Global Public HealthPub Date : 2025-12-01Epub Date: 2025-06-18DOI: 10.1080/17441692.2025.2517786
John Nott
{"title":"Economical epidemiology, pathological populations, and the long history of the Demographic and Health Survey.","authors":"John Nott","doi":"10.1080/17441692.2025.2517786","DOIUrl":"https://doi.org/10.1080/17441692.2025.2517786","url":null,"abstract":"<p><p>This article examines the history of population health surveillance in modern Africa, considering the Demographic and Health Survey (DHS) programme as a bridge between twentieth and twenty-first century epidemiology. Tracing this tradition of surveillance from pre-war Britain, through its extension into the British Empire, and its subsequent employment in post-colonial demography, this article makes two related arguments. The first, that surveys like the DHS complement and encourage economic logics in medicine. Focussing initially on questions of human capital, cross-sectional surveys have tended to promote and promise efficiency in terms of medical research and interventions, thereby reducing the need for extensive and expensive infrastructure. In Africa, this utility has meant that cross-sectional surveillance gained particular traction in the context of colonisation and again following the widespread implementation of Structural Adjustment Programmes from the early 1980s. The second argument takes that the collection of demographic and social data means that these surveys represent a unique form of surveillance medicine, one which encourages associations between illness, family, and society at large. Epidemiology drawn from these data promotes this pathologisation of population, binding the epistemology of contemporary Global Health to old ideas, and siting subaltern families and communities as a prime locus of disease.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2517786"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325240","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-06-28DOI: 10.1080/17441692.2025.2524069
Kristina Kim, Kaveri Qureshi, Emily Adrion, Goran Zangana, Sudeepa Abeysinghe
{"title":"The 'Scottish approach' to global health: A scoping review of the framing of global health partnerships.","authors":"Kristina Kim, Kaveri Qureshi, Emily Adrion, Goran Zangana, Sudeepa Abeysinghe","doi":"10.1080/17441692.2025.2524069","DOIUrl":"10.1080/17441692.2025.2524069","url":null,"abstract":"<p><p>The narrative framings of partnerships and interventions in global health shed light on actors' conceptualisations of international development. Ideas of equity and justice in North-South partnerships are increasingly centred in international development and global health policy approaches. However, the extent to which these are evident within practice requires further investigation. This paper critically examines published work from health actors based in Scotland conducted within low - and middle-income countries (LMICs), under a Scottish government policy context currently promoted as engaging in a novel approach to international development. The paper uses a scoping review to analyse Scottish actors' engagement and framing of global health interventions and partnerships with LMIC actors. A majority of the texts discussed Scottish-affiliated global health partnerships and/or interventions in the Malawian medical education and clinical medicine context and focused on capacity building and knowledge transfer. Authors of included documents characterised the 'Scottish approach' to partnership as rejecting the traditional donor-aid model and championing ideas of collaboration, reciprocity and equity in partnership. Yet simultaneously, most works described partnerships that positioned Scottish actors as the sources of expertise with partner country actors as beneficiaries, replicating the donor-recipient aid model. Additionally, the framing of partnership activities frequently deployed historical narrative frames.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2524069"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527575","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-08-01DOI: 10.1080/17441692.2025.2542709
{"title":"Correction.","authors":"","doi":"10.1080/17441692.2025.2542709","DOIUrl":"https://doi.org/10.1080/17441692.2025.2542709","url":null,"abstract":"","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2542709"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764830","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-08-06DOI: 10.1080/17441692.2025.2541228
Jantine Marly van Wijlick, K S Sahana, P A Mahesh, B S Jayaraj, Gangadhar Mysore Rajagopal, Christopher Pell
