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We see clearly that Aotearoa New Zealand's health system is built on the evidence-based medicine/practice movement (which Keith (1987) refers to as science), which is assumed to solve the ethical dilemmas health professionals face of where to focus their attention. However, the discourse of science privileges biomedical-pharmaceutical knowledge and has not led to enhanced healthcare in terms of reduced health and socio-economic disparities, including the number of children living in poverty. Evidence - science if you will - has typically been directed to service delivery at a secondary and tertiary level, leaving the advancement of the right to health lagging.

Background Programmatic and financial sustainability of health responses dependent on donor funding has risen as a major concern. In the HIV field in particular, it generated a number of instruments and assessments on sustainability and processes related to donor transition planning. The authors aimed to develop an instrument specific to opioid agonist therapy (OAT) programs as they were addressed only marginally by the HIV-specific assessments. Methods The development of the OAT sustainability instrument used desk review of existing HIV sustainability concepts and tools, an International Advisory Board, and piloting to validate the instrument. Results The new OAT sustainability instrument is comprised of the three parts: the conceptual framework, methodological guidelines and a practical implementation tool for assessing the degree of OAT sustainability at the country level. It measures sustainability in the three broad areas for sustainability measuring–Policy & Governance; Finance & Resources; and Services. The selection of indicators and their composites for the three sustainability areas extensively used the United Nations and World Health Organization’s guidance on health system building blocks, on care and HIV and viral hepatitis prevention among people using opioids and for opioid dependence, and the definition of access to health framed by the United Nations Convent on Economic, Social and Cultural Rights. The instrument’s methodological guidelines require the engagement of a national consultant to conduct desk review, key informant interviews and focus groups for measuring discrete milestones and adding qualitative information for interpretation of the data, progress and opportunities. The guidelines advise engaging a country-specific multi-stakeholder advisory group for planning, validation and follow-up of the assessment. The pilot of the instrument in 3 countries in 2020 validated it and required minor adjustments in the instrument. By mid-2023, the instrument has been successfully applied in 5 countries. Conclusions The developed instrument enables a comprehensive review of the resilience of OAT programs and their ability to scale up and to inform a roadmap for improved sustainability. While developed in the context of Eastern Europe and Central Asia, it has been reviewed by a global advisory panel and could be easily adapted outside this regional context.

BackgroundTo investigate attitudes of staff, residents and family members in long-term care towards sex and intimacy among older adults, specifically the extent to which they conceptualise sex and intimacy as a need, a right, a privilege or as a component of overall well-being.MethodsThe present study was a part of a two-arm mixed-methods cross-sectional study using a concurrent triangulation design. A validated survey tool was developed; 433 staff surveys were collected from 35 facilities across the country. Interviews were conducted with 75 staff, residents and family members.ResultsIt was common for staff, residents and family members to talk about intimacy and sexuality in terms of rights and needs. As well as using the language of needs and rights, it was common for participants to use terms related to well-being, such as fun, happiness or being miserable. One participant in particular (a staff member) described receiving intimate touch as a ‘kind of care’—a particularly useful way of framing the conversation.ConclusionWhile staff, residents and family frequently used the familiar language of needs and rights to discuss access to intimate touch, they also used the language of well-being and care. Reframing the conversation in this way serves a useful purpose: it shifts the focus from simply meeting minimum obligations to a salutogenic approach—one that focuses on caring for the whole person in order to improve overall well-being and quality of life.

Emerging research highlights that the pandemic has exacerbated gendered inequities for academic women. These disparities prior to COVID-19 included a significant gender pay gap, and women channelled into administrative, teaching, and pastoral care roles that are not recognised with career advancement and remuneration compared to research routes much more readily facilitated for and by male colleagues. Using a collaborative auto-ethnographic approach we reflect on our experiences of emotional labour in supporting nursing students throughout the Covid-19 pandemic and the invisibility of this crucial work within academia. We noted that the patriarchal construction of academia remains present and highly visible to the detriment of many female career trajectories.

Globally, punitive drug control upholds racist and colonial structures. Marginalised and racialised communities, including Indigenous peoples, are disproportionately targeted and affected by punitive drug policy in law enforcement, judicial and carceral systems, and policy implementation. Power imbalances also exist at the international level, with high income countries exerting influence over drug policy in low- and middle-income countries. This paper examines that influence through financial and material aid, technical assistance, capacity building, education and awareness campaigns and the interaction between the vested interests of the private sector and the State, specifically via the Prison Industrial Complex and land and resource grabbing in conflict and post-conflict contexts. The global war on drugs entrenches power imbalances and reproduces mechanisms of racial control and subordination. To begin to decolonise drug policy, the financial and material basis of these mechanisms must be illuminated and dismantled and this paper offers recommendations on how to move forward (Dangerous Drugs Ordinance, 1923; Carrier et al., 2020).

