Global Public Health最新文献_第10页

Who do the data serve? Critical reflections on program monitoring during the war in Ukraine. 数据服务于谁？对乌克兰战争期间项目监控的批判性反思。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-18 DOI: 10.1080/17441692.2026.2712124

Lisa Lazarus, Leigh M McClarty, Nicole Herpai, Daria Pavlova, Tatiana Tarasova, Anna Hnatenko, Tetiana Bondar, Robert Lorway, Marissa L Becker

{"title":"Who do the data serve? Critical reflections on program monitoring during the war in Ukraine.","authors":"Lisa Lazarus, Leigh M McClarty, Nicole Herpai, Daria Pavlova, Tatiana Tarasova, Anna Hnatenko, Tetiana Bondar, Robert Lorway, Marissa L Becker","doi":"10.1080/17441692.2026.2712124","DOIUrl":"https://doi.org/10.1080/17441692.2026.2712124","url":null,"abstract":"Global health is driven by concerns for indicators, metrics, and standards, with measures of program 'success' intricately linked to counting people reached and services delivered towards improving the health of populations. Within the context of crises, program monitoring takes on a new salience. Based on a collaborative study between the Ukrainian Institute for Social Research after O. Yaremenko and the University of Manitoba, we draw on data exploring monitoring and evaluation during the war in Ukraine from key informants working in organizations responding to HIV and sexually transmitted and blood borne infections. We conducted 26 in-depth interviews with individuals from 24 organizations across the country between May and June 2023. Our findings point towards a burdensome system of reporting documents that do not reflect current program realities and obscure additional ways that programs respond to client needs. Our study highlights the critical need to listen to the perspectives and needs of those on the ground doing the daily work of global health interventions to ensure that monitoring systems are flexible and responsive to their evolving contexts, and gather data that is useful for program improvement, rather than simply accountable to external donors.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2712124"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792204","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 qualitative study of the lived experiences of working age adults living with adventitious total bilateral blindness in Nigeria. 对尼日利亚患有外源性全双侧失明的工作年龄成年人的生活经历进行定性研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-16 DOI: 10.1080/17441692.2026.2673730

Nneoma Dike, Lucia D'Ambruoso, Heather May Morgan, Zoë Christina Skea, Bernadine Nsa Ekpenyong

{"title":"A qualitative study of the lived experiences of working age adults living with adventitious total bilateral blindness in Nigeria.","authors":"Nneoma Dike, Lucia D'Ambruoso, Heather May Morgan, Zoë Christina Skea, Bernadine Nsa Ekpenyong","doi":"10.1080/17441692.2026.2673730","DOIUrl":"10.1080/17441692.2026.2673730","url":null,"abstract":"Working age adults living with adventitious blindness (occurring from age five) in Nigeria face significant challenges, including rehabilitation, depriving them of the quality of care required for successful adaptation and integration. This study aimed to explore their lived experiences to inform policy and service delivery. Dahlgren and Whitehead's socioecological model underpinned this study to highlight how institutions and society shape participants' lives. In-depth interviews were conducted with 40 participants on multi-level and multi-dimensional factors, including environmental, economic, social, and individual factors. Audio recordings were transcribed and analysed using framework analysis. The analysis yielded 14 themes, including barriers to employment, education, rehabilitation, and other essential services that undermined productivity and integration. Reports of pervasive discrimination and stigma were compounded by a long-standing history of non/poor implementation of anti-discrimination laws. To deeply understand the nature of the layers of exclusion, oppression, and subjugation faced by participants, findings were discussed using Critical Disability Theory. The findings suggest that Nigerian society is currently structured in a way that keeps people living with adventitious blindness disabled, rendering them powerless and unable to fully actualise their aspirations, career goals, and societal and civic obligations. This necessitates multi-sectoral reforms strengthened by the implementation of existing legal frameworks.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2673730"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147959430","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

