Global Public HealthPub Date : 2026-12-31Epub Date: 2026-02-13DOI: 10.1080/17441692.2025.2596457
An Nguyen
{"title":"Physical barriers in access to public reproductive healthcare services of women with physical disabilities in Vietnam.","authors":"An Nguyen","doi":"10.1080/17441692.2025.2596457","DOIUrl":"10.1080/17441692.2025.2596457","url":null,"abstract":"<p><p>The Vietnamese government has made significant efforts to improve healthcare access for people with disabilities, as shown by signing the UNCRPD in 2007, ratifying it in 2015, and implementing the 2010 Disability Law to signal a commitment to the rights of people with disabilities. However, women with physical disabilities still encounter many obstacles. Physical barriers to accessing healthcare services for these women are underexplored. This paper investigates the physical infrastructure and the material barriers to accessing healthcare services for women with physical disabilities in Ho Chi Minh City, Vietnam, through ethnographic research methods. Data were collected via semi-structured in-depth interviews with 20 women with physical disabilities, observation, and photovoice. Research findings revealed that women with physical disabilities faced multiple physical barriers when accessing public healthcare services in Ho Chi Minh City, Vietnam. Outdoor barriers included transportation and parking, while indoor barriers involved toilets, ramps, lifts, spare wheelchairs, counters, and waiting rooms. These barriers significantly affected participants' healthcare decision-making and their ability to maintain health. The research highlights the need for inclusive strategies to improve healthcare access for Vietnamese people with disabilities.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2596457"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146179073","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 : 2026-12-31Epub Date: 2026-10-22DOI: 10.1080/17441692.2026.2751796
Pisci Bruja Garcia de Oliveira
{"title":"Cure as process, not product: What Brazilian communities can teach HIV cure research.","authors":"Pisci Bruja Garcia de Oliveira","doi":"10.1080/17441692.2026.2751796","DOIUrl":"https://doi.org/10.1080/17441692.2026.2751796","url":null,"abstract":"<p><p>Biomedical HIV cure research has largely defined cure through virological endpoints, often overlooking how communities understand, imagine, and produce knowledge about it. Drawing on Brazilian histories of HIV activism, community engagement, and artistic practice, and on the author's situated experience as a community educator in cure research, this commentary argues that communities should be recognised not merely as participants but as knowledge producers who shape research questions, priorities, and definitions of success. It situates this argument within the fragmented HIV cure research landscape of Latin America and the Caribbean. Experience with community engagement through the HOPE Collaboratory illustrates how sustained relationships contribute to knowledge production. The commentary also considers artistic practices by people living with HIV as forms of enquiry and technologies of healing through which stigma, structural violence, and collective memory can be named, contested, and reworked. Distinguishing biomedical cure from healing, it presents cure as a process whose meaning is shaped before, during, and after biomedical intervention. A meaningful and equitable cure depends not only on what happens to the virus, but also on whose knowledge informs research, how risks and benefits are distributed, who can access interventions, and what futures communities can imagine.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2751796"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149244183","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 : 2026-12-31Epub Date: 2026-10-16DOI: 10.1080/17441692.2026.2749290
Minna Lyons, Numa Dávila, Maria Fernanda Reyes-Rodriguez, Maria Ines Gandolfo Conceição, Jorge Sebastian Castro-Caicedo, Glenda García García
{"title":"Prevention of sexual violence in the public university in Guatemala - qualitative survey on suggestions from students.","authors":"Minna Lyons, Numa Dávila, Maria Fernanda Reyes-Rodriguez, Maria Ines Gandolfo Conceição, Jorge Sebastian Castro-Caicedo, Glenda García García","doi":"10.1080/17441692.2026.2749290","DOIUrl":"https://doi.org/10.1080/17441692.2026.2749290","url":null,"abstract":"<p><p>Sexual violence is a global problem in higher education, with multiple adverse academic, social, and health outcomes. Universities can take several primary and secondary preventative actions to combat violence. The stakeholder (i.e. student) suggestions for universities have received some interest, but mainly in English-speaking, high-income countries. In this study, we report the findings of a qualitative survey in a middle-income Central American country, Guatemala. In an online study, students from the public university (<i>N</i> = 863) expressed their ideas on how to prevent sexual violence in the university. We analysed the data with the aid of inductive thematic analysis, creating four themes. The results highlighted how students thought that the university should take a major role in preventing and intervening in sexual violence. They also perceived collective action between students as an effective prevention strategy. Some ideas were gendered, shifting the responsibility to women (i.e. changing their behaviours/attire) and men (i.e. moral education about sexual conduct). The students also suggested how individual bystanders could address the situations with their actions. We discuss the results with reference to the global literature, as well as to the specific context of Guatemala.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2749290"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149192994","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}
