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Health care utilisation in Cox's Bazar district, Bangladesh, during the first year of the COVID-19 pandemic: A mixed-methods study among host communities. 在 COVID-19 大流行的第一年,孟加拉国考克斯巴扎尔地区的医疗保健利用情况:在收容社区开展的混合方法研究。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-01-22 DOI: 10.1080/17441692.2024.2305364
Chiara Altare, Natalya Kostandova, Md Abul Hasan, Jogie Abucejo Agbogan, Md Lalan Miah, Hannah Crockett, Madison Bates, Sharon Leslie, Brigitte Tonon, Caroline Antoine, Paul Spiegel
{"title":"Health care utilisation in Cox's Bazar district, Bangladesh, during the first year of the COVID-19 pandemic: A mixed-methods study among host communities.","authors":"Chiara Altare, Natalya Kostandova, Md Abul Hasan, Jogie Abucejo Agbogan, Md Lalan Miah, Hannah Crockett, Madison Bates, Sharon Leslie, Brigitte Tonon, Caroline Antoine, Paul Spiegel","doi":"10.1080/17441692.2024.2305364","DOIUrl":"10.1080/17441692.2024.2305364","url":null,"abstract":"<p><p>To respond to the COVID-19 pandemic, countries introduced public health and social measures that had indirect societal, economic consequences. Concerns during epidemics include continuity of routine health services. We investigate how healthcare utilisation and healthcare seeking behaviour changed during the first year of the COVID-19 pandemic among host communities in Cox's Bazar, Bangladesh. This mixed-methods study combines quantitative analyses of routine health data and population-based findings about healthcare seeking behaviours. Trends in consultations changed according to facility level (higher-level facilities included Upazila Health Complexes and District Hospitals; lower-level facilities included Community Clinics and Union Health and Family Welfare Centers). At the pandemic's beginning, drops were seen at higher-level health facilities for outpatient department (OPD) consultations, respiratory infections, and antenatal care. Minor reductions or increases were seen at lower-level facilities for the same services. Half of the subdistricts reported a cumulative increase in OPD and respiratory tract infection consultations. Most subdistricts reported a cumulative decrease in antenatal care. Child vaccinations dropped in all subdistricts, half of which did not catch-up, resulting in a cumulative decrease of delivered doses. Fear of contracting COVID-19 and financial constraints were the main reasons for decreased access. Drivers of healthcare seeking behaviours should be better understood to guide preparedness and service delivery modalities at primary and secondary levels.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2305364"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520561","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
Individual agency and social support in healing from conflict-related sexual violence: A case history from eastern DRC. 与冲突有关的性暴力愈合过程中的个人作用和社会支持:刚果民主共和国东部的一个案例。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-05 DOI: 10.1080/17441692.2024.2308717
Ali Bitenga Alexandre
{"title":"Individual agency and social support in healing from conflict-related sexual violence: A case history from eastern DRC.","authors":"Ali Bitenga Alexandre","doi":"10.1080/17441692.2024.2308717","DOIUrl":"10.1080/17441692.2024.2308717","url":null,"abstract":"<p><p>Examining the experience of a male survivor of rape through the salutogenic model and ecological theory, this case study explores how he imoved towards the direction of health after an atrocious experience of sexual violence perpetrated by members of an armed group. The study illustrates how he was able to deploy agency by undertaking a number of health-promoting actions to recover from the physical, mental, and social effects of conflict-related sexual violence. Initiatives in the process of improving one's health include self-care practice, searching for specialised care when self-care seems inefficient, relocation to new a setting post-rape, starting a business, testing one's reproductive capacities, marrying, taking care of the way he dressed, learning a new language, developing public speaking skills, owning a piece of land, having regular medical check-ups and ascending to power and decision-making bodies. His narrative shows how these initiatives are mirrored by both opportunities and setbacks. While more traditional survey-based studies focus on identifying which practices might be helpful in a healing context, this study sheds light on how an individual healing process might be complex and nuanced and is an important starting point towards our efforts to theorise resilience for male survivors.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2308717"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139681016","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
