Integrating hydrogen into energy systems presents challenges involving social dynamics among stakeholders beyond technical considerations. A gap exists in understanding how these dynamics influence the deployment of hydrogen technologies and infrastructure, particularly in infrastructure development and market demand for widespread adoption. In the Netherlands, despite ambitious strategies and investments, comprehensive explanations of social dynamics' impact on integration processes and market development are lacking. This study addresses this gap by analyzing the hydrogen value chain and stakeholder interactions in the Dutch hydrogen sector. A literature review highlights system integration challenges and the need for decentralized coordination and cross-sector collaboration. Using the Dutch energy grid and its hydrogen initiatives as a case study, social network analysis and semi-structured interviews are applied to analyze over 60 hydrogen initiatives involving more than 340 stakeholders. Initiatives are categorized into large-scale centralized and decentralized local types based on scale and stakeholder involvement, allowing targeted analysis of stakeholder interactions in different contexts. Findings reveal that centralized networks may limit innovation due to concentrated influence, while decentralized networks encourage innovation but require better coordination. These insights guide strategic planning and policymaking in hydrogen energy initiatives, aiming to enhance scalability and efficiency of hydrogen technologies for sustainable energy solutions.@en

As the transition to sustainable energy intensifies, hydrogen emerges as a pivotal medium in mitigating climate change and improving energy security. While its applicability across various sectors is undeniable, its integration into established energy systems presents multifaceted challenges. This study investigates the complexities of integrating hydrogen into the Netherlands' energy systems. Beyond technological advancements, the successful design and rollout of a hydrogen supply chain require coordination and collaboration among a myriad of stakeholders. Through a mixed-methods approach, this study combines findings from a broad literature review, policy document analyses, evaluation of 59 field projects, and engaging dialogues with 33 key stakeholders from different sectors. This investigation led to the identification and categorization of key players in the Dutch hydrogen sector, revealing their interconnected roles and the challenges encountered in the hydrogen integration process. The study further categorized the identified challenges faced by stakeholders into five core domains: technical, infrastructural (including supply chain), socioeconomic, environmental, and institutional, with associated factors. Prominent challenges include transportation infrastructure upgrades, high initial costs and scalability, effective storage methods, safety and cybersecurity measures, storage and distribution infrastructure, security of supply, and public acceptance. This study contributes to the hydrogen integration discourse, offering insights for academics, industry, and policymakers. Its detailed stakeholder analysis, holistic categorization of challenges across five domains, and a stakeholder-centric approach grounded in real-world dialogues offer applicable frameworks beyond its primary context. In this vein, it guides future research and decisions, and its approach is adaptable for different regions or sectors, emphasizing comprehensive transition strategies.@en

In response to the urgency of sustainability challenges, there is a growing recognition of the incumbent firm’s role to engage in sustainable transitions. This paper explores the potential of systemic design as an approach for incumbent firms to facilitate sustainability transitions.

A systematic literature review was conducted, focusing on research contributions between 2000 and 2023 in Scopus, Web of Science, and Google Scholar databases. To synergize the review, the TCCM typology (Theory, Context, Characteristics, and Methods) was applied.

The analysis contrasts systemic design interventions in commercial and non-commercial contexts. It has been found that existing research in a commercial environment primarily focuses on small to midsized (social) enterprises facilitating local circularity transitions. Differing from the non-commercial environment, where research focuses on diverse wicked societal problems.

By identifying this gap, this contribution aims to advocate for a holistic perspective and interventions addressing sustainability transitions in a commercial context and advance the role of incumbent firms to such transitions. By that this paper contributes to advancing understanding and practice in systemic design for sustainable transitions in a commercial context.@en

This study explores the application of systemic design approaches used in a complex commercial context to create positive and sustainable change. The case study was a business case on sustainable parenthood, in which the company tried to balance its ambitions for environmental sustainability with the need to survive in a highly competitive market. In close collaboration with the internal business company stakeholders, a causal loop diagram was created. The diagram mapped relations between global relevant trends for emerging young adults within the DACH market, sustainability, and parenting as a business. Leverage points for systemic change were identified which were explored through in-depth user interviews (n=10). This process eventually identified ten systemic insights, translated into insight cards to facilitate business actions.

Based on these combined approaches, the MINT framework (Mapping Interventions and Narratives for Transformation) was developed, with a strong emphasis on co-creation, iteration, translation, and communication of systemic interventions. However, while the internal business stakeholders and company representatives appreciated the bird’s eye view that systemic design gave them, they were challenged by the methods’ abstract language and translation of systemic insights into concrete action. To address this, the developed framework utilized systemic design artefacts such as a storytelling map and user-centred insight cards to facilitate a more comprehensible systemic design approach.