{"title":"Influenza vaccination uptake of health care workers in a tertiary hospital: Findings from qualitative research in Mysuru, India.","authors":"Jantine Marly van Wijlick, K S Sahana, P A Mahesh, B S Jayaraj, Gangadhar Mysore Rajagopal, Christopher Pell","doi":"10.1080/17441692.2025.2541228","DOIUrl":"https://doi.org/10.1080/17441692.2025.2541228","url":null,"abstract":"<p><p>Vaccinating health care workers (HCWs) is a common way to prevent influenza-related infection, transmission to patients and absenteeism of HCWs. In India, influenza contributes to 130,000 deaths per year, yet vaccination uptake of HCWs is low. Fifteen percent of the HCWs received one or more vaccinations in 5 years. This study explored the social context of influenza vaccine uptake among HCWs, including physicians, nurses and medical students at a teaching hospital in Mysuru, South India, to generate insights to inform influenza vaccination campaigns targeting HCWs. Qualitative methods, including in-depth interviews with HCWs and structured observations at various departments of the hospital were applied. The results indicate that influenza vaccination uptake among HCWs is low due to personal factors related to little perceived personal threat, emphasis on other prevention techniques to avoid transmission, cost of the vaccine and needle anxiety. Besides, institutional factors, absence of recommendations from superiors and lack of promotion campaigns contribute to low uptake. In conclusion, HCW vaccination education and promotion regarding diminishing personal and transmission risk of the influenza virus, uniform vaccination guidelines and strategies to improve access including for those who are burdened by the cost of the vaccine are suggested.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2541228"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794232","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-09-21DOI: 10.1080/17441692.2025.2557322
Carly Ching, Rashmina J Sayeeda, Maia C Tarnas, Neila Gross, Ameera Abu-Khalil, Beenish Shaikh, Muhammad H Zaman
{"title":"Mapping utility and applicability of research and ethics frameworks for displaced populations.","authors":"Carly Ching, Rashmina J Sayeeda, Maia C Tarnas, Neila Gross, Ameera Abu-Khalil, Beenish Shaikh, Muhammad H Zaman","doi":"10.1080/17441692.2025.2557322","DOIUrl":"https://doi.org/10.1080/17441692.2025.2557322","url":null,"abstract":"<p><p>Displaced communities face risks to quality of life and health, such as poverty, crowded living conditions, exposure to environmental contaminants, and poor access to healthcare, highlighting areas for research on the challenges they endure. However, these communities are routinely subject to extractive research practices with little regard to local participation or sustainability. To facilitate better research, there is a need for tools and frameworks that enable more effective, ethical and equitable research. In this paper, we synthesise and compare eleven research guidelines and frameworks addressing research conducted in displaced and vulnerable populations with the goal of assessing utility and applicability of frameworks for displaced populations. Overall, we found that the level of detail varied between documents, and that while many frameworks were based on expert discussion, few were co-created with community input. Additionally, the frameworks often failed to address nuances between different displaced populations in key aspects of ethics and research. Moreover, in practice, the frameworks were not widely utilised for research in settings of forced displacement. Based on our analyses, we identify recommendations to improve current and future frameworks, including adding context and community feedback, increasing flexibility and adaptability in research practices, and generating strategies to promote framework uptake.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2557322"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102682","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-01-10DOI: 10.1080/17441692.2024.2447795
Yazid Barhoush, Joseph J Amon
{"title":"Research in compulsory drug detention centres in China: Characteristics and ethical considerations.","authors":"Yazid Barhoush, Joseph J Amon","doi":"10.1080/17441692.2024.2447795","DOIUrl":"10.1080/17441692.2024.2447795","url":null,"abstract":"<p><p>More than 500 centres in China hold over 300,000 individuals in what has been described by the United Nations as unethical and ineffective compulsory treatment and rehabilitation centres. Individuals in these centres face widespread human rights abuses, including lack of due process, forced labour, physical and sexual violence, and denial of healthcare. Because of the vulnerability of individuals in detention settings to abuse in research trials, ethical guidelines have required research to pose no more than minimal risk, to address the process of incarceration, and the health or well-being of detained individuals. To understand the scope and ethical protections of research conducted in Chinese drug detention centres, we conducted a literature review by searching the China Academic Journals Database for Chinese language research articles published between 2012-2021. We identified 68 articles of drug detention detainees that examined physical and psychosocial health; infectious disease prevalence; past drug use; and other topics. The majority of studies (56%) did not provide any information on the consent of research participants. Only ten (15%) studies reported receiving ethics approval. No studies examined the process or conditions of detention. Journal editors, in China and globally, should increase scrutiny of research conducted in compulsory drug detention settings.