Land, informal employment, and fertility preferences in rural southwestern Uganda: A qualitative study. 乌干达西南部农村的土地、非正式就业和生育偏好：一项定性研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-18 DOI: 10.1080/17441692.2026.2675734

Catherine Atahigwa, Gily Coene, Clementia Neema Murembe, Dirk Lafaut

{"title":"Land, informal employment, and fertility preferences in rural southwestern Uganda: A qualitative study.","authors":"Catherine Atahigwa, Gily Coene, Clementia Neema Murembe, Dirk Lafaut","doi":"10.1080/17441692.2026.2675734","DOIUrl":"10.1080/17441692.2026.2675734","url":null,"abstract":"Land and informal work remain central to rural livelihoods in Uganda, yet their role in shaping fertility preferences is not well understood. This qualitative study examined how land ownership and informal livelihoods influence men's and women's fertility decision-making in rural southwestern Uganda. We conducted 15 focus group discussions and 30 in-depth interviews with women (18-49) and men (18-54) of reproductive age in Rubirizi district. Interviews were conducted in the local language, audio-recorded, transcribed, translated into English, and thematically analyzed. Findings show that participants often linked land ownership to men's preferences for large families, grounded in lineage continuity, provision, and social standing, even as land availability declined. Women described limited land rights under customary tenure as constraining their economic security and bargaining space in fertility-related decisions. Informal livelihoods were portrayed as enabling household survival, but were financially unstable, shaping many women's preferences for smaller families, while limiting their ability to act on these preferences. This study highlights how participants described land relations and livelihood insecurity as gendered influences on the formation and negotiation of fertility preferences in agrarian settings.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2675734"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147971716","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 'End of AIDS': What comes after 2030? 超越“终结艾滋病”：2030年之后会发生什么？

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-20 DOI: 10.1080/17441692.2026.2677265

Jaime Garcia-Iglesias, Nora Kenworthy, Mandisa Mbali, Javier Padilla Bernáldez, Justin Perez

{"title":"Beyond the 'End of AIDS': What comes after 2030?","authors":"Jaime Garcia-Iglesias, Nora Kenworthy, Mandisa Mbali, Javier Padilla Bernáldez, Justin Perez","doi":"10.1080/17441692.2026.2677265","DOIUrl":"10.1080/17441692.2026.2677265","url":null,"abstract":"'Ending AIDS as a public health threat by 2030' has been one of the most powerful organising promises in global health, reshaping research, funding and policy. As the 2030 milestone approaches, however, this promise risks becoming a political end rather than an epidemiological or social success: a moment in which the problem is declared solved while the conditions that sustain the epidemic persist. This commentary critically examines how the 'End of AIDS' agenda has been produced and governed, and what is at stake in imagining what comes after 2030. Drawing on interdisciplinary scholarship and a 2025 roundtable, we identify four key dynamics that require critical consideration in shaping the next phase of the HIV response: the centrality of structural inequality, the limits of biomedical triumphalism, the influence of philanthrocapitalism in global health governance, and the role of metrics and targets as technologies of governance. We argue that post-2030 agendas must be collectively defined, grounded in equity, access, democratic governance and critical engagement with the narratives that have organised the epidemic to date.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2677265"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147981465","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 community perceptions of gender roles as a predisposing factor in schistosomiasis infection in southwestern Uganda. 探索乌干达西南部社区对性别角色作为血吸虫病感染易感因素的看法。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-03 DOI: 10.1080/17441692.2026.2665876

Faith Mugabi, Maxson Kenneth Anyolitho, Tine Huyse, Elizabeth Kemigisha, Viola Nilah Nyakato

