Global Public Health最新文献_第2页

Caring for children with SAM: Intersectional stories of shame, blame and stigmatisation in Zimbabwe, Zambia and Kenya. 照顾患有SAM的儿童：在津巴布韦、赞比亚和肯尼亚的羞耻、指责和污名化的交叉故事。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-09 DOI: 10.1080/17441692.2024.2439883

Tim Brown, Kavita Datta, Catherine Achieng, Jacqueline Kabongo, Joseph M Zulu, Mutsa Bwakura-Dangarembizi, Andrew Prendergast

{"title":"Caring for children with SAM: Intersectional stories of shame, blame and stigmatisation in Zimbabwe, Zambia and Kenya.","authors":"Tim Brown, Kavita Datta, Catherine Achieng, Jacqueline Kabongo, Joseph M Zulu, Mutsa Bwakura-Dangarembizi, Andrew Prendergast","doi":"10.1080/17441692.2024.2439883","DOIUrl":"https://doi.org/10.1080/17441692.2024.2439883","url":null,"abstract":"This paper draws from qualitative research undertaken with the mothers and primary caregivers of children aged under 5 years old and in recovery from severe acute malnutrition (SAM), as well as other community members, across three study sites in Kenya, Zambia, and Zimbabwe. The paper highlights how nutrition-related stigma is constructed and enacted in complex ways, by multiple actors and across diverse settings. Adopting an intersectional approach, the paper identifies how stigma emerges at the intersections of social identity, especially age, gender, and associated beliefs about women's, and especially young women's, assumed (in)capacity to care. The paper highlights how such stigmatising practices have the potential to place the children of mothers and primary caregivers affected by stigma at heightened vulnerability to SAM as well as to impair their recovery because of its impact upon health-seeking behaviours. In conclusion, we argue that intersectional approaches to stigma are crucial to better understand the social construction of stigma pertaining to SAM, the differential experiences, and responses, of caregivers, as well as how these shape pathways to differing forms of care.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2439883"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142800327","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 financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-20 DOI: 10.1080/17441692.2025.2467767

Nelson Varas-Díaz, Sheilla R Madera, Mark Padilla, Torsten B Neilands, John Vertovec, Kariela Rivera-Bustelo, Adrián J Santiago-Santiago, Claudia A Mercado Ríos, Genevieve Reid, Kevin Grove, Alíxida Ramos Pibernus

{"title":"Beyond financial incentives: a quantitative study on spatial stigma and Puerto Rican physician migration to the United States.","authors":"Nelson Varas-Díaz, Sheilla R Madera, Mark Padilla, Torsten B Neilands, John Vertovec, Kariela Rivera-Bustelo, Adrián J Santiago-Santiago, Claudia A Mercado Ríos, Genevieve Reid, Kevin Grove, Alíxida Ramos Pibernus","doi":"10.1080/17441692.2025.2467767","DOIUrl":"https://doi.org/10.1080/17441692.2025.2467767","url":null,"abstract":"Puerto Rico faces a significant health crisis due to the mass migration of physicians to the United States, exacerbating the challenge of achieving the World Health Organisation's recommended physician-to-population ratio. While economic factors such as higher salaries in the US have been identified as primary drivers, the complexity of this migration wave requires a deeper exploration. This study quantitatively examines the role of push factors, pull factors, and spatial stigmatisation in physician migration from Puerto Rico. Using data from a randomly selected sample of 550 physicians (255 who had migrated to the US and 295 who lived in Puerto Rico), we analyse how perceptions of Puerto Rico's image and reputation, combined with stigmatisation linked to practicing medicine on the Island, influence migration decisions. Findings highlight that while better economic opportunities in the US are significant, the spatial stigma associated with Puerto Rico's healthcare system plays a crucial role in the decision to migrate. Policies aimed at curbing physician migration must address not only economic incentives but also the broader socio-cultural perceptions that contribute to the stigmatisation of practicing medicine in Puerto Rico. This study provides insights to inform comprehensive policy solutions to the healthcare crisis in Puerto Rico.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2467767"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467806","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 transformative terrain: An in-depth analysis of trends in self-managed abortion in India using NFHS-5 national data.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-20 DOI: 10.1080/17441692.2025.2467796

