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1.
Health Expect ; 27(1): e13936, 2024 02.
Artículo en Inglés | MEDLINE | ID: mdl-39102740

RESUMEN

OBJECTIVE: Governments use vaccination mandates, of different degrees of coerciveness, to encourage or require childhood vaccination. We elicited the views of well-informed community members on the public acceptability of using childhood vaccination mandates in Australia. METHODS: Four community juries were conducted in Canberra, Launceston, Cairns and Melbourne, Australia between 2021 and 2022. We recruited 51 participants from diverse backgrounds, genders and ages through random digit dialling and social media. Two juries were held in metropolitan areas, and two in regional/rural settings. Outcome measures included jury verdicts and reasons in response to structured questions. RESULTS: All juries were concerned about collective protection and individual rights but prioritised the former over the latter. A majority in all juries supported mandates but juries disagreed with respect to the appropriate mandate types. All juries endorsed using the least restrictive or coercive means to encourage vaccination (providing incentives or education, e.g.) before imposing penalties such as financial losses and school exclusions. The overriding view was that it is fairer to place a direct burden on parents rather than children and that mandates should be designed to avoid inequitable impacts on less advantaged groups in society. Many jurors found conscientious objection acceptable as a controlled option for resolute refusers, provided that overall vaccination coverage remains high. CONCLUSION: This paper gives policymakers access to the reasons that Australians have for supporting or opposing different mandates under conditions of high knowledge, understanding and deliberation regarding policy options. Sustaining high rates of vaccination requires high levels of co-operation between governments, public health actors and the public. Our findings highlight the importance of considering public values in the design and implementation of vaccination mandates. PATIENT AND PUBLIC INVOLVEMENT: We sought input from individuals who did and did not vaccinate during the study design. The views and perspectives of nonvaccinating parents were presented in the evidence to juries. We deliberately excluded nonvaccinating individuals from participating, as the divisive and often hostile nature of the topic, and their minority status, made it difficult to ensure they would feel safe as members of the jury without overrepresenting their perspective in the sample. Two related projects engaged directly with these parents.


Asunto(s)
Programas Obligatorios , Vacunación , Humanos , Australia , Femenino , Masculino , Vacunación/legislación & jurisprudencia , Adulto , Persona de Mediana Edad , Niño , Adolescente , Opinión Pública , Adulto Joven , Padres/psicología
2.
J Environ Manage ; 360: 121173, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38768523

RESUMEN

BACKGROUND: With the rapid escalation of global urbanization, the role of blue-green spaces in urban ecology, public health, and planning has become increasingly prominent. Although their contributions to ecological preservation, public health, and urban design are widely acknowledged, research into public engagement and willingness to participate in the management and planning of these spaces is still in its early stages. OBJECTIVE: This study aims to identify key factors influencing public willingness to participate in blue-green space management, focusing specifically on people's perceptions of blue-green spaces (including perceived quality and accessibility), their usage behaviors (i.e., frequency of usage of blue-green spaces), and their self-assessed physical and mental health. METHODS: We interviewed local residents through random sampling to obtain sample data, and used a representative sample (n = 815, 510 women; 305 men, age 18-85 years, lived in Chengdu for an extensive time) of residents living in Chengdu City, China. Employing a quantitative approach, we examined the relationships between factors such as gender, regular occupation, income, behavior, and health status in relation to the willingness to participate. Additionally, we explored how perceptions and behaviors impacted health statuses and, consequently, inclinations to participate. RESULTS: The findings indicate that individuals with steady occupations and higher incomes are more inclined to engage in the management and planning of blue-green spaces. Notably, men exhibited a greater tendency to participate than women. Furthermore, access to blue-green spaces emerged as a crucial mechanism for addressing health disparities, offering significant implications for urban planning and public health. CONCLUSION: Successful blue-green space planning and understanding of willingness to participate necessitates the holistic consideration of people's perceptions of blue-green spaces, their usage behaviour and their self-rate health. For a tangible impact on health equity and global urban development, it's essential to prioritize blue-green spaces in planning, especially in lower-income regions. This not only promotes environmental perception but can also be a strategic approach to address health disparities. Our findings offer vital insights for tailoring international urban planning and management practices towards these goals.


