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A Study of the Effectiveness of the Composite Burn Index (CBI) in Assessing the Severity of Forest Soil Fires in Latakia Governorate

The Use of Tramadol Only in Spinal Anesthesia Compared with Fentanyl and Marcaine Combination in Operations on the Perineum, Genitals, Lower Extremities and Lower Abdominal Operations

The Role of Scientific Research in Supporting the Productive Sectors Import Substitutes – Software Imports as a Model

The connection of scientific research with the requirements of development in a society in all fields is one of the basic foundations for social advancement. Research and development (R&D) require a strong linkage between scientific research bodies (SRBs) and the society represented by productive and service bodies (PSBs) in order to allow these bodies to identify their needs and develop their research plans accordingly. Thus, we could reach translational scientific research that constitutes a foundation clearly linked to development goals.

The terrorism that afflicted the country and the destruction that befell many development sectors, the most important of which is the industrial sector, has led to the exit of a group of production lines and machines from service as a result of their destruction or suspension for a long period of time, and especially their old operating software. The option of importing machines and software has become not possible as a result of the forced economic blockade on the country, noting that the import process is the most difficult option, as it is considered a drain on foreign exchange due to the high cost.

It does not achieve self-sufficiency and creates technical dependence on the exporting countries, with negative impact on the production process. The most important solution offered now is to rely on the import substitution policy according to clear and precise criteria that work to define target sectors and materials in line with developmental goals, and defining a local alternative for those materials developed by local academic expertise, aiming to reduce the import bill and thus stopping the depletion of foreign exchange.

On 6/01/2019, the Import Substitution Program (ISP) was approved at the Cabinet meeting, and it was decided to assign the Ministry of Economy and Foreign Trade to follow up on the implementation of the program in coordination with whoever is needed, according to the Prime Minister’s document No. 1/231 dated 1/9/2019.

As the program aims to reduce the import bill for commodities that can be produced locally, stop the depletion of foreign exchange, and achieve self-sufficiency in a number of materials, according to a set of economic considerations related to the efficient use of resources and focus on quality issues. Nevertheless, by reviewing the materials and sectors included in the program, one could note the absence of imports software, despite its significant impact on the industry and the economy in general, and its ability to achieve acceptable economic savings in the event that it is replaced by scientific research outputs.

To clarify this statement, a field study was conducted in some companies that took individual initiatives to rehabilitate some of their machines and put them back to service through local scientific research cadres. / 3 / companies were selected; two companies from the public sector, one from the private sector, in addition to meeting with one of the local academic expert to demonstrate the ability of local experiences to secure the authentic alternatives. Through field visits and interviews with the concerned personnel, some information was collected that clarified the reality of substituting software imports, and the possibility of research capabilities and local expertise to contribute to the import substitution program.

By asking the following questions:

  • Could scientific research bodies in Syria support the program of ISP for software in the productive sectors?
  • Do software import alternatives support the development of productive sectors in Syria?
  • Does the policy of substituting software imports provide economic savings for the production and service sectors in Syria?

The study reached a set of results, the most important is that software imports are not included in the ISP, with many machines and production lines stopped in public and private sector companies for software defects, despite the existence of research capabilities, local expertise and research outputs capable of rehabilitating these machines through providing a software alternative, thus replacing with imported ones, in addition to the possibility of developing these machines, as local expertise could add additional features to them. Nonetheless, this comes with the assurance that the outputs provided by these rehabilitated machines are in accordance with the approved standard specifications and with the required quality. Thus, it ensures the operational and development side and the quality of the output.

Figure 1 and Table 1 show the cost difference between local rehabilitation and import in the study sample companies, in addition to the economic savings achieved. We found that replacing the appropriate software indeed works to achieve the basic objectives of the program and ensures the relative weight of the software, and these achieved savings are only for some machines selected from very few public and private industrial sector institutions, and therefore we can conclude the extent of the economic savings that will be achieved from including software in the import substitution program and applying this principle at all institutions and companies in the industrial sector.

The study also showed the experience of one of the local experts in converting student projects into applied projects that met the needs of the authorities, meeting their objectives and provide them with the best results. Among 16 research projects, 9 of them were applied, hence this is a very acceptable percentage and reflects the ability of those research experiences to meet the needs of productive entities. In fact, it can be said that the scientific and research authorities in Syria have the ability to support the various development sectors through ISP, working on developing these sectors and achieving meaningful economic savings.

Our results also show that there are many obstacles that prevent the success of the interlinking between the SRBs and PSBs, the most important of which is the lack of institutionalization of the interdependence process among them.

The communication process, as in the current situation, is a routine and ineffective process that depends on personal relationships, and this is ineffective most of the time. Therefore, it is necessary to institutionalize this interlinking and work to create an ecosystem that secures real and effective networking between the two parties according to clear principles and mechanisms. In this regard, technology transfer mechanism must be ongoing from research and development centers to industry, and making the best use of the technology transfer system in the Syrian Arab Republic, which the Higher Commission for Scientific Research (HCSR) has recently established.

In addition, obstacles related to funding and adequate financial support for the completion of research projects are dominating, and hence, it is necessary to increase the funds allocated for scientific research. Finally, we defined obstacles related to the integration of specializations required to complete the project. This constraint can be solved by forming research teams with integrated specializations to ensure the completion of the project with the required accuracy.

In conclusion, it can be said that scientific research and technological development are of great importance during crises, and have a major role in contributing to the re-advancement of the various development sectors, as the importance of scientific research lies in its translational outputs through appropriate investment. Linking SRBs to PSBs and society, and the transfer of applied scientific knowledge/technology are not exclusive to the use of technology or creating a correct business environment, but rather is a matter of knitting multiple relationships between production, transfer and investment of knowledge altogether.

The actual aim is to provide a vision for the future role that scientific research can play in comprehensive development (human – economic – knowledge) in Syria, including the field of imports substitution, especially software imports, and its role in reducing the import bill and improving the competitiveness of the business sectors (both productive and service), and to understand how issues affecting business sectors can be transformed into ideas for translational research and innovation.

Note: This analysis was done during a training joint program between the National Institute of Public Administration (INA) and the higher commission for scientific research (HCSR), and was supervised by both Dr. Ghaith Saker, the scientific deputy manager of HCSR as well as the general director of HCSR, Dr. Majd Aljamali.

Acknowledgments: We do thank Dr. Ayham Assad, the director of research and consulting department at the National Institute of Public Administration (INA) for his supervision during the training period and Dr. Bassel Younis for his generous help.

 

Testing the Validity of Purchasing Power Parity for Syria: Evidence from Non-Linear Unit Root Tests

INTRODUCTION

Despite being broadly examined in the literature, purchasing power parity (PPP) is still at the center of attention due to the lack of consensus on its empirical validity. The relative version of the PPP postulates that changes in the nominal exchange rate between a pair of currencies should be proportional to the relative price levels of the two countries concerned. When PPP holds, the real exchange rate, defined as the nominal exchange rate adjusted for relative national price level differences, is a constant [1].

Tests conducted to validate the PPP have developed pari passu with advances in econometric techniques. A major strand of this literature focused on the stationarity of real exchange rates as stationary implies mean reversion and, hence, PPP. Earlier studies that analyzed the stationarity of real exchange rate are generally based on linear conventional unit root tests, such as the augmented dickey fuller (ADF), the Phillip Perrons (PP) and the Kwiatkowski, Phillips, Schmidt and Shin (KPSS). However, these unit root tests suffer from low power for finite samples. To address this problem, a new trend of studies started applying long-span data sets. Nonetheless, a potential problem with these studies is that the long-span data may be inappropriate because of possible regime shifts and differences in real exchange rate behavior [1,2]. To overcome this potential problem, an innovation was made possible by the appearance of unit root tests that allow for one or multiple structural breaks, such as Perron (1989), Zivot and Andrews (1992), Lumsdaine and Papell (1997) and Lee and Strazicich, (2003, 2004) test [3-7].

Another approach undertaken by the literature to circumvent the problem of low-power is to apply panel unit root techniques in the empirical tests of PPP. One criticism of these tests relates to the fact that rejecting the null hypothesis of a unit root implies that at least one of the series is stationary, but not that all the series are mean reverting [8,9].

The issues raised by the long-span and the panel-data studies explain the first PPP puzzle.
A second related puzzle also exists. It is summarized in Rogoff (1996) as follows: “How can one reconcile the enormous short-term volatility of real exchange rates with the extremely slow rate at which shocks appear to damp out?”[10]. Based on the theoretical models of Dumas and Sercu et al, this second PPP puzzle introduced the idea that the real exchange rate might follow a nonlinear adjustment toward the long-run equilibrium due to transactions costs and trade barriers [11,12].

Recognizing the low power of conventional unit root tests in detecting stationarity of real exchange rates with nonlinear behavior, new testing approaches have emerged, which consider the nonlinear processes explicitly. Among others, Obstfeld and Taylor (1997) [13], Enders and Granger (1998) [14] and Caner and Hansen (2001) [15] suggested to investigate the nonlinear adjustment process in terms of a threshold autoregressive (TAR) model. This model allows for a transactions costs band within which arbitrage is unprofitable as the price differentials are not large enough to cover transaction costs. However, once the deviation from PPP is sufficiently large, arbitrage becomes profitable, and hence the real exchange rate reverts back to equilibrium [13,16]. More specifically, real exchange rate tends to revert back to equilibrium only when it is sufficiently far away from it, which implies that it has a nonlinear adjustment toward the long-run equilibrium [9,17-19].

While transaction costs have most often been advanced as possible contributors to nonlinearity in real exchange rates, it is argued that nonlinearity may also arise from heterogeneity in agents’ opinions in foreign exchange rate markets. As discussed in Taylor and Taylor [20], as nominal exchange rates have extreme values, a greater degree of consensus concerning the appropriate direction of exchange rates prevails, and international traders act accordingly.

Official intervention in the foreign exchange market when the exchange rate is away from equilibrium is another argument for the presence of nonlinearities [20]. According to Bahmani-Oskooee and Gelan, we expect a higher degree of nonlinearity in the official real exchange rates of less developed countries compared to those of developed countries due to a higher level of intervention in the foreign exchange market in the former [21].

In the presence of transaction costs, heterogeneous agents and intervention of monetary authorities, many of authors (e.g., Dumas [11]; Terasvirta, [22]; Taylor et al [17]) suggest that the nonlinear adjustment of real exchange rate is smoother rather than instantaneous. One way to allow for smooth adjustment is to employ a smooth transition autoregressive (STAR) model that assumes the structure of the model changes as a function of a lag of the dependent variable [23].

In this context, Kapetanious et al developed a unit root test that has a specific exponential smooth transition autoregressive (ESTAR) model to examine the null hypothesis of non-stationarity against the alternative of nonlinear stationarity [16]. This model suggests a smooth adjustment towards a long-run attractor around a symmetric threshold band. Hence, small shocks with transitory effects would keep the exchange rate inside the band, while large shocks would
push the exchange rate outside the band. Once this band is exceeded, the series would display mean-reverting behavior. The jump outside the band is supposed to be corrected gradually [16].

