Sustainable health development--sustainable health services.
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The paper explores the role of a participatory approach in the outcome of the Finnish sustainable development indicator (SDI) exercise in 1998-2002. The process is analysed through three main objectives: to achieve stronger democracy, better quality of the end product and a more effective process. The analysis is further structured by a set of criteria needed for successful participation and differentiation of types of participants. The criteria comprise three main aspects: fairness, competence and social learning. In addition to the normally mentioned stakeholders (e.g. citizens and interest groups) participants also include experts and civil servants. Using the set of criteria above the participatory approach of the Finnish SDI process is then evaluated, and in the light of this evaluation the paper also discusses the specifications needed as evaluation criteria for national level policy programme processes like developing the SDIs. The results are based on documentation of the indicator task force meetings, written comments and a study of the putative end-users conducted after the publication of the indicators. The results show that the intense and broad participation of experts and civil servants increased the competence of the outcome and led to greater efficiency in working methods. However, this led to technocratic participation, absence of democratic participation and absence of social learning. Thus the ultimate goal of SDIs to contribute to achieving sustainability was not reached.
Ecologically sustainable development is aimed at reducing environmental degradation while enabling economic development with equity between the developed and developing worlds and between generations. Parasite control in livestock can both contribute to, and take advantage of, sustainable agriculture. This will tend towards less intensive, lower input, diversified crop and animal production with less risk of parasite-induced losses and greater opportunities for integrated control including the exploitation of grazing management. Chemotherapy will continue to play a part but the most serious problem is resistance in the target species. Except for a few isolated issues, currently used parasiticides are relatively minor contaminants of the food supply or the environment. Nevertheless, the compounds of the future will need to be narrow-spectrum, non-persistent and rapidly degraded, with convenience in the hands of the user reduced in importance. Environmentally friendly alternatives to chemotherapy, including genetic resistance of hosts, vaccines, and biological control, show considerable promise and must be pursued. Sustainable systems pose optimisation problems and more attention must be given to systems research, models and products to aid decisions. If governments are serious about sustainable development, greater support will be needed for longer-term patient, multi-disciplinary research.
The assessment of sustainable development is crucial for constituting sustainable development strategies. Assessment methods that exist so far usually only use an indicator system for making sustainable judgement. These indicators rarely reflect dynamic characteristics. However, sustainable development is influenced by changes in the social-economic system and in the eco-environmental system at different times. Besides the spatial character, sustainable development has a temporal character that can not be neglected; therefore the research system should also be dynamic. This paper focuses on this dynamic trait, so that the assessment results obtained provide more information for judgements in decision-making processes. Firstly the dynamic characteristics of sustainable development are analyzed, which point to a track of sustainable development that is an upward undulating curve. According to the dynamic character and the development rules of a social, economic and ecological system, a flexible assessment approach that is based on tendency analysis, restrictive conditions and a feedback system is then proposed for sustainable development.
There is a need to create a balance between development and conservation in order to find a way to mitigate the conflicting interest of water for society, the environment and the economy. Apart from finding a solution to this there is a need to get the mesaage across to the decision makers. How do we make good ideas permeate policy and translate into concrete programs? The Young Water Professionals gave their view through presentations and discussions. It was argued that the answer was not to be found only in environmental science but also in the political and social arena. It was argued that the sanctioned discourse is a powerful force in water allocation and management. How can a balance be struck? Many argued for a unique design of a policy for the whole catchment, acknowledging ecology and existing institutions. Furthermore, many argued in favor of building on existing institutions and steward groups for sustainability and increase their adaptive capacity.
A concept of the sustainable development principle proposed by the United Nations/International Committee on Environment and Development (ICED, 1987) and gained acceptance at the United Nations Conference on Environment and Development (Rio-de-Janeiro, 1992) lies not in the notion of a sustained character of the development but in an understanding of the development as a steadily and long existing and maintained process that is in advocating the stability of the development. It is known, that the state instability of open self-organizing and self-developing systems including the social ones is the the source of the development having a probabilistic, bifurcate and not quite predictable character. Such an understanding of the development should be well represented in the action initiated in the frame work of national and international state ecological policies.
