Identifying impacts & adaptation strategies for tropical fruit farms affected by extreme weather events in sub-tropical Australia: Stakeholders' insights

Extreme weather events (EWEs) have significant effects on the productivity, profitability and sustainability of agricultural enterprises and supply chains. Australia is acknowledged as a highly susceptible developed country in relation to experiencing impacts from global climate change. Particularly, the Central Queensland (CQ) region has experienced several recent severe weather events which has made stakeholders worried about the financial resilience and sustainability of their businesses along with the farmers. Although various Australian research has explored the biophysical effects of extreme weather on pome and citrus fruits, very little is known about the business impacts of EWEs on tropical fruits, and how the perceptions of stakeholders can play significant roles in constructing and implementing policies relevant to the tropical fruit farming sector. To fill this gap, this study explored stakeholder insights relating to the impacts of EWEs and relevant adaptation strategies used in tropical fruit farming businesses in sub-tropical Australia. A qualitative research approach was undertaken, involving in-depth interviews with key stakeholders from the tropical fruit farming supply chain, with data being analysed by thematic content analysis. Stakeholders indicated that in the previous five years, EWEs had impacted tropical fruit farming businesses and their related support industries and organisations in multiple ways. This study revealed that farmers' lack of knowledge about available adaptation options, amongst other things, are obstacles preventing the industry from becoming more resilient. Several steps were identified to improve the speed and effectiveness of adaptation at the farm level, including further strategic planning and collaboration amongst state government, local government, farmers and associated industry parties; as well as the importance of farmers being self-prepared for future EWEs. To achieve the latter, stakeholders noted that farmers required industry-level support, including training, tools, and technologies. These findings will be of interest for fruit farming industry stakeholders, policy makers and relevant researchers, particularly for the many tropical coastal communities across the world, now finding themselves being impacted by EWEs.

Stakeholder perceptions affecting the implementation of teleophthalmology

PURPOSE

Teleophthalmology has become the subject of heightened interest and scrutiny in the wake of the SARS-CoV-2 global pandemic. A streamlined implementation framework becomes increasingly important as demand grows. This study identified obstacles to teleophthalmology implementation through summative content analysis of key stakeholders' perceptions.

DESIGN

Summative content analysis of transcribed interviews with key stakeholders (including patients, technicians, ophthalmic readers, staff, nurses, and administrators at two teleophthalmology clinic sites).

METHODS

Keyword Were counted and compared to examine underlying meaning. Two analysts coded text independently using MAXQDA for summative qualitative content analysis to derive themes and hierarchical relationships as a basis for future refinement of TECS implementation. xMind ZEN was used to map conceptual relationships and overarching themes that emerged to identify perceived facilitators and barriers to implementation RESULTS: Analysis revealed two themes common to perceptions: (1) benefits of care, and (2) ease of implementation. Perceived benefits included efficiency, accessibility, and earlier intervention in disease course. The quality and quantity of training was heavily weighted in its influence on stakeholders' commitment to and confidence in the program, as were transparent organizational structure, clear bidirectional communication, and the availability of support staff.

CONCLUSION

Using a determinant framework of implementation science, this report highlighted potential hindrances to teleophthalmology implementation and offered solutions in order to increase access to screening, improve the quality of care provided, and facilitate sustainability of the innovation.

Guiding restoration of riparian ecosystems degraded by plant invasions: Insights from a complex social-ecological system in the Global South

Restoring riparian ecosystems in human-dominated landscapes requires attention to complexity, and consideration of diverse drivers, social actors, and contexts. Addressing a Global North bias, this case study uses a mixed-method approach, integrating historical data, remote sensing techniques and stakeholder perceptions to guide restoration of a river in the Western Cape, South Africa. An analysis of aerial photographs of the riparian zone from 1953 to 2016 revealed that although anthropogenic land conversion happened primarily before the 1950s, several land use and land cover classes showed marked increases in area, including: waterbodies (+ 1074%), urban areas (+ 316%), alien weeds (+ 311%) and terrestrial alien trees (+ 79%). These changes have likely been driven by land fragmentation, disturbance, and agricultural intensification. Stakeholder interviews revealed that despite the clear need for restoration, several barriers exist to successful implementation; these stem from inadequate financial resources, inappropriate funding models, institutional challenges, and a lack of techno-scientific knowledge. We give several recommendations to overcome these barriers.

