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A socioecological examination of father alcohol use in Kenya: Motivation, consequences, and barriers to care. 肯尼亚父亲饮酒的社会生态学研究:动机、后果和护理障碍。
IF 2.1 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-09 DOI: 10.1080/17441692.2025.2515481
Ali Giusto, Emily N Satinsky, Florence Jaguga, Wilter Rono, Julius Barasa, Chardée A Galán, Milton L Wainberg
{"title":"A socioecological examination of father alcohol use in Kenya: Motivation, consequences, and barriers to care.","authors":"Ali Giusto, Emily N Satinsky, Florence Jaguga, Wilter Rono, Julius Barasa, Chardée A Galán, Milton L Wainberg","doi":"10.1080/17441692.2025.2515481","DOIUrl":"10.1080/17441692.2025.2515481","url":null,"abstract":"<p><p>Fathers' alcohol use impacts family well-being, including increased risk for violence, poor child outcomes, and low engagement in care. Yet few studies examine the drivers of alcohol use among fathers or the role of gendered expectations and sociocultural norms on use, especially in low-resource settings like Kenya. Understanding why fathers drink, the consequences of use, and barriers to care is key to designing scalable, responsive interventions. In Eldoret, Kenya, community members, leaders, providers, and fathers experiencing problematic alcohol use participated in interviews and focus groups. Participants discussed reasons for drinking, its impacts, and barriers to care. Using the framework method, transcripts were coded and summarised using the socioecological model. Reasons and consequences of alcohol use emerged across individual, interpersonal, and sociocultural levels. Individually, fathers used alcohol to escape distress with consequences on physical and mental health. At the family level, alcohol was used to avoid conflict, contributing to risk for violence and poor child outcomes. Socioculturally, drinking was shaped by gender norms, with consequences like stigma and loss of social status, which reinforced shame and isolation. Barriers to care included lack of awareness, poor service access, and stigma. Intervention and implementation strategies must address avoidant coping, masculinity norms, and local resource constraints.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2515481"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144247531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers and facilitators of bystander intervention in response to racism in Colombia. 哥伦比亚旁观者干预种族主义的障碍和促进因素。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-26 DOI: 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":"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}
引用次数: 0
Addressing 'wicked complex problems': Qualitative understandings of sexual violence prevention in male-dominated industries. 解决“邪恶的复杂问题”:对男性主导行业预防性暴力的定性理解。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-27 DOI: 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":"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}
引用次数: 0
Comparing youth-friendly clinics to the standard of care for adolescent girls and young women in Malawi: A qualitative analysis. 比较青年友好型诊所与马拉维少女和年轻妇女护理标准:一项定性分析。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-03-26 DOI: 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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12050357/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Moving beyond jargon: Operationalising gender-transformative approaches to end harmful practices against adolescents. 超越行话:实施性别变革方法,结束针对青少年的有害做法。
IF 2.1 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-08-01 DOI: 10.1080/17441692.2025.2516707
Jose-Roberto Luna M, Amelia Rock, Ellen Alem, Joseph Mabirizi, Chelsea L Ricker, Madhumita Das, Joseph Sewedo Akoro, Alana Kolundzija
{"title":"Moving beyond jargon: Operationalising gender-transformative approaches to end harmful practices against adolescents.","authors":"Jose-Roberto Luna M, Amelia Rock, Ellen Alem, Joseph Mabirizi, Chelsea L Ricker, Madhumita Das, Joseph Sewedo Akoro, Alana Kolundzija","doi":"10.1080/17441692.2025.2516707","DOIUrl":"https://doi.org/10.1080/17441692.2025.2516707","url":null,"abstract":"<p><p>The UNFPA-UNICEF Global Programme to End Child Marriage and the Joint Programme on the Elimination of Female Genital Mutilation aim to contribute to SDG target 5.3 on the elimination of harmful practices against women and girls through gender-transformative approaches (GTAs). In collaboration with Collective Impact, the Global Programme developed and implemented the Gender-Transformative Accelerator tool, a workshop-based rapid gender assessment and planning process for country offices and implementing partners to advance operationalisation of GTAs. The Accelerator was rolled out in 15 countries in Sub-Saharan Africa, South Asia, and the Middle East from 2021 to 2023. Looking across country contexts, this case study describes the Accelerator approach, implementation, key successes, challenges, and early outcomes. Workshop values clarification activities enabled staff to reflect critically on their social contexts and gender- and age-related biases, and deepened the resonance and relevance of GTAs. This, in turn, facilitated productive critical assessment of programmes and development of action plans to advance GTAs at multiple socio-ecological levels. The case study concludes with lessons learned and the path forward for implementing the Accelerator and operationalising GTAs to promote the rights, health, and wellbeing of adolescent girls and boys in all their diversity.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2516707"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144764831","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 pandemic treaty: A forensic review of process and pitfalls. 大流行病条约:对程序和陷阱的法医学审查。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-06-30 DOI: 10.1080/17441692.2025.2522916
