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The application of a geographic information system (GIS) in public health is relatively common in Bangladesh. However, the use of GIS for planning, monitoring and decision-making by local-level managers has not been well documented. This assessment explored how effectively local government health managers used maps with spatial data for planning, resource allocation and programme monitoring. The United States Agency for International Development-funded MaMoni Health Systems Strengthening project supported the introduction of the maps into district planning processes in 2015 and 2016. GIS maps were used to support the prioritisation of underserved unions (the lowest administrative units) and clusters of disadvantaged communities for the allocation of funds. Additional resources from local government budgets were allocated to the lowest performing unions for improving health facility service readiness and supervision. Using a mixed-methods approach, the project evaluated the outputs of this planning process. District planning reports, population-based surveys, local government annual expenditure reports and service availability and utilisation data were reviewed. The goal was to determine the degree to which district planning teams were able to use the maps for their intended purpose. Key informant interviews were conducted with upazila (subdistrict) managers, elected government representatives and service providers to understand how the maps were used, as well as to identify potential institutionalisation scopes. The project observed improvements in health service availability and utilisation in the highest priority unions in 2016. Quick processing of maps during planning sessions was challenging. Nevertheless, managers and participants expressed their satisfaction with the use of spatial analysis, and there was an expressed need for more web-based GIS both for improving community-level service delivery and for reviewing performance in monthly meetings. Despite some limitations, the use of GIS maps helped local health managers identify health service gaps, prioritise underserved unions and monitor results.

A bstract Prioritising sustainable development goals (SDGs) is one of the fundamental approaches to achieving global sustainability objectives, as it helps efficient resource allocation, addresses urgent needs, enhances policy coherence, and measures impact. Despite existing efforts, there remains an unclear understanding of the key factors needed for effective SDG prioritisation, presenting challenges for strategic planning and decision-making. This study provides an evidence-based analysis of these critical factors by examining relevant literature, conducting surveys, and employing Analytical Hierarchy Process (AHP)-based Multi-Criteria Decision Analysis (MCDA). The study identifies four primary factors for SDG prioritisation: SDG interrelations, performance, scope, and alignment. The findings confirm that national prioritisation have more priority compared to global, regional, and sub-national systems, and that prioritisation is more valuable at the indicator level rather than at the goal or target levels. Additionally, prioritisation should initially focus on off-track SDGs. Notably, academia ranks SDG prioritisation based on relationships and performance highly, while government officials emphasise alignment and relevance. Moreover, the results indicate that academia prefers target-level prioritisation, while government officials lean towards indicator level. However, both groups favour national scale over global and regional scales.

This research paper presents a detailed investigation into the morphometric characteristics of sub-basins within the Naama region of Algeria, aiming to prioritize areas vulnerable to soil erosion and runoff risks. Focusing on five key sub-basins that collectively represent 75% of the Wilaya of Naama, the study employs a comprehensive methodological framework, integrating morphometric analysis (MA), weighted sum analysis (WSA), principal component analysis (PCA), and the novel approach of compositional data analysis (CoDA). Through the rigorous evaluation of sixteen distinct morphometric parameters selected based on their relevance to hydrological and geomorphological processes that influence erosion and runoff, this research provides a nuanced understanding of the factors influencing erosion susceptibility within each sub-basin. The analysis reveals a clear hierarchy of sub-basins based on their calculated compound parameters, effectively classifying them into high, moderate, and low priority categories for targeted intervention and resource allocation. The results highlight the Ain Sefra and Wadi Er Rosafa sub-basins as the highest priority areas, collectively encompassing 31.51% of the wilaya and posing the most significant threats of runoff and soil erosion. This identification allows for the prioritization of conservation efforts and the implementation of tailored management strategies in these critical areas. Furthermore, the integration of multiple prioritization approaches, including the innovative application of CoDA, ensures a robust and comprehensive assessment of the sub-basin landscapes. This multi-faceted approach provides a more nuanced understanding of the complex interplay between various morphometric parameters and their influence on erosion and runoff potential. The findings of this research have significant implications for sustainable land and water resource management within the Naama region. By identifying and prioritizing vulnerable sub-basins, the study provides a crucial foundation for informed decision-making, enabling stakeholders to implement targeted interventions and mitigate the detrimental impacts of soil erosion and excessive runoff. Moreover, the methodological framework presented in this research paper offers a valuable blueprint for similar studies in other regions facing comparable challenges. The cost-effective and time-efficient nature of the approach makes it a practical tool for prioritizing erosion and runoff risks in arid and semi-arid environments worldwide, contributing to the broader goals of environmental sustainability and land degradation neutrality.

