Global Public Health最新文献_第7页

An examination of sugar-sweetened beverage tax regulations in six jurisdictions: Applying a social justice perspective to beverage taxation and exemptions. 对六个司法管辖区含糖饮料税收法规的研究：从社会公正的角度看待饮料征税和免税问题。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-08-25 DOI: 10.1080/17441692.2024.2394806

Natalie D Riediger, Tamara Neufeld, Myra Tait, Lorna Turnbull, Kelsey Mann, Anne Waugh, Andrea Bombak

{"title":"An examination of sugar-sweetened beverage tax regulations in six jurisdictions: Applying a social justice perspective to beverage taxation and exemptions.","authors":"Natalie D Riediger, Tamara Neufeld, Myra Tait, Lorna Turnbull, Kelsey Mann, Anne Waugh, Andrea Bombak","doi":"10.1080/17441692.2024.2394806","DOIUrl":"https://doi.org/10.1080/17441692.2024.2394806","url":null,"abstract":"Taxes, legislation and politics are social determinants of health, which can impact health through multiple pathways. The purpose of this study was to review regulations regarding sugar-sweetened beverage (SSB) taxation and describe taxation/exemption of various beverage categories. We reviewed SSB taxation regulations from Mexico, the United Kingdom, Berkeley, Philadelphia, San Francisco and South Africa. Supplementary government documents and academic publications were also reviewed to further discern beverage taxation/exemption and zero-rating. There were a number of beverage types that fell clearly into typically taxed or exempt/zero-rated categories across all six jurisdictions (e.g. pop/soda as taxed and water as zero-rated). Exemptions and ambiguities within the six regulations can generally be grouped as a lack of clarity regarding the meaning and use of milk; the meaning of 'medical purposes' and 'supplemental'; the point at which a beverage is prepared; the form of concentrate (i.e. liquid/frozen/powder) or medium used (e.g. water, coffee); and location of preparation or business size of retailer. SSB tax regulations are complex, unclear, vary across jurisdiction and leave several beverage types with added sugar exempt from taxation or at risk of a legal challenge. Lastly, tax exemptions generally reflect and perpetuate existing sociopolitical dynamics within the food system.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2394806"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055384","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

'They didn't look at me with good eyes' - experiences of the socioeconomic impact of tuberculosis and support needs among adults in a semi-rural area in Mozambique: A Qualitative Study. 他们没有用善意的眼光看待我"--莫桑比克半农村地区成年人对结核病的社会经济影响和支持需求的体验：定性研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-07 DOI: 10.1080/17441692.2024.2311682

Pedroso Nhassengo, Clara Yoshino, Américo Zandamela, Verónica De Carmo, Bo Burström, Knut Lönnroth, Tom Wingfield, Celso Khosa, Salla Atkins

{"title":"'They didn't look at me with good eyes' - experiences of the socioeconomic impact of tuberculosis and support needs among adults in a semi-rural area in Mozambique: A Qualitative Study.","authors":"Pedroso Nhassengo, Clara Yoshino, Américo Zandamela, Verónica De Carmo, Bo Burström, Knut Lönnroth, Tom Wingfield, Celso Khosa, Salla Atkins","doi":"10.1080/17441692.2024.2311682","DOIUrl":"10.1080/17441692.2024.2311682","url":null,"abstract":"Tuberculosis is recognised as a disease of the economically disadvantaged people due to its association with financial vulnerability. Mozambique still faces the challenge of the high burden of TB and associated costs. We aimed to understand the social and economic impacts of TB and the need for social support among people with TB in Mozambique. We conducted a qualitative study using a phenomenological approach focusing on the lived experiences and perceptions of people with TB. A total of 52 semi-structured one-to-one in-depth interviews were conducted and data were analysed using a reflexive thematic analysis. Three themes were drawn from the analysis: (i) TB has a social and economic impact that requires adaptation and resourcefulness amongst those affected; (ii) People with TB have different preferences and needs for social support, and (iii) People with TB have different knowledge of, and experiences with, formal social support. TB affects family and community relationships mainly due to impacts on the household's finances. People with TB in Mozambique are not entitled to any form of social support, and they need to rely on help from family and the community which is often insufficient. Further investigation is needed on how social support schemes can be developed in Mozambique.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2311682"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139702294","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

