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Edited by
Daniel Benoliel, University of Haifa, Israel,Peter K. Yu, Texas A & M University School of Law,Francis Gurry, World Intellectual Property Organization,Keun Lee, Seoul National University
This chapter examines distributive justice (DJ) within the realm of international intellectual property (IP) laws, focusing on the digital era. It highlights DJ as a critical lens for understanding global IP laws, particularly where technology significantly influences the processes of creation. It also emphasizes the importance of global equity in achieving access to IP rights, within a comprehensive understanding of their scope. The United Nations Sustainable Development Goals focus on the context of peace, prosperity, and equality, though not explicitly centered on IP rights. Consequently, there is a need to redefine IP rights not only to address legal uncertainties but also to foster global equality. Moreover, the chapter delves into the roles of international entities like the World Intellectual Property Organization (WIPO) in managing challenges where global DJ and IP intersect. It highlights the importance of digital tools (e.g., blockchain) for authenticating original authors. The chapter asserts that proficient and reliable international organizations like WIPO are best suited to address these challenges. Furthermore, the chapter underscores the significance of an unbiased global investment system for promoting universal progress and equity. Ultimately, it explores how WIPO’s tools, such as WIPO Re:Search and WIPO Proof, exemplify DJ in the international IP framework.
Sleep is a topic of scientific and technological relevance, as it is closely related to cognition, emotional well-being, and human health. In addition, health-related geopolitical and social changes have significant implications for sleep research, which in turn is linked to the sustainable development goals (SDGs). An integrative review is conducted to analyze multidisciplinary studies in the field of sleep, considering the socioecological model of sleep health and the SDGs. Sleep was found to play a key role in promoting several SDG: (1) Social and economic inclusion: sleep is linked to poverty eradication, food security, reducing inequalities, and promoting peace and justice; (2) Promoting well-being and quality of life: sleep quality directly affects health, education, gender equality, environmental protection, and combating climate change; (3) Economic and environmental sustainability: Adequate sleep contributes to decent work, innovation, infrastructure, responsible consumption, sustainable communities and collaboration through partnerships. This thematic organization provides an overview of the different aspects of the intersection between sleep health disparities and the SDG.
The Sustainable Development Goals (SDG) are at the core of the development agenda. Despite their wide adoption, it is still unclear the extent to which they can provide insights on environmental sustainability. The paper presents an assessment of the potential of the indicators used in the SDGs to track environmental sustainability. The results show that only a few SDG indicators describe the state of the environment, and those that do so, do not, generally, have science-based targets that describe whether environmental sustainability conditions are met. The latter aspect should be reinforced in framework that will replace the SDGs after 2030.
Technical summary
The Sustainable Development Goals (SDG) are at the core of the development agenda. Despite their wide adoption, it is still unclear whether they can be used to monitor environmental sustainability, if this is to be understood from a strong sustainability perspective. The paper presents an assessment of the adequacy of the indicator sets used by United Nations, Eurostat, OECD, and the Sustainable Development Solutions Network for strong sustainability monitoring. The results show that most environmental indicators do not have science-based environmental standards that reflect whether natural capital meets environmental sustainability conditions, thereby preventing their use as strong sustainability indicators. While meeting the SDGs would likely contribute to improving environmental performance, on their own they are not adequate to monitor progress toward it. Complementary scientifically grounded metrics are needed to track the underlying state of natural capital that provides non-substitutable functions. The strong sustainability dimension within the SDGs will need to be strengthened in post-2030 sustainable development monitoring framework.
Social media summary
The Sustainable Development Goals are insufficient to monitor environmental sustainability.
Neuropsychological assessment of preschool children is essential for early detection of delays and referral for intervention prior to school entry. This is especially pertinent in low- and middle-income countries (LMICs), which are disproportionately impacted by micronutrient deficiencies and teratogenic exposures. The Grenada Learning and Memory Scale (GLAMS) was created for use in limited resource settings and includes a shopping list and face-name association test. Here, we present psychometric and normative data for the GLAMS in a Grenadian preschool sample.