Asunto(s)
Salud Pública , Humanos , Masculino , Femenino , Persona de Mediana Edad , Adulto , Anciano , Adolescente , China , Adulto Joven , Anciano de 80 o más Años , Urbanización , Ciudades , Participación de la Comunidad , Planificación de Ciudades
3.
Environ Manage ; 73(6): 1094-1105, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38691163

RESUMEN

This paper reports on Environmental and Social Impact Assessment (ESIA) public participation in Malawi with a focus on the role of women from matrilineal and patrilineal marriage systems. Six rural ESIA projects are explored of which three are in areas of patrilineal and three are in areas of matrilineal systems. Participation space was found to be consistently dominated by men, with no obvious differences between both systems. The key reasons are likely to be lower educational and social status of women in rural areas throughout the country. This is associated with a number of challenges, including chronic poverty and food insecurity. Affirmative action is needed to achieve a better representation of women in ESIA processes.


Asunto(s)
Participación de la Comunidad , Malaui , Humanos , Femenino , Masculino , Población Rural , Matrimonio , Equidad de Género , Ambiente , Factores Socioeconómicos
4.
Philos Trans R Soc Lond B Biol Sci ; 379(1904): 20230106, 2024 Jun 24.
Artículo en Inglés | MEDLINE | ID: mdl-38705194

RESUMEN

Emerging technologies are increasingly employed in environmental citizen science projects. This integration offers benefits and opportunities for scientists and participants alike. Citizen science can support large-scale, long-term monitoring of species occurrences, behaviour and interactions. At the same time, technologies can foster participant engagement, regardless of pre-existing taxonomic expertise or experience, and permit new types of data to be collected. Yet, technologies may also create challenges by potentially increasing financial costs, necessitating technological expertise or demanding training of participants. Technology could also reduce people's direct involvement and engagement with nature. In this perspective, we discuss how current technologies have spurred an increase in citizen science projects and how the implementation of emerging technologies in citizen science may enhance scientific impact and public engagement. We show how technology can act as (i) a facilitator of current citizen science and monitoring efforts, (ii) an enabler of new research opportunities, and (iii) a transformer of science, policy and public participation, but could also become (iv) an inhibitor of participation, equity and scientific rigour. Technology is developing fast and promises to provide many exciting opportunities for citizen science and insect monitoring, but while we seize these opportunities, we must remain vigilant against potential risks. This article is part of the theme issue 'Towards a toolkit for global insect biodiversity monitoring'.


Asunto(s)
Ciencia Ciudadana , Insectos , Animales , Ciencia Ciudadana/métodos , Participación de la Comunidad/métodos , Monitoreo del Ambiente/métodos
5.
Health Policy Plan ; 39(6): 603-612, 2024 Jun 03.
Artículo en Inglés | MEDLINE | ID: mdl-38635419

RESUMEN

Patient and Public Participation (PPP) is key to improving health systems. Yet, studies have shown that PPP implementations across many countries have been largely tokenistic. Particularly, in Ghana, whilst PPP is prioritized in national health policies and legislation, there appears to be little research focused on understanding PPP's role in health system improvement. The aim of this study, therefore, is to examine how PPP is working across the Ghanaian health system levels, as well as to understand the perspectives and experiences of participants on how PPP contributes to health system improvement. The qualitative study was undertaken in six communities in three districts in the Ashanti region of Ghana. Data were collected from semi-structured individual interviews. The selection of participants was purposive, based on their PPP-related roles. As a result, findings of this study may not reflect the experiences of others who are not directly involved in PPP initiatives. Thirty-five participants, mainly health service users and health professionals, were interviewed. Data were transcribed and analysed descriptively using Braun and Clarke's (2006) thematic analysis approach. Overall, participants noted PPP implementation was largely limited at higher health system levels (i.e. national, regional and district levels), but was functioning at the community level. PPP also improved access to health services, responsiveness to patient needs, community-health worker relationships, health-seeking behaviours, empowered healthcare users and improved health outcomes. The study, therefore, recommended the need to undertake PPP across all levels of the health system to maximize PPP's role in health system improvement. Finally, the study suggested prioritizing PPP, especially for resource-poor countries, to complement government's efforts in improving accessibility of healthcare services to many communities and also provide a more patient-centred healthcare system responsive to patients' and public needs.