He iti noa nga rangahau tuhura uauatanga mo nga tapuhi taketake Maori ina paihere i nga whainga ahurea ki roto i nga mahi taurima turoro, i Aotearoa. Ta tenei rangahau he tuhura he pehea te hikoi a nga tapuhi Maori ina hora i te manaakitanga tika a-ahurea ki nga iwi, ki nga hapu me nga whanaw Maori huri noa i nga horopaki manaakitanga hauora huhua. I kawea tetahi rangahau paki taketake kounga hei haukake raraunga. I whakaheretia etahi uiuinga ahua okawa nei ki etahi tapuhi rehita Maori, matanga tapuhi hoki, 12 huia katoatia. I whaia nga tikanga waihanga, whakau i roto i te tatari tahuhu. Kei enei paki he maramatanga mo nga whakaaro ao taketake o nga tapuhi, i puta ake i te tapaetanga horopaki mo o ratou wheako mahinga ngaio. E wha nga tahuhu matua i karawarawatia mai i nga rarunga: te tuakiri Maori; kawenga taumaha; te kaikiritanga; me tauutuutu. I pehia auautia nga matanga Maori kia haere whaka-te-taha i roto i nga ratonga manaakitanga hauora anga ki te tinana me nga mahi takuta anake. I kitea e nga kaimahi etahi tikanga mahi makihuhunu e puta ai pea he he mo nga putanga hauora. Ka pa haere tonu te taupatutapu a-ahurea ki te puritanga i nga tapuhi Maori ki tenei ao mahi. He mea pai ki nga kaimahi Maori o ratou hoamahi o tauiwi e mahi nei hei hoa, e whakau nei i te taurimatanga i ata tareia mo ngai Maori.

The number of self-employed registered nurses (RNs) in 2018, the year of data collection for this study, was 1.8% of the total nursing population (Nursing Council of New Zealand, 2019). The Nursing Council of New Zealand (NCNZ) (2007) competencies for professional advice and policy provide a helpful structure and starting point for nurses considering or entering this practice area and include, but are not limited to, project manager, nurse consultant, policy analyst and quality advisor. The predominant focus of nursing research is clinical practice and nursing education and while there is a dearth of empirical research pertaining to nurses who work in the practice area of policy, there are two exemplars of policy research. The participants had all previously been hospital employees and once in self-employment found themselves balancing a business focus with nursing values, which created fnancial precarity and at times, isolation.

Farmers’ interest in renewable raw materials such as hemp (Cannabis sativa L.) fibres has recently increased, but hemp productivity is strongly affected by genotype and environment conditions. A 3-year field experiment was conducted under Mediterranean environment in northern Greece to evaluate the productivity (regarding fibres and seeds) of six monoecious hemp varieties. The vars. Futura 75 and Bialobrzeskie provided the greatest (p < 0.01) fibre productivity (4.57 and 4.27 t ha−1, respectively), which were 77.1% and 65.5%, respectively, greater than that of the least productive var. Fedora 17. However, the vars. Santhica 27, Tygra and Bialobrzeskie provided the highest (p < 0.05) seed yield (2.7, 2.9 and 2.6 t ha−1, respectively), which were 28.6%, 38.1% and 23.8%, respectively, greater than that of the least productive var. Futura 75. Hemp fibre yield was strongly positively correlated with total biomass (R2 = 0.8612) and stem biomass yield (R2 = 0.9742), while it was inversely correlated with fibre strength (R2 = 0.424). Hemp seed yield was not correlated with the hemp plant density, height, total biomass or stem biomass yield. The six hemp genotypes evaluated in the study had Δ9-tetrahydrocannabinol (THC) content lower than 0.2% satisfying the European legislation requirements for industrial hemp varieties. The results of the study indicated that, under Mediterranean conditions (northern Greece), the var. Bialobrzeskie showed high productivity, as averaged across years, for both fibres and seeds. This result is very helpful for farmers which should prefer hemp varieties of dual-purpose production (stems and inflorescences or stems and seeds) adapted best to their local environment.