Scarcity of healthcare resources requires prioritisation decisions that raise complex ethical, economic, and social challenges. While normative frameworks provide guidance on how such decisions ought to be made, growing evidence suggests that individuals differ substantially in how they approach morally charged allocation choices. This study investigates heterogeneity in decision-making styles and support for healthcare prioritisation criteria using an interdisciplinary approach that integrates health economics, social psychology, and computational methods to identify latent decision-making profiles among a sample of adults residing in Portugal. Data were collected from adults residing in Portugal using a structured online questionnaire comprising socio-demographic characteristics, decision-making styles, and preferences elicited through twenty hypothetical healthcare rationing scenarios. The results reveal three meaningful decision-making profiles characterised by different combinations of cognitive styles and ethical prioritisation patterns: analytically oriented decision-makers prioritising health gains; intuitive, context-sensitive decision-makers balancing clinical and social criteria; heuristic-driven decision-makers relying on simpler or less differentiated heuristics. These findings demonstrate that, within this sample, healthcare prioritisation preferences are shaped by systematic variations in decision style rather than a single moral or rational framework. By linking behavioural heterogeneity with ethical decision-making, this study contributes to theoretical debates on healthcare rationing and demonstrates the value of clustering techniques for uncovering latent structures in complex decision data. The results provide insights relevant for the design of decision-support systems and rationing policies, which may be adapted to accommodate heterogeneous decision styles in comparable settings.

Prioritization is indispensable for the management of biological invasions, as recognized by the Convention on Biological Diversity, its current strategic plan, and specifically Aichi Target 9 that concerns invasive alien species. Here we provide an overview of the process, approaches and the data needs for prioritization for invasion policy and management, with the intention of informing and guiding efforts to address this target. Many prioritization schemes quantify impact and risk, from the pragmatic and action-focused to the data-demanding and science-based. Effective prioritization must consider not only invasive species and pathways (as mentioned in Aichi Target 9), but also which sites are most sensitive and susceptible to invasion (not made explicit in Aichi Target 9). Integrated prioritization across these foci may lead to future efficiencies in resource allocation for invasion management. Many countries face the challenge of prioritizing with little capacity and poor baseline data. We recommend a consultative, science-based process for prioritizing impacts based on species, pathways and sites, and outline the information needed by countries to achieve this. This should be integrated into a national process that incorporates a broad suite of social and economic criteria. Such a process is likely to be feasible for most countries.

Background This is the tenth in a series of papers reporting a program of Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. After more than a decade of research, there is little published evidence of active and successful disinvestment. The paucity of frameworks, methods and tools is reported to be a factor in the lack of success. However there are clear and consistent messages in the literature that can be used to inform development of a framework for operationalising disinvestment. This paper, along with the conceptual review of disinvestment in Paper 9 of this series, aims to integrate the findings of the SHARE Program with the existing disinvestment literature to address the lack of information regarding systematic organisation-wide approaches to disinvestment at the local health service level. Discussion A framework for disinvestment in a local healthcare setting is proposed. Definitions for essential terms and key concepts underpinning the framework have been made explicit to address the lack of consistent terminology. Given the negative connotations of the word ‘disinvestment’ and the problems inherent in considering disinvestment in isolation, the basis for the proposed framework is ‘resource allocation’ to address the spectrum of decision-making from investment to disinvestment. The focus is positive: optimising healthcare, improving health outcomes, using resources effectively. The framework is based on three components: a program for decision-making, projects to implement decisions and evaluate outcomes, and research to understand and improve the program and project activities. The program consists of principles for decision-making and settings that provide opportunities to introduce systematic prompts and triggers to initiate disinvestment. The projects follow the steps in the disinvestment process. Potential methods and tools are presented, however the framework does not stipulate project design or conduct; allowing application of any theories, methods or tools at each step. Barriers are discussed and examples illustrating constituent elements are provided. Conclusions The framework can be employed at network, institutional, departmental, ward or committee level. It is proposed as an organisation-wide application, embedded within existing systems and processes, which can be responsive to needs and priorities at the level of implementation. It can be used in policy, management or clinical contexts.