Methods:
Typically developing children between 36 and 72 months of age, primarily English speaking, were recruited from public preschools in Grenada. Trained Early Childhood Assessors administered the GLAMS and NEPSY-II in schools, homes, and clinics. GLAMS score distributions, reliability, and convergent/divergent validity against NEPSY-II were evaluated.
Results:
The sample consisted of 400 children (190 males, 210 females). GLAMS internal consistency, inter-rater agreement, and test-retest reliability were acceptable. Principal components analysis revealed two latent factors, aligned with expected verbal/visual memory constructs. A female advantage was observed in verbal memory. Moderate age effects were observed on list learning/recall and small age effects on face-name learning/recall. All GLAMS subtests were correlated with NEPSY-II Sentence Repetition, supporting convergent validity with a measure of verbal working memory.
Conclusions:
The GLAMS is a psychometrically sound measure of learning and memory in Grenadian preschool children. Further adaptation and scale-up to global LMICs are recommended.
Rapid population growth in urban areas requires an effective transposition of sustainable development goals to the urban realm, for which the New Urban Agenda was adopted by most countries worldwide. The progress report of its implementation was discussed in this study to identify strengths and weaknesses in the process that assist nations in the design and application of effective actions to achieve a more sustainable urban development.
Technical summary
The adoption of the 2030 Agenda represents a daunting challenge for countries worldwide, which found its continuation in the New Urban Agenda (NUA) geared predominantly toward urban settlements. Although the achievement of the sustainable development goals (SDGs) has been widely monitored by global and national institutions, the progress of the NUA has not been properly addressed to date. With the purpose of filling this gap, this study aims to gauge the implementation level of the NUA through the analysis of all status reports issued hitherto by countries, on the basis of the reporting template designed to this effect by the United Nations. Findings revealed the scarce attention paid to report national progress on the application of the NUA, particularly marked in the most developed economies. Reporting guidelines showed a poor coverage of the SDGs, being mostly focused on a limited number of these as well as the institutional and economic dimensions. The low level of NUA implementation and the questionable effectiveness of the reporting framework for monitoring are main conclusions. Some recommendations were lastly suggested to enhance the application process of the NUA.
Social media summary
Most countries worldwide show little interest in the application of the New Urban Agenda.
This study was conducted to provide empirical evidence of geographical variations of neonatal mortality and its associated social determinants with a view to improving neonatal survival at the subnational level in Nigeria. With a combination of spatial analysis and artificial intelligence techniques, this study analysed data from the 2016/2017 Nigeria Multiple Indicator Cluster Survey. The analysis focused on the neonatal period of a weighted national representative population of 30,924 live births delivered five years before the survey commencement. Global Moran’s I index and local indicator of spatial autocorrelation cluster maps were used to determine hot and cold spots. A multilayer perceptron neural network was used to identify the key determinants of neonatal mortality across the states and geopolitical zones in Nigeria. The overall neonatal mortality rate was 38 deaths per 1000 live births. There is evidence of geographic clustering of neonatal mortality across Nigeria (worse in the North-Central and North-West zones), majorly driven by poor maternal access to mass media (which plays a critical role in promoting positive health behaviours), short birth interval, a higher position in a family birth order, and young maternal age at child’s birth. This study highlights the need for a policy shift towards implementing state and region-specific strategies in Nigeria. Gender-responsive, culturally, and regionally appropriate reproductive, maternal, and child health-targeted interventions may address geographical inequity in neonatal survival.
This chapter examines the politics of global poverty, inequality and development. The first section provides the background for our analysis of global poverty and inequality. Any meaningful discussion of poverty and inequality necessarily has to be in relation to development – which, as we show, is itself contested in theory and practice. The second section provides an outline of a relational perspective of global development. The third section focuses on the United Nations’ 2030 Sustainable Development Goals (SDGs) agenda. We conclude with some critical observations about the political significance of the relationship between development, poverty and inequality.