Asunto(s)
Participación de la Comunidad , Participación del Paciente , Investigación Cualitativa , Humanos , Ghana , Femenino , Masculino , Adulto , Entrevistas como Asunto , Atención a la Salud , Persona de Mediana Edad , Mejoramiento de la Calidad , Personal de Salud/psicología , Política de Salud
6.
Environ Manage ; 73(6): 1276-1292, 2024 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-38619561

RESUMEN

Geospatial online participatory tools, or geo-OPTs, are increasingly used worldwide for engaging the public in planning. Yet, despite growth in the adoption and use of geo-OPTs, and the growing scholarship to accompany it, our understanding of their ability to support public participation in environmental planning is still underdeveloped. In this paper, we investigate the application of a geo-OPT by the United States Army Corps of Engineers (USACE), a leading water management agency in the United States, in three contextually and geographically diverse cases. Through a combination of document analysis, interviews, and participant observation, we examine the processes and dynamics associated with the development and use of the geo-OPT Crowdsource Reporter. Our findings highlight the importance of managing geo-OPTs not in isolation or as a panacea but rather as part of a broader planning process that recognizes the complexity and significance of communication in geo-OPT processes. Although it may be tempting and seemingly simple to create and launch these online tools, our research reveals how a lack of intention early on may lead to underuse or misapplication of the tool. More significantly, real damage can be done, like increased public frustration and alienation, resulting in breakdown in communications or even worsening public relations for federal agencies.


Asunto(s)
Participación de la Comunidad , Estados Unidos , Humanos , Participación de la Comunidad/métodos , Conservación de los Recursos Naturales/métodos , Internet
7.
Front Public Health ; 12: 1337107, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38525340

RESUMEN

Introduction: During the global COVID-19 pandemic, densely populated megacities engaged in active international exchanges have faced the most severe impacts from both the disease and the associated infodemic. This study examines the factors influencing public participation behavior on government microblogs in these megacities during the pandemic. It guides megacities in disseminating epidemic information, promoting knowledge on epidemic prevention, managing public opinion, and addressing related matters. Methods: Utilizing the elaboration likelihood model's central and peripheral routes, drawing on an empirical analysis of 6,677 epidemic-related microblogs from seven Chinese megacities, this study analyses the influence mechanisms influencing public participation behavior and reveals the regulatory role of confirmed case numbers. Meanwhile,a qualitative comparative analysis examines and discusses diferent confgurations of ixn fuential factors. Results: The study reveals that microblog content richness demonstrates a U-shaped impact on public participation behavior. Conversely, content interaction, content length, and the number of fans positively impact participation, while update frequency has a negative impact. Additionally, the number of new confrmed cases positively regulates the impact of microblog content and publisher characteristics on public participation behavior. Public participation behavior also varies based on publishing time and content semantic features. This study further revealed the different confgurations of influential factors by QCA method. Conclusion: This study reveals the impact mechanism of the microblog content and publisher characteristics on public participation behavior. It also demonstrates the regulatory role of newly confrmed cases in the way content and publishers' characteristics influence public participation behavior. This study is of great significance for the operation of government microblogs, the release of emergency information, and the promotion of public participation.


