A substantial international body of evidence links housing to health outcomes. In 2021, the World Health Organisation (WHO) evaluated a small selection of policies from its six geographic regions and found that, in Australia as in the rest of the world, existing healthy housing measures fall short of the systemic response required to address health impacts and inequities. This paper takes the novel step of applying Bacchi’s (2009) ‘What is the Problem Represented to Be?’ approach to a wide-ranging thematic analysis of over 300 Australian policies across the domains of health and housing and related policy areas. In so doing, it offers an overview of existing healthy housing policy as well as illuminating the conceptual understandings and priorities of policy makers, shedding light on the policy paradigms that see housing under-utilised as a preventive health and health equity measure.

Response to the coronavirus disease (COVID-19) pandemic revealed gaps in medical supply quality and personnel training and familiarity in San Francisco County, prompting the reexamination of county disaster supply caches and emergency medical services (EMS) system decompression protocols. Project RESPOND (Rapid Emergency Supplies for Prehospital Operations in Disaster) was developed to bridge the gap in patient care infrastructure during short- or no-warning disasters and enhance EMS system offloading by introducing a novel capacity for the safe treatment and discharge of patients with minor injuries from the scene of an event. This design, while scaled to the needs of a unique metropolitan population, can be used as a template for the reimagining of disaster response policy and development of disaster supply caches.

Based on 4 codesign cases and 15 designer interviews, this article presents how territorial design serves as a catalyst for shared values in community living. Examining user experience and design goals, it reveals how ethological and political values shape territories and the design process. Participants explore new work methodologies, redefine collective activities and navigate in tensions, power issues and political dimensions. The codesign space transforms political interactions, shifting from controversy to conception, offering a new experience and perspective on territorial discussions.

Ethiopia’s commitment to achieving universal health coverage (UHC) requires an efficient and equitable health priority-setting practice. The Ministry of Health aims to institutionalize health technology assessment (HTA) to support evidence-based decision making. This commentary highlights key considerations for successful formulation, adoption, and implementation of HTA policies and practices in Ethiopia, based on a review of international evidence and published normative principles and guidelines. Stakeholder engagement, transparent policymaking, sustainable financing, workforce education, and political economy analysis and power dynamics are critical factors that need to be considered when developing a national HTA roadmap and implementation strategy. To ensure ownership and sustainability of HTA, effective stakeholder engagement and transparency are crucial. Regulatory embedding and sustainable financing ensure legitimacy and continuity of HTA production, and workforce education and training are essential for conducting and interpreting HTA. Political economy analysis helps identify opportunities and constraints for effective HTA implementation. By addressing these considerations, Ethiopia can establish a well-designed HTA system to inform evidence-based and equitable resource allocation toward achieving UHC and improving health outcomes.

Mental health policies and plans (MHPPs) are important policy instruments and powerful tools to facilitate development of mental health systems and services across the world. We aimed to map and analyse methods and tools used to assess the extent, process and impact of implementing MHPPs. We systematically searched peer-reviewed and grey literature across seven scientific databases. We extracted and analysed the data on a) the characteristics of included studies (e.g., policy areas, region of origin, income setting) and b) the methodology and evaluation tools applied to assess the extent and process of implementation. We included 48 studies in the analyses. Twenty-six of these studies employed only qualitative methods (e.g., semi-structured interviews, focus group discussions, desk review, stakeholder consultations); 12 studies used quantitative methods (e.g., trend analysis, survey) and 10 used mixed-methods approaches. Generally, methods and tools used for assessment were described poorly with less than half of the studies providing partial or full details about them. Only three studies provided assessment of full policies. There is a lack of rigorous research to assess implementation MHPPs. Assessments of the implementation of entire MHPPs are almost non-existent. Strategies to assess the implementation of MHPPs should be an integral part of MHPPs.

Climate change threatens archaeological sites and cultural landscapes globally. While to date, awareness and action around cultural heritage and climate change adaptation planning has focused on Europe and North America, in this article, the authors address adaptation policy and measures for heritage sites in low- and middle-income countries. Using a review of national adaptation plans, expert survey and five case studies, results show the varied climate change adaptation responses across four continents, their strengths and weaknesses, and the barriers to be addressed to ensure better integration of cultural heritage in climate change adaptation planning.

This article examines out-of-home placements in Denmark over a seven-decade period from 1905 to 1975. The Danish state delegated this responsibility to a, using the words of Kimberly J. Morgan and Ann Shola Orloff, “difficult-to-classify public-private hybrid,” the Children’s Welfare Boards (CWBs). These CWBs comprised private citizens selected by the municipality. The article shows how the CWBs acted as interpreters, mediators, and implementers of state policy at the street level while also functioning as the direct link between government and citizens. The findings reveal an inherent conflict between center and periphery in that the state’s nationwide regulations and bureaucratic practices, intended to apply to all citizens uniformly, were to be implemented by local units within municipalities that operated according to logics other than those of the state. The vase of variations in child out-placement practices shows the importance of examining local variations in studying the history of policy implementation.

Do states take court decisions into account when formulating policies? If so, how do they process new judicial input and make policies in response to them? While self-interest and incentives are the usual elements involved in a rational choice explanation of policymaking, behavioralist scholarship casts doubt on whether decisionmakers are able to identify and pursue their interests in a rational manner. We draw on rational and behavioral approaches to formulate different expectations about the process of policymaking and updating in the context of maritime delimitation. We focus on how states formulate policies about the appropriate method of maritime delimitation given relevant decisions of the International Court of Justice. Using a dataset of continental shelf delimitation policies, we find evidence that at least some states change policies in line with court decisions. However, we are unable to distinguish between mechanisms consistent with rational choice and those suggested by behavioralism. We discuss why behavioralist explanations of policymaking processes are difficult to test in a large-N setting. Moreover, we discuss why additional evidence from interviews also proves insufficient, notably due to actors’ tendency to rationalize state policies. We end by suggesting how these problems can be addressed in future research.

Climate change is one of the most significant and pressing issues faced by humanity; it frequently results in major natural disasters, such as catastrophic floods, which require the establishment of effective management policies by local and national authorities. These policies involve complex multistep decision-making processes that require combined assessment of various sources of data by different stakeholders. Even though an abundance of data is being collected to monitor climate change and estimate its consequences on the society, the environment, and the economy, policy-making is still largely based on intuition rather than evidence due to lack of a structured approach for modeling the decision-making process and considering the appropriate use of data in every step of the process. The goal of this work is to introduce a novel decision support system that can guide policy makers through a structured data-driven decision-making process aiming to create policies for flood risk management. The proposed system is a multifacet platform that guides policy makers through five phases—inform, advise, monitor, evaluate, and revise—of the policy cycle. For each phase, different dashboards provide relevant information regarding the environmental, social, and economic conditions. To demonstrate the potential of the proposed system, we use it to assess a flood protection policy in the city of Vicenza, Italy. The results reveal the benefits and challenges of the proposed decision support tool for public administrations involved in flood risk management.

In 1959–62, relations between Greece and the USSR entered a new phase. The tactics of the Soviet Union regarding Cyprus in 1955–9 did not pay off, as the rift between Greece, Turkey, and NATO was largely bridged in the aftermath of the 1959 Cyprus agreements. However, the search for a Cold War détente engendered pervasive insecurity in a frontline state like Greece, always afraid that its larger allies might abandon it. Nuclear intimidation, Greek anti-communism on the one hand; on the other, the impressive development of trade relations, created a complex environment. This article, based on the archives of the Greek Foreign Ministry, and the personal archive of the Greek prime minister, Constantine Karamanlis, discusses Athens’ response to the new Soviet policy.