Global Public Health最新文献

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Cooperators or competitors? The interactions between WHO and the World Bank in global health governance. 合作者还是竞争者?世卫组织与世界银行在全球卫生治理中的互动。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-02 DOI: 10.1080/17441692.2024.2408608
Xin Zheng, Jiyong Jin
{"title":"Cooperators or competitors? The interactions between WHO and the World Bank in global health governance.","authors":"Xin Zheng, Jiyong Jin","doi":"10.1080/17441692.2024.2408608","DOIUrl":"10.1080/17441692.2024.2408608","url":null,"abstract":"<p><p>Interactions between International Organisations (IOs) within a regime complex often manifest themselves through competition and cooperation. Current research has examined the factors that promote inter-organisational competition and cooperation, yet the precise timing of when such competition or cooperation commences remains unclear. This paper focuses on two pivotal IOs in global health governance, the World Health Organization (WHO) and the World Bank, to explore the timing and onset of competition and cooperation within a regime complex, as well as the driving factors in the evolution of their inter-organisational relationships. By looking into the interactions between the WHO and the World Bank in norm-setting and resource mobilising, the paper sheds light on how their relationships have transitioned from competitors to cooperators. It systematically presents the mechanisms and processes of policy transformation in inter-organisational interactions. As a new agenda arises, IOs within a regime complex often compete for dominance, with ideational differences driving them to propose and implement distinct governance strategies. They will compete for resources and mainstream of their strategy. The negative spillover effects of competitive policies consequently undermine the effectiveness of IOs' policy, thereby undercut their legitimacy. To surmount these challenges, the international community should promote inter-institutional coordination in global governance.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2408608"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142365045","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 UK's pandemic preparedness and early response to the COVID-19 pandemic. 英国对 COVID-19 大流行病的准备和早期响应。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-21 DOI: 10.1080/17441692.2024.2415499
Jochem Rietveld, Tom Hobson, Lara Mani, Shahar Avin, Lalitha Sundaram
{"title":"The UK's pandemic preparedness and early response to the COVID-19 pandemic.","authors":"Jochem Rietveld, Tom Hobson, Lara Mani, Shahar Avin, Lalitha Sundaram","doi":"10.1080/17441692.2024.2415499","DOIUrl":"https://doi.org/10.1080/17441692.2024.2415499","url":null,"abstract":"<p><p>This article focuses on the UK's pre-COVID 19 pandemic preparedness and its early response to the COVID-19 pandemic (January '20 - March '20). The aim of this article is to explain the high excess mortality the UK experienced compared to many of its international and European peers in the first wave, which is contrary to the country's high ranking in pre-COVID-19 preparedness rankings. The article assesses the various components of pre-COVID-19 pandemic preparedness such as pandemic strategy, exercises, and stockpiles, and it covers government decision making processes on the early response, including questions around post-travel quarantining, test and trace, and mobility restrictions. The article concludes that there were important deficiencies in the UK's pandemic preparedness and early response in the COVID-19 pandemic. These include the centrality of the 'inevitability of spread'-assumption underpinning the UK's pandemic planning pre-COVID, the insufficient implementation of pandemic exercise recommendations, the lack of early and 'live learning' from other countries' experiences, the lack of adoption of public health advice of the World Health Organisation early on, the late implementation of internal mobility restrictions, the lack of timely consideration of alternative early pandemic response models, and fragilities in the SAGE/governmental interplay.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2415499"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142463119","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
Prevalence of violence victimisation and poly-victimisation among female sex workers in Haiphong, Viet Nam: A cross-sectional study. 越南海防女性性工作者遭受暴力侵害和多重侵害的普遍程度:一项横断面研究。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-01-31 DOI: 10.1080/17441692.2024.2308709
Thi Giang Hoang, Minh Khue Pham, Claire E Sterk, Dabney P Evans, Stephanie Spaid Miedema, Kathryn M Yount
{"title":"Prevalence of violence victimisation and poly-victimisation among female sex workers in Haiphong, Viet Nam: A cross-sectional study.","authors":"Thi Giang Hoang, Minh Khue Pham, Claire E Sterk, Dabney P Evans, Stephanie Spaid Miedema, Kathryn M Yount","doi":"10.1080/17441692.2024.2308709","DOIUrl":"10.1080/17441692.2024.2308709","url":null,"abstract":"<p><p>This cross-sectional study is the first to describe the prevalence of violence and poly-victimisation among 310 female sex workers (FSWs) who were cisgender in Haiphong, Viet Nam. An adapted version of the WHO-Multi-Country Study on Violence against Women Survey Instrument was administered to assess physical, sexual, economic and emotional forms of violence perpetrated by an intimate partner, paying partner/client, and/or others (e.g. relatives, police, strangers and other FSWs) during adulthood. The