Global Public HealthPub Date : 2024-01-01Epub Date: 2023-12-29DOI: 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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-03-12DOI: 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}
{"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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-02-07DOI: 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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-05-08DOI: 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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-06-25DOI: 10.1080/17441692.2024.2357211
Ulla Walmisley, Michelle De Jong, Asha George, Ida Okeyo, Carmen Späth, Nandi Siegfried, Nadine Harker, Mark Tomlinson, Tanya Doherty
{"title":"Whole-of-community and intersectoral interventions that address alcohol-related harms: A scoping review.","authors":"Ulla Walmisley, Michelle De Jong, Asha George, Ida Okeyo, Carmen Späth, Nandi Siegfried, Nadine Harker, Mark Tomlinson, Tanya Doherty","doi":"10.1080/17441692.2024.2357211","DOIUrl":"10.1080/17441692.2024.2357211","url":null,"abstract":"<p><p>Alcohol harms threaten global population health, with youth particularly vulnerable. Low - and middle-income countries (LMIC) are increasingly targeted by the alcohol industry. Intersectoral and whole-of-community actions are recommended to combat alcohol harms, but there is insufficient global evidence synthesis and research examining interventions in LMIC. This paper maps existing literature on whole-of - community and intersectoral alcohol harms reduction interventions in high-income countries (HIC) and LMIC. Systematic searching and screening produced 61 articles from an initial set of 1325: HIC (<i>n = </i>53), LMIC (<i>n = </i>8). Data were extracted on geographic location, intersectoral action, reported outcomes, barriers, and enablers. HIC interventions most often targeted adolescents and combined community action with other components. LMIC interventions did not target adolescents or use policy, schools, alcohol outlets, or enforcement components. Programme enablers were a clear intervention focus with high political support and local level leadership, locally appropriate plans, high community motivation, community action and specific strategies for parents. Challenges were sustainability, complexity of interventions, managing participant expectations and difficulty engaging multiple sectors. A learning agenda to pilot, scale and sustain whole-of-community approaches to address alcohol harms in settings is crucial, with consideration of local contexts and capacities, more standardised methods, and a focus on community-driven action.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2357211"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141446066","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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-08-20DOI: 10.1080/17441692.2024.2387445
Henry Komakech, Evelyn Baelvina Nyachwo, David Lubogo
{"title":"Integrated health services for refugee and host populations in Uganda: A qualitative study of stakeholder's perspectives.","authors":"Henry Komakech, Evelyn Baelvina Nyachwo, David Lubogo","doi":"10.1080/17441692.2024.2387445","DOIUrl":"https://doi.org/10.1080/17441692.2024.2387445","url":null,"abstract":"<p><p>Integration has emerged as a key strategy for promoting equitable access to health services for refugees and host populations. This study explored the perceptions and experiences of stakeholders on the integration of health services for refugees and host populations in two purposefully selected refugee-hosting districts of Adjumani and Obongi in the West Nile region, Uganda. This study used a case study design. Key informant interviews were conducted with 28 purposefully selected respondents. Data were analysed thematically. Quirkos software was used to manage and analyse data. Respondents indicated that integration is enhancing health services, providing an opportunity to strengthen them and improve coverage and access for refugees and host populations. Factors affecting integration include gaps in policy and implementation, ineffective systems and structures for service delivery, inadequate coordination and management and inadequate funding. At the service level challenges including inadequate infrastructure, shortage of health workers and stock out of medicines and essential supplies affect the integration of health services. Overall, structural and systemic issues continue to affect the integration of health services. It is important to strengthen policy implementation and build the capacity of districts to support the integration of health services.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2387445"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142004066","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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-08-23DOI: 10.1080/17441692.2024.2394811
Arsenii Alenichev, Koen Peeters Grietens, Jonathan Shaffer, Sonya de Laat, Nassisse Solomon, Michael Parker, Halina Suwalowska, Patricia Kingori