More recently, modified versions of the nonlinear unit root test of Kapetanious et al, KSS) were proposed by Kılıç and Kruse [19,24]. Both studies observe that their modified tests are in most situations superior in terms of power to the Dickey-Fuller type test proposed by Kapetanios et al. Sollis proposed another extension of ESTAR model, the asymmetric exponential smooth transition auto-regressive (AESTAR) model, where the speed of adjustment could be different below or above the threshold band [25].

Recently, the effect of non-linearity has become popular in testing the validity of PPP (e.g., [9,17,26-31]). These studies provided stronger evidence in favor of PPP compared to the previous studies using conventional unit root tests.

The attention given to testing PPP in Syria has so far been very limited. Hassanain examined the PPP in 10 Arab countries, including Syria, from 1980 to 1999. Using panel unit root tests, he found evidence in favor of the PPP [32]. El-Ramely tested the validity of PPP in a panel of 12 countries from the Middle East, including Syria, for the period 1969-2002. She found that the evidence in support of PPP is generally weak [33]. Cashin and Mcdermott examined the PPP hypothesis for 90 developed and developing countries, including Syria, for the period 1973-2002 [34]. For this purpose, they utilized real effective exchange rates and applied the median-unbiased estimation techniques that remove the downward bias of least squares. The findings provided evidence in favor of the PPP in the majority of countries. Kula et al tested the validity of PPP for a sample of 13 MENA countries, including Syria. For this purpose, they applied Lagrange Multiplier unit root test that endogenously determines structural breaks, using official and black exchange rate data over 1970-1998. The empirical results indicated that the PPP holds for all countries when the test with two structural breaks is applied [35]. Al-Ahmad and Ismaiel examined the PPP using monthly data of the real effective exchange rates in 4 Arab countries, including Syria, from 1995 to 2014. For this purpose, the authors applied unit root tests that account for endogenous structural breaks in the data, those being the Zivot and Andrews test and the Lumsdaine and Papell tests. The results indicated that the unit root null hypothesis could be rejected for Syria only when the Lumsdaine and Papell three structural break test was applied and at the 10% level of significance [36].

The scarcity of research that focused on Syria during the recent period of crisis and the fact that the validity of the PPP hypothesis depends largely on the period of analysis, the type of data used and the econometric tests applied, motivated further testing of the PPP for this country.

The purpose of this study is to test the PPP hypothesis for Syria using more recent data that includes the recent crisis that erupted in 2011 in the context of unit root tests based on linear and non-linear models of the real exchange rate.

The current study makes three main contributions to the literature; first, it tests the validity of the PPP hypothesis by examining monthly real exchange rates of the Syrian pound against the US dollar over the period 2011:04-2020:08. This period is characterized by deterioration in the economic fundamentals and sharp currency depreciation as a result of the crisis that erupted on March 2011. Given developments in the official rate, the emergence of a parallel market, and a newly implemented intervention rate, the International Monetary Fund changed the classification of the exchange rate arrangement of Syria from “stabilized arrangement” to “other managed arrangement” on April 2011. Worth noting that Syria maintains during the period of study a multiple currency practice resulting from divergences of more than 2% between the official exchange rate and officially recognized market exchange rates [37].

Second, this study uses both the official and the parallel exchange rates in testing the PPP, which fills an important gap in the literature of PPP. In fact, studies concerning PPP mostly used the official exchange rates, especially in less developed countries. However, as outlined by Bahmani-Oskooee and Gelan, the official exchange rates may bias the inferences concerning the validity of PPP in the countries with significant black-market activities [21]. More specifically, due to restrictions on foreign currencies in Syria, these currencies are more expensive on the black market. The black-market or parallel exchange rate would thus reflect actual supply and demand pressures, and testing the validity of PPP in this context may indicate whether the foreign exchange market is efficient [38].

Third, in addition to conventional unit root tests, the nonlinear unit root tests of Kapetanios et al, Kruse, Kılıç and Sollis are applied to account for the possible nonlinearity that may arise from transaction costs, trade barriers and frequent official interventions in the foreign exchange market. As pointed out in Bahamani-Oskooee and Hegerty [38], nonlinear tests can be particularly useful in a study of less developed countries that face both external and internal shocks, such as periods of high inflation and sharp depreciation or devaluation of the exchange rate, which is the case of the Syrian economy. To our best knowledge, this study is the first that employs these nonlinear unit root tests to examine the validity of PPP for Syria over the period of crisis that erupted on March 2011.

The findings of this study should provide new evidence on the behavior of exchange rates in Syria during the recent period of crisis, which should be of interest to economists, policy makers and exchange rate market participants. As outlined by Taylor, the more important problem is to explain what drives the short-run dynamics of real exchange rates and how we account for the persistence of deviations from PPP in different time periods [39]. More specifically, knowing whether the PPP holds and if the real exchange rates follow a global stationary nonlinear process is important to specify the nature of chocks to the real exchange rate and the appropriate policy response.

MATERIALS AND METHODS

 Data

To test the validity of PPP for Syria, the study applies monthly time series data of the natural logarithm of real exchange rate of the Syrian Pound against the US dollar from 2011:04 to 2020:08.

The importance of using the bilateral exchange rate against the dollar emerges from the fact that internal foreign exchange market is dollar dominated.

The real exchange rate is constructed as: RER =EX * (CPIUS / CPISY)

Where RER is the Real Exchange Rate, EX is the nominal Exchange Rate (measured as the price of the Syrian Pound relative to one unit of the US Dollar), and CPIUS and CPISY are the foreign and domestic consumer price indices (based on 2010=100), respectively.

We use both the official as well as the parallel real exchange rates against the US dollar. The real official exchange rate (RERoff) is constructed using the nominal official exchange rate (EXoff), while the real parallel exchange rate (RERPar) is constructed using the nominal parallel exchange rate (EXPar). All the series are plotted in Figure 1.

Data of the nominal exchange rates and the CPISY were collected from the Central Bank of Syria CBS (Data of the nominal official exchange rate were collected from the CBS website (available at https://www.cb.gov.sy/index.php?page=list&ex=2&dir=exchangerate&lang=1&service=4&act=1207). Data of the nominal parallel exchange rate (2011-0ctobre 2019) were obtained from the CBS upon request. Data of CPISY (2010=100) were collected from the CBS website for the period (2014:01-2020:08) (available at https://www.cb.gov.sy/index.php?page=list&ex= 2&dir=publications&lang=1&service=4&act=565). Data of CPISY (2010=100) for the period (2011:04-2013:12) were obtained from the CBS upon request because available data at the website are based on (2005=100) for this period. Note that data of CPISY are not available after 2020:08.). Data of the CPIUS were collected from the International Monetary Fund (Available at https://data.imf.org/regular.aspx?key=61015892).

Methods

To test the presence of a unit root in the exchange rate series, conventional unit root tests without structural breaks (ADF and PP) are first applied. However, these tests don’t take into account the presence of structural breaks in the data. In order to capture the structural breaks in the data, we employ the Lee and Strazicich one and two break unit root tests based on LM test.

While conventional and breakpoint unit root tests are applied, the data is assumed to be linear. Therefore, Kapetanios et al, Kruse, Kılıç and Sollis nonlinear unit root tests are applied based on the smooth transition autoregressive (STAR) model.

The Lee and Strazicich tests

Lee and Strazicich proposed using a minimum Lagrange Multiplier LM test for testing the presence of a unit root with one and two structural breaks. For this purpose, two models are considered; model A which allows for structural break in the intercept under the alternative hypothesis, and model C which allows for structural break in both the intercept and trend under the alternative hypothesis.

Nonlinear unit root test of Kapetanios et al

Kapetanios et al developed a procedure to detect the presence of non-stationarity against nonlinear but globally stationary exponential smooth transition autoregressive ESTAR processes. To this end, the following specific ESTAR model is used [16]:

∆yt= γyt-1[1-exp(-өy2t-1)] +ℇt           (1)

Where ө (the slope parameter) is zero under the null hypothesis of unit root and positive under the alternative hypothesis of the stationary ESTAR process. Kapetanios et al. (2003) use first-order Taylor series approximation to the ESTAR model under the null and get the following auxiliary regression:

∆yt=δY3t-1+error                       (2)

Noting that the demeaned data is used for the case with nonzero mean, and the demeaned and detrended data for the case with nonzero mean and nonzero linear trend.

Assuming that the errors in equation 1 are serially correlated and that they enter in a linear fashion, then Kapetanios et al. (2003) extend model (1) to:

∆yt= j∆yt-j+ γyt-1[1-exp(-өy2t-1)] +ℇt            (3)

The null hypothesis is tested against the alternative hypothesis by the tNL statistic:

          tNL= /s.e ( )                       (4)

Where δ ̂is the OLS estimate of δ and (s.e ( )) is the standard error of ( ) obtained from the following regression with p augmentation [16]:

∆yt= j∆yt-j+ δy3t-1+error             (5)

With δ ̂is zero under the null hypothesis of unit root and negative under the alternative hypothesis.

Nonlinear unit root test of Kruse

Kruse extended the unit root test of Kapetanios et al by allowing for a nonzero attractor c in the exponential transition function. The degree of mean reversion of the real exchange rate depended on the distance of the lagged real exchange rate from this attractor [9].

To this end, he considers the following nonlinear time series model:

∆yt= γyt-1(1-exp {-ө (yt-1-c )2}) +ℇt                   (6)

As in Kapetanios et a, Kruse applied a first- order Taylor approximation around ө=0, and imposes β3 =0. The following regression was hence obtained:

       ∆yt= β1y3t-1+ β2y2t-1 +ut                       (7)

With ut being a noise term depending on t.

In the regression 7, the null hypothesis of a unit root was H0: β1 = β2 = 0 and the alternative hypothesis of a globally stationary ESTAR process was H1: β1 < 0, β2 ≠ 0. Note that a standard Wald test wasn’t appropriate as one parameter is one-sided under H1 while the other one is two-sided [19]. To overcome this problem, Krus drived a modified Wald test that built up on the inference techniques by Abadir and Distaso [40]:

         Ί=t2ß1/2=0+1( ˂0) t2ß1=0                     (8)

Where t2ß1/2=0 represents the squared t-statistic for the hypothesis ß1/2= 0 with ß1/2 being orthogonal to β1. The second term t2ß1 is a squared t-statistic for the hypothesis β1 = 0.

Nonlinear unit root test of Kılıç

Kılıç considered an ESTAR model where the transition variable was the lagged changes of the dependent variable. Once appreciations or depreciations were large enough, real exchange rates may adjust towards equilibrium level due to profitable arbitrage.

The unit root test proposed was based on a one-sided t statistic where the t-statistic was optimized over the transition parameter space (γ). Kılıç specifies the following model, under the assumption that serially correlated errors entered in a linear way [24]:

∆yt= i∆yt-i+ Φyt-1[1-exp(-γz2t)] +ℇt                 (9)

With:  Zt= ∆yt-d

The null and alternative hypotheses were set as H0: Φ= 0 against H1: Φ< 0.

