Global Public HealthPub Date : 2025-12-01Epub Date: 2025-01-10DOI: 10.1080/17441692.2025.2450403
Seliem El-Sayed, Ilona Kickbusch, Barbara Prainsack
{"title":"Data solidarity: Operationalising public value through a digital tool.","authors":"Seliem El-Sayed, Ilona Kickbusch, Barbara Prainsack","doi":"10.1080/17441692.2025.2450403","DOIUrl":"https://doi.org/10.1080/17441692.2025.2450403","url":null,"abstract":"<p><p>Most data governance frameworks are designed to protect the individuals from whom data originates. However, the impacts of digital practices extend to a broader population and are embedded in significant power asymmetries within and across nations. Further, inequities in digital societies impact everyone, not just those directly involved. Addressing these challenges requires an approach which moves beyond individual data control and is grounded in the values of equity and a just contribution of benefits and risks from data use. Solidarity-based data governance (in short: data solidarity), suggests prioritising data uses over data type and proposes that data uses that generate public value should be actively facilitated, those that generate significant risks and harms should be prohibited or strictly regulated, and those that generate private benefits with little or no public value should be 'taxed' so that profits generated by corporate data users are reinvested in the public domain. In the context of global health data governance, the public value generated by data use is crucial. This contribution clarifies the meaning, importance, and potential of public value within data solidarity and outlines methods for its operationalisation through the PLUTO tool, specifically designed to assess the public value of data uses.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2450403"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947641","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: 2025-01-26DOI: 10.1080/17441692.2025.2453879
Minna Lyons, Gayle Brewer, Maria Ines Gandolfo Conceição, Ana Lucía Jaramillo-Sierra, Maria Fernanda Reyes-Rodriguez
{"title":"Barriers and facilitators of bystander intervention in response to racism in Colombia.","authors":"Minna Lyons, Gayle Brewer, Maria Ines Gandolfo Conceição, Ana Lucía Jaramillo-Sierra, Maria Fernanda Reyes-Rodriguez","doi":"10.1080/17441692.2025.2453879","DOIUrl":"https://doi.org/10.1080/17441692.2025.2453879","url":null,"abstract":"<p><p>Racial discrimination is a pervasive global problem. Bystanders who observe racism can intervene to support the targets of racism, but they often fail to do so due to several context-specific barriers. There is currently little research on bystander behaviour in racism outside of English-speaking countries. We used mixed methods to explore bystander responses to everyday racism in Colombia. In an online survey, participants (<i>N</i> = 1,157) were presented with a scenario where they observed racist behaviour as a bystander. Subsequently, they were asked to respond to a series of open and closed questions. Quantitative findings suggested that knowledge on how to act was predicted by confidence and responsibility; responsibility was predicted by ethnicity (being non-mestizo), confidence, noticing the event, and feeling more uncomfortable; and confidence was predicted by noticing the event, feeling less uncomfortable and more responsible. In the analysis of the qualitative data, we identified six themes. These were (i) Bystander characteristics and circumstances; (ii) Bystander morality and attitudes towards racism; (iii) Clarity of the situation; (iv) Perceived need and deservedness; (v) Presence of authorities and other people, and (vi) Consequences of action: Safety to the bystander. We discuss these findings in relation to racism in the Colombian context.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2453879"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143046393","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: 2025-04-09DOI: 10.1080/17441692.2025.2470802
Yao Yao, Yujie Cui, Wei Luan, Gordon Liu
{"title":"Does the impact of economic inequality on maternal and child health inequality exhibit a threshold effect? Evidence from China.","authors":"Yao Yao, Yujie Cui, Wei Luan, Gordon Liu","doi":"10.1080/17441692.2025.2470802","DOIUrl":"https://doi.org/10.1080/17441692.2025.2470802","url":null,"abstract":"<p><p>When the economy (economic inequality) develops to a certain level, does the impact of economic inequality on health inequality change? Through threshold regression, this study analyses the impact of city-level economic inequality on the absolute and economic-related inequality in under-5 child mortality rate (U5MR) (2001-2012) and maternal mortality rate (MMR) (2001-2015), along with the threshold values for economic development stages and economic inequality. Findings show: For the relationship between economic inequality and absolute inequality in U5MR, as well as economic-related inequality, there exists an economic development threshold effect. For the relationship between economic inequality and absolute inequality in MMR, an economic inequality threshold effect is illustrated. The improvement of economic conditions contributes to alleviating inequality in U5MR. Economic development inequality has a significant impact on the equality of maternal health development, but for enhancing the equality of women's health, health promotion policies may be more feasible.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2470802"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143811014","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: 2025-03-26DOI: 10.1080/17441692.2025.2481466