Overall, this study provides a first attempt at creating an actionable systemic design framework that can be used in commercial settings to promote positive systemic change. Future research will require further validation.@en

BACKGROUND: Schistosomiasis is one of the neglected tropical diseases targeted for elimination by 2030. Achieving disease elimination requires collaboration between stakeholders, country ownership and the involvement of community-level stakeholders. The state of stakeholder relationship determines the ease and timeliness of meeting disease elimination targets. Mapping stakeholder relationships is critical for assessing gaps in the schistosomiasis control program implementation, and providing a roadmap for improved stakeholder cohesion. The study aimed to measure the cohesiveness of the contact, collaboration and resource-sharing networks, across 2 local government areas in Oyo state, Nigeria. MATERIALS AND METHODS: This study used a Network Representative design for Social Network Analysis (SNA). The study was conducted within Oyo state, Nigeria using 2 Local Government Areas (LGAs): Ibadan North (urban) and Akinyele (rural). Stakeholders were identified using a link-tracing approach. Data was collected using Qualtrics software from stakeholders across the state, local government, healthcare, academia, and non-governmental organizations. Data was analysed using Gephi software for network cohesion across the three networks. RESULTS: The social network analysis revealed high clustering and low density across the three networks implying low cohesion across multiple stakeholder categories. The contact and collaborative networks were the most active with the lowest level of cohesion seen in the resource-sharing network. Stakeholders were more active in the rural LGA than the urban, and stakeholders within the organized governance and public health system were the dominant actors in the schistosomiasis control program. CONCLUSION: The low cohesion, high clustering and low network density among stakeholders within the schistosomiasis control program should be addressed in other to drive innovation and meet the WHO schistosomiasis elimination target.

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Designing new and inclusive diagnostic tools to detect Neglected Tropical Diseases (NTDs) to achieve rational disease control requires a co-design process where end-users’ input is important. Failure to involve all potential end-users in new diagnostics for NTDs can result in low use and adoption failure, leading to persistent infection hot spots and ineffective disease control. There are different categories of potential end-users of new diagnostic tools for NTD control, and it is unclear if there are differences between the user efficiency, effectiveness, perception, and acceptability across these end-user categories. This study evaluated the usability, user perception, contextual factors affecting the user’s experience, and acceptability of a new digital optical diagnostic device for NTDs across three types of potential end users. A total of 21 participants were tested. Laboratory scientists, technicians, and Community Health Extension Workers (CHEWs) in training achieved similar scores on the usability and user perception questionnaires with no statistically significant difference between end-user categories. All participants also have high scores for the user perception domains which strongly correlate with the acceptability of the AiDx NTDx Assist device. This study indicates that, by providing digital diagnostic tools in combination with minimal training and support, CHEWs undergoing training and, by extension, CHEWs post-training, can be involved in the diagnoses of NTDs, potentially enhancing a community’s capabilities to diagnose, treat, and control NTDs. @en

Distributed hydrogen infrastructures have emerged as a complementary element in the quest for sustainable energy solutions, with potential applications in regions featuring high industrial demands and spatially resolved negative residual loads. These infrastructures can contribute to the decarbonization of electricity, heating, and transport sectors while enhancing local renewable energy consumption and supporting energy storage and demand-side management. However, their development presents unique design challenges, calling for a comprehensive understanding of stakeholder roles and relationships in the evolving ecosystem. This study examines stakeholder network dynamics within the distributed hydrogen ecosystem, focusing on the Netherlands' built environments. Through the analysis of 16 case studies, we employ Social Network Analysis (SNA) to identify and analyse stakeholder network involved in the early design and implementation of distributed hydrogen infrastructures. Our findings highlight emerging roles and interests due to the rise of such infrastructures, emphasizing the need for adaptable stakeholder relations. Design plays a critical role in this context, enabling stakeholders to navigate challenges, innovate, and foster collaboration. The paper explores stakeholder categories, providing insights into their interactions and coordination strategies. Ultimately, our study offers valuable guidance to practitioners and policymakers, promoting stakeholder collaboration for successful distributed hydrogen infrastructure deployment in pursuit of a sustainable, low-carbon energy future.@en

