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Background: More than 57 million people have dementia worldwide. Evidence indicates a change in dementia prevalence and incidence in high-income countries, which is likely to be due to improved life-course population health. Identifying key modifiable risk factors for dementia is essential for informing risk reduction and prevention strategies. We therefore aimed to estimate the population attributable fraction (PAF) for dementia associated with modifiable risk factors. Methods: In this systematic review and meta-analysis, we searched Embase, MEDLINE, and PsycINFO, via Ovid, from database inception up to June 29, 2023, for population-derived or community-based studies and reviews reporting a PAF value for one or more modifiable risk factor for later-life dementia (prevalent or incident dementia in people aged ≥60 years), with no restrictions on dementia subtype, the sex or baseline age of participants, or the period of study. Articles were independently screened for inclusion by four authors, with disagreements resolved through consensus. Data including unweighted and weighted PAF values (weighted to account for communality or overlap in risk) were independently extracted into a predefined template by two authors and checked by two other authors. When five or more unique studies investigated a given risk factor or combination of the same factors, random-effects meta-analyses were used to calculate a pooled PAF percentage estimate for the factor or combination of factors. The review protocol was registered on PROSPERO, CRD42022323429. Findings: 4024 articles were identified, and 74 were included in our narrative synthesis. Overall, PAFs were reported for 61 modifiable risk factors, with sufficient data available for meta-analysis of 12 factors (n=48 studies). In meta-analyses, the highest pooled unweighted PAF values were estimated for low education (17·2% [95% CI 14·4–20·0], p<0·0001), hypertension (15·8% [14·7–17·1], p<0·0001), hearing loss (15·6% [10·3–20·9], p<0·

INTRODUCTION: Growing evidence suggests that climate change-related extreme weather events adversely impact maternal and child health (MCH) outcomes, which requires effective, sustainable and culturally appropriate interventions at individual, community and policy levels to minimise these impacts. This scoping review proposes to map the evidence available on the type, characteristics and outcomes of multilevel interventions implemented as adaptational strategies to protect MCH from the possible adverse effects of climate change. METHODS: The following databases will be searched: Embase, MEDLINE, Emcare, EPPI-Centre database of health promotion research (BiblioMap) EPPI-Centre Database for promoting Health Effectiveness Reviews (DoPHER), Global Health, CINAHL, Joanna Briggs Institute EBP Database, Maternity and Infant Care Database, Education Resource Information Center, PsycINFO, Scopus, Web of Science and Global Index Medicus, which indexes Latin America and the Caribbean, Index Medicus for the South-East Asia Region, African Index Medicus, Western Pacific Region Index Medicus. Cochrane Central Register of Controlled Trials, WHO International Clinical Trials Registry Platform, ClinicalTrials.gov, conference proceedings, thesis and dissertations, policy and guidelines and their reference lists will also be searched. Two reviewers will independently screen titles and abstracts and full text based on predefined eligibility criteria. The Preferred Reporting Items for Systematic Reviews and Meta-analyses Extension for Scoping Reviews using the Population, Concept and Context framework and the Template for Intervention Description and Replication checklist will be used to structure and report the findings. ETHICS AND DISSEMINATION: Ethics permission to conduct the scoping review is not required as the information collected is publicly available through databases. Findings will be disseminated through a peer-reviewed publication and conference presentations.

OBJECTIVE: Integration of environmentally sustainable digital health interventions requires robust evaluation of their carbon emission life-cycle before implementation in healthcare. This scoping review surveys the evidence on available environmental assessment frameworks, methods, and tools to evaluate the carbon footprint of digital health interventions for environmentally sustainable healthcare. MATERIALS AND METHODS: Medline (Ovid), Embase (Ovid). PsycINFO (Ovid), CINAHL, Web of Science, Scopus (which indexes IEEE Xplore, Springer Lecture Notes in Computer Science and ACM databases), Compendex, and Inspec databases were searched with no time or language constraints. The Systematic Reviews and Meta-analyses Extension for Scoping Reviews (PRISMA_SCR), Joanna Briggs Scoping Review Framework, and template for intervention description and replication (TiDiER) checklist were used to structure and report the findings. RESULTS: From 3299 studies screened, data was extracted from 13 full-text studies. No standardised methods or validated tools were identified to systematically determine the environmental sustainability of a digital health intervention over its full life-cycle from conception to realisation. Most studies (n = 8) adapted publicly available carbon calculators to estimate telehealth travel-related emissions. Others adapted these tools to examine the environmental impact of electronic health records (n = 2), e-prescriptions and e-referrals (n = 1), and robotic surgery (n = 1). One study explored optimising the information system electricity consumption of telemedicine. No validated systems-based approach to evaluation and validation of digital health interventions could be identified. CONCLUSION: There is a need to develop standardised, validated methods and tools for healthcare environments to assist stakeholders to make informed decisions about reduction of carbon emissions from digital health interventions.