Twambilile Phanga, Caroline N McKay, Dhrutika Vansia, Nivedita L Bhushan, Bertha Maseko, Linda E Kamtsendero, Lauren A Graybill, Mina C Hosseinipour, Linda-Gail Bekker, Audrey Pettifor, Nora E Rosenberg
{"title":"Comparing youth-friendly clinics to the standard of care for adolescent girls and young women in Malawi: A qualitative analysis.","authors":"Twambilile Phanga, Caroline N McKay, Dhrutika Vansia, Nivedita L Bhushan, Bertha Maseko, Linda E Kamtsendero, Lauren A Graybill, Mina C Hosseinipour, Linda-Gail Bekker, Audrey Pettifor, Nora E Rosenberg","doi":"10.1080/17441692.2025.2481466","DOIUrl":"https://doi.org/10.1080/17441692.2025.2481466","url":null,"abstract":"<p><p>Adolescent girls and young women (AGYW) in sub-Saharan Africa (SSA) face difficulties accessing sexual and reproductive health (SRH) services. Youth-friendly service delivery models may prove an alternative to increase SRH service uptake. This analysis utilises evidence from the Girl Power-Malawi study, a study designed to compare the impact of different models of service delivery on SRH service uptake for AGYW. Three intervention clinics trained providers in youth-friendly health services (YFHS), engaged young peer educators in patient outreach, expanded hours and integrated various services into youth-dedicated spaces. A standard of care (SOC) clinic was included as a comparator. This paper draws on qualitative data from in-depth interviews with 60 participants (15 per clinic) and 8 focus group discussions (2 per clinic). Thematic analysis identified three key themes regarding SRH service acceptability: having peer educators made AGYW feel more comfortable seeking services; AGYW perceived services at intervention clinics to be more private; and clinic modifications such as free services, longer operating hours and integration of different SRH services made services easier to access. Adolescents expressed that these factors contributed to higher service uptake in intervention clinics. Youth-friendly service provisions are needed to ensure AGYW find care-seeking acceptable.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2481466"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729727","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: 2025-04-07DOI: 10.1080/17441692.2025.2488891
M Mulavu, S K Harris, J P Seale, D Seale, P Chimponda, J M Tirrell, M Sampa, W Mutale, O Mweemba
{"title":"Motivations, expectations, and hopes of participants and stakeholders in the GROW 'Hopes for Life' intervention study.","authors":"M Mulavu, S K Harris, J P Seale, D Seale, P Chimponda, J M Tirrell, M Sampa, W Mutale, O Mweemba","doi":"10.1080/17441692.2025.2488891","DOIUrl":"https://doi.org/10.1080/17441692.2025.2488891","url":null,"abstract":"<p><p>Unhealthy alcohol use is the greatest risk factor for premature death and disease among young individuals aged 15-49. Two interventions developed by Global Resilience Oral Workshops (GROW), a faith-based substance use recovery/character training programme, show potential in the reduction of alcohol use through specifically targeted character building. These programmes were rolled out in Lusaka and Sinda districts in Zambia among school and community groups. In this article, we conducted focus group discussions among school and community participants and their close relations and friends prior to the program intervention. We also conducted interviews among school staff and programme implementers as well as key informant interviews with cooperating partners. Findings showed that participants had adequate knowledge about the upcoming programme, hoping it would contribute to a reduction in substance use and instil good character. Anticipated challenges in programme implementation included scheduling conflicts, maintaining retention, and managing monetary expectations. There was high anticipation towards the upcoming programme with participants eager to improve their lifestyles. Study findings highlight challenges that need to be addressed for its effectiveness.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2488891"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803102","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: 2025-04-07DOI: 10.1080/17441692.2025.2488889
Norana Abdul Rahman, Vaikunthan Rajaratnam, Ruth M H Peters, Mohamed Rusli Abdullah, Karen Morgan
