Rural Aspirations: Reflections for Development Planning, Design and Localized Effects

In this editorial introduction to the Special Issue “Rural aspirations—Livelihood decisions and rural development trajectories”, we outline current views on aspirations and their relevance for development research, projects and approaches. Using several examples from Africa, we outline how the combination of the different theoretical perspectives, case studies and regional backgrounds provides deeper insights about the role of aspirations in shaping rural areas. The distinct entry points of the ‘bottom up’ local aspirations for future lives, the ‘top down’ aspirations as visions for change, and the process of negotiating between these provide novel insights into directions for development action as well as for future research in the field of aspirations in the development arena

Low-regret climate change adaptation in coastal megacities – evaluating large-scale flood protection and small-scale rainwater detention measures for Ho Chi Minh City, Vietnam

Urban flooding is a major challenge for many megacities in low-elevation coastal zones (LECZs), especially in Southeast Asia. In these regions, the effects of environmental stressors overlap with rapid urbanization, which significantly aggravates the hazard potential. Ho Chi Minh City (HCMC) in southern Vietnam is a prime example of this set of problems and therefore a suitable case study to apply the concept of low-regret disaster risk adaptation as defined by the Intergovernmental Panel on Climate Change (IPCC). In order to explore and evaluate potential options of hazard mitigation, a hydro-numerical model was employed to scrutinize the effectiveness of two adaptation strategies: (1) a classic flood protection scheme including a large-scale ring dike as currently constructed in HCMC and (2) the widespread installation of small-scale rainwater detention as envisioned in the framework of the Chinese Sponge City Program (SCP). A third adaptation scenario (3) assesses the combination of both approaches (1) and (2). From a hydrological point of view, the reduction in various flood intensity proxies that were computed within this study suggests that large-scale flood protection is comparable but slightly more effective than small-scale rainwater storage: for instance, the two adaptation options could reduce the normalized flood severity index (INFS), which is a measure combining flood depth and duration, by 17.9 % and 17.7 %, respectively. The number of flood-prone manufacturing firms that would be protected after adaptation, in turn, is nearly 2 times higher for the ring dike than for the Sponge City approach. However, the numerical results also reveal that both response options can be implemented in parallel, not only without reducing their individual effectiveness but also complementarily with considerable added value. Additionally, from a governance perspective, decentralized rainwater storage conforms ideally to the low-regret paradigm: while the existing large-scale ring dike depends on a binary commitment (to build or not to build), decentralized small- and micro-scale solutions can be implemented gradually (for example through targeted subsidies) and add technical redundancy to the overall system. In the end, both strategies are highly complementary in their spatial and temporal reduction in flood intensity. Local decision-makers may hence specifically seek combined strategies, adding to singular approaches, and design multi-faceted adaptation pathways in order to successfully prepare for a deeply uncertain future.</p

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

Reducing the environmental impact of surgery on a global scale: systematic review and co-prioritization with healthcare workers in 132 countries

Abstract Background Healthcare cannot achieve net-zero carbon without addressing operating theatres. The aim of this study was to prioritize feasible interventions to reduce the environmental impact of operating theatres. Methods This study adopted a four-phase Delphi consensus co-prioritization methodology. In phase 1, a systematic review of published interventions and global consultation of perioperative healthcare professionals were used to longlist interventions. In phase 2, iterative thematic analysis consolidated comparable interventions into a shortlist. In phase 3, the shortlist was co-prioritized based on patient and clinician views on acceptability, feasibility, and safety. In phase 4, ranked lists of interventions were presented by their relevance to high-income countries and low–middle-income countries. Results In phase 1, 43 interventions were identified, which had low uptake in practice according to 3042 professionals globally. In phase 2, a shortlist of 15 intervention domains was generated. In phase 3, interventions were deemed acceptable for more than 90 per cent of patients except for reducing general anaesthesia (84 per cent) and re-sterilization of ‘single-use’ consumables (86 per cent). In phase 4, the top three shortlisted interventions for high-income countries were: introducing recycling; reducing use of anaesthetic gases; and appropriate clinical waste processing. In phase 4, the top three shortlisted interventions for low–middle-income countries were: introducing reusable surgical devices; reducing use of consumables; and reducing the use of general anaesthesia. Conclusion This is a step toward environmentally sustainable operating environments with actionable interventions applicable to both high– and low–middle–income countries

Regionale Innovationspotentiale in Südostasien : empirische Ergebnisse aus Singapur, Penang (Malaysia) und Thailand