Nina Schwalbe, Susanna Lehtimaki, Elliot Hannon
{"title":"The pandemic treaty: A forensic review of process and pitfalls.","authors":"Nina Schwalbe, Susanna Lehtimaki, Elliot Hannon","doi":"10.1080/17441692.2025.2522916","DOIUrl":"10.1080/17441692.2025.2522916","url":null,"abstract":"<p><p>This article examines efforts to develop a pandemic treaty through World Health Organization member state agreement from 2021 to 2025, focusing on challenges during the process. The COVID-19 pandemic showed the critical need for strong global agreements to prepare for and respond to health crises, with relevance for policymakers and researchers. Drawing on observations as invited stakeholders, relevant literature, official documents, and reports from other stakeholders, we identify key patterns, themes, and challenges, particularly the competing priorities of countries and difficulties in reaching consensus. Barriers that slowed progress include uneven political commitment, lack of transparency, and exclusion of key stakeholders, which hindered agreements and limited the treaty's potential to address global health threats. Our analysis highlights practical steps for future negotiations, including stronger political engagement, better coordination, greater transparency, and ensuring a broader range of voices and stakeholders are included in the process. Learning from these lessons will be critical for improving global pandemic preparedness and addressing future health challenges.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2522916"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527574","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
Data solidarity: Operationalising public value through a digital tool. 数据团结:通过数字工具实现公共价值。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-01-10 DOI: 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}
引用次数: 0
Health diplomacy for a resilient Africa: Addressing shared threats and fostering regional collaboration. 卫生外交促进有复原力的非洲:应对共同威胁和促进区域合作。
IF 2.1 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-09-24 DOI: 10.1080/17441692.2025.2553637
Majani Edward, Tariq Salum, Iris A Kisoka
{"title":"Health diplomacy for a resilient Africa: Addressing shared threats and fostering regional collaboration.","authors":"Majani Edward, Tariq Salum, Iris A Kisoka","doi":"10.1080/17441692.2025.2553637","DOIUrl":"https://doi.org/10.1080/17441692.2025.2553637","url":null,"abstract":"<p><p>Africa faces complex, interconnected health challenges like endemic diseases and pandemics, which overwhelm its healthcare systems. This article argues that health diplomacy is a vital tool for tackling these issues through regional collaboration. Health diplomacy, in the African context, means strategic engagement and negotiation among countries, regional bodies, non-state actors, and international partners. The article highlights the urgent need for this approach due to increased cross-border movement, climate change, shared resource constraints, and geopolitical interdependencies. It identifies key areas where health diplomacy is crucial: disease surveillance and control, cross-border healthcare access, harmonizing health policies, and joint procurement of medical supplies. The article also examines the roles of major players like the African Union (AU), Regional Economic Communities (RECs), NGOs, and international organizations. Looking ahead, it outlines strategies to strengthen health diplomacy by leveraging digital health, addressing climate-related health risks, promoting youth and gender inclusion, and securing sustainable financing. The ultimate goal is to build a more resilient and healthier Africa through collective action and sustained regional cooperation.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2553637"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137209","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
Unveiling lives: A glimpse into the daily routines of individuals affected by leprosy in Malaysia using the walk-and-talk technique. 揭秘生活:利用边走边说的方法,一瞥马来西亚麻风病患者的日常生活。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-07 DOI: 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":"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}
引用次数: 0
Motivations, expectations, and hopes of participants and stakeholders in the GROW 'Hopes for Life' intervention study. GROW“对生活的希望”干预研究中参与者和利益相关者的动机、期望和希望。
IF 2.3 3区 医学
Global Public Health Pub Date : 2025-12-01 Epub Date: 2025-04-07 DOI: 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":"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}
引用次数: 0
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