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The present study assessed the Bailey Bridge’s condition and investigated its adaptation as a permanent structure, targeted the Acrow Bailey Bridge in Japan. Field diagnostic loading experiments were performed under various loading conditions, such as dynamic and static loading tests. The onsite data were obtained using a transducer, friction strain gauge, target measurements for the image processing approach, and accelerometer. From the field measurements, the deflection and stresses of the bridge were found to operate within the linear elastic region. The bridge was then accurately modeled based on the in situ geometric configuration of the bridge, and Finite Element Analysis was performed. The model’s accuracy was validated with the onsite data under the linear elastic domain. The model was deployed to check for resistance of critical members. A nonlinear analysis based on the linear and nonlinear buckling method was performed to determine the subject bridge’s Serviceability Limit State and Ultimate Limit State. The results showed that the first out-of-plane eigenvalue buckling analysis could monolithically assess bridge members. Further, the study established digital twin models resolve for historical data through in situ modeling measurements. Therefore, the findings obtained in this study highlight the bridge’s Structural Health Condition, bearing capacity, and propose a framework for adaptation as a permanent structure.

Abstract Background Most children with developmental disabilities (DD) live in low- and middle-income countries, but access to services is limited, impacting their ability to thrive. Pilot study findings of the World Health Organization’s Caregiver Skills Training (WHO CST) intervention, which equips caregivers with strategies to facilitate learning and adaptive behaviours in children with DD, are promising but evidence from an appropriately powered trial delivered by non-specialist facilitators is lacking. This study will investigate the effectiveness and the resource impacts and costs and consequences of the WHO CST intervention in four sites in rural and urban Kenya and Ethiopia. Methods This is a 2-arm multi-site hybrid type-1 effectiveness implementation cluster randomised controlled superiority trial. After baseline assessments (T0) are completed by participants in clusters comprising 7 to 10 caregiver-child dyads, the clusters will be randomised to either the WHO CST intervention arm or a waitlist enhanced care as usual control arm. Further assessments will be completed at endpoint (T1, 18 ± 2 weeks after randomisation) and follow-up (T2, 44 ± 2 weeks after randomisation). The intervention comprises three individualised home visits and nine group sessions with trained non-specialist facilitators. Participants in the control arm will receive the intervention after completing follow-up assessments. We aim to recruit 544 child-caregiver dyads, evenly distributed across the two arms and countries. The co-primary outcomes are the child-focused Child Behavior Checklist (assessing emotional and behavioural problems) and the caregiver-focused Pediatric Quality of Life Inventory (assessing caregiver quality of life), both assessed at endpoint. Secondary outcome measures comprise the two co-primary outcomes at follow-up and ten additional outcome measures at endpoint, assessing stigma-based experiences, depressive symptoms, household food insecurity, child disciplinary strategies and beliefs, CST knowledge and skill competencies, caregiver and child quality of life, social support, and children’s communication modes and functions. After quantitative follow-up assessments are completed, a mixed-methods evaluation approach will be used to investigate implementation processes and acceptability, feasibility, and potential sustainability of the intervention. Discussion The study’s findings will provide evidence of the effectiveness and resource impacts and costs and consequences of a non-specialist-delivered intervention in under-resourced contexts in one low-income and one middle-income country in East Africa. Findings will inform future research, intervention, and policy efforts to support children with DD and their families in under-resourced majority world contexts. Trial registration Pan African Clinical Trial Registry PACTR202310908063134. Registered on October 16, 2023.