Asunto(s)
COVID-19 , Humanos , COVID-19/epidemiología , SARS-CoV-2 , Pandemias/prevención & control , Gobierno , Participación de la Comunidad
8.
Environ Sci Pollut Res Int ; 31(9): 14208-14217, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38273081

RESUMEN

China is now experiencing severe environmental issues due to its rapid socio-economic advancement. Environmental governance is crucial to preserving China's rapidly degrading natural ecology. Public supervision and participation are important factors that effectively promote environmental quality. Therefore, this analysis primarily examines the relationship between China's public participation and environmental governance. Hence, the primary focus of the analysis is to investigate the asymmetric impact of public participation on environmental governance from 1996 to 2020. We have employed the nonlinear QARDL model that estimates the short- and long-run impact across different quantiles. The study's results support that long-run estimates for positive change in environmental NGOs (ENGOs) are significantly positive for almost all quantiles, while those for negative change in ENGOs are negative and have a significant impact at higher quantiles. In the short run, the estimates of positive change in ENGOs are positive and significant; however, the negative change in ENGOs does not significantly impact environmental governance at lower quantiles. The Wald test also confirms the asymmetric impact of ENGOs on environmental governance across various quantiles in short and long run. The findings of this analysis underscore the critical role of public supervision and participation in influencing environmental governance in China.


Asunto(s)
Conservación de los Recursos Naturales , Política Ambiental , Carbono , Condiciones Sociales , China , Desarrollo Económico
9.
Environ Manage ; 73(1): 231-242, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-37775672

RESUMEN

Urban forests are being threatened by rapid urbanization, biodiversity crises, and climate variability. In response, governments are increasingly collaborating with the public for solutions to these mounting challenges. Non-governmental organizations (NGOs) are dominant players in these collaborations because of their ability to supplement governments' expertize and resources and bring social and ecological issues to the forefront of civic agendas. Despite their growing visibility in urban forest management, there is a lack of attention directed to the forms and range of NGO relationships. This study focuses on addressing this gap and examining collaborations between local governments and NGOs in urban forest programming by characterizing their components including mandates, relationship ties, accountability, resource exchange, and power dynamics. We collected data using semi-structured interviews with three groups: leaders of NGOs, municipal government officials in an urban forest or public works departments, and urban-forest experts who have observed their interactions. The participants represent 32 individuals in nine Canadian cities. Our results indicate that NGO-government collaborations have relational ties and accountability processes that are both formal and informal in nature. Formality in collaborations is often associated with the amount of funding, proximity to government, or size of the NGO. In addition, our findings suggest that NGOs present an opportunity for local governments to supplement their resources and capacity. While the strength and formality of collaborations may be a product of NGO size and budgets, public servants should not hesitate to engage smaller, grassroots NGOs to realize their public service mandates. Characterizing the components of these governance processes provides a benchmark for practitioners participating in similar public-civic interactions and arms them with the knowledge to navigate collaborative decision-making.


Asunto(s)
Gobierno Local , Organizaciones , Humanos , Canadá , Gobierno
10.
Public Underst Sci ; 33(1): 105-120, 2024 01.
Artículo en Inglés | MEDLINE | ID: mdl-37458286

RESUMEN

This empirical article explores the dynamics of exchange and reciprocity between cohorters, that is, study organizers, and cohortees, that is, study participants. Drawing on literature on bioeconomy and valuation, we analyze cohortees' expectations in return for the "clinical labor" they perform in the pilot phase of a Swiss precision public health study. Based on an ethnography of this cohort and data from seven focus groups with cohortees (n = 37), we identified four positions: (1) the good citizen participant, (2) the critical participant, (3) the concerned participant, and (4) the self-oriented participant. These reveal that cohortees' participation, still framed in altruistic terms, nevertheless engages expectations about reciprocal obligations of the state and science in terms of public health, confirming the deep entanglement of gift-based, financial, and moral economies of participation. The different values emerging from these expectations-robust scientific evidence about environmental exposure and a socially oriented public health-provide rich indications about stake making which might matter for the future of precision public health.


