Global Public Health最新文献_第10页

Overview of knowledge, attitudes and barriers associated with HPV vaccination in Beirut, Lebanon. 黎巴嫩贝鲁特人乳头瘤病毒疫苗接种的相关知识、态度和障碍概述。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-25 DOI: 10.1080/17441692.2024.2356626

Lauren Hourani, Macy Zaatar, Jawad Hoballah, Kamil Kadi, Maria Yasmine, Hussein Hijazi, Natalie Estelly, Jad Mrad, Miran A Jaffa

{"title":"Overview of knowledge, attitudes and barriers associated with HPV vaccination in Beirut, Lebanon.","authors":"Lauren Hourani, Macy Zaatar, Jawad Hoballah, Kamil Kadi, Maria Yasmine, Hussein Hijazi, Natalie Estelly, Jad Mrad, Miran A Jaffa","doi":"10.1080/17441692.2024.2356626","DOIUrl":"10.1080/17441692.2024.2356626","url":null,"abstract":"Background: Human Papillomavirus (HPV), a prevalent sexually transmitted infection carrying significant risks ranging from benign lesions to various types of malignancies, represents a matter of great public health concern. Notably, most Arab countries lack public awareness campaigns or national immunization programs. This study aims at assessing the overall knowledge on HPV and HPV vaccination among the Lebanese population, exploring the prevalent attitude on the matter, and identifying barriers and misconceptions that prevent individuals from receiving the HPV vaccine.Methods: A cross-sectional study was conducted in Beirut, on 201 participants aged between 18 and 36 years old. We performed ordinal analysis to assess the trend between Knowledge levels, attitude levels and hesitancy Levels.Results: Majority of participants (77%) demonstrated a low level of knowledge on HPV vaccination, 50% held a positive attitude, with only 18.4% being already vaccinated. Negative trend was identified between levels of knowledge, attitude and hesitancy (gamma = -0.7415, p-value < 0.01; gamma= -0.58, p-value < 0.01 respectively). Unavailability or limited access to the vaccine, and misconceptions about HPV immunization were shown to be impeding vaccination.Conclusion: Analysis of our results strongly suggests that improving knowledge and attitudes is likely to foster trust and reduce hesitancy, thereby promoting higher vaccine uptake.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2356626"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093465","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

Acceptability of self-collected vaginal swabs and point-of-care testing for sexually transmitted and genital infections among pregnant women in Papua New Guinea. 巴布亚新几内亚孕妇对自取阴道拭子和护理点检测性传播疾病和生殖器感染的接受程度。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-25 DOI: 10.1080/17441692.2024.2381685

Lisa M Vallely, Priscilla Poga, Michaela A Riddell, Handan Wand, Alice Mengi, Steven G Badman, John Bolnga, Delly Babona, William S Pomat, Somu Nosi, Andrew J Vallely, Angela Kelly-Hanku

{"title":"Acceptability of self-collected vaginal swabs and point-of-care testing for sexually transmitted and genital infections among pregnant women in Papua New Guinea.","authors":"Lisa M Vallely, Priscilla Poga, Michaela A Riddell, Handan Wand, Alice Mengi, Steven G Badman, John Bolnga, Delly Babona, William S Pomat, Somu Nosi, Andrew J Vallely, Angela Kelly-Hanku","doi":"10.1080/17441692.2024.2381685","DOIUrl":"10.1080/17441692.2024.2381685","url":null,"abstract":"The self-collection of vaginal swabs and point-of-care testing and treatment of sexually transmitted infections (STIs) is reported from several low-and middle-income countries. However, the reporting on women's experiences of self-collection and same-day testing and treatment of STIs is less well described. In this paper, we present the acceptability of self-collected vaginal swabs and point-of-care testing and treatment among pregnant women enrolled in a clinical trial (Women and Newborn Trial of Antenatal Intervention and Management - WANTAIM) in Papua New Guinea. Semi-structured interviews were conducted among 54 women enrolled into WANTAIM to identify the acceptability of the test and treat approach. Analysis of qualitative data used deductive and inductive thematic analysis applying Sekhon, Cartwright and Francis' acceptability theoretical framework. Most women reported that they understood that the vaginal swab was to identify infections that may affect their unborn baby; however, some were unsure about the specific infections they were being tested for. Among women who tested positive for an STI, some were unsure what they had been treated for. Overall, the self-collection of vaginal swabs for STI testing during pregnancy was highly acceptable.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2381685"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758244","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