As the global population continues to urbanize, increasing pressure is put upon urban centers and the carrying capacity of the already built-up areas. One way to meet these demands is horizontal expansion, which requires new lands to become incorporated into urban centers. In most cases, this demand is met by converting peri-urban land into urban land as the urban center expands. These processes of expansion into the peri-urban, however, create tension regarding land use and land rights, and may foster tenure insecurity if not well managed. As in many countries, Ethiopia is experiencing extensive urban population growth and the peri-urban areas at the edge of urban centers are under pressure. This study investigates land rights issues and tenure security conditions of peri-urban farmers in the case study sites of Addis Ababa and Hawassa. The findings reveal that urban expansion into the peripheral agricultural lands and the resulting tenure system change has caused intense perceived tenure insecurity among peri-urban farmers. The range of land rights exercised differs in these two sites, as measured by the property rights analytical framework. Peri-urban farmers in Hawassa hold weak owner positions, enabling them to exercise thicker rights. However, peri-urban farmers in Addis Ababa hold weak claimant positions, which is slightly above the operational level right of an authorized user. This analysis suggests that the urban development and expansion strategies adopted by the respective city administrations are impacting land rights of the peri-urban farmers and their tenure security, albeit in unique ways, from which lessons can be drawn about how urban expansion policies can be more appropriately designed and implemented.

Digital transformation and the development of a digitally fluent nursing workforce are necessary for engagement with digital technologies in healthcare settings. For this purpose, educators aim to develop workforce-ready graduates equipped with disciplinary knowledge, expertise, and digital capabilities supportive of further professional development. Having identified a subset of nursing students with low levels of digital literacy, the nursing faculty engaged with library services and the academic skills unit to develop and embed a sustainable Nursing Digital Literacy Module in the graduate entry to practice nursing program. This paper reports on the model created and early evaluation of the student uptake of the module.

The literature on international non-governmental organizations (INGOs) has focused primarily on large INGOs, which capture the majority of total INGO spending but represent a small number of total INGOs. Over the past two decades, the number of INGOs has more than tripled throughout the global North, which has ushered in a decentralization of the sector as an emerging class of small- and medium-sized INGOs increasingly share the same space once occupied solely by large INGOs. This study focuses on these INGOs in transition to explore how they differ from large INGOs that receive significant government funding and their pathways to scale. Using an original dataset of 1371 Canadian INGOs, we explored comparative differences related to funding sources, overhead, organizational age, country coverage, staff, and religion between the transitioning and small-scale INGOs. Our results identified several general insights for how INGOs transition: (1) Large INGOs are less likely to articulate a religious motivation, which may impede government funding; (2) INGOs are more likely to be headquartered in Ontario, which is closer to federal government offices; (3) low overhead expenditures inhibit small-scale INGOs from transitioning to medium- and large-scale INGOs; (4) organizational age plays a critical factor to scale-up as INGOs increase their experience and expertise; (5) generous compensation to attract talented staff offers an under-valued pathway to scale. Finally, our results demonstrate the diversity among INGOs in Canada and problematizes singular scale-up pathways, while underscoring the necessity of future research to explore scaling strategies through individual case studies.

Ethiopia has implemented one of the world's most cost-effective systems to document land holdings, the land certification system. After more than 15 years since its launch, questions have been raised regarding its functionality. Specifically, there are concerns about the process of updating land certificates, thus ensuring the certificates and the registry are up-to-date. This exploratory evaluation seeks to provide formative evidence regarding this question, and, if warranted, give direction as to where additional research is needed. We find that in some areas, the mechanisms for updating land certificates are functional and in other areas not. Based upon these findings, we suggest four areas for future research, namely: (1) assessing the extent of non-functionality on a broader scale, (2) investigating the causes of non-functionality and viable options for addressing the cases thereof, (3) how policy can best address uninheritable land due to its small size, and (4) evaluating the viability of the future of rural livelihoods and what services ought to be put in place to enable a transition that provides decent livelihood alternatives.

The purpose of this study is to unravel the education–migration nexus in the African context, specifically Ethiopia. It examines why young people terminate their education to migrate out of the country. The study applies de Haas’ aspiration—capability framework and Turner’s macro, meso and micro sociology as its analytical lenses. It offers unique insight into the terrain of youth migration in southern Ethiopia based on empirical data obtained from two rural sub-districts known for high levels of youth out-migration. Data are generated based on interviews with would-be migrant youth, parents, teachers and school principals. The findings reveal that education has both direct and indirect impacts on youth migration. On the other hand, the results indicate that though terminating school could have negative ramifications on human capital accumulation at micro and macro levels, migration can positively impact households and local communities through investments made by individual migrants, migrant-returnees, and remittance-receiving households in small businesses or community development projects, which included better resourced schools.

With recent growth in funding and research on “resilience building”, interest in climate services has risen dramatically. Included in this trend is an increased emphasis on the use of climate and weather information for a range of purposes across multiple scales. Non-governmental organisations (NGOs) and other non-state actors across Africa have responded accordingly, and are increasingly acting as brokers, and sometimes producers, of climate services as part of their activities. Drawing on research from Burkina Faso and Ethiopia as part of the Building Resilience and Adaptation to Climate Extremes and Disasters (BRACED) programme, this paper critically examines the evolving climate services landscape and raises questions about what the future holds for climate services in sub-Saharan Africa. We ask two questions: How have national climate services in these countries evolved since the early 2000s when they first came to prominence? And how have NGO contributions to these services evolved over time? Our findings highlight a considerable evolution in the aims and capacities of climate service systems over this period. NGOs have contributed to this progress on multiple fronts, but we note that important opportunities for innovation remain. We also raise concerns about how the current financing and governance models may influence priority setting and the sustainability of “projectised” services. Accordingly, we call for a better understanding how power and politics shape the development and deployment of climate services. This paper provides insight on the evolving landscape of climate services, actors involved in its provision and implications for the future.