This paper aims to conduct an in-depth analysis of ethical issues faced by social enterprises operating in Kenya by examining the nature and complexity of these challenges. Furthermore, the research aims to explore strategies put in place by these social enterprises to promote ethical practices in their operations and discourage unethicality. This research used a qualitative approach to examine ethical issues in Kenya’s social enterprises. Semi-structured interviews with nine social enterprise leaders in Kenya were conducted. The paper provides empirical findings on the ethical issues that social enterprises in Kenya face and the strategies they have instituted to manage these ethical issues. Findings show that the ethical issues encountered are donor dependence, stakeholder interference, people management, cultural inclusivity and sensitivity, bribery, conflict of interest, transparency and accountability, and legal processes. Measures for handling ethical issues in social enterprises include attaining financial independence and sustainability, compliance with the law, promoting community relationships and engagement, and promoting transparency and accountability. The methods used to collect data may present issues like generalizability due to the sample size for the social enterprise leaders. The paper contributes to building a more ethical and sustainable social enterprise ecosystem in Kenya by identifying and addressing ethical concerns. Furthermore, identifying ethical issues can guide regulators and policymakers in creating guiding frameworks and powerful brand images, developing “brand ambassadors,” and managing the balance between stability and change.

Abstract The Democratic Republic of Congo (DRC) suffers from one of the highest malaria burdens worldwide, but information on its Anopheles vector populations is relatively limited. Preventative malaria control in DRC is reliant on pyrethroid-treated nets, raising concerns over the potential impacts of insecticide resistance. We sampled Anopheles gambiae from three geographically distinct populations (Kimpese, Kapolowe and Mikalayi) in southern DRC, collecting from three sub-sites per population and characterising mosquito collections from each for resistance to pyrethroids using WHO tube bioassays. Resistance to each of three different pyrethroids was generally high in An. gambiae with

Private sector engagement in health reform has been suggested to help reduce healthcare inequities in sub-Saharan Africa, where populations with the most need seek the least care. We study the effects of African Health Markets for Equity (AHME), a cluster randomized controlled trial carried out in Kenya from 2012 to 2020 at 199 private health clinics. AHME included four clinic-level interventions: social health insurance, social franchising, SafeCare quality-of-care certification programme and business support. This paper evaluates whether AHME increased the capacity of private health clinics to serve poor clients while maintaining or enhancing the quality of care provided. At endline, clinics that received AHME were 14.5 percentage points (pp) more likely to be empanelled with the National Health Insurance Fund (NHIF), served 51% more NHIF clients and served more clients from the middle three quintiles of the wealth distribution compared to control clinics. Comparing individuals living in households near AHME treatment and control clinics (N = 8241), AHME led to a 6.7-pp increase in the probability of holding any health insurance on average. We did not find any additional effect of AHME on insurance holding among poor households. We measured quality of care using a standardized patient (SP) experiment (N = 596 SP-provider interactions) where recruited and trained SPs were randomized to present as either not poor, and able to afford all services provided, or poor by telling the provider they could only afford ∼300 Kenyan Shillings (US$3) in fees. We found that poor SPs received lower levels of both correct and unnecessary services, and AHME did not affect this. More work must be done to ensure that clients of all wealth levels receive high-quality care.

High-quality evaluation is critical for health systems because it enables the best use of scarce resources and helps policy-makers learn what works best in their setting. What works cannot be [...]

Objective: The main aim of the study was to evaluate and compare the variability of the hepatic, renal and cardiovascular biomarkers in type 2 diabetes mellitus patients with poor glycemic control. Materials and Methods: An analytical cross-sectional study utilizing random sampling technique was used to recruit 103 consenting participants at the Kakamega county general hospital. Approximately 6mls of blood sample was collected and processed for biomarkers of hepatic, renal and cardiovascular function using spectrophotometry and florescence-immuno detection. Data was analyzed using the IBM SPSS ver. 22 software. Chi-square and Fisher’s exact test were done on categorical variables and Kruskal-Wallis test on the continuous variables. A Bonferroni Post-hoc test was done to determine the differences between the groups. Results: The study revealed a significant hepatic biomarker variability in gamma glutamyl transferase (GGT) (P= 0.031), Total bilirubin (P< 0.0001), Direct bilirubin (P< 0.0001), albumin (P= 0.001) and Aspartate transaminase/alanine transaminase (AST/ALT) ratio (P< 0.0001). Renal biomarkers including Urea (P= 0.002), potassium (P= 0.0012), sodium (P< 0.0001) and chloride (0.007) showed a significant variability in poor glycemic control. Additionally, Triglycerides (P< 0.0001) and total cholesterol (P= 0.046) levels were significantly elevated in poor glycemic control. Conclusion: Poor glycemic control causes elevation in GGT, AST/ALT ratio, potassium, triglycerides and total cholesterol while bilirubin, albumin, sodium and chloride are reduced.