Airborne infection prevention and control implementation: A positive deviant organisational case study of tuberculosis and COVID-19 at a South African rural district hospital. 空气传播感染预防与控制的实施：南非农村地区医院结核病和 COVID-19 的积极偏差组织案例研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-26 DOI: 10.1080/17441692.2024.2382343

Helene-Mari van der Westhuizen, Sarah Tonkin-Crine, Rodney Ehrlich, Chris C Butler, Trisha Greenhalgh

{"title":"Airborne infection prevention and control implementation: A positive deviant organisational case study of tuberculosis and COVID-19 at a South African rural district hospital.","authors":"Helene-Mari van der Westhuizen, Sarah Tonkin-Crine, Rodney Ehrlich, Chris C Butler, Trisha Greenhalgh","doi":"10.1080/17441692.2024.2382343","DOIUrl":"10.1080/17441692.2024.2382343","url":null,"abstract":"There are many examples of poor TB infection prevention and control (IPC) implementation in the academic literature, describing a high-risk environment for nosocomial spread of airborne diseases to patients and health workers. We developed a positive deviant organisational case study drawing on Weick's theory of organisational sensemaking. We focused on a district hospital in the rural Eastern Cape, South Africa and used four primary care clinics as comparator sites. We interviewed 18 health workers to understand TB IPC implementation over time. We included follow-up interviews on interactions between TB and COVID-19 IPC. We found that TB IPC implementation at the district hospital was strengthened by continually adapting strategies based on synergistic interventions (e.g. TB triage and staff health services), changes in what value health workers attached to TB IPC and establishing organisational TB IPC norms. The COVID-19 pandemic severely tested organisational resilience and COVID-19 IPC measures competed instead of acted synergistically with TB. Yet there is the opportunity for applying COVID-19 IPC organisational narratives to TB IPC to support its use. Based on this positive deviant case we recommend viewing TB IPC implementation as a social process where health workers contribute to how evidence is interpreted and applied.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2382343"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758245","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

Analyzing One Health governance and implementation challenges in Mexico. 分析墨西哥的 "一个健康 "治理和实施挑战。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-25 DOI: 10.1080/17441692.2024.2377259

Jennifer Hegewisch-Taylor, Anahí Dreser, Alondra Coral Aragón-Gama, María Antonieta Moreno-Reynosa, Celso Ramos Garcia, Arne Ruckert, Ronald Labonté

{"title":"Analyzing One Health governance and implementation challenges in Mexico.","authors":"Jennifer Hegewisch-Taylor, Anahí Dreser, Alondra Coral Aragón-Gama, María Antonieta Moreno-Reynosa, Celso Ramos Garcia, Arne Ruckert, Ronald Labonté","doi":"10.1080/17441692.2024.2377259","DOIUrl":"10.1080/17441692.2024.2377259","url":null,"abstract":"Establishing a robust One Health (OH) governance is essential for ensuring effective coordination and collaboration among human, animal, and environmental health sectors to prevent and address complex health challenges like zoonoses or antimicrobial resistance. This study conducted a mixed-methods environmental scan to assess to what extent Mexico displays a OH governance and identify opportunities for improvement. Through documentary analysis, the study mapped OH national-level governance elements: infrastructure, multi-level regulations, leadership, multi-coordination mechanisms (MCMs), and financial and OH-trained human resources. Key informant interviews provided insights into enablers, barriers, and recommendations to enhance a OH governance. Findings reveal that Mexico has sector-specific governance elements: institutions, surveillance systems and laboratories, laws, and policies. However, the absence of a OH governmental body poses a challenge. Identified barriers include implementation challenges, non-harmonised legal frameworks, and limited intersectoral information exchange. Enablers include formal and ad hoc MCMs, OH-oriented policies, and educational initiatives. Like other middle-income countries in the region, institutionalising a OH governance in Mexico, may require a OH-specific framework and governing body, infrastructure rearrangements, and policy harmonisation. Strengthening coordination mechanisms, training OH professionals, and ensuring data-sharing surveillance systems are essential steps toward successful implementation, with adequate funding being a relevant factor.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2377259"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758246","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

