This qualitative research aimed to study the effectiveness of the local health constitution in controlling the spread of COVID-19. It reports the role of local communities, government agencies, and healthcare providers in implementing and enforcing local health constitutions and how their engagement can be improved to enhance surveillance. We also reported factors that influence compliance and strategies for improving compliance. We also evaluated the long-term sustainability of local health institutions beyond the pandemic. The population and sample group consisted of key members of the local health constitution teams at the provincial, sub-district, and village levels in the rural area of Ubon Ratchathani. Participants were purposively selected and volunteered to provide information. It included health science professionals, public health volunteers, community leaders, and local government officials, totaling 157 individuals. The study was conducted from December 2022 to September 2023. Our research shows that local health constitutions can better engage and educate communities to actively participate in pandemic surveillance and prevention. This approach is a learning experience for responding to emergencies, such as new infectious diseases that may arise in the future. This simplifies the work of officials, as everyone understands the guidelines for action. Relevant organizations contribute to disease prevention efforts, and there is sustainable improvement in work operations.
This paper provides a unique empirical analysis of the effects of political factors on the adoption of PPP contracts in Brazil. As such, it innovates along two different lines: first, political factors behind the adoption of PPPs have been largely ignored in the vast body of empirical literature, and second, there is scant work done on the motives of any kind behind the adoption of PPPs in Brazil. Various economic and financial reasons have been evoked to justify the use of PPPs in general. These include the goal of promoting socio-economic development in a tight public budgetary framework or of improving the quality of public services through the use of economically efficient and cost-effective mechanisms. Any possible underlying political motives, however, have been overlooked in the PPP research. And yet, there is abundant literature suggesting a link between the adoption of PPPs and the ideology of the governing body or the political cycles associated with elections. This study examines the impact of ideological commitment and opportunistic political behavior on the process of PPP contracting in Brazil, including the stages of public consultation, the publication of tender, and the signature of the contract, using federative-level data for the period between 2005 and 2022. Consistent with the outstanding literature, the two hypotheses are tested: first, conservative parties tend to celebrate more PPP contracts than left-leaning parties, and second, the electoral calendar has a significant effect in the process, allowing for opportunistic behaviors. Empirical results suggest that there is little evidence for the relevance of ideological leanings in the process of adopting PPPs in Brazil. Additionally, regardless of ideology, parties significantly choose to enter PPPs at specific points in the electoral cycle, suggesting decisions are influenced by political considerations and electoral strategy rather than by purely financial or ideological considerations. This may pose severe constraints on the efficiency and cost-effectiveness of the contracts, negatively impacting public governance and leading to protracted costs for taxpayers.
Financial shocks have an incredible socioeconomic effect on both developed and developing countries. Various recent studies demonstrated that bad public governance impacted public health across all nations. In fact, this study aims to use panel data for 21 countries from the Middle East and North Africa (MENA) region over the period 2000–2020 to scrutinize the effect of both governance and financial crises on public health. We use the generalized method of moments (GMM) approach to carry out the empirical analysis. The objective of using this method is to deal with the issue of endogeneity between exogen variables. Results outline that there is a significant positive association between public governance indicators and public health. Moreover, we found a strong negative association between financial shocks and public health. Thus, the direct negative impact of financial crisis on public health could be mitigated by the indirect positive impacts via institutions and good public governance. This study gives insights to policymakers to take appropriate measures to decrease the severity of the financial shocks and improve healthcare services.
Public-private partnerships (PPPs) are vital for infrastructure development in developing countries, integrating private efficiency with public oversight. However, PPP models often face risks, particularly in Indonesia’s water sector, due to its unique geographical and regulatory challenges. This study aims to identify and evaluate risk factors specific to drinking water PPP projects in Indonesia. Using a quantitative approach, structured questionnaires were distributed to experts in the sector, and the data was analyzed using a fuzzy evaluation method. Risks were categorized into location, design and construction, financial, operational, revenue, and political. The study emphasizes that effective risk management, including identification, analysis, and mitigation, is essential for project success. It highlights the importance of stakeholder involvement and flexible risk management strategies. Comprehensive and proactive risk management is key to the success of drinking water infrastructure projects. The research suggests that an integrated and collaborative approach among stakeholders can enhance risk management effectiveness. These findings provide valuable insights for policymakers, project managers, investors, and other stakeholders, underscoring the necessity for adaptable regulatory frameworks and robust policy guidelines to improve the sustainability and efficacy of future water-related PPPs.
SMEs are characterized by a number of flaws that threaten their survival and counteract them from reaching high levels of growth and development. Access to finance is the primary problem facing these companies in the Moroccan context. Aware of the effective and potential impacts of SMEs on the country as a whole, the Moroccan Government through a variety of actors has mobilized its efforts in a number of ways to support this population of companies. This study assesses the extent to which actors within the Moroccan SMEs’ financing ecosystem align to support these companies and develop their ability to access external financing. Using the MACTOR model, based on an in-depth contextual analysis and expert interviews, our findings suggest that Morocco’s SMEs’ financing ecosystem is skewed, with high levels of convergence between its components.
This academic paper explores the impact of multi-entity cooperation on the effectiveness of public service provision in China. It examines the social governance pattern proposed by the 19th National Congress of the CCP and the emphasis on co-building, co-governing, and sharing. The paper highlights the need for collaboration among various entities and the transition from sole government provision to improve urban public services. It aims to investigate the moderating effects of institutions, policies, and public participation. The study will involve quantitative and qualitative phases in three cities in Guangdong Province and target governmental departments, commercial organizations, non-profit social organizations, and local residents. The research aims to provide policy recommendations, innovate institutional policies, enhance public engagement, and improve multi-party cooperation and urban public services. It seeks to contribute practical models and measures for effective government public management and service implementation.
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