The paradox of growing technical capacities with low global governance: a review of Voluntary National Reviews' SDG health-related indicators.

BACKGROUND: This study delves into the States' accountability for health-related Sustainable Development Goal (SDG) indicators from 2016 to 2020. An analysis of Voluntary National Reviews (VNR) is employed as an instrument to scrutinize the alignment of States' indicators with the global indicator framework, shedding light on global health governance within the context of the 2030 Agenda and States' strategic prioritization. A curation of 60 health-related indicators from 195 VNRs, produced during the aforementioned period, is organized into thematic groups. RESULTS: Our results highlight a concerning discrepancy in the reporting frequency of various health-related themes. The findings reveal a paradoxical coexistence characterized by the concurrent strengthening and diminution of the global health governance articulated in the Agenda's global health governance. This manifests in the increased utilization and consistency of health-related indicators over the study years, coupled with an emphasis on infectious diseases and child and maternal health indicators. Conversely, a discernible governance decline is evidenced by the inadequate representation of health-related indicators in VNRs, notably within the domains of universal health coverage and health system indicators. Furthermore, High-Income States exhibit diminished accountability. CONCLUSIONS: The VNRs unveil a paradox wherein burgeoning technical capacity coexists with governance deficits, a phenomenon attributable to both statistical capabilities and political preferences. The prevalent use of proxy indicators in VNRs oversimplifies the presentation of official indicators, thereby compromising the aspirational goal of pioneering statistical innovations for measuring intricate issues in the SDGs. In light of our conceptualization of the 2030 Agenda's global health as a regime complex governance, we advocate for comprehensive investigations into each health regime cluster. This approach aims to unravel disputes, discern patterns, and elucidate States' preferences concerning specific thematic areas. Functioning as an accountability mechanism for the Agenda's governance, VNRs underscore States' adaptability and short-term learning capabilities, offering valuable insights for identifying harmful goal prioritization. The discretionary nature of indicator selection by States in the VNRs, enabled by the Agenda's proposition of a contextual adaptation of the SDGs and a blind eye to the guideline's request to review all SDG indicators, highlights a critical flaw in the VNR as an accountability mechanism.

Sustainable Development Goals' health-related indicators for Brazil and Ecuador: an analysis for the period of 1990-2019.

OBJECTIVE: This article aims to analyse the evolution of 40 Sustainable Development Goals' (SDGs) health-related indicators in Brazil and Ecuador from 1990 to 2019. STUDY DESIGN: Epidemiological study of long-term trends in 40 SDGs' health-related indicators for Brazil and Ecuador from 1990 to 2019, using estimates from the Global Burden of Disease Study. METHODS: Forty SDGs' health-related indicators and an index from 1990 to 2017 for Brazil and Ecuador, and their projections up to 2030 were extracted from the Institute for Health Metrics and Evaluation's Global Burden of Disease website and analysed. The percent annual change (PC) between 1990 and 2019 was calculated for both countries. RESULTS: Both countries have made progress on child stunting (Brazil: PC = -38%; Ecuador: PC = -43%) and child wasting prevalences (Brazil: PC = -42%; Ecuador: PC = -41%), percent of vaccine coverage (Brazil: PC = +215%; Ecuador: PC = +175%), under-5 (Brazil: PC = -75%; Ecuador: PC = -60%) and neonatal mortality rates (Brazil: PC = -69%; Ecuador: PC = -51%), health worker density per 1000 population (Brazil: PC = +153%; Ecuador: PC = +175%), reduction of neglected diseases prevalences (Brazil: PC = -40%; Ecuador: PC = -58%), tuberculosis (Brazil: PC = -27%; Ecuador: PC = -55%) and malaria incidences (Brazil: PC = -97%; Ecuador: PC = -100%), water, sanitation and hygiene mortality rates (Brazil and Ecuador: PC = -89%). However, both countries did not show sufficient improvement in maternal mortality ratio to meet SDGs targets (Brazil: PC = -37%; Ecuador: PC = -40%). Worsening of indicators were found for violence, such as non-intimate partner violence for both countries (Brazil: PC = +26%; Ecuador: PC = +18%) and suicide mortality rate for Ecuador (PC = +66%), child overweight indicator for Brazil (PC = -67%), disaster mortality rates (Brazil: PC = +100%; Ecuador: PC = +325%) and alcohol consumption (Brazil: PC = +46%; Ecuador: PC = +35%). CONCLUSIONS: Significant improvements are necessary in both countries requiring the strengthening of health and other policies, particularly concerning the prevention and management of violence and alcohol consumption, and preparedness for dealing with environmental disasters.

