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Barriers to adequate healthcare in rural areas remain a grand challenge for local healthcare systems. In addition to patients' travel burdens, lack of health insurance, and lower health literacy, rural healthcare systems also experience significant resource shortages, as well as issues with recruitment and retention of healthcare providers, particularly specialists. These factors combined result in complex change management-focused challenges for rural healthcare systems. Change management initiatives are often resource intensive, and in rural health organizations already strapped for resources, it may be particularly risky to embark on change initiatives. One way to address these change management concerns is by leveraging socio-technical simulation models to estimate techno-economic feasibility (e.g., is it technologically feasible, and is it economical?) as well as socio-utility feasibility (e.g., how will the changes be utilized?). We present a framework for how healthcare systems can integrate modeling and simulation techniques from systems engineering into a change management process. Modeling and simulation are particularly useful for investigating the amount of uncertainty about potential outcomes, guiding decision-making that considers different scenarios, and validating theories to determine if they accurately reflect real-life processes. The results of these simulations can be integrated into critical change management recommendations related to developing readiness for change and addressing resistance to change. As part of our integration, we present a case study showcasing how simulation modeling has been used to determine feasibility and potential resistance to change considerations for implementing a mobile radiation oncology unit. Recommendations and implications are discussed.

School counselors are committed to serving students' social-emotional, postsecondary, and academic needs while they navigate primary and secondary school (American School Counselor Association, 2019). Much has been said about the ways in which school counselors can impact postsecondary outcomes and social emotional health. It is important that we also address the ways school counselors can impact positive academic outcomes as it is intertwined in postsecondary options and success. For Black males, academic success has traditionally been met with systemic barriers (i.e., school-to-prison pipeline, lower graduation rates, lower incomes, higher unemployment rates, and lower college going rates (National Center for Edcuation Statisitics, 2019a, 2019b, 2020a, 2020b) and low expectations. School counselors are charged to be leaders and change agents for social justice and equity in our schools by the American School Counselor Association (ASCA, 2019) and can impact systemic change. This chapter will explore ways in which school counselors can impact positive academic outcomes for Black males. School counselors as change agents and advocates are positioned to make a real impact for Black male academic success. The authors will also provide some recommendations and best practices for elementary, middle, and high school counselors as they work with students, teachers, and families from an anti-deficit model as outlined by Harper (2012).

The role of children and young people is not outlined in the sustainability transitions literature. The aim of this work is to illustrate the significance of young people's agency by showcasing Hare Krishna eco-farms organising cultural/eco-spiritual events. This work forms part of a wider sustainability study focussing on food in spiritual communities in Europe. Data were collected through observation and interviews on three Hare Krishna farms. The agency of children and youths and the significance of their presence at eco-events emerged as an unexpected theme. Findings show that Hare Krishna events in Europe are visited by a relatively high number of children and young people who learn about more sustainable practices through extracurricular activities. By describing the cognitive and experiential encounters, the authors draw attention to the significance of children's involvement in ecologically geared events in the context of sustainability transitions.

Children with disabilities are integral part of the society, but they often confront challenges due to barriers that people throw in their way. As a result, their participations in public events are often limited. Despite several treaties and conventions, children with disabilities still face discrimination that spreads into all spheres of life and not much is done to empower them to become resilient. According to the UNICEF Report (2020), children with disabilities are stigmatised and they are often isolated without having a possibility to participate in events and activities of the schools. While the government sector undoubtedly provides the basic support and facilities to them, the rest is often left in the hands of private sectors and NGOs. As a result, it is important to recognise and acknowledge NGO's effort in empowering children with disabilities and integrating them in the society. The African Network for Policy, Research and Advocacy for Sustainability (ANPRAS), an NGO affiliated with the African Union and headquartered in Mauritius never neglected this segment of the society while organising its flagship activities and annual event. Unlike Dowse, Powell, and Weed (2018) who argue that children are mostly undermined as community members, the current study seeks to demonstrate that children have a voice at ANPRAS and those with disability have a louder one. In fact, children with disabilities are gifted with talents and they may live a normal life if they are accepted by the society and if appropriate support is given. Methodologically, the chapter is built on secondary data from documents archived at ANPRAS office. The chapter closes with a concluding note on few implications related to the participation of children with disabilities in public events and ANPRAS activities.

This chapter explores the role of indigenous knowledge system (IKS) in the development of informal entrepreneurial models in Africa. This was undertaken through a discussion of the production processes and the marketing platforms used in producing and distributing mpesu (a traditional medicine used for sex enhancement and reproductive healthcare) by Traditional Healthcare Practitioners (THPs) in the Vhembe District of South Africa, and Beitbridge areas of Zimbabwe. The argument is that drawing on Vhavenda IKS-based strategies, entrepreneurs involved in the healthcare product have managed to develop context-appropriate and innovative strategies for marketing mpesu. However, while this model may appear unorthodox, it has helped sustain the appetite and demand for the product. It has also, despite its imperfections, provided economic safety-net for local entrepreneurs.