Public-Private Partnerships (PPPs) can be an effective way of delivering infrastructure. However, achieving value for money can be difficult if government agencies are not equipped to manage them effectively. Experience from OECD countries shows that the availability of finance is not the main obstacle in delivering infrastructure. Governance—effective decision-making—is the most influential aspect on the quality of an investment, including PPP investments. In 2012, the OECD together with its member countries developed principles to ensure that PPPs deliver value for money transparently and prudently, supported by the right institutional capacities and processes to harness the upside of PPPs without jeopardizing fiscal sustainability. Survey results from OECD countries show that some dimensions of the recommended practices are well applied and past and ongoing reforms show progress. However, other principles have not been well implemented, reflecting the continuing need for improving public governance of PPPs across countries.

Definitive diagnosis of Craniosynostosis (CS) with computed tomography (CT) is readily available, however, exposure to ionizing radiation is often a hard stop for parents and practitioners. Lowering head CT radiation exposure helps mitigate risks and improves diagnostic utilization. The purpose of the study is to quantify radiation exposure from head CT in patients with CS using a ‘new’ (ultra-low dose) protocol; compare prior standard CT protocol; summarize published reports on cumulative radiation doses from pediatric head CT scans utilizing other low-dose protocols. A retrospective study was conducted on patients undergoing surgical correction of CS, aged less than 2 years, between August 2014 and February 2022. Cumulative effective dose (CED) in mSv was calculated, descriptive statistics were performed, and mean ± SD was reported. A literature search was conducted describing cumulative radiation exposure from head CT in pediatric patients and analyzed for ionizing radiation measurements. Forty-four patients met inclusion criteria: 17 females and 27 males. Patients who obtained head CT using the ‘New’ protocol resulted in lower CED exposure of 0.32 mSv ± 0.07 compared to the prior standard protocol at 5.25 mSv ± 2.79 (p < 0.0001). Five studies specifically investigated the reduction of ionizing radiation from CT scans in patients with CS via the utilization of low-dose CT protocols. These studies displayed overall CED values ranging from 0.015 mSv to 0.77 mSv. Our new CT protocol resulted in 94% reduction of ionizing radiation. Ultra-low dose CT protocols provide similar diagnostic data without loss of bone differentiation in CS and can be easily incorporated into the workflow of a children’s hospital.

Great country craftsmen are skilled craftsmen who strive for the prosperity and prosperity of the country and the well-being of the people in important positions related to the national economy and people's livelihood. The key to cultivating craftsmen in major countries lies in the Party. However, in a vocational undergraduate survey, it was found that the Party's political, ideological, organizational, work style, and institutional leadership role was not well played in the process of cultivating craftsmen in major countries. To this end, we should focus on reflecting the "two safeguards" throughout the entire process of cultivating craftsmen in major countries, and strengthen the Party's comprehensive leadership over the cultivation of craftsmen in major countries; We should adhere to using the Party's innovative theory to guide the practice of cultivating great country craftsmen, and integrate ideological and political work throughout the cultivation of great country craftsmen, in order to promote the construction of grassroots party organizations with high quality, and play a leading role in cultivating craftsmen in major countries; we should also take the lead in actively researching and solving problems, and promote reform, innovation, and development, so as to improve the institutional system for leading the cultivation of craftsmen in major countries through party building, and enhance the institutional execution ability of party members and members.

This study aims to examine the mediating role of institutional trust (IT) between perceived corruption and subjective well-being (SWB) using data from 1566 households in a developing country. It deploys ordinary least square (OLS) and an ordered logit model within the generalized structural equation model. Results show that individuals who perceived no corruption in a country report more IT and higher levels of SWB. Furthermore, the direct effects of good governance, perceived IT, and the absence of corruption on SWB is also positive. Moreover, satisfaction with hospital services also improves happiness and life satisfaction levels. This study improves and validates how corruption is assessed to support future measures that reduce its harmful effects. Moreover, the masses must have widespread awareness about the critical nature of corruption and IT relative to well-being. This study also highlights the need to develop strong institutions to improve trust and minimize corruption.

This study offers a new perspective on measuring the impact of village funds (DD) on rural development. Using a mixed-method approach, the qualitative analysis reveals that, like previous rural development programs, the DD program struggles to implement inclusive methods for capturing community aspirations and evaluating outcomes. Despite rural infrastructure improvement, many villagers feel they have not fully benefited and do not view it as offering economic opportunities. The econometric model confirms the qualitative findings, indicating no significant DD influence on the village development index (IPD). Instead, effective governance factors like Musdes, regulations, and leadership are essential for the IPD improvement. Thus, enhancing village governments’ institutional capacity is crucial for increasing the DD effectiveness. The paper recommends several measures: training village officials in financial management and project planning, providing guidelines for the DD allocation and usage, creating robust monitoring-evaluation systems, developing communication strategies, and fostering partnerships with local NGOs and universities.

The rapid urbanization of Addis Ababa presents significant challenges and opportunities in coordinating the development of physical infrastructure. This study investigates the legal and policy framework for inter-sectorial integration across critical domains such as electricity, roadways, telecommunications, and water management. Drawing on Institutional Theory and policy integration theory, the research employs a comprehensive methodological approach, including documentary analysis, key informant interviews, focus group discussions, and observational studies. Through meticulous examination of existing laws, regulations, and institutional structures, the study identifies critical gaps and limitations that impede effective coordination among infrastructure-providing entities. Findings reveal the pressing need for cohesive policies, institutional reforms, and enhanced collaboration to mitigate disruptions and advance sustainable development goals. By situating these findings within the broader discourse on urban infrastructure governance, the research offers valuable insights into the intricate dynamics of infrastructure coordination in rapidly expanding cities. The study underscores the necessity for strategic interventions that promote efficient, environmentally sustainable, and economically viable infrastructure provision. Moreover, the implications of this research extend beyond academia, providing actionable policy and practice recommendations that can inform decision-making processes in Addis Ababa and analogous urban contexts worldwide. This holistic approach facilitates a nuanced understanding of the complex interplay between legal frameworks, policy dynamics, and institutional arrangements, thereby laying a robust foundation for informed decision-making and strategic interventions in urban infrastructure development.