As γ was unidentified under the unit root null hypothesis, Kılıç suggested to use the lowest possible t-value over a fixed parameter space of γ values that were normalized by the sample standard deviation of the transition variable zt.

Nonlinear unit root test of Sollis

ESTAR models assumed symmetrical adjustment in exchange rates towards PPP for the same size of a deviation, regardless of whether the real exchange rate was below or above the mean. However, appreciations and depreciations may lead to different speed of adjustment towards PPP [25].

Sollis proposed a test based on asymmetric exponential smooth transition autoregressive (AESTAR), where the speed of adjustment could be different below or above the threshold band.

The extended ESTAR process was as follows [25]:

∆yt1 y3t-12 y4t-1+ i∆yt-ii               (10)

In the case of the rejection of the unit root hypothesis (Φ1= Φ2=0), the symmetric hypothesis, (Φ2=0) will be tested against the asymmetric alternative hypothesis, Φ2≠ 0. The hypothesis may be tested for the zero mean, non-zero mean and deterministic trend cases.

RESULTS

Prior to applying the nonlinear unit root tests, conventional linear unit root tests, which do not take into account any structural breaks, are first used. We initially employ the Augmented Dickey-Fuller (ADF) and the Phillips and Perron (PP). The null hypothesis is a unit root for these two tests.

The findings, presented in Table 1, indicate the random walk behavior of both the official and the parallel exchange rates series.

Table 1: Conventional Linear Unit Root Tests Results  
ADF PP
Constant Constant and trend Constant Constant and trend
LRERoff -1.95 (0) -2.28 (0) -2.09 (2) -2.29 (0)
LRERpar -0.60 (3) -1.96 (3) -1.48 (7) -3.03 (3)

Source: Own computation (E-Views)

Notes: The lag length of the tests are reported in brackets. The optimal lag length of the ADF test was selected based on the modified AIC (MAIC). The bandwidth for the PP test were selected based on Newey-West automatic bandwidth selection procedure for a Bartlett kernel. The critical values for ADF and PP tests are -3.49 (1%), -2.89 (5%) and -2.58 (10%) for model with constant; and -4.05 (1%), -3.45 (5%) and -3.15 (10%) for the model with constant and trend.

To account for the power loss in the presence of structural breaks, we employ the Lee and Strazicich one and two break unit root tests. The relevance of using this approach is that it is unaffected by breaks under the null. According to the results reported in Table 2, we cannot reject the null hypothesis at the 5% level of significance, regardless of whether we use official or parallel official exchange rates. The null hypothesis could be rejected only for the official exchange rate after allowing for two breaks in the constant and trend and at the 10% level of significance. Note that the estimated break dates appear to vary concerning the model specification and data used.

These findings are consistent with those of Al-Ahmad and Ismaiel [36], who found that the unit root null hypothesis of Lumsdaine and Papell test could be rejected for the real effective exchange rates of the Syrian Pound only after allowing for three changes in the constant and trend and at the 10% level of significance.

Source: Own computation (E-Views)

Notes: The coefficient of S{1} tests for the unit-root. The T-statistics are reported in brackets. The optimal lag length is determined by GTOS method. ***, **, * denote rejection of the null hypothesis of a unit root at 1%, 5% and 10% level of significance respectively.

We now test whether taking into account for non-linearity in the real exchange rates plays a role in analyzing unit root dynamics. Prior to this, we checked the nonlinearity of the series by using the conventional BDS test proposed by Broock et al [41]. According to the results, a nonlinear nature was detected in both series, which makes relevant to apply nonlinear unit root test (Results from the BDS test are not presented here but available upon request). To this end, we proceed with the non-linear unit root tests developed by Kapetanios et al. (2003), Kruse (2011), Kılıç (2011) and Sollis (2009). The results of test statistics are reported in Table 3.

Table 3: Nonlinear Unit Root Tests Results
The nonlinear unit root test LRERoff LRERpar Critical values
1% 5% 10%
Kapetanios et al. (2003) Demeaned data -5.82***(1) -5.03***(1) -3.48 -2.93 -2.66
Detrended data -6.58***(1) -6.83***(1) -3.93 -3.40 -3.13
Sollis (2009) Demeaned data 25.74***(1) 16.51***(1) 6.89 4.88 4.00
Detrended data 22.62 ***(1) 23.18***(1) 8.80 6.55 5.41
Kılıç (2011) Demeaned data -2.23*(1) -1.58 (1) -2.98 -2.37 -2.05
Detrended data -2.61**(1) -2.99**(1) -3.19 -2.57 -2.23
Kruse (2011) Demeaned data 44.35***(1) 33.24***(1) 13.75 10.17 8.60
Detrended data 42.97***(1) 47.47***(1) 17.10 12.82 11.10

Source: Own computation (R for windows)

Notes: The lag length of the tests are reported in brackets. For all tests, the order of lags was chosen according to the Akaike information criterion (AIC).  Table critical values of unit root tests are taken from KSS (2003)[16], Sollis (2009)[25], Kılıç (2011)[24] and Kruse (2011)[19]. ***, **, * denote rejection of the null hypothesis of a unit root at 1%, 5% and 10% level of significance respectively.

The results of Kapetanios et al and Kruse showed that the null of unit root was rejected at the 1% level of significance for both official and parallel exchange rate, regardless of whether we use model with demeaned or detrended data. We also rejected the null hypothesis for both series at the 1% level of significance of the (AESTAR) model of Sollis.

The test of Kılıç rejects the null hypothesis at the 5% level of significance for only the detrended data of both series. When demeaned data was used, the null of unit root test of Kılıç was rejected for only the official exchange rate and at the 10% level of significance. The test of
Kılıç hence provides stronger empirical support for nonlinear stationarity of the official exchange rate compared to parallel exchange rate. Non-linearity in the official exchange rates may rise, as suggested by Bahmani-Oskooee et al [42], from structural breaks due to official devaluation, besides frequent official interventions.

We note that Kılıç, which associates nonlinearity with the size of real exchange rate appreciation or depreciation, provided less evidence in favor of PPP compared to Kapetanios et al and Kruse, which allow for nonlinearity driven by the size of deviations from PPP.  This finding contrasts with that of Yıldırım who found that the strongest evidence for PPP in Turkey is obtained through the unit root test of Kılıç [9].

DISCUSSION

Transaction costs and trade barriers are the plausible sources of nonlinearity in real exchange rates during the period of the study. It is important to note that the imposition of financial and economic sanctions has restricted exports and imports in Syria. (These sanctions include the freezing of Government of Syria assets, the cessation of transactions with individuals and companies in Syria, the termination of all investments supported by foreign Governments and the banning imports of Syrian oil). Indeed, the great government spending on nontraded goods compared to traded goods during the period of crisis has increased the share of nontraded goods.

The nonlinearity of exchange rate series may also arise from frequent official interventions in the foreign exchange market. In fact, the continuous deterioration in the economic fundamentals, in addition to the speculative pressure and the capital flight have contributed to sharp depreciation of the Syrian pound during the period of crisis, which authority tried to counter through increasing the interventions. These interventions could lead to non-linearity into the adjustment of the nominal exchange rate and, with price stickiness in the short run, the adjustment of the real exchange rate as well [1,42]. Note that, as stated in Dutta and Leon [43], policymakers in less developed countries prefer having longer periods of currency appreciation than depreciation, even though the economic fundamentals would require the opposite. This could be explained by fear of inflation (pass-through from exchange rate swings to inflation) and currency mismatches.

The high level of inflation could be another possible contributor to adjustment of real exchange rates series. The annual inflation rate in Syria reached 163.1% in December 2020 compared to the base year 2010, the year before the eruption of the Syrian crisis [44]. This implies, as argued by Cashin and Mcdermott [34], more frequent adjustment of goods prices, which could reduce the duration of deviation from PPP. Note that as prices have less of a tendency to move downwards, the exchange rate might have to do more of the adjusting. An adjustment might thus be asymmetric between the upward and downward deviations from equilibrium [38].

Our results can also provide some evidence on how the monetary authority in Syria reacted in the period of crisis. According to IFM reports, the exchange rate classification of Syria was changed from “stabilized arrangement” to “other managed management” on April 2011, in the aftermath of the crisis that erupted on March 2011 [37]. This means moving to more flexible exchange rate regime. In 2012, the prime minister issued the law No. 1131 which stated the movement towards a free exchange rate regime, with the right of the Central Bank of Syria to intervene in the exchange market to correct the exchange rate trends in the market. We believe that moving to a more market-oriented exchange rate has facilitated the nominal exchange rate adjustment. As discussed in Cashin and Mcdermott [34], more flexibility in nominal exchange rates may increase the speed of the parity reversion of real exchange rates by encouraging more frequent adjustment of goods prices. These findings are consistent with those of Baharumshah et al, as they found that the weak form of PPP holds for six East-Asian countries only over the post-crisis period [45]. They suggest that the evidence in favor of PPP was stronger following the financial crisis when countries had to abandon pegging their exchange rates. We also believe that interventions in the foreign exchange market have some justification as the deviations of real exchange rates from the equilibrium appear to be temporary and the exchange rates are adjustable towards PPP.

CONCLUSION AND RECOMMENDATION

This study investigates the PPP hypothesis for Syria over the period (2011:04-2020:08), using both official and parallel real exchange rates of the Syrian Pound against the US Dollar. To this end, a battery of nonlinear unit root tests is adopted along with popular conventional unit root tests.

The conventional tests (ADF and PP) fail to reject the null of a unit root for the real exchange rate series at the 5% level of significance, regardless of whether we use official or parallel exchange rate. The non-stationarity of both series is robust to the existence of breaks since the Lee and Strazicich unit root tests fail to reject the null hypothesis at the 5% level of significance for both official and parallel series.

When nonlinearity is incorporated in the testing procedure, the nonlinear tests of Kapetanios et al, Kruse, and Sollis support PPP for both real exchange rate series under consideration at the 1% level of significance. The test of Kılıç supports PPP only after allowing for a trend in both series and at the 5% level of significance.

The findings of this study provide new evidence on the behavior of exchange rates in Syria during the recent period of crisis. The non-linear mean reversion indicates that as the real exchange rate deviates from its long-run equilibrium, it tends to have faster speed of adjustment. This implies that PPP can be used to determine whether the currency is overvalued or undervalued, and investors and speculators are not able to obtain unbounded gains from arbitrage [9,45].

Finally, as our results signify the importance of non-linear adjustment in real exchange rates, it is so important that policymakers and exchange rate market participants take account of possibility of nonlinear dynamics in their decisions. Future research should also take on the issue of nonlinearity of real exchange rate more seriously when examining the PPP.

 

Investing In Syrian National Intellectual Capital: A Must!

For many decades, the majority of Arab countries relied mainly on natural resources as their economy-driving engine, being rather late in adapting policies and practices promoting knowledge-based economies, and have a limited industrial base. Today however, it is quite obvious that leading states are those whose decision-making hubs have intensively invested in their national intellectual capita, promoting knowledge and technology transfer; enhancing training, R&D, and innovation activities. This is extremely crucial, as both local and global markets are prone to rapid technological changes, demanding academics and researchers with elevated level of expertise and highly skilled labor force. Explicitly, the contemporary development of a state is determined not by scaling up the use of its natural resources but by endorsing intangible human capital as the basis for continuous development of technologies and innovation.