Current and Near-Term Earth-Observing Environmental Satellites, Their Missions, Characteristics, Instruments, and Applications.

Among the essential tools to address global environmental information requirements are the Earth-Observing (EO) satellites with free and open data access. This paper reviews those EO satellites from international space programs that already, or will in the next decade or so, provide essential data of importance to the environmental sciences that describe Earth's status. We summarize factors distinguishing those pioneering satellites placed in space over the past half century, and their links to modern ones, and the changing priorities for spaceborne instruments and platforms. We illustrate the broad sweep of instrument technologies useful for observing different aspects of the physio-biological aspects of the Earth's surface, spanning wavelengths from the UV-A at 380 nanometers to microwave and radar out to 1 m. We provide a background on the technical specifications of each mission and its primary instrument(s), the types of data collected, and examples of applications that illustrate these observations. We provide websites for additional mission details of each instrument, the history or context behind their measurements, and additional details about their instrument design, specifications, and measurements.

[State of commitment to universal health coverage and associated challenges].

Purpose　Since 2020, UHC2030 has undertaken a project to review the progress of UN member states in fulfilling their commitments toward achieving universal health coverage (UHC) as outlined in the 2019 UHC Political Declaration. This involves identifying countries where UHC progress is of particular concern and engaging with multi-stakeholders. This article aims to provide a concise overview and widespread introduction to the State of UHC Commitment project for public health experts in Japan, with particular emphasis on the key findings from a pilot project on voluntary national reviews.Method　In order to gauge the evidence-based accountability actions of governments toward UHC, we conducted a comprehensive review of initial five-year Voluntary National Review (VNR) reports (2016-2020, 187 reports) published at the United Nations High-level Political Forum (HLPF). This included all descriptions (quantitative and qualitative information) regarding UHC and health systems. We also compared the descriptions in the latest VNR reports (40 reports) available as of February 2021. We checked whether there have been any improvements in the evidence-based accountability of each country.Research Results　We compared the 2021 VNR reports and the first five-year VNR reports and observed an improvement in evidence-based accountability. However, considering the wealth of data released by the United Nations Statistics on UHC and health systems, these indicators have not yet been fully utilized for accountability purposes.Conclusion　Despite the UHC Political Declaration follow-up meeting and the SDGs Mid-term Review held at the United Nations General Assembly in September 2023, some UHC targets set in 2019 have been postponed to 2025. The current status of UHC progress poses challenges to achieving the 2030 goal. There is an urgent need to strengthen governments' evidence-based accountability using UN statistics and promote UHC progress by implementing the agreed Political Declaration.

A multitaxonomic assessment of Natura 2000 effectiveness across European biogeographic regions.

The Natura 2000 (N2K) protected area (PA) network is a crucial tool to limit biodiversity loss in Europe. Despite covering 18% of the European Union's (EU) land area, its effectiveness at conserving biodiversity across taxa and biogeographic regions remains uncertain. Testing this effectiveness is, however, difficult because it requires considering the nonrandom location of PAs, and many possible confounding factors. We used propensity score matching and accounted for the confounding effects of biogeographic regions, terrain ruggedness, and land cover to assess the effectiveness of N2K PAs on the distribution of 1769 species of conservation priority in the EU's Birds and Habitats Directives, including mammals, birds, amphibians, reptiles, arthropods, fishes, mollusks, and vascular and nonvascular plants. We compared alpha, beta, and gamma diversity between matched selections of protected and unprotected areas across EU's biogeographic regions with generalized linear models, generalized mixed models, and nonparametric tests for paired samples, respectively, for each taxonomic group and for the entire set of species. PAs in N2K hosted significantly more priority species than unprotected land, but this difference was not consistent across biogeographic regions or taxa. Total alpha diversity and alpha diversity of amphibians, arthropods, birds, mammals, and vascular plants were significantly higher inside PAs than outside, except in the Boreal biogeographical region. Beta diversity was in general significantly higher inside N2K PAs than outside. Similarly, gamma diversity had the highest values inside PAs, with some exceptions in Boreal and Atlantic regions. The planned expansion of the N2K network, as dictated by the European Biodiversity Strategy for 2030, should therefore target areas in the southern part of the Boreal region where species diversity of amphibians, arthropods, birds, mammals, and vascular plants is high and species are currently underrepresented in N2K.

