Strategic Engagement of Private Facilities to Increase Public-Private Mix (PPM) Contribution to Nigeria Tuberculosis Case Notification

Introduction: Finding the missing Tuberculosis (TB) cases remains the single most important priority for TB control in Nigeria. Between 66% - 92% of all cases of respiratory diseases including those with symptoms suggestive of TB are first seen byprivate health providers. Dependable, quality surveillance systems and notification are key roles in health services delivery, particularly as it is related to TB control. However, poor notification has been a challenge. This study was to assess the contribution of the public private mix (PPM) to Nigeria Tuberculosis national case notification. Methods: It was a national cross-sectional study. Data were extracted from the National database and reviewed. Private facilities were engaged in 2017 and assessed over 2018-2020. Interventions included: enrolling private practitioners (Private-For-Profit, Faith Based Organization, Private Medicine Vendors and Community Pharmacists), engaging a private standalone Laboratory for Gene Xpert testing within the network of private facilities, use of Mobile App for easy screening and reporting, instituting a HUB and spoke, and incentives to private providers for participating. Each private provider had a customized approach. Trend analysis was performed using Cochran-Armitage χ2 test for linear trends. Level of significance was at a p value of Results: Total case notification increased from 104,904 cases in 2017 to 138,591 in 2020. There were 2.0% increase in 2018, 13.0% in 2019 and 15.0% in 2020 (p < 0.001). PPM contribution to case notification increased from 10,699 cases in 2017 to 12,625 in 2018, then 17,250 in 2019 and 38,865 in 2020. There were 18.0% increase in 2018, 36.6% in 2019 and 125.3% increase in 2020 (p ). Conclusion: Effective engagement of the private sector in TB control efforts in Nigeria using a variety of approaches resulting in improved TB notification is possible. The National TB Programme should engage all private practitioners such that each practitioner will practice at least one TB service model.

Mutual Efforts Restoring Growth in Education for Public-Private Sectors Partnership:Basis for a Proposed Action Plan

This study aimed to describe the responses of the participants to the Public-Private Sectors Partnerships(PPSP)in Education in DepEd Ibaan District,Province of Batangas,Philippines in order to achieve the schools’goals and sustain Public-Private Sectors Partnership engagement with schools in the district.This study employed the descriptive-qualitative research in which responses of 16 school heads of DepEd Ibaan District who were the respondents were coded,analyzed,and interpreted.School administrators,community stakeholders,future administrators and researchers may use the proposed plan of action as a guide in providing future directions for a Public-Private Sectors Partnerships(PPSP)in Education.

Universal health coverage and public-private participation: towards a new balance?

This commentary discusses the emergence of a new paradigm to address the health policy issues through Public-Private Participation (PPP).The discussion provides a detailed literature review of PPPs by presenting an initial overview of the ideological shift from state to market intervention,then identifying arguments in support of or against public-private approaches and finally exploring the emergence of this new paradigm of PPP or its hybrid forms.It then discusses the contextual realities of Public-Private Participation in health care,and whether an optimal balance is possible with better government stewardship and private provision.Conceptually,the premise of stewardship in governance is that it is possible to create not only efficient but also effective systems.These ideas may find a receptive audience in many countries,especially in the emerging economies with improving standards.In East Asian societies,the concept of stewardship bears a strong resemblance to Confucian ideals of morality in government,with social expectations of those who govern to be principled and virtuous.Increasingly,a pragmatic theory of development seems to apply in public-private,similarly,through it is expected,that public-private participation in the healthcare system should also achieve the goal of Universal Health Coverage through good governance.

Public-private partnership project success circumstances

The public-private partnership has been in use in the world for over 40 years, and has been growing at a varying rate and with mixed success in different countries. Based on the experience gained in selected countries, this article shows key success factors of the public-private partnership.