{"title":"Exploring community perceptions of gender roles as a predisposing factor in schistosomiasis infection in southwestern Uganda.","authors":"Faith Mugabi, Maxson Kenneth Anyolitho, Tine Huyse, Elizabeth Kemigisha, Viola Nilah Nyakato","doi":"10.1080/17441692.2026.2665876","DOIUrl":"10.1080/17441692.2026.2665876","url":null,"abstract":"Schistosomiasis, a neglected tropical disease, affects people of all genders and ages. However, few studies have examined how communities in endemic areas perceive gender roles as factors influencing infection and control. This study explored the perceptions of farming (Kyaterekera) and fishing (Ndaiga) communities along Lake Albert in Uganda's Kagadi District regarding gender roles and their role in schistosomiasis infection. Using an ethnographic design, we conducted 10 key informant interviews and 18 focus group discussions with 150 participants. Data were analysed thematically. Participants from both settings recognised that gender roles influence infection risk differently for men and women. Societal expectations and gender stereotypes were seen as contributing factors. Farming men often perceived bilharzia as a lake-side issue. Drug side effects were a shared concern, but women in fishing communities preferred using herbs and prayers, while men favoured hospital visits. Gender roles and perceptions of schistosomiasis risk vary by gender and location. Common themes include societal expectations, stereotypes and concerns about treatment. Gender-specific interventions, such as gender-sensitive campaigns and inclusive decision-making, could help effectively control the disease.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2665876"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147814284","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

Exploratory cross-sectional study of migration, BMI and blood pressure in rural and urban Peruvian indigenous women. 秘鲁农村和城市土著妇女迁移、BMI和血压的探索性横断面研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-18 DOI: 10.1080/17441692.2026.2672823

Gracie Turner, Rocio Chávez Cabello, Violeta Rojas Bravo, Amanda Veile

{"title":"Exploratory cross-sectional study of migration, BMI and blood pressure in rural and urban Peruvian indigenous women.","authors":"Gracie Turner, Rocio Chávez Cabello, Violeta Rojas Bravo, Amanda Veile","doi":"10.1080/17441692.2026.2672823","DOIUrl":"10.1080/17441692.2026.2672823","url":null,"abstract":"Internal migration and urbanisation are important determinants of health in Latin America, particularly among Indigenous populations. To evaluate associations of migration and health, we conducted a cross-sectional study of 185 Indigenous women in a rural Andean community (n = 92) and a low-income urban Lima community (n = 93). Migration status was defined by birthplace versus self-reported current residence. Anthropometry, blood pressure (BP), sociodemographic and migration-related data were collected. Regression models tested associations of migration with body mass index (BMI) and systolic/diastolic BP, adjusting for confounders. Exploratory interaction models assessed modification by community. Additional analyses examined migration timing, distance, duration and frequency. Migration was associated with a 4%-5% increase in systolic and 6% increase in diastolic BP; BMI was not significant. Community modified these effects: migrant and non-migrant urban women had significantly higher systolic BP compared to rural non-migrants, and urban migrant women had significantly higher diastolic BP compared to rural non-migrants. Migration timing, duration and distance were not linked to BP or BMI. Multiple migrations predicted higher diastolic BP. In conclusion, migration was associated with increased BP, with effects differing by rural versus urban setting. Findings underscore the need to study how mobility and community context influence Indigenous women's health.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2672823"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147971774","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

'I Did Not Choose This': teenage girls and the reproductive pipeline in rural Zimbabwe. “这不是我选择的”：津巴布韦农村的少女和生育管道。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-28 DOI: 10.1080/17441692.2026.2697093