Purpose: The present study explored experiences of former markers of undergraduate assignments and examinations at the University of South Africa (Unisa). Methodology: Qualitative method of research was used to gather data. Colaizzi's method (1978) was used to analyze and interpret data. The article's frame of reference was informed by Mezirow's transformative learning theory which is aligned to critical theory (Mezirow 2009). Findings: Findings were based on the following: Demographic information, markers' experiences in marking assignments and exam books, content knowledge, markers' meetings, duration of marking assignments and examination books as well as students support, and suggestions are the themes that emerged from the data that was gathered. Originality: It is recommended that the university must develop a policy for external markers for marking assignments and examinations of undergraduate program. All E-tutors must be trained to support students after the official closure of registration and before examinations are set. All markers must be trained -- through a markers' guide -- to mark assignments and examination books.

Background Effective Public Financial Management (PFM) approaches are imperative in the quest for efficiency in health service delivery. Reviews conducted in this area have assessed the impact of PFM approaches on health system efficiency but have left out the mechanisms through which PFM influences efficiency. This scoping review aims to synthesize evidence on the mechanisms by which PFM influences health system efficiency. Methods We searched databases of PubMed and Google Scholar and websites of the World Health Organization (WHO), World Bank and Overseas Development Institute (ODI) for peer-reviewed and grey literature articles that provided data on the relationship between PFM and health system efficiency. Three reviewers screened the articles for eligibility with the inclusion criteria. Data on PFM and health system efficiency was charted and summarized. We then reported the mechanisms by which PFM influence efficiency. Results PFM processes and structures influence health system efficiency by influencing; the alignment of resources to health system needs, the cost of inputs, the motivation of health workers, and the input mix. Conclusion The entire budget process influences health system efficiency. However, most of the findings are drawn from studies that focused on aspects of the budget process. Studies that look at PFM in totality will help explore other cross-cutting issues within sections of the budget cycle; they will also bring out the relationship between the different phases of the budget cycle.

Introduction There is a growing emphasis on improving primary healthcare (PHC) services and granting frontline service providers more decision-making autonomy. In October 2023, Kenya enacted legislation mandating nationwide facility autonomy. There is limited understanding of the effects of health facility autonomy on PHC facilities performance. It is recognised that stakeholder interests influence reforms, and gender plays a critical role in access to health and its outcomes. This protocol outlines the methods for a study that plans to evaluate the effects, implementation experience, political economy and gendered effects of health facility autonomy reforms in Kenya.Methods and analysis The research will use a before-and-after quasi-experimental study design to measure the effects of the reform on service readiness and service utilisation and a cross-sectional qualitative study to explore the implementation experience, political economy and gendered effects of these reforms. Data to measure the effects of autonomy will be collected from a sample of 80 health facilities and 1600 clients per study arm. Qualitative interviews will involve approximately 83 facility managers and policymakers at the county level, distributed across intervening (36) and planning to intervene (36) counties. Additionally, 11 interviews will be conducted at the national level with representatives from the Ministry of Health, the National Treasury, the Controller of Budget, the Council of Governors, the Auditor General and development partners. Given the uncertainty surrounding the implementation of the reforms, this study proposes two secondary designs in the event our primary design is not feasible—a cross-sectional study and a quasi-experimental interrupted time series design. The study will use a difference-in-difference analysis for the quantitative component to evaluate the effects of the reforms, while using thematic analysis for the qualitative component to evaluate the political economy and the implementation experience of the reforms.Ethics and dissemination This study was approved by the Kenya Medical Research Institute Scientific and Ethics Review Unit (KEMRI/SERU/CGMR-C/294/4708) and the National Commission for Science, Technology and Innovation (NACOSTI/P/23/28111). We plan to disseminate the findings through publications, policy briefs and dissemination workshops.