Promotion of livelihood opportunities to address food insecurity in Rohingya refugee camps of Bangladesh. 促进谋生机会,解决孟加拉国罗辛亚难民营的粮食不安全问题。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2023-12-20 DOI: 10.1080/17441692.2023.2295446
Afsana Anwar, Arm Mehrab Ali, Uday Narayan Yadav, Md Nazmul Huda, Abu Ansar Md Rizwan, Ateeb Ahmad Parray, Haribondhu Sarma, Oumma Halima, Nobonita Saha, Suvasish Das Shuvo, Probal Kumar Mondal, Abu Ahmed Shamim, Sabuj Kanti Mistry
{"title":"Promotion of livelihood opportunities to address food insecurity in Rohingya refugee camps of Bangladesh.","authors":"Afsana Anwar, Arm Mehrab Ali, Uday Narayan Yadav, Md Nazmul Huda, Abu Ansar Md Rizwan, Ateeb Ahmad Parray, Haribondhu Sarma, Oumma Halima, Nobonita Saha, Suvasish Das Shuvo, Probal Kumar Mondal, Abu Ahmed Shamim, Sabuj Kanti Mistry","doi":"10.1080/17441692.2023.2295446","DOIUrl":"10.1080/17441692.2023.2295446","url":null,"abstract":"<p><p>The world is facing a tremendous problem in the form of food insecurity that is posing a great challenge to achieving sustainable development goal 2 of creating a hunger-free world. Refugees and displaced populations are particularly vulnerable to food insecurity and malnutrition, who lack any productive assets and depend on aid. Rohingya refugees, displaced from Myanmar and took refuge in Cox's Bazar, Bangladesh, live in a crowded unhealthy environment and are severely vulnerable to food insecurity and malnutrition. In our recent study, we found that only 21.6% of the households in Rohingya refugee camps had acceptable food security status. Interestingly, this study further revealed that acceptable food security status was significantly higher among the households that had some additional income aside from aid, compared to those relying on aid alone. This shows the importance of promoting livelihood opportunities to improve food security status among the camp dwellers. In this paper, we presented our views on promoting livelihood opportunities to address the overwhelming food insecurity crisis among the Rohingya refugees in Bangladesh.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2295446"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138829295","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
Technologies that empower women for better access to healthcare in India - A scoping review. 增强印度妇女获得更好医疗服务能力的技术--范围界定审查。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-19 DOI: 10.1080/17441692.2024.2318240
Manikandan Srinivasan, Geethu Mathew, Namrata Mathew, Mohan Kumar, Nidhi Goyal, Mohan S Kamath
{"title":"Technologies that empower women for better access to healthcare in India - A scoping review.","authors":"Manikandan Srinivasan, Geethu Mathew, Namrata Mathew, Mohan Kumar, Nidhi Goyal, Mohan S Kamath","doi":"10.1080/17441692.2024.2318240","DOIUrl":"10.1080/17441692.2024.2318240","url":null,"abstract":"<p><p>Women from low- and middle-income countries face challenges in accessing and utilising quality healthcare. Technologies can aid in overcoming these challenges and the present scoping review is aimed at summarising the range of technologies used by women and assessing their role in enabling Indian women to learn about and access healthcare services. We conducted a comprehensive search from the date of inception of database till 2022 in PubMed and Google Scholar. Data was extracted from 43 studies and were thematically analysed. The range of technologies used by Indian women included integrated voice response system, short message services, audio-visual aids, telephone calls and mobile applications operated by health workers. Majority of the studies were community-based (79.1%), from five states (60.5%), done in rural settings (58.1%) and with interventional design (48.8%). Maternal and child health has been the major focus of studies, with lesser representation in domains of non-communicable and communicable diseases. The review also summarised barriers related to using technology - from health system and participant perspective. Technology-based interventions are enabling women to improve awareness about and accessibility to healthcare in India. Imparting digital literacy and scaling up technology use are potential solutions to scale-up healthcare access among women in India.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2318240"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139905456","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 varied perspectives of organisational effectiveness: What's at stake for early childhood development programmes in Rwanda? 组织效率的不同视角:卢旺达儿童早期发展计划的利害关系?
