The Public-Private Partnerships management model (PPP) in Portugal was initially applied to the highways sector. Recently, this model began to spread to the health sector for hospital management. The recent growth of patient’s knowledge and expectations regarding the quality of healthcare services is compelling service providers to pursue new ways of delivering this care to meet users’ expectations. One wonders if the increase in patient access to knowledge may indicate a growth in health literacy, particularly regarding PPP Hospitals. This study assesses the Portuguese population’s literacy level regarding the PPP Hospital model, using a quantitative research approach based on a survey of the Portuguese population served by PPP hospitals and a Public Hospital Management (PHM) model. It was found that the Portuguese population has a low literacy concerning the PPP model, which can cause feelings of injustice. It was found that PPP users tend to have a favourable opinion regarding private involvement since they are also more satisfied compared to PMH users. These results may impact political decision-making concerning the renewal of new contracts for private management of public services.

Urban areas are increasingly vulnerable to fire disasters due to high population density, sprawling infrastructure, and often inadequate safety measures. This study aims to analyze the capacity of the DKI Jakarta government in terms of human resource capabilities, asset readiness, and budget planning capabilities. Furthermore, it measures the government’s success as evidenced by the public response to the achievement of firefighter performance. This study uses qualitative analysis with a content analysis approach. Data sources come from annual performance report documents and the content of the DKI Jakarta Fire Department website containing city disaster information. Performance report and website data are analyzed and used as research data to support qualitative analysis. This research shows that command decisions are essential in the organizational structure of the fire brigade. Both laboratory services are carried out optimally as a concrete effort to map fire potential. The laboratory tests the safety and suitability of firefighting equipment. Available budgetary support provides broad operational powers for the fire service. The government’s strength in minimizing or overcoming fire problems has received a positive response from the public. The operational achievements of firefighting continue to be consistent and increase. Ultimately, this research provides scientific insight into disaster mitigation and reducing the fire risk in cities.

This study delves into the concept of the “cultural bomb” within the framework of non-military defense empowerment strategies in Indonesia. This approach can potentially change society’s views and attitudes towards various security threats as a realization of strengthening the defense and security system of the universal people (Sishankamrata) per article 30 paragraph (2) of the 1945 constitution. By leveraging media, education, and information technology, the cultural bomb acts as a social weapon that operates powerfully in the “space of mind,” shaping behavior and actions nonviolently. The issue of cultural threats pertains to the infiltration and imposition of foreign cultural values and practices that undermine local traditions and national identity, leading to social fragmentation and weakness. This study proposes the concept of a “cultural bomb” as a policy framework to address and mitigate these cultural threats. The research employs a qualitative approach using the Delphi technique, engaging experts from cultural studies and defense strategies to reach a consensus on the strategic application of the cultural bomb. The results indicate that the cultural bomb can effectively strengthen national identity and awareness of national defense by promoting local values and cultural resilience, thus enhancing societal cohesion and mitigating the impact of foreign cultural influences. The paper outlines the components of a cultural bomb, analyzes its application in international contexts, and discusses its implications in efforts to strengthen national identity and foster a sense of national defense awareness. Focusing on the “war over space of mind” ideology, it introduces “cultural hacking” as a strategic initiative to address cultural power imbalances in the post-truth era.

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 Huaiyang Canal, a significant section of the Grand Canal, boasts representative tourist attractions. This study analysis of online reviews from Ctrip and Mahive using R language, Gephi, ROST CM, and SPSS has provided insights into tourists’ perceptions of the Huaiyang Canal’s image. Key findings include: (1) Dominant landscape images encompass gardens, canals, and buildings, emphasizing the historical and cultural assets. Both cultural and natural landscapes equally captivate tourists. (2) The canal’s tourism image perception follows a “garden-history-canal” hierarchy with the canal as the central space and history expanding its tourism features. (3) The perceptions can be categorized into historical and cultural landscapes, man-made projects, and attraction perception. Despite varying tourist numbers in Huaian and Yangzhou, scenic spot experiences are similar. The overall perception of tourists is largely positive, but some express concerns about service attitudes and travel time planning.

The need for strategic alignment within HR management increased managers' concern about individual behavior and how this behavior was related to the achievement of goals. In public management, effectively managing employees' performance has been necessary since Weber's bureaucratic administration. The individual performance appraisal is the right tool to assess employees' competencies. Thus, we proposed the following research question: Which factors, as pointed out by theory, have the most significant influence on the individual performance appraisal process? The quantitative method was applied to answer this question, developing and testing a scale via EFA and a hypothetical model via SEM-CB. The results indicated a scale with 25 items able to access the main points of the IPA process and a hypothetical model with 7 constructs that indicate the influence on employee engagement. The main finding is the significant influence of feedback on the whole process. The main theoretical contribution was the construction of the MIPAS scale, and the practical contribution was to identify the points where managers should focus on improving the IPA process with their subordinates.