'Ending AIDS' between comparison and commensuration and the role of global health indicators. 在比较与比较之间 "终结艾滋病 "以及全球健康指标的作用。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.1080/17441692.2024.2312435

Tony Sandset

{"title":"'Ending AIDS' between comparison and commensuration and the role of global health indicators.","authors":"Tony Sandset","doi":"10.1080/17441692.2024.2312435","DOIUrl":"10.1080/17441692.2024.2312435","url":null,"abstract":"The use of targets and indicators in global health has become ubiquitous within global health and disease elimination programmes. The drive to 'end AIDS' has become a global flagship endeavour, including nation-states, donor organisations, NGOs, pharmaceutical companies, medical researchers, and activists. Almost synonymous with the campaign of ending AIDS is UNAIDS' 90-90-90 targets. Beyond indicators' role in neoliberal global health, an essential aspect of indicators and quantitative metrics is their ability to provide a basis for measurements and comparability across time and between different actors and entities. These processes are based on what has been called, commensuration, visual simplification, and serialisation. This article seeks to provide an account of how we can think about indicators in the drive to end AIDS as doing work that is contingent upon commensuration, simplification, and serialisation. The argument is that by attending to issues of commensuration, visual simplification, and serialisation we are better able to see how we risk erasing and foreclosing other forms of conceptualising what the end of AIDS could be. Logics of quantification risks erasing and foreclosing other qualitative aspects of the HIV epidemic as well as obscuring various epistemological tensions inherent in counting towards the end of AIDS.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2312435"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139706550","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

Preparing for future pandemics while responding to the current ones in the midst of a planetary climate crisis: Can we face this triple global health challenge? 在地球气候危机的背景下，为未来的流行病做好准备，同时应对当前的流行病：我们能否应对这三重全球健康挑战？

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-09 DOI: 10.1080/17441692.2024.2351593

Dulce Ferraz, Draurio Barreira

{"title":"Preparing for future pandemics while responding to the current ones in the midst of a planetary climate crisis: Can we face this triple global health challenge?","authors":"Dulce Ferraz, Draurio Barreira","doi":"10.1080/17441692.2024.2351593","DOIUrl":"10.1080/17441692.2024.2351593","url":null,"abstract":"Global health faces the triple challenge of preparing for future pandemics while responding to current ones in the midst of a climate crisis. In this commentary, we discuss the heightened focus on pandemic preparedness after the COVID-19 pandemic and the risks that this may pose to addressing the elimination of AIDS, tuberculosis, hepatitis and malaria, established in the Sustainable Development Goals as target 3.3. Considering their interconnections with the climate crisis and advocating for global health justice, we identify impasses that such a dispute over priorities can imply, and comment on four fronts of actions that could contribute convergently to both agendas as well as to facing the consequences of climate change to health: strengthening health systems, global commitment to equitable access to strategic medicines, addressing social inequalities and joining efforts for health and climate justice We conclude that addressing these fronts safeguards the health rights of the most vulnerable to existing epidemics while enhancing readiness for future pandemics. Moreover, solutions must transcend technocratic approaches, necessitating the confrontation of inequalities perpetuated by systems of power and privilege fueling both health and climate crises. Ultimately, health justice should guide responses to this intricate triple global health challenge.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2351593"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897414","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

Foot care intervention delivered by community health worker (CHWs): A scoping review. 社区保健员（CHWs）提供的足部护理干预：范围综述。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-16 DOI: 10.1080/17441692.2024.2352565