{"title":"Unveiling lives: A glimpse into the daily routines of individuals affected by leprosy in Malaysia using the walk-and-talk technique.","authors":"Norana Abdul Rahman, Vaikunthan Rajaratnam, Ruth M H Peters, Mohamed Rusli Abdullah, Karen Morgan","doi":"10.1080/17441692.2025.2488889","DOIUrl":"https://doi.org/10.1080/17441692.2025.2488889","url":null,"abstract":"<p><p>Leprosy, though curable, continues to present physical and psychosocial challenges for those affected. This study explored how individuals affected by leprosy in Malaysia navigated daily life, societal expectations, and personal challenges through the walk-and-talk technique, a participant-led qualitative approach that fostered spontaneous storytelling and reflexivity. By guiding researchers through their environments, participants shaped the narrative, shifting power dynamics and enabling authentic dialogue. Six participants from Kelantan and Selangor shared their everyday activities, aspirations, and coping strategies. Video documentation was used as a supplementary tool to capture non-verbal cues and contextual interactions. Visual, auditory, and field data were transcribed and thematically analysed using NVivo 12, revealing key themes, including resilience and perseverance, employment and economic sustenance, stigma, family support, and community engagement. Work emerged as central to their well-being, fostering dignity and providing financial stability. However, self-imposed stigma limited social inclusion, while strong familial and community bonds provided crucial support. These findings highlighted the effectiveness of the walk-and-talk technique in capturing rich qualitative data and emphasised the need for tailored interventions to address stigma, enhance social inclusion, and support the well-being and economic stability of individuals affected by leprosy.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2488889"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795033","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: 2025-03-27DOI: 10.1080/17441692.2024.2446720
Sarah Vrankovich, Sharyn Burns, Giselle Woodley, Jacqueline Hendriks
{"title":"Addressing 'wicked complex problems': Qualitative understandings of sexual violence prevention in male-dominated industries.","authors":"Sarah Vrankovich, Sharyn Burns, Giselle Woodley, Jacqueline Hendriks","doi":"10.1080/17441692.2024.2446720","DOIUrl":"https://doi.org/10.1080/17441692.2024.2446720","url":null,"abstract":"<p><p>Globally there has been increased focus on the prevalence of sexual violence in workplaces, including the mining industry. In Western Australia, where this study is situated, this industry is a significant employer, predominantly male-dominated, and the prevalent use of fly-in-fly-out schedules can blur work and social life. Consequently, efforts to prevent and manage workplace sexual violence have become a priority, leading to the development and implementation of various strategies and resources. Qualitative interviews were conducted with 34 participants, including sexual violence prevention professionals (n = 16) and mining industry workers (n = 18). Reflexive thematic analysis identified systemic and behavioural considerations that may be transferrable to other male-dominated workplaces. Participants emphasised the importance of primary prevention training programmes that included engaging activities, realistic scenarios, careful use of language, humour and inspirational facilitators. Genuine consultation with workers is critical to ensure key messages are appropriately received. Prevention interventions also need to be supported by appropriate reporting mechanisms and support processes for victim/survivors. This research aims to provide an understanding of current sexual violence prevention initiatives within the Australian mining sector, offering recommendations for future approaches tailored to industries and contexts with similar dynamics.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2446720"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143729717","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: 2025-03-12DOI: 10.1080/17441692.2025.2475458
Sheila Mukuni Mutondo, Joseph Lupenga, Chris Mweemba, Oliver Mweemba