Análisis multitaxonómico de la efectividad de Natura 2000 en las regiones biogeográficas de Europa Resumen La red de áreas protegidas (AP) de Natura 2000 (N2K) es una herramienta importante para reducir la pérdida de biodiversidad en Europa. A pesar de que cubre el 18% del área terrestre de la UE, todavía es incierta la efectividad que tiene para conservar la biodiversidad en los taxones y las regiones biogeográficas. Sin embargo, es complicado analizar esta efectividad porque requiere considerar la ubicación no azarosa de las AP y la posibilidad de muchos factores confusos. Usamos el pareamiento por puntaje de propensión y consideramos los efectos confusos de las regiones biogeográficas, lo accidentado del terreno y la cobertura del suelo para analizar la efectividad de las AP de N2K en la distribución de 1,769 especies (mamíferos, aves, anfibios, reptiles, artrópodos, peces, moluscos y plantas vasculares y no vasculares) con prioridad de conservación en las Directivas de Aves y Hábitats de la UE. Comparamos la diversidad alfa, beta y gamma entre las selecciones pareadas de las áreas protegidas y no protegidas en las regiones biogeográficas de la UE con los modelos generalizados lineales, mixtos y pruebas no paramétricas de las muestras pareadas, respectivamente, para cada grupo taxonómico y para el conjunto completo de especies. Las áreas protegidas en N2K tuvieron una mayoría significativa de especies prioritarias en comparación con el suelo no protegido, pero esta diferencia no fue coherente entre los taxones y las regiones biogeográficas. La diversidad alfa total y la diversidad alfa de anfibios, artrópodos, aves, mamíferos y plantas vasculares fue significativamente mayor dentro de las AP que fuera de ellas, excepto en la región biogeográfica boreal. La diversidad beta fue significativamente más alta dentro de las AP de N2K que fuera de ellas. De forma similar, la diversidad gamma tuvo los valores más altos dentro de las AP, salvo algunas excepciones en las regiones boreal y atlántica. Por lo tanto, la expansión planeada de la red N2K, como dicta la Estrategia de la UE sobre Biodiversidad para 2030, debería enfocarse en las áreas del sur de la región boreal, donde es alta la diversidad de especies de anfibios, artrópodos, aves, mamíferos y plantas vasculares y cuyas especies están poco representadas dentro de N2K.

Trends in the utilisation of skilled birth attendance among pregnant women in Benin, from 2001 to 2017-2018, and projections to 2030.

BACKGROUND: Skilled birth attendance during childbirth is known to promote better pregnancy outcomes as well as contribute to maternal and newborn survival. The study aimed to analyse the progress in the use of skilled birth attendance by pregnant women over the last two decades (2001 to 2017-2018) in Benin, and then to make projections to 2030. METHODS: A secondary analysis was made using Benin's Demographic and Health Survey (DHS) databases. The study population were i) women of 15-49 years of age who were successfully surveyed and usually resided in the households visited during DHS-II, DHS-III, DHS-IV and DHS-V, ii) and had had at least one live birth in the five years preceding each of these surveys. For each DHS, the corresponding proportion of births attended by skilled health personnel was determined. The study then generated the Annual Percent Change (APC) between each survey and globally, and projections were made to 2030. RESULTS: Nationally, the percentage of women who gave birth attended by skilled health personnel was 67.39% in 2001, 76.10% in 2006, 80.87% in 2011-2012, and 79.12% in 2017-2018; this represents an APC = 0.98% between 2001 and 2017-2018. If the historical rate of progression is maintained, it is expected that by 2030, 89.35% of pregnant women will be using skilled birth attendance services. CONCLUSION: Efforts are needed to understand the drivers of skilled birth attendance among pregnant women to adopt appropriate strategies.

Healthcare services gap analysis: a supply capture and demand forecast modelling, Dubai 2018-2030.

