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Background: Cost-effectiveness analyses of health technologies have become a part of the decision-making process in healthcare policies. Nevertheless, economic results are not always presented in comprehensible formats for non-technical audiences, such as the general population, healthcare professionals or decision-makers. The purpose of this study was to observe which formats best convey the key message of an economic evaluation, and which are best received by two different audiences. Methods: The summary of a hypothetical cost-effectiveness analysis was edited in different formats: infographic, plain language text and video-abstract for the general population; executive summary and policy brief for a specialized population, i.e. clinicians, clinical and non-clinical managers, or methodologists in health-technology assessment. Participants were randomly shown one of the formats, and data on objective and subjective comprehension, and perceived usefulness/acceptability were gathered by means of online questionnaires. Statistical differences between formats within each audience were analysed. Results: In the general population (N = 324), objective comprehension was statistically significantly better for infographic than for video-abstract (p = 0.005), and for plain text than for video-abstract (p = 0.024). There were no differences in subjective comprehension, but video-abstract was considered statistically significantly more useful to understand the information than plain text (p = 0.011). In the specialized population (N = 100), no statistically significant differences were observed for objective and subjective comprehension, although policy brief was perceived as statistically significantly more useful than executive summary (p = 0.005). Conclusions: A balance between effectivity of conveying the message and attractivity of the format needs to be sought, to facilitate non-technical audiences' understanding of economic data and, consequently, perceive decision-making processes as more transparent and legitimate. The infographic and policy brief could be robust ways to present economic data to the general public and specialized audience, respectively. [ABSTRACT FROM AUTHOR]

Abstract Children and Adolescents and Young Adults with cancer represent a young population with specific needs, which need to be addressed in a patient- and cancer-driven way. There is an urgent need to support and extend the ongoing initiatives in Belgium. First, multidisciplinary care programmes dedicated to children need to be reviewed, and those for Adolescents and Young Adults need to be developed with close collaboration between paediatric and adult oncology and haematology teams. This needs to be done considering the entire patient journey; from cancer prevention, diagnosis, treatment, rehabilitation, follow-up of late effects, transition pathways between paediatric and adult wards, and palliative care. Second, national haemato/oncology precision programmes adapted to this young population with rare cancers, including infrastructure to manage cancer gene predisposition in CAYAs with cancers and their relatives, needs to be developed. This multi-level plan aims to ensure improved outcome with high quality of care for the young population with cancer in Belgium in line with Europe’s Beating Cancer Plan initiatives.

Abstract Gaps in access to quality essential medicines remain a major impediment to the effective care of children with cancer in low-and middle-income countries (LMICs). The World Health Organization reports that less than 30% of LMICs have consistent availability of childhood cancer medicines, compared to over 95% in high-income countries. Information provided within this policy brief is drawn from a review of the literature and a mixed-methods study published in the Lancet Oncology that analyzed determinants of cancer medicine access for children in Kenya, Tanzania, Uganda, and Rwanda. Three key policy options are presented to guide strategic policy direction and critical health system planning for strengthening access to cancer medicines for children: pooled procurement, evidence-based forecasting, and regional harmonization of regulatory processes. Enhancing regional pooled procurement to address fragmented markets and improve medicine supply, investing in health information systems for improved forecasting and planning of childhood cancer medicine needs, and promoting regulatory harmonization to streamline medicine approval and quality assurance across East Africa are recommended. This policy brief is intended for policymakers, clinicians, and health-system planners involved in the procurement, supply chain management, policy and financing of childhood cancer medicines.

Chronic kidney disease (CKD) is a persistent, devastating, yet neglected, non-communicable disease, particularly in developing and emerging countries. The traditional risk factors for CKD, such as hypertension and diabetes have received relatively ample attention but do not sufficiently explain the high burden of CKD. Ambient air pollution is an emerging environmental risk factor for CKD; however, epidemiological data and evidence are lacking for susceptible populations in developing countries. The Niger Delta region of Nigeria is a petrochemical hub known for environmental degradation, including air pollution, and thus, serves as a good case study for investigating the association between air pollution and CKD. This brief is based on an exploratory mixed-methods study conducted in four communities situated near an oil and gas refinery in Warri, Nigeria, to explore perceived and actual air pollution risks and determine whether long-term exposure to ambient air pollution is associated with CKD. Air pollutant concentrations measured in partnership with citizen scientists using portable air sensors, showed that all except one air pollutant (ozone) exceeded the WHO acceptable limits in all four communities. PM 2.5 ranged from 22.8 to 28.0 μg/m 3, PM 10, 40.6 to 55.5 μg/m 3, and CO 2, 584-652 ppm. The overall prevalence of CKD was 12.3% but even higher (18%) in a socially deprived semi-urban community closest to the oil refinery. Hypertension, diabetes, other behavioral risk factors, and exposures associated with CKD were prevalent in the four communities and environmental health information was lacking. A multifaceted approach is required to mitigate air pollution and the associated NCD risks in the region. The government needs to invest in air monitoring services, cleaner technologies, and environmental risk communication through various media channels. We strongly recommend public inclusion in planning, designing, and implementing educational interventions. Lastly, environmental risk factors such as air pollution should feature prominently in strategic plans for NCD prevention.

Background Coffee-growing communities in Yayu, Southwestern Ethiopia, are perceived to be food secure due to income from coffee production. However, while income ensures caloric sufficiency, it does not necessarily translate into complete food security, especially in terms of nutrient intake. Our study assessed the food and nutrition security of smallholder farm households in Yayu, with a particular focus on dietary diversity and hidden hunger. We found significant gaps in nutritional intake, especially for vulnerable groups such as women and children under five. Policy and Implications Ethiopia’s Productive Safety Net Program (PSNP) targets food-insecure areas based on economic status, assuming that income ensures food security. However, our findings suggest that this approach may be flawed, as households in coffee-growing regions are often labeled food secure despite significant deficiencies in essential nutrients such as heme iron. This calls for a re-evaluation of food security policies in cash-crop-dominated areas to address not only income but also access to diverse and nutrient-rich foods. Recommendations 1. Enhance Nutritional Education: Implement targeted educational programs focusing on the importance of dietary diversity, particularly in coffee-producing areas. 2. Diversify Agriculture: Encourage smallholder farmers to diversify crops, integrating nutrient-dense foods alongside coffee cultivation. 3. Improve Market Access: Strengthen local markets to ensure that nutrient-rich foods are available and affordable during both surplus and shortage seasons. 4. Revise PSNP Criteria: Use localized food and nutrition data rather than income alone to identify food insecurity in cash-crop regions. Conclusion Income from coffee production in Yayu improves caloric sufficiency but does not guarantee nutritional adequacy. To combat hidden hunger, policies must move beyond income-based indicators of food security and prioritize access to diverse, nutrient-rich foods. This will ensure a more comprehensive approach to food and nutrition security in Ethiopia’s coffee-growing regions.

