Global Public Health最新文献_第6页

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":"Pharmaceutical sector corruption undermines patient access to medicines by diverting public funds for private gain and exacerbating health inequities. This paper presents an analysis of UN Convention Against Corruption (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.","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":"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.","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

Correction. 更正。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-13 DOI: 10.1080/17441692.2024.2378495

引用次数: 0

Epidemias de significação e políticas de saúde global: Do fim da AIDS ao fim da ampliação da resposta global da AIDS. 意义重大的流行病与全球卫生政策：从艾滋病的终结到全球艾滋病防治规模扩大的终结。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-19 DOI: 10.1080/17441692.2024.2386920

Richard Parker

{"title":"Epidemias de significação e políticas de saúde global: Do fim da AIDS ao fim da ampliação da resposta global da AIDS.","authors":"Richard Parker","doi":"10.1080/17441692.2024.2386920","DOIUrl":"https://doi.org/10.1080/17441692.2024.2386920","url":null,"abstract":"RESUMONas últimas quatro décadas e meia, a história da pandemia de HIV passou por várias fases que podem ser pensadas como ondas distintas em termos da resposta social e política que a pandemia gerou. Ao longo dessa história, houve batalhas importantes sobre os significados e interpretações que a resposta à pandemia produziu. Mas, especialmente na última década, parece haver uma crescente desconexão entre as alegações de sucesso feitas por muitas agências globais de saúde e formuladores de políticas e a realidade empírica que essas alegações encobrem. Este comentário argumenta que a 'ampliação' ('scale-up') da resposta à pandemia essencialmente chegou ao fim e enfatiza a importância de um debate político mais honesto sobre o estado atual da resposta global ao HIV. Argumenta que, a fim de melhor definir os rumos que tal resposta deve tomar no futuro, exige que pensemos criticamente sobre as formas como essa resposta se desenvolveu historicamente, que reconheçamos os avanços significativos alcançados nas últimas décadas, mas também que reconheçamos a encruzilhada a que chegou em meados da década de 2020.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2386920"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141999769","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

'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":"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 N = 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.","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

Commentary: COVID-19 healthcare barriers around vaccine uptake among migrant workers within the Canadian Prairies. 评论：COVID-19 加拿大草原地区外来务工人员接种疫苗的保健障碍。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-11-14 DOI: 10.1080/17441692.2024.2426133

Anthony Huynh, Souradet Shaw, Lisa Lazarus, Diwa Marcelino, Robert Lorway

引用次数: 0

Global translation and adaptation of social medicines and structural competencies. 社会药品和结构能力的全球转化和调整。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-19 DOI: 10.1080/17441692.2024.2308706

Helena Hansen

引用次数: 0

Learning from a gender transformative intervention among faith-leaders in Woliso, Ethiopia: A qualitative study. 从埃塞俄比亚 Woliso 信仰领袖的性别变革干预中学习：定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-05 DOI: 10.1080/17441692.2024.2386988

Elisa Gobbo, Addise Amado Dube, Mengistu Demeke, Wosene Berhanu, Nesanet Megersa, Yoska Amenu, Adamu Addisse, Sibylle Herzig Van Wees

{"title":"Learning from a gender transformative intervention among faith-leaders in Woliso, Ethiopia: A qualitative study.","authors":"Elisa Gobbo, Addise Amado Dube, Mengistu Demeke, Wosene Berhanu, Nesanet Megersa, Yoska Amenu, Adamu Addisse, Sibylle Herzig Van Wees","doi":"10.1080/17441692.2024.2386988","DOIUrl":"https://doi.org/10.1080/17441692.2024.2386988","url":null,"abstract":"Violence against women and girls (VAWG) continues to be a pervasive issue globally, and in Ethiopia, that harms women and challenges progress towards a more gender-equal society. Many interrelated social, economic, and cultural factors impact VAWG. Religion is a complex factor that can contribute to and act as a preventative measure against VAWG. Thus, faith-leaders have been identified as key actors in VAWG prevention. This study examines Ethiopian Evangelical faith-leaders transformative knowledge change following a Channels of Hope for Gender training intervention. Focus group discussions were conducted with faith-leaders from five different Evangelical Church groups. The results show that the faith-leaders' experience of the Channels of Hope training challenged their gender norms and allowed them to enact relationship and community-level changes. Additionally, they demonstrated efforts and interest in generating change at the level of the Church. However, barriers remained to fully addressing VAWG and implement gender transformative learning more widely. Thus, we conclude that the Channels for Hope training is useful in generating mindset changes and improving relationship-level interactions, but that it requires a longer implementation timeframe and further support from other structures and interventions to achieve sustainable change to prevent VAWG.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2386988"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141893254","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