Public-Private Partnership Arrangement in <i>In-Situ</i>Housing for Slum Rehabilitation in Yenagoa, Bayelsa State, Nigeria

The provision of decent accommodation is a major challenge to government in the developing nations. It is a common phenomenon in the urban centres of the developing nations where most houses are in deplorable conditions. The houses are overcrowded with little or no air space between them. There is no basic sanitation in the urban centres as they lack flush toilet, some of the few available flush toilets are piped into seasonal streams, most houses lack defined kitchen areas and healthy sewage disposal method. The cities lack good access roads and functional drainage system with a common practice of environmentally-unfriendly solid waste management methods that create various health challenges to urban dwellers. The aim of the study is to show how in-situ Housing method of slum rehabilitation can be applied through Public/Private Partnership to upgrade houses within a major slum area in Yenagoa. This shall be done with an agreement between the property owners, Real Estate investors and the state government. Basic Research Methodology was applied using questionnaire, direct observation and personal interview techniques to collect data. Both qualitative and quantitative techniques were applied to analyse data through the use of tables and charts. The findings in the study showed that poor housing condition seriously degrade the environmental quality of the study area. The standard of living in the area is very poor as the people lack access to decent accommodation, basic sanitation and social amenities.

Enhancing Access to Bank Credit for Small-Scale Farmers in Kisumu and Kiambu Districts, Kenya Through Public-Private Partnership Initiative

In Kenya, small-scale fanning has immense potential in poverty reduction. The growth of farming activities requires sustainable access to affordable credit to boost and sustain production. This study is initiated to investigate factors influencing access to bank credit by small-scale farmers in Kisumu and Kiambu Districts, Kenya. It is necessitated by lack of a comprehensive study documenting the effectiveness of the partnership initiative in improving access to credit for small-scale farmers. The study seeks to address the following concerns： what factors influence access to bank credit by small-scale farmers under the initiative？ Are small-scale farmers in various parts of the country accessing bank credit equally？ Through which sources do farmers get to know about credit products provided through the initiative？ Primary data was collected from 144 farmers in Kiambu and 127 farmers in Kisumu, sampled using systematic random procedure. The cross-sectional survey design was applied to guide the research process. Quantitative analysis generated cross-tabulations with chi-square and binary logistic regression. The study found that out of 144 credit applicants in Kiambu about 56.3% were successful, while in Kisumu only 37.8% were successful. Access to bank credit was significantly associated with farmers＇ gender, education level, income level, farm size, and farming experience. Besides, women were 1.3 times less likely to access bank credit than men. In terms of regional variation, a Kiambu farmer was 2.7 times more likely to obtain bank credit than a Kisumu farmer. The initiative is an innovative approach for enhancing access to bank credit; however, its potential has not been fully exploited. The study recommends the need： to inform farmers about credit products to clear misconceptions and myths associated with bank credit; develop innovative financing packages for small-scale farmers that are also gender-sensitive; and to initiate a training program targeting farmers with appropriate information.

The Importance of Altruistic Empathy and Collaborative Negotiation in Public-Private Partnerships

The motivation in public-private partnerships （PPPs） is to harness the strengths of public and private partners to deliver essential public services. The ability to transfer risk to the private sector in PPP has been one of the reasons why the public sector relies on the private sector to participate in the development of infrastructure projects. In most instances, the public sector also believes that the private sector can fund the project at a lower cost. The private sector on the other hand, believes that they could achieve a strong financial return based on the concessions that the public sector will provide. If the sectors feel altruistic empathy to each other, they will realize that their original goals are not achievable. However, having understood the other sector＇s needs and constraints, collaborative negotiation will yield a set of common goals. There are no commonly agreed frameworks on collaborative negotiation before PPP is formally established. The objective of this paper is to use deductive analysis to develop a conceptual framework for inquiring into the motivations of the public and private sectors during negotiation. This framework will provide insights on the extent of altruistic empathy of both sectors at the onset and how this altruistic empathy frames collaborative negotiation. This paper shows that collaborative negotiation will influence the success of partnerships and altruistic empathy is an important preamble to collaborative negotiation. This paper provides a frame of reference for future study using other research methods for further validation.