Human capital is defined as the knowledge, education and competencies of individuals in realizing national tasks and goals. The human capital of a nation originates with the intellectual wealth of its citizens, usually measured by National Intellectual Capital Index (NICI). Even though policy makers sometimes find it hard to make the case for human capital investments due to lack of quick returns, there is rather a unified understanding about the importance of knowledge as a source of economic competitiveness.

Compared to many Arab countries, the situation is far more complicated in Syria after approximately twelve years of war and conflict, where natural resources became scarce and manufactured good exports,  reflected in gross domestic product (GDP), drastically declined. Moreover, the COVID-19 pandemic, the Russian-Ukrainian conflict that started in 2022, and finally the recent earthquake that hit Syria and Turkey last February, all severely augmented the conflict consequences.

Nevertheless, and since 1950s, Syria has been known for highly educated graduates in both engineering and life sciences who contributed to science advancement in Syria and the region. Additionally, Syrian expatriate medical doctors, researchers and engineers gained respectable reputation for their service and academic contributions all over the world. In fact, during the last two decades, Syria sent abroad thousands of academic envoys to support the Syrian academic and research ecosystem upon their return. Unfortunately, very few of them returned home due to circumstances enforced by the recent conflict and the deterioration of the Syrian economy. Taken together, Syria has a good opportunity to benefit from its national human capita if solid and serious steps are taken and followed up.

On one hand, reforms on education and training policies should be accomplished to raise national standards of knowledge and skill transfer among Syrian youth and university postgraduate students and researchers. This should be accompanied by boosting technology transfer activities via intermediaries such as the National Technology Transfer Office NTTO (hosted by the Higher Commission for Scientific Research, HCSR) and other institutional TTOs at both public and private Syrian universities and research centers. On the other hand, the Syrian government officials and decision-makers are requested to find the proper channels to communicate with Syrian expats and benefit from the knowledge and expertise they gain while living in foreign countries. The Syrian Expatriate Research Conference (SERC), which is organized annually by HCSR, is one tool to achieve fruitful interactions among Syrian researchers at home and abroad. Another two relevant ways include preparing a national strategy and roadmap for enhancing cooperation and coordination with Syrian expat researchers, and creating incentive programs similar to international programs such as  the “Chinese Academy of Science’s 100 Talents Program”.

For countries like Syria, taking into account the dwindle in natural resources and the shrink in national economy, investing in intellectual human capita should be listed among the highest Syrian government priorities … it is a MUST.

Nowcasting GDP in Parsimony Data Environment Using Bayesian Mixed Frequency VAR (Empirical Evidence from Syria)

INTRODUCTION

Nowcasting refers to the projection of information about the present, the near future, and even the recent past. The importance of nowcasting has shifted from weather forecasting to economics, where economists use it to track the economy status through real-time GDP forecasts, as it is the main low-frequency (quarterly – annually) indicator reflecting the state of the country’s economy. This is like satellites that reflect the weather on earth. It does this by relying on high-frequency measured variables (daily – monthly) that are reported in real-time. The importance of using nowcasting in the economy stems from the fact that data issuers, statistical offices and central banks release the main variables of the economy, such as gross domestic product and its components, with a long lag. In some countries, it may take up to five months. In other countries, it may take two years depending on the capabilities each country has, leading to a state of uncertainty about the economic situation among economic policy makers and state followers business. Real-time indicators related to the economy (e.g consumer prices and exchange rates) are used here in order to obtain timely information about variables published with a delay. The first use of nowcasting technology in economics dates back to Giannone et al 2008, by developing a formal forecasting model that addresses some of the key issues that arise when using a large number of data series released at varying times and with varying delays [1]. They combine the idea of “bridging” the monthly information with the nowcast of quarterly GDP and the idea of using a large number of data releases in a single statistical framework. Banbura et al proposed a statistical model that produces a series of Nowcasting forecasts on real-time releases of various economic data [2]. The methodology enables the processing of a large amount of information from nowcasting’s Eurozone GDP Q4 2008 study. Since that time, the models that can be used to create nowcasting have expanded. Kuzin et al compared the mixed-frequency data sampling (MIDAS) approach proposed by Ghysels et al [4,5] with the mixed-frequency VAR (MF-VAR) proposed by Zadrozny and Mittnik et al [6,7], with model specification in the presence of mixed-frequency data in a policy-making situation, i.e. nowcasting and forecasting quarterly GDP growth in Eurozone on a monthly basis. After that time, many econometric models were developed to allow the use of nowcasting and solve many data problems. Ferrara et al [8] proposed an innovative approach using nonparametric methods, based on nearest neighbor’s approaches and on radial basis function, to forecast the monthly variables involved in the parametric modeling of GDP using bridge equations. Schumacher et al [9] compare two approaches from nowcasting GDP: Mixed Data Sampling (MIDAS) regressions and bridge equations. Macroeconomics relies on increasingly non-standard data extracted using machine learning (text analysis) methods, with the analysis covering hundreds of time series. Some studies examined US GDP growth forecasts using standard high-frequency time series and non-standard data generated by text analysis of financial press articles and proposed a systematic approach to high-dimensional time regression problems [10-11]. Another team of researchers worked on dynamic factor analysis models for nowcasting GDP [12], using a Dynamic Factor Model (DFM) to forecast Canadian GDP in real-time. The model was estimated using a mix of soft and hard indices and the authors showed that the dynamic factor model outperformed univariate criteria as well as other commonly used nowcasting models such as MIDAS and bridge regressions. Anesti et al [13] proposed a release-enhanced dynamic factor model (RA-DFM) that allowed quantifying the role of a country’s data flow in the nowcasting of both early (GDP) releases and later revisions of official estimates. A new mixed-frequency dynamic factor model with time-varying parameters and random fluctuations was also designed for macroeconomic nowcasting, and a fast estimation algorithm was developed [14]. Deep learning models also entered the field of GDP nowcasting, as in many previous reports [15-17]. In Syria, there are very few attempts to nowcasting GDP, among which we mention a recent report that uses the MIDAS Almon Polynomial Weighting model to nowcasting Syria’s annual GDP based on the monthly inflation rate data [18].  Our research aims to solve a problem that exists in the Arab and developing countries in general, and Syria in particular, namely the inability to collect data in real-time on the main variable in the economy due to the weakness of material and technical skills. Therefore, this study uses Bayesian mixed-frequency VAR models to nowcast GDP in Syria based on a set of high-frequency data. The rationale for choosing these models is that they enable the research goal to be achieved within a structural economic framework that reduces statistical uncertainty in the domain of high-dimensional data in a way that distinguishes them from the nowcasting family of models, according to a work by Cimadomo et al and Crump et al [19-20]. The first section of this research includes the introduction and an overview of the previous literature. The second section contains the research econometric framework, through which the architecture of the research model is developed within a mathematical framework. The third section is represented by the data used in the research including the exploratory phase. The fourth section contains the discussion and interpretation of the results of the model after the evaluation. The fifth section presents the results of the research and proposals that can consider a realistic application by the authorities concerned.

MATERIALS AND METHODS

The working methodology in this research is divided into two main parts. The first in which the low-frequency variable (Gross Domestic Product) is converted from annual to quarterly with the aim of reducing the forecast gap and tracking the changes in the GDP in Syria in more real-time., by reducing the gap with high-frequency data that we want to predict their usage. To achieve this, we used Chow-Lin’s Litterman: random walk variant method.

Chow-Lin’s Litterman Method

This method is a mix and optimization of two methods. The Chow-Lin method is a regression-based interpolation technique that finds values ​​of a series by relating one or more higher-frequency indicator series to a lower-frequency benchmark series via the equation:

                                        x(t)=βZ(t)+a(t)                     (1)

Where  is a vector of coefficients and a random variable with mean zero and covariance matrix  Chow and Lin [21] used generalized least squares to estimate the covariance matrix, assuming that the errors follow an AR (1) process, from a state space model solver with the following time series model:

                          a(t)=ρa(t-1)+ϵ(t)                 (2)

Where ϵ(t)~N(0,σ^2) and |ρ|<1. The parameters ρ and βare estimated using maximum likelihood and Kalman filters, and the interpolated series is then calculated using Kalman smoothing. In the Chow-Lin method, the calculation of the interpolated series requires knowledge of the covariance matrix, which is usually not known. Different techniques use different assumptions about the structure beyond the simplest (and most unrealistic) case of homoscedastic uncorrelated residuals. A common variant of Chow Lin is Litterman interpolation [22], in which the covariance matrix is ​​computed from the following residuals:

                                 a(t)=a(t-1)+ϵ(t)                 (3)

Where ϵ(t)~N(0,V)

                                  ϵ(t)=ρϵ(t-1)+e(t)               (4)

and the initial state a(0)=0. . This is essentially an ARIMA (1,1,0) model.

In the second part, an econometric model suitable for this study is constructed by imposing constraints on the theoretical VAR model to address a number of statistical issues related to the model’s estimation, represented by the curse of dimensions.

Curse of Dimensions

The dimensional curse basically means that the error increases with the number of features (variables). A higher number of dimensions theoretically allows more information to be stored, but rarely helps as there is greater potential for noise and redundancy in real data. Collecting a large number of data can lead to a dimensioning problem where very noisy dimensions can be obtained with less information and without much benefit due to the large data [23]. The explosive nature of spatial scale is at the forefront of the Curse of Dimensions cause. The difficulty of analyzing high-dimensional data arises from the combination of two effects: 1- Data analysis tools are often designed with known properties and examples in low-dimensional spaces in mind, and data analysis tools are usually best represented in two- or three-dimensional spaces. The difficulty is that these tools are also used when the data is larger and more complex, and therefore there is a possibility of losing the intuition of the tool’s behavior and thus making wrong conclusions. 2- The curse of dimensionality occurs when complexity increases rapidly and is caused by the increasing number of possible combinations of inputs. That is, the number of unknowns (parameters) is higher than the number of observations. Assuming that m denotes dimension, the corresponding covariance matrix has m (m+1)/2 degrees of freedom, which is a quadratic term in m that leads to a high dimensionality problem. Accordingly, by imposing a skeletal structure through the initial information of the Bayesian analysis, we aimed to reduce the dimensions and transform the high-dimensional variables into variables with lower dimensions and without changing the specific information of the variables. With this, the dimensions were reduced in order to reduce the feature space considering a number of key features.

Over Parameterizations

This problem, which is an integral part of a high dimensionality problem, is statistically defined as adding redundant parameters and the effect is an estimate of a single, irreversible singular matrix [24]. This problem is critical for statistical estimation and calibration methods that require matrix inversion. When the model starts fitting the noise to the data and the estimation parameters, i.e. H. a high degree of correlation existed in the co-correlation matrix of the residuals, thus producing predictions with large out-of-sample errors. In other words, the uncertainty in the estimates of the parameters and errors increases and becomes uninterpretable or far from removed from the realistic estimate. This problem is addressed by imposing a skeletal structure on the model, thereby transforming it into a thrift. Hence, it imposes constraints that allow a correct economic interpretation of the variables, reducing the number of unknown parameters of the structural model, and causing a modification of the co – correlation matrix of the residuals so that they become uncorrelated with some of them, in other words, become a diagonal matrix.