IntroductionThe INSPIRED project aims to develop inclusive Digital Optical Diagnostic Devices (DODDs) for schistosomiasis, to support disease management by enabling rapid diagnostic results, to improve efficient data management to guide decision-making and to provide healthcare workers with critical health information to facilitate follow-up action. Due to the non-availability of Target Product Profiles (TPPs) for guiding the development of digital diagnostics for schistosomiasis, we explored existing diagnostic TPPs.MethodsUsing a curated open access database (Notion database), we studied a selection of TPPs for diagnosing infectious diseases, focusing on specifications related to digital health products for Neglected Tropical Diseases (NTDs).ResultsEighteen TPPs originating from 12 documents, covering 13 specific diseases, were selected and their characteristics were labeled and entered into the database. Further exploration of the database revealed several gaps, including a lack of stakeholder input, sustainability, and TPP availability. Other significant gaps related to digital health platform interconnectivity and data stewardship specifically in relation to digital diagnostics, including DODDs.DiscussionThese findings reflect two possible scenarios: (1) there is currently no need for digital diagnostic devices for schistosomiasis and, by extension for other NTDs; or (2) those needs are not yet covered by TPPs. Therefore, we recommend that digital health diagnostics are included in the use cases for schistosomiasis control and elimination, at least in the ideal/desirable scenario, as this will guide research and incentivize investment in digital health diagnostics for schistosomiasis.@en

This research uses systemic design to develop interventions for sustainable change in a business context. The primary objective is to address the communication and translation of systemic insights into practical business actions. Bridging the gap between research and practice is a major challenge in effectively communicating systemic insights and guiding actionable decision-making. Therefore, the research question guiding this study is: “How can systemic insights be effectively translated into feasible actions for businesses?” To address this question, a combination of established methods was applied in the business case study of sustainable parenthood.

The systemic analysis involved defining system boundaries, gathering data through desk research and interviews with business stakeholders, and creating a causal loop diagram. Further, Donella Meadows’ theory was applied to identify leverage points for behavioural change strategies. To make the complexity of the system map and its leverage points comprehensible for stakeholders, it was translated into a story map and subsequently into insight cards. In-depth validation and analysis of the systemic insights were done through qualitative user interviews (n=10).

The main contribution of this paper is the use of insight cards, which offer a tangible and accessible format for conveying systemic insights. The cards allow the communication of complex systemic language and bridge research and practice. However, while insight cards were a valuable tool for the development of concrete solutions, further strategic considerations are needed. Thus, the study highlights the need for further research in effective communication strategies and systemic language to facilitate the translation of systemic insights into tangible business actions.@en

Urinary schistosomiasis is a waterborne parasitic infection caused by Schistosoma haematobium that affects approximately 30 million people annually in Nigeria. Treatment and eradication of this infection require effective diagnostics. However, current diagnostic tests have critical shortcomings and consequently are of limited value to stakeholders throughout the health care system who are involved in targeting the diagnosis and subsequent control of schistosomiasis. New diagnostic devices that fit the local health care infrastructure and support the different stakeholder diagnostic strategies remain a critical need. This study focuses on understanding, by means of Q-methodology, the context of use and application of a new diagnostic device that is needed to effectively diagnose urinary schistosomiasis in Oyo State, Nigeria. Q-methodology is a technique that investigates subjectivity by exploring how stakeholders rank-order opinion statements about a phenomenon. In this study, 40 statements were administered to evaluate stakeholder perspectives on the context of use and application of potential new diagnostic devices and how these perspectives or viewpoints are shared with other stakeholders. Potential new diagnostic devices will need to be deployable to remote or distant communities, be affordable, identify and confirm infection status before treatment in patients whose diagnosis of urinary schistosomiasis is based on self-reporting, and equip health care facilities with diagnostic devices optimized for the local setting while requiring local minimal infrastructural settings. Similarly, the context of use and application of a potential new diagnostic device for urinary schistosomiasis is primarily associated with the tasks stakeholders throughout the health care system perform or procedures employed. These findings will guide the development of new diagnostic devices for schistosomiasis that match the contextual landscape and diagnostic strategies in Oyo.

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It seems relevant for designers who are dealing with complex societal issues to be able to assess whether they appreciate the complexity of the design task sufficiently before the stages of the design and production process are reached, as these require informed decisions before committing substantial resources. We put forward that the ‘richness’ of intermediate results in a design process can be used as at least part of this assessment. The purpose of this paper is to explore the use of richness as a multi-level defined construct, to create a shared language for such an assessment. We created a three-part definition and tested its workability and value for designers. The results demonstrate the workability of considering richness as a multi-level defined construct. Its value for designers, then, is that assessing the richness of intermediate results can help to get a sense whether they are capturing the complexity of the design task. If not, this could be an explicit sign that more work is needed before moving towards the more resource-intensive stages. This first exploration can be built upon in various ways.

