Policy options for strengthening evidence-informed health policy-making in Iran: overall SASHA project findings

Background The institutionalization of evidence-informed health policy-making (EIHP) is complex and complicated. It is complex because it has many players and is complicated because its institutionalization will require many changes that will be challenging to make. Like many other issues, strengthening EIHP needs a road map, which should consider challenges and address them through effective, harmonized and contextualized strategies. This study aims to develop a road map for enhancing EIHP in Iran based on steps of planning. Methods This study consisted of three phases: (1) identifying barriers to EIHP, (2) recognizing interventions and (3) measuring the use of evidence in Iran's health policy-making. A set of activities was established for conducting these, including foresight, systematic review and policy dialogue, to identify the current and potential barriers for the first phase. For the second phase, an evidence synthesis was performed through a scoping review, by searching the websites of benchmark institutions which had good examples of EIHP practices in order to extract and identify interventions, and through eight policy dialogues and two broad opinion polls to contextualize the list of interventions. Simultaneously, two qualitative-quantitative studies were conducted to design and use a tool for assessing EIHP in the third phase. Results We identified 97 barriers to EIHP and categorized them into three groups, including 35 barriers on the “generation of evidence” (push side), 41 on the “use of evidence” (pull side) and 21 on the “interaction between these two” (exchange side). The list of 41 interventions identified through evidence synthesis and eight policy dialogues was reduced to 32 interventions after two expert opinion polling rounds. These interventions were classified into four main strategies for strengthening (1) the education and training system (6 interventions), (2) the incentives programmes (7 interventions), (3) the structure of policy support organizations (4 interventions) and (4) the enabling processes to support EIHP (15 interventions). Conclusion The policy options developed in the study provide a comprehensive framework to chart a path for strengthening the country’s EIHP considering both global practices and the context of Iran. It is recommended that operational plans be prepared for road map interventions, and the necessary resources provided for their implementation. The implementation of the road map will require attention to the principles of good governance, with a focus on transparency and accountability.

The Impact of Economic And National Identity Loss Messages, And The Moderating Effect of Political Orientation, On Climate Change Policy Support

As climate change continues to be politically divisive, developing communications that align with right-leaning beliefs may increase bipartisan support for climate policy. In two experimental studies (Study 1, Australia, N = 558; Study 2, United States, N = 859), we tested whether an economic loss or national identity loss message would elicit greater support for mitigation and adaptation policies when compared to one another and to a control message. We also tested whether the direct effects of these message types were conditional on political orientation (specifically, identifying as politically right-leaning). In both studies, preliminary analyses indicated that the message manipulations were effective and that there was a high level of support for both types of climate policy. When compared to left-wing adherents, those who were politically right-leaning were less likely to support mitigation and adaptation policies in either sample. Australian (Study 1) identification – although not American identity (Study 2) – also uniquely predicted adaptation support (but not mitigation support). Yet, there were no significant message frame or interaction effects in the Australian (Study 1) or U.S. sample (Study 2). This suggests that neither an economic loss nor national identity loss message frame may be effective in overcoming the political polarization of climate change in Australia or the United States. Nevertheless, national identity could still play a useful role in Australian climate communications given its positive relationship to adaptation policy support, and therefore warrants further investigation.

Attentiveness to Early Warning Drought Information: Implications for Policy Support and Climate Risk Reduction in Ghana

Successful drought planning is dependent on the generation of timely and accurate early warning information. Yet there is little evidence to explain the extent to which crop farmers pay attention to and assimilate early warning drought information that aids in the policy formulation in support of drought risk reduction. A socioecological survey, using a structured questionnaire administered to 426 crop farming households, was carried out in the Talensi District of the Upper East Region, Ghana. The data analytic techniques used were frequency tables, relative importance index, and multinomial logistics embedded in SPSS v.20 software. The results show that crop farmers predominantly rely on agricultural extension officers for early warning drought information, with an estimated 78% of them paying little to very much attention to the information. The likelihood ratio Chi-square test showed that there is a significant improvement in fit as X2 (20) = 96.792, p < 0.000. Household status, average monthly income, and age were the significant predictors for crop farmers paying no attention at all to early warning drought information, while household status was the only significant factor among those paying a little attention. The drive to build a climate-resilient society with effective early warning centers across Ghana will receive 60% lower support from crop farmers paying no to a little attention as compared to farmers paying very much attention to early warning drought information. Broader stakeholder engagements should be carried out to harness inclusive support from crop farmers to build a climate-resilient society in Ghana.

Problems and Countermeasures of College Students’ Mental Health Education

Compared with the previous teaching environment and model, college students need more self-awareness and self-discipline to learn better. In order to solve many mental health problems of college students, this work studies that the school should increase policy support to relevant parties and strengthen the cultivation of college students’ psychological counseling ability, so as to provide more psychological counseling services for college students. This work studies and analyzes the common problems in contemporary college students’ mental health education, such as lack of teachers, mere formality, imperfect system, and poor pertinence, and puts forward the corresponding countermeasures for college students’ mental health education. When college students enter the university, they need to further improve their knowledge and ability to achieve professional development in a relatively loose learning environment. University is a key period for college students’ personality improvement and physical and mental development. With the increasing pressure of social employment, the psychological pressure of college students is increasing. This study provides a reference for the mental health problems of college students.

