Global Public Health最新文献_第3页

Engage less, provide more: Community health workers' perspectives on how to overcome opposition to polio vaccination in Pakistan. 少参与，多提供：巴基斯坦社区卫生工作者对如何克服反对脊髓灰质炎疫苗接种的看法。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-02-11 DOI: 10.1080/17441692.2025.2465645

Arman Majidulla, Marium A Sultan, Ayesha Zaman, Muhammad Shafique, Saeed Ahmed, Farah Naz, Sadaf Nayyab, Ali Sohail

{"title":"Engage less, provide more: Community health workers' perspectives on how to overcome opposition to polio vaccination in Pakistan.","authors":"Arman Majidulla, Marium A Sultan, Ayesha Zaman, Muhammad Shafique, Saeed Ahmed, Farah Naz, Sadaf Nayyab, Ali Sohail","doi":"10.1080/17441692.2025.2465645","DOIUrl":"10.1080/17441692.2025.2465645","url":null,"abstract":"Pakistan has 40 Super High Risk Union Councils (SHRUCs) where polio has been persistently endemic, and community relationships have been a persistent challenge due to campaign fatigue and violent, organised resistance. This study aimed to gather perspectives from frontline workers in these areas to improve community engagement. We conducted participant observation, over 100 interviews, and held Human-centred Design inspired sessions with 171 teams of frontline polio staff from 2020 to 2022 in the SHRUCs of a major city in Pakistan. The results show that frontline polio workers repeatedly visited households broadly neglected by government services in SHRUCs, but some households refused the vaccine due to fatigue from multiple visits and fear of government surveillance. Others refused the vaccine to draw attention to their more pressing needs. Frontline polio workers suggested that decreasing touchpoints and providing additional services, such as food, medicines, primary health care, and sanitation services, would improve vaccine uptake. We discuss several implications for vaccine communications, including the importance of quality engagement, the legitimacy of rumours surrounding vaccination, the limited applicability of 'vaccine hesitancy', and the critical role of service provision in improving vaccine acceptability.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2465645"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390726","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

Service delivery characteristics preferences and trade-offs for long-acting injectable pre-exposure prophylaxis among female students in tertiary institutions in South Africa: A discrete choice experiment. 南非高等院校女学生对长效注射暴露前预防的服务提供特点、偏好和权衡：一项离散选择实验。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-14 DOI: 10.1080/17441692.2025.2489710

Patience Shamu, Saiqa Mullick, Nicola J Christofides

{"title":"Service delivery characteristics preferences and trade-offs for long-acting injectable pre-exposure prophylaxis among female students in tertiary institutions in South Africa: A discrete choice experiment.","authors":"Patience Shamu, Saiqa Mullick, Nicola J Christofides","doi":"10.1080/17441692.2025.2489710","DOIUrl":"https://doi.org/10.1080/17441692.2025.2489710","url":null,"abstract":"Oral pre-exposure prophylaxis (PrEP) for HIV prevention promises women more control over HIV prevention. To alleviate low PrEP uptake, rolling out long-acting PrEP methods could increase uptake in women's preferred ways. The study sought to determine injectable PrEP service delivery characteristics that effectively meet young women's service needs. In 2023, we conducted a discrete choice experiment in South African tertiary institutions. We recruited and interviewed 400 female students mostly queuing for sexual health services. Data were analysed using mixed logit and latent class models.Young women strongly prefer using campus clinics to non-campus clinics and returning to the facility for product information and its side effects to using a chatbot [OR = 1.07, CI: 1.02, 1.13]. Also, compared to getting a free service, students were prepared to pay R50 ($2.90) [OR = 1.14, CI: 1.05, 1.25]. Three classes emerged from the latent class model and these differed by background characteristics like age group and study year. Receiving PrEP through campus services from sensitive, PrEP providers and providing accurate information on side effects was preferred by students over community-based primary health care clinics with public health nurses. PrEP-trained providers should provide PrEP services as young people prefer returning to facilities for further youth-friendly support.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2489710"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the consequences of housing insecurity on HIV treatment outcomes: Qualitative insights from Kisumu, Kenya. 探索住房不安全对艾滋病治疗结果的影响：来自肯尼亚基苏木的定性见解。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-17 DOI: 10.1080/17441692.2025.2489717