{"title":"The quality of intrapartum care during stillbirth deliveries in conflict-affected Nigeria and Democratic Republic of Congo: A phenomenological study.","authors":"Rosine Bigirinama, Emilia Ngozi Iwu, Meighan Mary, Rejoice Helma Abimiku, Christian Chiribagula Zalinga, Sussan Israel-Isah, Salomine Ekambi, Pacifique Mwene-Batu, Charity Pring'ar Maina, Ghislain Bisimwa, Kazeem Olalekan Ajoydej, Christine Chimanuka, George Odonye, Gaylord Ngaboyeka, Hannah Tappis","doi":"10.1080/17441692.2026.2640771","DOIUrl":"10.1080/17441692.2026.2640771","url":null,"abstract":"<p><p>Stillbirths are traumatic, and their consequences can be exacerbated by inadequate care and support during and after such devastating loss. Little is known about these issues in conflict-affected regions. Qualitative interviews were conducted to understand the quality of intrapartum care among women with stillbirth deliveries in health facilities in conflict-affected areas of Yobe, Nigeria, and North-Kivu and South-Kivu, Democratic Republic of Congo. Thematic analysis guided by the WHO Quality of Care framework revealed variations in women's experiences of care. While some reported positive experiences, many highlighted poor communication, lack of emotional support, and violations of dignity. Many felt excluded from decisions about their care and reported lack of clarity on reasons behind healthcare decisions. Furthermore, many reported poor psychological support. Cultural norms and limited resources exacerbated these challenges. Despite living in a crisis-affected context, concerns with safety were minimal and limited to nighttime insecurity at health facilities. Overall, extensive gaps in the quality of care provided to women experiencing stillbirth were identified. Our results call for healthcare systems to prioritize patient-centered care that is empathetic, culturally sensitive, and responsive to needs of grieving mothers. Governments and other stakeholders should urgently address these issues to improve the experience of childbirth.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2640771"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147372406","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 : 2026-12-31Epub Date: 2026-01-16DOI: 10.1080/17441692.2026.2616872
Blessing Marandure, Samson Mhizha, Sarah Olaluyi, Clement Nhunzvi, Amanda Wilson
{"title":"Patterns, harms and responses to licit and illicit substance use in Zimbabwe: A scoping review.","authors":"Blessing Marandure, Samson Mhizha, Sarah Olaluyi, Clement Nhunzvi, Amanda Wilson","doi":"10.1080/17441692.2026.2616872","DOIUrl":"10.1080/17441692.2026.2616872","url":null,"abstract":"<p><p>Anecdotal reports highlight increased methamphetamine, cocaine, and codeine-cough syrup use in Zimbabwe, with no clear empirical basis. Therefore, the scoping review aimed to identify primary evidence of patterns, harms and responses to substance use (SU) within Zimbabwe. Arksey and O'Malley's (2005) framework and the PRISMA Extension for Scoping Reviews (Tricco et al., 2018) were followed. Medline (Pub Med), Scopus, Academic Search Premier, Cumulative Index to Nursing and Allied Health Literature (CINAHL Plus), African Index Medicus, Africa-Wide Information, Web of Science, PsycInfo, PsycArticles, and Web of Science conference proceedings were searched. 27 studies published between 2012, and February 2025 met the inclusion criteria and were synthesized using combined inductive-deductive thematic analysis. Patterns of SU included a wide range of drugs (e.g. alcohol, tobacco, cannabis, inhalants, codeine-cough syrups), with emergent literature on methamphetamine, cocaine and heroin. Socio-demographic patterns elucidated vulnerable groups (e.g. children living on the streets), and concentration of SU in high density urban areas. SU harms predominantly centered on the link to the HIV epidemic, whilst clinical and health responses to SU were significantly limited. SU should therefore be treated as a public health priority in Zimbabwe, and research capacity building is urgently required to address significant literature gaps.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2616872"},"PeriodicalIF":2.1,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145989198","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 : 2026-12-31Epub Date: 2026-01-09DOI: 10.1080/17441692.2025.2612452
Ijeoma Solarin, Fiona Scorgie, Rose Refilwe Lamola, Celeste Madondo, Isabelle L Lange, Pascalia Munyewende, Shobna Sawry, Matthew Francis Chersich, Gloria Maimela
