisfaction, and usefulness at various stages of use, with a particular emphasis on the experiences of Hungarian students (n = 36). The results demonstrate that health-related factors have a significant impact on students’ behavior and evaluation of lifestyle apps over the 14-week period. Overall, the analyzed LS apps demonstrated positive outcomes in terms of supporting subject health and significantly improving the perceived health state. The findings highlight both practical and theoretical contributions to the field of mobile health applications, suggesting avenues for further research to either confirm or challenge existing theories.

Diagnosis-related groups (DRGs) are gaining prominence in healthcare systems worldwide to standardize potential payments to hospitals. This study, conducted across public hospitals, investigates the impact of DRG implementation on human resource allocation and management practices. The research findings reveal significant changes in job roles and skill requirements based on a mixed-methods approach involving 70 healthcare professionals across various roles. 50% of respondents reported changes in daily responsibilities, and 42% noted the creation of new roles in their organizations. Significant challenges include inadequate training (46%), and coding complexity (38%). Factor analysis revealed a complex relationship between DRG familiarity, job satisfaction, and staff morale. The study also found a moderate negative correlation between the impact on morale and years of service in the current hospital, suggesting that longer-tenured staff may require additional support in adapting to DRG systems. This study addresses a knowledge gap in the human resource aspects of DRG implementation. It provides healthcare administrators and policymakers with evidence to inform strategies for effective DRG adoption and workforce management in public hospitals.

This research presents an innovative perspective on vocational education by merging the Instructional System Design (ISD) model with Innovation in Thailand Vocational Education and Training (InnoTVET) principles. Targeted at nursing students, the course aims to cultivate entrepreneurial skills while connecting vocational training with healthcare policy development. It aligns with global movements in Education for Sustainable Development (ESD), addressing the increasing demand for nurse entrepreneurs who can devise creative healthcare solutions within established policy frameworks. By employing mastery learning techniques alongside design thinking, the course effectively bridges theoretical concepts with practical applications. The mixed-methods study underlines relevant contribution in students’ entrepreneurial mindsets. Results from t-tests reveal the students’ ability to identify opportunities, engage in innovative thinking, and work within policy frameworks. Findings are supported by qualitative data, which demonstrate enhanced confidence, improved problem-solving capacities, and a deeper understanding of healthcare market dynamics. Although expert evaluation of student projects is scheduled for future iterations, the initial outcomes reinforce the course’s success. The course is structured into seven modules spanning 45 hours, featuring active learning components, five business-oriented assignments, and a final innovation project that integrates the curriculum’s core elements. This design ensures students develop both practical expertise and interdisciplinary insights critical to healthcare innovation. The integration of InnoTVET and ISD principles in nursing education sets a precedent for vocational education reform. This example of a successful nursepreneurship initiative provides a scalable model for enhancing vocational programs in diverse fields, fostering innovation and sustainability.

This study examines the relationship between macroeconomic determinants and education levels in eight selected African oil-exporting countries (AOECs) over the period 2000–2022. Drawing on human capital theory, the paper scrutinizes the impact of factors such as income inequality, health outcome, economic growth, human development, unemployment, education expenditure, institutional quality, and energy consumption on education levels. Employing robust estimation techniques such as fixed effects (FE), random effects (RE), pooled mean group (PMG) and cross-section autoregressive distributed lag model (CS-ARDL), the study unveils vital static and dynamic interactions among these determinants and education levels. Findings reveal notable positive and significant connections between education levels and some of the variables—human capital development, institutional quality, government expenditure on education, and energy consumption, while income inequality demonstrates a consistent negative relationship. Unexpectedly, health outcomes exhibit a negative impact on education levels, warranting further investigation. Furthermore, the analysis deepens understanding of long-run and short-run relationships, highlighting, for example, the contradictory impact of gross domestic product (GDP) and unemployment on education levels in AOECs. Finally, the study recommends targeted human development programs, enhanced public investment in education, institutional reforms for good governance, and sustainable energy infrastructure development.

Climate change is causing serious impacts, especially in sub-Saharan Africa, where poverty rates could increase by 2050 if climate and development measures are not taken. The health consequences are diverse and include transmissible and non-transmissible diseases. The objective of this study is to analyze the strategies implemented in health facilities in the Greater Lomé health region to cope with the impacts of climate change. The survey was carried out in 23 health facilities in 2022. It was a descriptive cross-sectional study which was carried out from July to September 2022. Qualitative and quantitative approaches were used. Non-probability sampling method and purposive choice technique were used. Four techniques made it possible to collect the data, namely documentary analysis, survey, interview and observation. The collected data were processed with Excel software and exported to SPSS for analysis. In total, 112 people were surveyed out of 161 planned. According to the results, 52.68% of health facilities did not implement adaptation strategies, 47.32% used adaptive strategies depending on to their means. Strategies exist but at low percentages due to limited technical and financial resources and the insufficiency of innovative policies. These strategies need to be supported in order to make them more effective. The study provides a basis for adopting innovative strategies and encouraging financing for adaptation actions.