BACKGROUND: Health systems aim to provide a range of services to meet the growing demand of Dubai's heathcare system aims to provide a range of services to meet the growing demand of its population health needs and to ensure that standards of easy access, quality, equity and responsiveness are maintained. Dubai Health Authority (DHA) uses health services planning tools to assess the health needs of its population and sets priorities and effective regulatory strategies to achieve equilibrium of supply and demand of healthcare services and ensure adequate healthcare services are available, in terms of both quality and quantity. This study aims to measure the gap between demand and supply in health care services in Dubai at the baseline and to forecast the gap size and type (according to medical specialty, key medical planning units and geographical area) till 2030. The specific consequential aim includes identification of appropriate strategic directions for regulation, licensing, policies, insurance. METHODOLOGY: The supply of healthcare services, professionals and medical equipment is captured through a census of all healthcare facilities licensed for practice in the Emirate of Dubai. The demand is estimated using a need based approach, where demand for episodes of medical care are estimated by age and gender and aligned to the internationally defined diagnosis related groups (IR-DGRs). The estimated episodes are then forecasted into the future, until 2030, using three scenarios of population growth (high, medium and low) for the emirate of Dubai. The captured supply and forecasted demand has been categorized into eight key health-planning units (KPUs) to allow for understanding of the population healthcare service needs by main service categories. Using a software for health services planning, a gap analysis between supply and demand is conducted till year 2030. RESULTS: The results revealed a current and expected undersupply and oversupply for some healthcare services by medical specialty and geographical area of the Emirate. By 2030, the largest gaps exists in acute beds, which would require 1,590 additional beds, for acute-same day beds, an additional 1575 beds, for outpatient consultation rooms, an additional 2,160 consultation rooms, for emergency department, an additional 107 emergency bays, and for long-term care and rehabilitation beds, an additional 675 beds. The top specialty needs for these categories include cardiology, orthopedics, rheumatology, psychiatry, pediatric medicine & surgery, gastroenterology, hematology & oncology, renal medicine, primary care, respiratory medicine, endocrinology, rehabilitation and long-term care. CONCLUSIONS: There is an existing and growing requirement to support the healthcare services capacity needs for the top service lines and geographical areas with the largest gaps. Future licensing is required to ensure that new facilities are geographically distributed in a balanced way, and requests for licensing that create or augment oversupply should be avoided.

A strong culture of clinical research is essential for the training of medical postgraduates in China.

Postgraduate medical students are the mainstay of future medical research, and clinical research is one of the most important components of medical research. In recent years, the Chinese government has increased the number of postgraduate students in China. Therefore, the quality of postgraduate training has received widespread attention. This article discusses the advantages and challenges faced by Chinese graduate students when they conduct their clinical research. To address the current misconception that Chinese graduate students only focus on developing their competence in basic biomedical research, the authors call for increased support for clinical research from the Chinese government as well as from schools and teaching hospitals.

Burden of non-communicable diseases and the achievement of the sustainable development goals in 2030 in Mercosur countries.

OBJECTIVES: The aims of this article were to analyse the burden of NCDs and their RFs in the Mercosur countries between 1990 and 2019 and to project mortality trends for 2030. STUDY DESIGN: Epidemiological study of time series. METHODS: The present study used data from the Global Burden of Disease study. The absolute number of deaths, mortality rates, disability-adjusted life years, years of life lost, years lived with disability and the burden of premature mortality by NCD attributable to the RFs were evaluated. Projections were made up to 2030. Age-standardised rates were used to draw comparisons by years and by countries. The analysis was conducted using the RStudio software. RESULTS: Between 1990 and 2019, a decrease was found in the premature mortality rates caused by NCDs in all the countries, except for Paraguay, which remained stable. When analysing premature mortality rates due to NCDs up to 2030, it was predicted that none of the countries would achieve the sustainable development goal of a one-third reduction in premature mortality by NCDs. Regarding the impacts of the RFs for NCDs, smoking, dietary risks, high blood pressure (BP) and high body mass index (BMI) were the main risks attributable to premature deaths due to NCDs. CONCLUSIONS: The results showed that mortality rates are declining in Mercosur countries; however, none of the countries are predicted to achieve the sustainable development goal of a one-third reduction in mortality due to NCDs by 2030. In addition to access to adequate treatment, progress is required in public regulation actions to reduce RFs, such as smoking, dietary risks, high BP and high BMI.

What is the role of global health and sustainable development in Swedish medical education? A qualitative study of key stakeholders' perspectives.