Patrick Mbullo Owuor, Doreen Obondo, Hellen Nyagol, Wicklife O Orero, Judith A Owuor, Silvia A Odhiambo, Godfred O Boateng, Elizabeth O Onyango

{"title":"Exploring the consequences of housing insecurity on HIV treatment outcomes: Qualitative insights from Kisumu, Kenya.","authors":"Patrick Mbullo Owuor, Doreen Obondo, Hellen Nyagol, Wicklife O Orero, Judith A Owuor, Silvia A Odhiambo, Godfred O Boateng, Elizabeth O Onyango","doi":"10.1080/17441692.2025.2489717","DOIUrl":"https://doi.org/10.1080/17441692.2025.2489717","url":null,"abstract":"Housing insecurity (HI) is inextricably linked to poor health outcomes. Evidence suggests people living with HIV are more likely to experience poor psychological, physical, and nutritional health challenges. However, how housing insecurity might impact treatment outcomes among people living with HIV is under-explored. We examined the consequences of HI on treatment outcomes among people living with HIV in rural Kenya. Between July and August 2023. we purposively recruited and conducted 30 in-depth interviews and four focus group discussions (n = 35) with adult men and women living with HIV. Guided by grounded theory, the data were analyzed in Dedoose and organised into themes. The structural violence framework was then used to contextualise the findings. We found that HI exacerbated poor health outcomes through perceived adherence challenges and increased occurrence of opportunistic diseases such as malaria, diarrhoea, and cough due to housing conditions. Additionally, we found that the cost of rebuilding and maintaining took away resources from other household needs. Improving HI thus may play a critical role in enhancing HIV treatment outcomes. Given the variety of ways housing, food, water, and HIV affect health, gaining insight into the relationships between these factors has tremendous implications for care and treatment.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2489717"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143981566","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

Debunking misinformation about abortion-related maternal mortality in Africa. 揭穿关于非洲与堕胎有关的孕产妇死亡率的错误信息。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-02 DOI: 10.1080/17441692.2025.2499915

Lynn M Morgan, Claire L Wendland

{"title":"Debunking misinformation about abortion-related maternal mortality in Africa.","authors":"Lynn M Morgan, Claire L Wendland","doi":"10.1080/17441692.2025.2499915","DOIUrl":"https://doi.org/10.1080/17441692.2025.2499915","url":null,"abstract":"An emerging body of literature misinterprets and misrepresents the scholarship on African maternal mortality to advance the political agenda of anti-abortion advocates. The African region accounts for 70% of global maternal deaths, a figure that has justified a regional, evidence-based movement to loosen restrictive abortion laws. Anti-abortion activists have reacted by working to cast doubt on the scientific consensus that accessible legal abortion saves lives. The misinformation they produce justifies abortion restrictions—including criminalization—that worsen maternal mortality and morbidity, undermine gender equity by constraining women's reproductive rights, and exacerbate risks especially for young, rural, unmarried, and poor women. As an anthropologist who studies global anti-abortion strategies and a physician-anthropologist who has practiced obstetrics and gynecology in Malawi, respectively, we write to identify the deceptive tactics and debunk the false claims featured in recent publications by abortion opponents. Our goal is to prepare readers who care about reducing maternal mortality—no matter their moral perspectives on abortion—to recognize and refute misinformation. We conclude with suggestions for how researchers might move beyond ideological disagreements to improve maternal health.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2499915"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143994092","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

What matters most in Cirebon, Indonesia: cultural nuances to health-related stigma. 在印度尼西亚的锡雷邦，最重要的是：与健康有关的耻辱的文化差异。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-05-05 DOI: 10.1080/17441692.2025.2497918

