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This study presents a comprehensive strategy for PT Sulzer Indonesia to expand its presence in the >400MW Steam Turbine market in Indonesia. Employing a mixed-method approach, the research combines qualitative interviews with six industry experts and quantitative Analytic Hierarchy Process (AHP) analysis to identify key success factors and prioritize Original Equipment Manufacturers (OEMs) for strategic marketing focus. The findings highlight the critical importance of market viability, particularly market accessibility, along with competitive advantages such as technological fit and strong engineering capabilities. The AHP analysis reveals Mitsubishi Hitachi Power Systems, Toshiba Energy Systems and Solutions, and GE Vernova as the top-ranked OEMs as potential focused market. A 12-month implementation plan is proposed, structured into six phases: preparation and assessment, planning and design, initial implementation, expansion, and refinement, further implementation, and evaluation and optimization. This plan emphasizes continuous learning, adaptability, and strategic alignment, drawing on established management theories and industry best practices. The study concludes that by focusing on these prioritized OEMs and following the proposed implementation plan, PT Sulzer Indonesia can effectively capitalize on the growing opportunities in the >400MW Steam Turbine market, leveraging its strengths while addressing challenges in resource alignment and market penetration. This research provides PT Sulzer Indonesia with a theoretically grounded and practically applicable roadmap for achieving sustainable growth and competitive advantage in this critical market segment. [ABSTRACT FROM AUTHOR]

Background: Nonprofit hospitals are required to conduct community health needs assessments (CHNA) every 3 years and develop corresponding implementation plans. Implemented strategies must address the identified community needs and be evaluated for impact. Purpose: Using the Community Health Implementation Evaluation Framework (CHIEF), we assessed whether and how nonprofit hospitals are evaluating the impact of their CHNA-informed community benefit initiatives. Methodology: We conducted a content analysis of 83 hospital CHNAsthat reported evaluation outcomes drawn from a previously identified 20% random sample (n = 613) of nonprofit hospitals in the United States. Through qualitative review guided by the CHIEF, we identified and categorized the most common evaluation outcomes reported. Results: A total of 485 strategies were identified from the 83 hospitals' CHNAs. Evaluated strategies most frequently targeted behavioral health (n = 124, 26%), access (n = 83, 17%), and obesity/nutrition/inactivity (n = 68, 14%). The most common type of evaluation outcomes reported by CHIEF category included system utilization (n = 342, 71%), system implementation (n = 170, 35%), project management (n = 164, 34%), and social outcomes (n = 163, 34%). Practice Implications: CHNA evaluation strategies focus on utilization (the number of individuals served), with few focusing on social or health outcomes. This represents a missed opportunity to (a) assess the social and health impacts across individual strategies and (b) provide insight that can be used to inform the allocation of limited resources to maximize the impact of community benefit strategies. [ABSTRACT FROM AUTHOR]

Purpose: Rural community-based organizations (CBOs) serving immigrant communities are critical settings for implementing evidence-based interventions (EBIs). The Implementation Studio is a training and consultation program focused on facilitating the selection, adaptation, and implementation of cancer prevention and control EBIs. This paper describes implementation and evaluation of the Implementation Studio on CBO's capacity to implement EBIs and their clients' knowledge of colorectal cancer (CRC) screening and intention to screen. Methods: Thirteen community health educators (CHEs) from two CBOs participated in the Implementation Studio. Both CBOs selected CRC EBIs during the Studio. The evaluation included two steps. The first step assessed the CHEs' capacity to select, adapt, and implement an EBI. The second step assessed the effect of the CHEs-delivered EBIs on clients' knowledge of CRC and intention to screen (n = 44). Results: All CHEs were Hispanic and women. Pre/post-evaluation of the Studio showed an increase on CHEs knowledge about EBIs (pre: 23% to post: 75%; p < 0.001). CHEs' ability to select, adapt, and implement EBIs also increased, respectively: select EBI (pre: 21% to post: 92%; p < 0.001), adapt EBI (pre: 21% to post: 92%; p < 0.001), and implement EBI (pre: 29% to post: 75%; p = 0.003). Pre/post-evaluation of the CHE-delivered EBI showed an increase on CRC screening knowledge (p < 0.5) and intention to screen for CRC by their clients. Conclusion: Implementation Studio can address unique needs of low resource rural CBOs. An implementation support program with training and consultation has potential to build the capacity of rural CBOs serving immigrant communities to implementation of cancer prevention and control EBIs. Clinical Trials Registration Number: NCT04208724 registered. [ABSTRACT FROM AUTHOR]

