Tropical peat swamp is an essential ecosystem experiencing increased degradation over the past few decades. Therefore, this study used the social-ecological system (SES) perspective to explain the complex relationship between humans and nature in the Sumatran Peatlands Biosphere Reserve. The peat swamp forest has experienced a significant decline, followed by a significant increase in oil palm and forest plantations in areas designated for peat protection. Human systems have evolved to become complex and hierarchical, constituting individuals, groups, organizations, and institutions. Studies on SES conducted in the tropical peatlands of Asia have yet to address the co-evolutionary processes occurring in this region, which could illustrate the dynamic relationship between humans and nature. This study highlights the co-evolutionary processes occurring in the tropical peatland biosphere reserve and provides insights into their sustainability trajectory. Moreover, the coevolution process shows that biosphere reserve is shifting toward an unsustainable path. This is indicated by ongoing degradation in three zones and a lack of a comprehensive framework for landscape-scale water management. Implementing landscape-scale water management is essential to sustain the capacity of peatlands social-ecological systems facing disturbances, and it is important to maintain biodiversity. In addition, exploring alternative development pathways can help alter these trajectories toward sustainability.

Social Prescribing (SP) is an approach which aims of improving health and well-being and connecting patients to community services. Examples of these services include physical activity and cultural activities. Despite its benefits, SP has still not been fully implemented in Portugal. This case study is part of a larger study on Social Prescribing Local System (SPLS) implementation, which comprised a quantitative approach, a pilot study and a qualitative approach, and aims at exploring patients’ and healthcare workers’ perspectives on SP. The study was carried out to understand the motivations of different stakeholders for participating in the pilot project, the anticipated benefits for patients, healthcare professionals, and the health unit, as well as their perceptions and experiences within the scope of the SP project. Data collection was carried out in December 2020 through semi-structured individual interviews and a focus group. A total of seven participants were included, of which one patient, one museum representative and five healthcare professionals. Different common dimensions related to SP emerge, including health and well-being, social interaction and community engagement, accessibility and inclusivity, motivation and adherence, collaboration and coordination, and education and awareness. The patient considered the adequacy of the activity to the patient’s state of health and capabilities, adoption of a phased approach, with a focus on progress, in order to promote long-term adherence as facilitators. For the museum, disseminating its activities to healthcare professionals and patients through different channels such as posters at the health center, social media pages, and training sessions can significantly enhance visibility and engagement, while direct phone contact and digital publications can further promote adherence, ensuring a comprehensive and coordinated approach to patient participation and institutional benefit. Healthcare professionals identified several benefits, including reduction of social isolation and sedentarism, as well as a means of strengthening the therapeutic relationship with patients. The design and implementation of SP programs should be participative and involve all stakeholders participating in the process. Barriers to adherence included time for activity and the associated costs or prerequisites, availability of activities and lack of perceived interest in health.