BackgroundTelehealth is growing, especially in areas where access to health facilities is difficult. We previously used 2-way texting (2wT) via SMS to improve the quality of postoperative care after voluntary medical male circumcision in South Africa. In this study, we offered males aged 15 years and older WhatsApp or SMS as their message delivery and interaction platform to explore user preferences and behaviors. ObjectiveThe objectives of this process evaluation embedded within a larger 2wT expansion trial were to (1) explore 2wT client preferences, including client satisfaction, with WhatsApp or SMS; (2) examine response rates (participation) by SMS and WhatsApp; and (3) gather feedback from the 2wT implementation team on the WhatsApp approach. MethodsMales aged 15 years and older undergoing voluntary medical male circumcision in program sites could choose their follow-up approach, selecting 2wT via SMS or WhatsApp or routine care (in-person postoperative visits). The 2wT system provided 1-way educational messages and an open 2-way communication channel between providers and clients. We analyzed quantitative data from the 2wT database on message delivery platforms (WhatsApp vs SMS), response rates, and user behaviors using chi-square tests, z tests, and t tests. The team conducted short phone calls with WhatsApp and SMS clients about their perceptions of this 2wT platform using a short, structured interview guide. We consider informal reflections from the technical team members on the use of WhatsApp. We applied an implementation science lens using the RE-AIM (reach, effectiveness, adoption, implementation, and maintenance) framework to focus results on practice and policy improvement. ResultsOver a 2-month period—from August to October, 2023—337 males enrolled in 2wT and were offered WhatsApp or SMS and were included in the analysis. For 2wT reach, 177 (53%) participants chose WhatsApp as their platform (P=.38). Mean client age was 30 years, and 253 (75%) participants chose English for automated messages. From quality assurance calls, almost all respondents (87/89, 98%) were happy with the way they were followed up. For effectiveness, on average for the days on which responses were requested, 58 (33%) WhatsApp clients and 44 (28%) SMS clients responded (P=.50). All 2wT team members believed WhatsApp limited the automated message content, language choices, and inclusivity as compared with the SMS-based 2wT approach. ConclusionsWhen presented with a choice of 2wT communication platform, clients appear evenly split between SMS and WhatsApp. However, WhatsApp requires a smartphone and data plan, potentially reducing reach at scale. Clients using both platforms responded to 2wT interactive prompts, demonstrating similar effectiveness in engaging clients in follow-up. For telehealth interventions, digital health designers should maintain an SMS-based platform and carefully consider adding WhatsApp as an option for clients, using an implementation science approach to present evidence that guides the best implementation approach for their setting.

