Global Public Health最新文献

A qualitative study on fertility preferences and barriers to fertility autonomy in rural Uganda among women with an unmet need for family planning. 一项关于未满足计划生育需要的乌干达农村妇女生育偏好和生育自主障碍的定性研究。

IF 2.1 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-02-25 DOI: 10.1080/17441692.2026.2635898

Rebecca L Luttinen, Christine Muhumuza, Susan M Kiene, Rhoda K Wanyenze, Trace S Kershaw, Haruna Lule, Samuel Sekamette, Katelyn M Sileo

{"title":"A qualitative study on fertility preferences and barriers to fertility autonomy in rural Uganda among women with an unmet need for family planning.","authors":"Rebecca L Luttinen, Christine Muhumuza, Susan M Kiene, Rhoda K Wanyenze, Trace S Kershaw, Haruna Lule, Samuel Sekamette, Katelyn M Sileo","doi":"10.1080/17441692.2026.2635898","DOIUrl":"https://doi.org/10.1080/17441692.2026.2635898","url":null,"abstract":"Women's autonomy in fertility decision-making is essential for improved health and social outcomes. Guided by the social-ecological model, this investigation explores multilevel influences on the fertility autonomy of women with an unmet need for family planning in rural Uganda. We conducted four focus groups with men and women (n = 26), and 15 key informant interviews with community leaders and individuals involved in the provision of family planning. The data were analyzed thematically. The results highlight how community-level norms reinforce gender inequalities in decision-making and underpin beliefs to not limit men's number of children. Religious norms and polygamy practices were shown to influence attitudes towards family size and family planning, as well as shape relationship dynamics related to fertility. Concerns about poverty were identified as a driver of shifting preferences and increasing acceptance of family planning. Results showcase how health system weaknesses limit women's access to family planning services, contribute to mistrust of health systems and drive misinformation about contraceptives, especially among men. This study underscores the need for multifaceted gender transformative interventions to increase women's fertility autonomy. This study also highlights health system strengthening, religious leader endorsement and male engagement as approaches to increase women's autonomous use of family planning.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2635898"},"PeriodicalIF":2.1,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147304604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dengue modelling and policy integration: A necessary step toward sustainable epidemic control. 登革热建模和政策整合：实现可持续流行病控制的必要步骤。

IF 2.1 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-02-13 DOI: 10.1080/17441692.2026.2631237

Mukhamad Zulianto

引用次数: 0

Capacity to care: Provider agency and socio-structural constraints in breast cancer care across public secondary and tertiary hospitals in Soweto. 护理能力：索韦托公立二级和三级医院乳腺癌护理中的提供者机构和社会结构限制。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-04-14 DOI: 10.1080/17441692.2026.2657635

Seemela D Malope, Charmaine Blanchard, Ngcwalisa Jama, Maureen Joffe, Shane A Norris

{"title":"Capacity to care: Provider agency and socio-structural constraints in breast cancer care across public secondary and tertiary hospitals in Soweto.","authors":"Seemela D Malope, Charmaine Blanchard, Ngcwalisa Jama, Maureen Joffe, Shane A Norris","doi":"10.1080/17441692.2026.2657635","DOIUrl":"10.1080/17441692.2026.2657635","url":null,"abstract":"Timely breast cancer care remains challenging in South Africa, where both health-system and patient-level barriers contribute to delayed diagnosis and treatment. This study explored healthcare providers' experiences and perspectives on breast cancer care at Chris Hani Baragwanath Academic Hospital in Soweto and its two referring secondary hospitals in Johannesburg. Using a cross-sectional qualitative design informed by phenomenology, we conducted in-depth interviews with 30 providers involved in breast cancer care. Thematic analysis identified intersecting structural and individual barriers, together with provider-led strategies to improve care delivery. System-level constraints included high patient volumes, staff shortages, limited diagnostic capacity, referral delays, inconsistent treatment supplies, and the absence of radiation oncology services at CHBAH, necessitating referral to an affiliated hospital 25 km away. Providers also described patient-related contributors to delay, including fear, denial, symptom misinterpretation, socioeconomic hardship, and limited self-efficacy, often exacerbated by poor communication. Suggested priorities included community and primary care education, provider training, high-risk screening in primary care, and expanded diagnostic and treatment infrastructure, particularly radiation oncology services at CHBAH. Furthermore, providers described pragmatic mitigation strategies, including expedited diagnostic workup, multidisciplinary coordination, electronic records, NGO-supported patient navigation, and temporary disability grants to offset transport costs. In conclusion, these findings provide a foundation for a coordinated response to strengthen oncology care in resource-constrained settings.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2657635"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147689779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The rhetoric of community participation in maternal and perinatal death surveillance and response (MPDSR) in Kenya: Qualitative study. 肯尼亚社区参与孕产妇和围产期死亡监测和应对（MPDSR）的说辞：定性研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-26 DOI: 10.1080/17441692.2026.2679908

