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.
Background: The prevalence of anxiety among college students is a growing global concern, with a median prevalence of 32%. This study addresses the need for effective interventions within an educational policy framework to alleviate anxiety and promote mental health among college students. Objective: The study aims to evaluate the impact of breathing relaxation exercises and tactile art therapy on college students’ self-understanding and psychological well-being, providing reference information for policies and practices in mental health education. Methods: We enrolled 10 college students from X University in South Korea, dividing them into an experimental group and a control group. The experimental group underwent 10 sessions of breathing exercises and tactile art therapy, while the control group received standard psychological counseling. Pre- and post-tests assessed breathing function, self-understanding, and psychological well-being. Results: The experimental group demonstrated significant improvements in breathing function, particularly in forced vital capacity (FVC), and in psychological well-being, as measured by the Psychological Well-Being Scale (PWBS). Sub-factors such as safety, goal orientation, and self-acceptance within self-understanding, self-acceptance, positive relationships, purpose in life, and environmental mastery within psychological well-being, showed notable enhancements. In contrast, the control group did not show significant effects in terms of FVC and FEV1(p > 0.05), and there were no statistically significant differences in the various sub-factors of self-understanding and psychological well-being. Conclusion: The study demonstrates that integrating breathing relaxation exercises and tactile art therapy into educational policy can significantly reduce anxiety and enhance the psychological well-being of college students. These findings suggest that such interventions can be effective components of a comprehensive educational policy aimed at improving student mental health.
The use of firearms, their frequency, and legitimacy through self-defence and extreme necessity are socially relevant in Czechia and Slovakia. Legal firearm ownership for defence purposes impacts overall social security, influenced by factors like firearm legislation, cultural traditions, legal awareness, and violent crime rates. Understanding this issue requires considering subjective interpretations, even among security experts. This paper explores the theoretical foundations of self-defence and extreme necessity from criminal law, alongside practical implications supported by police statistics on violent crimes involving firearms in Czechia and Slovakia. It also includes a comparison with selected EU countries. The authors’ research uses a questionnaire to assess attitudes towards choosing defensive firearms, preparation for firearms licensure, and potential support for state security forces. The findings provide insights into legal firearm owners’ behaviours and attitudes toward defence and security. The study aims to contribute to a deeper understanding of firearm use for self-defence, correlating training, weapon preferences, and willingness to enhance state security.
The increasing demand for electricity and the need to reduce carbon emissions have made optimizing energy usage and promoting sustainability critical in the modern economy. This research paper explores the design and implementation of an Intelligent-Electricity Consumption and Billing Information System (IEBCIS), focusing on its role in addressing electricity sustainability challenges. Using the Design Science Research (DSR) methodology, the system’s architecture collects, analyses, and visualizes electricity usage data, providing users with valuable insights into their consumption patterns. The research involved developing and validating the IEBCIS prototype, with results demonstrating enhanced real-time monitoring, load shedding schedules, and billing information. These results were validated through user testing and feedback, contributing to the scientific knowledge of intelligent energy management systems. The contributions of this research include the development of a framework for intelligent energy management and the integration of data-driven insights to optimize electricity consumption, reduce costs, and promote sustainable energy use. This research was conducted over a time scope of two years (24 months) and entails design, development, pilot test implementation and validation phases.
Lake Batur is one of the national priorities, as it has economic value, and fish resources are used for food security and improving the local people’s welfare. The study examined the applicability of fisheries management status based on the ecosystem approach in lakes. The study was carried out from February to July 2023 using ecosystem approach methods in seven villages around Batur Lake, Bali, Indonesia, Data was collected through observations and interviews with 189 respondents. The success of fisheries management might be shown as a flag model after the composite domain and the total aggregate value of all dominants were rated. The results showed that the managed fish resources and stakeholders were unsatisfactory categories. Generally, social and fishing technology domains were classified as good categories. For that, ecosystem approach applications for sustainable fisheries in Batur Lake needed action under the five common scenario goals (a) reducing non-target fish (red devil) in the lakes by intensive capture and processing into other products of economic value; (b) regulations related to the reserve area as a place for fish to spawn and breed; (c) increasing the synergy of fisheries management policies; (d) increasing the stakeholder capacity; and (e) government support and related stakeholders regarding one regulation for fisheries management.
The success of a city’s entrepreneurial ecosystem (EE) depends on a combination of interconnected factors that foster innovation, collaboration and growth. Urban planning, infrastructure management and an entrepreneurial culture are essential factors for the success of cities’ Entrepreneurial Ecosystems (EEs). Land use and infrastructure management create opportunities for growth and industry expansion. EEs are local, social, business, institutional and cultural stakeholders that encourage and enhance the formation and growth of new businesses, which are supported by enabling infrastructure. The objective of this study was to investigate how urban planning affects EEs in the metropolitan region, Nelson Mandela Bay (NMB), South Africa. NMB is known for poor land use management, which hinders the management of diverse spatial needs, as well as bureaucratic processes for land rezoning for commercial activity. In order to better understand the fundamental issues, a qualitative case study was conducted. The data were collected from fifteen economic development role players from NMB using semi-structured interviews combined with secondary data from the NMB Integrated Development Plan (IDP). The data analysis included thematic analysis using Atlas.ti and Claude 2.0. In order to validate the findings, qualitative data were cross-referenced with secondary sources from the NMB IDP. The key themes that emerged effect the NMB metropole’s management of infrastructure to support the EE. These include, Land use issues, Poor oversight by metropolitan leadership, Lack of infrastructure maintenance and pushing out potential investment and economic growth. The results highlight that the NMB metropole fails to prioritise land use and infrastructure challenges, impacting the NMB metropolitan area’s economic development and worsening inequality among different groups. The findings from this study add to the current research on cities’ EEs and The Right to the City Theory, which supports the UN Sustainable Development Goals 8, 9 and 11.
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