Rural sub-Saharan Africa faces limited medical access, healthcare worker shortages, and inadequate health information systems. Mobile health (mHealth) technologies offer potential solutions but remain underdeveloped in these settings. This review aims to explore the sociocultural context of mHealth adoption in rural sub-Saharan Africa to support sustainable implementation. A comprehensive Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) search was conducted in databases like PubMed, MEDLINE, and African Journals Online, covering peer-reviewed literature from 2010 to 2024. Qualitative studies of mHealth interventions were included, with quality assessed via the Critical Appraisal Skills Program (CASP) checklist and data synthesized using a meta-ethnographic approach. Out of 892 studies, 38 met the inclusion criteria. Key findings include sociocultural factors like community trust influencing technology acceptance, local implementation strategies, user empowerment in health decisions, and innovative solutions for infrastructure issues. Challenges include privacy concerns, increased healthcare worker workload, and intervention sustainability. While mHealth can reduce healthcare barriers, success depends on sociocultural alignment and adaptability. Future interventions should prioritize community co-design, privacy protection, and sustainable, infrastructure-aware models.
The starting point is the presence of a widespread feeling of political confrontation and division among Spanish citizens. This is compounded by dissatisfaction with and distrust in a system that is perceived by many as elitist and out of touch with real needs. Several factors related to this perception of politics are explained and quantified. On the one hand, there are economic elements, such as the stagnation of GDP per capita, the persistence of a relatively high at-risk-of-poverty rate, and the rates of material deprivation. And in all these elements, a significant territorial inequality can be observed. There are significant differences between Spain, France and Germany over the period considered. On the other hand, political factors determine much of the public debate in Spain: Historical memory and the Spanish Civil War, as well as the terrorism of ETA and other terrorist groups. The emergence of new parties is analyzed, especially VOX. Finally, the enormous difficulty of finding a territorial structure of political power that would bring together the consensus of most political forces. It is necessary to find formulas for fiscal federalism that will make it possible to move away from the current decentralization of spending without the Autonomous Communities having their own tax capacity. This study concludes by pointing out the relevance of all these problems and the need to find solutions through democratic debate and deliberation with agreements.
The rapid shift to online learning during COVID-19 posed challenges for students. This investigation explored these hurdles and suggested effective solutions using mixed methods. By combining a literature review, interviews, surveys, and the analytic hierarchy process (AHP), the study identified five key challenges: lack of practical experience, disruptions in learning environments, condensed assessments, technology and financial constraints, and health and mental well-being concerns. Notably, it found differences in priorities among students across academic years. Freshmen struggled with the absence of hands-on courses, sophomores with workload demands, and upperclassmen with mental health challenges. The research also discussed preferred strategies for resolution, emphasizing independent learning methods, managing distractions, and adjusting assessments. By providing tailored insights, this study aimed to enhance online learning. Governments and universities should support practical work, prioritize student well-being, improve digital infrastructure, adapt assessments, foster innovation, and ensure resilience.
Studies show that Fourth Industrial Revolution (4IR) technologies can enhance compliance with COVID-19 guidelines within the parties in the construction industry in the future and mitigate job loss. It implies that mitigating job loss improves the achievement of Sustainable Development Goal 1 (SDG 1) (eliminate poverty). There is a paucity of literature concerning 4IR technologies application and COVID-19 impact on South Africa’s construction industry. Thus, this paper investigates the impacts of the pandemic on the sector and the roles of digital technologies in mitigating job loss in future pandemics. Data were collected via virtual semi-structured interviews. The participants proffered unexplored insights into the impact of the pandemic on the sector and the possible roles that 4IR technology can play in mitigating the spread of the virus within the sector. Findings show that the sector was hit, especially the low-income earners, threatens to achieve Goal 1, despite government institutions’ intervention, such as economic support programmes, health and safety guidelines awareness, and medical facilities. Findings group the emerged impacts into health and safety, environmental, economic, productivity, social, and legal and insurance issues in South Africa. The study shows that technology can be advantageous to improving achieving Goal 1 in a pandemic era due to limited job loss.
Development of technologies and innovations encouraged companies to look for and implement innovative solutions in their practice seeking not only to increase the efficiency of activity but also towards sustainability. In this context, the aim of the research is to reveal innovative solutions for the improvement of the warehousing processes towards sustainability in the case of manufacturing companies. The methodological setup consists of two steps. First, a comprehensive literature analysis was conducted seeking to reveal and present a theoretical model based on the conceptual framework on this topic. Then, a semi-structured interview was conducted with 8 managers holding managerial positions in four Lithuanian manufacturing companies. The manufacturing companies were chosen for the research due to their durable experience in the market, which use advanced warehouse management methods in their operations. Main findings showed, that innovative solutions such as Big Data Datasets, smart networks, Drones, Robots, Internet of Things and etc., are important for the efficient warehousing processes. Furthermore, it is also necessary to emphasize the benefits of implementing of innovative solutions in warehousing processes not only in economic terms, but also for solving of social and environmental issues towards sustainability. The novelty of this study lies in its dual objective of filling a theoretical gap and of drawing the attention of companies and policy makers to the importance of innovative solutions implementation in the warehousing process towards sustainability.
This research, with a qualitative approach, is based on a literature review and a press analysis related to mergers, acquisitions and dissolutions of Higher Education Institutions in South America. Our findings evidence a gap in the academic literature for analyzing and understanding these processes. The literature on the subject is scarce; however, the press has recorded them in a constant way. While in the past this phenomenon was mainly among public universities, currently it is a fundamentally private trend. The main reasons to carry out this process by Higher Education Institutions are those related to geographic expansion or positioning (for merger processes), absorption and concentration of institutions by groups of interest (for merger processes, acquisition) and, the crisis resulting from the financial-administrative management of the institutions, as well as the non-compliance with national and international quality standards designed by accreditation agencies and institutions (for dissolution processes). On the contrary of some literature results, in any of the processes the search for prestige or reputation by the institutions was detected as a reason.
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