The study assessed mothers, children and adolescents’ health (MCAH) outcomes in the context of a Primary Health Care (PHC) project and associated costs in two protracted long-term refugee camps, along the Thai-Myanmar border.
Background:
Myanmar refugees settled in Thailand nearly 40 years ago, in a string of camps along the border, where they fully depend on external support for health and social services. Between 2000 and 2018, a single international NGO has been implementing an integrated PHC project.
Methods:
This retrospective study looked at the trends of MCAH indicators of mortality and morbidity and compared them to the sustainable development goals (SDGs) indicators. A review of programme documents explored and triangulated the evolution and changing context of the PHC services, and associated project costs were analysed. To verify changes over time, interviews with 12 key informants were conducted.
Findings:
While maternal mortality (SDG3.1) remained high at 126.5/100,000 live births, child mortality (SDG 3.2) and infectious diseases in children under 5 (SDG 3.3) fell by 69% and by up to 92%, respectively. Maternal anaemia decreased by 30%; and more than 90% of pregnant women attended four or more antenatal care visits, whereas 80% delivered by a skilled birth attendant; caesarean section rates rose but remained low at an average of 3.7%; the adolescent (15–19 years) birth rate peaked at 188 per 1000 in 2015 but declined to 89/1000 in 2018 (SDG 3.7).
Conclusion:
Comprehensive PHC delivery, with improved health provider competence in MCAH care, together with secured funding is an appropriate strategy to bring MCAH indicators to acceptable levels. However, inequities due to confinement in camps, fragmentation of specific health services, prevent fulfilment of the 2030 SDG Agenda to ‘Leave no one behind’. Costs per birth was 115 EURO in 2018; however, MCAH expenditure requires further exploration over a longer period.
Environmental violence encompasses both the violence between humans and the Earth, and the violence that humans perpetrate on each other through the Earth. The concept of Sustainable Development, while aimed at improving both the human–Earth relationships and the relationships between humans, has problematic historical baggage: It is rooted in a Western idea of development, which is imbued in violence against various non-Western peoples and is perpetuating controversial takes on economic growth and appropriate technology. This renders the concept of Sustainable Development questionable, adding complications to the realization of its many, at times contradicting, goals. This chapter discusses issues in the concept of Sustainable Development and its implementation, suggesting a shift to the pursuit of a different concept: Sustainable Life.
The United Nations’ Agenda 2030 provides a framework of 17 Sustainable Development Goals (SDGs) to achieve peace and prosperity for people and planet, now and into the future(1). The United Nations Decade of Action on Nutrition emphasises that food and nutrition are key levers for optimising both human and planetary health and that individuals working in food, nutrition and health play an essential role in contributing to the SDGs(2,3). This project aimed to (i) map the work being done by staff and higher degree students at Monash University’s Department of Nutrition, Dietetics and Food and its alignment with the SDGs, and (ii) assess the impact of this process on workforce capacity to embed the SDGs in future work activities. Three mapping workshops; one pilot, one in-person and one online, were conducted (n = 28), beginning with a short expert-led seminar about the SDGs before participants engaged in an interactive activity to record their work activities (research, education or engagement) relating to the SDGs. Mapping data were analysed to determine which SDGs were being prioritised and in what type of activities. To determine the impact on workforce capacity, participants completed pre- and post-workshop surveys that assessed their knowledge of and confidence regarding the SDGs. From the three workshops, 129 work activities were described, each linked to one or more of the SDGs. Of those, 41% were education, 36% were research, and 23% were engagement activities. Work activities spanned all 17 of the SDGs, with the most commonly aligned being Goal 3 Good Health and Wellbeing (53% of work activities), Goal 10 Reduced Inequalities (37% of work activities), Goal 4 Quality Education (36% of work activities), Goal 12 Responsible Consumption and Production (34% of work activities), and Goal 17 Partnerships for the Goals (27% of work activities). The pre- and post-workshop surveys indicated increased staff knowledge and confidence related to the SDGs. The percentage of participants that could correctly identify the number of SDGs increased from 43% to 96%, and the percentage of participants that recognised the correct aim of the SDGs increased from 43% to 86%. Regarding confidence in talking about the SDGs, the percentage of staff who indicated that they ‘avoid talking about them’ or are ‘not confident’ decreased from 39% to 4%, and the number of staff who were confident talking about the SDGs ‘in general terms’ increased from 39% to 75%. Nutrition professionals are well-placed to support progress towards each of the SDGs. Workshops such as these provide an opportunity to increase workforce capacity to discuss, share and relate their work to the SDGs and provide a periodic pulse-check to identify opportunities for greater contribution to this urgent, global Agenda.