Mary Mbuo, Cicely Marston, Alicia Renedo, Loveday Penn-Kekana

{"title":"The rhetoric of community participation in maternal and perinatal death surveillance and response (MPDSR) in Kenya: Qualitative study.","authors":"Mary Mbuo, Cicely Marston, Alicia Renedo, Loveday Penn-Kekana","doi":"10.1080/17441692.2026.2679908","DOIUrl":"10.1080/17441692.2026.2679908","url":null,"abstract":"Maternal and perinatal death surveillance and response (MPDSR) aims to prevent maternal and perinatal deaths by analysing clinical and social data after the death and using these insights to generate knowledge in the form of recommendations. This requires collaboration between health professionals and community members to co-produce knowledge to prevent future deaths. Our study asked: how do interactions between community members and health workers shape knowledge co-production in MPDSR processes? And what are the implications for policy and practice? This qualitative study used interviews, focus groups, and observations of MPDSR sessions in two Kenyan counties. MPDSR aims to prevent deaths by learning from past experiences, yet we found that the policies and tools used in MPDSR may prevent learning. Health workers questioned community members' competence as knowers and undervalued community knowledge. Community members worried that MPDSR sessions were intended to expose 'bad' deaths. These dynamics created contested spaces where different ways of knowing competed for legitimacy. Our findings show MPDSR processes must examine how and why certain forms of knowledge are deemed to be credible and others are excluded. Without recognising diverse perspectives, MPDSR risks producing fragmented understanding, limiting its potential as a participatory and transformative tool for preventing deaths.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2679908"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148029509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Socio-ecological factors associated with becoming street-connected among working and homeless children and youth in Namibia. 与纳米比亚工作和无家可归的儿童和青年走上街头有关的社会生态因素。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-09 DOI: 10.1080/17441692.2026.2700820

Ndilimeke Johanna Christa Nashandi, Dennis N Makau, Minhae Cho, Erick O Buko, Elizabeth Lightfoot

{"title":"Socio-ecological factors associated with becoming street-connected among working and homeless children and youth in Namibia.","authors":"Ndilimeke Johanna Christa Nashandi, Dennis N Makau, Minhae Cho, Erick O Buko, Elizabeth Lightfoot","doi":"10.1080/17441692.2026.2700820","DOIUrl":"https://doi.org/10.1080/17441692.2026.2700820","url":null,"abstract":"Although Southern Afrikan governments implement child protection programs, children and youth who work and/or live on the streets remain a persistent challenge. Guided by Ubuntu and Adaptive Calibration frameworks, this cross-sectional survey examined socioecological factors at individual, family and street levels to inform child protection interventions that is linked to the UN sustainable development goal 1 (SDG). Bivariate analyses of 217 purposively sampled street-connected participants aged 6 to 21 in urban Namibia showed that early adolescence (mean age 13.5) remains a high-risk period for transitioning to street life. Multivariable logistic regression showed that higher odds of homelessness were associated with out-of-school, living with siblings or extended family before street involvement, leaving home due to neglect; sexual, physical, or psychological abuse; or parental alcohol abuse, earning less than N$100 and utilising shelter services. These associations reflect participants adaptive calibration of psychosocial stressors and economic realities of the urban landscape but, is in tension with the Ubuntu principle of belonging and interdependence. Findings suggest that family poverty is a key driver to enter the street economy while maltreatment and school dropout sever ties to the home, highlighting the need for longitudinal studies, strategies to prevent street-involvement and ultimately achieve SDG-1.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2700820"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148411639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'Outbreak distress': Characterising moral distress among international healthcare workers responding to mpox. “爆发痛苦”：描述应对麻疹的国际卫生保健工作者的道德痛苦。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-02-02 DOI: 10.1080/17441692.2025.2607848