Implications from Park Public-Private Partnership(PPP)Initiatives in China and Japan

In this study,the statistical information of 166 park Public-Private Partnership(PPP)projects in China,such as investment,area,project stage,and locality area,was collected to analyze types of clusters and defined five types.For each type of cluster,it was possible to analyze the merits of park PPP projects in China.The case study also revealed the construction process of the entities that build,manage and operate the projects.With the findings from the analysis,it can present a perspective on Japan and China and compare park Private Finance Initiative(PFI)and PPP projects between Japan and China.

Public-Private Partnerships to Address Global Environmental Problem： Sino-US Cooperation on Climate Change and Energy

The study indicates that public-private partnerships （PPPs） can play ＂strategic＂, ＂practical＂, or ＂regulative＂ roles by making use of ＂instrumental＂, ＂institutional＂, and ＂normative＂ approaches in tackling political issues between countries. PPPs have often been discussed in studies of urban development, service provision, health care, and so on, but they have rarely been analyzed in terms of international relations and political problems on global environmental issues. This study takes an environmental problena---Sino-US energy and climate change cooperation--as a case study to inspect the possible roles and approaches of PPPs. Sino-US cooperation has been launched such as under the Strategic ＆ Economic Dialogue （S＆ED） by both administrations, which has significantly contributed to their reconciliation of domestic abatement policies in climate change, environmental protection, and energy. The establishment of schemes such as the Ten-Year Framework for Cooperation on Energy and Environment （TYF）, the EcoPartnerships, and wide-ranging dialogues and initiatives on clean energy and clean vehicles, in which both public and private actors participate, are among the important approaches of facilitating bilateral cooperation. The study concludes that these schemes have played strategic and practical roles in strengthening the degree of mutual trust and in facilitating the progress of cooperation, although more investigations are needed to considerate their regulative roles. The application of instrumental, institutional, and normative approaches have been observed through the implementation of the TYF and EcoPartnerships.

A Public-Private Partnership Procurement Approach to Sustainable Transport—Zimbabwe Case

Zimbabwe has serious financial constraints so the only viable option to procure infrastructure is through engaging the private sector in public-private partnerships to enhance the chances of successfully undertaking public projects like sustainable transport. This study creates the basis for a potential public-private partnership with a trackless tram/solar energy project in Bulawayo which has multiple advantages for sustainable development goals. It identifies six other projects in Zimbabwe that can provide some guidance for developing an appropriate PPP that could assist procure such infrastructure. The projects are drawn from the three critical sectors of the economy: power generation, highways/transport, and water/sanitation. Empirical investigations of these projects reveal the effectiveness of the PPP concept to deliver infrastructure for emerging economies. This suggests an ideal PPP arrangement that increases the likelihood of getting projects like the proposed sustainable transport project in Bulawayo implemented quickly and efficiently, especially if formulated to incorporate the project’s local socio-economic dynamics.

A Brief Analysis on Risk allocation for Public-Private Partnership Projects in China

Public-Private Partnership （PPP） financing modalily has the ability of alleviating the budgetary pressure to the government. fulfilling the need of infrastructure development, and improving the efficiency of investment and operation. However, the negotiations between the government and the investors are time-consuming and costly, due to the perspective differences in risk allocation and revenue distribution. Disputes often arise during concession period because of changes in various risks or non-performance of its obligalions, especially when one sector was forced to accept the requirements by the other as a result of the unequal status, the project urgency or other reasons. Only a few PPP projects in China could perform successfully. There is therefore a need to develop an equitable risk allocation mechanism for the delivery of PPP projects in China so as to improve the efficiency of private investment in infrastructure development.

Review on the Public-Private Partnership

Traditionally,public goods and services have been provided by the government.In recent decades,however,public-private partnerships(PPP)were created to assist the best use of both public and private sector resources to enhance and extend public infrastructure assets and services.Throughout history,although governments have adopted such a combination of public and private ventures,the 1990s and early 21st centuries have witnessed a clear trend of governments across the world making significant use of different PPP arrangements.The rapid growth of PPPs has occurred since the 1990s throughout the globe as it was considered the preferred tool for public procurement of infrastructure and services.This paper examines the relevant literature of PPP and attempts to identify the historical development,the major reasons,the main types,forms,benefits of building PPP,as well as challenging issues facing the implementation of PPP in today’s world.