To implement the national development goal of “carbon peak, carbon neutral” and address the bottlenecks and challenges encountered by the steel industry in the process of moving toward low-carbon development, a series of studies on policies, technologies, and action plans has been conducted. Given the current situation and changing trend of carbon dioxide emission intensity of domestic and foreign iron and steel enterprises, the reasons for the different intensities of carbon dioxide emissions were analyzed. Further, general directions for carbon dioxide emission peak and carbon dioxide neutralization development in the Chinese iron and steel industry were provided. This study also analyzed the “carbon peak, carbon neutral” targets and implementation plans of the Chinese iron and steel industry and large domestic steel enterprises. The study mainly assessed the current production, current equipment used, technological process, and actual case of carbon dioxide emissions of a large iron and steel enterprise. Future changes in production equipment, production process evolution, technological innovation, and energy transformation based on planning aspects were fully considered in this analysis. A concrete technology roadmap of low-carbon development was made for Chinese iron and steel enterprises as a guide in implementing the national goal of “carbon peak, carbon neutralization.” This roadmap emphasizes that the enterprise will encounter three stages: carbon peak stage platform, steadily declining period, and depth of decarburization. It suggests the consideration of the following: implementing six technical development path that iron element resource optimization, process optimization reconstruction, system efficiency promotion, energy structure optimization, great progress in low-carbon technology, coupling between industries, and constructing a data management system for carbon dioxide emissions, and constructing carbon footprint platforms for the full life-cycle assessment (LCA) of steel products. The analysis found that the total carbon dioxide emissions in 2025 and 2030 will be reduced by 10% and 30%, respectively, and carbon dioxide neutrality will be achieved in 2050. Additionally, the plans of enterprises for their technological paths are clarified. The expected reduction in carbon emissions owing to the implementation of each technological path toward carbon dioxide reduction is calculated. The carbon reduction effects of different technological paths are compared in various development stages. Finally, combined with the establishment and execution process of the low-carbon development technology roadmap of enterprises, some suggestions on the low-carbon development of Chinese iron and steel enterprises are provided.

Antimicrobial resistance (AMR) is a global public health threat that affects humans, animals, and the environment across the One Health spectrum. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in 2017 with the aim of tackling the growing threat of AMR in Singapore through coordinated approaches. However, little is known about the implementation of the NSAP. In this study, we analysed the implementation of the NSAP with guidance from an AMR governance framework. We conducted in-depth interviews with 20 participants across the One Health spectrum. The interviews were transcribed verbatim and analysed thematically. Overall, the implementation of activities against AMR was more advanced with respect to human health compared to other sectors such as (1) AMR and antimicrobial use (AMU) surveillance systems in hospitals; (2) the hospital antimicrobial stewardship (AMS) service and legislation to optimise AMU; (3) the national children and adults vaccination programme for IPC; (4) multiple avenues for education and awareness for both professionals and public; and (5) extensive research and collaboration networks with many sources of funding. Areas that were lacking presented problems including (1) an incomplete surveillance system for AMR and AMU across all sectors; (2) the need for better AMS and legislation in some sectors; (3) insufficient innovation in education for sustained behavioural modification; and (4) the need for more open research collaborations and the translation of research into policy outcomes. Improvements in these areas will enhance the overall implementation of the NSAP through a more holistic One Health approach. [ABSTRACT FROM AUTHOR]

