Global Public Health最新文献_第10页

The feasibility, acceptability, appropriateness and impact of implementing person-centered communication for prevention of female genital mutilation in antenatal care settings in Guinea, Kenya and Somalia. 在几内亚、肯尼亚和索马里的产前护理环境中实施以人为本的沟通以防止切割女性生殖器的可行性、可接受性、适当性和影响。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-10 DOI: 10.1080/17441692.2024.2369100

Patrick Ndavi, Mamadou Dioulde Balde, Cecilia Milford, Vernon Mochache, Anne-Marie Soumah, Tammary Esho, Alpha Oumar Sall, Aissatou Diallo, Wisal Ahmed, Karin Stein, Jacqueline Chesang, Samuel Kimani, Joyce Jebet, Joyce Omwoha, James Munyao King'oo, Muna Abdi Ahmed, Ahmed Diriye, Christina Pallitto

{"title":"The feasibility, acceptability, appropriateness and impact of implementing person-centered communication for prevention of female genital mutilation in antenatal care settings in Guinea, Kenya and Somalia.","authors":"Patrick Ndavi, Mamadou Dioulde Balde, Cecilia Milford, Vernon Mochache, Anne-Marie Soumah, Tammary Esho, Alpha Oumar Sall, Aissatou Diallo, Wisal Ahmed, Karin Stein, Jacqueline Chesang, Samuel Kimani, Joyce Jebet, Joyce Omwoha, James Munyao King'oo, Muna Abdi Ahmed, Ahmed Diriye, Christina Pallitto","doi":"10.1080/17441692.2024.2369100","DOIUrl":"10.1080/17441692.2024.2369100","url":null,"abstract":"Background: There is limited evidence on how to engage health workers as advocates in preventing female genital mutilation (FGM). This study assesses the feasibility, acceptability, appropriateness and impact of a person-centered communication (PCC) approach for FGM prevention among antenatal care (ANC) providers in Guinea, Kenya and Somalia.Methods: Between August 2020 and September 2021, a cluster randomised trial was conducted in 180 ANC clinics in three countries testing an intervention on PCC for FGM prevention. A process evaluation was embedded, comprising in-depth interviews (IDIs) with 18 ANC providers and 18 ANC clients. A qualitative thematic analysis was conducted, guided by themes identified a priori and/or that emerged from the data.Results: ANC providers and clients agreed that the ANC context was a feasible, acceptable and appropriate entry point for FGM prevention counselling. ANC clients were satisfied with how FGM-related information was communicated by providers and viewed them as trusted and effective communicators. Respondents suggested training reinforcement, targeting other cadres of health workers and applying this approach at different service delivery points in health facilities and in the community to increase sustainability and impact.Conclusion: These findings can inform the scale up this FGM prevention approach in high prevalence countries.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2369100"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579495","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

Structural competency in global perspective. 全球视角下的结构能力。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-03-11 DOI: 10.1080/17441692.2024.2326631

Carlos Piñones-Rivera, Seth Holmes, Michelle Morse, Joel Ferrall, Kavya Nambiar, Ángel Martínez-Hernáez

{"title":"Structural competency in global perspective.","authors":"Carlos Piñones-Rivera, Seth Holmes, Michelle Morse, Joel Ferrall, Kavya Nambiar, Ángel Martínez-Hernáez","doi":"10.1080/17441692.2024.2326631","DOIUrl":"10.1080/17441692.2024.2326631","url":null,"abstract":"This special issue aims to help fill two critical gaps in the growing literature as well as in practice. First, to bring together scholars and practitioners from around the world who develop, practice, review, and question structural competency with the aim of promoting a dialogue with related approaches, such as Latin American Social Medicine, Collective Health, and others, which have been key in diverse geographical and social settings. Second, to contribute to expanding structural competency beyond clinical medicine to include other health-related areas such as social work, global health, public health practice, epidemiological research, health policy, community organisation and beyond. This conceptual expansion is currently taking place in structural competency, and we hope that this volume will help to raise awareness and reinforce what is already happening. In sum, this collection of articles puts structural competency more rigorously and actively in conversation with different geographic, political, social, and professional contexts worldwide. We hope this conversation sparks further development in scholarly, political and community movements for social and health justice.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2326631"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101437","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

Latin America at the margins? Implications of the geographic and epistemic narrowing of 'global' health. 处于边缘的拉丁美洲？全球 "卫生的地理和认识范围缩小的影响。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2023-12-26 DOI: 10.1080/17441692.2023.2295443

