Search Results (1,410)

Neglected Tropical Diseases (NTDs) are a group of chronic infectious diseases of poverty affecting over one billion people globally. Intersections of NTDs, disability, and mental ill-health are increasingly evidenced but are rarely studied from a mixed-methods perspective. Here, we advance syndemic understandings by further assessing and contextualising the syndemic relationship between NTDs (particularly their associated disability) and mental distress in Liberia. Participatory qualitative methods, including body mapping (56 participants), social mapping (28 participants), and in-depth interviews (12) provided space for persons affected by NTDs to narrate their experiences. Simultaneously, 201 surveys explored experiences of common mental health conditions among persons affected by skin NTDs. An intersectionality approach was applied within the analysis for both qualitative and quantitative methods informed by Meyer’s minority stress model, adapted for NTDs. Qualitative data was analysed thematically and gender-disaggregated, univariable and multivariable analyses were applied to survey data for the outcome measures depression (PHQ-9) and anxiety (GAD-7). Disability was associated with higher levels of depression and anxiety (p < 0.001). An interaction between disability and being a women increased incidence risk ratio of depression (p < 0.001). In alignment with qualitative findings, persons affected experienced additional generalised (financial concerns), external (experience of stigma) and internal (experience of pain and physical symptoms) minority stressors, to varying degrees, which contributed towards their mental distress, and mental health conditions. These findings were used to co-develop a syndemic-informed person-centred health system response to address the suffering associated with NTDs and mental distress, including a focus on strengthening relationships between formal and informal community health actors and the broader health system. Full article

Religious adult education, characterized as non-formal religious education (RE) that has often been established over many decades, is frequently marked by patterns of institutional separation, local conditions and denominational divisions. This is also the case in Switzerland, where in each canton various church academies and RE organizations generally offer their respective programs along both denominational and cantonal lines. The increasing digitalization of society, and consequently of education, alters the original situation for these actors, both on an individual and organizational level. This article discusses the challenges of religious adult education in navigating the post-digital pivot. It addresses the issues of changing forms of teaching and learning, dealing with shifts in authority, and the growing need for collaboration and shared strategies among RE organizations in post-digital society. A participatory research project involving nearly 60 Swiss RE organizations investigated how these organizations are dealing with digitalization, analyzing the perspectives of the organizational leaders, the teachers, and learners through mixed methods. The findings provide insights into factors influencing the intent to offer or use digital RE courses, as well as factors contributing to the readiness to cooperate in the digital educational field. Full article

The overarching vision of Society 5.0 seeks to integrate technology to enhance quality of life and address social issues, with the primary goal of creating human-centered communities, which nowadays represent the inhabitants of smart cities. In this context, this work addresses the design of a modular strategic platform for the smart supervision of public expenditure, to be used by the Directorate of Information, Analysis, and Immediate Reaction (DIARI) of the General Comptroller of the Republic (CGR) of Colombia as a significant contribution towards the country’s transition into Society 5.0. The design was performed by conducting a detailed literature review on fiscal control; performing a comprehensive analysis of the legal, organizational, and technological aspects of the country and the CGR; and developing six functional modules focused on topics such as continuous learning, strategic decision making, distinctive value, strategic achievements, capacity building, and organization, within a three-year implementation plan, through a participatory approach. This plan aims to integrate the platform to enable real-time monitoring, early detection of irregularities, and increased transparency in the management of data and public resources; since the start of the operation of the strategic platform in 2024, the DIARI increased the number of alerts generated by 29% over a three-month period with respect to the year 2023. The strategic platform for the DIARI of the CGR is useful for smart cities and the transition into Society 5.0 since it ensures efficient public expenditure management, enhancing transparency and citizen empowerment through modern technologies, data analytics, and active participation in governance processes. Full article