Ndumiso Daluxolo Ngidi, Deevia Bhana, Vimbai Sharon Matswetu

{"title":"'I Did Not Choose This': teenage girls and the reproductive pipeline in rural Zimbabwe.","authors":"Ndumiso Daluxolo Ngidi, Deevia Bhana, Vimbai Sharon Matswetu","doi":"10.1080/17441692.2026.2697093","DOIUrl":"10.1080/17441692.2026.2697093","url":null,"abstract":"This article rethinks teenage pregnancy in rural Zimbabwe through a decolonial Afro-feminist lens, foregrounding the lived narratives of 26 teenage mothers in Shamva. Rather than pathologising their experiences or framing early pregnancy as a failure of knowledge or morality, we conceptualise the notion of a reproductive pipeline-a system through which poverty, gendered power, inadequate healthcare, and emphasised femininity converge to constrain girls' reproductive autonomy. The analysis reveals how early pregnancy is produced through a reproductive pipeline where poverty, patriarchy, kinship expectations and clinic gatekeeping constrain girls' agency with reduced capacity to negotiate safe sex and better social, educational and health outcomes. Afro-feminist theory helps illuminate how girls exercise constrained agency within histories of colonial dispossession and contemporary moral economies that value sexual silence and respectability over autonomy and care. Girls' efforts to resist through withholding sex, seeking contraception, or rejecting unsafe abortions are often blocked by economic, relational and institutional obstacles. These findings call for interventions based on reproductive justice rooted in African epistemologies, structural analysis, and care ethics. African girls in rural Zimbabwe, we argue deserve the right to choose and to imagine futures beyond coerced maternity and structural abandonment.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2697093"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148602119","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

Refractive error correction and harvest worker productivity in the Guatemalan coffee sector: A quasi-experimental analysis. 屈光不正矫正和收获工人生产力在危地马拉咖啡部门：准实验分析。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-01-19 DOI: 10.1080/17441692.2025.2608431

Bryce Everett, Andrew Hobbs, Brad Wong, Erwin Herdocia, Heidy Linares, Ana Marroquín, Juan Francisco Yee, K Davina Frick, Travis J Lybbert, Bruce Wydick

{"title":"Refractive error correction and harvest worker productivity in the Guatemalan coffee sector: A quasi-experimental analysis.","authors":"Bryce Everett, Andrew Hobbs, Brad Wong, Erwin Herdocia, Heidy Linares, Ana Marroquín, Juan Francisco Yee, K Davina Frick, Travis J Lybbert, Bruce Wydick","doi":"10.1080/17441692.2025.2608431","DOIUrl":"10.1080/17441692.2025.2608431","url":null,"abstract":"Uncorrected refractive error - a condition affecting nearly 1 billion people globally - is a potentially significant constraint to economic productivity. Despite its prevalence, limited research has explored productivity impacts from refractive error correction in low-and middle-income countries where 90% of avoidable sight loss occurs. This study estimates the effect of refractive error correction on productivity by providing glasses to 332 seasonal harvesters across 12 Guatemalan coffee operations during the 2023-2024 season. Daily harvest weights were recorded and compared to a non-intervention group without visual impairment. We used an ANCOVA model as the primary specification with alternative difference-in-differences specifications as robustness checks. A financial benefit-cost analysis assessed whether returns exceeded costs for workers and farm owners. Results show a significant average daily harvest increase of 12.2 lbs (95% CI 3.5-20.8, p = 0.004), corresponding with a 7.9% relative productivity gain (95% CI 1.0%-14.8%, p = 0.02). Providing glasses costs $29.4 per worker, yielding returns of $10.9 to $1 to harvesters if they make this investment directly and $2.6 to $1 to the farm owners if they provide the glasses. Findings indicate substantial productivity gains and financial incentives for vision correction. This simple, cost-effective intervention has the potential to benefit millions in agriculture.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2608431"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145997994","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

Stakeholder perspectives on adolescent sexual and reproductive health and rights in Malawi: Barriers, incentives, and opportunities for reform. 利益攸关方对马拉维青少年性健康和生殖健康及权利的看法：改革的障碍、激励和机会。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-06-10 DOI: 10.1080/17441692.2026.2685999

Gavin George, Adamson S Muula, Effie Chipeta, Kaymarlin Govender, Razak Mussa, Patani Mhango, Caroline W Kabiru, Boniface Ayanbekongshie Ushie, Anthony Idowu Ajayi