Associations between climate change-related factors and sexual health: A scoping review. 气候变化相关因素与性健康之间的关联：范围综述。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-01-08 DOI: 10.1080/17441692.2023.2299718

Carmen H Logie, Danielle Toccalino, Frannie MacKenzie, Aryssa Hasham, Manjulaa Narasimhan, Holly Donkers, Nicole Lorimer, Kalonde Malama

{"title":"Associations between climate change-related factors and sexual health: A scoping review.","authors":"Carmen H Logie, Danielle Toccalino, Frannie MacKenzie, Aryssa Hasham, Manjulaa Narasimhan, Holly Donkers, Nicole Lorimer, Kalonde Malama","doi":"10.1080/17441692.2023.2299718","DOIUrl":"10.1080/17441692.2023.2299718","url":null,"abstract":"There is growing attention to the ways in which climate change may affect sexual health, yet key knowledge gaps remain across global contexts and climate issues. In response, we conducted a scoping review to examine the literature on associations between climate change and sexual health. We searched five databases (May 2021, September 2022). We reviewed 3,183 non-duplicate records for inclusion; n = 83 articles met inclusion criteria. Of these articles, n = 30 focused on HIV and other STIs, n = 52 focused on sexual and gender-based violence (GBV), and n = 1 focused on comprehensive sexuality education. Thematic analysis revealed that hurricanes, drought, temperature variation, flooding, and storms may influence HIV outcomes among people with HIV by constraining access to antiretroviral treatment and worsening mental health. Climate change was associated with HIV/STI testing barriers and worsened economic conditions that elevated HIV exposure (e.g. transactional sex). Findings varied regarding associations between GBV with storms and drought, yet most studies examining flooding, extreme temperatures, and bushfires reported positive associations with GBV. Future climate change research can examine understudied sexual health domains and a range of climate-related issues (e.g. heat waves, deforestation) for their relevance to sexual health. Climate-resilient sexual health approaches can integrate extreme weather events into programming.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2299718"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402598","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

Foot care intervention delivered by community health worker (CHWs): A scoping review. 社区保健员（CHWs）提供的足部护理干预：范围综述。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1080/17441692.2024.2352565

Okatiranti Okatiranti, Desy Nuryunarsih, Richard Windle, Sarah Goldberg

{"title":"Foot care intervention delivered by community health worker (CHWs): A scoping review.","authors":"Okatiranti Okatiranti, Desy Nuryunarsih, Richard Windle, Sarah Goldberg","doi":"10.1080/17441692.2024.2352565","DOIUrl":"10.1080/17441692.2024.2352565","url":null,"abstract":"Variations of Community Health Workers (CHWs) interventions in diabetes self-management education (DSME) have been reviewed by many studies. In contrast, specific interventions regarding foot care intervention (FCI) are scarce and need to be explored further as one preventive measure to reduce diabetic foot problems in the community. This scoping review aimed to identify, and report nature of FCIs and the core components of FCIs delivered by CHWs. The scoping review was undertaken using PRISMA Extension for Scoping Reviews (PRISMA-ScR). The following electronic databases were searched for articles from data first indicated date through December 2022: CINAHL, EMBASE, Cochrane, Scopus, Web of Science, Theses ProQuest, PubMed, google scholar and other sources by using search terms related to foot care, community health workers, and diabetes mellitus. Descriptive synthesis was used to summarise the data. Nine studies from 1644 were included. All studies found that CHWs provided DSME in general, and foot care education was included. There was no detailed description of the core components of the intervention on foot care. Although, all studies might not provide detailed data on how CHW provided FCIs; the CHW intervention is an undoubtedly vital strategy to promote and prevent foot problems in medically underserved communities.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2352565"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944233","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