Climate change impacts such as climate-amplified weather events are increasing in intensity, frequency, and severity. Despite climate change affecting areas all around the world, the adverse impacts of climate change are unequally distributed, causing specific populations to be more susceptible to the impacts of climate change. Addressing climate inequalities in health research requires a climate justice approach, which prioritizes recognitional, distributional, and procedural justice in research and intervention design. Pregnant individuals are particularly vulnerable to climate change impacts since pregnancy represents a time of both psychological and physiological change that can be extremely sensitive to the environment. Nevertheless, there are few studies examining the association between pregnancy health and climate justice. This review evaluates the status of climate change impacts and pregnancy health outcomes through recognitional, distributive, and procedural justice definitions. We identify four themes already present in the literature: 1. Vulnerable Populations Within an Already Vulnerable Population, 2. Need for More Ecological-level Studies, 3. Addressing the Structural Factors that Drive Climate Injustice, and 4. Community-Centered Solutions Moving Forward. Our findings emphasize the importance of transdisciplinary, participatory, and multisectoral collaboration to improve climate-related pregnancy health interventions. Full article

Sustainable consumption is crucial for mitigating global sustainability challenges. Understanding consumer behaviors and motivations, particularly in developing regions, is essential for designing effective interventions. This study pioneers an innovative methodology integrating participatory visual methods (photovoice) and artificial intelligence analysis to investigate food waste perceptions in an emerging economy context. Twenty-six university students participated in the study, documenting their lived experiences and perspectives on household food waste through photographs and narratives. The key results included 32% of participants expressing shock at the extent of food waste in their daily lives, while 28% showed relative indifference. AI-powered (Artificial Intelligence) computer vision and natural language processing were used to efficiently analyze the large visual and textual dataset. The mixed methods approach generated nuanced, situated insights into consumer attitudes, behaviors, and socio-cultural drivers of wastage. The key themes included low waste consciousness, aesthetic and convenience motivations, social norms, and infrastructural limitations. The participatory process proved effective for raising critical consciousness and uncovering consumption practice dynamics. AI analysis enabled rapid knowledge discovery from the qualitative data while mitigating researcher bias. This innovative integration of participatory methodologies and computational analytics advances sustainable consumption research by empowering marginalized voices and generating contextual insights from unstructured data. With further development, such human-centered AI approaches can transform the study and governance of sustainable consumption. Full article

To document the dynamics of biocultural heritage, we studied traditional uses of plants on a segment of the Andean Road System, or Qhapaq Ñan, within the central Andes of Ecuador, home of the Kichwa community of Nizag. Here, residents preserved a rich diversity of plants within their agricultural fields, or chakra, of the Andean landscapes, upholding a culture steeped in traditional knowledge. Wild and domesticated plants are a cornerstone for the community, prompting the development of ethnobotanical management strategies with a conservation approach. The diverse plant uses aim to revalue their culture, fortify their self-identification as an indigenous community, and ensure the transmission of ancestral knowledge. This research aims to ascertain the ethnobotanical applications of this venerable community. Employing participatory action research, semistructured interviews were conducted with 43 community informants to gather ethnobotanical data on the flora applied within their territory, spanning categories such as food, agriculture, crafts, living fences, construction, fuel, ornamental, environmental, technological, and medicinal services. The findings indicate that age, rather than educational level and gender, significantly influences the variation in plant usage knowledge. In total, 142 plant species were cataloged, comprising herbs (58%), shrubs (23%), trees (15%), and climbers (4%). The most represented families were Asteraceae, Fabaceae, Lamiaceae, and Poaceae. Notably, 96% of these species provide some type of environmental service or fulfill a niche within the socioecological system. Medicinal uses were reported for 89% of the plants, while 56% served agricultural purposes, primarily in fertilizer production and forage. Additionally, 44% of the plants are utilized as food, typically consumed fresh. Among the medicinal plants, leaves are the most used part (58%), prepared as infusions and poultices. The prevalent ailments addressed include respiratory and urinary system conditions, with Borago officinalis, Carica pentagona, Vasconcellea pubescens, and Origanum mejorana being the most frequently employed plants. Full article