Asunto(s)
Participación de la Comunidad , Salud Pública , Humanos , Suiza
11.
Environ Manage ; 73(1): 81-101, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38078964

RESUMEN

Hong Kong (HK), one of the world's most densely populated metropolises, is home to over 200 rivers and streams extending about 2500 km in length. During the 1970s-1990s, most of these rivers were converted into artificial canals, to which the local society pays little attention. Since the 2010s, the HK government has initiated river revitalization to enhance the social-environmental roles of rivers. This study employed a mixed research method, including literature and policy analysis, expert interviews, field visits, and a public survey, to identify key challenges in HK's Integrated River Basin Management (IRBM). The findings highlighted the lack of IRBM's institutional arrangements in HK, characterized by a fragmented 'one river, two systems' approach without both coordination and collaboration. The Water Supplies Department (WSD) impounds upland streams as reservoirs for securing the local water supply, while the Drainage Service Department (DSD) manages heavily channelized, culverted downstream serving as storm drains with diminished ecological functionality. One significant barrier to the implementation of IRBM in HK was the limited public participation, although our survey revealed a high level of public willingness to participate in river management. Presently, river revitalization efforts have achieved limited success, with ecological measures appearing mostly "cosmetic" and the conservation of freshwater biodiversity neglected. This further underscored the pressing need for the embracement of IRBM in HK to safeguard basin-wide freshwater ecosystems. Our survey also indicated low public awareness of river revitalization initiatives and widespread dissatisfaction with their outcomes. In conclusion, we proposed the development of IRBM in HK by instituting river basin coordination, prioritizing river ecosystem restoration in revitalization projects, and involving the public through tailored strategies.


Asunto(s)
Conservación de los Recursos Naturales , Ecosistema , Hong Kong , Conservación de los Recursos Naturales/métodos , Ríos , Biodiversidad
12.
Sci Total Environ ; 912: 169114, 2024 Feb 20.
Artículo en Inglés | MEDLINE | ID: mdl-38065498

RESUMEN

Public participation is crucial for policy-making and can contribute to strengthening democracies and decision-making. Public participation can help to address sustainability challenges and plays a key role in attaining the Sustainable Development Goals (SDGs). While the SDGs are policy concepts, there has been limited research conducted on how the public perceives the SDGs. Public participation in scientific research has been carried out through citizen science (CS). This paper analyzes the public's perception of the SDGs through CS and how the public can participate in their implementation. The paper uses the OSDG community platform, a citizen science platform with >2000 participants, to analyze public perception of the SDGs. A set of 40,062 excerpts of text (v2023-01-01), a topic modeling and agreement scores by using CorTexT Manager software, was analyzed. The results show that some SDGs, e.g. health (SDG3) or life below water (SDG14), have higher levels of agreement from the public, whilst for other SDGs the public disagree on their perception, (e.g. zero hunger). The paper shows that issues affecting citizens' daily lives (e.g. in People related goals) tend to have a higher level of agreement among volunteers, while economic issues and directives have greater discrepancies. The results provide an overview of the differences in public perception on the SDGs and their implementation. The misperceptions regarding the SDGs should be reduced to achieve a better implementation, improve public participation, and help policy-making processes.

13.
Interface (Botucatu, Online) ; 28: e230142, 2024. tab, ilus
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1564682

RESUMEN

Este estudo analisou as experiências desenvolvidas pelos Agentes Populares de Saúde (AgPS) na Campanha Mãos Solidárias, entre os anos 2020 e 2022, suas aproximações com a Política Nacional de Educação Popular em Saúde e com o conceito de Territórios Saudáveis e Sustentáveis. Trata-se de uma pesquisa documental, qualitativa e analítica, cujas fontes de dados foram coletadas nas mídias sociais da campanha, jornais e produções acadêmicas do tema. Os AgPS fomentaram o protagonismo popular nos territórios por meio de estratégias de mobilização pelo direito a saúde, educação em saúde, comunicação popular e cuidado em saúde. Identificaram e fortaleceram os saberes populares do território pela articulação intersetorial entre Saúde, Alimentação, Trabalho e Renda, Direitos, Comunicação e Educação. Este trabalho identificou a dificuldade de articulação das ações com o Sistema Único de Saúde (SUS) e também a necessidade de fortalecimento de políticas públicas relacionadas ao tema.(AU)


