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This study aims to analyse the condition of the elderly in poor households which includes two things. The first is the characteristics of the elderly in poor households and the effect of poverty on the economic activities of the elderly.

This research uses secondary data from the 2020 National Social Economic Survey.

Poverty status of households is proven to have an effect on the participation of the workforce and the work participation of the elderly. The poor elderly tend to have a greater chance of participation in economic activities than the non-poor elderly. The absence of pension and old age insurance also causes the elderly to continue working until old age. Working is one of the survival mechanisms for the elderly.

This research has analysed the two population problems, which are the aging population and poverty.

Current evidence indicates that humans and animals are at increased risk of multiple health challenges due to microplastic (MP) profusion. However, mitigation is constrained by inadequate scientific data, further aggravated by the lack of evidence in many African countries. This review therefore synthesized evidence on the current extent of MP pollution in Africa and the analytical techniques for reporting.

A literature search was undertaken in research databases. Medical subject headings (MeSH) terms and keywords were used in the literature search. The authors found 38 studies from 10 countries that met the inclusion criteria.

Marine organisms had MPs prevalence ranging from 19% to 100%, whereas sediments and water samples had between 77 and 100%. The most common and dominant polymers included polypropylene and polyethylene.

This review shows that most studies still use methods that are prone to human errors. Therefore, the concentration of MPs is likely underestimated, even though the authors’ prevalence evaluations show MPs are still largely pervasive across multiple environmental matrices. Also, the study reveals significant spatial disparity in MP research across the African continent, showing the need for further research in other African countries.

Even though some reviews have assessed MPs pollution in Africa, they have not evaluated sample prevalence, which is necessary to understand not only concentration but pervasiveness across the continent. Secondly, this study delves deeper into various methods of sampling, extraction and analysis of MPs, as well as limitations and relevant recommendations.

The current study aims at developing a conceptual framework containing original dimensions of SERVQUAL and adding two modified dimensions: patient safety and medical professionalism in healthcare service quality (HSQ) model.

An extensive review of HSQ literature pertaining to its dimensions and models with respect to content analysis and bibliometric studies of service quality in healthcare and SERVQUAL in healthcare were performed on 47 relevant studies, 4,689 and 529 documents after applying inclusion and exclusion criteria. Google Scholar and Scopus were the primary sources to find the relevant documents.

The content analysis was conducted to group HSQ dimensions into seven themes. Co-occurrence analysis of author keywords was performed in VOSviewer to find the links between service quality, SERVQUAL and proposed dimensions. Organization and analysis of different HSQ models and dimensions emerged from the literature result in a comprehensive conceptual framework comprising modified dimensions of healthcare service quality – medical professionalism and patient safety.

SERVQUAL is a widely accepted, tested and validated model in perceiving HSQ from the lenses of patients. But it does not cover the complex nature of healthcare service, thus requiring modification and the addition of new contextual dimensions. Therefore, a comprehensive conceptual framework is developed to validate and test quantitatively.