Lagos State Hospital Waste Management Practices: A Descriptive Overview with Stakeholders’ Role and Key Recommendations

Background: Waste generation and its disposal is an essential issue in the sustainability of the environment and the planet’s future. Waste management is essential across sectors, likewise the health sector. Therefore, there is a need to employ extra care and attention to handling waste generated from healthcare facilities to avoid the dangers of poor biomedical waste management. We carried out this study to examine the waste management practice in healthcare facilities in Lagos State. Methods: The study was a descriptive survey carried out in one-thousand two hundred and fifty-six (1256) healthcare facilities in Lagos State. Nine hundred sixty-nine (969) of these facilities are located in urban areas, while two hundred and eighty-seven (287) are rural. The facilities studied are government/public health facilities (15.45%), private-for-profit facilities (82.88%), NGOs, Mission/Faith-Based medical facilities (1.67%). The data collected were analyzed using descriptive statistics. Specifically, we utilized bar charts, frequency, and percentage. Result: The result shows that 98.4% (1236) of the studied facilities are registered with the Lagos State Waste Management Authority (LAWMA), while 1.6% (20) are not registered. 98.5% (191) of the 194 government-owned facilities, 98.5% (1025) of the 1041 private-for-profit facilities, and 98.2% (20) of the 21 NGOs/faith-based health facilities are registered with Lagos State Waste Management Authority. The result also shows that 94% of the healthcare facilities studied in Lagos State use color-coded waste bags to segregate waste at the point of origin. 58.7% of the facilities use red-colored bags, 33.3% use yellow-colored bags, 10.7% use black-colored bags, and 1.3% use brown biohazard bags for segregating Infectious waste. Also, 34.2% of the health facilities in Lagos state use red-colored bags, 36.9% use yellow-colored bags, 11% use black-colored bags, and 4.1% use brown-colored bags to segregate their hazardous waste. Conclusion: Some healthcare facilities in Lagos State do not follow the recommended guidelines for medical waste segregation. Waste generated is not appropriately segregated at the point of origin into the recommended colored bags/bins in some facilities. Thus, a policy and procedure regulating healthcare waste are mandatory. It is important to regularly train healthcare workers on proper waste management practices and encourage staff to read and apply WHO rules in managing healthcare waste. Healthcare personnel should realize that hazardous material is a potential cause of a public disaster.

Game analysis of Chinese stakeholders in collective forest rights system reform

In the current stage of Chinese forest ownership reform,the central and local governments as well as the forest farmers play different roles with variations in their expected returns.Managing these respective relationships between the forestry stakeholders to maximize their benefits while actively engaging each stakeholder in the collective forest ownership reform process has become an important issue.This study uses the game theory methodology to analyze the relationship between the different reform stakeholders and then builds on the forest farmers' participation in the reform model process at the reform movement micro-level.This model calculates the forest products equilibrium marketing sales and the government subsidies provided to the forest farmers,when the forest farmers willingly participate in the reform process.It will provide a reliable basis for formulation of government policies which positively impacts Chinese forestry reform.

The Perceptions of Chinese ELT Stakeholders on the Employment of Foreign English Language Teachers

This article reports on part of the findings of an investigation into the perceptions of Chinese English as a foreign language(EFL)education stakeholders on native-speakerism.Data were collected via semi-structured interviews with 26 students,14 teachers and eight EFL program administrators from six Chinese universities.The analysis of data reveals that the three groups of participants as an entirety expected their universities to hire native English speaker teachers(NESTs),particularly those from Britain and/or America and a certain proportion of them expressed preference for white native English speaker(NES)teachers.The vast majority of the students and teachers were also found to be unaware of workplace inequalities between NNESTs and local Chinese EFL teachers,contending that NESTs deserve better treatment.Although many administrators displayed critical awareness on this issue,they argued that the inequalities need tolerating for the well-being of their EFL programs.All these findings are indicative of the persistence of native-speakerism among Chinese ELT stakeholders and by extension the tenacity of this chauvinistic ideology across the terrain of EFL education in China.