Abstract Background Anopheles coluzzii is a primary vector of malaria found in West and Central Africa, but its presence has hitherto never been documented in Kenya. A thorough understanding of vector bionomics is important as it enables the implementation of targeted and effective vector control interventions. Malaria vector surveillance efforts in the country have tended to focus on historically known primary vectors. The current study sought to determine the taxonomic status of samples collected from five different malaria epidemiological zones in Kenya as well as describe the population genetic structure and insecticide resistance profiles in relation to other An. coluzzii populations. Methods Mosquitoes were sampled as larvae from Busia, Kwale, Turkana, Kirinyaga and Kiambu counties, representing the range of malaria endemicities in Kenya, in 2019 and 2021 and emergent adults analysed using Whole Genome Sequencing (WGS) data processed in accordance with the Anopheles gambiae 1000 Genomes Project phase 3. Where available, historical samples from the same sites were included for WGS. Comparisons were made with An. coluzzii cohorts from West and Central Africa. Results This study reports the detection of An. coluzzii for the first time in Kenya. The species was detected in Turkana County across all three time points from which samples were analyzed and its presence confirmed through taxonomic analysis. Additionally, there was a lack of strong population genetic differentiation between An. coluzzii from Kenya and those from the more northerly regions of West and Central Africa, suggesting they represent a connected extension to the known species range. Mutations associated with target-site resistance to DDT and pyrethroids and metabolic resistance to DDT were found at high frequencies up to 64%. The profile and frequencies of the variants observed were similar to An. coluzzii from West and Central Africa but the ace-1 mutation linked to organophosphate and carbamate resistance present in An. coluzzii from coastal West Africa was absent in Kenya. Conclusions These findings emphasize the need for the incorporation of genomics in comprehensive and routine vector surveillance to inform on the range of malaria vector species, and their insecticide resistance status to inform the choice of effective vector control approaches.

Abstract Background Kenya aims to achieve universal health coverage (UHC) by 2030 and has selected the National Health Insurance Fund (NHIF) as the ‘vehicle’ to drive the UHC agenda. While there is some progress in moving the country towards UHC, the availability and accessibility to NHIF-contracted facilities may be a barrier to equitable access to care. We estimated the spatial access to NHIF-contracted facilities in Kenya to provide information to advance the UHC agenda in Kenya. Methods We merged NHIF-contracted facility data to the geocoded inventory of health facilities in Kenya to assign facility geospatial locations. We combined this database with covariates data including road network, elevation, land use, and travel barriers. We estimated the proportion of the population living within 60- and 120-minute travel time to an NHIF-contracted facility at a 1-x1-kilometer spatial resolution nationally and at county levels using the WHO AccessMod tool. Results We included a total of 3,858 NHIF-contracted facilities. Nationally, 81.4% and 89.6% of the population lived within 60- and 120-minute travel time to an NHIF-contracted facility respectively. At the county level, the proportion of the population living within 1-hour of travel time to an NHIF-contracted facility ranged from as low as 28.1% in Wajir county to 100% in Nyamira and Kisii counties. Overall, only four counties (Kiambu, Kisii, Nairobi and Nyamira) had met the target of having 100% of their population living within 1-hour (60 min) travel time to an NHIF-contracted facility. On average, it takes 209, 210 and 216 min to travel to an NHIF-contracted facility, outpatient and inpatient facilities respectively. At the county level, travel time to an NHIF-contracted facility ranged from 10 min in Vihiga County to 333 min in Garissa. Conclusion Our study offers evidence of the spatial access estimates to NHIF-contracted facilities in Kenya that can inform contracting decisions by the social health insurer, especially focussing on marginalised counties where more facilities need to be contracted. Besides, this evidence will be crucial as the country gears towards accelerating progress towards achieving UHC using social health insurance as the strategy to drive the UHC agenda in Kenya.

The greater demand for energy has led to a surge in the utilization of fossil fuels, resulting in the rapid depletion of crude oil sources. Regrettably, this trend has engendered a significant negative environmental impact, primarily due to the release of unwanted carbon emissions into the atmosphere. Biodiesel has been considered a suitable substitute for fossil fuels owing to its availability from renewable feedstock, less polluting, sustainable and high biodegradability. However, the production of biodiesel from edible oils is very expensive due to the food versus fuel competition of the oil feedstock. Therefore, non-edible oils such as rubber seed oils have been considered suitable biodiesel feedstock due to their wide availability and abundance in different parts of the world. Rubber plantations are widely cultivated for their latex and the discarded seeds from rubber plantations could be considered as a potential source for biodiesel production. Hence, this review considers the extraction of oil from rubber seeds, the free fatty acid compositions, and physicochemical properties. It investigates biodiesel production from rubber seed oil and explores the variations in its physicochemical properties. The various kinds of catalysts that have been developed for biodiesel production from rubber seed oil were examined; the techno-economic analysis was discussed; the merits and challenges associated with the use of rubber seed oil as a suitable feedstock for biodiesel production were analyzed.