Pollution refers to the addition of harmful substances to that level where they cause an effect on the environment, it has three major categories such as water, soil, and air pollution but this report is on water pollution. It occurs when harmful substances contaminate water bodies such as, groundwater, rivers, lakes, and oceans rendering them unfavorable for various purposes for example drinking, recreation, and support to aquatic life. Globally, over 80% of wastewater worldwide is discharged into the water bodies without adequate treatment. In Africa, lack of clean water and sanitation is a significant challenge in many countries, affecting approximately 319 million people. Thus, water pollution is one of the types of pollution that has been threatening the lives of living organisms. Implementing effective policies and strategies can have a profound impact on the environment and local communities. By reducing pollution levels and improving water quality, we can create a healthier environment and decrease the incidence of waterborne diseases, leading to improved health and well-being for residents. The research on water pollution in the River Meizimera Kihihi has important implications for future research, policy and governance, human health, the environment, and communities and society. In conclusion, effective policies can foster community involvement, raise awareness, and promote collective action to address water pollution. By achieving clean water and sanitation (SDG 6), we can contribute to the broader sustainable development goals. This research has important ramifications for future research, policy and governance, human health, the environment, communities, and society. This study investigated the problems of water pollution, its causes, its impact, and the current effort to address the issues along the river of Meizimera-kihihi, Kanugu district, Uganda. Recommendations were made, which included encouraging the adoption of sustainable agricultural practices, industrial processes, and waste management strategies to minimize pollution.

South Sudan is one of the least electrified countries in the world, despite having abundant renewable energy resources that could be exploited to generate electricity. The country relies on imported diesel for electricity generation, besides having limited focus on renewable energy development. This policy brief sheds light on the potential of renewable energy as a solution to South Sudan’s ongoing electricity crisis. It examines the key factors hindering the development of renewable energy resources for electricity generation in the country. The brief also provides recommendations to the Government of South Sudan, policymakers, experts, and funding institutions on how to improve electricity access in the country. It is stressing on the importance of prioritising the development of diverse renewable energy resources, such as solar, wind, and small hydropower, as an immediate solution to the electricity access challenges in the country.

Background India’s National Policy for Skill Development and Entrepreneurship (NPSDE) was designed to capture the demographic dividend and upskill India’s youth, creating an ‘Athmanirbhar Bharat’ (self-reliant India) and in the process, also drive economic growth. Policy and Implications The NPSDE’s dual focus on skill development and entrepreneurship was intended to create a framework for empowering India’s workforce and fostering a culture of innovation. However, the policy has encountered several issues, including the ineffective functioning of Sector Skill Councils (SSCs), inadequate infrastructure, and insufficiently skilled trainers. Additionally, the policy’s efforts to include marginalized groups, particularly women, have fallen short due to entrenched social barriers and gender biases, impacting the effectiveness of training programs. Recommendations To improve the effectiveness of the NPSDE, we propose the following recommendations -adopt an entrepreneurial ecosystem approach to enhance coordination and support within the skill development framework; explicitly define ‘skill’ and ‘skilling’ to better align with socio-political realities and address barriers faced by marginalized individuals; and design training initiatives with an empowerment perspective, focusing on access to resources, agency, and social change. We feel these steps can help direct the NPSDE to create a more inclusive and impactful skilling environment. Conclusions While the NPSDE represents a significant effort towards upskilling India and fostering self-reliance and entrepreneurship, its implementation has revealed critical limitations. The policy’s progress has been insufficient, with persistent issues in meeting industry needs and addressing socio-economic barriers. Future revisions of the policy should focus on systemic improvements, adopting a more inclusive approach to skilling, and addressing the socio-political dimensions of skill valuation to better support India’s developmental aspirations.

Children and Adolescents and Young Adults with cancer represent a young population with specific needs, which need to be addressed in a patient- and cancer-driven way. There is an urgent need to support and extend the ongoing initiatives in Belgium. First, multidisciplinary care programmes dedicated to children need to be reviewed, and those for Adolescents and Young Adults need to be developed with close collaboration between paediatric and adult oncology and haematology teams. This needs to be done considering the entire patient journey; from cancer prevention, diagnosis, treatment, rehabilitation, follow-up of late effects, transition pathways between paediatric and adult wards, and palliative care. Second, national haemato/oncology precision programmes adapted to this young population with rare cancers, including infrastructure to manage cancer gene predisposition in CAYAs with cancers and their relatives, needs to be developed. This multi-level plan aims to ensure improved outcome with high quality of care for the young population with cancer in Belgium in line with Europe's Beating Cancer Plan initiatives. [ABSTRACT FROM AUTHOR]

BackgroundAdolescent sexual and reproductive health (ASRH) is fundamental to the overall wellbeing and development of young people. In Southern Ethiopia, adolescents face significant barriers to accessing and utilizing ASRH services: they include limited information, pervasive cultural stigma, and inadequate healthcare infrastructure. Addressing these barriers is critical to reducing unintended pregnancies, preventing sexually transmitted infections, and achieving national and international health objectives. Despite the existence of policies aimed at improving ASRH, these challenges persist, highlighting the urgent need for targeted policy reforms and effective implementation strategies to ensure a healthier future for adolescents in the region.Main findingsRecent research has identified substantial barriers to ASRH services in Southern Ethiopia. Key challenges include widespread gaps in knowledge, socio-cultural stigma, and strong influences from family and peers, compounded by limited service availability. The absence of adolescent-friendly care, coupled with insufficient outreach efforts, further restricts access. Healthcare providers also encounter significant obstacles, such as stigma, inadequate training, and a lack of institutional support, which undermine their ability to deliver effective services. Service utilization varies markedly based on geographic location, economic status, and educational attainment, with approximately half of adolescents lacking a comprehensive understanding of sexual and reproductive health and rights (SRHR). Moreover, persistent stigma, low levels of social support, and limited self-efficacy continue to hinder the uptake of these essential services.Policy implicationsTo improve ASRH services in Southern Ethiopia, a multi-faceted approach is imperative. Increasing public education through school programs and awareness campaigns can mitigate stigma and misinformation, fostering a more supportive environment. Initiatives such as providing transportation support and establishing mobile health clinics will significantly improve access for adolescents in underserved areas. Strengthening healthcare services by offering specialized training for providers and establishing adolescent-friendly clinics will elevate the quality of care. Engaging families, communities, and peer networks is essential for building a supportive framework that encourages adolescents to utilize SRH services. Finally, implementing skill-building and counseling programs will empower adolescents to make informed decisions regarding their sexual and reproductive health, ultimately contributing to improved health outcomes across the region.