Globally, mental disorders account for almost 20% of disease burden and there is growing evidence that mental disorders are socially determined. Tackling the United Nations Sustainable Development Goals (UN SDGs), which address social determinants of mental disorders, may be an effective way to reduce the global burden of mental disorders. We conducted a systematic review of reviews to examine the evidence base for interventions that map onto the UN SDGs and seek to improve mental health through targeting known social determinants of mental disorders. We included 101 reviews in the final review, covering demographic, economic, environmental events, neighborhood, and sociocultural domains. This review presents interventions with the strongest evidence base for the prevention of mental disorders and highlights synergies where addressing the UN SDGs can be beneficial for mental health.
Along with the establishment of values and belief systems, the early years, from birth to 12 years, are increasingly recognised as the crucial time in which the foundations for life are laid, with significant consequences for educational success, resilience and future participation in society. The formative years are the years in which the capacity for carers and educators to make a difference can and does have profound effects. Carers and educators need specialist preparation because they are required to promote and teach health and wellbeing and to have the skills and knowledge to understand and manage the plethora of issues related to young children. Around the world, including in Australia, early years education is undergoing significant reform as the potential for educators to improve children’s quality of life is better understood. These reforms herald health and wellbeing as central constructs of this agenda. This chapter explores the concepts of health and wellbeing and shares some of the initiatives that have put health and wellbeing on the agenda for early years learners in contemporary times.
As will become evident through the course of this chapter, development in its human rights context is primarily a value that translates into individual and communal well-being. This well-being may be linked to industrial or other financial development, although the correlation between the two is neither self-evident nor necessary. If this right to well-being is to make a difference in the lives of people, whether in poor or rich nations, it must be susceptible to quantifiable measurement through which one is able to assess its progress and realisation. In the last decade experts have developed a list of detailed indicators which allow us to assess well-being more accurately. At the same time, wealthy nations have abandoned ad hoc unilateral efforts to assist their poorer neighbours to escape perpetual cycles of poverty by entering into institutionalised multilateral commitments to contribute part of their annual earnings to developmental goals. These goals are also vigorously pursued by multilateral development banks, such as the World Bank and the African Development Bank.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
Decent work and economic growth benefits greatly from a healthy population. In this vein, health policy itself can promote improved work and employment by making health sectors better employers. There are a range of opportunities to improving the quality of jobs and reducing inequalities, beginning with addressing particular management behaviors in particular units, to strong and well enforced antidiscrimination law, to paying a higher minimum wage. The political difficulty of making such adjustments, especially in the eyes of managers and policy makers, take the form of added costs to organizations and reduced pay differentials that benefit higher paid workers. The goal is thus to focus efforts on political actors such as unions and civil society that will support SDG8. A case study of Romania presents an overview of policy actions taken to address health workforce shortages, by tackling issues related to recruitment, retention and international mobility of health workers.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
Education has become the principal pathway to good health, financial security, stable employment, and social success. Due to the fact that education is strongly associated with life expectancy, morbidity and health behaviours it is widely recognized that health and education are mutually influential. While the focus has primarily been on the impact of education on health, advancing health and wellbeing remains a critical pathway to achieve education and life-long learning. As such, a re-orientation of systemic thinking and practice that builds on health and wellbeing as central elements of achieving quality education during the life course is key to achieving SDG 4 quality education.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