Yoslien Sopamena, Raden Sutiawan, Marlies J Visser, Dadun Dadun, Rita Damayanti, Dien Anshari, Lawrence Yang, Ruth M H Peters, Marjolein B M Zweekhorst

{"title":"What matters most in Cirebon, Indonesia: cultural nuances to health-related stigma.","authors":"Yoslien Sopamena, Raden Sutiawan, Marlies J Visser, Dadun Dadun, Rita Damayanti, Dien Anshari, Lawrence Yang, Ruth M H Peters, Marjolein B M Zweekhorst","doi":"10.1080/17441692.2025.2497918","DOIUrl":"https://doi.org/10.1080/17441692.2025.2497918","url":null,"abstract":"Individuals with stigmatised health conditions face adverse attitudes, social exclusion and discrimination, stemming from preconceived notions about the condition and its associated symptoms or links to disability. Culture plays a role in shaping stigma manifestations. By employing the 'what matters most' framework, this study sought to capture perspectives of men and women living with leprosy, lymphatic filariasis or depressive disorder, and of their families and healthcare providers, regarding key cultural capabilities that 'matter most' for men and women in Cirebon Regency, Indonesia. A total of 91 respondents participated in 45 interviews and 10 focus group discussions. Data were analysed using thematic content analysis and the analysis generated three core cultural themes defined as 'what matters most' in Cirebon Regency: personal responsibilities, marriage and family responsibilities, and community responsibilities. Specifically, recovery-oriented attitudes, family support and community engagement were identified as key cultural engagements that could help people with stigmatised conditions to maintain personhood and mitigate health-related stigma. In conclusion, our findings highlight it is important to consider these cultural capabilities in stigma research, particularly in the design of stigma assessment and stigma-reduction interventions.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2497918"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143997922","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 erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil. 消除感染相关慢性疾病：对巴西长期COVID和相关疾病医疗保健文献的重要解释性综合。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-21 DOI: 10.1080/17441692.2025.2490720

Flora Cornish, Brenda Sabaine, Letícia Soares, Barbara Caldas, Margareth Crisóstomo Portela, Aylene Bousquat, Emma-Louise Aveling

{"title":"The erasure of infection-associated chronic conditions: Critical interpretive synthesis of literature on healthcare for long COVID and related conditions in Brazil.","authors":"Flora Cornish, Brenda Sabaine, Letícia Soares, Barbara Caldas, Margareth Crisóstomo Portela, Aylene Bousquat, Emma-Louise Aveling","doi":"10.1080/17441692.2025.2490720","DOIUrl":"https://doi.org/10.1080/17441692.2025.2490720","url":null,"abstract":"Evidence is emerging that long COVID is at least as prevalent in the Global South as the Global North, but literature on long COVID healthcare in the Global South is in its infancy. Brazil is seeing significant levels of debility due to long COVID but a limited national evidence-base. long COVID shares symptomatology and appropriate care with a wider category of infection-associated chronic conditions (IACCs). This article reviews literature published between 2000 and 2023 addressing healthcare for long COVID and IACCs in Brazil, in the interest of exploring challenges and opportunities for the SUS (Brazil's universal health system) to offer appropriate long COVID healthcare. We find that long COVID and IACCs collectively are subject to erasure from Brazilian healthcare knowledge, through lack of expertise, a resource-limited health system prioritising urgent care, and the concentration of poor health in marginalised populations with limited decision-making power. A nascent intellectual will to address long COVID, and a tradition of social participation in healthcare governance present potential opportunities. We call for ignition of a global step-change in tackling healthcare for long COVID and IACCs. Global equity in long COVID healthcare requires the development and sharing of expertise regarding its universal and context-specific features.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2490720"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143996577","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