Total quality management (TQM) has effectively enhanced product quality in the manufacturing business, but services are always experiencing a low quality and hard to guarantee the product. The use of TQM in the service business issue has been studied. This research explores the key challenges and implementation strategy for the whole quality management of the Egypt’s economic condition as a research subject. This paper based on qualitative method and uses several factors to describe, such as, the mission and vision, sustainable development and improvement, effective leadership, and information systems etc. The results revealed that there are multiple obstacles, procedure; mechanism must be resolved on the Egypt’s management universities. Central decision-making, no innovation and routine and administrative complexities that weaken work and performance. The TQM application needs an extraordinarily adequate budget, the administrators, workers, do not use acceptable development and improvement methods, adopting an information system on traditional methods. Overall analysis suggests that the use of TQM characteristics in higher education in Egypt still presents obvious weaknesses. However, the average value of these six factors is less than 70 percent. [ABSTRACT FROM AUTHOR]

Food companies are increasingly realizing the importance of applying information and communication technologies (ICT) in their business. They use ICT to share information, apply innovation and technological development. However, they make little use of ICT in management systems (MS). The aim of this paper is to determine the possibility for food companies to apply ICT in their quality management systems (QMS), food safety management systems (FSMS), environmental management systems (EMS), occupational health and safety management systems (OHSMS) and other management systems. The survey (by e-questionnaire) was conducted in four Balkan countries (Bosnia and Herzegovina, Serbia, Macedonia, and Montenegro) and covered 92 companies in the food sector. A special questionnaire was designed for this research. The obtained results were statistically processed using IBM SPSS Statistics 26. D. During the research, the authors identified areas where companies are already implementing ICT and their plans related to the integration of ICT into management systems (MS) in the coming period. The companies listed 12 areas in which they most often apply some type of ICT, and which are related to MS. They have developed and use several e-databases (e-database of employees - 86 companies, e-database of suppliers - 81, e-database of customers - 80, etc.). One third of the companies use the e-database of environmental protection aspects, the e-database of incidents and injuries at work, and the e-database of reports on laboratory analyzes. Some companies use specific software to manage individual production operations (32) and software to identify and trace products (36). The companies, which do not currently use e-databases, claim that they will establish them in the coming years (for a maximum of 5 years) and that they will use ICT in product safety risk assessment systems and environmental assessment systems. The surveyed companies are well aware of the benefits of applying ICT, and they plan to develop and implement an integrated information system in their business, which will include management system support. The survey showed that companies in the food sector in the 4 Balkan countries use different forms of ICT, to have clear plans for the development and implementation of ICT in their business, including management systems. On the other hand, most companies that currently use ICT on a small scale, plan to develop e-databases and specific software in the next 5 years, which will make their business easier, including QMS, FSMS, EMS and OHSMS. It is encouraging that most companies are working on the development of an integrated information system. [ABSTRACT FROM AUTHOR]

Antimicrobial resistance (AMR) is a global public health threat that affects humans, animals, and the environment across the One Health spectrum. Singapore launched its own National Strategic Action Plan (NSAP) on AMR in 2017 with the aim of tackling the growing threat of AMR in Singapore through coordinated approaches. However, little is known about the implementation of the NSAP. In this study, we analysed the implementation of the NSAP with guidance from an AMR governance framework. We conducted in-depth interviews with 20 participants across the One Health spectrum. The interviews were transcribed verbatim and analysed thematically. Overall, the implementation of activities against AMR was more advanced with respect to human health compared to other sectors such as (1) AMR and antimicrobial use (AMU) surveillance systems in hospitals; (2) the hospital antimicrobial stewardship (AMS) service and legislation to optimise AMU; (3) the national children and adults vaccination programme for IPC; (4) multiple avenues for education and awareness for both professionals and public; and (5) extensive research and collaboration networks with many sources of funding. Areas that were lacking presented problems including (1) an incomplete surveillance system for AMR and AMU across all sectors; (2) the need for better AMS and legislation in some sectors; (3) insufficient innovation in education for sustained behavioural modification; and (4) the need for more open research collaborations and the translation of research into policy outcomes. Improvements in these areas will enhance the overall implementation of the NSAP through a more holistic One Health approach.