BACKGROUND: Global health and sustainable development have increasingly been recognised as important parts of medical education, yet education on these issues remains fragmented and scarce. In 2020, a bill to reform the national medical curricula across all Swedish medical schools was introduced, including a greater emphasis on global health and sustainable development. This study aimed to explore the perspectives of key stakeholders in medical education on the role of global health and sustainable development in Swedish medical education. METHODS: This was a qualitative study based on semi-structured interviews with 11 key stakeholders in medical education, broadly defined as faculty board members (dean and/or vice-deans for medical education) and/or programme chairs representing six universities. Data were analysed using qualitative content analyis (QCA). The study was conducted according to the Consolidated Criteria for Reporting Qualitative research (COREQ) guidelines. RESULTS: Stakeholders discussed the challenges and opportunities associated with the modification of medical education, which was seen as necessary modernisation to fit the changing societal perception of the role of medical doctors. The anchoring process of redesigning the curriculum and integrating global health and sustainable development was discussed, with emphasis on ownership and mandate and the role of teachers and students in the process. Finding a shared understanding of global health and sustainable development was perceived as a challenge, associated with resistance due to fear of curriculum overload. To overcome this, integrating global health and sustainable development with other topics and developing existing components of the curricula were seen as important. Additionally, it was stressed that fostering capacity building and developing infrastructure, including utilization of digital tools and collaborations, were essential to ensure successful implementation. CONCLUSIONS: Medical institutions should prepare future doctors to respond to the needs of a globalised world, which include knowledge of global health and sustainable development. However, conceptual uncertainties and questions about ownership remain among key stakeholders in medical education. Yet, key stakeholders also highlight that the inclusion of global health and sustainable development in the new curricula represents multiple overarching educational opportunities that can bring about necessary improvement.

National progress towards supranational climate & energy goals due to policies & their mixes? Insights from Northern & Western Europe.

The European Union's climate strategy obliges its Member States to fulfil common Climate and Energy Targets by 2030 while the Member States are free in their choice of mixes among polices and instruments providing rule-, economic-and information-focussed incentives. This paper comparatively firstly calculates in how far 11 Member States have already progressed towards these targets, based on the goals set in the National Climate and Energy Plans. Secondly, the paper quantitatively investigates in how far there is a relationship between this progress and the use of different policy-mixes of the countries. The findings about the relationship between progress and policy mixes show that most Pearson correlations (weak to moderate) exist for the rule-focussed incentives (r = -0,41 to -0,62), while fewer but stronger correlations exist for economic- (r = -0,79) and information-focussed incentives (r = -0,73 to -0,74). Voluntary and other policies and measures seem to be of less importance as they only show negligible correlations. Since all discovered correlations are negative, this research shows that a good policy-mix should consist out of a fair share of the main three policy-groups. These highly current findings can guide also other countries globally in the development of a good climate strategy.

Green building standards and the United Nations' Sustainable Development Goals.

Sustainable practices in the building industry are strongly influenced by published green and sustainable building and real-estate standards (GSBRES). Therefore, it is crucial to assess how these standards contribute to achieving the United Nations' Sustainable Development Goals (SDGs). This paper evaluates the extent to which GSBRESs align with the 2030 Agenda for Sustainable Development, lending a particular focus to the call for transformative change implicit in the SDGs. To this end, we develop a methodology that combines qualitative and quantitative analysis to assess the overlap between the content of three GSBRESs (LEED for design, BOMA BEST for operation, and GRESB for investment) and the SDGs. Despite the overlaps between the attributes of the GSBRESs and the general topics of the SDGs, we find that less than 20% of GSBRES attributes address the specific targets of the 2030 Agenda. Most importantly, the qualitative analysis shows that less than 10% of the standards' scores is attributed to transformative change. We conclude that claims that the GSBRESs are effective in advancing the SDGs are overstated and, without further empirical evidence, caution that they increase the risk of sustainable development greenwashing. We recommend that the standards be repositioned to adopt transformation-focused indicators related to a project's long-term impacts.

Development and Evaluation of Options for Action to Progress on the SDG 6 Targets in Austria.

