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Health management information systems (HMISs) are essential in programme planning, budgeting, monitoring and evidence-informed decision-making. This paper focuses on donor transitions in two upper-middle-income countries, China and Georgia, and explores how national HMIS adaptations were made and what facilitated or limited successful and sustainable transitions. This comparative analytical case study uses a policy triangle framework and a mixed-methods approach to explore how and why adaptations in the HMIS occurred under the Gavi Alliance and the Global Fund–supported programmes in China and Georgia. A review of published and grey literature, key informant interviews and administrative data analysis informed the study findings. Contextual factors such as the global and country context, and health system and programme needs drove HMIS developments. Other factors included accountability on a national and international level; improvements in HMIS governance by establishing national regulations for clear mandates of data collection and reporting rules and creating institutional spaces for data use; investing in hardware, software and human resources to ensure regular and reliable data generation; and capacitating national players to use data in evidence-based decision-making for programme and transition planning, budgeting and outcome monitoring. Not all the HMIS initiatives supported by donors were sustained and transitioned. For the successful adaptation and sustainable transition, five interlinked and closely coordinated support areas need to be considered: (1) coupling programme design with a good understanding of the country context while considering domestic and external demands for information, (2) regulating appropriate governance and management arrangements enhancing country ownership, (3) avoiding silo HMIS solutions and taking integrative approach, (4) ensuring the transition of funding onto domestic budget and enforcing fulfilment of the government's financial commitments and finally (5) investing in technologies and skilled human resources for the HMIS throughout all levels of the health system. Neglecting any of these elements risks not delivering sustainable outcomes. [ABSTRACT FROM AUTHOR]

This paper used original survey data in Shandong province of China to depict local farmers' perceptions of combined climatic and market risks, and their adaptive behaviors. Two Logit models were developed to capture the empirical relationship between farmers' risk perception of the combined risks and adaptive behaviors. Results show that farmer's risk perception of climate change and market significantly affected their adoption behavior of adaptive measures, including perception of rainfall decrease, gale decrease, drought increase, and price fall of agricultural products. Moreover farmers' adaptive behaviors are more sensitive to their perceptions of extreme climatic events. Addition of demographic factors can improve the explanatory capacity of the Logit model. As illustrated by the models, male and better educated farmers have greater willingness to take actions for averting risks, while household heads with bigger farm are more reluctant. A majority of respondents chose to construct farm structure for irrigation and water conservation to avert climatic risks. Insurance, which is regarded as an effective tool to help farmers mitigate risks and avoid losses, has not been sufficiently accepted by farmers in rural areas in Shandong province. This underscores the need of effective communication of knowledge to enhance farmers' coping capacity and to encourage their active response to risk. [ABSTRACT FROM AUTHOR]

This paper explores the emergence of urban agriculture and its changing nature and role in the urbanization process in China. With an increase in urban agricultural pursuits in both planned and unplanned residential areas, the focus of the paper is primarily on better understanding the nature of emerging 'informal' practices in built and unbuilt spaces. By using a planned residential area in Kunming, Yunnan Province as a case study, this paper identifies the physical and spatial expressions of urban agriculture practices as well as the motivations and attitudes of stakeholders. The results show that over half of the participants had experience in undertaking urban agricultural practices, with the predominant reason being to fulfill personal interests, including meeting household needs. When undertaking urban agricultural practices, local residents demonstrate their divergent abilities and skills in negotiating, adapting, and managing both private and increasingly incursions into the public domain. Analysis of the empirical results indicates that urban agricultural pursuits are a viable practice which supports the livelihoods and wellbeing of the residents by using innovative, creative and emergent forms in both private and public spaces. [ABSTRACT FROM AUTHOR]