Overfitting and Underfitting

Overfitting and Underfitting are major contributors to poor performance in models. When Overfitting the model (which works perfectly on the training set while ineffectively fitting on the test set), it begins with matching the noise to the estimation data and parameters, producing predictions with large out-of-sample errors that adversely affect the model’s ability to generalize. An overfit model shows low bias and high variance [25]. Underfitting refers to the model’s inability to capture all data features and characteristics, resulting in poor performance on the training data and the inability to generalize the model results [26]. To avoid and detect overfitting and underfitting, we tested the validity of the data by training the model on 80% of the data subset and testing the other 20% on the set of performance indicators.

Theoretical VAR model

VAR model developed by Sims [27] has become an essential element in empirical macroeconomic research. Autoregressive models are used as tools to study economic shocks because they are based on the concept of dynamic behavior between different lag values for all variables in the model, and these models are considered to be generalizations of autoregressive (AR) models. The p-rank VAR is called the VARp model and can be expressed as:

y_t=C+β_1 y_(t-1)+⋯+β_P y_(t-P)+ϵ_t ϵ_t~(0,Σ)               (5)

Where y_t is a K×1  vector of endogenous variables.  Is a matrix of coefficients corresponding to a finite lag in, y_t, ϵ_t: random error term with mean 0 representing external shocks, Σ: matrix (variance–covariance). The number of parameters to be estimated is K+K^2 p, which increases quadratic with the number of variables to be included and linearly in order of lag. These dense parameters often lead to inaccuracies regarding out-of-sample prediction, and structural inference, especially for high-dimensional models.

Bayesian Inference for VAR model

The Bayesian approach to estimate VAR model addresses these issues by imposing additional structure on the model, the associated prior information, enabling Bayesian inference to solve these issues [28-29], and enabling the estimation of large models [2]. It moves the model parameters towards the parsimony criterion and improves the out-of-sample prediction accuracy [30]. This type of contraction is associated with frequentist regularization approaches [31]. Bayesian analysis allows us to understand a wide range of economic problems by adding prior information in a normal way, with layers of uncertainty that can be explained through hierarchical modelling [32].

Prior Information

The basic premise for starting a Bayesian analysis process must have prior information, and identifying it correctly is very important. Studies that try not to impose prior information result in unacceptable estimates and weak conclusions. Economic theory is a detailed source of prior information, but it lacks many settings, especially in high-dimensional models. For this reason, Villani [33] reformulates the model and places the information at a steady state, which is often the focus of economic theory and which economists better understand. It has been proposed to determine the initial parameters of the model in a data-driven manner, by treating them as additional parameters to be estimated. According to the hierarchical approach, the prior parameters are assigned to hyperpriors. This can be expressed by the following Bayes law:         

Wherey= (y_(p+1)+⋯+y_T)^T,θ:  is coefficients AR and variance for VAR model, γ: is hyperparameters. Due to the coupling of the two equations above, the ML of the model can be efficiently calculated as a function of γ. Giannone et al [34] introduced three primary information designs, called the Minnesota Litterman Prior, which serves as the basis, the sum of coefficients [35] and single unit root prior [36].

Minnesota Litterman Prior

Working on Bayesian VAR priors was conducted by researchers at the University of Minnesota and the Federal Reserve Bank of Minneapolis [37] and these early priors are often referred to as Litterman prior or Minnesota Prior. This family of priors is based on assumption that Σ is known; replacing Σwith an estimate Σ. This assumption leads to simplifications in the prior survey and calculation of the posterior.

The prior information basically assumes that the economic variables all follow the random walk process. These specifications lead to good performance in forecasting the economic time series. Often used as a measure of accuracy, it follows the following torques:

The key parameter ⋋ is which controls the magnitude influence of the prior distribution, i.e. it weighs the relative importance of the primary data. When  the prior distribution is completely superimposed, and in the case of  the estimate of the posterior distributions will approximate the OLS estimates.  is used to control the break attenuation, and  is used to control the prior standard deviation when lags are used. Prior Minnesota distributions are implemented with the goal of de-emphasizing the deterministic component implied by the estimated VAR models in order to fit them to previous observations. It is a random analysis-based methodology for evaluating systems under non-deterministic (stochastic) scenarios when the analytical solutions are complex, since this method is based on sampling independent variables by generating phantom random numbers.

Dummy Observations

Starting from the idea of Sims and Zha [38]​​ to complement the prior by adding dummy observations to the data matrices to improve the predictive power of Bayesian VAR. These dummy observations consist of two components; the sum-of-coefficient component and the dummy-initial-observation component. The sum-of-coefficients component of a prior was introduced by Doan et al [37] and demonstrates the belief that the average of lagged values ​​of a variable can serve as a good predictor of that variable. It also expresses that knowing the average of lagged values ​​of a second variable does not improve the prediction of the first variable. The prior is constructed by adding additional observations to the top (pre-sample) of the data matrices. Specifically, the following observations are constructed: 

Where  is the vector of the means over the first  observed by each variable, the key parameter  is used to control for variance and hence the impact of prior information. When  the prior information becomes uninformative and when  the model is formed into a formula consisting of a large number of unit roots as variables and without co-integration. The dummy initial observation component [36] creates a single dummy observation that corresponds to the scaled average of the initial conditions, reflecting the belief that the average of the initial values ​​of a variable is likely to be a good prediction for that variable. The observation is formed as:

Where  is the vector of the means over the first  observed by each variable, the key parameter  is used to control on variance and hence the impact of prior information. As , all endogenous variables in VAR are set to their unconditional mean, the VAR exhibits unit roots without drift, and the observation agrees with co-integration.

Structural Analysis

The nowcasting technique within the VAR model differs from all nowcasting models in the possibility of an economic interpretation of the effect of high-frequency variables on the low-frequency variable by measuring the reflection of nonlinear changes in it, which are defined as (impulse and response). A shock to the variable not only affects the variable directly, but it is also transmitted to all other endogenous variables through the dynamic (lag) structure of VAR. An impulse response function tracks the impact of a one-off shock to one of the innovations on current and future values ​​of the endogenous variable.

BVAR is estimated reductively, i.e., without a contemporary relationship between endogenous variables in the system. While the model summarizes the data, we cannot determine how the variables affect each other because the reduced residuals are not orthogonal. Recovering the structural parameters and determining the precise propagation of the shocks requires constraints that allow a correct economic interpretation of the model, identification constraints that reduce the number of unknown parameters of the structural model, and lead to a modification of the co-correlation matrix of the residuals so that they become uncorrelated, i.e., they become a diagonal matrix. This problem is solved by recursive identification and achieved by Cholesky’s analysis [39] of the variance and covariance matrix of the residuals , Where Cholesky uses the inverse of the Cholesky factor of the residual covariance matrix to orthogonalize the impulses. This option enforces an ordering of the variables in the VAR and attributes the entire effect of any common component to the variable that comes first in the VAR system. For Bayesian frame, Bayesian sampling will use a Gibbs or Metropolis-Hasting sampling algorithm to generate draws from the posterior distributions for the impulse.  The solution to this problem can be explained mathematically from the VAR model:

Where  show us contemporaneous correlation.  Coefficient matrix at lag1,  error term where:

In order to estimate the previous equation, we must abandon the contemporaneous relations between the endogenous variables since we transfer them to the other side:

 

Now parsimony VAR model can be estimated:

Where A_1 are reduced coefficient. u_t Represent the weighted averages of the structural coefficientsβ_1,ϵ_t. Where:

Mixed Frequency VAR

Complementing the constraints imposed on the theoretical VAR model, as a prelude to achieving the appropriate form for the research model and developing the model presented by AL-Akkari and Ali [40] to predict macroeconomic data in Syria, we formulate the appropriate mathematical framework for the possibility to benefit from high-frequency data emitted in real-time in nowcasting of GDP in Syria.

We estimate a mixed frequency VAR model with no constant or exogenous variables with only two data frequencies, low and high (quarterly-monthly), and that there are high frequency periods per low frequency period. Our model consists of  variable  observed at low frequency and  variables  observed at high frequency. Where:

: represent the  low-frequency variable observed during the low-frequency period .

: represent the  high-frequency variable observed during the low-frequency period .

By stacking the  and  variables into the matrices  and  ignoring the intersections and exogenous variables for brevity, respectively, we can write the VAR:

Performance indicators

We use indicators to assess the performance of the models which are used to determine their ability to explain the characteristics and information contained in the data. It does this by examining how closely the values ​​estimated from the model correspond to the actual values, taking into account the avoidance of an underfitting problem that may arise from the training data and an overfitting problem that arises from the test data. The following performance indicators include:

Theil coefficient (U):

Mean Absolute Error (MAE):

Root Mean Square Error (RMSE):                                   

Where  the forecast is value;  is the actual value; and  is the number of fitted observed. The smaller the values of these indicators, the better the performance of the model. 

RESULTS & DISCUSSION

As mentioned, the data consists of high and low frequency variables collected from the websites of official Syrian organizations and the World Bank [41-46], summarized in Table 1, which shows basic information about data. The data of the variable GDP were collected annually and converted using the combination of Chow-Lin’s Litterman methods, (Fig 1), which shows that the volatility in annual GDP was explained by the quarter according to the hybrid method used, and gives us high reliability for the possibility of using this indicator in the model. For high-frequency data, the monthly closing price was collected from the sources listed in Table (1) and its most recent version was included in the model to provide real-time forecasts.

Figure (2) shows the evolution of these variables. We presented in Figure (2), the data in its raw form has a general stochastic trend and differs in its units of measurement. To unify the characteristics of this data, growth rates were used instead of prices in this case, or called log, because of their statistical properties. These features are called stylized facts; first, there is no normal distribution. In most cases, the distribution deviates to the left and has a high kurtosis. It has a high peak and heavy tails [47]. Second, it has the property of stationary and there is almost no correlation between the different observations [48]. The log of this series is calculated.

Figure 2. Evolution of high frequency study variables

Figure (3) shows the magnitude growth of the macroeconomic and financial variables in Syria during the indicated period. We note that the data is characterized by the lack of a general trend and volatility around a constant. We found that the fluctuations change over time and follow the characteristic of stochastic volatility that decreases, increases and then decreases. We found that the most volatile variable is the exchange rate (EXR) and the period between 2019 and 2020 is the one when the variables fluctuated the most due to uncertainty and US economic sanctions. We also noted that the periods of high volatility are offset by negative growth in Syria’s GDP. Using the following Table (2), we show the most important descriptive statistics for the study variables.

 

 

                       Figure 3. Evolution of log high – low frequency study variables.