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-13 DOI: 10.1080/17441692.2024.2377280
Lyndsey D McMahan, Courtenay Sprague
{"title":"The varied perspectives of organisational effectiveness: What's at stake for early childhood development programmes in Rwanda?","authors":"Lyndsey D McMahan, Courtenay Sprague","doi":"10.1080/17441692.2024.2377280","DOIUrl":"10.1080/17441692.2024.2377280","url":null,"abstract":"<p><p>Within global health and development, dissatisfaction with nongovernmental organisations' effectiveness (NGOs) is an increasingly pervasive aspect of programming. Today, the international community no longer accepts that NGOs are doing what they claim. This change in expectations has emphasised the importance of measuring organisational effectiveness for improved health and development impact. Using New Institutionalism as a theoretical framework, we investigated how institutional norms and expectations influence the adoption of structures and processes by NGOs, and Early Childhood Development (ECD) programming effectiveness in Rwanda - since little research connects these concepts. We employed qualitative methods: 45 in-depth interviews and 6 focus group discussions. Findings revealed a misalignment of 'organizational effectiveness' across scales, from global to local. Findings stress that, effectiveness, though an expectation of the institutional environment, may not be a valid construct for NGOs, generating implications for ECD programming. Findings also indicate measurement of global health interventions generally and the notion of effectiveness specifically can yield adverse implications for ECD programming. These findings are relevant for researchers and practitioners trying to better understand organisational effectiveness for ECD programmes because they suggest that effectiveness is socially constructed and measured differently across the different scales.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2377280"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141603513","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
'At the end of their relationship, that man offered her a house': Qualitatively exploring Congolese women's agency in navigating sexual relations with UN peacekeepers within the context of a patriarchal setting in eastern DRC. 在他们关系结束时,那个男人给了她一套房子":在刚果民主共和国东部父权制背景下,定性探讨刚果妇女在与联合国维和人员发生性关系时的能动性。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2023-12-29 DOI: 10.1080/17441692.2023.2291698
Jessica F Petz, Gloria Nguya, Martin Baguma Nguba, Allison Goebel, Sabine Lee, Susan A Bartels
{"title":"'At the end of their relationship, that man offered her a house': Qualitatively exploring Congolese women's agency in navigating sexual relations with UN peacekeepers within the context of a patriarchal setting in eastern DRC.","authors":"Jessica F Petz, Gloria Nguya, Martin Baguma Nguba, Allison Goebel, Sabine Lee, Susan A Bartels","doi":"10.1080/17441692.2023.2291698","DOIUrl":"10.1080/17441692.2023.2291698","url":null,"abstract":"<p><p>The UN's Zero Tolerance Policy, which bans all relationships between UN staff and locals, portrays all relationships as exploitative, fails to account for nuances in these relationships and does not acknowledge the agency of local women or communities. This study uses community-based qualitative data from eastern DRC that shares narratives on a wide variety of consensual relationships between peacekeepers and local women. Our paper uses a data-driven approach, including a post-colonial feminist lens, and ideas of structural agency to provide an expanded definition of agency that invites readers to re-examine their views of women in conflict settings. Finally, we provide clear recommendations for the UN and other international non-governmental agencies on policies related to sexual exploitation and abuse.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2291698"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139073790","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
Navigating resistance in global health governance: Certification of smallpox eradication in China. 在全球卫生治理中应对阻力:中国根除天花认证。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-03-12 DOI: 10.1080/17441692.2024.2326011
Lu Chen
{"title":"Navigating resistance in global health governance: Certification of smallpox eradication in China.","authors":"Lu Chen","doi":"10.1080/17441692.2024.2326011","DOIUrl":"10.1080/17441692.2024.2326011","url":null,"abstract":"<p><p>Certification is an essential stage in disease eradication efforts, encompassing epidemiological, managerial, and political complexities. The certification of smallpox eradication in the People's Republic of China (PRC, or China) exemplifies the multifaceted nature of the certification. Despite eradicating smallpox in the early 1960s, before the Global Smallpox Eradication Programme (SEP) intensified in 1967, China was one of the last countries certified as smallpox-free by the World Health Organization (WHO) in 1979. The WHO encountered notable resistance during the certification of smallpox eradication in China. This article examines the underlying motivations propelling China's resistance, the factors that contributed to the shifts in its stance, the challenges navigated by the WHO, and the ultimate achievement of certification despite controversies surrounding its transparency and credibility. Through the case of the certification of smallpox eradication, the article provides a historical context of China's selective engagement in global health governance, emphasising the critical importance of building a trusting relationship between the WHO and its member states. It offers insights for fostering effective collaboration among diverse stakeholders driven by varied political agendas in addressing shared global health challenges such as the coronavirus disease (COVID-19) pandemic.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2326011"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109836","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
Scoping review on lessons learnt on the promotion and use of drugs and traditional medicine in Africa during COVID-19. 对 COVID-19 期间在非洲推广和使用药物及传统医学方面吸取的经验教训进行范围审查。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-03-12 DOI: 10.1080/17441692.2024.2323028
Rujeko Samanthia Chimukuche, Rachel Kawuma, Busisiwe Nkosi, Janet Seeley