The aquaculture supply chain in the time of covid-19 pandemic: Vulnerability, resilience, solutions and priorities at the global scale

The COVID-19 global pandemic has had severe, unpredictable and synchronous impacts on all levels of perishable food supply chains (PFSC), across multiple sectors and spatial scales. Aquaculture plays a vital and rapidly expanding role in food security, in some cases overtaking wild caught fisheries in the production of high-quality animal protein in this PFSC. We performed a rapid global assessment to evaluate the effects of the COVID-19 pandemic and related emerging control measures on the aquaculture supply chain. Socio-economic effects of the pandemic were analysed by surveying the perceptions of stakeholders, who were asked to describe potential supply-side disruption, vulnerabilities and resilience patterns along the production pipeline with four main supply chain components: a) hatchery, b) production/processing, c) distribution/logistics and d) market. We also assessed different farming strategies, comparing land- vs. sea-based systems; extensive vs. intensive methods; and with and without integrated multi-trophic aquaculture, IMTA. In addition to evaluating levels and sources of economic distress, interviewees were asked to identify mitigation solutions adopted at local / internal (i.e., farm-site) scales, and to express their preference on national / external scale mitigation measures among a set of a priori options. Survey responses identified the potential causes of disruption, ripple effects, sources of food insecurity, and socio-economic conflicts. They also pointed to various levels of mitigation strategies. The collated evidence represents a first baseline useful to address future disaster-driven responses, to reinforce the resilience of the sector and to facilitate the design reconstruction plans and mitigation measures, such as financial aid strategies.

Twitter usage during global pandemic and corporate reputation in Nigeria

This study is a meta-analysis of empirical studies in social media strategies and reputation research. The research goal is to give a clearer idea of the broad directions and paradigm shifts in Twitter usage discourse over the years. Its major goal is to examine thematic trends, theoretical framework and methodology that have characterized the discourse. Sixty relevant articles were identified, coded and content-analyzed. Findings revealed that dominant themes include stakeholder perceptions of communication strategies, social network sites, dynamics of global pandemic (i.e Covid-19 pandemic) and corporate reputation. Also, experiment, case study and survey are the dominant research methods that characterize research in this discourse. Findings also revealed large domination of the Situational Crisis Communication Theory (SCCT) and the Image Repair Theory. However, research in this area lacks significant empirical evidence from Africa and Nigeria in particular, where the global pandemic seems to be a recurring phenomenon. The majority of the reviewed journal articles were conducted in the Western clime, with little attention on Africa. Scholarship needs to move beyond this point to provide a holistic and balanced view on the crisis by exploring cases in Africa and particularly, in Nigeria. This gap will provide an opportunity for understanding the global pandemic (i.e. Covid-19) dynamics in Africa and will further determine whether findings can be consistent across the world.

Social dimensions of a forest-based bioeconomy: A summary and synthesis

How perceptions of the forest-based bioeconomy differ across country contexts and social groups is important as it opens possibilities for the development of more inclusive, locally and socially relevant bioeconomy policies and strategies. Therefore, this special section explores the social dimensions of the forest-based bioeconomy by focusing on discourses and perceptions of different actor groups in Europe. We introduce six articles that range from review and discursive approaches to consumer studies. The section adds to the existing literature by focusing not only on political decision makers, stakeholders, and experts but also on the public, media and students. Patterns in the presented discourses and perceptions can be identified but more is needed to validate these and respond to the question of representativeness.