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Sustainable development has become an important issue for trade unions around the world, but progress on sustainable development has been slow. Agenda 21, which came out of the 1992 UN Conference on Environment and Development in Rio de Janeiro, called on workers and trade unions to assume an active role. The International Confederation of Free Trade Unions (ICFTU) and the Trade Union Advisory Committee (TUAC) to the Organization for Economic Co-Operation and Development (OECD) became influential players who represent more than 155 million members in 148 countries and territories. The implementation of Agenda 21 has been hampered by bureaucratic gridlock--a situation that trade unions propose to overcome through innovative strategies on workplaces and workers. They realize that sustainable development cannot take place without radical changes in production and consumption. Globalization is creating opulence on the one hand and grinding poverty on the other. ICFTU and TUAC propose a new "world order" that includes democratic decision-making, popular accountability, transparency, and local control. They have proposed priorities, outlined in this article, for an international approach to sustainable development.
Biodiversity relates to sustainable development through a series of direct and indirect uses. These include direct harvest, nature tourism, wild genes improving domestic crops, wild species contributing to crop productivity, pest management, sources of medicine and bioremediation (biologically based environmental clean-up). Biodiversity relates through services, individual species indicating environmental change or stress, insights into the life sciences and increasingly today, through wealth generated from biodiversity at the level of the molecule. Sustainable development relates to the quantification of biodiversity through organizing information to enable the foregoing activities. It also relates in little-explored ways to ecosystem function, stability and resilience. Biodiversity is already a proven indicator of environmental change in freshwater systems.
Environmental indicator systems are a fundamental tool in quantifying the environmental component of sustainable development. They are useful because they quantify the status and trends of key environmental parameters and provide information on the environment that allows authorities and communities to make informed decisions. This article analyzes the basic framework for Chinese environmental indicator systems and presents a "core" set of environmental indicators. In our research, we used a theme approach to develop the environmental indicator systems. We performed two case studies of selected indicators. In the first, we used an urban ambient air pollution composite index and an urban ambient air pollution indicator for three main pollutants to examine trends in urban air pollution in China from 1990 to 2000 at regional and national levels. The results indicate that China has made some progress towards controlling urban air pollution, but must do more in order to reach acceptable pollution levels. We think that an aggregated index and disaggregated indicators have important complementary roles in the policy-making processes. In the second case study, we developed and constructed a grassland degradation index that aggregates information on the extent and severity of grassland degradation. Taking the Xilinhaote region of Inner Mongolia as the study area, we calculated this index by combining remote-sensing data, a geographical information system (GIS), and field investigation. Based on these results, we provide recommendations regarding further development and measurement of environmental indicators in China.
Development planning is multidimensional in nature. On the one hand, it addresses economic growth, and on the other, it deals with economic development of the whole nation. Sustainable development, on the other hand, emphasizes the need for integration of economics and environment, as well as promoting intra- and intergenerational equity. While the literature deals extensively with the issues of sustainable development, it lacks a prescription of an easy-to-use, yet rigorous, methodology for it. In this paper, we offer a decision conferencing approach to sustainable development planning based on a multicriteria model. The integrated model is presented and applied to a sustainable development planning exercise in a third world country. Sample results are presented and detailed sensitivity analyses show the environmental variables that are of major concern.
The sustainable development of Chinese medicines resources is a key point for the modernization of traditional Chinese medicine. This paper put forward the concept, main tasks and characteristics on the sustainable development of Chinese medicine resources, and analyses the current situation and problems in China. It has explained the basic principle and the sustainable development framework of Chinese medicines resources. The framework consisted of 4 parts: the research system, protection and control system, evaluation index system and development system. It provided external scientific standard for the research of the sustainable development on Chinese medicine resources.