The Agenda 2030 of the United Nations stipulates an ambitious set of 17 Sustainable Development Goals (SDGs). They were globally agreed upon and demand coherent, context-specific implementation at the national level. To address the complexity of challenges therein, the Agenda is designed to be integrated, indivisible, and universal. The numerous multifaceted interactions in-between the SDGs and with corresponding measures pose a complex challenge for decision-makers implementing them worldwide that requires support for a comprehensive discourse in the science-society-policy arena. Research on the interactions between the SDGs has been flourishing and can help to understand where policy options might be most successfully located. A catalytic effect on several other goals is, e.g., often attributed to SDG 6 on water and sanitation. However, beyond the where to locate policy options, it is similarly important to understand how potential policy options would affect the SDGs and their targets. We developed eleven options and 85 measures as context-specific pathways to advance the SDG 6 Targets in Austria. As a country in the Global North and with a generally far-established water and sanitation infrastructure and management, this responds to the Agenda's demand for universal applicability and can serve as an example to illustrate potential challenges beyond basic infrastructure provision and management. The proposed options cover resources-oriented sanitation, blue-green-brown infrastructure, efficient use and integrated management of water resources, maintenance and restoration of ecological functions of inland waters, reduction of diffuse discharge of nutrients and problematic substances as well as trace substances, water, sanitation and hygiene in public spaces, groundwater protection, development cooperation as well as co-design and co-creation. Their effects on the SDG 6 Targets are evaluated using a 7-point-scale. The evaluation method is simple and practicable, and fosters discourse on the entire water cycle amongst the expert group applying the method. The evaluated effects on the targets are found to be unanimously positive or neutral, but trade-offs might arise when including other SDGs in the assessment, making an expansion of the evaluation necessary for coherent implementation. The results can be used as a baseline to support follow-up discussions with stakeholders and decision-makers.

Pathways to water sustainability? A global study assessing the benefits of integrated water resources management.

Integrated water resources management (IWRM) has been central to water governance and management worldwide since the 1990s. Recognizing the significance of an integrated approach to water management as a way to achieve the Sustainable Development Goals (SDGs), IWRM was formally incorporated as part of the SDG global indicator framework, thus committing the UN and its Member States to achieving high IWRM implementation by 2030 and measuring progress through SDG indicator 6.5.1. This paper examines the extent to which the implementation of IWRM improves the sustainable management of water and the health of water-related ecosystems-a first-of-its-kind in terms of quantitative analysis on a global scale. To achieve this objective, we conducted regression analyses between SDG 6.5.1 (both IWRM (total score) and the dimensions of SDG 6.5.1) and key water-related environmental sustainability indicators: SDG 6.2.1a (access to basic sanitation), 6.3.1 (treated wastewater), 6.4.1 (water-use efficiency), 6.4.2 (water stress), 6.6.1 (freshwater ecosystems, although here the trophic state and turbidity variables were used) and 6.3.2 (ambient water quality). Our analysis covers 124 countries for all these SDGs, with the exception of SDG 6.3.1 and SDG 6.3.2, which cover 112 and 85 countries, respectively. Results show that IWRM-to different degrees-is mainly associated with the good status of water-related sustainability indicators, with the exception of water stress, water quality, and turbidity. We observe a strong impact of control variables such as governance arrangements, economic situation and environmental and geographical conditions. Lagged effects and the scope of the framework may also explain some observed variations in the degree of association. Our study highlights the importance of further uncovering the interlinkages between IWRM implementation and the achievement of water-related environmental sustainability. Overall, the results suggest that although IWRM implementation is primarily linked to sustainable water management and the health of water systems, context-specific factors should be taken into account when evaluating its effectiveness, to enable policy- and decision-makers to make the necessary adjustments to optimize its outcomes.

The Robert Wood Johnson Foundation Future of Nursing Scholars program: An overview.

BACKGROUND: Following the 2010 report, "The Future of Nursing: Leading Change, Advancing Health," Robert Wood Johnson Foundation created the Future of Nursing Scholars program to increase the number of PhD-prepared nurses who could assume leadership roles earlier in their careers by shortening the PhD education trajectory and developing leadership skills. PURPOSE: The purpose of this paper is to describe the state of the field at program launch, the program development, and operations. METHODS: A descriptive narrative was used, which relied on literature review focused on nursing PhD program completion and presentation of FNS program objectives and findings. FINDINGS: Nurses from 46 schools pursued their PhDs as Future of Nursing Scholars. As of May 1, 2022, 181 scholars graduated with 20 scholars still enrolled. Preliminary results suggest accelerate PhD programs featuring intensive mentoring and financial support can produce well-prepared nurse researchers ready for postdoctoral positions and leadership roles. DISCUSSION: Program attributes including financial support and leadership development initiatives may be replicated.