Abstract Background Our team has developed a decision aid to help pregnant women and their partners make informed decisions about Down syndrome prenatal screening. However, the decision aid is not yet widely available in Quebec’s prenatal care pathways. Objective We sought to identify knowledge translation strategies and develop an implementation plan to promote the use of the decision aid in prenatal care services in Quebec, Canada. Methods Guided by the Knowledge-to-Action Framework and the Theoretical Domains Framework, we performed a synthesis of our research (11 publications) on prenatal screening in Quebec and on the decision aid. Two authors independently reviewed the 11 articles, extracted information, and mapped it onto the Knowledge-to-Action framework. Using participatory action research methods, we then recruited pregnant women, health professionals, managers of three prenatal care services, and researchers to (a) identify the different clinical pathways followed by pregnant women and (b) select knowledge translation strategies for a clinical implementation plan. Then, based on all the information gathered, the authors established a consensus on strategies to include in the plan. Results Our knowledge synthesis showed that pregnant women and their partners are not sufficiently involved in the decision-making process about prenatal screening and that there are numerous barriers and facilitators of the use of the decision aid in clinical practice (e.g., low intention to use it among health providers). Using a participatory action approach, we met with five pregnant women, three managers, and six health professionals. They informed us about three of Quebec’s prenatal care pathways and helped us identify 20 knowledge translation strategies (e.g., nurse discusses decision aid with women before they meet the doctor) to include in a clinical implementation plan. The research team reached a consensus about the clinical plan and also about broader organizational strategies, such as training healthcare providers in the use of the decision aid, monitoring its impact (e.g., measure decisional conflict) and sustaining its use (e.g., engage key stakeholders in the implementation process). Conclusion Next steps are to pilot our implementation plan while further identifying global strategies that target institutional, policy, and systemic supports for implementation.

Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies. [ABSTRACT FROM AUTHOR]

The Barbuda Blue Halo Initiative empowers the people of Barbuda to restore their coastal waters by developing a sustainable coastal policy that is based on science, supports coastal and fishing livelihoods, deeply involves and encourages stakeholder participation, and includes the creation of sanctuary zones in order to replenish fish populations and restore a healthy ecosystem around the island of Barbuda. This draft document provides a plan for how to implement, monitor, and enforce Barbuda’s draft coastal management regulations. The Waitt Institute performed an extensive project development phase for the Barbuda Blue Halo Initiative that included research, planning, and policy development. This document describes the policy development phase (Stages 1 and 2), proposed implementation (Stages 3 and 4), and long-term follow-up (Stages 5 and 6).

The purpose of this article is to examine how local leaders of health foundations and nonprofit organizations perceive key health issues (such as violence, housing, and chronic disease) included in a municipal health department’s implementation plan. Specifically, we examine how these leaders prioritize health issues and what their ideas are regarding how to address them. To do this, we used a semistructured interviewing strategy to gather feedback from 10 senior leaders of health foundations and 13 senior leaders of nonprofit agencies in the City of Chicago. We conducted a content analysis of these interviews and found that participants emphasized the importance of addressing broad conditions related to violence, economic development, and education across the lifespan using multisector collaboration strategies. These findings suggest that these foundation and nonprofit representatives consider social determinants of health to be key in promoting population health.

Introduction: The Netherlands Nutrition Centre developed guidelines to improve the availability and accessibility of healthier food products in Dutch canteens. This paper describes the development of an implementation plan to facilitate implementation of Guidelines for Healthier Canteens in Dutch secondary schools.Materials and Methods: In cooperation with stakeholders (i.e., school/caterer managers/employees, school canteen advisors, researchers) and based on theory, we developed an implementation plan in three steps. First, we identified factors that impede/facilitate stakeholders to create a healthier school canteen during 14 interviews. Second, 25 experts discussed and prioritized these identified factors in an expert meeting. Third, we translated these factors into tools to be included in the implementation plan, by making use of behavior change taxonomies and evidence-based implementation strategies.Results: The plan aims to support stakeholders in implementing healthier school canteens and consists of five tools: (1) tailored advice based on an online questionnaire to assess schools' and stakeholders' context and the Canteen Scan (i.e., an online tool to assess the availability and accessibility of food/drink products); (2) communication materials with information and examples; (3) online community for support by sharing experiences/questions; (4) digital newsletter as reminder/support; (5) fact sheet with students' needs/wishes to tailor the canteen.Discussion: This study illustrates how collaboration between science, policy and practice resulted in a tailored implementation plan aimed to support schools to adhere to school canteen policy. This development serves as a good example for researchers, health promotion policymakers, and practitioners how to create an implementation plan that fits the needs of stakeholders.