Stakeholders Theory:An Analysis of Eco-Labeling of Commercial Products in A Developing Country(Kenya) Stock Exchange Listed Companies

International environmental organizations propose voluntary eco-labeling as a market incentive to promote industry to operate in an ecologically sustainable and environmentally friendly manner,for instance,with the introduction of ISO 14000.These standards assist organizations to minimize their operations negatively affecting the environment and comply with applicable laws and regulations.Support for eco-labeling has been one of the ways that

World Trading Signals for Indian Agriculture during WTO Regime: Multi-Stakeholders Decision Making

Globally, any country in the world either exporting or importing country need to look at international market signals. Agriculture is one of the most contorted sectors in international trade. The study is basically based on estimation and identification of various international trading signals to advocate their usefulness in decision making to multi-stake holders. Study period is 1990-91 to 2015-16 and the study employed is the Foreign Trade Philosophy to analyze the international market signals, trends, growth rates, elasticity’s, instability index, AOI, meta-analysis and the vision. It was observed that the export and import price elasticity’s for all the crops shown are positive except the wheat export price elasticity (-0.3%) and import price elasticity of soybean (-0.45%). Among cereals, pulses, oilseeds and fiber crops, rice (1.24%), peas (2.36%), mustard (0.97%) and cotton (0.75%) have high export elasticity’s respectively. These trade price elasticity’s are the important signals for the policy makers to layout the future trade. Study observed that the domestic support offered in the agricultural sector in Russia, India, China and New Zealand is more compared to other WTO member countries. Technical Barriers to Trade, Sanitary and Phytosanitary and Anti-dumping were found to be the most prominent in world and the highest imposed in Asia, Europe and North America. Study concluded, India has a comparative advantage in pulses, oilseeds and wheat and terms of trade of India’s cereals (except rice, maize), pulses (except pigeon pea, peas), cotton and jute which were found to be increased. The poor treatment towards the agriculture sector by the governments and World Bank Funding was observed. India’s import basket majorly consists of oilseeds and rice is the major exported product. Present study adds to the research directed at the impacts of domestic support and measures policies for WTO negotiations.

Model Building for Community Participating in Rural Tourism and Game Analysis of Core Stakeholders

Community residents play an important role in the development of rural tourism. Taking the interest demands of stakeholders and non-cooperative game process as main line,the conflict of interest between community residents and tourists and between community residents themselves as guidance,it built an interest relation model for community participating in rural tourism. Besides,it elaborated non-cooperative relation and their interest pattern for stakeholders of rural tourism,and discussed behavior interaction process and results of core stakeholders of rural tourism. Finally,it came up with pertinent recommendations for harmonious and healthy development of rural tourism.

Assessing the Potential to Change Stakeholders Knowledge and Practices on Fertilizer Recommendations in Africa

Africa’s fertilizer use averages only 8 kg per hectare per year. Available fertilizer recommenda-tions in Africa are high, and vary between countries. The recommendations are generally out dated, and/or “blanket” recommendations that are not site, or crop specific. Recommendation developed for one crop is often used for another and possibly unrelated crop. CABI and AGRA designed a project whose goal is “to help improve the capacity of National Research Institutions in developing fertilizer recommendations for efficient and profitable fertilizer use in 13 sub-Saharan African countries within the framework of ISFM practices under smallholder farming by the end of March 2016”. Baseline survey conducted in May 2014 targeted scientists, policy makers, extension workers, agro-dealers, fertilizer companies and farmers/farmer organization. Snowballing and convenience sampling techniques were used to get the sample and emails were used to reach the respondents. A total of 416 respondents were targeted but only 219 responded from 12 countries. Out of the 219, 148 were extension workers and researchers. About half (51%) of the scientists are aware of fertilizer optimization tool, and a lesser proportion have used the tool across all countries (31%). Fewer extension workers (31%) were aware of the fertilizer optimization tool and none reported to have used the tool. On average about 5% of the study participants reported that other stakeholders were involved in the development of fertilizer recommendations including farmers, farmer organizations, policy makers, researchers, extension workers, agro dealers, fertilizer companies and donor organizations. Stakeholder involvement was highest in Nigeria at 15%, followed by Ethiopia (13%) and Malawi (10%) but most of the countries reported <5%. There is a general understanding that development of fertilizer recommendations is a multi-stakeholder initiative and therefore need for involving many stakeholders in the development of fertilizer recommendations across Africa that will fosters greater ownership and sustainability.