                                                 *** denotes the significance of the statistical value at 1%. ** at 5%. * at 10%.

Table (2) shows that the probability value of the normal distribution test statistic is significant at 1%, and we conclude that the data on the growth rates of the Syrian economy is not distributed according to the normal distribution, and both the mean and the standard deviation were not useful for the prediction in this case since they have become a breakdown. We also note from Table (2) the positive value of the skewness coefficient for all variables, and therefore the growth rates of economic variables are affected by shocks in a way that leads to an increase in the same direction, except for the economic growth rate, in which the shocks are negative and the distribution is skewed to the left. We also found that the value of the kurtosis coefficient is high (greater than 3 for all variables), indicating a tapered leptokurtic-type peak. Additionally, we noted that the largest difference between the maximum and minimum value of the variable is the exchange rate, which indicates the high volatility due to the devaluation of the currency with the high state of uncertainty after the start of the war in Syria. Also, one of the key characteristics of growth rates is that they are stable (i.e. they do not contain a unit root). Since structural changes affect expectations, as we have seen in Figure (1), there is a shift in the path of the variable due to political and economic events. We hence used the breakpoint unit root test proposed by Perron et al [49-50], where we assume that the structural change follows the course of innovation events and we test the largest structural breakpoint for each variable and get the following results:

Where  is break structural coefficients,  is dummy variable indicated on structural change, : intercept, : lag degree for AR model. Figure (4) shows the structural break estimate for the study variables. Structural break refers to a change in the behavior of a variable over time, shifting relationships between variables. Figure (4) also demonstrates that all macroeconomic variables have suffered from a structural break, but in different forms and at different times, although they show the impact of the same event, namely the war in Syria and the resulting economic blockade by Arab and Western countries, as all structural breaks that have occurred after 2011. We found that in terms of the rate of economic growth, it has been quickly influenced by many components and patterns. For EXR, CPI, GOP, the point of structural change came after 2019, the imposition of the Caesar Act and the Corona Pandemic in early 2020, which resulted in significant increases in these variables. We noted that the structural break in the Damascus Stock Exchange Index has occurred in late 2016 as the security situation in Syria improved, resulting in restored investor confidence and realizing returns and gains for the market.

The step involves imposing the initial information on the structure of the model according to the properties of the data. Based on the results of the exploratory analysis, the prior Minnesota distributions were considered a baseline, and the main parameter is included in the hierarchical modeling:

Rho H = 0.2 is high frequency AR(1), Rho L = 0 is low frequency AR(1), Lambda = 5 is overall tightness, Upsilon HL = 0.5 is high-low frequency scale, Upsilon LH = 0.5 is low-high frequency scale, Kappa = 1 is exogenous tightness. C1 = 1 is residual covariance scale. The number of observations in the frequency conversion specifies the number of high frequency observations to use for each low frequency period. When dealing with monthly and quarterly data, we can specify that only two months from each quarter should be used. Last observations indicate that the last set of high-frequency observations from each low-frequency period should be used. Initial covariance gives the initial estimate of the residual covariance matrix used to formulate the prior covariance matrix from an identity matrix, specifying the number of Gibbs sampler draws, the percentage of draws to discard as burn-in, and the random number seed. The sample is divided into 90% training (in–of –sample) and 10% testing data (out-of–sample).

Table (3) provides us with the results of estimating the model to predict quarterly GDP in Syria. The results show the basic information to estimate the prior and posterior parameters, and the last section shows the statistics of the models such as the coefficient of determination and the F-statistic. We note that every two months were determined from a monthly variable to forecast each quarter of GDP in the BMFVAR model. Although there is no explanation due to the imposition of constraints, the model shows good prediction results with a standard error of less than 1 for each parameter and a high coefficient of determination of the GDP prediction equation explaining 93.6% of the variance in GDP.

Figure (5) also shows us the reliability of the prediction results. It is clear that the roots of the estimation of the parameters follow the inverse AR polynomial process. The inverted AR roots have modules very close to one which is typical of many macro time series models.

 Table (4) shows the evolution of GDP Forecasting in Syria in and out the sample based on a number of indicators. When the value of these indicators is close to 0, the estimated values ​​are close to the actual values, which is shown by Table 4, since the values ​​of these indicators are all less than 1. The out-of-sample predicted values ​​show a better performance of the model, and hence it can be adopted to track changes in quarterly GDP over time. Up-to-date with current versions.

Through the data visualization technique, Figure (6) shows us the closeness of the expected values of quarterly GDP in Syria in of sample, which leads to the exclusion of the presence of an undue problem in the estimate (overfitting – underfitting). The median is used in the prediction because it is immune to the values of structural breaks and the data are not distributed according to the normal distribution. The out-of-sample forecast results (Fig 7) also indicate negative rates of quarterly GDP growth in Syria with the negative impact of internal and external shocks on the Syrian economy with the accumulation of the impact of sanctions, the lack of long-term production plans and the ineffectiveness of internal monetary policy tools, as the latest forecasts for GDP growth this quarter are (-3.69%).

The uncertainty at each point in time is included in the Syrian GDP projections, thereby achieving two objectives: incorporating the range of GDP change at each point in time and knowing the amount of error in the forecasts. We found that uncertainty increases as the forecast period lengthens (Figures 8-10).

The model also provides us with important results through scenario analysis. Figure 11 shows that the quarterly GDP in Syria is affected by the shocks of high-frequency variables, since this Figure shows that the shocks have negative impacts. This recommends a better activation of the instruments of The Central Bank and those responsible for monetary policy in Syria. These results are considered important tools for them to know and evaluate the effectiveness of their tools.

Figure 6. Forecasting quarterly GDP in Syria in of sample with 35%, 10%, 5% distribution quantities.

Figure 7. Forecasting quarterly GDP in Syria out of sample with 35%, 10%, 5% distribution quantities.

Figure 8. Uncertainty for forecasting quarterly GDP in Syria in-of –sample

Figure 10. Uncertainty for forecasting quarterly GDP in Syria out-of –sample

Figure 11. Shocks of high-frequency variables in the quarterly GDP of Syria

 

CONCLUSIONS AND RECOMMENDATIONS

This paper showed that BMFVAR could be successfully used to handle Parsimony Environment Data, i.e., a small set of macroeconomic time series with different frequencies, staggered release dates, and various other irregularities – for real-time nowcasting. BMFVAR are more tractable and have several other advantages compared to competing nowcasting methods, most notably Dynamic Factor Models. For example, they have general structures and do not assume that shocks affect all variables in the model at the same time. They require less modeling choices (e.g., related to the number of lags, the block-structure, etc.), and they do not require data to be made stationary. The research main finding was presenting three strategies for dealing with mixed-frequency in the context of VAR; First, a model – labelled “Chow-Lin’s Litterman Method” – in which the low-frequency variable (Gross Domestic Product) is converted from annual to quarterly with the aim of reducing the forecast gap and tracking the changes in the GDP in Syria in more real-time and reducing the gap of high-frequency data that we want to predict usage. Second, the research adopts a methodology known as “blocking”, which allows to treat higher frequency data as multiple lower-frequency variables. Third, the research uses the estimates of a standard low-frequency VAR to update a higher-frequency model. Our report refers to this latter approach as “Polynomial-Root BVAR”. Based on a sample of real-time data from the beginning of 2010 to the end of the first quarter of 2023, the research shows how these models will have nowcasted Syria GDP growth. Our results suggests that these models have a good nowcasting performance. Finally, the research shows that mixed-frequency BVARs are also powerful tools for policy analysis, and can be used to evaluate the dynamic impact of shocks and construct scenarios. This increases the attractiveness of using them as tools to track economic activity for both the Central Bank of Syria and the Central Bureau of Statistics.

 

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A Study of the Properties of Compost Garbage and its Effect on Germination and Breeding of Okra (Hibiscus Esculentus sp)

Barriers of Implementing E-Health in Developing Countries: A Case Study: Syria

INTRODUCTION

Growth and technological advances have immensely contributed to streamlining modern living. Almost every aspect of human life relies on the benefits of modern technology. The adoption of technology in the healthcare system is referred to as e-Health. According to Elharish et al [1], e-Health is the delivery of healthcare using modern electronic information and communication technologies. Healthcare services provided through electronic health include physical and psychological diagnosis and treatment, telepathology, vital sign monitoring, and teleconsultation, and the adoption of e-Health benefits healthcare practitioners and patients. Benefits of E-Health include saving time, reducing human errors, reducing healthcare costs, and giving patients insight into their health. The benefits of e-Health adoption have been seen in different regions worldwide. Despite the perceived benefits, developing countries show a go-slow in adopting e-Health. Prior studies explain the latter scenario from the funding and cost constraints perspective. However, other factors have contributed to the sustainable adoption of e-Health technology in developing countries. To facilitate swift and sustainable adoption of e-Health in developing countries, involved stakeholders should understand the connection between social, economic, and political factors challenging e-Health adoption in developing countries.

This research will expound the discussion on factors affecting the sustainable adoption of e-Health in developing countries using Syria as a case study. A meta-analysis of the current situation in Syria was conducted using online peer-reviewed databases such as Google Scholar, PMC, and PubMed. As mentioned earlier, the current study explains the slow adoption of e-Health in developing countries. The latter approach leaves many gaps in explaining the influence of social, political, and cultural factors impacting the adoption of e-Health in Syria. By addressing the research gap, the study will enhance the process of adapting e-Health in Syria and other developing countries. Sustainable adoption of e-Health requires a region to evaluate its capability and feasibility of the intended changes. However, external and internal factors within a jurisdiction compromise the latter moves. Developing the country’s economic, social, cultural, and organizational traits are among the most conspicuous factors affecting the sustainable adoption of e-Health. The situation in Syria is far worse than in many developing countries in the Middle East. The Syrian war has weakened the country’s ICT infrastructure, and the interplay between various cultural, economic, and war contributions has led to the unsustainable adoption of e-Health in Syria. Understanding factors compromising e-Health adoption in Syria gives the government a clear picture of evidence-based measures for improving its healthcare system.

The Syrian government has emphasized a decentralized healthcare system that focuses on providing primary healthcare at the village, district, and provincial levels. Irrespective of the measures embraced to streamline healthcare provision in Syria, the progressive wars in the region have seen a 60% decline in Syrian health care services. In addition to causing a decline in Syria`s population, the war in Syria is responsible for destroying healthcare infrastructure and, consequently, unsustainable adoption of e-Health. Medical facilities’ destruction has led to shortages of medications and medical supplies. In a report by the International Rescue Committee (IRC), Syria has a total of 507 hospitals (114 public hospitals and 393 private hospitals), which are distributed between cities unevenly. The latter statistics are grounded on attacks directed on healthcare facilities. According to Allah ham et al, (2022) [2]. Berlin-headquartered Syrian archive has documented videos of 412 separate attacks against a total of 270 medical facilities between 2011 and 2020. The progress of the Syrian war has increased healthcare disparities in the region, with an average of 706 persons per bed in 2020 compared to 734 persons per bed in 2011. The current situation in Syria requires immediate action, following that only 64% of hospitals and 52% of the region’s health care centers are functional [2]. Direct attacks on Syria`s health facilities and practitioners have seen a significant drop in healthcare practitioners. According to Karasapan (2016) [3], 70% of Syria’s healthcare providers have fled the country, with substantial cities experiencing mass migration of physicians. Aleppo, one of the major cities in Syrian, had 6000 physicians before the war, and by 2013 only 250 remained in the city. The deteriorating state of Syria`s health sector is also founded on reduced government spending on health as a percentage of GDP. According to Allahham et al, (2022) [2], Syria`s government spending on health reduced from 4.9% in 2005 to 3.4 % in 2010 and continued to reach less than half of the 2011 percentage.