Amaya Perez-Brumer, David Hill, Richard Parker

{"title":"Latin America at the margins? Implications of the geographic and epistemic narrowing of 'global' health.","authors":"Amaya Perez-Brumer, David Hill, Richard Parker","doi":"10.1080/17441692.2023.2295443","DOIUrl":"10.1080/17441692.2023.2295443","url":null,"abstract":"To explore the narrowing of the concept of 'global' in global health, this article traces how Latin America has held a place of both privilege and power as well as marginalisation in the field. We employ a modified extended case method to examine how Latin America has been 'seen' and 'heard' in understandings of global health, underscoring the region's shifting role as a key site for research and practice in 'tropical medicine' from the mid-nineteenth century through World War II, to a major player and recipient of development assistance throughout the 'international health' era after World War II until the late twentieth century, to a region progressively marginalised within 'global health' since the mid-1980s/1990s. We argue that the progressive marginalisation of Latin America and Southern theory has not only hurt health equity and services, but also demonstrates the fundamental flaws in contemporary 'global' thinking. The narrowing of global health constitutes coloniality of power, with Northern institutions largely defining priority regions and epistemic approaches to health globally, thus impoverishing the field from the intellectual resources, political experience, and wisdom of Latin America's long traditions of social medicine and collective health.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2295443"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139039741","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

Armed conflict effects in intimate partner violence: Revealing pathways using the socioecological framework. 武装冲突对亲密伴侣暴力的影响：利用社会生态框架揭示路径。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-26 DOI: 10.1080/17441692.2024.2394822

Maria Teresa Restrepo, Diana Padilla, Jane Ungemack, Stephen Schensul

{"title":"Armed conflict effects in intimate partner violence: Revealing pathways using the socioecological framework.","authors":"Maria Teresa Restrepo, Diana Padilla, Jane Ungemack, Stephen Schensul","doi":"10.1080/17441692.2024.2394822","DOIUrl":"https://doi.org/10.1080/17441692.2024.2394822","url":null,"abstract":"We explored women's narratives about their experiences as victim-survivors of multiple forms of armed conflict violence and intimate partner violence (IPV) in Colombia and examined pathways that clarify the relationships between these two types of violence. Thematic analysis of 47 interviews identified connections that explain how armed conflict influences IPV at all levels of the socio-ecology. At the societal level, armed conflict events amplified patriarchal notions and intensified men's expressions of hypermasculinity through violence. At the community level, rules imposed by armed groups excused IPV if women did not comply with their traditional gender roles as wives and caretakers. At the relationship level, husbands/partners blamed victim-survivors of sexual violence perpetrated by armed groups, which intensified IPV situations. At the individual level, the armed conflict generated high levels of stress that contributed to increasing IPV. Results highlight the need to recognise armed conflict as an IPV risk factor that penetrates multiple socio-ecological domains. Post-conflict societies should consider the effects of the armed conflict on family dynamics and intimate partner relationships. Interventions should be developed to deconstruct hyper-militarised masculinity identities and traditional gender roles as an integral part of peace efforts.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2394822"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142072563","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

Professionalisation experiences of a 'business-minded' HIV targeted intervention NGO in India: An organisational ethnography. 印度一个具有 "商业头脑 "的艾滋病干预非政府组织的专业化经验：组织人种学研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-09-05 DOI: 10.1080/17441692.2024.2399674

Anuprita Shukla, Flora Cornish

{"title":"Professionalisation experiences of a 'business-minded' HIV targeted intervention NGO in India: An organisational ethnography.","authors":"Anuprita Shukla, Flora Cornish","doi":"10.1080/17441692.2024.2399674","DOIUrl":"https://doi.org/10.1080/17441692.2024.2399674","url":null,"abstract":"This paper contributes to the literature on the professionalisation of NGOs in the context of the rise of 'business-minded' approaches whereby donors establish a market environment in which NGOs compete for funding by demonstrating their achievement of targets and implementing globally recognised management models. Theoretically, we use the distinction between 'economies of performance' and 'ecologies of practice' to explore how NGOs simultaneously 'perform' themselves publicly as meeting expected professional standards while simultaneously producing themselves practically through 'unprofessional' means. Limited global health and development literature addresses professionalisation as an empirical practice and experience. We report on an ethnography of a Bill and Melinda Gates Foundation-funded, HIV-targeted intervention NGO in western India, drawing on six months of participant observation and 17 interviews with NGO workers. The organisation meets 'business-minded' success criteria but does so through informal, personal, hierarchical arrangements at odds with the professionalisation model. Frontline workers are demotivated by their professionalisation experience, are suspicious of the performance of success, and find ways of achieving their vocation despite a system which they feel does not recognise the value of human relationships. Showing that 'business-minded' approaches do not necessarily rule out informal, potentially 'corrupt' ways of working, we argue against the 'professional-unprofessional' binary.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2399674"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142132547","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

Exploring the feeding practices of mothers of under-five children and how household members influence exclusive breastfeeding in Jigawa State, Nigeria - A qualitative study. 探索尼日利亚吉加瓦州五岁以下儿童母亲的喂养方式以及家庭成员如何影响纯母乳喂养--一项定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-11-14 DOI: 10.1080/17441692.2024.2426135