Knowledge translation is the sharing of knowledge obtained from research with knowledge users, including community members, organizations, and policymakers, to use it to improve systems and improve the provision of services and products. The implementation of the knowledge translation process in the health field is facing challenges in our country, which is partly because of insufficient knowledge about the concept of knowledge translation and how to implement the knowledge translation process. In the present study, the definition of knowledge translation, and how the process and tools of knowledge translation were discussed, and then, while reviewing the status of knowledge translation in Iranian universities of medical sciences, solutions for the implementation of knowledge translation were presented. Some of the mentioned knowledge translation tools in this study are podcasts, three-minute thesis presentations, webinars, infographics, research news from research results, press releases, journal clubs, policy briefs, and clinical guidelines. The situation of knowledge translation has been reported as inappropriate and incomplete in medical sciences universities of Iran. In these studies, the evaluation was done using the evaluation tool of knowledge translation, which included the four areas of audience needs assessment, knowledge production, knowledge transfer, and evidence application. According to the current situation of knowledge translation, the implementation solutions of knowledge translation in each field have been presented separately. Appropriate networking between knowledge producers and knowledge users, as well as holding regular meetings with representatives of executive organizations and industry owners to determine research priorities, are among the solutions presented in the audience needs assessment section. Creating the infrastructure to carry out research projects based on the needs of the audience, allocating the necessary resources for the implementation of research projects, active participation of representatives of executive organizations in the process of conducting research, creating an internal network between academic researchers to advance research priorities as much as possible, and also pay attention to the quality of knowledge production to gain the trust of the audience are the solutions provided in the knowledge production sector. Acquainting researchers with the field of knowledge transfer and its importance, allocating resources to implement the knowledge transfer process, using appropriate and up-to-date tools for knowledge transfer by researchers, and creating rules to support researchers who, before publishing their research findings in reputable journals, publish them through other means of knowledge transfer, institutionalizing the mechanisms of benefiting from the research achievements in the general education program, and also considering the incentive plans for the transfer of the produced knowledge are among the solutions presented in the knowledge transfer section. Producing valid and reliable evidence, placing produced evidence at the disposal of policymakers, building trust in the audience by researchers, policymakers, and relevant officials to use produced evidence, informing the audience about the need to use production evidence, creating appropriate communication between knowledge producers and knowledge users through the use of knowledge brokers, the existence of resources and financial support for the use of evidence by policymakers as well as target audiences are some of the solutions provided in the use of evidence section

Background Public tenders are vital for a country’s GDP and citizens’ quality of life, enabling public administration to achieve various goals. Developing and developed countries allocate over 10% of their GDP to public procurement. This highlights the significant societal support public tenders can provide, making it important to consider how they can further benefit society. Policy and implications Public procurement can achieve policy objectives and benefit society by selecting tenders based on criteria beyond price, such as economic advantage and social benefits. This approach, endorsed by EU directives since 2014, encourages innovation and socially responsible practices. Contracting authorities in the EU can use social, environmental, and qualitative criteria to determine the most advantageous offers. Poland’s Public Procurement Law (PPL) allows contract award criteria based on quality and price, including social aspects. Contracting authorities can specify criteria like employing marginalized groups, though these criteria often face scrutiny and legal challenges. Non-price criteria aim to enhance competition and achieve social, environmental, and economic goals. Recommendations EU and Polish laws permit and encourage using social aspects as contract award criteria in public procurement. However, contracting authorities must analyze priorities, risk balancing, time constraints, and departmental coordination to effectively implement these criteria. This approach can improve the social situation and support specific groups. Conclusions Public procurement significantly influences a country’s economy and quality of life, with EU and Polish laws allowing social criteria in contract awards. Directive 2014/24/EU supports tenders based on economic and social benefits. Poland’s PPL aligns with this, emphasizing marginalized group employment. Effective implementation fosters job creation, social integration, and improved living standards.

This paper critically evaluates the UK’s policy responses to forced marriage through a postmodernist lens. Utilising data from the UK Forced Marriage Unit (FMU), which supported 302 cases in 2022 involving possible forced marriage or female genital mutilation, this paper highlights the complexity of addressing forced marriage as a human rights violation. To begin, the paper discusses three primary policy approaches employed by the UK in combatting forced marriages, which are regulation, exit, and community engagement. Through a postmodernist analysis, this paper critiques the essentialist view of forced marriage as a cultural problem and argues for a more nuanced understanding that incorporates diverse experiences and intersecting sociological, political, and economic factors. Due to this, this paper recommends removing forced marriage from the ‘honour-based abuse’ category and advocates for the implementation of reliable data-collecting methods to better address this issue.

Background Preterm birth, which is child delivery before 37 weeks of pregnancy, is the primary cause of perinatal mortality worldwide. Preterm birth remains a major public health challenge in Rwanda, affecting approximately 13.8% of birth. The World Health Organization estimates that 15 million babies are born prematurely each year. While the association between periodontitis and preterm deliveries is increasingly recognized, little is known about this link in Rwanda. This policy brief aims to bridge this knowledge gap by presenting the findings of a recent study investigating the prevalence of periodontitis among pregnant women in Rwanda and its association with preterm deliveries. This policy brief also aims to inform and guide decision making towards incorporating periodontal screening into the antenatal care package in Rwanda. This has the potential to improve pregnancy outcomes and contribute to improved oral health in the future. Policy outcome and Implications Contemporary evidence has shown a six-fold increased risk of preterm delivery for women with periodontitis in Rwanda, with a concerningly high prevalence (60%) among pregnant women. Additionally, nurses working in antenatal clinics displayed insufficient knowledge about gum disease. Actionable recommendations The adoption of basic periodontal screening within existing antenatal care packages is recommended. This, coupled with nurse training and public awareness campaigns, can empower women and healthcare professionals to prioritize oral health for better pregnancy outcomes. Conclusions Integrating periodontal screening into antenatal care has the potential to significantly reduce preterm deliveries and contribute to a healthier future generation in Rwanda.

Background Public tenders are vital for a country’s GDP and citizens’ quality of life, enabling public administration to achieve various goals. Developing and developed countries allocate over 10% of their GDP to public procurement. This highlights the significant societal support public tenders can provide, making it important to consider how they can further benefit society. Policy and implications Public procurement can achieve policy objectives and benefit society by selecting tenders based on criteria beyond price, such as economic advantage and social benefits. This approach, endorsed by EU directives since 2014, encourages innovation and socially responsible practices. Contracting authorities in the EU can use social, environmental, and qualitative criteria to determine the most advantageous offers. Poland’s Public Procurement Law (PPL) allows contract award criteria based on quality and price, including social aspects. Contracting authorities can specify criteria like employing marginalized groups, though these criteria often face scrutiny and legal challenges. Non-price criteria aim to enhance competition and achieve social, environmental, and economic goals. Recommendations EU and Polish laws permit and encourage using social aspects as contract award criteria in public procurement. However, contracting authorities must analyze priorities, risk balancing, time constraints, and departmental coordination to effectively implement these criteria. This approach can improve the social situation and support specific groups. Conclusions Public procurement significantly influences a country’s economy and quality of life, with EU and Polish laws allowing social criteria in contract awards. Directive 2014/24/EU supports tenders based on economic and social benefits. Poland’s PPL aligns with this, emphasizing marginalized group employment. Effective implementation fosters job creation, social integration, and improved living standards.

