Access to affordable and quality medicines plays a vital role for achieving Universal Health Coverage and in reducing out-of-pocket expenditures (OOPE) for households especially in developing nations such as India. Pradhan Mantri Bhartiya Janaushadhi Pariyojana (PMBJP), a Government of India initiative, aims to make low-cost and quality generic drugs and surgical equipment accessible to all segments of the population through its dedicated store outlets known as Pradhan Mantri Bhartiya Janaushadhi Kendra (PMBJK). In this study, a pilot survey comprising 20 stores/PMBJKs and 150 citizens was undertaken in the Bengaluru Urban District, India to understand various aspects of the PMBJKs including availability of drugs, stock-outs, accessibility to stores, perception and awareness levels along with challenges faced by store owners and citizens/beneficiaries. Based on the survey results, we capture the availability of drugs for 35 medicines and consumables belonging to 12 therapeutic categories across 20 store outlets. We also provide valuable insights and interdisciplinary recommendations on several facets including adopting technology-based measures for day-to-day functioning of stores, need for in-depth supply chain analysis for ensuring availability of drugs, encouraging prescription of generic medicines, increasing awareness levels in addition to promoting grassroot-level research, surveys and feedback mechanisms. These suggestions are expected to find their utility in policy-making, strengthen the implementation of the PMBJP scheme across Bengaluru and India as well as contribute towards achieving related Sustainable Development Goals.
Sanitation challenges are growing at unprecedented rates in the Middle East and North Africa (MENA) region, specifically in the country of Jordan, where more adversities are faced in the provision of inclusive and sustainable sanitation for marginalized communities. The overloaded water supply systems, strained by high population density in the face of political instability manifests itself in poor public health. How countries in the MENA region plan to handle these problems and improve the sanitation infrastructure is the starting point for this work. We aim to develop a comprehensive and multidisciplinary framework between stakeholders, aligned with the Sustainable Development Goals (SDGs), with a specific emphasis on SDG 6, for providing feasible, community-oriented approaches to sanitation issues in disenfranchised communities in Jordan through the Initiative Sanitation and Hygiene Networking in Jordanian Poverty Pockets (ISNJO) project. The findings will be used to formulate strategic guidelines and inform the development and subsequent initiation of innovative and multidisciplinary initiatives to tackle the sanitation and water scarcity challenges at hand.
A large number of publications devoted to a new class of materials - high-entropy alloys (HEA), is associated with their unique chemical, physical and mechanical properties both in cast materials and in various classes of coatings and refractory compounds. As a result of the research, the features of solid-soluble high-entropy alloys based on BCC and FCC phases have been revealed. These include the role of the most refractory element in the formation of the lattice parameter, the relationship of distortion with elastic deformation, and the contribution of the enthalpy of mixing to the strength and modulus of elasticity. This made it possible, on the basis of Hooke's law, to propose a formula for determining the hardness of the HEA based on the BCC and FCC phases. Based on the fact that with an increase in temperature in high-entropy alloys, the values of the modulus of elasticity, distortion and enthalpy of mixing will obey the same laws, a formula is proposed for determining the yield strength depending on the test temperature of solid-soluble HEA based on BCC and FCC phases. A formula based on the role of the most fusible metal in the alloy is proposed to calculate the melting point of solid-soluble materials.
Micro-mobility has the potential to address first -mile challenges, improving transit accessibility and encouraging public transit usage. However, users’ acceptability of modal integration between various micro-mobility options and public transit remains largely unexplored in the literature. Our study investigates the user behavior for first-mile options, focusing on four alternatives: walking, bicycling, motorcycling, and bus, to access urban mass rapid transit (UMRT) in Hanoi, Vietnam. Based on data collected from 1380 individuals, a Nested Logit Model (NLM) was proposed to analyze the determinants of users’ acceptability under each access mode option as well as evaluate further impacts of shifts in access mode choice on vehicle-kilometer traveled and emissions. The analysis shows that the availability of access modes might increase UMRT use by 47.83%. While this increase further generates additional vehicle-kilometer traveled due to the increase in park-and-ride users, this is offset overall by the large number of motorcycle users shifting to UMRT. Under the most optimistic scenario, modal integration for transit-access trips leads to an average reduction of 17.7% in net vehicle-kilometer traveled or 14.5% in net CO2 emissions or 10.9% in NOx from private vehicles. Our findings also imply that the introduction of parking fees for bicycling- or motorcycling-access trips, while impactful, does not significantly change UMRT choice. Therefore, the pricing schemes should be a focus of parking planning surrounding stations. Finally, a number of policy suggestions for parking planning and first-mile vehicles are presented.
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