Prioritization of watersheds is a crucial step in integrated river basin management. It guides resource allocation, planning, decision-making, stakeholder engagement, targeted interventions, and monitoring and evaluation efforts. By identifying and addressing priority watersheds, comprehensive and sustainable management of water resources can be achieved within a river basin. The aim of the current study is to prioritize watersheds using the Soil and Water Assessment Tool (SWAT) and site suitability analysis for the implementation of soil and water conservation structures (SWCS) in the prioritized watersheds by using an analytical hierarchy process (AHP) of the Lower Sutlej Sub-basin, India. The model was calibrated with observed data from 2017 to 2019 with the first 2 years (2015–16) as a warm-up period. Furthermore, validation of the model was done using 2-year data from 2020 to 2021. The model showed successful performance in terms of the R 2 range from 0.72 to 0.89, the NSE range from 0.67 to 0.73, the PBIAS range from − 26.70 to 11.30, and the RSR range from 0.51 to 0.57 for stream flow and sediment yield during calibration and validation period. The basin’s average annual soil loss ranged from 3.08 to 21.63 t/ha/year, a watershed with the WS2 index seeing the highest rate of soil erosion (21.63 t/ha/year). Hence, WS2 was found to be a top priority. In addition, the site suitability analysis of the prioritized watershed (WS2) reveals that about 1.42% of the area is extremely suitable, 16.14% is highly suitable, and 35.58% is moderately suitable for SWCS. According to the site suitability map validation, both dam locations were found in highly suitable areas, so the developed site suitability map is accurate. This research will help sustainability planners and managers make more informed decisions when building SWCS at suitable sites for better land and water conservation.

The increasing demand for high-speed, reliable, and fair network services in multi-gigabit-wide area networks (WANs) has necessitated the development of advanced bandwidth allocation mechanisms. This paper proposes a Fair and QoS-Aware Dynamic Bandwidth Allocation (FQ-DBA) algorithm designed to address the dual challenges of fairness and Quality of Service (QoS) prioritisation in multi-gigabit networks. FQ-DBA dynamically allocates bandwidth to ensure equitable distribution among users while meeting the stringent QoS requirements of high-priority traffic, such as VoIP and video streaming. The algorithm integrates traffic classification, fairness enforcement, and QoS-aware allocation to optimise network performance. Simulation results demonstrate that FQ-DBA achieves a high fairness index, meets QoS guarantees, and maximises throughput while minimising latency. The proposed framework is scalable, energy-efficient, and compatible with existing network protocols, making it a promising solution for next-generation WANs.

Forest fire is one of the key drivers of forest degradation in Nepal. Most of the forest fires are human-induced and occur during the dry season, with ~89% occurring in March, April and May. The inaccessible mountainous terrain and narrow time window of occurrence complicate suppression efforts. In this paper, forest fire patterns are analysed based on historical fire incidence data to explore the spatial and temporal patterns of forest fires in Nepal. Three main factors are involved in the ignition and spread of forest fires, namely fuel availability, temperature and ignition potential. Using these factors a spatially distributed fire risk index was calculated for Nepal based on a linear model using weights and ratings. The input parameters for the risk assessment model were generated using remote sensing based land cover, temperature and active fire data, and topographic data. A relative risk ranking was also calculated for districts and village development committees (VDCs). In total, 18 out of 75 districts were found with high risk of forest fires. The district and VDC level fire risk ranking could be utilised by the Department of Forest for prioritisation, preparedness and resource allocation for fire control and mitigation.