{"title":"Stakeholder perspectives on adolescent sexual and reproductive health and rights in Malawi: Barriers, incentives, and opportunities for reform.","authors":"Gavin George, Adamson S Muula, Effie Chipeta, Kaymarlin Govender, Razak Mussa, Patani Mhango, Caroline W Kabiru, Boniface Ayanbekongshie Ushie, Anthony Idowu Ajayi","doi":"10.1080/17441692.2026.2685999","DOIUrl":"10.1080/17441692.2026.2685999","url":null,"abstract":"Social norms, institutional weaknesses, and gaps between policy commitments and implementation in Malawi continue to pose significant barriers to adolescents' realisation of their sexual and reproductive health and rights (SRHR). Early marriage, gender-based violence, and limited access to contraception and comprehensive sexuality education (CSE) undermine adolescents' wellbeing and future opportunities. This qualitative study examines how actor interests, institutional arrangements, and normative contexts shape the delivery of and access to adolescent-friendly health and education services in Malawi. Data were drawn from a desk review, 42 key informant interviews with government officials, development partners, civil society organisations and community actors, and participatory inception and validation workshops. Analysis reveals that structural poverty, restrictive gender norms, and heavy dependence on external donor financing create a fragile foundation for adolescent SRHR programming. Institutional barriers include the absence of dedicated budget lines, weak intersectoral coordination, short-term political incentives, donor-driven programming priorities, and normative resistance from influential faith-based actors. Reform pathways identified by stakeholders included: expanding domestic financing, improving coordination, engaging faith and community structures, institutionalising meaningful youth participation, and reframing adolescent SRHR as a national development priority. Advancing these reforms will require sustained political commitment, stronger domestic ownership, and strategies to improve fiscal resilience.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2685999"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148211130","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

Stakeholder recommendations to optimize vaccination implementation and uptake for disease outbreaks: Qualitative insights from less-established adult and childhood vaccination programs in Nigeria. 利益攸关方关于优化疫苗接种实施和疾病暴发吸收的建议：来自尼日利亚不太成熟的成人和儿童疫苗接种规划的定性见解。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-06-23 DOI: 10.1080/17441692.2026.2691434

Abiola Ojumu, Anna C Seale, Olufunke Fayehun, Paramjit Gill

{"title":"Stakeholder recommendations to optimize vaccination implementation and uptake for disease outbreaks: Qualitative insights from less-established adult and childhood vaccination programs in Nigeria.","authors":"Abiola Ojumu, Anna C Seale, Olufunke Fayehun, Paramjit Gill","doi":"10.1080/17441692.2026.2691434","DOIUrl":"10.1080/17441692.2026.2691434","url":null,"abstract":"Achieving sufficient vaccination coverage to mitigate disease outbreaks remains a persistent challenge in Nigeria, particularly for less-established vaccination programs. We aimed to obtain stakeholder recommendations for optimizing the implementation and uptake of less-established adult and childhood vaccination programs in Nigeria. We conducted eight Focus Group Discussions (FGDs) and 53 interviews with 132 participants purposively selected from three Nigerian states, Oyo, Nasarawa, and the Federal Capital Territory. Data were analyzed using inductive thematic analysis. Participants made several cross-cutting recommendations for optimizing less-established adult and childhood vaccination programs across five themes: 1. Institutional readiness as a foundational determinant of program performance; 2. Multilevel trust mechanisms operating through community engagement, co-creation, peer advocacy, and adverse event governance; 3. The emergency mobilization and routine institutionalization tension; 4. Policy enablers, including incentive schemes and vaccination mandates; and 5. Operational enablers, including risk communication and multisectoral coordination. Program-specific recommendations addressed reminder systems, schedule alignment, and integrated service delivery for measles second dose and malaria vaccination for children. This study generated recommendations for policymakers and program managers in Nigeria and similar contexts to improve vaccination implementation and uptake in both routine and outbreak settings.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2691434"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301532","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