Public-Private Partnership Model Used in the Taipei Central Station Project Research

In view of the lack of financial aid and the migration of industries,the role of local governments shifted from social reproduction to development and production,which made the development of the local economy their main responsibility.The local governments hence have to face challenges in their management in regards to the arising changes and needs.This Taipei Central Bus Station Build Operate Transfer(BOT)project of urban formation and development is not only a trend in countries around the globe;it is also an area the Taiwan Residents governments are actively involved in.With the impact of urbanization,the size of highly functional cities has surpassed core city administrative regions;therefore,this has generated various planning,administrative and policy issues.This study examines the public-private partnership(PPP)views on urban development;the research methodology will be designed to focus on qualitative research,the following conclusions were made:(1)The basic goal of global city competitiveness of Taipei was promoted by implementing“qlubarnization”,a spatial development strategy dependent on intercalary abilities.(2)Taipei is located in the hub of Asia,linking China's Mainland and Taiwan,facing the world,peaceful and stable,rich and diverse in culture,such that adopting the“hybrid or mixed-use development model”will allow“the national gate of the country program—Central Station,Central Park”to become an international city brand.(3)Taking the“Taipei Main Station PPPs model development of the Taipei Central Bus Station BOT project of nine precincts specific land development projects”as a key success indicator,the government took privatization or PPP into consideration,loosened the monopoly on urban infrastructure,created infrastructure services and a maintenance market,positioned the city as a“supranational”entity in terms of capital flow,and sought a coherent land policy.

Predictors and consequences of rural clients’satisfaction level in the district public-private mixed health system of Bangladesh

Background:We investigated predictors of the rural clients’satisfaction level(CSL),and interlinks between perceived specific service quality(PSSQ),perceived utility value(PUV),CSL,and clients’reactions(CR)towards current and future utilization of providers and facilities in the public-private mixed health system of Bangladesh.Methods:A quantitative study using interviewer-administered questionnaire was conducted among 400 rural patients.CSL was measured both directly and indirectly.Clients’opinions of PSSQ relating to healthcare structure and process features were measured for indirectly assessing their satisfaction.PUV and CR were also measured indirectly.5-point Likert scales were used to measure PSSQ,PUV,CSL and CR.Multiple regression and mediation were the models.Results:Clients’satisfaction was low in both health sectors with significantly lower in the public than private sector.Accessibility(financial)predicted commonly high variations in CSL both in the public(18.2%)and private sectors(25.0%).Availability predicted incomparably highest variations in CSL in the public sector(34.6%).Structural factors predicted higher variations in clients’satisfaction in the public sector,which in the private sector were service process-features.Clients’reaction was the ultimate outcome of PSSQ mediated through PUV and CSL.PUV mediated the effects of PSSQ on clients’reaction stronger than CSL.Conclusion:Financial accessibility is a crucial risk of impoverishment in both public and private sectors.Both structural and process features of healthcare are in ample needs for addressing existing low satisfaction in patients in rural Bangladesh.

Dualism in Wordsworth's Lines Composed A Few Miles above Tintern Abbey

This paper aims at analyzing Tintern Abbey in light of dualism in the aspects of"nature and self"and"sense and sensibility". Nature is the background of self's emotional expression,and self can be distinctly observed under this peaceful and picturesque environment. As for sense and sensibility,Wordsworth tries to make balance between them and finally combines emotional sensibility with artistic form. The author of this paper tries to show that whether nature and self or sense and sensibility,the two different entities from the two aspects displayed in the poem interlace mutually and gradually come into a unified state in the end.