Rosalie Hayes, Anthony K J Smith, Sara Paparini, Vanessa Apea, Martin Holt, Chloe Orkin

{"title":"'Outbreak distress': Characterising moral distress among international healthcare workers responding to mpox.","authors":"Rosalie Hayes, Anthony K J Smith, Sara Paparini, Vanessa Apea, Martin Holt, Chloe Orkin","doi":"10.1080/17441692.2025.2607848","DOIUrl":"10.1080/17441692.2025.2607848","url":null,"abstract":"In May 2022, a global outbreak of mpox (formerly known as monkeypox) was declared an international public health emergency. During this time, healthcare workers scrambled to respond to the outbreak amidst a lack of resources, knowledge gaps and pressures related to COVID-19. This period posed a risk of heightened moral distress, defined as distress arising from a situation in which a healthcare worker knows the right thing to do but is externally constrained from doing so. An international survey of healthcare workers was developed to understand their experiences of responding to mpox, including open-text questions regarding moral distress. Drawing on thematic analysis of these open text responses, this paper conceptualises the forms of distress experienced by health workers as 'outbreak distress'-an emotional and psychological response to the synergistic effects that arise from stressed systems, uncertainty and stigma that characterise many, and especially new, infectious disease outbreaks. In the context of pandemic preparedness, outbreak distress represents a novel concept for understanding additional pressures on healthcare systems in future unknown and re-emerging outbreaks.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2607848"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

'COVID kills, and it's not joking around': Perceptions and experiences of COVID-19 in Soweto, South Africa. “COVID-19致命，这不是开玩笑”：南非索韦托对COVID-19的看法和经历。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-13 DOI: 10.1080/17441692.2026.2717794

Sostina S Matina, Emmanuel Cohen, Kebogile Mokwena, Emily Mendenhall

{"title":"'COVID kills, and it's not joking around': Perceptions and experiences of COVID-19 in Soweto, South Africa.","authors":"Sostina S Matina, Emmanuel Cohen, Kebogile Mokwena, Emily Mendenhall","doi":"10.1080/17441692.2026.2717794","DOIUrl":"https://doi.org/10.1080/17441692.2026.2717794","url":null,"abstract":"The COVID-19 pandemic intensified existing social and gender inequalities, disproportionately affecting Black women living in communities like Soweto, South Africa. This paper primarily draws on qualitative data from 25 in-depth interviews conducted in 2021, complemented by descriptive survey data from 204 women collected between 2020 and 2021. We employed inductive thematic analysis guided by the socio-ecological model to examine how intersecting individual, interpersonal, community and societal factors shaped women's experiences during the pandemic. Women played vital caregiving roles, supporting families and communities despite considerable personal stress linked to fears of infection, violence, isolation and economic hardship. On an interpersonal level, stigma related to COVID-19 severely disrupted social bonds, causing mistrust and exclusion within communities. At the societal level, pre-existing distrust in government institutions worsened, contributing to vaccine hesitancy. The widespread looting and unrest observed in Soweto during lockdowns are interpreted as collective resistance reflecting the community's perceived right to survival and fair treatment amid structural neglect. We argue that public health responses must adopt multi-level strategies that recognise women's crucial caregiving roles, address stigma through community engagement, rebuild institutional trust and promote economic justice.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2717794"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Food system change, traditional food practices, and nutrition transition dynamics: Qualitative insights from Indonesia and implications for cardiometabolic health. 食物系统的变化，传统的食物实践，和营养转变动态：定性的见解从印度尼西亚和心脏代谢健康的影响。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-27 DOI: 10.1080/17441692.2026.2725453