Funmilayo Shittu, Carina King, Susanne Rautiainen, Agnese Iuliano, Ayobami Adebayo Bakare, Tim Colbourn, Damola Bakare, Julius Salako, Hamish R Graham, Adegoke G Falade, Rochelle A Burgess

{"title":"Exploring the feeding practices of mothers of under-five children and how household members influence exclusive breastfeeding in Jigawa State, Nigeria - A qualitative study.","authors":"Funmilayo Shittu, Carina King, Susanne Rautiainen, Agnese Iuliano, Ayobami Adebayo Bakare, Tim Colbourn, Damola Bakare, Julius Salako, Hamish R Graham, Adegoke G Falade, Rochelle A Burgess","doi":"10.1080/17441692.2024.2426135","DOIUrl":"https://doi.org/10.1080/17441692.2024.2426135","url":null,"abstract":"Child nutrition interventions in low-income settings are variably effective as strategies often focus on primary caregivers, with less attention given to other household members. This study explored the influence of household members on exclusive breastfeeding and the feeding practices of mothers of under-five children in Jigawa State, Northern Nigeria. As part of a cluster randomised controlled trial in Jigawa State, we conducted an ethnographic process evaluation. Households were selected from six administrative wards (3 intervention and 3 control) in the Kiyawa local government area, and 90 women were recruited for the ethnography. In-depth life history interviews were conducted at three time points alongside monthly informal household visits. For this study, 36 women, who reported breastfeeding within the last 2 years, were included. Data were analysed using a reflexive thematic approach. Participant accounts identified that breastfeeding practices in the first six months varied from exclusive breastfeeding to mixed practices combining breastmilk with traditional practices centring on symbolic, nutritional and religious roles of water. Crucially, we found that decision-making around feeding practices includes wider networks of household members, involving in-laws/older family members, co-wives and neighbours who support childcare efforts. Our findings suggest that a more comprehensive and inclusive approach is needed to tackle suboptimal breastfeeding in this setting. Information needs to target entire communities to create enabling environments for exclusive breastfeeding.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2426135"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142618661","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

Addressing the needs of cisgender, heterosexual men and LGBTIQ+ survivors of sexual violence: a scoping review of service delivery and funding priorities among humanitarian organisations. 满足顺性别、异性恋男性和 LGBTIQ+ 性暴力幸存者的需求：对人道主义组织提供的服务和资金优先事项的范围审查。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-14 DOI: 10.1080/17441692.2024.2371389

Katherine Gambir, Courtney Hutchison, Lillian Alexander, Edward J Alessi

{"title":"Addressing the needs of cisgender, heterosexual men and LGBTIQ+ survivors of sexual violence: a scoping review of service delivery and funding priorities among humanitarian organisations.","authors":"Katherine Gambir, Courtney Hutchison, Lillian Alexander, Edward J Alessi","doi":"10.1080/17441692.2024.2371389","DOIUrl":"10.1080/17441692.2024.2371389","url":null,"abstract":"Sexual violence in humanitarian contexts is a global public health issue. Yet, evidence suggests that humanitarian organisations may not always be inclusive of cisgender, heterosexual men and LGBTIQ+ survivors in their responses. This scoping review examines the extent to which global organisations focusing on sexual and gender-based violence (SGBV) address the needs of cisgender, heterosexual men and LGBTIQ+ survivors in service delivery and funding priorities. We examined grey literature published from 2013-2023 on SGBV service delivery and funding priorities in humanitarian contexts. Forty-seven documents were included in the final analyses, which comprised content and thematic analyses. Many of the documents acknowledged cisgender, heterosexual men or LGBTIQ+ individuals as at-risk groups; however, there was a lack of comprehensive discussion of these groups. Documents on LGBTIQ+ individuals referred to the group as a monolith, making little distinction among the LGBTIQ+ experience and the need to tailor responses to meet intersectional needs. Documents on men emphasised their role as perpetrators and allies, while overlooking that they also experience sexual violence. Findings support the critical need to address gaps in humanitarian programme and donor priorities to better ensure inclusion of cisgender, heterosexual men and LGBTIQ+ individuals without ignoring the needs of women and girls.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2371389"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141616260","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 economic consequence of large-scale epidemic outbreak: The path and loss evaluation of COVID-19 in China based on input-output analysis. 大规模疫情爆发的经济后果：基于投入产出分析的中国 COVID-19 的路径和损失评估。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-04-24 DOI: 10.1080/17441692.2024.2341403