Access inequalities to WASH and housing in slums in low- and middle-income countries (LMICs): A scoping review. 低收入和中等收入国家（LMICs）贫民窟在获得讲卫生运动和住房方面的不平等：范围界定审查。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-06-28 DOI: 10.1080/17441692.2024.2369099

Ranna Abdulhadi, Ajay Bailey, Femke Van Noorloos

{"title":"Access inequalities to WASH and housing in slums in low- and middle-income countries (LMICs): A scoping review.","authors":"Ranna Abdulhadi, Ajay Bailey, Femke Van Noorloos","doi":"10.1080/17441692.2024.2369099","DOIUrl":"10.1080/17441692.2024.2369099","url":null,"abstract":"Urban inequalities are exacerbated due to rapid urbanisation. This is also evident within slums in low- and middle-income countries, where high levels of heterogeneity amongst the slum population lead to differential experiences in Water, Sanitation, and Hygiene (WASH) and housing access. This scoping review provides evidence of the interconnection of WASH and housing and presents barriers to access and the consequences thereof for slum dwellers. It does so while considering the social stratification amongst urban slum dwellers and their lived experiences. A systematic search of journal articles was conducted in November 2022 in PubMed, Scopus, and Web of Science. A total of 33 papers were identified which were full text reviewed and data extracted. Infrastructure, social and cultural, socio-economic, governance and policy and environmental barriers emerged as general themes. Barriers to WASH and housing were more frequently described concerning women and girls due to gender norms within WASH and the home. Barriers to WASH lead to compromised health, socio-economic burdens, and adverse social impacts, thus causing residents of slums to navigate their WASH mobility spatially and over time. Insights from this review underscore the need for an intersectional approach to understanding access inequalities to WASH and housing.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2369099"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467507","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 cost of inaction on preconception health in Nigeria: An economic impact analysis. 尼日利亚在孕前保健方面无所作为的代价：经济影响分析。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-06-05 DOI: 10.1080/17441692.2024.2361782

Sébastien Poix, Khalifa Elmusharaf

{"title":"The cost of inaction on preconception health in Nigeria: An economic impact analysis.","authors":"Sébastien Poix, Khalifa Elmusharaf","doi":"10.1080/17441692.2024.2361782","DOIUrl":"10.1080/17441692.2024.2361782","url":null,"abstract":"A growing body of evidence has shown the effects of poor preconception health on adverse pregnancy outcomes and, subsequently, maternal and child morbidity and mortality. However, the cost of poor preconception health remains relatively unexplored. Using the case of Nigeria, this study provides the first estimate of the disease and economic burden of poor preconception health at a country level. Using data from international databases and the scientific literature, the study used a cost-of-illness approach to quantify the foregone productivity and direct healthcare costs resulting from six preconception risk factors (adolescent pregnancy, short birth interval, overweight and obesity, intimate partner violence, female genital mutilation, folate deficiency). The results indicate that 6.7% of maternal deaths, 10.9% of perinatal deaths, and 10.5% of late neonatal deaths were attributable to the selected preconception risk factors in 2020. The economic burden of poor preconception health in Nigeria was estimated at US$ 3.3 billion in 2020, of which over 90% was generated by premature mortality. If prevalence rates remain constant, total economic losses could amount to US$ 46.2 billion by 2035. This analysis paves the way for further studies investigating the economic costs and benefits of preconception interventions and policies in low and middle-income countries.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2361782"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141261640","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