{"title":"Through their lens: A photovoice study exploring pregnant and postpartum women's experiences, coping strategies and barriers to heat adaptation in an urban township in South Africa.","authors":"Ijeoma Solarin, Fiona Scorgie, Rose Refilwe Lamola, Celeste Madondo, Isabelle L Lange, Pascalia Munyewende, Shobna Sawry, Matthew Francis Chersich, Gloria Maimela","doi":"10.1080/17441692.2025.2612452","DOIUrl":"10.1080/17441692.2025.2612452","url":null,"abstract":"<p><p>Rising global temperatures and heatwaves pose major health risks, particularly for pregnant women, infants and other vulnerable groups. Using Photovoice, we aimed to foreground how pregnant and postpartum women in an urban township in Tshwane, South Africa, experience and cope with heat stress. Fourteen women participated in two structured workshops held during the hot season (December 2023-January 2024). The first included reflective discussions on coping with heat and basic photography training. Over two weeks, participants captured over 300 images using disposable cameras or mobile phones. Selected images were reviewed and discussed in the second workshop. Thematic analysis of photographs and workshop transcripts identified three key themes: health impacts, coping strategies and structural challenges. Women preferred staying home on very hot days, where they had greater control over their environment. However, they struggled to soothe overheated infants, which they found distressing. They used simple cooling methods such as bathing or wet cloths but faced constraints including heat-trapping housing materials, inadequate ventilation, and limited access to water and electricity. These challenges led to a state of \"<i>un-coping\"</i>-where adaptation efforts are insufficient or counterproductive. Viewed through the women's \"lens\", these findings highlight the need for targeted adaptation strategies to improve climate resilience.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2612452"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145932964","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 : 2026-12-31Epub Date: 2026-03-31DOI: 10.1080/17441692.2026.2649061
Tusajigwe Erio, Josien de Klerk, Eileen Moyer
{"title":"When ART is not a magic bullet: Tailored care for vulnerable people living with hiv in the era of treat-all in Shinyanga, Tanzania.","authors":"Tusajigwe Erio, Josien de Klerk, Eileen Moyer","doi":"10.1080/17441692.2026.2649061","DOIUrl":"10.1080/17441692.2026.2649061","url":null,"abstract":"<p><p>Community health workers (CHWs) play a crucial role in supporting retention in HIV care in Tanzania under the World Health Organization's Treat-All policy. While the WHO promotes the differentiated service delivery (DSD) model for stable clients, not all people living with HIV (PLHIV) can achieve sustained viral suppression independently. Using ethnographic case studies of one CHW and three vulnerable clients in Shinyanga, Tanzania (2022-2023), we examine how CHWs adapt patient-centred care in the current era of Treat-All. The findings demonstrate that treatment adherence for highly vulnerable groups, particularly children and older adults, relies on collaborative care involving families, neighbours, religious actors, non-governmental organizations, and health providers. CHWs' flexibility and community embeddedness enable them to identify individuals at risk of disengagement and mobilize these care networks. Increased formalization of CHWs within health systems, though beneficial, risks undermining their embeddedness and limiting their capacity to detect need and respond effectively. The study highlights the need for continued financial support for community-based care systems that recognize and support CHWs' relational and moral labour.<b>SGD 3:</b> Good health and well-being.<b>SGD 17:</b> Partnerships for the goals.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2649061"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147591705","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 : 2026-12-31Epub Date: 2026-04-07DOI: 10.1080/17441692.2026.2649068
Teisi Tamming, Isabelle Hume, Glorianne Said, Idit Albert
{"title":"Link between housing and community factors and mental health and psychological well-being of refugee parents and children in high-income countries: A systematic review.","authors":"Teisi Tamming, Isabelle Hume, Glorianne Said, Idit Albert","doi":"10.1080/17441692.2026.2649068","DOIUrl":"10.1080/17441692.2026.2649068","url":null,"abstract":"<p><p>Whilst forced migration is known to significantly increase the risk of mental health problems, the influence of post-migration factors for refugee children and parents in high-income countries remains understudied. However, systemic post-migration factors have the potential to be modified by policy and practice to improve outcomes. This systematic review identifies the housing and community factors examined in research and their link to the mental health and psychological well-being of refugee parents and children in high-income countries. Adhering to the PRISMA guidelines, we searched the databases of PubMed, PsycINFO and Embase for studies published in peer-reviewed journals until the 17th of October 2025. Of the 11,588 studies identified, 30 were eligible for inclusion in this review. Our findings particularly suggest favourable mental health outcomes among those living with their families/relatives or foster care as opposed to reception centres, as well as those with social support. Perceived discrimination consistently showed an association with negative mental health outcomes. The findings suggest a gap in the evidence base focusing on parents, education and school-related factors. We recommend that policy makers provide family-based living arrangements and improve access to spaces for social support. Future research in this field will benefit from further sub-group analyses.