Background The improper management of hazardous solid waste in dental care offices poses significant risks to public health and the environment. Dental offices generate hazardous waste, including biological and chemical contaminants, which can lead to infections, pollution, and harm if not managed properly. Effective waste management practices are crucial, yet compliance varies significantly across regions, especially in Latin America, due to limited resources, inadequate training, and insufficient infrastructure. This study compares hazardous waste management practices in dental offices in Talara, Peru, and Machala, Ecuador, to provide actionable recommendations for improvement. Policy and Implications In Peru, hazardous waste management involves critical steps such as conditioning, segregation, transport, storage, treatment, and disposal. Compliance minimizes exposure risks and environmental contamination. Ecuador emphasizes administrative and operational aspects, including policies, records, training, and procedures. Improving practices in both countries can model enhanced waste management across Latin America. Recommendations To address challenges in Talara and similar Latin American cities, it is essential to strengthen administrative systems, increase budget allocations for waste management, and develop comprehensive training programs. Waste management should be prioritized within public policy agendas with clear guidelines and accountability measures. Both cities need improved resource allocation, modern waste treatment facilities, and centralized storage solutions. Continuous education and certification programs are crucial. Implementing integrated policies, regular reviews, and robust compliance mechanisms based on Machala’s practices can benefit other regions. Public awareness campaigns and regional collaboration through workshops and research initiatives are also recommended. Conclusions Significant disparities in hazardous waste management exist between Talara and Machala. Talara requires strengthened systems and improved infrastructure, while Machala’s practices serve as a model. Tailored interventions can enhance public health and environmental outcomes across Latin America. Regular monitoring, evaluation, and collaboration are essential for sustained improvements.

Knowledge translation is the sharing of knowledge obtained from research with knowledge users, including community members, organizations, and policymakers, to use it to improve systems and improve the provision of services and products. The implementation of the knowledge translation process in the health field is facing challenges in our country, which is partly because of insufficient knowledge about the concept of knowledge translation and how to implement the knowledge translation process. In the present study, the definition of knowledge translation, and how the process and tools of knowledge translation were discussed, and then, while reviewing the status of knowledge translation in Iranian universities of medical sciences, solutions for the implementation of knowledge translation were presented. Some of the mentioned knowledge translation tools in this study are podcasts, threeminute thesis presentations, webinars, infographics, research news from research results, press releases, journal clubs, policy briefs, and clinical guidelines. The situation of knowledge translation has been reported as inappropriate and incomplete in medical sciences universities of Iran. In these studies, the evaluation was done using the evaluation tool of knowledge translation, which included the four areas of audience needs assessment, knowledge production, knowledge transfer, and evidence application. According to the current situation of knowledge translation, the implementation solutions of knowledge translation in each field have been presented separately. Appropriate networking between knowledge producers and knowledge users, as well as holding regular meetings with representatives of executive organizations and industry owners to determine research priorities, are among the solutions presented in the audience needs assessment section. Creating the infrastructure to carry out research projects based on the needs of the audience, allocating the necessary resources for the implementation of research projects, active participation of representatives of executive organizations in the process of conducting research, creating an internal network between academic researchers to advance research priorities as much as possible, and also pay attention to the quality of knowledge production to gain the trust of the audience are the solutions provided in the knowledge production sector. Acquainting researchers with the field of knowledge transfer and its importance, allocating resources to implement the knowledge transfer process, using appropriate and up-to-date tools for knowledge transfer by researchers, and creating rules to support researchers who, before publishing their research findings in reputable journals, publish them through other means of knowledge transfer, institutionalizing the mechanisms of benefiting from the research achievements in the general education program, and also considering the incentive plans for the transfer of the produced knowledge are among the solutions presented in the knowledge transfer section. Producing valid and reliable evidence, placing produced evidence at the disposal of policymakers, building trust in the audience by researchers, policymakers, and relevant officials to use produced evidence, informing the audience about the need to use production evidence, creating appropriate communication between knowledge producers and knowledge users through the use of knowledge brokers, the existence of resources and financial support for the use of evidence by policymakers as well as target audiences are some of the solutions provided in the use of evidence section. [ABSTRACT FROM AUTHOR]

In an era of advancing technology, nurses find themselves at the forefront of protecting patient information. Safeguarding patient information is a critical concern in healthcare settings due to the potential adverse effects that can result from breaches or mishandling of this data. This invasion of privacy can have profound emotional, social, and financial repercussions for patients. In this article, possible and effective approaches were provided under evolving cybersecurity threats, balancing access and privacy, human error and insider threats, education and training, interoperability and data sharing headings. Patient information security is a complex and ever -evolving challenge for nursing professionals. Nurses must remain vigilant, well-informed, and proactive in implementing cybersecurity best practices. [ABSTRACT FROM AUTHOR]

Background Preterm birth, which is child delivery before 37 weeks of pregnancy, is the primary cause of perinatal mortality worldwide. Preterm birth remains a major public health challenge in Rwanda, affecting approximately 13.8% of birth. The World Health Organization estimates that 15 million babies are born prematurely each year. While the association between periodontitis and preterm deliveries is increasingly recognized, little is known about this link in Rwanda. This policy brief aims to bridge this knowledge gap by presenting the findings of a recent study investigating the prevalence of periodontitis among pregnant women in Rwanda and its association with preterm deliveries. This policy brief also aims to inform and guide decision making towards incorporating periodontal screening into the antenatal care package in Rwanda. This has the potential to improve pregnancy outcomes and contribute to improved oral health in the future. Policy outcome and Implications Contemporary evidence has shown a six-fold increased risk of preterm delivery for women with periodontitis in Rwanda, with a concerningly high prevalence (60%) among pregnant women. Additionally, nurses working in antenatal clinics displayed insufficient knowledge about gum disease. Actionable recommendations The adoption of basic periodontal screening within existing antenatal care packages is recommended. This, coupled with nurse training and public awareness campaigns, can empower women and healthcare professionals to prioritize oral health for better pregnancy outcomes. Conclusions Integrating periodontal screening into antenatal care has the potential to significantly reduce preterm deliveries and contribute to a healthier future generation in Rwanda.

In an era of advancing technology, nurses find themselves at the forefront of protecting patient information. Safeguarding patient information is a critical concern in healthcare settings due to the potential adverse effects that can result from breaches or mishandling of this data. This invasion of privacy can have profound emotional, social, and financial repercussions for patients. In this article, possible and effective approaches were provided under Evolving cybersecurity threats, balancing access and privacy, human error and insider threats, education and training, interoperability and data sharing headings. Patient information security is a complex and ever-evolving challenge for nursing professionals. Nurses must remain vigilant, well-informed, and proactive in implementing cybersecurity best practices.