Background: Our team has developed a decision aid to help pregnant women and their partners make informed decisions about Down syndrome prenatal screening. However, the decision aid is not yet widely available in Quebec's prenatal care pathways.Objective: We sought to identify knowledge translation strategies and develop an implementation plan to promote the use of the decision aid in prenatal care services in Quebec, Canada.Methods: Guided by the Knowledge-to-Action Framework and the Theoretical Domains Framework, we performed a synthesis of our research (11 publications) on prenatal screening in Quebec and on the decision aid. Two authors independently reviewed the 11 articles, extracted information, and mapped it onto the Knowledge-to-Action framework. Using participatory action research methods, we then recruited pregnant women, health professionals, managers of three prenatal care services, and researchers to (a) identify the different clinical pathways followed by pregnant women and (b) select knowledge translation strategies for a clinical implementation plan. Then, based on all the information gathered, the authors established a consensus on strategies to include in the plan.Results: Our knowledge synthesis showed that pregnant women and their partners are not sufficiently involved in the decision-making process about prenatal screening and that there are numerous barriers and facilitators of the use of the decision aid in clinical practice (e.g., low intention to use it among health providers). Using a participatory action approach, we met with five pregnant women, three managers, and six health professionals. They informed us about three of Quebec's prenatal care pathways and helped us identify 20 knowledge translation strategies (e.g., nurse discusses decision aid with women before they meet the doctor) to include in a clinical implementation plan. The research team reached a consensus about the clinical plan and also about broader organizational strategies, such as training healthcare providers in the use of the decision aid, monitoring its impact (e.g., measure decisional conflict) and sustaining its use (e.g., engage key stakeholders in the implementation process).Conclusion: Next steps are to pilot our implementation plan while further identifying global strategies that target institutional, policy, and systemic supports for implementation. [ABSTRACT FROM AUTHOR]

Antimicrobial resistance (AMR) is a global public health threat that warrants urgent attention. Countries developed their national action plans (NAPs) following the launch of the Global Action Plan on AMR in 2015. The development and implementation of NAPs are often complicated due to the multifaceted nature of AMR, and studies analyzing these aspects are lacking. We analyzed the development and implementation of the Philippine NAP on AMR with guidance from an AMR governance framework. We conducted in-depth interviews with 37 participants across the One Health spectrum. The interviews were transcribed verbatim and were analyzed thematically, adopting an interpretative approach. The enabling factors for NAP implementation include (1) a high level of governmental support and involvement of relevant stakeholders, (2) the development of policies to support improved responses in infection prevention and control and antimicrobial stewardship, and (3) better engagement and advocacy by professional associations and civil society groups. The challenges include (1) a lack of resources and regulatory capacity, (2) insufficient impetus for AMR research and surveillance, and (3) limited One Health engagement. Although there has been considerable progress for human health, strengthening the involvement and representation of the animal health and environment sectors in the AMR scene must be undertaken. Developing well-defined roles within policies will be paramount to the strong implementation of AMR strategies.

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Tanzania launched its first National Action Plan (NAP) on antimicrobial resistance (AMR) in 2017 to reduce the burden of AMR in the country and contribute to the global response. We aimed to analyze the implementation of the NAP on AMR in Tanzania using the governance framework. In-depth interviews were conducted with human and animal health practitioners and national-level policy actors. We adapted Chua’s AMR governance framework to analyze the development and implementation of the NAP in Tanzania. Implementation of the NAP has realized several achievements, including: (i) the establishment of a functioning Multi-Sectoral Coordinating Committee for coordinating the implementation of AMR activities; (ii) existence of governance structure; (iii) establishment of human and animal surveillance sites; (iv) creation of AMR awareness in the community and (v) availability of guidelines at the health facility level to ensure AMR stewardship. However, some dimensions of the governance areas, including reporting and feedback mechanisms, accountability, transparency and sustainability of AMR plans, are not effectively implemented. Addressing these challenges should involve strengthening the collaboration of the different sectors involved at different NAP implementation levels by careful planning and coordination, and provision of adequate resources to ensure sustainability.