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2649068"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627586","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 : 2026-12-31Epub Date: 2026-04-08DOI: 10.1080/17441692.2026.2656860
Brenda Magalhães Arantes, Lise Maria Carvalho Mendes, Nayara Gonçalves Barbosa, Flávia Azevedo Gomes-Sponholz, Efigênia Aparecida Maciel de Freitas, Thaís de Oliveira Gozzo
{"title":"The perception of gestational risk through the lens of social determinants of health: a mixed-methods study.","authors":"Brenda Magalhães Arantes, Lise Maria Carvalho Mendes, Nayara Gonçalves Barbosa, Flávia Azevedo Gomes-Sponholz, Efigênia Aparecida Maciel de Freitas, Thaís de Oliveira Gozzo","doi":"10.1080/17441692.2026.2656860","DOIUrl":"10.1080/17441692.2026.2656860","url":null,"abstract":"<p><p>The interpretation of gestational risk is multifactorial. The objective of this study is to analyze the relationship between social determinants of health and the perception of gestational risk among high-risk pregnant women, and to examine how this risk was perceived by postpartum women who experienced high-risk pregnancies. A convergent integrative mixed-methods study was conducted in Uberlândia, Minas Gerais, Brazil, between April 2023 and February 2024. In the quantitative phase, 148 high-risk pregnant women completed instruments addressing social determinants and perceived gestational risk. The second phase consisted of semi-structured interviews with 27 postpartum women, analyzed through French Discourse Analysis. Multiparous women and those who reported alcohol consumption during pregnancy had a higher perception of gestational risk. Experiencing racial prejudice and initiating prenatal care in the early first trimester were associated with a lower perception of risk. Two central discourse blocks were identified: 'From Probability to the Materialization of Gestational Risk,' and 'Fear and Trust as Expressions of Feelings'. Therefore, risk perception was influenced by social determinants, highlighting the role of the healthcare system in mediating these perceptions. The findings emphasize the global need for equitable policies and socially sensitive prenatal care strategies to reduce maternal morbidity.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2656860"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633153","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 : 2026-12-31Epub Date: 2026-04-10DOI: 10.1080/17441692.2026.2657640
Luís Felipe Rios, Cinthia Oliveira, Mariana Andrade Gomes, Júlio Henrique Magalhães Luckwu, Severino Inácio da Silva Neto, Johnncley Barbosa Silva Filho, Larissa Vitoria Silva Soares, João Pedro Souza Dias, Rayssa Karollyne da Silva, Ingird Maciel
{"title":"'Going back home', going to the 'ghetto': Sociability between men who have sex with men at the most critical point of COVID-19 in Brazil.","authors":"Luís Felipe Rios, Cinthia Oliveira, Mariana Andrade Gomes, Júlio Henrique Magalhães Luckwu, Severino Inácio da Silva Neto, Johnncley Barbosa Silva Filho, Larissa Vitoria Silva Soares, João Pedro Souza Dias, Rayssa Karollyne da Silva, Ingird Maciel","doi":"10.1080/17441692.2026.2657640","DOIUrl":"10.1080/17441692.2026.2657640","url":null,"abstract":"<p><p>This text discusses the impact of the COVID-19 pandemic on the sociability of men who have sex with men (MSM) in northeastern Brazil, between 2020 and 2021. We analyze ethnographic data focused on the narratives of leisure professionals and workers in government and non-governmental organizations. In March 2020, social distancing measures were announced, including the closure of leisure establishments, which had a financial impact on owners and workers. Many returned to work illegally before it was allowed. MSM, affected by family homophobia and loneliness, resumed social activities, disobeying health regulations. Intersectionality between sex-gender, sexuality, race and class, together with federal denial of the virus's lethality, and weak economic mitigation policies, produced an environment conducive to death. Based on the experiences of the gay community in the Recife Metropolitan Region and other contexts, we propose an agenda for reflection and action for future health crises that affect sexually dissident populations.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2657640"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653966","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}