Stakeholders’ Compliance with Existing Construction Health and Safety Related Laws and Regulations in Ghana

This paper explored stakeholders’ compliance with existing laws and regulations related to construction health and safety (CHS) in the Ghanaian construction industry (GCI). Qualitative research approach was adopted for the data collection, using semi-structured interview guide. An in-depth face-to-face interview based on the grounded theory approach was conducted with actors who play important roles in ensuring health and safety at the construction site as well as key officers and professionals who are the major stakeholders in the GCI. Content analysis was adopted for the analysis of the qualitative data. The findings of the study show customary laws, bye laws, Labour Act, 2003 (Act 651), Local Governance Act, 2016 (Act 936) and the contract document as the key existing CHS related laws and regulations that the stakeholders comply with. The stakeholders also identified the following construction health and safety related regulations in the GCI which have low compliance rate: Factories, Shops and Offices Act, 1974 (Act 323), Environmental Protection Act, 1994 (Act 490), among others. The findings of the research contribute to knowledge of stakeholders’ compliance with existing laws and regulations related to CHS, and underscore the need to ensure monitoring and enforce compliance in the GCI. The findings further identify areas for stakeholders to focus attention on ensuring good health and safety practices, and also expose critical training and education needs for stakeholders in the GCI. The findings provide valuable insights on stakeholders’ compliance with laws and regulations related to CHS in Ghana, which may be applicable to other developing countries with similar construction industry.

Roles and Responsibilities of Stakeholders towards Ensuring Health and Safety at Construction Site

Health and Safety issues in the construction industry are of much concern to stakeholders, particularly because of their impact on the industry. This paper explored the roles and responsibilities of stakeholders in ensuring health and safety at the construction site. A well-structured interview guide was adopted for the qualitative study. Content analysis was adopted for the analysis of the results. The study revealed that the twelve roles identified by the stakeholders are only limited to the few laws and regulations they are aware of. Whereas the Contractors identified provision of welfare facilities, provision of health and safety policy, and health and safety plan as their key roles, the Consultants’ role was mainly limited to provision of competent site agent and provision of site layout. Abiding by the contractors’ instruction was identified by the Construction Workers as their key responsibilities. The local government officials also identified enforcement of CHS laws and regulations and reporting of incidents to the appropriate authorities, whereas the traditional authorities identified the enforcement of CHS laws and regulations including bye laws and enforcement of customs as their key roles. The findings further show that the stakeholders failed to appreciate some key roles and responsibilities enshrined in CHS laws and regulations in Ghana. The findings contribute to knowledge on stakeholders’ responsibilities in ensuring CHS, and provide valuable reference and insight to practitioners on the roles and responsibilities of the various stakeholders. It is recommended to train and educate stakeholders on all the relevant laws and regulations on CHS in order to improve health and safety at the construction site. The government should also set up a body such as Construction Authority to educate, coordinate, monitor and audit the activities of stakeholders to improve CHS at construction sites.

The Role of Stakeholders in Cultural Enterprise Management

The notion of cultural entrepreneurship is the 21st century necessity to define new trends that develop due to changes in economic and social space of life.The researchers see culture as a link between economics,society,and tehnology development that could foster research in the field of creative economy.The evaluation of cultural entrepreneurship is very topical in small and micro-enterprises in Latvia,as the small and medium enterprises form the greatest part of economy.The research question is:How to evaluate management in cultural enterprises by determining the most important indicators for a cultural enterprises’s performance improvement?Managers with expierence of five years were invited for the focus-group discussion.Evaluation of cultural entrepreneurship includes art galleries,non-governmental theatres,and concert organizations.The analysises of the research results,related to particular stakeholders of cultural enterprises,reveal the role of the cultural enterprise’s stakeholders’engagement in evaluation of management,characterize the importance of the goals’analysis of each stakeholder’s engagement,and indicate the criteria for evaluating activities in cultural entrepreneurship.The evaluation of cultural entrepreneurship can be done by analysing the stakeholders’engagement in assessing the viability,growth,and influence of the enterprise.