'We are in control of this thing, and we know what to do now': Pilot and process evaluation of 'Diabetes Together', a couples-focused intervention to support self-management of Type 2 Diabetes in South Africa. 我们能控制病情，我们知道现在该做什么"：在南非，"携手糖尿病 "是一项以夫妻为重点的干预措施，旨在支持 2 型糖尿病患者的自我管理。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-11 DOI: 10.1080/17441692.2024.2386979

Lucy Lynch, Myrna van Pinxteren, Peter Delobelle, Naomi Levitt, Buyelwa Majikela-Dlangamandla, Kate Greenwell, Nuala McGrath

{"title":"'We are in control of this thing, and we know what to do now': Pilot and process evaluation of 'Diabetes Together', a couples-focused intervention to support self-management of Type 2 Diabetes in South Africa.","authors":"Lucy Lynch, Myrna van Pinxteren, Peter Delobelle, Naomi Levitt, Buyelwa Majikela-Dlangamandla, Kate Greenwell, Nuala McGrath","doi":"10.1080/17441692.2024.2386979","DOIUrl":"https://doi.org/10.1080/17441692.2024.2386979","url":null,"abstract":"We piloted the delivery of a prototype couples-focused intervention, 'Diabetes Together' with 14 people living with diabetes (PLWD) and their partners, in Cape Town, South Africa in 2022. We aimed to: assess feasibility of recruiting couples in this setting; explore acceptability of intervention materials and changes needed; and investigate whether our prespecified logic model captured how the intervention may work. We used questionnaires, interviews and focus groups after each workshop and after couples completed counselling. We conducted a process evaluation to identify intervention modifications and used inductive thematic analysis to explore whether the data supported our logic model. Twelve of the 14 couples completed the second workshop and 2 couples completed two counselling sessions post-workshop. Feedback showed participants appreciated the intervention and limited improvements were made. Thematic analysis identified four main themes: (1) involving partners matters; (2) group work supports solidarity with other couples; (3) improving communication between partners is crucial; and (4) taking part helped couples to take control of diabetes. Data suggested the logic model should explicitly acknowledge the importance of group education and of equalising partners' knowledge. This pilot suggests that 'Diabetes Together' increased knowledge and skills within couples and could facilitate improved, collaborative self-management of diabetes.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2386979"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141916571","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

Water insecurity is associated with intimate partner violence among female adolescents and youth but not males in rural Tanzania: A cross-sectional study. 在坦桑尼亚农村地区，用水不安全与女性青少年亲密伴侣间的暴力行为有关，但与男性无关：一项横断面研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-10-07 DOI: 10.1080/17441692.2024.2409369

Nelli Kisliuk, Sarah LaPointe, Sera L Young, Leah Prencipe, Paul Luchemba, Tumpe Mnyawami Lukongo, Tia Palermo

{"title":"Water insecurity is associated with intimate partner violence among female adolescents and youth but not males in rural Tanzania: A cross-sectional study.","authors":"Nelli Kisliuk, Sarah LaPointe, Sera L Young, Leah Prencipe, Paul Luchemba, Tumpe Mnyawami Lukongo, Tia Palermo","doi":"10.1080/17441692.2024.2409369","DOIUrl":"https://doi.org/10.1080/17441692.2024.2409369","url":null,"abstract":"Food insecurity increases intimate partner violence (IPV), but less is known about water insecurity (WI) and IPV. We examined the association between household WI and IPV among adolescents and youth in the Mbeya and Iringa regions of Tanzania. The cross-sectional sample comprised 977 males and females aged 18-23 years living in rural, impoverished households. We conducted multivariate logistic regression analyses to estimate the association between experiences of WI [measured by the Household Water Insecurity Experiences (HWISE-4) Scale] and physical and/or emotional IPV (measured by an adapted Conflict Tactics Scale). Overall, WI (HWISE ≥4) was associated with 74% higher odds of any IPV (marginal effects (ME) of 7.8 percentage points (pp)), compared to those not WI. Among females (but not males), WI was associated with 3-fold higher odds of any IPV (OR = 3.00; 95% CI: [1.52, 5.94]; ME = 14 pp). Compared to non-WI females, WI females had 5- and 2-fold higher odds of IPV (ME = 30.8 and 11.3 pp) among the ever married and never married sub-samples, respectively. The association between WI and IPV among females was attenuated (OR = 1.93; 95% CI: [0.93, 3.97]) when adjusting for household food insecurity. Ameliorating water insecurity is a promising avenue for IPV reduction.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2409369"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142389825","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