ACE-Q scale was administered to assess adverse childhood experiences (ACEs) before age 18 years. Our findings showed that FSWs are exposed to high rates of multiple forms of violence by multiple perpetrators. For any male client-perpetrated violence (CPV), lifetime prevalence was 70.0%, with 12-month prevalence 61.3%. Lifetime prevalence of male intimate partner violence (IPV) was 62.1%, and the 12-month prevalence was 58.2%. Lifetime and prior 12-month prevalence of physical and/or sexual violence by other perpetrators (OPV) was 18.1% and 14.2%, respectively. Sixty-five percent of FSWs reported at least one type of ACE. Overall, 21.6 percent of FSWs reported having experienced all three forms of violence (IPV, CPV and OPV) in their lifetime. Policy and programme recommendations for screening and prevention of violence are needed in this setting.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2308709"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11246117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139691646","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
'I am because you are': Community support as a bridge to mental wellbeing for resettled African refugee women living in Rhode Island. 因为有你,所以有我":社区支持是重新安置在罗德岛的非洲难民妇女获得心理健康的桥梁。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.1080/17441692.2024.2314106
Kira DiClemente-Bosco, Aline Binyungu, Clement Shabani, Jennifer A Pellowski, Don Operario, Nicole Nugent, Abigail Harrison
{"title":"'I am because you are': Community support as a bridge to mental wellbeing for resettled African refugee women living in Rhode Island.","authors":"Kira DiClemente-Bosco, Aline Binyungu, Clement Shabani, Jennifer A Pellowski, Don Operario, Nicole Nugent, Abigail Harrison","doi":"10.1080/17441692.2024.2314106","DOIUrl":"10.1080/17441692.2024.2314106","url":null,"abstract":"<p><p>African refugee women resettled in the United States are exposed to multiple risk factors for poor mental health. Currently, no comprehensive framework exists on which to guide mental health interventions specific to this population. Through a community-based participatory research partnership, we interviewed <i>N</i> = 15 resettled African refugees living in Rhode Island. Here we (1) describe how meanings of mental health within the African refugee community vary from US understandings of PTSD, depression, and anxiety and (2) generate a framework revealing how mental health among participants results from interactions between social support, African sociocultural norms, and US norms and systems. Multiple barriers and facilitators of mental wellbeing lie at the intersections of these three primary concepts. We recommend that public health and medicine leverage the strength of existing community networks and organisations to address the heavy burden of poor mental health among resettled African refugee women.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2314106"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10966713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706551","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
Stigmatisation and resistance processes: Reflections on the field of HIV research and an agenda for contemporary stigma studies. 污名化和抵制过程:对艾滋病研究领域的思考和当代污名化研究议程。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-17 DOI: 10.1080/17441692.2024.2371390
Laio Magno, Veriano Terto, Richard Parker
{"title":"Stigmatisation and resistance processes: Reflections on the field of HIV research and an agenda for contemporary stigma studies.","authors":"Laio Magno, Veriano Terto, Richard Parker","doi":"10.1080/17441692.2024.2371390","DOIUrl":"10.1080/17441692.2024.2371390","url":null,"abstract":"<p><p>Stigmatisation processes constitute key barriers to effectively addressing the HIV pandemic. In this article, we provide a critical overview of this field's current state of the art, highlighting some key emerging issues that merit greater research attention in the future to ensure that contemporary research on stigmatisation and resistance processes continues to engage with changing social and political circumstances. We look at how resistance to stigma has developed in the context of HIV and highlight some of the most important programmatic strategies that have emerged over the history of the pandemic. We present the key concepts of 'moral panics' and 'necropolitics', and we articulate them in relation to new global phenomena that deepen the processes of stigmatisation. Moreover, we identify an agenda for investigation which merits greater attention in future research, intervention, and advocacy: 1) changing political environments, neoliberalism, growing political polarisation, and the rise of political extremism; 2) the rise of the information age, technological change, and social media; and 3) rebuilding civil society and governmental responses to stigma.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2371390"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141626532","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
Parent-child conflict and adolescent health literacy in Mexico: Results from a nationwide dyad study in Mexico. 墨西哥的亲子冲突与青少年健康素养:墨西哥全国范围内的双亲研究结果。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-03-11 DOI: 10.1080/17441692.2024.2326017
Steven Hoffman, Alyssa Black, Kaitlin Ward, Anna Bennion, David Wood, Flavio F Marsiglia