This study analyzed experiences developed by popular health agents (AgPSs) during the Campanha Mãos Solidárias (Helping Hands Campaign) between 2020 and 2022 and their convergence towards the National Policy for Popular Health Education and concept of healthy and sustainable territories. We conducted a qualitative and analytical documental study using campaign social media, newspapers and academic works on the topic as sources of data. AgPSs foster public participation in health territories using strategies to mobilize the population around the right to health, health education, popular communication and health care. They identified and strengthened popular knowledge about territories by promoting intersectoral coordination across different areas, including health, food, employment and income, rights, communication and education. The study reveals the challenges in coordinating actions with the Brazilian National Health System (SUS) and the need to strengthen public policies related to the theme.(AU)


Este estudio analizó las experiencias desarrolladas por los Agentes Populares de Salud (AgPS) en la Campaña Manos Solidarias, entre los años 2020 y 2022, sus aproximaciones con la Política Nacional de Educación Popular en Salud y con el concepto de Territorios Saludables y Sostenibles. Se trata de una investigación documental, cualitativa y analítica, cuyas fuentes de datos se colectaron en los medios sociales de la campaña, periódicos y producciones académicas del tema. Los AgPS fomentaron el protagonismo popular en los territorios por medio de estrategias de movilización por el derecho a la salud, educación en salud, comunicación popular y en el cuidado de la salud. Identificaron y fortalecieron los saberes populares del territorio por medio de la articulación intersectorial entre Salud, Alimentación, Trabajo y Renta, Derechos, Comunicación y Educación. Este trabajo identificó la dificultad de articulación de las acciones con el Sistema Brasileño de Salud (SUS) y también la necesidad de fortalecimiento de políticas públicas relacionadas con el tema.(AU)

14.
Public Health Action ; 13(4): 169-172, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38077725

RESUMEN

SETTING: Air pollution, including particulate matter, causes health problems for residents of major cities around the world, including New Delhi, India. Public participation is important in framing policies related to such public health issues. OBJECTIVE: To study how the public's comments on air pollution, which had been collected on the orders of the Indian Supreme Court, influenced air pollution policy in New Delhi. DESIGN: We filed a Right to Information Act, 2005 application with the Commission for Air Quality Management (CAQM) to obtain a copy of the comments. These were compiled and compared with key major areas identified in the policy released by the regulatory authority. RESULTS: There were a wide range of comments from experts, residents and resident associations. In total, 115 comments were compiled and studied, and several recurring themes were found to have been incorporated into the policy. This included the need to switch to green public transport and cycling, the use of alternative fuels and reduced agricultural crop residue burning. CONCLUSION: Our study revealed that the public and experts have indeed influenced the CAQM air pollution policy. This is important, as it highlights a democratic, inclusive and stakeholder-based approach. Nonetheless, a future concern lies in how this policy is translated into actionable regulations with effective implementation in the field.

15.
Environ Sci Pollut Res Int ; 30(59): 123633-123642, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37991612

RESUMEN

Renewable energy not only helps to safeguard the environment and slow down climate change but also supports economic growth and energy security. The significance of renewable energy sources is expanding as more people throughout the globe understand how important it is to switch to clean energy sources. Therefore, empirics are in search of the factors that can promote renewable energy production. This analysis investigates some of the novel determinants of renewable energy production, such as digital inclusion, public participation, and environmental governance, which have not been examined previously in any study. For empirical analysis, the study employs the ARDL and QARDL estimation techniques using Chinese data from 1998Q1 to 2021Q4. The analysis findings confirm that digital financial inclusion, ICT, and GDP are vital in boosting both short and long-run renewable production. Green investment, environmental governance, and carbon emissions also significantly and favourably impact long-run renewable energy production. In the Quantile ARDL model, digital financial inclusion is positively linked to renewable energy production at most of its quantiles in the short and long run, while the ICT, GDP, environmental governance, and carbon emissions are positively linked to renewable energy in most quantiles in the long-run only. The Wald test confirms the asymmetric impact for all variables in the long run, which implies that policymakers should consider the positive and negative changes in these factors while devising policies for enhancing renewable energy production.