Coastal Stakeholders' Perceptions of Sea Level Rise Adaptation Planning in the Northern Gulf of Mexico

Planning for sea level rise (SLR) is a complex process that involves scientific uncertainty and local and regional political tradeoffs. As part of a 6-year transdisciplinary research project in the northern Gulf of Mexico, we conducted focus groups with coastal stakeholders (natural resource managers, community planners, and environmental communicators) to gain a better understanding of their planning and adaptation activities for SLR. This paper reports on participants' perceptions about adaptation and their current adaptation activities and strategies. While stakeholders were concerned about SLR and thought adaptation had challenges, they still shared optimism and a commitment to planning. The findings identify different types of SLR adaptation initiatives in which participants were involved as well as types of perceived barriers to adaptation planning, and major recommended strategies to address them. The paper concludes with a discussion of findings, connections to related SLR adaptation literature, practical implications for coastal resiliency, and directions for future research.

Achieving water security in rural Indian Himalayas: A participatory account of challenges and potential solutions

The complex and diverse factors that influence water security in the Indian Himalayan Region were examined using problem and solution tree (PAST) mapping together with a field study. Five PASTs, each constructed by a different group of stakeholders, namely the state government, the local government, researchers, development agencies, and the local community, were analysed to obtain a holistic and multi-sectoral understanding of water security in the region, and the analysis was supplemented with field data. The systematic study helped in (1) identifying many factors - climatic, geographical, cultural, and socio-economic - that influence water security, (2) assessing their impacts on mountain livelihoods, and (3) documenting thirty-two potential interventions in the form of adaptations (e.g. springshed management programme) and coping strategies (e.g. buying water from informal water markets) to strengthen water security. These strategies followed three main themes namely conserving water resources, improving rural livelihood and sustainable infrastructure development and risk management. The study also helped in building a shared sense of understanding, purpose, and action between the diverse groups of stakeholders. The study suggests that ensuring water security in rural mountain areas requires holistic and multi-sectoral policies, which should be developed by including all actors in the network of stakeholders; that local conditions be given utmost importance in the policy planning cycle (e.g. focus on springs in mountains); and that cultural landscape and local identities be closely examined to reduce the inequalities in access to resources.

A conceptualisation framework for building consensus on environmental sensitivity

Examination of the intrinsic attributes of a system that render it more or less sensitive to potential stressors provides further insight into the baseline environment. In impact assessment, sensitivity of environmental receptors can be conceptualised on the basis of their: a) quality status according to statutory indicators and associated thresholds or targets; b) statutory protection; or c) inherent risk. Where none of these considerations are pertinent, subjective value judgments can be applied to determine sensitivity. This pragmatic conceptual framework formed the basis of a stakeholder consultation process for harmonising degrees of sensitivity of a number of environmental criteria. Harmonisation was sought to facilitate their comparative and combined analysis. Overall, full or wide agreement was reached on relative sensitivity values for the large majority of the reviewed criteria. Consensus was easier to reach on some themes (e.g. biodiversity, water and cultural heritage) than others (e.g. population and soils). As anticipated, existing statutory measures shaped the outcomes but, ultimately, knowledge-based values prevailed. The agreed relative sensitivities warrant extensive consultation but the conceptual framework provides a basis for increasing stakeholder consensus and objectivity of baseline assessments. This, in turn, can contribute to improving the evidence-base for characterising the significance of potential impacts.

Health system support and health system strengthening: two key facilitators to the implementation of ambulatory tuberculosis treatment in Uzbekistan