IntroductionInappropriate use of antimicrobials is a major driver of AMR in low-resource settings, where the regulation of supply for pharmaceuticals is limited. In pastoralist settings in Tanzania, men and women face varying degrees of exposure to antibiotics due to gender relations that shape access and use of antimicrobials. For example, critical limitations in healthcare systems in these settings, including inadequate coverage of health services put people at risk of AMR, as families routinely administer self-treatment at home with antimicrobials. However, approaches to understanding AMR drivers and risk distribution, including the One Health approach, have paid little attention to these gender considerations. Understanding differences in access and use of antimicrobials can inform interventions to reduce AMR risk in community settings. This paper focuses on the gendered risk of AMR through a study of gender and social determinants of access to and use of antimicrobials in low-resource pastoralist settings in Tanzania.MethodsA mixed methods approach involving household surveys, interviews and ethnographic participant observation in homes and sites of healthcare provision was used, to investigate access and administration of antibiotics in 379 adults in Naiti, Monduli district in northern Tanzania. A purposive sampling technique was used to recruit study participants and all data was disaggregated by sex, age and gender.ResultsGender and age are significantly associated with the use of antibiotics without a prescription in the study population. Young people aged 18-24 are more likely to use unprescribed antibiotics than older people and may be at a higher risk of AMR. Meanwhile, although more men purchase unprescribed antibiotics than women, the administration of these drugs is more common among women. This is because men control how women use drugs at the household level.DiscussionAMR interventions must consider the critical importance of adopting and implementing a gender-sensitive One Health approach, as gender interacts with other social determinants of health to shape AMR risk through access to and use of antimicrobials, particularly in resource-limited pastoralist settings.

Summary: Oligodendrocyte death is common in aging and neurodegenerative disease. In these conditions, dying oligodendrocytes must be efficiently removed to allow remyelination and to prevent a feedforward degenerative cascade. Removal of this cellular debris is thought to primarily be carried out by resident microglia. To investigate the cellular dynamics underlying how microglia do this, we use a single-cell cortical demyelination model combined with longitudinal intravital imaging of dual-labeled transgenic mice. Following phagocytosis, single microglia clear the targeted oligodendrocyte and its myelin sheaths in one day via a precise, rapid, and stereotyped sequence. Deletion of the fractalkine receptor, CX3CR1, delays the microglial phagocytosis of the cell soma but has no effect on clearance of myelin sheaths. Unexpectedly, deletion of the phosphatidylserine receptor, MERTK, has no effect on oligodendrocyte or myelin sheath clearance. Thus, separate molecular signals are used to detect, engage, and clear distinct sub-compartments of dying oligodendrocytes to maintain tissue homeostasis.

Purpose: To determine the influence of replacement decisions on performance of Bungoma County, Saccos in Kenya. Methodology/Approach: This paper used correlational study design that looked at the replacement decisions and Sacco performance. The study population was 600 Sacco employees comprising of chief finance officers, chief executive officer, administrative staff and accountants. The sample drew up to240. Proportionate sampling was adopted for the study. Data was gathered through primary mode basically questionnaires. This was executed through structured questions for clarity purposes. Data was presented using tables. Data analysis factored both descriptive and inferential statistics. Findings: Results show that 54% of replacement decision influence performance of saccos, this is as shown by R2 of 0.544, Similarly that p=0.000