The Robert Wood Johnson Foundation Future of Nursing Scholars program: The scholar experience.

BACKGROUND: Robert Wood Johnson Foundation Future of Nursing Scholars program used multi-pronged approach to support nurses completing accelerated PhD programs. PURPOSE: The purpose of this manuscript was to describe scholars' experiences completing PhDs, their dissertation characteristics, program leadership development sessions, scholar perceptions of program components. METHODS: Of 201 scholars, 157 (78%) completed quantitative exit surveys, providing: satisfaction with doctoral programs and FNS curricula, types of dissertation data used, dissertation formats. Interviews held with five scholars to capture representative themes. FINDINGS: Scholars utilized primary and secondary data for dissertations; 53% primarily used secondary data. The majority (68%) used manuscript dissertation formats. Approximately 64% completely agreed program curricula helped prepare them for professional transitions, to work collaboratively, lead confidently. Proportion of FNS graduates (42%) pursuing postdoctoral positions exceeded national trends. DISCUSSION: Despite stresses posed by accelerated PhD programs, scholars are well-situated to advance nursing science. Findings suggest secondary data analyses work well for accelerated programs. Scholar program experiences were positive.

Community pharmacist's preparedness to provide patient-centred care in Saudi Arabia.

Background: Community pharmacy practice in Saudi Arabia is evolving and needs to be at par with the developed world. Community pharmacists can play a vital role in bridging gaps in the delivery of healthcare services by providing patient-centred care to patients and contributing toward the healthcare transformation plan of vision 2030 of Saudi Arabia. The present study is aimed at evaluating the knowledge, attitude, and practices of community pharmacists in delivering patient-centred care services. Method: A nationwide cross-sectional survey using a validated and pre-tested 27-item self-reported questionnaire was conducted amongst 301 (86.4% male, 13/6% female) community pharmacists from all regions of Saudi Arabia. Both descriptive and inferential analysis was employed using the SPSS version, with 0.05 as the level of significance. Results: Community pharmacists from chain pharmacy groups, female gender and staff community pharmacists had statistically better overall practice standards, knowledge, and attitude to conduct patient-centred care services (p less than 0.01). The majority of community pharmacists would expect extra remuneration and participation in structured professional skills development programs to provide patient-centred care efficiently. Inaccessibility of patient data from healthcare facilities, the unavailability of informative literature, and administrative workload were among the barriers cited in delivering patient-centred care. Conclusion: The study findings show that community pharmacists could play a significant role in providing patient-centred care and contribute to the achievement of the healthcare reform agenda of Saudi Arabia. However, some obstacles must be overcome before this practice can be shifted, including the introduction of a formalized continuing professional development program, financial incentives, and a decrease in the administrative burden on pharmacists. The results of this study may help policymakers in Saudi Arabia better comprehend the country's existing approach to community pharmacy practice.

Polyolefin Catalyst Research: A Product-Driven Industrial Perspective.

This account narrates polyolefin catalyst research at the Research Institute Interdisciplinary Research Center for Refining & Advanced Chemicals (IRCRAC). We particularly address catalyst performance and kinetic evaluation, novelty in supported metallocene catalysts, the apparently absurd residual catalyst structure and solid-state electronic environment, illustration of supported metallocene catalyst active site distribution thru model and experiment, preparation of spheroidal MgCl2 support, and catalytic synthesis of energy-saving drag reducing UHMW polymers using local petrochemical feedstock. Each area has been assessed from the product development perspective. Our PO catalyst research aligns with Saudi Arab's Vision 2030 National Strategic Plan (NSP). We also present a circular research concept which shows how product-driven research with a commercial driving force can significantly advance fundamental PO catalyst chemistry to valuable applications for Saudi Arabia. Finally, we focus on establishing spinoffs using local raw materials. We highlight the role, to be played by researchers, R&D management, and potential investors, to develop the appropriate innovation diffusion culture. The critical need is to understand why an innovation will fail to be marketed. We particularly stress the importance of conducive sociology (environment), psychology (mental state), and mindset (preparedness to make and accept changes) that precede innovation and technology.