David Colozza

{"title":"Food system change, traditional food practices, and nutrition transition dynamics: Qualitative insights from Indonesia and implications for cardiometabolic health.","authors":"David Colozza","doi":"10.1080/17441692.2026.2725453","DOIUrl":"https://doi.org/10.1080/17441692.2026.2725453","url":null,"abstract":"Rapid urbanisation and food system change have reshaped diets across low- and middle-income countries (LMIC), contributing to a growing burden of cardiometabolic disease (CMD). However, food system change in LMIC is not uniform or linear, with traditional diets and food practices persisting alongside modernising food environments. Drawing on qualitative data from three urban communities in Yogyakarta, Indonesia, this study examines how residents experience and navigate food system and dietary change amid rapid urbanisation. Participants described shifts consistent with the nutrition transition, including a move from subsistence-based food access towards market- and cash-based systems, alongside growth in ready-made and ultra-processed foods (UPF), eating out, and digital food delivery. These changes were associated with perceived declines in food quality, increased snacking and portion sizes, and intergenerational shifts towards convenience-oriented diets. Meanwhile, traditional food practices, including home food production, food sharing, and consumption of traditional foods remained important and were adapted to changing urban conditions. The findings suggest that food system change in urban Indonesia is characterised by the coexistence of traditional and modern food systems rather than a simple transition from one to the other. Traditional food practices may offer culturally relevant opportunities for CMD prevention in rapidly urbanising LMIC settings.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2725453"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148827390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From exclusion to responses: Migrant participation in addressing health challenges in a Chilean informal settlement. 从排斥到应对：移民参与智利非正式定居点的卫生挑战。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-31 DOI: 10.1080/17441692.2026.2716990

Teresita Rocha-Jiménez, Báltica Cabieses, Loreto Watkins, Estela Blanco, Miguel Pérez, Javiera Barraza

{"title":"From exclusion to responses: Migrant participation in addressing health challenges in a Chilean informal settlement.","authors":"Teresita Rocha-Jiménez, Báltica Cabieses, Loreto Watkins, Estela Blanco, Miguel Pérez, Javiera Barraza","doi":"10.1080/17441692.2026.2716990","DOIUrl":"https://doi.org/10.1080/17441692.2026.2716990","url":null,"abstract":"Migrants living in informal settlements face overlapping health and environmental vulnerabilities shaped by exclusion from formal housing and essential services. Un Nuevo Amanecer, an informal settlement located on a former landfill on the outskirts of Santiago, Chile, illustrates these dynamics. Rising housing costs and precarious labour conditions have pushed migrants to self-construct housing on land with limited state oversight. This qualitative study examines how residents experience and respond to health and infrastructure challenges through community-based strategies. Drawing on long-term, community-engaged research, data were collected through in-depth interviews and a focus group with a total of 19 participants recruited via snowball sampling. Interviews explored settlement trajectories, access to services, waste exposure, food insecurity and coping strategies. Findings reveal persistent challenges, including irregular water access, inadequate sanitation, waste accumulation and power outages, that compromise hygiene and food safety. Despite these constraints, residents developed grassroots responses, including informal water systems and collective waste management. The study highlights migrant communities as active agents whose practices should inform inclusive urban health policies.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2716990"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148864629","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Khánh Hoà model: A case study of voluntary community-based drug treatment in provincial Vietnam. Khánh ho<e:1>模式：越南省区自愿社区药物治疗个案研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-09-30 DOI: 10.1080/17441692.2026.2740891

Jay Jordens, Peter Higgs

{"title":"The Khánh Hoà model: A case study of voluntary community-based drug treatment in provincial Vietnam.","authors":"Jay Jordens, Peter Higgs","doi":"10.1080/17441692.2026.2740891","DOIUrl":"https://doi.org/10.1080/17441692.2026.2740891","url":null,"abstract":"For almost three decades, compulsory detention has shaped Vietnam's response to illicit drug use. Each year, up to 60,000 people who use drugs (PWUD) are confined in Compulsory Drug Detention and Rehabilitation Centres (CDDRCs), despite not being charged with or convicted of criminal offences. Detention is justified through a moral framework that categorises drug use as a 'social vice', subordinating health needs to judgements of individual character. In 2013, the Vietnamese government introduced the Renovation Plan for Drug Treatment, promoting a shift toward voluntary, community-based treatment (VCBT). Pilot programmes were implemented in Bắc Giang, Bà Rịa-Vũng Tàu and Khánh Hoà provinces. This paper draws on research conducted in these early implementing sites between 2016 and 2017. Focusing on Khánh Hoà, the paper examines the emergence of community-based services developed through collaboration between government and non-government actors. It assesses alignment with the Renovation Plan and considers implications for reducing reliance on compulsory detention and for understanding the practical operation of procedural safeguards under the reform process. Receiving attention from government and policy stakeholders during the early implementation period, the Khánh Hoà experience highlights both the possibilities and limitations of reform within an entrenched detention system.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2740891"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149108706","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0