Sushanta K Banerjee, Sumit Gulati, Erin Pearson

{"title":"The transformative terrain: An in-depth analysis of trends in self-managed abortion in India using NFHS-5 national data.","authors":"Sushanta K Banerjee, Sumit Gulati, Erin Pearson","doi":"10.1080/17441692.2025.2467796","DOIUrl":"https://doi.org/10.1080/17441692.2025.2467796","url":null,"abstract":"In 2022, the World Health Organization endorsed self-managed abortion (SMA) with medical abortion pills as a safe abortion method. This study utilises India's National Family Health Survey Round 5 (2019-2021) data from 724,115 women to estimate state-level self-managed abortion (SMA). It examines SMA characteristics, trends over time, and self-reported complications in India using descriptive and multivariate analysis. This study finds significant regional disparities, with a higher proportion of self-managed abortions in the eastern (45%), central (39%), and north-eastern (31%) regions. A rising trend in SMA was observed, increasing from 19% in 2014-45% in 2021. There were higher odds of SMA among economically disadvantaged, less educated, and employed women. The study found no increased odds of self-reported complications in SMA, suggesting its safety and effectiveness, especially at early gestational ages. These findings underscore the importance of supporting reproductive choices, including access to quality drugs and information, while highlighting the continued relevance of provider-assisted care, particularly for surgical abortions and later gestational needs. This study offers crucial insights on SMA for programmatic and policy advocacy while underscoring the need for more research in the SMA field.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2467796"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143457657","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

Reconciling data actionability and accountability in global health research: The case of SARS-CoV-2. 协调全球卫生研究中的数据可操作性和问责性：以SARS-CoV-2为例。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-11 DOI: 10.1080/17441692.2024.2436422

Nathanael Sheehan, Sabina Leonelli

{"title":"Reconciling data actionability and accountability in global health research: The case of SARS-CoV-2.","authors":"Nathanael Sheehan, Sabina Leonelli","doi":"10.1080/17441692.2024.2436422","DOIUrl":"https://doi.org/10.1080/17441692.2024.2436422","url":null,"abstract":"The requirements for actionability and accountability in data infrastructures are often viewed as incompatible, creating a trade-off where enhancing one diminishes the other. Through a comparative analysis of two data infrastructures used to share genomic data about the SARS-CoV-2 virus, we argue that making data actionable for knowledge development involves a commitment to ensuring that the data in question are representative of the phenomena being studied and accountable to data subjects and users. This in turn presupposes that: (1) enough data are contributed by a wide and diverse set of relevant sources; (2) mechanisms of feedback and inclusion are set up to ensure that data contributors can participate in data governance and interpretation, thereby helping to adequately contextualise data; and (3) accountability extends to the ways in which data infrastructures are run, financed and positioned vis-à-vis the communities they are meant to serve. Such a model of data sharing can only work on the understanding that data do not need to be easily accessible to be actionable; rather, actionability depends on the responsiveness and accountability of data infrastructures, and the efforts invested in ensuring open communication among contributors.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2436422"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142812900","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

'They did not care for me. I was alone on bed like a dead person': A qualitative study on mistreatment, dignity and power during childbirth in Nepal. “他们不喜欢我。“我独自躺在床上，像个死人”：一项关于尼泊尔分娩期间虐待、尊严和权力的定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-12 DOI: 10.1080/17441692.2024.2439887

Rejina Gurung, Sibylle Herzig Van Wees

{"title":"'They did not care for me. I was alone on bed like a dead person': A qualitative study on mistreatment, dignity and power during childbirth in Nepal.","authors":"Rejina Gurung, Sibylle Herzig Van Wees","doi":"10.1080/17441692.2024.2439887","DOIUrl":"https://doi.org/10.1080/17441692.2024.2439887","url":null,"abstract":"Mistreatment during institutional childbirth is multifactorial and can have a detrimental effect on women's health and future care-seeking behaviour. Understanding its determinants is essential for improving respectful maternity care. This study aimed to explore women's experiences of mistreatment during childbirth in Nepal. Sixteen in-depth interviews were conducted with women who had recently given birth in a tertiary health facility (between 5 and 16 weeks postpartum). Participants were selected using purposive sampling to ensure a heterogenous sample. Data were analysed using Nvivo12, following Braun and Clarke's thematic analysis approach. Four themes were identified: (1) mistreatment and undignified care, (2) health system constraints, (3) adverse hospital culture, (4) power and territorial display. Mistreatment and undignified care included abuse, threats, neglect, inadequate communication, painful medical procedures and lack of autonomy. Health system constraints included inadequate resources and overcrowding. Adverse hospital culture was characterised by work stress among health professionals, a rigid hierarchical structure and the normalisation of mistreatment practices. Power and territoriality were evident in an atmosphere of fear for women with restricted companionship during birth. Favorable institutional strategies and tailored interventions are needed to eliminate solitary births and to provide women-centered respectful care by motivated and competent health professionals.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2439887"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142817797","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 development and implementation of an innovative community-based intervention to strengthen community capacity for HIV prevention and care among Canadians of African Caribbean and Black (ACB) women in Ontario: a research protocol.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-27 DOI: 10.1080/17441692.2024.2436425