Uzbekistan inherited a hospital-based health system from the Soviet Union. We explore the health system-related challenges faced during the scale-up of ambulatory (outpatient) treatment for drug-susceptible and drug-resistant tuberculosis (TB) in Karakalpakstan in Uzbekistan. Semi-structured interviews were conducted with key informants of the TB services, the ministries of health and finance, and their TB control partners. Structural challenges and resource needs were both discussed as obstacles to the expansion of ambulatory TB treatment. Respondents stated need for revising the financing mechanisms of the TB services to incentivize referral to ambulatory TB treatment. An increased workload and need for transportation in ambulatory TB care were also pointed out by respondents, given the quickly rising outpatient numbers but per capita financing of outpatient care. Policy makers showed strong interest in good practice examples for financing ambulatory-based management of TB in comparable contexts and in guidance for revising the financing of the TB services in a way that strengthens ambulatory TB treatment. To facilitate changing the model of care, TB control strategies emphasizing ambulatory care in hospital-oriented health systems should anticipate health system support and strengthening needs, and provide a plan of action to resolve both. Addressing both types of needs may require not only involving TB control and health financing actors, but also increasing knowledge about viable and tested financing mechanisms that incentivize the adoption of new models of care for TB.

Exploring readiness for the adoption of new molecular water quality tests: Insights from interviews with policy makers, laboratory managers and watershed managers

Adoption of molecular-based water quality tests has been limited despite their advantage over traditional culture-based tests. A better understanding of the factors affecting adoption of these tests is needed for effective implementation. The Consolidated Framework for Implementation Research (CFIR) was used to analyze interviews with policy makers, watershed managers and laboratory managers in British Columbia (BC), Canada about their perceptions of molecular water tests currently under development in order to assess readiness for adoption and identify factors that may impact implementation. Many of the CFIR constructs were addressed by study participants, thus confirming their validity in the water-testing context. Other constructs were not mentioned, which suggests that awareness about these constructs need to be increased to ensure that they are incorporated into implementation strategies. In general, there was much enthusiasm for the new tests, which were seen to provide valuable information that could enable improved management of watersheds and treatment of source water. However, prior to adopting the tests, stakeholders would require evidence supporting the tests' validity and reliability, would need to assess the complexity of introducing the tests into laboratories and water sampling processes, and would require support interpreting the test results. Even if all the aforementioned issues are satisfactorily addressed, the tests may not be adopted unless regulations and policies were changed to allow the use of these test results to inform decision making. The results support that implementation of new technologies, such as these water quality tests, need to address potential barriers that could hinder uptake despite the advantages of the new product.

Initial perceptions of key stakeholders in Ontario regarding independent prescriptive authority for pharmacists

BACKGROUND

A number of jurisdictions, both in Canada and internationally, have recently expanded pharmacists' scope of practice to allow prescriptive authority.

OBJECTIVE

To ascertain the initial perceptions of the Ontario government and health professional stakeholder groups regarding the prospect of prescriptive authority for pharmacists.

METHODS

Qualitative research methods were used; data sources were policy documents and semi-structured interviews with key informants from the Ontario government and pharmacy and medical professional organizations. Purposive and snowball sampling strategies were used to identify 17 key informants. Fifty-one relevant policy documents were retrieved through searches of organizational websites and interviewee suggestions. Interview transcripts and documents were content analyzed independently by 2 researchers; and once consensus was achieved on key themes, the primary investigator analyzed the remainder.

RESULTS

Pharmacy organizations and Ontario government representatives both expressed support for pharmacist prescriptive authority, suggesting that it would enhance patient access to primary care. Medical organizations were opposed to this expanded pharmacist role, arguing that pharmacists' lack of training and experience in diagnosis and prescribing would endanger patient safety. Other concerns were fragmentation of care and pharmacists' lack of access to patient clinical information. Some government and pharmacy informants felt that pharmacist prescribing would decrease health system costs through substitution of cheaper health professionals for physicians, while others felt that costs would increase due to increased utilization of services. Medical organizations preferred delegated medical authority as the policy alternative to pharmacist prescribing.

CONCLUSIONS

Widely different views were expressed by the Ontario government and pharmacy organizations on the one hand and medical professional organizations on the other hand, regarding the potential impact of pharmacist prescribing on patient safety and access to primary care. This is likely due, at least in part, to the lack of evidence on the expected impact of this expanded pharmacist role. More research is needed to help inform discussions regarding this issue.