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2447795"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947594","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-01-07DOI: 10.1080/17441692.2024.2445827
Yue Guan
{"title":"The effectiveness of coercive measures in motivating vaccination: Evidence from China during the COVID-19 pandemic.","authors":"Yue Guan","doi":"10.1080/17441692.2024.2445827","DOIUrl":"https://doi.org/10.1080/17441692.2024.2445827","url":null,"abstract":"<p><p>Governments worldwide have implemented mandates, restrictions, and other coercive measures to secure adequate vaccine coverage, with the COVID-19 pandemic providing numerous examples. While the ethics and public reception of such measures are matters of heated discussion, their effectiveness in motivating individuals to get vaccinated remains incompletely understood. This study addresses that gap by analyzing data from a 2022 nationwide online survey conducted in China. Respondents recruited through proportional quota sampling to reflect key demographic characteristics of the population were asked to specify their COVID-19 vaccination status and the reason behind their decision. Results reveal that while most respondents reported getting vaccinated voluntarily, 14.6% attributed their vaccination to the government's coercive mobilisation efforts. Moreover, members of the ruling Chinese Communist Party, as well as individuals favouring Western vaccines unavailable in China, were more likely to cite coercive mobilisation as the reason for their vaccination. These findings suggest that coercive measures can motivate a substantial proportion of the population to get vaccinated, especially those closely connected to the political system and those with unmet vaccination preferences. Given the controversy surrounding such measures, this enhanced understanding of their effectiveness could help with formulating targeted policies to combat infectious diseases and safeguard public health.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2445827"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947633","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-02-21DOI: 10.1080/17441692.2025.2465643
Alexandra Wollum, Katherine Key, Teshager Mersha, Martha Nicholson, Georgina Page, Kate Austen, Mamo Elias Endale, Heidi Moseson
{"title":"Does a values clarification and attitudes transformation (VCAT) workshop influence provider attitudes, knowledge, and service provision related to abortion care?: Evidence from a mixed-methods longitudinal randomised controlled trial in Ethiopia.","authors":"Alexandra Wollum, Katherine Key, Teshager Mersha, Martha Nicholson, Georgina Page, Kate Austen, Mamo Elias Endale, Heidi Moseson","doi":"10.1080/17441692.2025.2465643","DOIUrl":"10.1080/17441692.2025.2465643","url":null,"abstract":"<p><p>Despite being widely implemented, little information exists on the effect of Value Clarification and Attitude Transformation (VCAT) workshops on health care provider knowledge and attitudes and abortion provision. Between 2019 and 2021, we conducted a cluster-randomised controlled trial among 101 private abortion-providing healthcare facilities in Ethiopia. We surveyed 217 providers prior to a VCAT workshop and again at 2 weeks, 6 months, and one year following VCAT workshop participation to understand abortion knowledge and attitudes, examined service statistics to assess abortion client volumes, and conducted in-depth interviews with 30 providers. We found that a VCAT workshop for providers increased abortion service provision. In the year following the workshop, intervention facilities served 13% more abortion clients than expected based on the control group trend (95% CI: 6%-21%, <i>p</i> = .01). VCAT workshops moderately improved knowledge and supportive attitudes about abortion in the short-term. The VCAT workshop worked to change providers' attitudes by highlighting the importance of abortion in protecting clients from potential death and harm, but providers were less comfortable providing care to patients in situations deemed to be less socially justified (e.g. for married clients). Results support implementing ongoing VCAT refreshers with additional emphasis on client autonomy, cultural norms, and person-centred care.Trial registration: ClinicalTrials.gov identifier: NCT04181021.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2465643"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472367","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-03-24DOI: 10.1080/17441692.2025.2480645