Dear Editor, Health policy is course of actions developed by policy makers and senior managers in the areas of financing, resource generation and health service delivery to promote, restore, and maintain health of the community. In fact, health policies are guides for formulating health programs and actions by front-line managers. Research evidence should be used for health policy making. A policy brief is a short document that presents the findings and recommendations of a research project to policy makers and senior managers. It is a tool for providing policy advice to health policy makers, which includes a summary of the issue or problem, solutions to solve the problem and their advantages and disadvantages. The purpose of the policy brief is to help policy makers or people influencing the policy making process to make better and faster decisions. Therefore, the policy brief should include background information to fully understand the problem and its root causes, convince the policy maker of the necessity of solving the problem, provide the necessary information on the best options for solving the problem and encourage the policy maker to make the right decision. The main and mandatory components of a policy brief are the title, executive summary, introduction, policy problem, research method and findings, policy recommendations and policy implications. Optional components of a policy brief include columns, case studies, tables, figures, graphics, photographs, authors' names, acknowledgments, publication details, and references.

Background Preterm birth, which is child delivery before 37 weeks of pregnancy, is the primary cause of perinatal mortality worldwide. Preterm birth remains a major public health challenge in Rwanda, affecting approximately 13.8% of birth. The World Health Organization estimates that 15 million babies are born prematurely each year. While the association between periodontitis and preterm deliveries is increasingly recognized, little is known about this link in Rwanda. This policy brief aims to bridge this knowledge gap by presenting the findings of a recent study investigating the prevalence of periodontitis among pregnant women in Rwanda and its association with preterm deliveries. This policy brief also aims to inform and guide decision making towards incorporating periodontal screening into the antenatal care package in Rwanda. This has the potential to improve pregnancy outcomes and contribute to improved oral health in the future. Policy outcome and Implications Contemporary evidence has shown a six-fold increased risk of preterm delivery for women with periodontitis in Rwanda, with a concerningly high prevalence (60%) among pregnant women. Additionally, nurses working in antenatal clinics displayed insufficient knowledge about gum disease. Actionable recommendations The adoption of basic periodontal screening within existing antenatal care packages is recommended. This, coupled with nurse training and public awareness campaigns, can empower women and healthcare professionals to prioritize oral health for better pregnancy outcomes. Conclusions Integrating periodontal screening into antenatal care has the potential to significantly reduce preterm deliveries and contribute to a healthier future generation in Rwanda.

Background Climate change, largely triggered by human-induced greenhouse gases (GHGs) emissions, seems unstoppable. There was a strong rebound of anthropogenic emissions of CO 2, the preponderant GHG in terms of contribution to global warming, around the world after the COVID-19 lockdown. Also, there is still no widely accepted international treaty on curbing the anthropogenic emissions of CH 4 and N 2O, the second and third predominant GHG, respectively, so far. Thereby, prima facie, in respect to mitigating climate change, currently, humans have no aces up their sleeves. It seems that current temperature rise is not high enough to take alarm until the occurrence of tipping point. Policy Climate-related international treaties, such as 2016 Paris agreement, are compromises among conflicting geopolitical pressures. However, currently, the climate treaties show little mandatory binding force on the signatories who are able to violate and then get off scot-free, thus may end up like a nostrum. Throughout the European history, I find that the only way, if at all, to achieve the peace or obedience of a treaty is via balancing powers, embodied in Bismarck’s Realpolitik of Germany and Richelieu’s Raison d'état of France. Similarly, the Chinese history in East Asia proved the significance of unadulterated ideological neutrality and Darwinian adaptability in the kaleidoscope of evolving circumstances in maintaining order and enforcement of international treaties through balancing the power of rivalries to constrain ever-recurring challengers for equilibrium. Recommendations A successful policy needs to make a thorough analysis of all relevant factors to form a long-term strategic notion. Then, statesmen need to distill an array of nebulous, always contradictory options into a tenacious, controllable direction. Thereby, I suggest that, for better curbing global warming, climate agreements or climate club be incorporated into an overall geopolitical framework among the international communities.

Artificial intelligence (AI), the most widespread technological term, has become an integral part of human daily life. People are becoming increasingly dependent on AI-powered devices; thus, it is now essential to have a legal framework to oversee artificial intelligence's various uses and legal peculiarities. As artificial intelligence has entered all areas of life and into various sectors, which requires examining in detail the legal nature of artificial intelligence, determining the laws that must be applied to it, and identifying the people or entities responsible for it to determine the scope of their responsibilities for the resulting damages that may be caused to others as a result of the use of intelligence. Artificial, this research aimed to examine the adequacy of the legal rules in Jordanian legislation regulating the provisions of artificial intelligence in light of the diversity of its applications and its different legal nature. The research is divided into two chapters. The first chapter presents the concept of artificial intelligence, and the second chapter discusses the legal liability of artificial intelligence. The results of the research revealed that the Jordanian legislator did not specify the legal nature of the artificial intelligence and contented himself with stipulating it in separate texts, Legal liability resulting from utilizing artificial intelligence systems can be challenged under regulations of the defect in manufacturing, responsibility for guarding things, and the distinction between responsibilities due to the degree of independence and intelligence of artificial intelligence, In determining the liability of artificial intelligence, the legislator should consider the types of artificial intelligence systems, their different capabilities, and their independence from humans, The process of enacting special laws regulating all aspects of artificial intelligence must be expedited. This law should be characterized by flexibility that enables it to keep pace with and rapid development witnessed in this field.

Chronic kidney disease (CKD) is a persistent, devastating, yet neglected, non-communicable disease in developing and emerging countries. National, regional, and international agencies’ communications and reports on non-communicable diseases intentionally or non-intentionally do not feature CKD. The traditional risk factors for CKD, such as hypertension and diabetes, which have received relatively ample attention, do not sufficiently explain the high burden of CKD in these countries. Ambient air pollution is an emerging significant environmental risk factor for CKD; however, epidemiological data and evidence are lacking for susceptible populations in developing countries. The Niger Delta region of Nigeria is a petrochemical hub known for environmental degradation, including air pollution, and thus, serves as a good case study for investigating the association between air pollution and CKD. This brief is based on the results of a mixed-methods study conducted in four communities situated near an oil and gas refinery in Warri, Nigeria. Air pollutant concentrations measured in partnership with citizen scientists showed that all except one air pollutant (ozone) exceeded the WHO acceptable limits in all four communities. The overall prevalence of CKD was high (12.3%) but even higher (18%) in a socially deprived semi-urban community closest to the oil refinery. Hypertension, diabetes, other behavioral risk factors, and exposures associated with CKD were prevalent among the inhabitants of the four communities. However, public environmental health information and education are lacking. A multifaceted approach is required to mitigate air pollution and the associated health risks in the state. Public inclusion is strongly recommended for the planning and implementation of future interventions. Kidney disease prevention and treatment should be emphasized in health policies and insurance schemes.