Stakeholders’ Participation in Agricultural Farmers’ Extension Services Programmes in Sub-Saharan Africa: A Case of the Operation Wealth Creation (OWC) Programme in Uganda

The paper presents findings from a study carried out to assess the contribution of stakeholders’participation on the performance of the national agricultural farmers’extension services programme in Uganda known as Operation Wealth Creation(OWEC).Specifically,the study sought to establish how participatory planning,budgeting,monitoring and evaluation(M&E)respectively contributed to the performance of OWC in selected district in central Uganda.The study adopted a cross-sectional survey design using both quantitative and qualitative data collection and analysis techniques and employed both questionnaires and interview guides on key participants in the programme.Findings of the study indicated positive relationships between stakeholders’participation and programme performance with participatory planning,budgeting and M&E all having positive significant effects on the performance of OWC programme.The study concluded that indeed stakeholders’participation contributed to improved performance of the OWC programme.The study recommends increased funding and M&E of the agricultural extension programmes for improved performance.

A study on state-owned forest area stakeholders' behavior

The development of state-owned forest area plays a very important role in the development of Chinese forest industry, and even in the construction of national economy. As the backbone of Chinese forestry development, it contributes to Chinese economic development, ecological environment protection and social progress. How to balance all stakeholders' interest and behaviors remains as one of the focuses in the study of sustainable development of forest areas. On this basis, researches were carried out and described in the paper. Firstly, the paper goes through the concept and scope of state-owned forest area in China; Secondly, it defines the stakeholders of state-owned forest area, and discusses over the problems in stakeholders' behaviors from the aspect of responsibility, rights and interests; and Finally, it designs the stakeholders' behaviors on the basis of existing problems and provides constructive suggestions on deeper reform of state-owned forest areas.

Interest requirements and its implementation of core stakeholders of heritage resorts:A case study of Jiuzhaigou

The reformation of Heritage resorts management system is to establish a balance of interest mechanism that we must first be able to meet the Heritage resorts core stakeholders interest demands.The article takes the World Heritage resorts Jiuzhaigou as an example,offering an approach of twodimensional management objectives to identify its core stakeholders,studing the interest demands and its implementation from an empirical perspective.The results show that heritage resorts involves a number of stakeholders with complex relationships in the tourism development; different heritage resorts with different core stakeholders; different core stakeholders with specific interest demands,the methods to meet their demand are different as well.

Stakeholders vs.Stockowners-The Dilemma of Future

While portraying the lines of the foreseen new world-order,the author agrees to be what G.B.Shaw called the“unreasonable man”who tries to bring progress to the world.This work reviews some of the Capitalism’s main ideas and claims that many of them are irrelevant at present.It follows people’s change of mind as they wish to see Satisfaction,Pleasure,and Happiness becoming the leading elements in the search for meaning of life.As a result,the author poses some of future dilemmas:Who should gain from future activities,the traditional capital owners,or,maybe,the growing number of individuals who contribute competence,energy,and devotion to the new type of advanced high-tech industries?For resolving this dilemma,the essay claims that in the future meaning of life will rest more on talents feelings and emotions rather than on money or wealth.This fact must seriously be considered by the decision makers.For promoting its idea,the essay provides some concrete guidelines for establishing an advanced framework for the coming years.The author also believes that by increasing the stakeholder’s share in the firm’s revenues,the nation’s economy and society at all,will grow and prosper.

Medical Tourism Market and Inter-Stakeholders’ Relations in Turkey: A Comparative Investigation From Reverse Innovation and Destination Governance Viewpoint

This study aims to analyze inter-stakeholders’interactions,destination governance,reverse innovation and the tasks of central government within the Turkish medical tourism market.The investigation’s objective is to shed light on scientists and practitioners regarding to what extent medical tourism is affected by stakeholders.Likewise,the originality of this investigation is that this study is the first attempt that links up reverse innovation and stakeholder approach as a holistic strategy and competitive advantage tool in medical tourism.The statistical evidences of Turkey also support the fact that the incline of medical tourism incomes and benefits is tightly bound on key inter-stakeholders’collaborations,marketing tools,specific strategies,effective governance mechanism and cooperation with civil society organizations.This study is a thematic case that comprises particular research fields and formulates advanced arguments that are embedded in enriched relevant literature review and the highlights of the 7th International Health Tourism Congress.