Filipa Correia, Kenneth Camargo, Paulo Nossa, Ana Aboim Horta, Margarida Correia-Neves, Alice Delerue-Matos
{"title":"Attitudes and behaviours associated with HIV transmission in men who have sex with men in Portugal - a qualitative study.","authors":"Filipa Correia, Kenneth Camargo, Paulo Nossa, Ana Aboim Horta, Margarida Correia-Neves, Alice Delerue-Matos","doi":"10.1080/17441692.2025.2480645","DOIUrl":"10.1080/17441692.2025.2480645","url":null,"abstract":"<p><p>HIV pandemic continues to affect key populations more than the general population, namely young men who have sex with men (MSM) [UNAIDS. (2023). <i>The path that ends AIDS: UNAIDS global AIDS update 2023</i>. Joint United Nations Programme on HIV/AIDS. https://www.unaids.org/sites/default/files/media_asset/2023-unaids-global-aids-update_en.pdf]. This study aimed to identify and better understand the attitudes and behaviours associated with HIV transmission in young MSM, and their awareness and motivation to use pre-exposure prophylaxis (PrEP). In 2022 and 2023, we interviewed 23 MSM between 20 and 30 years old. A hybrid methodology - inductive and deductive - was used for content analysis. Trust in partners, drug use, fetishisation regarding condomless sex and yielding to a partner's desire due to lack of assertiveness were highlighted as motivations for unprotected sex. Shame and fear of stigma were identified as potential inhibitory factors for HIV testing. Some concerns and lack of awareness regarding PrEP were noted, along with barriers to access, due to long waiting times for consultations and lack of knowledge or judgment by healthcare professionals. This study reinforces the need to invest in sex education and empowerment strategies, through a sexual orientation-sensitive approach, in the context of health education and care provision, as well as the need for training and streamlining PrEP fast-track protocols.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2480645"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691994","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}
Global Public HealthPub Date : 2025-12-01Epub Date: 2025-03-20DOI: 10.1080/17441692.2025.2479660
Monica Jordan, Elizabeth Ekirapa Kiracho, Tozoe Marton, Gerald Karegyeya, Thomas Maina, Anthony Ssebagereka, Richard Ssempala, Rebecca Ross, Steven Forsythe, Allyala Nandakumar, Ryan McBain
{"title":"Mapping care pathways: Clinical providers' perspectives on process maps of HIV service delivery in Uganda.","authors":"Monica Jordan, Elizabeth Ekirapa Kiracho, Tozoe Marton, Gerald Karegyeya, Thomas Maina, Anthony Ssebagereka, Richard Ssempala, Rebecca Ross, Steven Forsythe, Allyala Nandakumar, Ryan McBain","doi":"10.1080/17441692.2025.2479660","DOIUrl":"10.1080/17441692.2025.2479660","url":null,"abstract":"<p><p>In Uganda, where HIV prevalence remains high, innovative strategies are sought to achieve 95-95-95 targets in combating the epidemic. In 2020, Uganda joined the Activity-Based Costing and Management (ABC/M) Initiative, a multi-country effort to monitor resource allocation and funding for HIV services. As part of this Initiative, data collectors generated process maps, specific to each facility, from the data collected by observing patients as they navigated the healthcare system. This study assessed clinical providers' perceptions of process maps used in the ABC/M Initiative in Uganda to identify the benefits and limitations in informing service delivery. Clinical providers from 14 purposively selected facilities participated in key informant (KI) interviews to review and discuss process map impressions. Thematic content analysis revealed: (1) KIs were enthusiastic about process maps, recognising their value in quality and efficiency; (2) KIs perceived opportunities for improvements, including revising how process maps depicted the staff and infrastructure; and (3) KIs expressed confusion in interpreting specific facets of process maps. Our study highlights the nuanced perspectives of clinical providers regarding process maps' functions within their facilities. These findings underscore the importance of ongoing review and analysis of process maps within the ABC/M initiative, facilitating a culture of continuous quality improvement and enhanced resource allocation.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2479660"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143669697","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}