{"title":"Global health photography behind the façade of empowerment and decolonisation.","authors":"Arsenii Alenichev, Koen Peeters Grietens, Jonathan Shaffer, Sonya de Laat, Nassisse Solomon, Michael Parker, Halina Suwalowska, Patricia Kingori","doi":"10.1080/17441692.2024.2394811","DOIUrl":"https://doi.org/10.1080/17441692.2024.2394811","url":null,"abstract":"<p><p>Global health photography has historically been commissioned and, therefore, dominated by the gaze of Western photographers on assignments in the Global South. This is changing as part of international calls to decolonise global health and stimulate 'empowerment', spawning a growing initiative to hire local photographers. This article, based on interviews with global health photographers, reflects on this paradigm shift. It highlights how behind the laudable aim of 'empowerment' of local global health photography there is a simultaneous exploitation of precarious photographer labour and the emergence of 'glocal' photography elites. The paper argues that empowerment of local photographers can become a euphemism for reducing image production costs and maintaining control over the image content, while extending the scope of mainstream global health visual culture without challenging it. Finally, the article amplifies the growing concern that uncritical engagement with institutionalised empowerment becomes a warrant for the reproduction of local inequalities behind the fashionable façade of cooperation and care.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2394811"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142035689","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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-09-16DOI: 10.1080/17441692.2024.2397691
Samuel Ndayishimye, Adesina Oladokun, Marie Francoise Mukanyangezi
{"title":"User experiences of selfcare interventions for sexual and reproductive health services in community pharmacies in Rwanda: A qualitative study.","authors":"Samuel Ndayishimye, Adesina Oladokun, Marie Francoise Mukanyangezi","doi":"10.1080/17441692.2024.2397691","DOIUrl":"https://doi.org/10.1080/17441692.2024.2397691","url":null,"abstract":"<p><p>Self-care interventions for sexual and reproductive health (SRH) empower individuals to autonomously access services, reducing their reliance on traditional healthcare settings. However, there is limited knowledge about community pharmacy-based SRH services in Rwanda. Therefore, this study aims to explore the experiences of community pharmacy-based SRH users and inform strategies to enhance service delivery effectiveness. This study employed a qualitative research approach employing a phenomenological design. Semi-structured in-depth interviews were conducted with 22 participants from 1st June 2023 to 20th March 2024, in 5 Districts of Rwanda. Participants were recruited using purposive sampling methods. The interviews were recorded, transcribed, and imported into NVivo 11 software for further analysis. Users of pharmacy-based SRH products intended for self-care interventions reported positive experiences. Three main themes emerged from the interviews: community pharmacies ensured the utmost confidentiality, provided fast service delivery with minimal procedures, and expressed user satisfaction with friendly communication. Users of community pharmacy-based SRH services intended for self-care use reported positive experiences with community pharmacies. They received the needed confidentiality, faster service delivery, and friendly communication with community pharmacists. There is a pressing need for close collaboration among the public, private, and stakeholders to empower citizens over their SRH.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2397691"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142284367","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}
Global Public HealthPub Date : 2024-01-01Epub Date: 2024-07-15DOI: 10.1080/17441692.2024.2372788
Tennessee Miller, Josien de Klerk
{"title":"An uncertain recovery: The physical toll of COVID-19 infection on liberal arts and sciences students in the Netherlands.","authors":"Tennessee Miller, Josien de Klerk","doi":"10.1080/17441692.2024.2372788","DOIUrl":"10.1080/17441692.2024.2372788","url":null,"abstract":"<p><p>This study examines the recovery experiences of students at a university college in the Netherlands during an outbreak of COVID-19 in the spring of 2022. University policy was based on the conception of COVID-19 as short-term, with a defined recovery timeline. Despite perceptions that young people face lower risks for prolonged recovery, our study reveals a different reality.Among 36 students with COVID-19, twelve experienced symptoms for over one month. Ten semi-structured interviews revealed heterogenous recovery experiences: good, mild, moderate, and difficult. We also explored how diverse recoveries interacted with academic work. Lingering symptoms ranged from smell loss to brain fog and prolonged fatigue.The unpredictability of recovery made it difficult to attribute symptoms to COVID-19 or academic work pressure. In the context of expectations to resume academic work, some students failed to recognise their ongoing struggles. An absence of conversation regarding recovery in a demanding academic environment renders diverse recovery experiences invisible. Our findings emphasise the need for a broader conceptualisation of COVID-19 recovery amongst young people and call for further research exploring the interaction between students' illness experiences and the fast-paced academic environment.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2372788"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141619820","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}