Cruelty and indifference are the point: Preference for hierarchy is related to support for policies that harm marginalized groups through feeling both less empathy and more schadenfreude

Individuals who have relatively higher levels of social dominance orientation (SDO; Ho et al., 2015) are more likely to support policies and engage in behaviors that harm marginalized groups through both passive (e.g., neglect) and active (e.g., subjugation) means. While SDO is positioned as a relevant antecedent to outcomes regarding intergroup conflict, the mechanisms by which SDO impact group harm are underspecified. In this paper we investigate the social emotions of intergroup empathy and schadenfreude—the congruent negative and incongruent positive emotional reactions, respectively, a person has in response to the suffering of members from another social group—as key mediators between SDO and intergroup harm. More specifically, we test a model in which SDO leads to active harm primarily through feeling schadenfreude while SDO leads to passive harm primarily through not feeling empathy. In four pre-registered studies (N = 3,468), we show initial support for this model, as SDO’s associations with actively harmful policy support were more strongly mediated through schadenfreude than empathy, while SDO’s associations with passively harmful policy support were more strongly mediated through empathy than schadenfreude. We discuss the relevance of these findings to intergroup conflict interventions more broadly, as well as highlight the role of schadenfreude in motivating intergroup harm.

Has the European Union entered a bioeconomy transition? Combining an output-based approach with a shift-share analysis

The bioeconomy is a collective of activities charged with the production of biologically renewable resources or ‘biomass’ (e.g. agriculture, forestry), its diverse application (e.g. food, textiles, construction, chemicals) and subsequent reuse (e.g. compositing, waste management). Since the European Union (EU) launched its bioeconomy strategy in 2012, further bioeconomy policy initiatives have proliferated at regional, national and pan-European levels. Moreover, the EU Green Deal announced in 2019 targets a transition towards a low-carbon sustainable model of growth, food and energy security, biodiversity and natural resource management, where it is envisaged that the bioeconomy will play a key role. Despite a paucity of available data, the surge in policy interest has triggered the need for evidence-based monitoring of bioeconomy sectors and the efficient tailoring of policy support. Thus, on a Member State (MS) basis for the period 2008–2017, we (1) adopt an ‘output-based’ approach to construct a panel data of performance indicators and (2) characterise the sources of growth and transitional stage of the bioeconomy. Results reveal that the bioeconomy has maintained its relative importance within the total EU27 economy. At the EU level, agriculture and the food industry have played a key role in driving a transition in the primary and industrial bioeconomy sectors due to their significant labour productivity-enhancing impact. Four Northern MS exhibit a bioeconomy transition by modernising their bioeconomy activities and operating structural changes. Other Northern and Western EU MS are still in the early stages of a transition, whilst in Eastern and Central Europe, such a transition remains elusive.

Spatio-Temporal Dynamics of European Innovation—An Exploratory Approach via Multivariate Functional Data Cluster Analysis

We apply a functional data approach for mixture model-based multivariate innovation clustering to identify different regional innovation portfolios in Europe, considering patterns of specialization among innovation types. We combine patent registration data and other innovation and economic data across 225 regions, 13 years, and eight patent classes. The approach allows us to form several regional clusters according to their specific innovation types and captures spatio-temporal dynamics too subtle for most other clustering methods. Consistent with the literature on innovation systems, our analysis supports the value of regionalized clusters that can benefit from flexible policy support to strengthen regions as well as innovation in a systematic context, adding technology specificity as a new criterion to consider. The regional innovation cluster solutions for IPC classes for ‘fixed constructions’ and ‘mechanical engineering’ are highly comparable but relatively less comparable for ‘chemistry and metallurgy’. The clusters for innovations in ‘physics’ and ‘chemistry and metallurgy’ are similar; innovations in ‘electricity’ and ‘physics’ show similar temporal dynamics. For all other innovation types, the regional clustering is different. By taking regional profiles, strengths, and developments into account, options for improved efficiency of location-based regional innovation policy to promote tailored and efficient innovation-promoting programs can be derived.

Economic and yield comparisons of different crop and crop-pasture production systems.

Over the past 15 years the adoption rate of Conservation Agriculture (CA) in southern South Africa has increased at a fast rate, although the adoption of the three pillars of CA was to varying degrees. The adoption of CA happened in the absence of any policy support framework directed to CA. The market drove the adaptation rate with a handful of local producers being the first to adopt no-till (NT) strategies. Long-term field experiments demonstrate that the effects of crop rotation include increased yields from the main wheat crop so that two-thirds of the present total wheat production may be achieved with only half the cropped area under the main crop, and gross margins are better - and dramatically better - with integration of cropping and livestock. This chapter presents an overview of the benefits to yield and economic sustainability of including alternative cash and pasture crops into CA farming systems in the winter rainfall region of southern South Africa.

SOCIAL ECONOMY ENTITIES IN SHAPING SOCIAL POLICY – DIFFERENT ROLES AND AREAS OF INFLUENCE

This paper analyses a myriad of roles played by the social economy entities in selected sub-areas of social policy, such as family and foster care support, senior citizen policy or prevention of poverty and social exclusion. The author points out the role of social economy entities in programming and implementation, monitoring and evaluation of performance, analysis of challenges and development scenarios, and advocacy for the rights and interests of various groups in need of social policy support.