{"title":"Parent-child conflict and adolescent health literacy in Mexico: Results from a nationwide dyad study in Mexico.","authors":"Steven Hoffman, Alyssa Black, Kaitlin Ward, Anna Bennion, David Wood, Flavio F Marsiglia","doi":"10.1080/17441692.2024.2326017","DOIUrl":"10.1080/17441692.2024.2326017","url":null,"abstract":"<p><p>Research suggests that health literacy (HL) is critical in preventing and managing health problems. However, over half of adults in Mexico report having inadequate health literacy. Research suggests the parent-child relationship can be a key predictor of developmental competencies; however, little research has examined how dyadic family interactions relate to HL. This study examined whether parent-child relationship conflict was associated with adolescent health literacy among families living in Mexico. Data from a parent-child dyads in Mexico were gathered using online surveys (<i>N</i> = 746, 373 parent-child dyads). Our findings suggested that child-reported family conflict-but not parent-reported family conflict - was associated with lower adolescent health literacy. Researchers and practitioners should consider how parent-child conflict may impact adolescent health outcomes, and prioritise child reports in data collection.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2326017"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140101436","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
Gender norms in a context of legal pluralism: Impacts on the health of women and girls in Ethiopia. 法律多元化背景下的性别规范:对埃塞俄比亚妇女和女童健康的影响。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-03-12 DOI: 10.1080/17441692.2024.2326016
David Cohen, Kyra Jasper, Alisha Zhao, Khadija Taoufik Moalla, Kasirim Nwuke, Sophia Nesamoney, Gary L Darmstadt
{"title":"Gender norms in a context of legal pluralism: Impacts on the health of women and girls in Ethiopia.","authors":"David Cohen, Kyra Jasper, Alisha Zhao, Khadija Taoufik Moalla, Kasirim Nwuke, Sophia Nesamoney, Gary L Darmstadt","doi":"10.1080/17441692.2024.2326016","DOIUrl":"10.1080/17441692.2024.2326016","url":null,"abstract":"<p><p>To achieve Sustainable Development Goal 5 for gender equality by 2030, it is crucial for health and development professionals and governmental officials to understand how legal systems empower or oppress populations on the basis of gender worldwide, including opportunities and challenges of statutory provisions created by legal pluralism. Using Ethiopia as a case study, this paper examines how local laws applied in Sharia and Customary Dispute Resolution courts impact gender equality and the health of women and girls inspite of the inculcation of human rights statutes into national legislation, including the Constitution. We identify several key issues with the substantive law and its enforcement. First, laws which have been instituted at the national level to improve gender equally have been poorly enforced at the local level. Second, there is a sustained enforcement of laws that oppress women and that protect male perpetrators of gender-based violations. Third, local courts limit female representation and uphold patriarchy. To improve the health of women and girls, stakeholders must take into consideration the ways in which legal systems uphold harmful gender norms and obstruct and/or advance progress towards equal representation, opportunities, and constitutionally-mandated protections for all.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2326016"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109835","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
Youth-friendly services was the magic: Experiences of adolescent girls and young women in the community PrEP study, South Africa. 对青年友好的服务是一种魔力:南非社区 PrEP 研究中少女和年轻妇女的经历。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1080/17441692.2024.2349918
Emily Krogstad Mudzingwa, Lindsey de Vos, Lauren Fynn, Millicent Atujuna, Ingrid T Katz, Sybil Hosek, Connie Celum, Joseph Daniels, Linda-Gail Bekker, Andrew Medina-Marino
{"title":"Youth-friendly services was the magic: Experiences of adolescent girls and young women in the community PrEP study, South Africa.","authors":"Emily Krogstad Mudzingwa, Lindsey de Vos, Lauren Fynn, Millicent Atujuna, Ingrid T Katz, Sybil Hosek, Connie Celum, Joseph Daniels, Linda-Gail Bekker, Andrew Medina-Marino","doi":"10.1080/17441692.2024.2349918","DOIUrl":"10.1080/17441692.2024.2349918","url":null,"abstract":"<p><p>Adherence to daily oral pre-exposure prophylaxis (PrEP) for HIV prevention has been challenging for adolescent girls and young women (AGYW). As part of The Community PrEP Study (CPS), AGYW were randomised to HIV-prevention empowerment counselling (intervention) or basic medication pick-up (control). In this qualitative sub-study, we interviewed AGYW participants (<i>n</i> = 39) to explore PrEP use and study experiences by study arm, and study staff (<i>n</i> = 7) to explore study implementation, site environment, and participant engagement. Data were thematically analysed using a constant comparison approach. Comparative matrices assessed similarities and differences in study experiences and PrEP support preferences. Friendly, non-judgmental, non-stigmatizing study staff were described as central to participant's positive experiences. Participants highly valued CPS staff's holistic health support (e.g. physical and psycho-social). Intervention participants described empowerment counselling as helpful in supporting PrEP disclosure. However, control participants also described disclosing PrEP use to trusted individuals. Participants and staff recommended public-sector PrEP services provide holistic, confidential, and integrated sexual and reproductive health services, and community sensitisation. An adolescent and youth-friendly environment was the primary factor motivating AGYW's study engagement. While HIV-prevention empowerment counselling was well received, welcoming, respectful and non-judgmental staff may be the 'secret sauce' for implementing effective PrEP services to AGYW.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2349918"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11101151/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944317","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