We explored the outcomes and challenges encountered during a 12-year collaborative development endeavor in Tanzania, focused on enhancing the healthcare system. The Health Promotion and System Strengthening (HPSS) project, supported by the Swiss Government and implemented by the Swiss Tropical and Public Health Institute (Swiss TPH) from 2011 to 2023, aimed to strengthen various aspects of Tanzania’s healthcare landscape. This included reforms in health insurance through the improved Community Health Fund (iCHF), the establishment of a public–private partnership to optimize the health commodity supply chain via a Prime Vendor System (Jazia PVS), the implementation of health technology management innovations, and the facilitation of participatory community and school health promotion initiatives. Operating in a multisectoral, interdisciplinary, and systemic manner, the HPSS project employed a variety of interconnected strategies, focusing on key entry points within the Tanzanian health system, starting from district level to national policies. These efforts followed a three-stages approach to reach a sustainable adoption of the innovations, going through the process of service and product innovation, integration into service delivery systems, and finally their adoption in the respective institutional policies. Each stage presented distinct frameworks and challenges, detailed in this article. The development of innovative concepts was complemented by capacity building through on-the-job training, establishment of new accredited training programs for pre-service trainings, and the development of new IT systems integrated into the governmental IT environment, as well as efforts to improve transparency, accountability, and governance. Activities in these fields were guided by operational research, following the translational approach of Swiss TPH to go from innovation and validation to application. The example of the HPSS project highlights the cycle of developing and testing innovations at the community and district level, followed by endeavoring national-level integration and policy adjustments, consequently resulting in improved service delivery at the district and community level. Full article

The advent of the digital era has catalyzed transformative shifts in educational paradigms, seamlessly integrating sustainable education with innovative pedagogical approaches that cater to a broader spectrum of learners and educators. As the academic landscape evolves into an information-dense environment, traditional models of one-on-one feedback often fall short, resulting in delays and a lack of diverse intellectual engagement. This shift underscores the growing importance of peer feedback and asynchronous post-lesson feedback mechanisms, which have emerged as vital, process-oriented educational activities. Such mechanisms not only address the immediacy and diversity of feedback but also foster a sustainable, collaborative, and engaging learning environment that bolsters student autonomy and interaction. This study conducts a mapping review and synthesis of the literature on peer interaction, assessment, and participatory innovations in online and mobile learning within higher education, covering the period from 1993 to 2022. By employing topic modeling techniques to analyze a corpus of 485 articles, the literature was initially segmented into 19 distinct issues. These were subsequently consolidated into three major thematic models, thereby highlighting significant themes, research focal points, and prospective trends. This analytical process not only enriches the understanding of peer dynamics in digital learning settings but also integrates sustainable educational practices by promoting resource efficiency and inclusivity. The findings serve as a robust reference for future researchers aiming to explore the intersections of technology, peer interaction, and sustainability in educational settings. Full article

Like many coastal lagoons in several countries, the “Navío Quebrado” lagoon (La Guajira, Colombia) is a very delicate and precious environment; indeed, it is a nationally recognized Flora and Fauna Sanctuary. Several factors, including climate change, are threatening its existence because of changes in the governing hydro-morphological and biological processes. Certainly, the first step to addressing this problem is to understand its hydrological behavior and to be able to replicate, via simulation, its recent history before inferring likely futures. These potential futures will be marked by changes in the water input by its tributary, the Camarones River, and by modified water exchange with the sea, according to a foreseen sea level rise pattern, as well as by a different evaporation rate from the free surface, according to temperature changes. In order to achieve the required ability to simulate future scenarios, data on the actual behavior have to be gathered, i.e., a monitoring system has to be set up, which to date is non-existent. Conceptually, designing a suitable monitoring system is not a complex issue and seems easy to implement. However, the environmental, socio-cultural, and socio-economic context makes every little step a hard climb. An extremely simple—almost “primitive”—monitoring system has been set up in this case, which is based on very basic measurements of river flow velocity and water levels (river, lagoon, and sea) and the direct participation of local stakeholders, the most important of which is the National Park unit of the Sanctuary. All this may clash with the latest groovy advances of science, such as in situ automatized sensors, remote sensing, machine learning, and digital twins, and several improvements are certainly possible and desirable. However, it has a strong positive point: it provides surprisingly reasonable data and operates at almost zero additional cost. Several technical difficulties made this exercise interesting and worthy of being shared. Its novelty lies in showing how old, simple methods may offer a working solution to new challenges. This humble experience may be of help in several other similar situations across the world. Full article