This paper assesses the feasibility of sustainable development for various low-income countries in the context of prospective population growth. In that context, development that is sustainable is development that does not endanger the natural systems that support life on earth. Since a short time has elapsed since the Mexico City Conference, not all the developmental goals highlighted at that meeting could be reviewed. Emphasis in this paper is placed on an assessment of recent trends in food production and availability, employment and poverty issues, with an emphasis on India, China, and a few other Asian countries on which the author has had access to information. In the view of the author, the key to sustained development in the face of likely continued population growth up to the end of the 21st century lies in technological change and effective use of the human and physical resources in developing countries. Adequate planning and judicious adaptation of the institutional framework can help to avoid the suffering and misery of millions of people currently alive and also those who will be born during further decades.
The World Summit on Sustainable Development (WSSD) was held in Johannesburg in 2002 to review progress since the Rio conference in 1992, and to agree a new global deal on sustainable development. Unlike its predecessor, it was primarily concerned with implementation rather than with new treaties and targets, although a number of new targets were agreed, for example one on sanitation. Failure to agree a target on renewable energy was regarded as a major disappointment of the conference. While relatively modest in its achievements, and with difficulties in achieving consensus in key areas such as energy, trade, finance and globalisation, WSSD nevertheless succeeded in placing sustainable development back on the political agenda, giving new impetus, in particular to the environment and development needs of Africa, with a strong focus on local issues like household energy, water and sanitation. Health was singled out as one of five priority areas, along with water, energy, agriculture and biodiversity, and was devoted a separate chapter in the resulting Plan of Implementation, which highlighted a range of environmental health issues as well as issues relating to health services, communicable and non-communicable diseases. A number of new partnerships were formed at WSSD, including the Healthy Environments for Children Alliance (HECA) launched by WHO, which will form an important platform for implementation. The Commission on Sustainable Development has been designated main responsibility for monitoring and follow up, with its programme of work reorganised to focus on thematic clusters of issues. From the perspective of health, WSSD must be seen as a reaffirmation of the central place of health on the sustainable development agenda, and in the broader context of a process which began in Rio and was given added impetus with the Monterrey Financing for Development conference and the World Trade Organisation meeting held in Doha. Translating policies into action at all levels- global to local - remains the single biggest challenge in the years that lie ahead.
Currently there are three main parallel processes aiming either to improve the environment or to achieve sustainable development within the European Union (EU): the 6th Environmental Action Programme (6th EAP), the Cardiff Process and the Strategy for Sustainable Development (SDS). The 6th EAP provides key environmental objectives and the framework to set other environmental strategies. The Cardiff Process plays a fundamental role in the progression of environmental integration, as an essential tool to implement the EAP and to achieve sustainable development. Sustainable development is a major political mandate for the EU and the SDS aims to provide long-term objectives and measures to promote and implement it. The EU Chemicals policy is an example of a European policy extracting and using some new approaches and principles characterising the political processes described above. The aim of this paper is to analyse these political processes, their reciprocal interactions, highlight their innovative approaches, as well as providing concrete example of sectoral policy implementing them.
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Manifold linkages exist between climate change and sustainable development. Although these are starting to receive attention in the climate exchange literature, the focus has typically been on examining sustainable development through a climate change lens, rather than vice versa. And there has been little systematic examination of how these linkages may be fostered in practice. This paper examines climate change through a sustainable development lens. To illustrate how this might change the approach to climate change issues, it reports on the findings of a panel of business, local government, and academic representatives in British Columbia, Canada, who were appointed to advise the provincial government on climate change policy. The panel found that sustainable development may offer a significantly more fruitful way to pursue climate policy goals than climate policy itself. The paper discusses subsequent climate change developments in the province and makes suggestions as how best to pursue such a sustainability approach in British Columbia and other jurisdictions.