Asunto(s)
Conservación de los Recursos Naturales , Política Ambiental , Humanos , Objetivos , Carbono , Desarrollo Económico , Participación de la Comunidad , Dióxido de Carbono , Energía Renovable
16.
Heliyon ; 9(11): e21786, 2023 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-38027918

RESUMEN

Context can enhance or hinder public participation (PP) in environmental impact assessments (EIAs). This study aimed to investigate and discuss how PP-related contextual attributes influence the quality of PP in Thai EIA processes. The study adopted the qualitative approach and interviewed 20 key informants with insightful PP-associated experience in Thai EIAs. The results showed that four major groups of contextual attributes are believed to influence PP in Thai EIAs: the legal and political frameworks, the capacities of key actors, environmental awareness and the right to participate in decision-making processes, and cultural context. The greatest strength of PP in Thai EIAs is that PP is mandated by law, followed by increased environmental awareness and the right to participate in the decision-making process. Different key actors such as project owners, consultants, non-governmental organizations, and reviewing agencies encounter difficulties in discharging their prescribed functions, which affects the quality of PP. The authoritarian culture of Thai society also prevents PP in EIAs. The study offers certain recommendations, including public communication about how civic inputs can influence decision-making processes, the employment of social sector specialists to facilitate PP in EIA, and the application of appropriate participation techniques associated with the prevailing culture.

17.
Heliyon ; 9(10): e20425, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37790969

RESUMEN

Radon is the second leading risk factor for lung cancer after smoking. As a public policy, radon mitigation not only involves radon control technology or its cost-benefit analysis, but also includes the decision-making process of local governments. In this study, the evolutionary game theory was used to analyse the interaction between local governments and residents based on the subsidy of the central government. Considering the practical data in China, factors influencing the behaviour of local governments and residents were discussed using numerical simulations. The results indicated that radon mitigation is a fully government-promoted action; thus, its implementation largely depends on the subsidy of the central government and the share of radon control costs borne by the local government. The financial burden for both local governments and residents is a more important determinant than long-term health effects. The relatively poor local economic situation could limit the implementation of radon control. There would be a public policy paradox wherein cities or regions with higher radon risk would have lower willingness for radon control, mainly due to the significantly higher costs of radon control. This work provides reference data for decision-making to implement radon control and is expected to offer some suggestions for local governments.

18.
Glob Public Health ; 18(1): 2267643, 2023 01.
Artículo en Inglés | MEDLINE | ID: mdl-37820044

RESUMEN

A growing body of literature on vaccine hesitancy considers context and the intersecting factors affecting vaccine uptake. This study attempts to add focus to the conversation of vaccines in Ukraine by exploring how vaccines are perceived and how local stakeholders envision solutions to the problems surrounding vaccine uptake. Twenty-five in-depth interviews were carried out among parents of children under 6 years of age as well as health practitioners and other experts in Ukraine. Results were presented to stakeholders during a dialogue session to discuss the implications for policy recommendations. The Roma parents interviewed faced structural barriers to vaccine access, while other groups received vaccine information from others in their communities, such as family members or religious organisations. Mistrust of the health system and lack of access to reliable information preceded many doubts parents expressed surrounding vaccines. Stakeholders agreed that better, more targeted communication strategies are needed, as well as increased engagement with and training of medical practitioners. Qualitative methods allowed for a deeper, more nuanced understanding of the factors contributing to low vaccine uptake, of which vaccine hesitancy is only one part. The vulnerability-informed approach used may have broader applications for community engagement and responding to infectious diseases and crises.