Legislating for Good Governance in the Pharmaceutical Sector through UN Convention Against Corruption (UNCAC) Compliance. 通过遵守《联合国反腐败公约》(UNCAC)为制药行业的善治立法。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1080/17441692.2024.2350649
Anna Wong, Katrina Perehudoff, Jillian Clare Kohler
{"title":"Legislating for Good Governance in the Pharmaceutical Sector through UN Convention Against Corruption (UNCAC) Compliance.","authors":"Anna Wong, Katrina Perehudoff, Jillian Clare Kohler","doi":"10.1080/17441692.2024.2350649","DOIUrl":"10.1080/17441692.2024.2350649","url":null,"abstract":"<p><p>Pharmaceutical sector corruption undermines patient access to medicines by diverting public funds for private gain and exacerbating health inequities<b>.</b> This paper presents an analysis of <i>UN Convention Against Corruption</i> (UNCAC) compliance in seven countries and examines how full UNCAC adoption may reduce corruption risks within four key pharmaceutical decision-making points: product approval, formulary selection, procurement, and dispensing. Countries were selected based on their participation in the Medicines Transparency Alliance and the WHO Good Governance for Medicines Programme. Each country's domestic anti-corruption laws and policies were catalogued and analysed to evaluate their implementation of select UNCAC Articles relevant to the pharmaceutical sector. Countries displayed high compliance with UNCAC provisions on procurement and the recognition of most public sector corruption offences. However, several countries do not penalise private sector bribery or provide statutory protection to whistleblowers or witnesses in corruption proceedings, suggesting that private sector pharmaceutical dispensing may be a decision-making point particularly vulnerable to corruption. Fully implementing the UNCAC is a meaningful first step that countries can take reduce pharmaceutical sector corruption. However, without broader commitment to cultures of transparency and institutional integrity, corruption legislation alone is likely insufficient to ensure long-term, sustainable pharmaceutical sector good governance.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2350649"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944350","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
Coping strategies, challenges and potential interventions among adult patients with HIV and mental illness comorbidity in southwestern Uganda. 乌干达西南部艾滋病和精神疾病合并症成年患者的应对策略、挑战和潜在干预措施。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-11 DOI: 10.1080/17441692.2024.2372802
Prosper Katugume, John Bosco Namukowa, Oliver Nankunda, Trevor James Muhwezi, Ruth Namaseruka, Edith K Wakida, Celestino Obua, Nathan Kakongi
{"title":"Coping strategies, challenges and potential interventions among adult patients with HIV and mental illness comorbidity in southwestern Uganda.","authors":"Prosper Katugume, John Bosco Namukowa, Oliver Nankunda, Trevor James Muhwezi, Ruth Namaseruka, Edith K Wakida, Celestino Obua, Nathan Kakongi","doi":"10.1080/17441692.2024.2372802","DOIUrl":"10.1080/17441692.2024.2372802","url":null,"abstract":"<p><p>HIV and mental illness comorbidity presents significant healthcare challenges, especially in low- and middle-income countries where healthcare systems often address individual conditions rather than comorbidities. This results in poor coping, increased vulnerability and diminished health-related quality of life. This study investigated coping strategies, challenges and potential interventions for individuals with HIV-mental illness comorbidity in Southwestern Uganda. The study included purposively selected people with HIV and mental illnesses seeking care in health facilities across Southwestern Uganda. Data from in-depth, semi-structured interviews were transcribed verbatim and entered into ATLAS.ti-7 for analysis. Thematic analysis was employed, generating codes from the transcripts to develop themes. The data revealed three categories: coping strategies, challenges and potential interventions. Three key coping strategies emerged: conscious avoidance of emotional stressors, maintaining emotional stability through social interactions and reliance on prayer. Challenges included social isolation, financial crises, vulnerability to abuse and medication management issues. Respondents recommended scaling up mass educational programmes to increase awareness of causes, preventive measures and association between the two comorbidities, together with implementing financial aid initiatives as viable interventions. These findings highlight the importance of addressing comorbidities together for improved emotional stability and underscore the value of the proposed potential interventions for healthcare systems and policymakers.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2372802"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11471974/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141579494","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
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