Stakeholders Contribution in the Development of Occupational Therapy Profession and Impact of the Profession in Rwanda

Introduction: Africa was noted as a challenging place for allied health care professions including occupational therapy. Those challenges include promotion of occupational therapy and educational program. The University of Rwanda started the occupational therapy training program in 2014 with support of different stakeholders such as Humanity & Inclusion (HI), Rwanda. Aim: This study aimed to explore the contribution of different stakeholders in the development of occupational therapy programs and impact on the profession in Rwanda. Methods: A survey and mixed method of qualitative and quantitative approach was used. Client satisfaction questionnaire, semi-structured self-generated questionnaire were administered to the participants. Results: The majority of occupational therapists were between 20 and 30 years old and only half of the entire population were employed. Majority of the involved Universities excellently achieved their responsibilities. However, few of them reported to have achieved only 50% of their responsibilities. Other contributors like lecturers reported to have excellently achieved their duties while others reported to have achieved only 50%. Non-Governmental Organizations reported to contribute to enough level however there were some organizations contributed to the lowest level below 50%. The client receiving the Occupational Therapy services showed that they are very satisfied at the level of 73.5%, satisfied at 59% and not all satisfied at 20%. Conclusion: This study concluded that there is need for various stakeholders’ contributions, and a need for further study to explore the impact of occupational therapy profession in rehabilitation healthcare system of Rwanda.

Protection and development of agricultural heritage from the perspective of stakeholders

Based on the stakeholder theory,field interviews and surveys were carried out among 332 stakeholders of Shaoxing ancient Torreya grandis groups,including local government,tourists,tourism enterprises,local residents and heritage inheritors.This paper aims to analyze the main demands of various stakeholders,and the cognitive and interest demands,by means of SPSS23,in the process of agricultural cultural heritage protection and tourism development.It is believed that the local resources endowment is favorable,but the tourism development and the protection of agricultural cultural heritage are in a state of separation,or even opposition.Therefore,the corresponding development countermeasures should be put forward from the common interest appeal of the five core interest groups.

Geospatial Assessment of the Contributions of the Major Stakeholders to Secondary Schools in Some Parts of Benue State, Nigeria

This study assessed the contributions of the major stakeholders to secondary school education in some parts of Benue State using geospatial techniques. It aimed at producing a queriable spatial database of secondary schools which could be used as a guide for resource distribution and management in the school system. The study adopted, survey, field observation and measurement using Global Positioning System (GPS) to obtain the needed data. Geographic Information System (GIS) and descriptive statistical techniques were employed to map, visualize and analyze the data. The result shows that the private sector has the highest contribution to secondary schools in the area. In the private sector, the private individuals have the highest contributions to secondary school in the area both by ownership, sponsorship and size (student population). The implication is that the system will suffer exploitation by the dominant private individuals in the system. It was recommended that further research should be conducted to assess the relationship between government efforts and other stakeholders on the spatial distribution of secondary schools in the study area.

Global Stakeholders Launch the Rare Earth Industry Association

The Rare Earth Industry Association("REIA")is pleased to announce its formation on June 26,2019,as a new global association for rare-earth industry stakeholders.The association was launched with the support of EIT RawMaterials,a European R&D funding agency.

Assessment of Stakeholders’ Perceptions of Landuse/Landcover Change Drivers in Abuja, Nigeria

Landuse/Landcover(LULC)changes are recognised as some of the major causes of environmental problems like land degradation and climate change.To achieve sustainability,we need to properly understand such changes in order to have adequate information that will enable us to design and implementing measures to mitigate their negative impacts.Doing this particularly requires a proper understanding of how stakeholders perceive the changes in general and their drivers in particular.Unfortunately,not much is known for many areas about the perspective of landuse stakeholders on drivers of LULC changes.This paper reports the results of a study conducted to examine the perceptions of different landuse stakeholders on drivers of LULC changes in Abuja Federal Capital Territory,Nigeria.Questionnaire survey was utilised,involving 514 households across four settlements,2 rural(Karshi and Orozo)and 2 urban(Nyanya and Karu)towns in the territory,which were complimented with Focus Group Discussions were conducted.The results obtained showed that urban dwellers are largely aware of drivers of changes in socio-economic drivers(physical development on lands,more commercial complex development and more institutional development).Rural dwellers are largely aware of environmental drivers of LULC changes(bush burning,livestock overgrazing,collections of wood and medicinal plants,and agricultural expansion).It was concluded that there is the need to bring about a harmonisation of the perceptions of LULC change drivers by the rural and urban dwellers so as to bring about a common front understanding and responding to LULC changes in the study area.