Josephine Etowa, Notisha Massaquoi, Francisca Omorodion, Danielle Brown-Shreves, Ilene Hyman, Akalewold Gebremeskel, Hugues Loemba, Bishwajit Ghose, Egbe Etowa, Jennifer Rayner, Charles Dabone, Lounanjio Brown O'Sullivan, Azeeza Sule, Joseph Kiirya, Sanni Yaya, Wangari Tharao, Haoua Inoua, Angela Kaida, Apondi Odhiambo, Clinton Beckford

{"title":"The development and implementation of an innovative community-based intervention to strengthen community capacity for HIV prevention and care among Canadians of African Caribbean and Black (ACB) women in Ontario: a research protocol.","authors":"Josephine Etowa, Notisha Massaquoi, Francisca Omorodion, Danielle Brown-Shreves, Ilene Hyman, Akalewold Gebremeskel, Hugues Loemba, Bishwajit Ghose, Egbe Etowa, Jennifer Rayner, Charles Dabone, Lounanjio Brown O'Sullivan, Azeeza Sule, Joseph Kiirya, Sanni Yaya, Wangari Tharao, Haoua Inoua, Angela Kaida, Apondi Odhiambo, Clinton Beckford","doi":"10.1080/17441692.2024.2436425","DOIUrl":"https://doi.org/10.1080/17441692.2024.2436425","url":null,"abstract":"African, Caribbean, and Black (ACB) women are overrepresented among new HIV diagnoses due to social and structural factors. This study seeks to create, implement, and evaluate a community-based peer-led intervention to improve access to HIV prevention and care for ACB women in Canada. This multisite, five-year project, using community-based participatory research, implementation science and evaluation frameworks, will be implemented in five non-iterative phases. Phase 1: Community and partner engagement; Phase 2: Critical health and racial literacy training curriculum and HIV resource development; Phase 3: Implementation research with first cohort of trained HIV Peer Equity Navigators [PENs] in three sites; Phase 4: Training of second cohort of HIV PENs and program implementation of HIV PEN intervention across Ontario; and Phase 5: Evaluation, knowledge sharing and plans for national scale up. We will use a mixed methods approach, including quantitative and qualitative data, such as surveys and qualitative interviews, to analyze and identify implementation scenarios, changes in improving access, and ensuring equity to HIV prevention and care for ACB women in Ontario, Canada. Evidence on the effectiveness of this innovative, peer-led intervention will be used to inform policies and practice related to HIV prevention and care for ACB women in Canada.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2436425"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058827","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

Redefining global health in the 21st century: Towards a more equitable global health agenda. 重新定义 21 世纪的全球卫生：实现更加公平的全球卫生议程。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-21 DOI: 10.1080/17441692.2025.2464060

Michael J A Reid, Ingrid T Katz

{"title":"Redefining global health in the 21st century: Towards a more equitable global health agenda.","authors":"Michael J A Reid, Ingrid T Katz","doi":"10.1080/17441692.2025.2464060","DOIUrl":"https://doi.org/10.1080/17441692.2025.2464060","url":null,"abstract":"Global health is at a critical juncture, with significant achievements in reducing deaths from HIV and under-five mortality since 2000. However, progress in other areas, such as maternal mortality and tuberculosis, remains uneven, and cardiovascular diseases continue to rise. Compounding these challenges is the emerging threat of climate change, which is predicted to cause millions of health-related deaths by the end of the century. This commentary proposes a new global health model inspired by Kate Raworth's 'doughnut' framework, which emphasizes maintaining ecological and social boundaries to foster sustainable health. The inner boundary focuses on ensuring equitable access to essential health services, particularly for underserved populations. The outer boundary addresses the health impacts of environmental degradation and climate change, advocating for adaptive and resilient health systems. This model calls for a reorientation of global health priorities to balance human well-being with environmental sustainability, urging international collective action at platforms like COP29. By addressing both health equity and ecological stability, this framework aims to guide the global health community towards a more equitable and sustainable future.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2464060"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467813","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

Revitalising strong cultural connections and resilience: Co-designing a pilot Elder-led mentorship program for Indigenous mothers in a remote northern community in Alberta, Canada.