The goal of SDG 1 is to end poverty in all forms everywhere. Health systems are a significant determinant of the risk of impoverishment and financial hardship. We review methods for calculating catastrophic health spending and impoverishing spending, noting a distinction between those who are impoverished by out-of-pocket (OOP) health spending and those who are further impoverished by OOP health spending. Catastrophic health spending tends to be concentrated among poor households, but there is a high level of variability between countries. In particular, countries with higher public spending on health as a share of GDP have lower OOP spending, which in turn is associated with lower catastrophic health spending and impoverishment. Policymakers can also make progress on reducing the risk of impoverishment by making reforms to coverage policies. We conceptualise progress towards universal health coverage through an analysis of the coverage of people, services, and costs. Risk of financial hardship is minimised when the entire population is covered, the right services are covered to meet the population’s health needs, and costs are financed largely through pre-payment with risk pooling to avoid high user charges. The most successful systems use user charges sparingly, design user charges as fixed copayments rather than percentage-based coinsurance, and include income-based exemptions and OOP maximums.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
This introductory chapter makes the case for moving beyond the concept of Health in all Policies and towards a Health for all Policies approach. Health for All Policies is a framework emphasising co-benefits: the ways in which improved health or better health systems and policies can attain other goals. In terms of the SDGs, it captures the extent to which better health status, and use of health budgets, policies, and infrastructures, can contribute to all of the SDGs, whether fairly obvious ones (health enables education) to ones that require more thought (health care systems’ procurement and waste disposal systems affect life under the seas). The case for co-benefits is not just that it shows what health policy can do for other goals. It is not just that it shows what health policy should do for other goals such as sustainability or reducing gender and other inequalities. It also opens up new perspectives on coalitions, politics, and governance.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
This chapter examines the wide-ranging and often poorly defined SDG 17 (means of implementation) in the context of health policy and governance. It fundamentally asks: How can health policies and systems contribute to achieving goals from SDG 17? The author argues that there are significant synergies between health policy and SDG 17 as many of the factors that potentially make ‘sustainable development’ possible require healthy populations and functional health systems. When health and sustainable growth goals align, good population health, resting on environmentally sustainable food chains, adequate support for public health systems, good access to healthcare, and good enough governance for health, can provide benefits to the global economy and help to move towards a model of sustainable development.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
Inequalities, specifically in Post-Apartheid South Africa, have been extensively analyzed, yet little attention has been paid to the effect of health policy on inequalities. The chapters goal is to demonstrate how SDG 3 (Health for All) can work with SDG10 (Reduce Inequalities) to fight longstanding societal inequalities. One of the first steps is the creation of the National Health Insurance (NHI), whose goal is to cover the entire population with adequate health care at an affordable price. Health and health outcomes are, however, not only affected by provision or access to healthcare and health services. They result from multidimensional and complex factors linked to the social determinants of health. So while the NHI may reduce inequality and inequity in health care, further attention will need to be placed on socio-economic inequality given the social and economic disparities among the population groups in the country.
Edited by
Scott L. Greer, University of Michigan,Michelle Falkenbach, European Observatory on Health Systems and Policies,Josep Figueras, European Observatory on Health Systems and Policies,Matthias Wismar, European Observatory on Health Systems and Policies
Achieving co-benefits places the focus on politics and governance. This chapter presents two basic frameworks for identifying opportunities to make successful policy for co-benefits. One is for addressing the problem of change within government, in the framework commonly used by advocates of intersectoral policy. We adopt a framework that can clearly identify key dynamics and opportunities for the construction of cross-cutting policies, as well as the areas in which, under current circumstances, progress is likely to be limited and advocates might find themselves frustrated or defending their achievements against attack. The second approach to analyzing politics and the possibility of action is grounded in the analysis of agenda-setting, which has been profitably applied to the area of intersectoral policy for health. In both cases, these are basic analytic frameworks for understanding which action is likely to be effective, in order to improve the likelihood that proposals for achieving co-benefits do achieve their potential benefits.