Article Statement: The slow adoption of e-Health technology in developing countries is a multifaceted issue requiring responsible stakeholders to devise and resolve practical measures.

LITERATURE REVIEW

Lack of Awareness

The rate of technology acceptance varies with region and community members’ attitudes towards the technology. Cultural, economic, and social factors define innovation adoption rates resulting in five categories (innovators, early adopters, early majority, late majority, and laggards) of innovation [4]. Developed countries comprise early adopters and innovators. While innovators are motivated to accept trends in technology as soon as they emerge and appreciate technological changes, early adopters adopt new technology to achieve revolutionary changes and gain a competitive advantage. On the other hand, the early majority embrace technological changes to improve productivity. Syria and many developing countries fall into the laggards and late majority category. The latter categories are skeptical about innovative technology and are geared towards maintaining the current status quo. Cultural and organizational traits in Middle East countries explain the region’s unsustainable adoption of e-Health technology. Alajlani & Clarke [5] conducted case study research in Syria and Jordan to investigate cultural factors affecting the sustainable adoption of e-Health in the two regions. The study gathered data from key stakeholders in Syria and Jordan’s healthcare sector. Interviews and questionnaires were employed for a study population comprising 100 participants (50 from each country) and 45 professional participants (22 from Jordan and 23 from Syria). The study accessed the professional practitioners using face-to-face semi-structured interviews. The study aimed to investigate demographic traits in the two regions and identify factors likely to compromise e-Health adoption.

A thematic analysis revealed three interconnected themes; poor infrastructure, poor funding, and lack of technology training as significant factors leading to the slow adoption of e-Health. It was noted that Jordan was ahead of Syria in adopting e-Health. This was supported by the fact that Jordan started using e-Health technology way of Syria. Even though the two countries had problems funding e-Health programs, respondents from Syria did not perceive funding as a barrier to e-Health implementation [5]. Regardless of the noted difference, resistance from doctors and patients was a major factor affecting the sustainable development of e-Health. Lack of training and exposure to e-Health affected Syrian health professionals more than in Jordan. The latter findings align with the categories of innovators highlighted in the introduction. Syria falls in the laggard category of innovators, which explains why its health practitioners and patients display a go-slow in accepting e-Health.

Reform Challenges

Rapid development in information and communication technology requires community members and affected individuals to stipulate reforms in sectors affected by the changes. The innovation in e-Health creates an urge for health sectors to define structure and organizational changes. Attempts that are made to reform Middle East’s health sector have been met with notable problems that, in turn, lead to the slow adoption of technology. Al-Samarraie et al. [6] supported Alajlani & Clarke [5] with the arguments that Middle East’s go-slow in technology adoption results from stakeholders’ resistance. In a study to review progress in adopting and using telemedicine in Middle Eastern countries, Al-Samarraie et al. [6] conducted a literature review on 43 peer-reviewed articles published between 2010 and 2020. The research answered two questions “What is the current progress of adoption and use of telemedicine in the Middle East?” and “What are the key barriers to implementing telemedicine in the two countries?” Al-Samarraie et al. stated there are major cultural barriers affecting e-Health adoption in Middle Eastern countries include religious, traditional beliefs, literacy level, and linguistic barriers. The study also noted that the absence of laws and regulations to support the transformation process affected the sustainable adoption of e-Health. The legal and regulatory framework designed to guide the delivery of care in Syria shows that e-Health may compromise patients’ privacy, which eludes the nursing code of ethics. In addition to the reform challenges, other factors compromising the sustainable adoption of e-Health include organizational (poor training, media representation, insurance, and strategic planning), individual barriers, and poorly motivated healthcare workers.

Al-Samarraie et al, calculated the contribution of different factors in reduced rates of e-Health adoption in Syria as a percentage of the total number of barriers identified from the 43 peer-reviewed articles. The results showed that technological and organizational barriers are the most affecting factors.

Ay et al. [7] expanded on the factors affecting the sustainable adoption of e-Health by conducting cross-sectional, analytical, and observational studies. The study employed snowball sampling and structured questionnaires to collect data from the target population. A total of 196 surveys were carried out by a non-government organization in Jordan hosting Syrian refugees. Ay et al. findings align with both Alajlani & Clarke [5] and Al-Samarraie et al. [6] in that structural and social barriers limited the implementation of e-Health among Syrian refugees. The study’s findings provided insights to humanitarian organizations wishing to support Syria and other developing countries to adopt e-Health.

International intervention can facilitate the adoption of e-Health in Syrian. However, the government should evaluate its current situation to determine if the factors within its jurisdiction hinder the successful implementation of e-Health interventions. Granja, et al. [8] carried out a systematic review to evaluate the factors influencing the outcomes of e-Health intervention. The study found that e-Health intervention’s success depends on its perceived impacts on healthcare. According to Granja, et al [8], research on e-Health should be carried out before implementing the desired intervention. Even though Granja, et al did not directly contribute to Syria’s case study, they informed the research topic from the perspective of Syria’s current situation. Alajlani & Clarke [5] found that healthcare practitioners in Syria have the required awareness to support e-Health. The latter findings align with Granja, et al [8] whose finding indicates that research is a critical factor in defining the success of e-Health intervention. The fact that healthcare practitioners in Syria are not conversant with e-Health technology implies that they cannot explore e-Health. The overall impact is the unsustainable adoption of e-Health. The study also noted that the ICT barrier also challenges the sustainable implementation of e-Health in Syria.

Information Technology Barriers

Information and communication technology have been perceived as enablers of economic development.  A notable discrepancy is, however, noted in developing countries whereby the poor are, in most cases, left out of enjoying the benefits of ICT. Touray, et al. [9] conducted a study to identify ICT barriers in literature and empirical findings and categorize the barriers into critical success factors. The study employed a systematic literature review and case study methodologies. The review analyzed 1107 articles published between 2000 and 2011, while the empirical data was collected through a total of 200 questionnaires to evaluate internet adoption at user levels. The achieved data were analyzed using open coding and non-hierarchical coding. The study found 43 ICT barriers using two different studies. Forty of the identified barriers were common in the two studies, while three arose from the empirical study findings. According to Touray, et al. [9], economic socio-culture (SC), economical (EC), infrastructure (IF), legal and regulatory (LR), technical (TN), and education skills (ED) compromised the adoption of e-Health in developing countries. The study concluded that politics and leadership and lack of internet exchange points are major barriers affecting e-Health adoption in developing countries.

Even though the study was not conducted in Middle Eastern countries, its findings align with the reports previously evaluated in this study. The three outstanding barriers affecting the adoption of e-Health in developing countries include lack of internet exchange points, interference from foreign governments, and micromanagement of e-Health.

Civil Conflicts

Regions with political instability and wars suffer numerous economic challenges that increase government spending on vital activities. Irrespective of the benefits of e-Health, the Syrian government has more stressed economic issues to handle from the ongoing war. In a study to evaluate the impacts of the Syrian war on the implementation of e-Health, Bowsher et al. [10] employed narrative hermeneutic methodology. The literature review included articles composed from 2000 onwards, whereas thematic analysis deduced common themes. According to Bowsher et al., altered security conditions in Syria require the healthcare sector to adopt and revise partial online training programs instead of focusing on in-person care delivery. The latter requirement does not align with the e-Health framework because e-Health offers in-person healthcare services. The role of e-Health in regions with political and civil instability is to expand and facilitate the delivery of care. It is, however, challenging that many regions with civil disruptions do not have the right resources to support the implementation of e-Health. Even though Bowsher et al. [10] have provided a detailed explanation of the effects of war on e-Health, their findings differ from previous findings [5-7]. The latter studies connected the poor adoption of e-Health in Syria to cultural, organizational, and social barriers. Bowsher et al. [10] explained the go-slow in e-Health adoption with arguments that conflicts require frequent changes in healthcare provision strategies, a move that requires plenty of resources. The scarcity of resources in Syria and many other developing nations makes it hard for the healthcare sector to adopt e-Health. However, Bowsher et al. agreed with previous studies that a lack of professional training also compromises the adoption of e-Health in Syria.

Factors affecting clinician adoption of mobile health tools

Clinician’s attitude towards a healthcare innovation plays a critical role in defining the success or failure of the healthcare innovation. Jacob, et al. [11] article reported the findings of a structured review article to explore the relevance of published studies regarding social, organizational, and technological factors compromising the adoption of e-Health in developing countries. The study evaluated 171 peer-reviewed articles from MEDLINE, PubMed, SAGE, and Cochrane online databases. Technological factors defining clinicians’ adoption of e-health include outdated systems, system errors, poor quality outcomes, and data security issues [11]. Even though technological barriers are crucial in hindering the sustainable adoption of e-Health, workflow-related factors arose as the main factor from the contacted literature. The world is witnessing a notable shortage of healthcare workers. This implies that nurses and other health care practitioners have tight fixtures to attend to, which leaves them no time to invest in advancing their technological skills. The situation in developing countries is worse because, apart from the shortage of healthcare providers, the region does not have enough resources to invest in continuous nurses training programs. Even though Jacob et al. concentrated on identifying physician-related factors, their findings relate to most of the articles contacted earlier in this review. For instance, technological factors identified in [5,8,9] are also highlighted in Jacob, et al  study [11].

Decrease in physician-to-patient ratio

According to World Bank Report (2015) [12], the physician-to-patient ratio has been decreasing tremendously since the onset of the Syrian war. For instance, Syria’s physician-to-patient ratio has been declining since the onset of the war, from 1:370 to a current ratio of 1:546. Stephan [13] supported the latter ideology with findings that 30% to 60% of Syrian physicians have left their country.

Challenges in the adoption processes of e-Health

Zayyad & Toycan [14] highlighted how adopting e-Health technology in developing countries is crucial in managing healthcare facilities while ensuring they offer quality services to patients. They used a modified technology acceptance model (TAM) to highlight how to facilitate the implementation of electronic health records (EHR), and the reasons why the process should be undertaken in phases. However, as the facilitator, the Syrian government should bring the reality check to the table and display why the new EHR system benefits the health sector and healthcare dispensation. In this context, the impediment factors from different stakeholders in the sector should be handled at the initial stages to ensure a smooth transition. In essence, the most important factor that should be considered is how the communication, practicability, and implementation of the EHR system are supposed to be embraced by all the stakeholders involved because they will be vital in running the technological system.

Using the narrative hermeneutic methodology, Alajlani & Clarke [5] found five qualities that should be handled before the diffusion of innovation and invention of new technologies in any healthcare setting, and these adaptations help to ensure the success of the procedure. Individual attitudes also play a critical role in this process of adopting new technologies, and due to that reason, people are concerned with five qualities. These include relative advantage: where the individuals adopting the new innovation must see how it will improve the old ways of doing things. In addressing this issue, Syrian healthcare professionals are supposed to be taken through the way that the accessibility and the availability of patient information under the new system will reduce the time unless when they were using the old system. The latter findings were supported by Said [15], who used Egypt’s healthcare to highlight how under EHR, the patient’s past and current medical information are accessible with a single click and input of the relevant data. This will ensure that they can be assisted faster during an emergency because different healthcare professionals can view their medical history under one platform.