A case study of healthcare services in Lurwaryizo, Mbhashe Local Municipality, Eastern Cape Province. 东开普省 Mbhashe 地方市 Lurwaryizo 的医疗保健服务案例研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-23 DOI: 10.1080/17441692.2024.2418595

Chidy Akunwafor, Musa Zuma, Iyabo Obasanjo

{"title":"A case study of healthcare services in Lurwaryizo, Mbhashe Local Municipality, Eastern Cape Province.","authors":"Chidy Akunwafor, Musa Zuma, Iyabo Obasanjo","doi":"10.1080/17441692.2024.2418595","DOIUrl":"https://doi.org/10.1080/17441692.2024.2418595","url":null,"abstract":"As part of the strategy by the local municipal government to improve health services in Lurwaryizo community in Mbhashe Local Municipality in Eastern Cape province of South Africa, an investigation of the current healthcare delivery available to the community was implemented. A qualitative study using Focused Group Discussions (FGDs) on 12 recently trained Community Health Workers (CHWs), Community members in the 8 villages of the area, and 15 Traditional Medical Practitioners (TMPs), and an interview with the nurse who runs the only health center in the area was carried out. Our findings indicate that the overall healthcare delivery in the area is poor due to health manpower shortages and that CHWs and TMPs are currently indispensable to providing primary health care in the community. Compensation of CHWs is a major issue although their services were valued by their supervisor at the only health clinic. The involvement of local community participation in determining healthcare priorities will aid improved healthcare delivery, as well as more effective use of TMPs and CHWs. Recommendations for improving health in the community were also provided such as provision of health promotion services by CHWs and creating a cross-referral system with the formal health system for TMPs.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2418595"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499087","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

'If they see you bleeding they will quarantine you': Women's help-seeking for violence during the Ebola and COVID-19 outbreaks in Sierra Leone. 如果他们看到你流血，就会把你隔离起来"：塞拉利昂爆发埃博拉疫情和 COVID-19 疫情期间妇女寻求暴力帮助的情况。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-28 DOI: 10.1080/17441692.2024.2411572

Rose Burns, Neha Singh, Maseray Fofanah, Tehsie Momoh, Shelley Lees, Janet Seeley, Manuela Colombini

{"title":"'If they see you bleeding they will quarantine you': Women's help-seeking for violence during the Ebola and COVID-19 outbreaks in Sierra Leone.","authors":"Rose Burns, Neha Singh, Maseray Fofanah, Tehsie Momoh, Shelley Lees, Janet Seeley, Manuela Colombini","doi":"10.1080/17441692.2024.2411572","DOIUrl":"https://doi.org/10.1080/17441692.2024.2411572","url":null,"abstract":"There is increased awareness of the gendered impacts of outbreaks, including an exacerbation of violence against women and disruptions to essential health service delivery for women. However, there is limited understanding of women's own experiences of deciding to use the health system after experiencing violence in settings affected by major emergent outbreaks like Ebola and COVID-19. Drawing on data from 37 in-depth interviews and 4 focus group discussions conducted in Sierra Leone we described survivors' help-seeking pathways and interactions with the health system. Deciding to seek help and selecting a source of support was dependant on how 'unacceptable' the type of violence was, women's needs (be they for physical, psychological or social trauma) and the risk versus benefit anticipated in accessing support. Informal providers such as local mediators were often the first place that survivors sought help. Pre-existing challenges around access and poor-quality service provision were exacerbated by the outbreaks. Fear of infection, quarantine and widespread distrust of the Ebola response shaped women's help-seeking especially if symptoms like bleeding could resemble the virus. Our findings support the need to re-orientate towards survivor-defined interventions that are flexible in providing a wider range of support choices.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2411572"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142521732","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