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Urinary schistosomiasis is a waterborne parasitic infection caused by Schistosoma haematobium that affects approximately 30 million people annually in Nigeria. Treatment and eradication of this infection require effective diagnostics. However, current diagnostic tests have critical shortcomings and consequently are of limited value to stakeholders throughout the health care system who are involved in targeting the diagnosis and subsequent control of schistosomiasis. New diagnostic devices that fit the local health care infrastructure and support the different stakeholder diagnostic strategies remain a critical need. This study focuses on understanding, by means of Q-methodology, the context of use and application of a new diagnostic device that is needed to effectively diagnose urinary schistosomiasis in Oyo State, Nigeria. Q-methodology is a technique that investigates subjectivity by exploring how stakeholders rank-order opinion statements about a phenomenon. In this study, 40 statements were administered to evaluate stakeholder perspectives on the context of use and application of potential new diagnostic devices and how these perspectives or viewpoints are shared with other stakeholders. Potential new diagnostic devices will need to be deployable to remote or distant communities, be affordable, identify and confirm infection status before treatment in patients whose diagnosis of urinary schistosomiasis is based on self-reporting, and equip health care facilities with diagnostic devices optimized for the local setting while requiring local minimal infrastructural settings. Similarly, the context of use and application of a potential new diagnostic device for urinary schistosomiasis is primarily associated with the tasks stakeholders throughout the health care system perform or procedures employed. These findings will guide the development of new diagnostic devices for schistosomiasis that match the contextual landscape and diagnostic strategies in Oyo.@en

The control and elimination of schistosomiasis have over the last two decades involved several strategies, with the current strategy by the World Health Organization (WHO)
focusing mainly on treatment with praziquantel during mass drug administration (MDA). However, the disease context is complex with an interplay of social, economic, political, and cultural factors that may affect achieving the goals of the Neglected Tropical Disease (NTD) 2021-2030 Roadmap. There is a need to revisit the current top-down and reactive approach to schistosomiasis control among sub-Saharan African countries and advocate for a dynamic and diversified approach. This paper highlights the challenges of praziquantel-focused policy for schistosomiasis control and new ways to move from schistosomiasis control to elimination in sub-Saharan Africa. We will also discuss an alternative and diversified approach that consists of a Systems Thinking Framework that embraces intersectoral collaboration fully and includes co-creating locally relevant strategies with affected communities.We propose that achieving the goals for control and elimination of schistosomiasis requires a bottom-up and pro-active approach involving multiple stakeholders. Such a pro-active integrated approach will pave the way for achieving the goals of the NTD 2021-2030 roadmap for schistosomiasis, and ultimately
improve the wellbeing of those living in endemic areas.@en

Background: Schistosomiasis, one of the neglected tropical diseases, is a water-based parasitic disease of public health importance. Currently, tests for Schistosoma haematobium infection either demonstrate poor specificity, are expensive or too laborious for use in endemic countries, creating a need for more sensitive, cheaper, and easy to use devices for the diagnosis of schistosomiasis. To ensure engagement during the process of device development; and effective acceptance and use after the introduction of diagnostics devices for S. haematobium, there is a need to involve stakeholders with varying power, interest, and stakes in device co-creation, as well as those relevant for later use situation in the diagnostic landscape. The main goal of this study is to identify and analyze relevant stakeholders for co-creation using a power-interest matrix. Materials and Methods: The study was based on an action research methodology using a case study approach. A contextual inquiry approach consisting of 2 stages: stakeholder identification and interview; and stakeholder analysis was used. The field part of the study was carried out in Oyo State, Nigeria using a multistage cluster purposive sampling technique based on the category of stakeholders to be interviewed predicated on the organizational structure within the state and communities. A mix of qualitative research techniques was used. Identified themes related to power and interest were mapped and analyzed. Results: We identified 17 characteristics of stakeholders across 7 categories of stakeholders important for schistosomiasis diagnostics. Most of the stakeholders were important for both the co-creation and adoption phase of the device development for diagnostics. However, not all stakeholders were relevant to co-creation. Key Stakeholders relevant for diagnostics co-creation demonstrated significant social power, organization power, and legitimate power bases. Most of the stakeholders showed significant interest in the device to be created. Discussion: The power and interest of these stakeholders reveal some insight into how each stakeholder may be engaged for both co-creation and device usage. The involvement of relevant actors who will also be important for co-creation and implementation, will simplify the engagement process for the critical stakeholders, increase the ability to manage the process, and increase diagnostic device acceptability.