This paper describes the categories of shifts in the translation of the English Holy Bible; New International Version (NIV) into Dholuo Bible Muma Maler mar Nyasaye (1976). The aim is to evaluate the relevance of the translator’s style in rendering a religious text into the target language and the overall implication on the translation theory and practice. The data is collected through document analysis and Focus Group Discussions. We analyzed forty rank shifted segments purposively from six books from the source and target text based on the Relevance Theory by Sperber & Wilson (1986). The analysis is limited to rank-shifting at the level of clauses utilized in the source language which is translated into the target language. The data is analyzed using content analysis and descriptive method. The following categories of shifts are identified; structure shifts, unit shifts, class shifts and intra-system shifts. This study offers insight to bible translators to understand that since shifts are unavoidable in translation, they should aim to produce a target text that is as accurate and precise as possible to guard against loss of meaning. To do this, translators must understand the original source text and transfer it faithfully and accurately. Moreover, bible translators must understand the context of both the source text and the target text since context plays a great role in rendering translation.

Recently, the growing demand for high-performing batteries and different environmental challenges (such include global warming and climate change) have increased the requirement and demand for Lithium-ion batteries (LIBs) used in advanced technologies (i.e., electric cars and many others). To meet this increasing demand, there is an urgent need for more advanced technologies and materials. In the pursuit of developing anode materials, silicon has emerged as the utmost favourable choice for the next generation of LIBs, aiming to substitute the commonly used graphite. Carbon is commonly used to render silicon (Si) suitable for use since Si cannot be used directly as the electrode in LIBs. One of the recently discovered techniques in the development of high-performance LIBs is the use of inexpensive, sustainable, renewable, and eco-friendly materials. Agro-waste-derived silicon and carbon are often used as long as they don't negatively affect the LIB anode's performance. This review paper presents the advances in the development of silicon-carbon (Si/C) composite anodes sourced from agro-waste for applications in LIBs. It provides an overview of agro-waste-derived silicon-based anode materials and techniques for extracting silica from agricultural wastes. Next, the outline explains the preparation technique of Si/C composites obtained from agricultural residues for use in LIBs. Additionally, the paper delves into recent research challenges and the potential prospects of materials derived from agro-waste in the advancement of sophisticated LIBs battery materials.

Using a systematic literature review as the primary research approach, the purpose of this study is to provide an overview of the research trends connected to management of maritime logistics in both Asia and Indonesia. The literature review was carried out with the help of Leximancer, which is a text analytics software, in order to determine the major ideas and recurring topics that were addressed in the research that were chosen. A form of research known as a systematic literature review was utilized for this particular investigation. According to the findings of the comprehensive evaluation of the relevant literature, researchers in Asia and Indonesia follow comparable lines of enquiry in the field of maritime logistics management research. The studies concentrate their attention particularly on topics like the management of supply chains, the optimization of transportation, and the promotion of sustainability in maritime logistics. In spite of the fact that the study tendencies in Asia and Indonesia are quite comparable to one another, certain studies in Indonesia place a distinct emphasis on particular ideas like society, the environment, and marine development. Taking into account its archipelagic character, local rules, and vital position in international trade, these ideas are reflective of the particular challenges and opportunities that Indonesia has when it comes to the management of its maritime logistics. To summarize, Asian research on logistics and maritime management focuses on risks, performance, globalization, environmental sustainability, and green practices. Therefore, Asian trends can be utilized by Indonesian scholars in their studies of maritime logistics management.

ABSTRACTThe establishment of refugee settlements has caused profound segmented impacts on the coverage of land use/cover types. Few studies have computed the spatial drivers of land use/cover changes in Refugee prone areas. This study explored how refugee settlements induced geo-changes in land use/cover in Bidi-Bidi refugee settlement in Uganda. Sentinel-2B images (2015, 2017 and 2020) were used to assess and predict (2030 and 2040) the spatial areal extent of land use/cover changes. The images were classified using Supervised algorithm (Maximum-likelihood) and used CA-Markov model to generate transitions into the future. A Binary Logistic regression was used to compute the spatial drivers of geo-changes. Our results reveal that the settlements triggered more geo-changes in built-up (0.6%), refugee settlements (4.1%), and subsistence farmlands (7.0%) at the expense of woodlands (−0.3%), wetlands (−2.9%), and grasslands (−8.3%). The same trajectory will also be expected between 2030 and 2040. The most critical spatial drivers of these changes are as follows: population growth, increased temperatures, precipitation variation, distance to water sources, distance to roads, distance to police posts, and distance to trading centres. To reduce the acceleration of changes in land use/cover types, this study agitates for equal spatial establishment of woodlots, promotion of alternative sources of energy and livelihoods, and settlement construction materials.