Background: Understanding and exploring stakeholders’ perceptions and preferences regarding comprehensive sexuality education (CSE) is critical in enhancing programme acceptability. We conducted this qualitative study to explore stakeholders’ experiences and preferences of CSE in Kitwe district, Zambia. Methods: We employed a qualitative descriptive design within the interpretive paradigm at nine purposefully selected secondary schools. Data were collected through classroom observation, in-depth interviews, and focus group discussions. In depth interviews were undertaken among 21 pupils, 17 teachers, 4 policymakers, 4 parents, and 4 religious leaders. Two focus group discussions were conducted among 14 pupils with each group having seven pupils. Data were analysed using inductive thematic analysis. Interviews continued until data saturation. Results: Our analysis yielded themes on stakeholder experiences of CSE which included: a lack of pupil-centred pedagogy; a lack of stakeholder engagement; a lack of CSE competency and skills; holding back culturally sensitive topics; a lack of guidance from the comprehensive sexuality curriculum; and a lack of CSE prioritisation in schools. Themes on preferences included: the formation of community advisory boards; the need to enhance teachers’ professional competencies, linking CSE with community SRH services, pupils SRH needs assessment. Conclusions: A community participatory approach to the design and implementation of a CSE programme is critical in enhancing programme acceptability in schools. While understanding the experiences and preferences of pupils regarding CSE can help determine programme content and priority, improving teachers’ competency and skills through appropriate CSE training can help to reconcile teachers’ personal beliefs and the content of CSE. Full article

Despite the sector’s minor contribution (0.5%) to the Gross National Product, the fisheries sector in Cyprus is particularly important to the micro economy of coastal communities, offering direct and indirect employment and supporting small family businesses. Like any industry, the Cypriot fisheries sector faces its own challenges and opportunities. The current study aimed to identify the strengths, weaknesses, opportunities, and threats (SWOT) of the fisheries sector in Cyprus based on fishers’ knowledge and to provide strategic recommendations based on the sector’s identified needs. Following a participatory approach, a workshop with 30 small-scale fishers, six large pelagic longline fishers, and three scientists was conducted in November 2023. Fishers and scientists worked together to conduct the SWOT and the TOWS matrix (a reverse SWOT) analyses. Findings from the SWOT–TOWS analyses were used to develop strategic recommendations for the sector. Finally, using the Impact–Effort prioritisation method, the strategic recommendations were prioritised according to their potential impact on the sector and the effort required for their implementation. Based on the analyses, the study proposes 12 strategic recommendations that could significantly improve the sector’s overall performance and sustainability, which if applied will give a light of hope for the future of the Cypriot fisheries sector. Full article

Recreational fishing is practiced by thousands of people in European coastal waters and is steadily gaining popularity. Serving multiple purposes, recreational fishing provides fresh fish for meals, offers leisure, and contributes to traditional ecological knowledge, especially at the local level. Therefore, analyzing its dynamics and catch is a complex task, since they not only depend on the environmental features but also on the behavior of fishers. In coastal areas, however, most recreational fishers remain unmonitored, making it difficult to obtain data on their impact on fish stocks. This is particularly evident in the Venice lagoon, where we conducted a comprehensive study aiming to characterize recreational fishing dynamics. We collected data through interviews, online questionnaires, and remote sensing techniques, including satellite imagery photointerpretation and machine learning algorithms. Our findings reveal spatial and temporal variations in fishing activity, with certain areas and times experiencing higher fishing pressure. This highlights a seasonality in fishing activity and a pattern in fishers’ behaviors that are associated with fish migratory dynamics. Such an association demonstrates the local fishers’ understanding of the fish lifecycle phases and the environmental conditions of the lagoon. Regarding the catch, the most targeted species are seabream (Sparus aurata), seabass (Dicentrarchus labrax), and cuttlefish (Sepia officinalis), with estimated total catches of 18.65 t per year, 15.82 t per year, and 8.36 t per year, respectively. However, our results showed a significant disproportion between the biomass caught by two different groups of fishers that differ in terms of fishing trip frequency, success rate, and catch. While the average catch of the first group, representing most recreational fishers, might be considered of low impact, the catch of the second group, encompassing recreational fishers who fish with very high frequency and efficiency, is substantial in the context of the lagoon ecosystem. Indeed, even considering a conservative estimate, recreational fishing in the Venice lagoon accounted for approximately 2% of the catch of cuttlefish and 17% of the catch of seabream compared to commercial fishing catch, whereas the catch of seabass by recreational fishing approached that of commercial fishing. Therefore, the implementation of a periodic monitoring program utilizing methods such as machine learning algorithms and remote sensing technologies could support the management of recreational fishing dynamics. We also suggest that participatory processes involving both professional and recreational fishers may aid in defining shared approaches and bottom–up initiatives, ensuring enjoyment as well as sustainable uses of coastal areas. Full article