Learning Measures for Improving e-Health

Matlin et al. [16] used qualitative research methods to highlight the Syrian government’s role in the EHR system implementation to improve healthcare safety, efficiency, and quality, especially during the refugee crisis. Furthermore, the government is supposed to guarantee that it protects the patient’s privacy and personal rights as it is envisioned under the law. Namatovu & Semwanga [17], supported the latter study’s finding with qualitative research to learn how the process of presenting the EHR system compromises its adoption in Syria. The reason for their involvement is that they will be responsible for training the individuals who will take part in the final phase of inputting the patient’s information into the new system. Syria is a religious and conservative country that follows Islamic laws and principles, and it is vital to use these approaches to ensure civic education is available for all the people involved. Therefore, the transition from the traditional form of handling patient information is supposed to be put into the new system, and it should be carried out with utmost responsibility and care to avoid errors and misuse of the new data.

Shawahna [18] used CDSS systems research to indicate how the efficacy and quality delivery of Syrian and other Middle East countries healthcare in both rural and urban areas rely on communication, interaction, and association with various care providers, medical residents, physicians, nurses, and other interested parties in the medical field. Therefore, when the different stakeholders converge for the meeting, they should be made to understand that the change in the EHR system does not only impact them; it is a collective responsibility of all the other parties with whom they interact daily. The transition to electronic health records (EHR) is not an easy task for any health center or for the physicians, the hospital management, the members of staff, and the nurses who are usually at the center of these changes because they make the transition to become easier [17]. The essence of converging healthcare providers and other stakeholders is to ensure that they can understand the importance and significance of having operational electronic health records (EHR) and how it will change their lives.

In the initial process of implementing electronic health records (EHR), all interested parties should be called to stakeholder meetings to be enlightened and educated on their role in the procedure. The meetings should be frequently held during the initial stages to ensure that all parties comply with all the issues they are taught, and they should continue until everyone is conversant with what the EHR entails. The type of information nurses should start with the basic process of how the EHR system works from an outsider’s perspective, the security measures that are put in place to avoid third-party interferences, and the implications that should occur when the nurses breach those terms and conditions [19]. The legal procedures entailed in the EHR system are made in such a manner that they are supposed to be agreed upon by all parties through consent because of the private and personal information they hold. In this context, it means that before the whole EHR process is started, in-house communication, coordination, and planning are supposed to be laid out before implementation.

Significance of e-Health compatibility

Zayyad and Toycan [14] indicate how electronic health and technology should be compatible with the new system while advancing values and practices that ensure the innovation aligns with the healthcare practices of the state or government. In this context, healthcare professionals are supposed to know that the inclusion of technology in how healthcare services are undertaken is a concept meant to infuse the old methods into a new platform. The old information will only be input into the EHR, and no other changes will be initiated because the data in the old system will just be keyed in for easy accessibility. Namatovu & Semwanga [17] supported the earlier applications of e-Health by noting that the simplicity factor should also be part of the new EHR system so healthcare professionals can easily operate the new technology. Based on these analogies, they highlighted how adopters must believe they can easily master the new technology; because if they consider it difficult, the greater the resistance. Therefore, it is the duty of the management and the trainers to use the simplest way possible to ensure that all involved personnel will master the system within a specified time span.

Hossain et al. [20] conducted a study in rural Bangladesh using the TAM model to learn how the trial-ability of the new EHR system should be made before the whole process is fully implemented. The report of Salminen & Mursu [9] also supports this approach, where the trial period should show that all the parties involved in operating EHR can “play around’ with the new technology while exploring its capabilities. The trial period of any new technology comes with the chance for the adopters to make mistakes so that they can be rectified and changed to a simpler version, if any, is available. Hossain, et al [20] used 292 respondents where through the trials; the seriousness of resisting change by the adopters indicated that new technology could be learned with an open mind. Observable results: the adopter should have adequate evidence, information, and data on how the new EHR has succeeded in other situations. Most of the data and information should highlight EHR’s success, especially in bigger health centers that have included technology in all their services and their rate of offering quality services to their patients. Therefore, when the smaller healthcare centers adapt to the new changes, it is only meant to ensure that they are not left out when the whole system changes, and they familiarize themselves with technology in all their healthcare delivery [10]. In all these adaptations, it will help the nurses to have an open mind that when they advance in their careers, the bigger health centers are also using the technology, and therefore, it is essential for them to learn on a low-level scale before they are enrolled in other complex EHR systems.

Summary findings:

By providing a clear and concise summary of the key findings from the literature, Table 1 could help to inform decision-making, guide the development of interventions and policies, and identify areas for future research.

Table 1. A summary findings table listing the barriers of implementing e-Health in developing countries based on research papers.

CONCLUSION

Electronic health is among the most promising trends in healthcare.  Implementing e-Health is associated with many benefits to the healthcare department and other stakeholders in the healthcare docket. Irrespective of the benefits of e-Health, developing countries are lagging behind in its adoption. Using a case study of Syria, this article has identified some major challenges compromising the sustainable adoption of e-Health in developing countries. The most conspicuous challenge affecting arose from the lack of training and exposure to e-Health affected Syrian health professionals more than in Jordan [5]. Additionally, cultural barriers (religious, traditional beliefs, literacy level, and linguistic barriers) also compromised the sustainable adoption of e-Health [9]. The ongoing war in Syria negatively affected the implementation of e-Health since the government does not have adequate resources to facilitate the implementation process. Altered security conditions in Syria require the healthcare sector to adopt and revise partial online training programs instead of focusing on in-person care delivery. The latter requirement does not align with the e-Health framework because e-Health offers in-person healthcare services. In summary, the unsustainable adoption of e-Health in Syrian and other developing countries can be classified into three categories that, include social, systematic, economic, and organizational barriers.

RECOMMENDATION

Improving e-Health adoption in Syria and other developing countries is indeed crucial for advancing healthcare services and ensuring better access to medical facilities. Implementing effective measures to increase the consumption of e-Health requires a multi-faceted approach. We here list several proposed strategies:

Continuous Training for Healthcare Practitioners

Subjecting healthcare practitioners to continuous training on emerging technologies is an excellent step. It will equip them with the necessary skills and knowledge to effectively use e-Health tools and technologies in their practice. This approach helps address the issue of brain drain, where physicians leave the country in search of better opportunities abroad. By offering up-to-date training, the country can retain skilled professionals and attract others who want to work in a technologically advanced healthcare environment.

Investing in Modern Technology

Investing in modern technology is essential for upgrading healthcare facilities and providing healthcare practitioners with the tools they need to adopt e-Health practices. This could include providing hospitals and clinics with the necessary infrastructure, such as electronic health record systems, telemedicine platforms, and remote monitoring devices. By making these technologies available, healthcare practitioners can become more familiar with and embrace e-Health solutions.

Learning from Jordan’s Experience

Drawing insights from Jordan’s experience can be beneficial. As Jordan introduced e-Health technology earlier, it can serve as a valuable case study for Syria to understand the benefits, challenges, and best practices in implementing e-Health initiatives. This information can guide Syria in making informed decisions and avoiding potential pitfalls in its e-Health adoption process.

Addressing Cultural and Systemic Barriers

Cultural and systemic barriers can impede the successful adoption of e-Health in Syria. To overcome these challenges, investing in community-based education programs is essential. These programs should focus on educating healthcare practitioners and community members about the advantages of e-Health and dispelling any misconceptions or fears related to its implementation. By involving the community in the process, acceptance and support for e-Health initiatives can be significantly improved.

Encouraging E-Health Research

With a growing adoption of e-Health practices, there is an opportunity for Syria to invest in e-Health research. Research in this field can help identify areas for improvement, measure the impact of e-Health technologies on patient outcomes and healthcare costs, and refine the implementation strategies for better results.

Collaboration with International Partners

Syria can also benefit from collaborating with international partners and organizations experienced in e-Health adoption. These collaborations can provide technical expertise, financial support, and access to best practices, helping Syria leapfrog some challenges and accelerate its e-Health transformation.

In summary, enhancing e-Health adoption in Syria requires a comprehensive approach that includes continuous training for healthcare practitioners, investment in modern technology, learning from other countries’ experiences, addressing cultural and systemic barriers through community-based education, encouraging research, and fostering international collaboration. By implementing these strategies, Syria can pave the way for more efficient and effective healthcare delivery through e-Health solutions.

For These Reasons, Both Public And Private Sectors Should Prioritize The Support For R&D During A Post War Era In Syria?

Over a decade of war, unprecedented drought, COVID-19 pandemic, inflation, and recent earthquake, all made Syria’s economy struggle to stabilize and grow, while many Syrians are exploring options to cope and maintain basic needs such as electricity, irrigation and clean water. Lessons from countries around the globe tell us a lot. In fact, the boost of R&D in countries like Germany and Japan was basically initiated right after cannons became silent. During WWII, the United States Office of Scientific Research and Development (OSRD) greatly enriched public investments in applied R&D, where thousands of contracts between firms and universities were signed to perform research essential to the war and post-war efforts. The Islamic Republic of Iran is another interesting example. While the country is under intense sanctions, revenues from R&D activities in the past few years constituted a major share of the country’s GDP.

Opening ceremony for the Fourth Syrian Expatriate Researchers Conference (SERC), 2022.

Investing in R&D activities is a prerequisite to speed up recovery and economic growth.
Current indicators in Syria show that R&D spending constituted only 0.02% of the country’s GDP in 2015, compared to 0.72 average in the Arab countries, 0.88% in Iran, 1.1% in Russia, 1.09% in Turkey, and 2.63% world average.
We seriously need to enhance spending on R&D in Syria and establish the correct and operational enabling R&D ecosystem for the following reasons: 1) R&D is the important driver of economic growth in the third millennium; 2) R&D might lead to innovative solutions to non-traditional challenges Syria faces; 3) Many local experts and skilled personnel could be attracted to R&D activities, which might mitigate their continuous migration out of the country; 4) without sustained R&D activities, Syrian goods will certainly loose competitiveness in local and global markets; 5) Due to war, Syria has lost a major fraction of the countries natural resources. This is why a gradual transform into a knowledge-based economy, which usually heavily relies on R&D, is badly needed.
The bottom line, R&D is suitable to all times, all situations, and more essential and worthy in the time of war than in the time of rest and peace.


AlBasel Fair for Creativity & Invention 2019.

About The Journal

Journal:Syrian Journal for Science and Innovation
Abbreviation: SJSI
Publisher: Higher Commission for Scientific Research
Address of Publisher: Syria – Damascus – Seven Square
ISSN – Online: 2959-8591
Publishing Frequency: Quartal
Launched Year: 2023
This journal is licensed under a: Creative Commons Attribution 4.0 International License.

   

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