{"title":"The level of male involvement and associated factors in the prevention of mother-to-child transmission of HIV in Lusaka, Zambia.","authors":"Sheila Mukuni Mutondo, Joseph Lupenga, Chris Mweemba, Oliver Mweemba","doi":"10.1080/17441692.2025.2475458","DOIUrl":"https://doi.org/10.1080/17441692.2025.2475458","url":null,"abstract":"<p><p>This study aimed to identify the level of male involvement and factors associated with male involvement in the Prevention of Mother-to-Child Transmission of HIV. The study used an explanatory sequential mixed-methods design to assess male involvement in a sample of 566 women aged 18 and above. The study was conducted at three health facilities. A 10-item male partner involvement scale was used in the survey, and focus group discussions with both men and women and key informants were used to collect qualitative data. The weighted mean score for overall male involvement was 2.78 ± 1.40, indicating higher male involvement. Increasing income (<i>p</i> < 0.05), married (<i>p</i> < 0.031), living near a health facility (<i>p</i> = 0.033), HIV couple testing (<i>p</i> = 0.001) and disclosure of HIV results (<i>p</i> < 0.001) were associated with a higher male involvement in PMTCT. Men's busy schedules, lack of knowledge, lack of communication, long waiting times, lack of privacy and PMTCT activities deemed women's responsibility were cited as barriers to male involvement in PMTCT. Efforts are needed to improve male involvement in PMTCT services, focusing on addressing the barriers contributing to low male involvement.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2475458"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143614632","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: 2025-02-20DOI: 10.1080/17441692.2025.2466731
Daniel Wight
{"title":"Perpetuating global inequalities in the knowledge economy: The case of HIV social science research in East Africa.","authors":"Daniel Wight","doi":"10.1080/17441692.2025.2466731","DOIUrl":"https://doi.org/10.1080/17441692.2025.2466731","url":null,"abstract":"<p><p>Despite almost a century's research capacity strengthening in Africa, HIV/AIDS research has been dominated by high-income countries (HICs), illustrating broader inequalities in the global knowledge economy. The perpetuation of weak social science capacity in east Africa is analysed as part of a complex system with multiple causes at different socio-ecological levels. Furthermore, although primarily driven by HIC/ neo-colonialist interests, causes also stem from low-income countries (LICs), and individual actions reproduce macro-level structures. Most factors link to global economic inequalities, and the extraction of data and intellectual capacity from east Africa operates akin to Dependency Theory, but this is exacerbated by African governments. At the meso-level, HIC institutions prioritise revenue and publications over strengthening LIC research capacity, whatever their rhetoric, while serious impediments exist in east African institutions. At the micro-level, HIC researchers perpetuate inequalities through, e.g., prioritising output, maintaining dependency, and choosing HIC rather than LIC conferences and journals. Multiple responses are needed, particularly at the macro-level, especially long-term, tailored funding. Meso-level responses include meritocratic career structures and institutional research consultancies. Individual HIC researchers should, ideally, prioritise training and mentoring, but this risks career advancement. Above all, honesty is required about motives and conflicting interests, at institutional and individual levels.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2466731"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143467808","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: 2025-04-04DOI: 10.1080/17441692.2025.2484627
Wei Ding, Duoquan Wang, Shenning Lu, Xiao-Nong Zhou, Lewis Husain
{"title":"China's approach to malaria control and elimination: Adaptive management and policy capacity building.","authors":"Wei Ding, Duoquan Wang, Shenning Lu, Xiao-Nong Zhou, Lewis Husain","doi":"10.1080/17441692.2025.2484627","DOIUrl":"https://doi.org/10.1080/17441692.2025.2484627","url":null,"abstract":"<p><p><b>ABSTRACT</b>Malaria remains a major global public health burden and is a potential priority for Chinese health cooperation. However, limited analysis exists on the reference value of China's malaria elimination experience for other countries. While existing studies have focused on specific control strategies used in China, few have examined how Chinese malaria policy and practice have been adapted over time in response to heterogeneity across a vast country. This paper draws on literature, policy reviews, and in-depth interviews with key informants, including government officials and experts involved in malaria policy or implementation. It analyses the evolution of Chinese malaria policy from the 1950s to 2020 and presents case studies profiling specific practices through the lenses of policy experimentation and 'policy capacity'. The findings highlight how adaptive malaria policy and practice in China responded not only to the changing distribution and burden of malaria but also to shifts in institutions and the political economy as the country developed. Experimentation facilitated adaptive, sequential problem-solving, starting from a low base with limited data availability and capacity. China's experience offered valuable insights for other countries and for the evolution of its health cooperation initiatives.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2484627"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788087","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}