Cashew apples, although widely available and rich in nutrients are still underutilized after harvest in Tanzania. Approximately 2,327,000 metric tonnes of cashew apples are lost each year. Their counterpart, the cashew nut is highly appreciated and successfully contributes to the national economy. The huge underutilization of cashew apples is a challenge that requires urgent attention in order to achieve both national and global Sustainable Development Goals (SDGs) by 2030. Improvement of the cashew apple sector could have a positive impact on global SDGs 1, 2, and 3 targets of no poverty, zero hunger, and good health and well-being respectively. At national level, this sector could contribute to the goals of the Tanzania Development Vision (TDV) 2025, namely: high quality livelihood, particularly food self-sufficiency and food security; and a strong and competitive economy, particularly a diversified and semi-industrialized economy with a substantial industrial sector comparable to typical middle-income countries. In addition, the country’s Third Five Year Development Plan III (FYDP III) 2021/22 – 2025/26 has established key strategic interventions, notably those related to competitive industrialization, energy, and food and nutrition security to ultimately achieve the goals of the TDV 2025. To be effective, however, these strategic interventions require continued strong central and local government support and active involvement of stakeholders to ensure program effectiveness yielded towards efficient utilization of widely available natural resources such as cashew apples which has cross-cutting benefits in food, agriculture, health, energy, and economic perspectives. Therefore, the work provides evidence on the utilization status, challenges, and opportunities for sustainable development in Tanzania.

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Toxoplasma gondii (T. gondii) is the cause of toxoplasmosis, an infection with worldwide distribution. Considering the burden of congenital toxoplasmosis, opportunistic toxoplasmosis infection in immunocompromised patients, and the increasing of these patients, regarding the variety of weather conditions and social factors in Iran, evaluation and improvement of the methods of controlling and preventing toxoplasmosis is necessary in the country. The lack of a mandatory national program for the control and prevention of toxoplasmosis, the failure to implement a regular screening program during pregnancy, the lack of a national network for registering positive cases of congenital toxoplasmosis, and the need to improve the quality of educational programs are among the most important challenges in the future. In this regard, the researchers of the Toxoplasmosis Research Center have introduced and proposed new programs for the control and prevention of toxoplasmosis in Iran and presented solutions to the mentioned challenges to be given to the policymakers for the Ministry of Health and the universities of medical sciences in the current policy summary report. To develop a control and prevention program for toxoplasmosis in Iran, the following goals should be considered: prevention of congenital toxoplasmosis, regular screening during pregnancy and follow-up of seronegative cases, secondary prevention of congenital toxoplasmosis based on screening and treatment before the birth of the baby, follow-up of treatment in IgG and IgM positive infants to prevent ocular toxoplasmosis in the future, health education for women in reproductive age, examination of knowledge and awareness of pregnant women about toxoplasma and its transmission routes, prevention of toxoplasmosis in other patients, the establishment of a reference laboratory for toxoplasmosis diagnosis, prevention of infection in animals and disinfection in meat, reduction of environmental pollution and public education

Background and purpose: In recent decades, there has been an increasing trend in postponing pregnancy to the final years of the reproductive age. Accordingly, the growing number of young women with breast cancer (BC) has caused some women at reproductive aged diagnosed with BC to consider pregnancy after completing treatment. Since the fertility rate has decreased in Iran in recent decades and given that young BC women have an essential role in the fertility rate, this policy brief was conducted to investigate the childbearing recommendations for women of reproductive age with BC. Materials and methods: A systematical search was first conducted in international databases such as Google Scholar, Scopus, Web of Sciences, Cochrane Library, and PubMed, as well as national databases such as SID and MagIran, and in some international health websites to find the most relevant evidence. Results: The results led to the extraction of three main themes: Myths, facts, and considerations about childbearing. Overall, there was no comprehensive clinical guideline or document for the management of childbearing issues among women with BC. Conclusion: In cases of BC, women of reproductive age not only require high-quality cancer treatments, but also need comprehensive support for their fertility status to adhere to their treatment successfully. Also, physicians and other healthcare providers should update their information to be able to give complete responses to these women’s questions and main concerns regarding childbearing issues and the prognosis of cancer after pregnancy.

Non-alcoholic fatty liver disease (NAFLD) affects over 1/3 of the Iranian adult population. NAFLD is predicted to soon become an epidemic with widespread social and economic consequences due to the increasing prevalence of its risk factors. So far, NAFLD has received less attention from the public health system. It is necessary to adopt and develop effective national policies and guidelines based on evidence related to the prevention, diagnosis, care, and treatment of NAFLD. The researchers of the Gut and Liver Research Center, affiliated to Mazandaran University of Medical Sciences, with the aim of helping to solve this challenge, have presented the current policy brief using the research evidence available in databases and the review of the national higher-order documents. First of all, it is suggested that the government should legally and financially support NAFLD as a serious social health issue. Subsequently, the Ministry of Health should provide relevant standards and executive guidelines according to the existing conditions in Iran's healthcare system, under the legal and financial support of the government. In this policy summary, some of the implenetable and high-priority measures included designing national service standards by specialized liver working groups; providing funds for the development of human, physical, and study resources; developing people-oriented health/educational systems, and providing care and treatment services through multi-specialty clinics

Background and purpose: Dengue fever has become a major public health problem in many regions of the world due to increased trade and travel and problems in controlling Aedes vectors. The purpose of this policy brief is to review, analyze and present evidence-based policies for dengue prevention and control. Materials and methods: The present research is a systematic review in order to compile a policy brief in Iran, which was carried out in 3 stages according to its methodology. In the first stage, the justification and description of the problem was done in a systematic manner and by examining scientific documents through searching in national and international scientific databases, websites, guidelines and books. In the second stage, a draft of the priority elements related to the policy framework was prepared by the first author and discussed with the other authors. In the third stage, the draft questions were categorized and summarized, and then the policies were compiled in close discussion with all authors. Results: According to the recommendations of the best available evidence in the literature, five policy options were presented for the prevention and control of dengue fever, including 1- development of basic, applied and innovative research 2- Strengthening the capacity and capability of the human, infrastructural and health system in all relevant sectors for the surveillance, control, monitoring and evaluation 3- strengthening inter- and intra-sectoral coordination and collaboration 4- community engagement and mobilization 5- scaling up of functions and integrating tools. Conclusion: In order to increase the long-term impact of policies, it is recommended to use an integrated approach with the continuous support of all stakeholders (local, national, regional).

Due to the increase in the average age and metabolic diseases in the Iranian population, an increase in the prevalence of atherosclerotic aortic valve stenosis is expected. In severe and symptomatic cases of this disease, if the valve is not replaced, the death rate increases by 50% with every two years of age. Non-invasive intervention of aortic valve implantation through catheter (TAVI) is suitable for patients in whom open heart surgery is impossible or associated with high risk. Despite the widespread use of the TAVI method around the world and in some medical centers of the country, until now this method has not been started and performed in the Mazandaran Heart Center, a specialized and sub-specialized referral center for cardiovascular patients in Mazandaran province and other parts of the north of the country; Also, provision of a 3D esophageal echocardiography device is necessary as a basic prerequisite. In this policy brief, evidence-based solutions in this field and the challenges ahead have been proposed and presented to policymakers and managers in the field of cardiovascular health by the researchers of the Cardiovascular Research Center of Mazandaran University of Medical Sciences. Therefore, the officials pay sufficient attention to the necessity of equipping the Mazandaran heart center with a 3D transesophageal echocardiography device and funding it, providing physical facilities including a dedicated operating room and training facilities to form a specialized team skilled in TAVI procedure and insurance coverage for this Service is emphasized.