Overcoming the harmful side of dualism is one of the key contemporary challenges. Theologically, this has meant a holistic turn in trinitarian theology. The article aims to bring relevant features of the patristic understanding—especially St Augustine’s—into dialogue with the contributions of Luther and Bonhoeffer to trinitarian ontology. The thesis of this article is that Augustine’s theological heritage can promote an ecumenical understanding of participatory trinitarian thinking which combines both Western and Eastern approaches. I suggest that it can provide valuable insights for the current theological discussion. The approach of the Augustinian tradition, which focuses on the concept of relation and develops its connection with substance, and the approach of the Greek Fathers and their theology of the primacy of the person of the Father are brought into dialogue. It is suggested that in Luther’s and Bonhoeffer’s further development of Augustinian theology, the understanding of the Trinitarian communion as a dialectic between person and community in love can in a constructive way overcome both ecclesial individualism and rigid collectivism and form a horizon for a holistic ecumenical theology for today. Full article

The current debate on urban regeneration highlights the significance of social innovation and the reuse of cultural heritage to develop new economic and entrepreneurial models, creating value chains and benefits for communities. International and European directives, such as the European Agenda 2030 and the New European Bauhaus, advocate for inclusive and sustainable urbanization, encouraging participatory and circular urban regeneration processes. This study presents a decision support framework for community-based collaborative urban regeneration processes, focusing on the urban area of Reggio Calabria in Southern Italy. In this region, some cultural assets have been reactivated and made accessible, while others remain inactive, underutilized, or abandoned. The research aims to explore how to effectively enhance cultural heritage and promote urban regeneration through a collaborative network strategy. By employing multicriteria analysis, involving the selection and definition of specific criteria and indicators for each site, a priority map is created to facilitate the implementation of regeneration processes. The application of this approach in the urban center of Reggio Calabria demonstrated its effectiveness in revitalizing unused or abandoned cultural heritage, transforming it into a catalyst for urban vibrancy and vitality. Full article

As chronic illness is common among older people, self-care practices for older people are needed to control health status, to prevent possible complications and to ensure optimal quality of life. The literature has demonstrated that integrated care approaches are one key success factor for delivering person-centered and sustainable care for older people, with rehabilitation being a cornerstone in tertiary care prevention for older citizens. The current paper addresses the state of the literature for person-centered geriatric rehabilitation (GR) and the importance of personalized and participatory goal setting. In accordance with the bio–psycho–social model of the International Classification of Functioning, Disability and Health (ICF), social participation and the related goals are of particular importance for the entire rehabilitation process. The social participation of individuals enrolled into GR is therefore one of the milestones to be achieved during GR. Personalized goal setting during the entire rehabilitation process, Comprehensive Geriatric Assessment (CGA) and shared decision making allow a comprehensive care approach separate from solely function-based rehabilitation. The review also focusses on recent developments in digitalization in healthcare and delivers insights into how healthcare professionals’ collaborative practice supports sustainable rehabilitation results in patients of advanced chronological age. Full article