Implementing a health labour market analysis to address health workforce gaps in a rural region of India.

BACKGROUND: Human Resources for Health (HRH) are essential for making meaningful progress towards universal health coverage (UHC), but health systems in most of the developing countries continue to suffer from serious gaps in health workforce. The Global Strategy on Human Resources for Health-Workforce 2030, adopted in 2016, includes Health Labor Market Analysis (HLMA) as a tool for evidence based health workforce improvements. HLMA offers certain advantages over the traditional approach of workforce planning. In 2018, WHO supported a HLMA exercise in Chhattisgarh, one of the predominantly rural states of India. METHODS: The HLMA included a stakeholder consultation for identifying policy questions relevant to the context. The HLMA focused on state HRH at district-level and below. Mixed methods were used for data collection and analysis. Detailed district-wise data on HRH availability were collected from state's health department. Data were also collected on policies implemented on HRH during the 3 year period after the start of HLMA and changes in health workforce. RESULTS: The state had increased the production of doctors but vacancies persisted until 2018. The availability of doctors and other qualified health workers was uneven with severe shortages of private as well as public HRH in rural areas. In case of nurses, there was a substantial production of nurses, particularly from private schools, however there was a lack of trusted accreditation mechanism and vacancies in public sector persisted alongside unemployment among nurses. Based on the HLMA, pragmatic recommendations were decided and followed up. Over the past 3 years since the HLMA began an additional 4547 health workers including 1141 doctors have been absorbed by the public sector. The vacancies in most of the clinical cadres were brought below 20%. CONCLUSION: The HLMA played an important role in identifying the key HRH gaps and clarifying the underlying issues. The HLMA and the pursuant recommendations were instrumental in development and implementation of appropriate policies to improve rural HRH in Chhattisgarh. This demonstrates important progress on key 2030 Global Strategy milestones of reducing inequalities in access to health workers and improving financing, retention and training of HRH.

Future health spending forecast in leading emerging BRICS markets in 2030: health policy implications.

BACKGROUND: The leading emerging markets of Brazil, Russia, India, China and South Africa (BRICS) are increasingly shaping the landscape of the global health sector demand and supply for medical goods and services. BRICS' share of global health spending and future projections will play a prominent role during the 2020s. The purpose of the current research was to examine the decades-long underlying historical trends in BRICS countries' health spending and explore these data as the grounds for reliable forecasting of their health expenditures up to 2030. METHODS: BRICS' health spending data spanning 1995-2017 were extracted from the Institute for Health Metrics and Evaluation (IHME) Financing Global Health 2019 database. Total health expenditure, government, prepaid private and out-of-pocket spending per capita and gross domestic product (GDP) share of total health spending were forecasted for 2018-2030. Autoregressive integrated moving average (ARIMA) models were used to obtain future projections based on time series analysis. RESULTS: Per capita health spending in 2030 is projected to be as follows: Brazil, $1767 (95% prediction interval [PI] 1615, 1977); Russia, $1933 (95% PI 1549, 2317); India, $468 (95% PI 400.4, 535); China, $1707 (95% PI 1079, 2334); South Africa, $1379 (95% PI 755, 2004). Health spending as a percentage of GDP in 2030 is projected as follows: Brazil, 8.4% (95% PI 7.5, 9.4); Russia, 5.2% (95% PI 4.5, 5.9); India, 3.5% (95% PI 2.9%, 4.1%); China, 5.9% (95% PI 4.9, 7.0); South Africa, 10.4% (95% PI 5.5, 15.3). CONCLUSIONS: All BRICS countries show a long-term trend towards increasing their per capita spending in terms of purchasing power parity (PPP). India and Russia are highly likely to maintain stable total health spending as a percentage of GDP until 2030. China, as a major driver of global economic growth, will be able to significantly expand its investment in the health sector across an array of indicators. Brazil is the only large nation whose health expenditure as a percentage of GDP is about to contract substantially during the third decade of the twenty-first century. The steepest curve of increased per capita spending until 2030 seems to be attributable to India, while Russia should achieve the highest values in absolute terms. Health policy implications of long-term trends in health spending indicate the need for health technology assessment dissemination among the BRICS ministries of health and national health insurance funds. Matters of cost-effective allocation of limited resources will remain a core challenge in 2030 as well.