Toxoplasma gondii (T. gondii) is the cause of toxoplasmosis, an infection with worldwide distribution. Considering the burden of congenital toxoplasmosis, opportunistic toxoplasmosis infection in immunocompromised patients, and the increasing of these patients, regarding the variety of weather conditions and social factors in Iran, evaluation and improvement of the methods of controlling and preventing toxoplasmosis is necessary in the country. The lack of a mandatory national program for the control and prevention of toxoplasmosis, the failure to implement a regular screening program during pregnancy, the lack of a national network for registering positive cases of congenital toxoplasmosis, and the need to improve the quality of educational programs are among the most important challenges in the future. In this regard, the researchers of the Toxoplasmosis Research Center have introduced and proposed new programs for the control and prevention of toxoplasmosis in Iran and presented solutions to the mentioned challenges to be given to the policymakers for the Ministry of Health and the universities of medical sciences in the current policy summary report. To develop a control and prevention program for toxoplasmosis in Iran, the following goals should be considered: prevention of congenital toxoplasmosis, regular screening during pregnancy and follow-up of seronegative cases, secondary prevention of congenital toxoplasmosis based on screening and treatment before the birth of the baby, follow-up of treatment in IgG and IgM positive infants to prevent ocular toxoplasmosis in the future, health education for women in reproductive age, examination of knowledge and awareness of pregnant women about toxoplasma and its transmission routes, prevention of toxoplasmosis in other patients, the establishment of a reference laboratory for toxoplasmosis diagnosis, prevention of infection in animals and disinfection in meat, reduction of environmental pollution and public education. [ABSTRACT FROM AUTHOR]

The universal nature of science and increasing complexity of technological issues and developments in different sciences led to the growth of interdisciplinary cooperation. Some health issues such as addiction, population aging, emerging and re-emerging diseases, and environmental pollution are beyond the scope and capacity of a single-discipline expertise and require constructive dialogue and cooperation between different specialized fields. Currently in Iran, the development of interdisciplinary cooperation is not of much interest at medical sciences universities. The present policy brief aimed at addressing this issue by reviewing the upstream documents proposed by the Parliament Education/Research Commission, the development roadmap in the 9th and 10th governments, and interviewing elites in interdisciplinary fields.

Women with urinary incontinence (UI) during pregnancy may have a greater of experiencing postpartum UI symptoms than women who do not. Pelvic floor muscle exercises can reduce the symptoms of urinary stress incontinence. This policy brief concisely summarizes research findings and policy recommendations to improve antenatal and postnatal pelvic floor muscle training. However, this policy does not work automatically and must be incorporated in primary health care service design and delivery. This policy brief discusses a clear recommendation based on the best evidence to improve prenatal care services. It argues that the key is high-quality prenatal care that is available, affordable, accessible, and compatible with the needs of pregnant women and health care providers.

The government of Uganda, through its Ministry of Health, previously adopted curriculum review as a mechanism to respond to public health threats such as HIV/AIDS and include content in primary and secondary schools. This approach contributes to raising public awareness, a key strategy recommended by the World Health Organization to support the global response to the threat of antimicrobial resistance (AMR). This policy brief, developed for policymakers related to school curricula, aims to advocate for and support integration of AMR content in Uganda's primary and secondary level school curricula. The policy brief supports efforts by the multisectoral National AMR Subcommittee to create awareness on this issue as part of its role in facilitating the operationalization of Uganda's National Action Plan on AMR.

Consumption of thousands of tons of industrial chemicals in agriculture, such as chemical fertilizers and pesticides, has created significant environmental problems. The regulations for the import, production, formulation, and utilization of chemical, biological and organic fertilizers and pesticides are not completely implemented in Iran. According to the latest notification of the Jihad Agriculture Minister entitled "Instructions for monitoring the production and health promotion of plant products" (1095/020-06/04/2022), the Ministry of Health is the body responsible for investigating and monitoring the remaining of chemical compounds (pesticides, fertilizers, growth regulators, plant hormones, nitrates, and heavy metals). Mazandaran University of Medical Sciences Food and Drug Deputy in collaboration with Research and Technology Deputy, The Health of Plant and Livestock Products Research Center, Babol University of Medical Sciences Food and Drug Organization, Provincial Agricultural Jihad Organization, Provincial Agricultural and Natural Resources Research Center, Agricultural and Natural Resources Engineering Organization of Iran, Iran National Standards Organization, and Environment Protection Agency aim at regulating the utilization of chemical pesticides in agricultural products (strategic products) in Mazandaran province to control the consumption of pesticides in agricultural products and minimize their potential risk to human health and the environment. The main solutions include generating QR Code in the integrated electronic services system of the Organization of Agricultural Engineering and Natural Resources and issuing certificates for product improvement in the Electronic Agricultural Permits System in order to register plant products in production units.

Pregnancy is a critical period. A healthy lifestyle during pregnancy has profound direct and indirect effects on the long-term health of the mother, the fetus and the newborn. According to studies, healthy lifestyle education for pregnant mothers in Iran, including at the level of primary health care, is not in a favorable condition. Lack of training program updates for midwives and lack of documented comprehensive educational content are among the reasons. The present policy brief aimed at dealing with this health problem by implementing the best evidence in practice. We propose "delivering healthy lifestyle education to pregnant women by midwives according to the best evidence-based criteria" to the health policymakers in Iran Ministry of Health and medical sciences universities. In this regard, it is recommended to systematically train midwives in healthcare settings, integration of healthy lifestyle education to mothers and primary health care programs, including that in the electronic health records of pregnant women, and continuous monitoring of these activities could be of great benefit.

The digital government policy aims to improve the efficiency, transparency, and quality of the services provided by the state. Research on this policy has been conducted from the perspective of the interaction between the state and each of the actors in society, neglecting the decisive role of public entities in its proper implementation. This policy brief focuses on the Colombian case and aimed to provide evidence to decision-makers and public entities on which variables should intervene to effectively implement the digital government policy. The recommendations given arise from a regression model, which identified that variables of web accessibility and usability, IPV6 adoption, the strategic component of Information and Communications Technology (ICT) use, the use of emerging technologies, transparency, and access to public information should be intervened.

Background: The work of data research infrastructure operators is poorly understood, yet the services they provide are used by millions of scientists across the planet. Policy and implications: As the data services and the underlying infrastructure are typically funded through the public purse, it is essential that policymakers, research funders, experts reviewing funding proposals, and possibly even end-users are equipped with a good understanding of the daily tasks of service providers. Recommendations: We suggest drawing parallels between research data infrastructure and road infrastructure. To trigger the imagination and foster understanding, this policy brief contains a table of corresponding aspects of the two classes of infrastructure, and a table of policy implications. Conclusions: Just as economists and specialist evaluators are typically brought in to inform policies and funding decisions for road infrastructure, we encourage this to also be done for research infrastructures

Africa has a high burden of typhoid fever causing significant morbidity and mortality especially among children. Over the years there has been increased development of Multi-drug and Extensively drug resistance typhoid strains in the continent which threatens typhoid treatment. This is compounded by a background that most African countries have limited diagnostic capacity, leading to high empiric use of antibiotics, and worsening of antimicrobial resistance. Access to safe drinking water, hygiene and sanitation facilities also remains a significant challenge for most countries. In this policy brief, we encourage African countries to consider quick adoption of highly efficacious and cost-effective available typhoid conjugate vaccines.