Background Performance-based financing (PBF) was introduced to Kilifi county in Kenya in 2015. This study investigates how and why political and bureaucratic actors at the local level in Kilifi county influenced the extent to which PBF was politically prioritised at the sub-national level.Methods The study employed a single-case study design. The Shiffman and Smith political priority setting framework with adaptations proposed by Walt and Gilson was applied. Data was collected through document review (n = 19) and in-depth interviews (n = 8). Framework analysis was used to analyse data and generate findings.Results In the period 2015-2018, the political prioritisation of PBF at the county level in Kilifi was influenced by contextual features including the devolution of power to sub-national actors and rigid public financial management (PFM) structures. It was further influenced by interpretations of the idea of ‘pay-for-performance,’ its framing as ‘additional funding,’ as well as contestation between actors at the sub national level about key PBF design features. Ultimately PBF ceased at the end of 2018 after donor funding stopped.Conclusion Health reformers must be cognisant of the power and interests of national and sub national actors in all phases of the policy process, including both bureaucratic and political actors in health and non-health sectors. This is particularly important in devolved public governance contexts where reforms require sustained attention and budgetary commitment at the sub national level. There is also need for early involvement of critical actors to develop shared understandings of the ideas on which interventions are premised, as well as problems and solutions.

Indonesia is an archipelago country with thousands of islands ranging from Sabang to Merauke. Because of these circumstances, port services are essential as a mode of transportation for transporting people or products from one island to another. To improve the performance of port services, the performance of its employees must be consistently upgraded. The purpose of this study was to investigate the components that influence the performance of Port Enterprise (PEs) employees. The total sample for the research is 262 PE employees spread across Jakarta. A survey was used to collect data, which was then processed using principal component factor analysis and ordinary least squares regression techniques. We categorize the factors that influence employee performance into two groups: those connected to the environment/company (external) and those related to employee personal characteristics (internal). According to the regression results, organizational climate, work environment, and job autonomy are work/environment components that have been empirically demonstrated to affect employee performance. Employee adaptability and skill development, on the other hand, represent components related to employee qualities.

We previously demonstrated that boundary cap neural crest stem cells (BCs) induce the proliferation of beta-cells in vitro, increase survival of pancreatic islets (PIs) in vivo after transplantation, and themselves strongly increase their proliferation capacity after exposure to space conditions. Therefore, we asked if space conditions can induce the proliferation of beta-cells when PIs are alone or together with BCs in free-floating or 3D-printed form. During the MASER 15 sounding rocket experiment, half of the cells were exposed to 6 min of microgravity (µg), whereas another group of cells were kept in 1 g conditions in a centrifuge onboard. The proliferation marker EdU was added to the cells just before the rocket reached µg conditions. The morphological assessment revealed that PIs successfully survived and strongly proliferated, particularly in the free-floating condition, though the fusion of PIs hampered statistical analysis. Proliferation of beta-cells was displayed in 3D-printed islets two weeks after µg exposure, suggesting that the effects of µg may be delayed. Thus, PIs in 3D-printed scaffolds did not fuse, and this preparation is more suitable than free-floating specimens for morphological analysis in µg studies. PIs maintained their increased proliferation capacity for weeks after µg exposure, an effect that may not appear directly, but can emerge after a delay.