Parallel systems in healthcare: Addressing Indigenous health equity in Canada. 医疗保健平行系统：解决加拿大土著居民健康公平问题。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-20 DOI: 10.1080/17441692.2025.2452195

Anika Sehgal, Andrea Kennedy, Katharine McGowan, Lynden Lindsay Crowshoe

{"title":"Parallel systems in healthcare: Addressing Indigenous health equity in Canada.","authors":"Anika Sehgal, Andrea Kennedy, Katharine McGowan, Lynden Lindsay Crowshoe","doi":"10.1080/17441692.2025.2452195","DOIUrl":"10.1080/17441692.2025.2452195","url":null,"abstract":"The Canadian public healthcare system faces significant challenges in performance. While the formal healthcare system addresses funding, access and policy, there is a critical need to prioritise the informal system of community-oriented networks. This integration aligns with the World Health Organization's primary health care approach, emphasising a whole-of-society strategy for health equity. Canada's healthcare, harmonised through the Canada Health Act of 1984, focuses on need over ability to pay. Despite successes, the system struggles with social determinants of health and widening health inequities, especially among Indigenous peoples. Historical policies of forced assimilation have led to poor health outcomes and lower life expectancies for Indigenous populations. The Truth and Reconciliation Commission's Calls to Action stress removing barriers at multiple levels to improve Indigenous health. Indigenous perspectives on health, emphasising holistic wellness, contrast with Western healthcare's acute-illness focus. The emergence of parallel systems, informal networks within healthcare, reflects dissatisfaction with traditional approaches. Recognising the parallel system within Indigenous health, as proposed, can transform healthcare to better meet population needs. Systems mapping of Indigenous PHC in Alberta revealed numerous entities providing healthcare access, highlighting the importance of adequately funding and integrating these parallel systems to advance health equity.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2452195"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004273","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

Developing globally-accessible medicines for pandemic preparedness: An analysis of three alternative innovation models. 开发全球可获得的大流行病防范药物：对三种替代创新模式的分析。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-23 DOI: 10.1080/17441692.2025.2522173

Iulia Slovenski, Yiqi Liu, Adrián Alonso Ruiz, Kaitlin Elizabeth Large, Marcela Vieira, Adam Strobeyko, Erika Shinabargar, Suerie Moon

{"title":"Developing globally-accessible medicines for pandemic preparedness: An analysis of three alternative innovation models.","authors":"Iulia Slovenski, Yiqi Liu, Adrián Alonso Ruiz, Kaitlin Elizabeth Large, Marcela Vieira, Adam Strobeyko, Erika Shinabargar, Suerie Moon","doi":"10.1080/17441692.2025.2522173","DOIUrl":"https://doi.org/10.1080/17441692.2025.2522173","url":null,"abstract":"Recent infectious disease crises (e.g. COVID-19, Ebola, mpox) show that the mainstream market-driven innovation model cannot ensure both rapid innovation and equitable global access to vaccines, drugs, and diagnostics critical for pandemic preparedness and response. Alternative models that may better address global access needs exist, but analysis of their merits is limited. We analysed the pharmaceutical innovation 'niche' for pandemic products and 35 alternative initiatives within it, to inductively derive a typology of three archetypal alternative models: The National Biosecurity model is well-established, proliferating since COVID-19, driven and funded primarily by the public sector, and delivering innovation for national needs. The Cosmopolitan Public Private Partnership model combines global access with innovation, but relies on voluntary participation, and must navigate tensions between public and private interests. The Open Science Collaborative Network model accelerates innovation through scientific cooperation and builds global access into early R&D stages, but remains small-scale, nascent, and requires effective coordination. Cosmopolitan and Open Science models offer significant advantages for achieving innovation with global access, but require sustained political, financial and technical support. Alternative innovation models should be institutionalised during inter-pandemic periods, when markets for pandemic products are economically unattractive, and political resistance to systemic change is easier to overcome.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2522173"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144474969","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