Asunto(s)
Vacunación , Vacunas , Niño , Humanos , Preescolar , Ucrania , Padres/educación , Conocimientos, Actitudes y Práctica en Salud , Participación de la Comunidad
19.
Palliat Med ; 37(10): 1509-1519, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-37853579

RESUMEN

BACKGROUND: There is no validated outcome measure for use in children's palliative care outside sub-Saharan Africa. Stakeholders must be involved in the development of such measures to ensure face and content validity. AIM: To gain expert stakeholder consensus on items for inclusion in a paediatric palliative care outcome measure to establish face and content validity. DESIGN: This study was conducted in two phases following Rothrock and COSMIN guidance on patient-reported outcome measure development. Phase 1: Three-round modified Delphi survey to establish consensus on priority items. Phase 2: Item generation meeting with key stakeholders to develop initial measure versions. A young person's advisory group was also consulted on priority outcomes. SETTING AND PARTICIPANTS: Delphi survey: Parents and professionals with experience of caring for a child with a life-limiting condition. Young person's advisory group: young people age 10-20 years. Item generation meeting: bereaved parents, academics and clinicians. RESULTS: Phase 1: Delphi survey (n = 82). Agreement increased from Kendall's W = 0.17 to W = 0.61, indicating movement towards consensus. Agreement between professional and parent ranking was poor (Cohen's kappa 0.13). Professionals prioritised physical symptoms, whereas parents prioritised psychosocial and practical concerns. Advisory group: Children (n = 22) prioritised items related to living a 'normal life' in addition to items prioritised by adult participants. Phase 2: Five age/developmental stage appropriate child and proxy-reported versions of C-POS, containing 13 items, were drafted. CONCLUSIONS: This study highlights the importance and feasibility of involving key stakeholders in PROM item generation, as important differences were found in the priority outcomes identified by children, parents and professionals.


Asunto(s)
Enfermería de Cuidados Paliativos al Final de la Vida , Cuidados Paliativos , Adulto , Humanos , Niño , Adolescente , Adulto Joven , Consenso , Técnica Delphi , Evaluación de Resultado en la Atención de Salud
20.
Int J Drug Policy ; 120: 104162, 2023 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-37639914

RESUMEN

BACKGROUND: The Swedish political system is based on a strong tradition of commissions of inquiry, which work over the long-term to develop knowledge-based policy. This study explores knowledge processes associated with the work of such commissions, focusing on the case of the abolition of the Swedish alcohol rationing system. The point of departure is the 1944 Temperance Committee and its internal committee work, the committee's reports, and also the resulting governmental bill that led to the abolition of the rationing system in 1955. The focus is directed at how the public was used in arguments for and against the abolition of the system. METHODS: The article adds to studies of knowledge production in policy by presenting a case study of the various ways in which the arguments used in political processes rely on the public as a carrying infrastructure over the course of a political process. We use the concept of the infrastructure (Star, 1999) as a metaphor to engage with the way the public is taken for granted in policy processes, and with the discursive resources needed to move arguments forward within a political process. RESULTS: Political processes involve many activities related to the movement of knowledge, of which we have explored the use of the public as an activity required for the movement of arguments. The public is understood as providing both conversational and legalistic resources for moving arguments from one context to another. While the internal committee documents and the final bill allowed for an everyday use of the public in relation to arguments on hassle, annoyance and freedom, the committee reports combined the use of the public with formal arguments on legal processes and the public's sense of justice. CONCLUSION: Explanations of the movement of knowledge often miss the articulation work (Star, 1991) that takes place within policy processes. The public is indirectly present, as well-behaving witnesses used to emphasize arguments, and as such, they do plenty of work. At the same time, it is the committee documents that facilitate the presence of this public, which often lie far from the publics' actual potential to make their voices heard. Although a perception of the rationing system's lack of support in popular opinion constituted a backdrop to the work of the committee, there was little knowledge of the publics' actual views on the rationing system. We show that the public constitute a spoken rather than a material resource that proves quite effective: the public is rarely questioned as long as it is a restricted singular public that behaves well. To date, little attention has been focused on understanding the role of the everyday actors in relation to alcohol policy and other forms of drug policy. We argue that research needs to engage more with the way publics are allowed to indirectly or directly participate in policy processes and what knowledge and policy consequences this participation produces.

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