The universal nature of science and increasing complexity of technological issues and developments in different sciences led to the growth of interdisciplinary cooperation. Some health issues such as addiction, population aging, emerging and re-emerging diseases, and environmental pollution are beyond the scope and capacity of a single-discipline expertise and require constructive dialogue and cooperation between different specialized fields. Currently in Iran, the development of interdisciplinary cooperation is not of much interest at medical sciences universities. The present policy brief aimed at addressing this issue by reviewing the upstream documents proposed by the Parliament Education/Research Commission, the development roadmap in the 9th and 10th governments, and interviewing elites in interdisciplinary fields. [ABSTRACT FROM AUTHOR]

IntroductionWhile there are several approaches to collect basic information on physical activity (PA) promotion policies, some governments require more in-depth overviews on the situation in their country. In Germany, the Federal Ministry of Health expressed its interest in collecting detailed data on target group specific PA promotion, as relevant competences are distributed across a wide range of political levels and sectors. This study describes the development of a policy brief on physical activity promotion for children and adolescents in Germany. In particular, it addresses two major gaps in the current literature by systematically assessing good practice examples and “routine practices,” i.e., PA promotion activities already taking place on large scale and regular basis.Materials and methodsBased on relevant national and international guidelines, the TARGET:PA tool was co-produced by researchers and ministry officials. It includes (1) PA recommendations, (2) national prevalence rates, (3) recommendations for PA promotion, and data on national (4) routine practices, (5) good practice projects and (6) policies. Data were collected for children and adolescents in Germany using desk research, semi-structured interviews and secondary data analysis.ResultsA policy brief and scientific background document were developed. Results showed that 46% of the 4–5-year-olds fulfil WHO recommendations but only 15% of the 11–17-year-olds, and that girls are less active than boys. Currently, in Germany no valid data are available on the PA behaviour of children under the age of three. An overview of routine practices for PA promotion for children and adolescents was compiled, and experts were asked to critically assess their effectiveness, reach and durability. Overall, 339 target group specific projects for PA promotion were found, with 22 classified as examples of good practice. National PA policies for children and adolescents were identified across different sectors and settings.ConclusionThe study provides a comprehensive overview of the current status of PA promotion for children and adolescents in Germany. The co-production of the policy brief was a strength of the study, as it allowed researchers to take the needs of ministry officials into account, and as it supported the immediate uptake of results in the policymaking process. Future studies should test the applicability of the TARGET:PA tool to different target groups and countries.

Background: In Saudi Arabia, the gap between the demand for and availability of organs persists, with a total of 13,731 patients on the waiting list in 2019. Family refusal is a major obstacle limiting donation since their consent must be obtained prior to the retrieval of organs. The cause of family refusal is mainly due to their lack of knowledge of their loved ones' wish to become a donor. This paper aimed to compare three systems of obtaining consent in terms of effectiveness, respect for autonomy, and the cultural role of families in Saudi Arabia to ensure feasibility and effectiveness in increasing the number of donors. Policy alternatives and implications: The consent systems include informed consent, presumed consent, and mandated choice. The mandated choice policy might be the optimal solution since it is the most likely to balance the respect for individual autonomy and the cultural role of families in Saudi Arabia. Conclusions and recommendations: Mandated choice ensures the respect of autonomy while influencing the next of kin's decision to donate the organs. Additionally, a recommendation to decision makers is to utilize the Tawakkalna app to send alerts to the next of kin when a user registers as a donor with the users' consent. Moreover, more research should be dedicated to investigating the Saudi public's current culture and perceptions towards organ donation to ensure feasibility.

Background: This article examines the ethics of data self-reporting, in light of the extreme challenges thrown up by the COVID-19 pandemic. In many countries the public was asked to self-report personal social and health data often through the use of mobile apps, as various datasets were mobilised for the purpose of fighting COVID-19. Policy and implications: The article observes a number of dimensions that make the governance of self-reporting projects particularly thorny. The spectrum of self-reporting is extremely diverse. Projects can be scientific, commercial or other, can raise important privacy concerns, can be vulnerable to harm due to organised manipulation and poor governance. They change over time, with a tendency to function creep. The greatest scientific potential is through linkage between heterogeneous data sources; however, these practices are also the source of the highest risks for privacy and harms. Also, people take part for the most heterogeneous of purposes. Closely controlling their hopes, aims, and beliefs is usually beyond reach. This introduces various biases in the data. It can also introduce risks of self-harm because of the conclusions that people might draw. Lastly, participation in self-reporting is not equally distributed across society. When there are benefits associated in participation, it can exacerbate existing inequalities. Recommendations: The article illustrates three areas of emerging best practice in data governance: bottom-up models such as data trusts and data cooperatives; solidarity as a touchstone principle; and proactive research ethics processes and committees beyond public research institutions. These promising innovations deserve experimentation. Conclusions: Flexible and sustained ethical oversight is key. It is important to act proactively instead of reactively. Best practices must be adapted to the local setting and improved over time.

Background: Kenya's rich wildlife is an important natural resource and is vital to the country's economy. However, rapid infrastructure development in key wildlife areas has threatened the survival of numerous species including raptors. Policy: The growing distribution of electricity grids in Kenya poses a significant risk to raptors and populations of other large birds. This research aimed to review the policy gaps in Kenya’s National Energy Policy (2018) examining the strategies for developing bird friendly transmission power lines in Kenya, with a goal to reduce the negative impact on raptor populations and improve their conservation. The findings indicate a high overlap between the ecological niche of raptors with medium and high voltage transmission power lines, with indication of high-risk hotspots for electrocution and collisions. Recommendations: This policy brief therefore proposes the adoption of bird friendly power lines in new transmission infrastructure projects and retrofitting existing power lines with bird friendly devices. This can be achieved through strengthening the legal and regulatory frameworks in the National Energy Policy. This will help prioritize avian conservation in power lines infrastructural development projects including the development of specific policies and guidelines for the placement, orientation, and marking of power lines to reduce the risk of electrocution and collisions of raptor species. Conclusions: Kenya committed to protecting migratory bird species and their habitats by signing the Convention on the Conservation of Migratory Species of Wild Animals in 1999. However, the National Energy Policy of 2018 lacks guidelines for bird-friendly power lines. Addressing this requires collaboration from the government, power companies, research institutions, conservation groups, and local communities. A concerted effort involving public education, targeted funding for research, and stakeholder collaboration can help Kenya meet its conservation obligations and safeguard vital habitats for migratory birds.