{"title":"Scoping review on lessons learnt on the promotion and use of drugs and traditional medicine in Africa during COVID-19.","authors":"Rujeko Samanthia Chimukuche, Rachel Kawuma, Busisiwe Nkosi, Janet Seeley","doi":"10.1080/17441692.2024.2323028","DOIUrl":"10.1080/17441692.2024.2323028","url":null,"abstract":"<p><p><b>ABSTRACT</b>Scientific evidence on the safety and efficacy of pharmaceutical drugs, substances and herbal medicines is important in medical advertising and promotion. Following guidelines for conducting a scoping review, we systematically searched PubMed, SCOPUS and Web of Science to identify in peer reviewed articles medications that were promoted and used widely in Africa during the COVID-19 pandemic. We also searched for information about how safety concerns about untested/or not properly tested drugs were communicated to the public during the pandemic. Of the 2043 articles identified, 41 papers were eligible for inclusion. Most studies were clinical trials (<i>n = 11</i>), systematic reviews <i>(n = 9),</i> quantitative studies <i>(n = 9)</i> the rest were qualitative studies, reviews and reports<i>.</i> We found that following global trends, several drugs, traditional and herbal treatments were used and repurposed for the treatment of respiratory symptoms of COVID-19 in Africa. The results highlighted the value of some herbal medicines for treatment during the COVID-19 pandemic, as well as the risks posed by the unregulated sharing of advice and recommendations on treatments in Africa, and globally.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2323028"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140109837","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
Knowledge, perceptions and practices towards blood donation among undergraduate medical students in an upcountry Ugandan university: A mixed methods study. 乌干达内陆大学医科本科生对献血的认识、看法和实践:一项混合方法研究。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-07 DOI: 10.1080/17441692.2024.2311679
Catherine Kagoya, Yahaya Gavamukulya, David Jonah Soita
{"title":"Knowledge, perceptions and practices towards blood donation among undergraduate medical students in an upcountry Ugandan university: A mixed methods study.","authors":"Catherine Kagoya, Yahaya Gavamukulya, David Jonah Soita","doi":"10.1080/17441692.2024.2311679","DOIUrl":"10.1080/17441692.2024.2311679","url":null,"abstract":"<p><strong>Background: </strong>Due to the different factors affecting the maintenance of a constant supply of human blood in health facilities, this study aimed at exploring the knowledge, perceptions, and practices towards blood donation among under graduate medical students at Busitema University Faculty of Health Sciences (BUFHS).</p><p><strong>Methods: </strong>Using a convergent parallel mixed methods study design, 384 students were recruited into the study. Questionnaires and focused group discussions were used to collect the data. Stata version 15.0 and thematic analysis were used to analyze quantitative and qualitative data respectively.</p><p><strong>Results: </strong>Of the respondents, 151 (39.4%) had ever donated blood and 50.4% had good knowledge about blood donation. The commonest motivating factor towards blood donation was \"to save someone's life\". Factors associated with practices towards blood donation included: religion, year 2 of study and prior blood donation history. Being Jehovah's Witness reduced the willingness to donate blood by 88% compared to other religions. Thematic analysis revealed four themes namely; students' experiences and thoughts, driving forces to donate blood, fears and misconceptions, and suggestions to increase blood donors.</p><p><strong>Conclusion: </strong>The proportion of undergraduate medical students who had adequate level of knowledge about blood donation was moderately high, however, some of their perceptions towards it were unconventional. To ensure safe and adequate blood supply, design of strategies and tailored programs that promote blood donation is highly recommended..</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2311679"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702293","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
'It's a delicate topic': Stigma, capabilities and young people's mental health in post-conflict Colombia. 这是一个微妙的话题":冲突后哥伦比亚的耻辱、能力和年轻人的心理健康。
IF 2.3 3区 医学
Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI: 10.1080/17441692.2024.2346947
Sara Donetto, Shari Ortiz Baddan Sochandamandou, Maria Camila Garcia Duran, Philipp Hessel, Annie Zimmerman, Ricardo Araya Baltra, Fabio Idrobo
{"title":"'It's a delicate topic': Stigma, capabilities and young people's mental health in post-conflict Colombia.","authors":"Sara Donetto, Shari Ortiz Baddan Sochandamandou, Maria Camila Garcia Duran, Philipp Hessel, Annie Zimmerman, Ricardo Araya Baltra, Fabio Idrobo","doi":"10.1080/17441692.2024.2346947","DOIUrl":"10.1080/17441692.2024.2346947","url":null,"abstract":"<p><p>Young people in Colombia present high rates of mental health problems, to which the country's history of armed internal conflict contributes in complex ways. Mental health services in Colombia are fragmented, inadequate, and difficult to access for many. Young people's help-seeking is often hindered by mental health stigma and/or poor experiences with services. This paper presents a thematic analysis of qualitative data from a mixed-methods study aimed at developing and testing a mental health intervention for Colombian youths. We draw upon theoretical lenses from scholarly work on stigma and Sen's 'capabilities approach' to inform our analysis of interviews and group discussions with staff and young people involved in the state-funded human capital building programme 'Jovenes en Acción' (JeA). By illustrating how study participants talked about stigma, vulnerability, mental health services organisation, and the challenges of discussing mental health topics in a learning environment, we illuminate aspects of mental health support and anti-stigma interventions that might need enhancing. In particular, we suggest that more emphasis on 'community competencies' as complementary to and interrelated with individual competencies would strengthen young people's individual and collective resources for mental wellbeing while being in line with the sociocritical principles of existing human capital-enhancing programmes.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2346947"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140891812","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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