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Children’s voices are seldom heard directly. Most often, children, particularly young children, are represented by adults acting on their behalf who may or may not best represent the child’s views or best interests. This can be beneficial or problematic, if the child’s needs are not appreciated or recognised. This chapter looks at the changing attitudes to listening to young people, and the growing recognition of the value of children’s needs, as well as the growing voices of the children themselves, who make their needs increasingly clear. The results of our Models of Child Health Appraised (MOCHA) interviews with children and young people via the DIPEx International organisation give us clear direction as to the importance children using primary care services place on being taken seriously, being listened to and being able to make their own decisions. Other researchers asked input from primary care professionals on children’s autonomy and how the current and future primary care systems can best address the needs of young people, as well as the placing of these issues in a wider cultural context, and how this influences and is influenced by children’s choices. Finally, we look at how the MOCHA country agents have reported the assessment of the importance and function of listening to young people in our research.

There is considerable heterogeneity between primary care systems that have evolved in individual national cultural environments. Models of Child Health Appraised (MOCHA) studied how the transfer of models or their individual components can be achieved across nations, using examples of combinations of settings, functions, target groups and tracer conditions. There are many factors that determine the feasibility of successful transfer of these from one setting to another, which must be recognised and taken into account. These include the environment of the care system, national policy-making and contextual means of directing population behaviour – in the form of penalties and incentives, which cannot be assessed or expected to work by means of rational actions alone. MOCHA developed a list of criteria to assess transferability, summarised in a population characteristics, intervention content, environment and transfer (PIET-T) process. To explore the process and means of transferability, we obtained consensus statements from the researchers on optimum model scenarios and conducted a survey of stakeholders, professionals and users of children’s primary care services that involved three specific health topics: vaccination coverage in infants, monitoring of a chronic or complex condition and early recognition of mental health problems. The results give insight into features of transferability – such as the availability and the use of guidelines and formal procedures; the barriers and facilitators of implementation and similarities and differences between model practices and the existing model of child primary care in the country. We found that successful transfer of an optimal model is impossible without tailoring the model to a specific country setting. It is vital to be aware of the sensitivity of the population and environmental characteristics of a country before starting to change the system of primary care.

The global economy and air transport business have been negatively affected owing to the COVID-19 pandemic outbreak. As countries tighten restrictions on international movements, the growing emphasis on air cargo places pressure on airports to maintain and upgrade their cargo policies, facilities and operations. Hence, ensuring the competitiveness of cargo airports is pivotal for their survival under volatile global demand. This study aims to evaluate the importance of competitiveness factors for cargo airports and identify areas for further improvement.

This study applies the Best-Worst Method (BWM) to assess the cargo airports' competitiveness factors.

The results identified “Transport Capacity” as the most significant competitiveness factor, implying that airport connectivity is crucial in promoting cargo transportation at hub airports. This result was followed by “Airport Operations' and Facilities' Capacity” and “Economic Growth.”. Additionally, the results identified Hong Kong International Airport as the best-performing cargo airport, followed by Aéroport de Paris-Charles de Gaulle and Incheon International Airport, respectively. Furthermore, both selected European airports are the most competitive airports in terms of “Financial Performance” and appear to be aware of the significance of their brand value.

This study forms a reference framework for evaluating cargo airports’ competitive positions, which may help identify airports’ relative strengths and weaknesses. Moreover, this framework can also serve as a tool to facilitate the strategic design of airports that can accommodate air cargo demand flexibly under demand uncertainty.

This study aims to determine the practices performed by mothers to create a safe sleep environment for their babies.

This cross-sectional study was conducted at Family Health Centers (FHCs), the Central Anatolian Region of Turkey. The study sample consisted of 455 mothers who had 0–12-month-old babies. The data were collected via a questionnaire to ascertain the descriptive characteristics and means of creating a safe sleeping environment.

Mothers performed unsafe/risky practices as well as safe practices. Unsafe practices of mothers included 92.3% preferring soft mattresses, 87.0% placed a pillow under the baby's head, 17.8% preferred a prone sleep position for their baby, 16.9% covered the baby's face with a piece of thin cloth, 14.3% kept the sheet on the mattress loose, 6.8% of the mothers shared the same bed, 2.4% reported smoking in the environment where the baby slept.

Based on our findings, it is recommended that nurses should provide information on creating a safe sleep environment to mothers during FHC visits, and at-risk practices should be identified through home visits.