地理学中自然与人文耦合的挑战与前景

进入人类世以来,随着重大自然与社会问题的涌现,作为一门典型的交叉学科,地理学面临着前所未有的挑战与机遇。地理学研究的是复杂交织的人地关系问题,所以需要先在内部摒除二元论的偏见,实现自然(包括GIS)与人文的耦合。对中国地理学而言,自然与人文耦合的关键或难点在于方法论。应对挑战,地理学共同体应该鼓励面向重大问题的、多元化的交叉研究,促进数据、技术与社会的融合,共创治理科学新范式,逐步改变重理轻文的学科评价导向。在全球可持续发展的大背景下,地理学内部的交叉融合以及地理学与其他学科的交叉合作至关重要,人文与自然的耦合是地理学应该始终坚持的方向。

金融犯罪法益二元论之提倡与构建

金融犯罪的保护法益决定了金融刑法的规制面向。随着金融犯罪形式日益复杂,法益一元论已难以满足金融犯罪治理的新需求。金融风险的系统性、金融安全保护的迫切性都表明法益二元论更符合当前的金融形势。在构建法益二元论时,须明确金融刑法的理念,即防范金融风险并不意味着消除一切金融风险,仍需要为金融创新提供一定的空间。金融秩序和金融自由也并非绝对对立,而是相互依存的。由于肯定秩序法益在一定程度上会加剧法益保护前置化的倾向,招致金融刑法适用泛化的质疑,因此,在立法层面有必要引入比例原则检视金融犯罪的规定,在司法层面作出类型化的区分,合理确定金融犯罪的边界,从而保障金融市场的健康发展。

符号学视域下对品牌联动包装设计的思考——以酱香拿铁为例

符号学理论中索绪尔所提出的二元论,即符号的“能指”与“所指”的双层意义。本文基于该理论对瑞幸和茅台品牌联动产生的新产品——酱香拿铁包装设计中的图形符号、色彩符号和文字符号进行解读。从符号学理论的角度出发,旨在对品牌联动包装设计进行研究,并提出发展展望。凸显品牌特性,展现设计在现实中的运用和实践,对品牌联动包装设计的发展有着重要的现实意义。

Sparse Adversarial Learning for FDIA Attack Sample Generation in Distributed Smart

False data injection attack(FDIA)is an attack that affects the stability of grid cyber-physical system(GCPS)by evading the detecting mechanism of bad data.Existing FDIA detection methods usually employ complex neural networkmodels to detect FDIA attacks.However,they overlook the fact that FDIA attack samples at public-private network edges are extremely sparse,making it difficult for neural network models to obtain sufficient samples to construct a robust detection model.To address this problem,this paper designs an efficient sample generative adversarial model of FDIA attack in public-private network edge,which can effectively bypass the detectionmodel to threaten the power grid system.A generative adversarial network(GAN)framework is first constructed by combining residual networks(ResNet)with fully connected networks(FCN).Then,a sparse adversarial learning model is built by integrating the time-aligned data and normal data,which is used to learn the distribution characteristics between normal data and attack data through iterative confrontation.Furthermore,we introduce a Gaussian hybrid distributionmatrix by aggregating the network structure of attack data characteristics and normal data characteristics,which can connect and calculate FDIA data with normal characteristics.Finally,efficient FDIA attack samples can be sequentially generated through interactive adversarial learning.Extensive simulation experiments are conducted with IEEE 14-bus and IEEE 118-bus system data,and the results demonstrate that the generated attack samples of the proposed model can present superior performance compared to state-of-the-art models in terms of attack strength,robustness,and covert capability.

通用人工智能产品可版权化的反思与批判

在数字产业经济时代背景下,通用人工智能创意产品的可版权化问题,已然成为推动人工智能产业化和标准化发展的基础性研究议题。反思批判现有论证,讨论通用人工智能的能力跃迁,提出未来转变路径具有重要意义。当前,生成式人工智能创意产品的版权论证思路以“思想与表达”的二分为基础,认为只有自然人或法人能成为权利主体,人工智能作为“工具”存在。但是,通用人工智能实现了从代码运算到意识涌现的能力跃迁,其创作的产品具有更明显的独创性和主体性,经济价值也愈发突出。因此,针对即将到来的通用人工智能时代,现有的版权论证思路需要进行范式的倒转,重心应从作品这一结果转向作品形成之前的创作过程,重视经济价值并突破人类中心主义,对主客体界分进行变革。