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Abstract Background Regulatory barriers present significant challenges to clinical trial approval during both “peacetime” and pandemics, particularly for multi-country clinical trials sponsored by academic institutio...

Abstract Ghana’s Free Senior High School (FSHS) policy, introduced in 2017, represents one of Africa’s most ambitious efforts to democratize secondary education. By abolishing tuition and related costs for all studen...

The November 2023/2024 national health budget cuts represent the largest reduction in public health expenditure in South Africa’s post-apartheid history. This article critically examines the implications of these budge...

Abstract Bangladesh’s rapid economic transformation over the past three decades has been shaped by structural reforms, digital advancements, energy infrastructure expansion, and trade liberalisation. However, sustainin...

Abstract Achieving sustainable economic growth in resource-dependent economies is vital to balancing competitiveness, attracting investment, and improving environmental performance. This study examines the asymmetric eff...

Abstract Background Family medicine provides comprehensive care by integrating biomedical, behavioral, and social sciences. While established in some sub-Saharan countries, it remains new and unintegrated in Tanzania’s...

Abstract The near-disappearance of single-author publications in scientific literature represents one of the most dramatic shifts in academic publishing over the past two decades. While this trend is often attributed to ...

Abstract Background Strengthening urban primary healthcare (PHC) systems in low- and middle-income countries (LMICs) is essential to effectively serve the growing urban poor. Such reforms should incorporate patient opini...

The European Union (EU) is currently overhauling its pharmaceutical regulations, seeking to mature a single market for medicines as part of a ‘European Health Union’. We reflect on the interactions between regulation...

Abstract Purpose This study examines the demographic, spatial, and economic determinants of household access to electricity in Nigeria, a country characterized by persistent energy poverty and pronounced infrastructure i...

Accountability is a cornerstone of good governance, particularly in the era of fiscal decentralization. Despite ongoing reforms, many Indonesian provinces continue to face challenges related to limited transparency, heav...

Abstract Indonesia's government procurement system struggles to integrate research and innovation products, hindering industrial competitiveness. This study maps Indonesia’s innovation procurement system across three l...

Objectives Medical device calibration underpins accuracy, precision, and reliability, which are critical to optimal device performance and quality healthcare delivery. Despite its importance, little empirical evidence ex...

Abstract Aim This experimental study explores the role of food as an extrinsic motivational tool in education, focusing on the association between chocolate rewards and academic performance in peri-urban and rural public...

Abstract Background Suicide rates among U.S. preteens (ages 8–12) have risen steadily since 2008, signaling a growing crisis in children’s mental health. Sexual and gender diverse (SGD) preteens are at especially hig...

Abstract Introduction Emergency departments (EDs) suffer from crowding due to patients with low urgency, whose treatment is often inappropriate. This study aimed to describe the proportion of avoidable, non-urgent ED vis...

The transformation of Ukraine’s financial ecosystem has become a defining process in the country’s adaptation to the turbulent geopolitical, economic, and technological environment of recent years. The study aims to ...

Context and Background: Over the past thirty years, institutional restricting, decentralization, legal reforms, and significant administrative modernization initiatives have all had a significant impact on Malawi’s ...

Purpose – This study systematically maps global research trends on entrepreneurial readiness in vocational education from 2020 to 2025 and identifies implications for strengthening the Indonesian vocational education s...

This study appraises the trajectory and dimensions of bilateral relations between Nigeria and the Republic of Korea (South Korea) from 1980 to the present. It explores the historical evolution, strategic motivations, and...

Abstract Introduction Unaccompanied migrants (UM) and persons prone to statelessness (SP) constitute a unique vulnerable group, yet their health needs and healthcare barriers remain poorly documented particularly in sub-...

This study critically examines Tanzania's re-entry programme for teenage mothers through a critical theory lens, arguing that formal policy inclusion masks continued structural marginalization. Employing a qualitative mu...

Abstract Introduction Transgender inclusion in physical education and sports (PES) is a critical issue, reflecting persistent societal and institutional barriers. This study aims to analyse public stigma towards trans pe...

This paper harps on President Franklin Delano Roosevelt's New Deal. This was a comprehensive set of economic policies and programmes implemented in the United States during the Great Depression, which began with the stoc...