Lived experiences in action: Relations between community health workers' and clients' perinatal health behaviours in India. 行动中的生活经验：印度社区卫生工作者和客户围产期卫生行为之间的关系。

IF 2.3 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-07-25 DOI: 10.1080/17441692.2025.2537697

Faiz A Hashmi, Oskar Burger, Sudipta Mondal, Cristine H Legare

{"title":"Lived experiences in action: Relations between community health workers' and clients' perinatal health behaviours in India.","authors":"Faiz A Hashmi, Oskar Burger, Sudipta Mondal, Cristine H Legare","doi":"10.1080/17441692.2025.2537697","DOIUrl":"https://doi.org/10.1080/17441692.2025.2537697","url":null,"abstract":"Community health workers are crucial bridges between health systems and local populations, uniquely positioned at the intersection of personal experiences and professional duties. Yet, limited research examines how these workers' personal health decisions influence their clients' behaviours. This study addresses this gap by investigating associations between the maternal experiences of Accredited Social Health Activists (ASHAs) and perinatal health practices among their clients (recent mothers) in Bihar, India. Using a large-scale cross-sectional survey involving 400 ASHAs and 1166 clients, we conducted mixed-effects logistic regression analyses to examine these relationships. Our findings reveal a strong association between ASHAs' personal practices and their clients' behaviours during pregnancy. ASHAs who adhered to evidence-based health practices recommended by formal healthcare systems, such as early pregnancy registrations and antenatal check-ups, and those who engaged in traditional practices, such as concealing pregnancy or calling traditional midwives during labour, predicted similar practices among their clients. These results highlight the critical position of community health workers at the intersection of personal and professional spheres, where their lived experiences meaningfully influence their work. Public health systems should leverage community health workers' shared sociocultural and personal experiences through targeted training, supporting their role in fostering sustainable maternal and child health improvement.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2537697"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144707234","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

How and why do young people engage in STI screening, treatment, and partner notification? A qualitative positive deviance study in Zimbabwe. 年轻人如何以及为什么参与性传播感染筛查、治疗和伴侣通知？津巴布韦的定性积极偏差研究。

IF 2.1 3区医学

Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-09-23 DOI: 10.1080/17441692.2025.2557312

C R S Mackworth-Young, J Busza, J Karumazondo, S Bernays, M Tshuma, R Nyamyanza, P Nzombe, C Mavodza, R A Ferrand, C Dziva Chikwari

{"title":"How and why do young people engage in STI screening, treatment, and partner notification? A qualitative positive deviance study in Zimbabwe.","authors":"C R S Mackworth-Young, J Busza, J Karumazondo, S Bernays, M Tshuma, R Nyamyanza, P Nzombe, C Mavodza, R A Ferrand, C Dziva Chikwari","doi":"10.1080/17441692.2025.2557312","DOIUrl":"https://doi.org/10.1080/17441692.2025.2557312","url":null,"abstract":"Young people have a high burden of sexually transmitted infections (STIs) but low uptake of and high attrition from services. We adopted a positive deviance approach to explore uptake of STI screening, treatment, and partner notification within a sexual and reproductive health service. We conducted in-depth interviews with young people (aged 16-24 years) who accepted screening, treatment, and partner notification slips (n = 15), and healthcare providers who delivered the service (n = 13). We used thematic analysis to understand decisions at each stage of the STI care cascade. Young people who accepted STI screening and returned to receive their results were influenced by the friendliness and informativeness of providers, which helped overcome their anxiety. Experiencing symptoms and health being a priority were also motivators to seek treatment and overcame the inconvenience of returning to the service and the fear of the test result. While all participants accepted partner notification slips, only those in secure relationships felt able to tell their partners. This study identified both supply (positive provider attitudes, information provision, and same-day treatment provision) and demand side factors (prioritise one's health, experiencing symptoms, and knowledge about asymptomatic infections) that STI interventions can build on to support young people's engagement with STI services.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2557312"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145124388","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