This study aims to identify gaps in Indonesia’s national social health insurance scheme (Jaminan Kesehatan Nasional or JKN) in meeting the right to health for disabled persons in the country and to propose strategies to mitigate the gaps. This study employed descriptive qualitative methodologies. A questionnaire survey and structured interviews were undertaken from the period of October to December 2021, with a purposive sample of 317 disabled persons at their working age. Data collection also included on-site observations to sample of healthcare providers in six provinces and focused group discussions with key stakeholders. This study found that JKN is the primary source of hope for disabled persons. Nevertheless, approximately ten percent of disabled persons have been omitted from the scheme. Moreover, respondents of the survey expressed notably lower satisfaction level compared to the national average. Meanwhile, 25% of them also reported that JKN did not cover certain disability-specific benefits. The findings suggest that the national social health insurance scheme is not well prepared to offer disability-inclusive services. Thereby, policymakers should implement various interventions to improve the admission processes for disabled persons and to develop a system to identify disabled members based on their specific disabilities. Additionally, stipulating standards for disability-friendly minimum services for healthcare providers and incorporating the standards into the credentialing systems, providing regular training on disability-friendly services for healthcare personnel, also enhancing benefits coverage for disabled members in the Indonesian Case Base Groups (INA-CBGs) are the necessary strategies to mitigate the gaps.
This paper discusses the concept of creating a new reality using the approaches of smart cities to develop eco-cities, in which the necessary balance between nature and progress can be maintained. The authors propose that the concept of smart cities should be used as a tool for the creation of eco-cities, and argue that the positive synergies between the two will be strongest if the smart concept acts as a tool for the creation of eco. The core elements of a smart eco-city are identified as smart sustainable use of resources, a smart sustainable healthy community, and a smart sustainable economy. The results of the article were the foundation for the development concept for Vision Bratislava 2050—the vision and strategy for the development of the capital of the Slovak Republic. The authors also discuss the challenges of transforming cities into smart eco-formats, including the need for digital resilience in the face of potential cataclysms. They suggest that this is a promising area for further research into the concept of smart eco-cities.
Using a newly-developed data set for Portugal, we analyze the industry-level effects of infrastructure investment. Focusing on the divide between traded and non-traded industries, we find that infrastructure investments have a non-traded bias, as these shift the industry mix towards private and public services. We also find that the industries that benefit the most in relative terms are all non-traded: construction, trade, and real estate, among the private services, and education and health, among the public services. Similarly, emerging trading sectors, such as hospitality and professional services, stand to gain. The positive impacts on traded industries are too small to make a difference. These results highlight that infrastructure-based strategies are not neutral in terms of the industry mix. Moreover, with most of the benefits accruing to non-traded industries, such a development model that is heavily based on domestic demand may be unsustainable in light of Portugal’s current foreign account position.
Shore line change is considered as one of the most dynamic processes, which were mapped along the coast of Tiruvallur district by using topographic maps of 1976 and multi-temporal satellite images. The satellite images pertaining to 1988, 1991, 2006, 2010, 2013 and 2016 were used to extract the shorelines. It is important to map and monitor the HTL (High Tide Line) at frequent time intervals as the shoreline was demarcated by using visual interpretation technique from satellite images and topographic maps. Followed by this, an overlay analysis was performed to calculate areas of erosion and accretion in the study area. The results revealed that the coast of Tiruvallur district lost 603 ha and gained 630 ha due to erosion and accretion respectively. It was confirmed after the ground truth survey carried out in the study area. The high accretion of 178 ha was found nearby Pulicat Lake and low accretion of 19 ha was seen between Pulicat Lake and Kattupali Port. The high erosion area was found along the Pulicat Lake, Kattupali and Ennore ports, and Ennore creek mouth and southern Ennore such as Periya Kuppam, Chinna Kuppam, Kasi Koil Kuppam, and Thyagarajapuram. It may be concluded that the coastal erosion and accretion in the study area were mainly caused by anthropogenic and natural factors, which altered the coastal environment.
In this study, the influence of sewage sludge ash (SSA) waste particle contents on the mechanical properties and interlaminar fracture toughness for mode I and mode II delamination of S-glass fiber-reinforced epoxy composites was investigated. Composite laminate specimens for tensile, flexural double-cantilever beam (DCB), and end-notched fracture (ENF) tests were prepared and tested according to ASTM standards with 5, 10, 15, and 20 wt% SSA-filled S-glass/epoxy composites. Property improvement reasons were explained based on optical and scanning electron microscopy. The highest improvement in tensile and flexural strength was obtained with a 10 wt% content of SSA. The highest mode I and mode II interlaminar fracture toughness’s were obtained with 15 wt% content of SSA. The mode I and mode II interlaminar fracture toughness improved by 33% and 63.6%, respectively, compared to the composite without SSA.
In this paper, a solar tracking device that can continuously track the sun by adjusting the direction and angle of the solar panel in real time is designed and fabricated to improve the power generation efficiency of the solar cell panel. The mechanical parts as well as the automatic control part of the passive sun-tracking system are described, and the efficiency enhancement with the sun-tracking solar panel is characterized in comparison with the fixed panel system. The test results show that in the spring season in Qingdao city of eastern China, the sun-tracking system can improve the solar cell power generation efficiency by 28.5%–42.9% when comparing to the direction and elevation angle fixed system in sunny days. Even in partly cloudy days, the PV power output can increased by 37% with using the passive sun-tracking system. Economic analysis results show the cost-benefit period is about 10 years, which indicates that the passive sun tracking device can substantially contribute to the solar energy harvest practices.
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