Zhi-Nan Lu, Zhiyuan Gao, Yu Hao

{"title":"The economic consequence of large-scale epidemic outbreak: The path and loss evaluation of COVID-19 in China based on input-output analysis.","authors":"Zhi-Nan Lu, Zhiyuan Gao, Yu Hao","doi":"10.1080/17441692.2024.2341403","DOIUrl":"10.1080/17441692.2024.2341403","url":null,"abstract":"The COVID-19 pandemic has significantly impacted China's economic and social development. Understanding the direct and indirect effects of the epidemic on the economy is vital for formulating scientifically grounded epidemic management policies. This study assesses the economic losses and influence paths of a large-scale epidemic in China. We proposed three COVID-19 scenarios - serious, normal, and mild - to evaluate the direct economic impact on China's GDP from a demand perspective. An input-output model was used to estimate the indirect impact. Our findings show that China's GDP could lose 94,206, 75,365, and 56,524 hundred million yuan under serious, normal, and mild scenarios, respectively, with corresponding GDP decline rates of 9.27%, 7.42%, and 5.56%. Under the normal scenario, indirect economic loss and total loss are projected at 75,364 and 489,386 hundred million yuan, respectively. Additionally, the pandemic led to a reduction in carbon emissions: direct emissions decreased by 1,218.69 million tons, indirect emissions by 9,594.32 million tons, and total emissions by 10,813.01 million tons across various industries. This study provides a comprehensive analysis of the economic and environmental impacts of the pandemic.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2341403"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140849148","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

Temporal changes in HIV-related stigma and sexual behaviours: An examination of 22 African countries. 与艾滋病毒有关的污名和性行为的时间变化：对 22 个非洲国家的研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-09-26 DOI: 10.1080/17441692.2024.2405019

Danielle Denardo, David A Cort

{"title":"Temporal changes in HIV-related stigma and sexual behaviours: An examination of 22 African countries.","authors":"Danielle Denardo, David A Cort","doi":"10.1080/17441692.2024.2405019","DOIUrl":"https://doi.org/10.1080/17441692.2024.2405019","url":null,"abstract":"ABSTRACTDespite non-trivial success against the HIV epidemic, health experts in Sub-Saharan Africa (SSA) remain concerned about new infections, stigma attitudes, and increasing rates of higher-risk sexual behaviours (HRSBs). Although this concern has produced voluminous scholarship on the behavioural consequences of belonging to stigmatised populations, scholars have only recently examined the behavioural consequences of holding stigmatising attitudes. Existing work generally finds a positive relationship between stigmatising beliefs and the practice of HRSBs. Yet, it is unknown whether this relationship has changed for countries over the past two decades. We fill this gap using Demographic and Health Survey data from 22 SSA countries. We first find that in most countries, the practice of HRSBs has increased, while stigma beliefs have become more tolerant. Second, the relationship between stigma beliefs and HRSBs changed in only six countries: Nigeria, Kenya, Mozambique, Sierra Leone, Ethiopia, and Lesotho. It changed from non-existent or negative to positive in Nigeria, Kenya, Mozambique, and Ethiopia, but non-existent to negative in Sierra Leone. In Lesotho, the positive association weakened over time. These findings highlight the importance of social and epidemic contexts when considering how stigma impacts sexual behaviours and HIV rates in SSA.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2405019"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142345080","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

Beyond the illness: a qualitative exploration of the burden of caring for people with tuberculosis on caregivers and their households in South Africa. 超越疾病：对南非肺结核患者的护理给护理者及其家庭带来的负担的定性探索。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-21 DOI: 10.1080/17441692.2024.2413654

Lieve Vanleeuw, Salla Atkins, Nasiphi Gwiji, Namhla Sicwebu, Wanga Zembe-Mkabile

{"title":"Beyond the illness: a qualitative exploration of the burden of caring for people with tuberculosis on caregivers and their households in South Africa.","authors":"Lieve Vanleeuw, Salla Atkins, Nasiphi Gwiji, Namhla Sicwebu, Wanga Zembe-Mkabile","doi":"10.1080/17441692.2024.2413654","DOIUrl":"https://doi.org/10.1080/17441692.2024.2413654","url":null,"abstract":"Tuberculosis (TB) affects not only the person sick with TB but also their households. Our study aimed for a deeper understanding of the multiplicative impact of TB on households, and more specifically on caregivers of people with TB, as well as factors that influence the burden on caregivers in South Africa. We conducted an exploratory qualitative study focusing on the lived experiences of people providing care to a family member sick with TB. The study found that the burden of caregiving is significant and falls disproportionally on women and poorer households whose resilience has already been compromised by pre-existing multiple stressors and demands, contributing to health inequities and gender inequalities. Having to care for a household member sick with TB imposed an additional strain causing further health, financial and social problems, leaving the household in a worse-off position, and at a higher risk of continued ill health and further poverty. Social support was found to mediate the burden, however, was lacking for many as kinship bonds are weakened by high levels of poverty and unemployment. Support to households is recommended to ensure recovery of the person with TB and their household post-TB illness, and prevent further ill health and poverty.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2413654"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463116","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