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This book offers a number of attractive examples to demonstrate how people in the boardroom can influence complicated managerial processes around IT in a goal-oriented manner. Everybody talks about digital transformation, but what is it, how do you do it, and has it been done before?@en

This book is about the growing importance of information, and access to information, in a sustainable society. Sustainability is a hot theme in management, and it’s there to stay. But we should all be careful not to follow a theme that we barely understand@en

Design and craft domains possess knowledge and experiences that are valuable to product development; however, such knowledge is often tacit, localized, and embedded within each respective domain. In this paper, we examine how a combination of design tools—prescribed as boundary objects—supports knowledge exchange and collaboration between these two domains in a design intervention setup. This setup is developed to explore the intangible values inherent within a heritage product—a product inherited from the previous generations— closely connected to local craftspeople and a point of inspiration for designers. Two design intervention sessions have been conducted in cross-domain collaboration efforts between craft and design representatives from Malaysia. The method devised and employed in this paper enabled a detailed study of different types of boundary objects that represent knowledge from each domain, stimulated knowledge exchange across domains, and transformed part of the tacit knowledge shared into explicit forms. We found that craftspeople and designers can collaborate and share knowledge more effectively by focusing on specific knowledge within their domains that might be of value to the other. Finally, we highlight the importance of promoting inclusive and conscious adaptation of content from the local cultural heritage in the product development process.

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Background: Schistosomiasis, one of the neglected tropical diseases, is a water-based parasitic disease of public health importance. Currently, tests for Schistosoma haematobium infection either demonstrate poor specificity, are expensive or too laborious for use in endemic countries, creating a need for more sensitive, cheaper, and easy to use devices for the diagnosis of schistosomiasis. To ensure engagement during the process of device development; and effective acceptance and use after the introduction of diagnostics devices for S. haematobium, there is a need to involve stakeholders with varying power, interest, and stakes in device co-creation, as well as those relevant for later use situation in the diagnostic landscape. The main goal of this study is to identify and analyze relevant stakeholders for co-creation using a power-interest matrix.

Materials and Methods: The study was based on an action research methodology using a case study approach. A contextual inquiry approach consisting of 2 stages: stakeholder identification and interview; and stakeholder analysis was used. The field part of the study was carried out in Oyo State, Nigeria using a multistage cluster purposive sampling technique based on the category of stakeholders to be interviewed predicated on the organizational structure within the state and communities. A mix of qualitative research techniques was used. Identified themes related to power and interest were mapped and analyzed.

Results: We identified 17 characteristics of stakeholders across 7 categories of stakeholders important for schistosomiasis diagnostics. Most of the stakeholders were important for both the co-creation and adoption phase of the device development for diagnostics. However, not all stakeholders were relevant to co-creation. Key Stakeholders relevant for diagnostics co-creation demonstrated significant social power, organization power, and legitimate power bases. Most of the stakeholders showed significant interest in the device to be created.

Discussion: The power and interest of these stakeholders reveal some insight into how each stakeholder may be engaged for both co-creation and device usage. The involvement of relevant actors who will also be important for co-creation and implementation, will simplify the engagement process for the critical stakeholders, increase the ability to manage the process, and increase diagnostic device acceptability.@en

Schistosomiasis is one of the Neglected Tropical Diseases that affects over 200 million people worldwide, of which 29million people in Nigeria. The principal strategy for schistosomiasis in Nigeria is a control and elimination program which comprises a school-based Mass Drug Administration (MDA)with limitations of high re-infection rates and the exclusion of high-risk populations. TheWorld Health Organization (WHO) recommends guided case management of schistosomiasis (diagnostic tests or symptom-based detection plus treatment) at the Primary Health Care (PHC) level to ensure more comprehensive morbidity control. However, these require experienced personnel with sufficient knowledge of symptoms and functioning laboratory equipment. Little is known aboutwhere, bywhom and how diagnosis is performed at health facilities within the case management of schistosomiasis in Nigeria. Furthermore, there is a paucity of information on patients' health-seeking behaviour from the onset of disease symptoms until a cure is obtained. In this study, we describe both perspectives in Oyo state, Nigeria and address the barriers using adapted health-seeking stages and access framework. The opportunities for improving case management were identified, such as a prevalence study of high-risk groups, community education and screening, enhancing diagnostic capacity at the PHC through point-of-care diagnostics and strengthening the capability of health workers.

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