Good health and well-being are embedded in the 3rd Goal amongst the UN Sustainable Development Goals. The primary objective of this research was to identify the most critical economic, social, and administrative barriers to implementing the Expanded Program on Immunization (EPI) in the Punjab Province of Pakistan. A sequential exploratory design and case study technique were used, employing both qualitative and quantitative methods. In the first stage, in-depth interviews with 50 key officials were conducted to identify the most critical barriers to the EPI program. A quantitative analysis was then performed based on the results obtained from qualitative analysis, and rank orders of barriers were received from the same health department experts. The results indicate that twenty-eight barriers can cause implementation problems for this program. Still, the ten barriers that gained the maximum hits are the most important barriers, which include Shortage of vaccinators, mismanagement of vaccines’ cold chain, biometric android application, ice-lined refrigerators, communication gap, inadequate legislation of EPI program, capacity building issues with EPI staff, Misconceptions about EPI program, lack of awareness of the parents and community, refusal cases and inadequate cooperation of lady health workers (LHWs). Coordinated efforts of the government and the public are highly recommended to address these barriers.
The design of effective flood risk mitigation strategies and their subsequent implementation is crucial for sustainable development in mountain areas. The assessment of the dynamic evolution of flood risk is the pillar of any subsequent planning process that is targeted at a reduction of the expected adverse consequences of the hazard impact. This study focuses on riverbed cities, aiming to analyze flood occurrences and their influencing factors. Through an extensive literature review, five key criteria commonly associated with flood events were identified: slope height, distance from rivers, topographic index, and runoff height. Utilizing the network analysis process within Super Decision software, these factors were weighted, and a final flood risk map was generated using the simple weighted sum method. 75% of the data was used for training, and 25% of it was used for testing. Additionally, vegetation changes were assessed using Landsat imagery from 2000 and 2022 and the normalized difference vegetation index (NDVI). The focus of this research is Qirokarzin city as a case study of riverbed cities, situated in Fars province, with Qir city serving as its central hub. Key rivers in Qirokarzin city include the Qara Aghaj River, traversing the plain from north to south; the primary Mubarak Abad River, originating from the east; and the Dutulghaz River, which enters the eastern part of the plain from the southwest of Qir, contributing to plain nourishment during flood events. The innovation of this paper is that along with the objective to produce a reliable delineation of hazard zones, a functional distinction between the loading and the response system (LS and RS, respectively) is made. Results indicate the topographic index as the most influential criterion, delineating Qirokarzin city into five flood risk zones: very low, low, moderate, high, and very high. Notably, a substantial portion of Qirokarzin city (1849.8 square kilometers, 8.54% of the area) falls within high- to very-high flood risk zones. Weighting analysis reveals that the topographic humidity index and runoff height are the most influential criteria, with weights of 0.27 and 0.229, respectively. Conversely, the height criterion carries the least weight at 0.122. Notably, 46.7% of the study area exhibits high flood intensity, potentially attributed to variations in elevation and runoff height. Flood potential findings show that the middle class covers 32.3%, indicating moderate flood risk due to changes in elevation and runoff height. The low-level risk is observed sporadically from the east to the west of the study area, comprising 12.4%. Analysis of vegetation changes revealed a significant decline in forest and pasture cover despite agricultural and horticultural development, exacerbating flood susceptibility.
Currently, there is little study on managing organizational silence in Malaysia post COVID-19 pandemic. This study aims to examine the determinants of organizational silence and the impacts of silence on private sectors and employees. The target respondents are two hundred individuals above 21 years old working in private sectors across Malaysia. Purposive sampling is selected for this study because the target respondents must be individuals working in private sectors across Malaysia. The strongest predictor of organizational silence is the attitudes of immediate superior, followed by attitudes of top management and communication opportunities. This study provides valuable information to the employees and management in the private sector to recognize the behaviors that will create silence within the organization.
The hospital is a complex system, which evolving practices, knowledge, tools, and risks. This study aims to assess the level of knowledge about risks at Hassan II Hospital among healthcare workers (HCWs) working in three COVID-19 units. The action-research method was adopted to address occupational risks associated with the pandemic. The study involved 82 healthcare professionals in the three COVID-19 units mentioned above. All participants stated they were familiar with hospital risks. Seventy-four HCPs reported no knowledge of how to calculate risk criticality, while eight mentioned the Occurrence rating, Severity rating, and Detection rating (OSD) method, considering Occurrence rating, Severity rating, and Detection rating as key elements for risk classification. Staff indicated that managing COVID-19 patients differs from other pathologies due to the pandemic’s evolving protocols. There is a significant lack of information among healthcare professionals about risks associated with COVID-19, highlighting the need for a hospital risk management plan at a subsequent stage.
The purpose of this research is to deeply examine the factors that support and hinder green economic growth in South Papua, with a specific focus on increasing awareness and capacity among local communities, developing sustainable infrastructure, and adopting clean technologies. This research utilizes a case study approach to uncover the dynamics and elements supporting the development of green economy in South Papua, particularly in Merauke Regency. Through surveys, in-depth interviews, and document analysis, data were gathered from various stakeholders, including government, communities, and the private sector. Sampling was done using purposive sampling method, ensuring the inclusion of respondents relevant to the research topic to provide a holistic understanding of the factors influencing green economy in the region. The research reveals that in Merauke Regency, the understanding of the concept of green economy among the community is still limited, highlighting the need for broader education and socialization. Factors such as government support, infrastructure availability, and community participation play a key role in driving green economic growth. However, challenges such as resource limitations and differences in perceptions among stakeholders highlight the complexity in implementing green economy. Therefore, holistic and collaborative policy recommendations need to be considered to strengthen support and effectiveness of sustainable development efforts in this region.
Over the last few decades, demographic growth combined with poorly controlled urbanization has confronted African cities with a variety of environmental protection challenges. As part of a gradual awareness-raising process, African countries have ratified conventions and adopted a series of laws to protect the environment. Since independence (1960), Gabon has adopted legal instruments to provide a better framework for environmental protection. Despite the existence of well-developed legislation, the Libreville conurbation faces difficulties in waste management. This situation contributes to the degradation of the coastal zone. This study aims to analyse stakeholders’ perceptions of environmental protection regulations in solid waste management practices along the coastline of the Libreville metropolitan area in Gabon. The methodology includes documentary research, field observations, and surveys of 300 study area participants. The results show that the degradation of the coastline is due to a lack of awareness and compliance with the laws governing environmental protection and waste management. As a result, waste disposal practices such as dumping in nature, waterways, illegal dumps, and gutters are commonplace among the population. To achieve sustainable coastal zone management, it is essential to apply regulatory texts and involve stakeholders in improving planning and the quality of the coastal environment.
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