Access to affordable and quality medicines plays a vital role for achieving Universal Health Coverage and in reducing out-of-pocket expenditures (OOPE) for households especially in developing nations such as India. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), a Government of India initiative, aims to make low-cost and quality generic drugs and surgical equipment accessible to all segments of the population through its dedicated store outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendra (PMBJK). In this study, a pilot survey comprising 20 stores/PMBJKs and 150 citizens was undertaken in the Bengaluru Urban District, India to understand various aspects of the PMBJKs including availability of drugs, stock-outs, accessibility to stores, perception and awareness levels along with challenges faced by store owners and citizens/beneficiaries. Based on the survey results, we capture the availability of drugs for 35 medicines and consumables belonging to 12 therapeutic categories across 20 store outlets. We also provide valuable insights and interdisciplinary recommendations on several facets including adopting technology-based measures for day-to-day functioning of stores, need for in-depth supply chain analysis for ensuring availability of drugs, encouraging prescription of generic medicines, increasing awareness levels in addition to promoting grassroot-level research, surveys and feedback mechanisms. These suggestions are expected to find their utility in policy-making, strengthen the implementation of the PMBJP scheme across Bengaluru and India as well as contribute towards achieving related Sustainable Development Goals.
Micro-mobility has the potential to address first -mile challenges, improving transit accessibility and encouraging public transit usage. However, users’ acceptability of modal integration between various micro-mobility options and public transit remains largely unexplored in the literature. Our study investigates the user behavior for first-mile options, focusing on four alternatives: walking, bicycling, motorcycling, and bus, to access urban mass rapid transit (UMRT) in Hanoi, Vietnam. Based on data collected from 1380 individuals, a Nested Logit Model (NLM) was proposed to analyze the determinants of users’ acceptability under each access mode option as well as evaluate further impacts of shifts in access mode choice on vehicle-kilometer traveled and emissions. The analysis shows that the availability of access modes might increase UMRT use by 47.83%. While this increase further generates additional vehicle-kilometer traveled due to the increase in park-and-ride users, this is offset overall by the large number of motorcycle users shifting to UMRT. Under the most optimistic scenario, modal integration for transit-access trips leads to an average reduction of 17.7% in net vehicle-kilometer traveled or 14.5% in net CO2 emissions or 10.9% in NOx from private vehicles. Our findings also imply that the introduction of parking fees for bicycling- or motorcycling-access trips, while impactful, does not significantly change UMRT choice. Therefore, the pricing schemes should be a focus of parking planning surrounding stations. Finally, a number of policy suggestions for parking planning and first-mile vehicles are presented.
Over the last few decades, we have experienced a remarkable evolution of technologies, with a consequent impact on the modes of transport used. These developments have made all modes of transport more accessible. This study examines the evolution of transport in the European Union. To this end, we analysed the international framework, followed by the general legal framework and the type of transport sector at the European level. Furthermore, we examined areas where improvements could be made, facilitating a subsequent review of other key aspects of transport. This enabled us to identify a series of future actions to improve accessible transport in Europe.
In marginalized ecosystem-dependent rural communities, access to ecosystem services plays a crucial role in achieving sustainable livelihoods. This study was conducted to find out the influence of various livelihood capital components on the access mechanism for forest-based Provisioning Services (PS) in some selected villages of the Gosaba Block on the fringes of the Sundarban. The contribution of the livelihood capitals to gain access to Provisioning Services (PS) was identified using factor analysis on 160 households, selected through cluster random sampling. The sustainability levels of livelihood capitals were analyzed using the Prescott-Allen method (2001). The natural, financial, social, and physical capitals were significantly below average, while the human capital was close to average. Enhancement of human, physical, financial, and social capital, ease in issuing Biometric Fisherman cards for entering forests, flexibility in borrowing loans, and ecotourism by involving local villagers must be encouraged to enhance forest-based provisioning services in the near future.
This study investigates the impact of digital payment infrastructure accessibility on the social influence of microenterprises in Barranquilla, Colombia, while examining the mediating roles of financial inclusion, digital literacy, social support networks, and collaboration with social innovation initiatives. Employing a mixed-methods approach, the study analyzes data from a sample of 25 microenterprises operating in various sectors. The findings, based on statistical techniques such as multiple regression, path analysis, and structural equation modeling (SEM), provide strong evidence for the positive influence of digital payment infrastructure accessibility on the social relationship of microenterprises. The results also highlight the crucial roles played by financial inclusion and social support networks in mediating this relationship. The study contributes to the growing body of literature on the factors driving the social effect of microenterprises and offers valuable insights for policymakers and practitioners aiming to foster inclusive economic development in the region. The findings suggest that investing in the development and expansion of digital payment systems, alongside efforts to promote financial inclusion and strengthen social support networks, can have far-reaching benefits for microenterprises and their communities.
This contribution questions young people’s access to digital networks at the scale of intermediate cities in Saint-Louis. Thus, it analyzes the prescriptions of digital actors responsible for the development of digital economy in relation with the orientations of the Senegal Digital 2025 strategy. This is a pretex to highlight the gaps between official political discourses and the level of deployment of digital infrastructures. The study highlights the need to repoliticize the needs of populations for broadband and very high-speed connections to promote local initiatives for youth participation in Saint-Louis. Indeed, datas relating to access and use of the Internet by young people reveal inequalities linked to household income, the disparity of infrastructure and digital equipment, and the discontinuity in neighborhood development, but also to the adaptability of the internet service marketed. Through urban and explanatory sociology mobilized through the approach of young people’s real access to the Internet, our analyzes have shown at the scale of urban neighborhoods the impact of the actions recommended by those involved in the development of populations’ access to Internet. The result is that the majority of young people are forced to access the Internet through medium-speed mobile networks.
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