Aufbauend auf den Erfahrungen des <i>European Regional Innovation Survey</i> (ERIS) versucht der vorliegende Beitrag erstmals, das regionale Innovationspotential sowie die Kooperationsbeziehungen zwischen den Innovationsakteuren in ausgewählte Regionen Südostasiens empirisch zu erfassen und vergleichend zu bewerten. Repräsentative Befragungen in Singapur. Penang (Malaysia) und Thailand ergaben verwertbare Informationen zum Innovations- und Kooperationsverhalten von rund 1.600 Unternehmen des Verarbeitenden Gewerbes. Die Ergebnisse zeigen, daß die Breite und Effizienz der Innovationsaktivitäten in den Untersuchungsregionen noch nicht mit der Situation europäischer Regionen vergleichbar sind. Kooperationen sind für die Innovationsprozesse der Unternehmen praktisch unverzichtbar;die wichtigsten Partner finden sich für multinationale Unternehmen im Konzernverbund, während einheimische Unternehmen meist mit Kunden (<i>lead users</i>) in hochentwickelten Technologieregionen kooperieren. Hieraus resultiert ein diskontinuierliches Raummuster, in dem die benachbarten Länder und Regionen Südostasiens übersprungen werden

Micro-business participation in collective flood adaptation: lessons from scenario-based analysis in Ho Chi Minh City, Vietnam

Although research on the impacts of climate change on small- and medium-sized enterprises (SMEs) and their adaptation to climate change risks has recently received more attention, the focus on micro-businesses and household businesses is still very limited. Micro-businesses and household businesses are adversely affected by compound flooding events – a situation that will become more acute in the future – but there is little attention in the scientific literature to their adaptation options and actual implementation. Against this background, the paper analyzes the following research questions. How are micro-businesses already responding to flooding? Are micro-businesses willing to collectively invest in future proactive adaptation efforts in their neighborhoods? What are the key drivers of and barriers to adaptation? Based on scenario-based field experiments in Ho Chi Minh City, our results show that micro-businesses could play a much larger role in collective adaptation. Often overlooked in adaptation research, their willingness to engage in collective action under severe constraints is surprising. The conceptual framework presented in this paper helps us to understand the key drivers of and barriers to micro-business willingness to participate in collective adaptation activities. The most important key barriers for micro-businesses are limited financial capacity and lack of support from local authorities. However, micro-businesses are willing to contribute depending on the concrete adaptation measure and financing options. If no financial contribution is expected, almost 70 % are willing to participate in awareness-raising campaigns. And although their financial capacity is very limited, 39 % of micro-businesses would contribute financially if the costs were shared with other businesses in their neighborhood and with local authorities. In this context, micro-businesses should be much more involved in adaptation plans and measures. Through their local embeddedness, they can be important multipliers in strengthening adaptive capacity at the local level.</p

Potential of remote sensing techniques for tsunami hazard and vulnerability analysis – a case study from Phang-Nga province, Thailand

Recent tsunami disasters, such as the 2004 Indian Ocean tsunami or the 2011 Japan earthquake and tsunami, have highlighted the need for effective risk management. Remote sensing is a relatively new method for risk analysis, which shows significant potential in conducting spatially explicit risk and vulnerability assessments. In order to explore and discuss the potential and limitations of remote sensing techniques, this paper presents a case study from the tsunami affected Andaman Sea coast of Thailand. It focuses on a local assessment of tsunami hazard and vulnerability, including the socio-economic and ecological components. High resolution optical data, including IKONOS data and aerial imagery (MFC-3 camera) as well as different digital elevation models, were employed to create basic geo-data including land use and land cover (LULC), building polygons and topographic data sets and to provide input data for the hazard and vulnerability assessment. Results show that the main potential of applying remote sensing techniques and data derives from a synergistic combination with other types of data. In the case of hazard analysis, detailed LULC information and the correction of digital surface models (DSMs) significantly improved the results of inundation modeling. The vulnerability assessment showed that remote sensing can be used to spatially extrapolate field data on socio-economic or ecological vulnerability collected in the field, to regionalize exposure elements and assets and to predict vulnerable areas. Limitations and inaccuracies became evident regarding the assessment of ecological resilience and the statistical prediction of vulnerability components, based on variables derived from remote sensing data

Potential of remote sensing techniques for tsunami hazard and vulnerability analysis – a case study from Phang-Nga province, Thailand

-Recent tsunami disasters, such as the 2004 Indian Ocean tsunami or the 2011 Japan earthquake and tsunami, have highlighted the need for effective risk management. Remote sensing is a relatively new method for risk analysis, which shows significant potential in conducting spatially explicit risk and vulnerability assessments. In order to explore and discuss the potential and limitations of remote sensing techniques, this paper presents a case study from the tsunami-affected Andaman Sea coast of Thailand. It focuses on a local assessment of tsunami hazard and vulnerability, including the socio-economic and ecological components. High resolution optical data, including IKONOS data and aerial imagery (MFC-3 camera) as well as different digital elevation models, were employed to create basic geo-data including land use and land cover (LULC), building polygons and topographic data sets and to provide input data for the hazard and vulnerability assessment. Results show that the main potential of applying remote sensing techniques and data derives from a synergistic combination with other types of data. In the case of hazard analysis, detailed LULC information and the correction of digital surface models (DSMs) significantly improved the results of inundation modeling. The vulnerability assessment showed that remote sensing can be used to spatially extrapolate field data on socio-economic or ecological vulnerability collected in the field, to regionalize exposure elements and assets and to predict vulnerable areas. Limitations and inaccuracies became evident regarding the assessment of ecological resilience and the statistical prediction of vulnerability components, based on variables derived from remote sensing data