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-29 DOI: 10.1080/17441692.2025.2457109

Stephanie Montesanti, Kayla M Fitzpatrick, Barbara S E Verstraeten, Beverly Tourangeau, Lorraine Albert, Richard T Oster

{"title":"Revitalising strong cultural connections and resilience: Co-designing a pilot Elder-led mentorship program for Indigenous mothers in a remote northern community in Alberta, Canada.","authors":"Stephanie Montesanti, Kayla M Fitzpatrick, Barbara S E Verstraeten, Beverly Tourangeau, Lorraine Albert, Richard T Oster","doi":"10.1080/17441692.2025.2457109","DOIUrl":"https://doi.org/10.1080/17441692.2025.2457109","url":null,"abstract":"Connecting with traditional knowledge and culture promotes the well-being of Indigenous parents and creates healthy environments for child development. Community Elders in a remote northern community in Alberta, Canada, collaborated with researchers to design a pilot Elders Mentoring Program. The programme aims to support young Indigenous mothers(-to-be), bringing back cultural traditions and teachings. Twelve workshops for Indigenous mothers(-to-be) focused on cultural activities and passing down traditional knowledge from Elders. Nine mothers(-to-be) completed a survey about their perinatal and postpartum experiences and care needs. Sharing circles with Elders and individual debriefings with mothers were conducted to understand their experiences in the workshops. Survey responses showed limited childcare services and transportation availability as barriers to accessing perinatal and postpartum support. Four themes emerged from qualitative data analysis: (1) the meaningful role of Elder mentorship for Indigenous mothers(-to-be); (2) Weekly workshops provided a safe space to share and develop relationships; (3) Participation in workshop activities fostered positive coping and improved self-esteem; (4) Elder-led workshops encouraged cultural connection and transference of traditional knowledge to younger generations. Cultural workshops led by Elders enhanced the connection to culture and resilience for Indigenous mothers and expectant mothers in a remote northern community.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2457109"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058823","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

Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands. 医疗保健提供者意图使用电子个人健康记录无证移民：定性探索研究在荷兰。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2024-12-31 DOI: 10.1080/17441692.2024.2445840

Paulien Tensen, Simone van Dormolen, Steven J M van de Vijver, Myrthe L van de Pavert, Charles O Agyemang

{"title":"Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands.","authors":"Paulien Tensen, Simone van Dormolen, Steven J M van de Vijver, Myrthe L van de Pavert, Charles O Agyemang","doi":"10.1080/17441692.2024.2445840","DOIUrl":"https://doi.org/10.1080/17441692.2024.2445840","url":null,"abstract":"Electronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers (HCPs) to use an EPHR for UDM in the Netherlands. Between April 2023 and June 2023, thirteen interviews, using a semi-structured topic guide, were conducted with Dutch HCPs. Open coding and axial coding were used for data coding, organised using the Technology Acceptance Model (TAM). HCPs reported a positive user intention towards using an EPHR for UDMs, coupled with a cautious optimism regarding UDMs' willingness to use an EPHR. Actual usage was dependent on several preconditions: establishing trust among HCPs and UDMs in the EPHR, implementing a highly secure system to protect UDM's sensitive data, giving UDMs control over their EPHR, and using approaches to minimise dual record keeping and developing a user-friendly system. An EPHR shows promise to enhance continuity of care and quality for UDMs in the Netherlands. However, an EPHR should not be a prerequisite for receiving medical care but rather a supportive element in the provision of care.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2445840"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909532","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

Where is menstruation in global health policy? The need for a collective understanding. 月经在全球卫生政策中处于什么位置？集体理解的需要。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-09 DOI: 10.1080/17441692.2024.2448272

Josie McAllister, Fran Amery, Melanie Channon, Jennifer Thomson

{"title":"Where is menstruation in global health policy? The need for a collective understanding.","authors":"Josie McAllister, Fran Amery, Melanie Channon, Jennifer Thomson","doi":"10.1080/17441692.2024.2448272","DOIUrl":"https://doi.org/10.1080/17441692.2024.2448272","url":null,"abstract":"From both an academic and a policy angle, menstruation is receiving an unprecedented level of attention. Within the academic literature, there are many different normative arguments being furthered for how menstruation should be understood and framed - variously, that it should be understood as an issue of rights, justice, health or hygiene management. Yet less attention has been paid to the step preceding these normative arguments - how menstruation actually is understood at present within global health policy. In this paper, we argue that, despite this proliferation of academic and policy interest, attention to menstruation is still relatively muted at the level of global health policy. Using Carol Bacchi's 'what's the problem?' approach to critical frame analysis, we show that global health policy on menstruation remains patchy, with little cohesive understanding of it as a policy issue emerging at the international level. Instead, competing constructions of it as an issue emerge, such that there is not one clear way in which menstruation is addressed in international health policy. We sketch the implications of this, arguing that without a collective understanding of the problem, solutions are likely to remain siloed, and cross-sectoral work will be difficult.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2448272"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947634","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