Okatiranti Okatiranti, Desy Nuryunarsih, Richard Windle, Sarah Goldberg

{"title":"Foot care intervention delivered by community health worker (CHWs): A scoping review.","authors":"Okatiranti Okatiranti, Desy Nuryunarsih, Richard Windle, Sarah Goldberg","doi":"10.1080/17441692.2024.2352565","DOIUrl":"10.1080/17441692.2024.2352565","url":null,"abstract":"Variations of Community Health Workers (CHWs) interventions in diabetes self-management education (DSME) have been reviewed by many studies. In contrast, specific interventions regarding foot care intervention (FCI) are scarce and need to be explored further as one preventive measure to reduce diabetic foot problems in the community. This scoping review aimed to identify, and report nature of FCIs and the core components of FCIs delivered by CHWs. The scoping review was undertaken using PRISMA Extension for Scoping Reviews (PRISMA-ScR). The following electronic databases were searched for articles from data first indicated date through December 2022: CINAHL, EMBASE, Cochrane, Scopus, Web of Science, Theses ProQuest, PubMed, google scholar and other sources by using search terms related to foot care, community health workers, and diabetes mellitus. Descriptive synthesis was used to summarise the data. Nine studies from 1644 were included. All studies found that CHWs provided DSME in general, and foot care education was included. There was no detailed description of the core components of the intervention on foot care. Although, all studies might not provide detailed data on how CHW provided FCIs; the CHW intervention is an undoubtedly vital strategy to promote and prevent foot problems in medically underserved communities.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2352565"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140944233","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

Overview of knowledge, attitudes and barriers associated with HPV vaccination in Beirut, Lebanon. 黎巴嫩贝鲁特人乳头瘤病毒疫苗接种的相关知识、态度和障碍概述。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-05-25 DOI: 10.1080/17441692.2024.2356626

Lauren Hourani, Macy Zaatar, Jawad Hoballah, Kamil Kadi, Maria Yasmine, Hussein Hijazi, Natalie Estelly, Jad Mrad, Miran A Jaffa

{"title":"Overview of knowledge, attitudes and barriers associated with HPV vaccination in Beirut, Lebanon.","authors":"Lauren Hourani, Macy Zaatar, Jawad Hoballah, Kamil Kadi, Maria Yasmine, Hussein Hijazi, Natalie Estelly, Jad Mrad, Miran A Jaffa","doi":"10.1080/17441692.2024.2356626","DOIUrl":"10.1080/17441692.2024.2356626","url":null,"abstract":"Background: Human Papillomavirus (HPV), a prevalent sexually transmitted infection carrying significant risks ranging from benign lesions to various types of malignancies, represents a matter of great public health concern. Notably, most Arab countries lack public awareness campaigns or national immunization programs. This study aims at assessing the overall knowledge on HPV and HPV vaccination among the Lebanese population, exploring the prevalent attitude on the matter, and identifying barriers and misconceptions that prevent individuals from receiving the HPV vaccine.Methods: A cross-sectional study was conducted in Beirut, on 201 participants aged between 18 and 36 years old. We performed ordinal analysis to assess the trend between Knowledge levels, attitude levels and hesitancy Levels.Results: Majority of participants (77%) demonstrated a low level of knowledge on HPV vaccination, 50% held a positive attitude, with only 18.4% being already vaccinated. Negative trend was identified between levels of knowledge, attitude and hesitancy (gamma = -0.7415, p-value < 0.01; gamma= -0.58, p-value < 0.01 respectively). Unavailability or limited access to the vaccine, and misconceptions about HPV immunization were shown to be impeding vaccination.Conclusion: Analysis of our results strongly suggests that improving knowledge and attitudes is likely to foster trust and reduce hesitancy, thereby promoting higher vaccine uptake.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2356626"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093465","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

Access inequalities to WASH and housing in slums in low- and middle-income countries (LMICs): A scoping review. 低收入和中等收入国家（LMICs）贫民窟在获得讲卫生运动和住房方面的不平等：范围界定审查。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-06-28 DOI: 10.1080/17441692.2024.2369099

Ranna Abdulhadi, Ajay Bailey, Femke Van Noorloos

{"title":"Access inequalities to WASH and housing in slums in low- and middle-income countries (LMICs): A scoping review.","authors":"Ranna Abdulhadi, Ajay Bailey, Femke Van Noorloos","doi":"10.1080/17441692.2024.2369099","DOIUrl":"10.1080/17441692.2024.2369099","url":null,"abstract":"Urban inequalities are exacerbated due to rapid urbanisation. This is also evident within slums in low- and middle-income countries, where high levels of heterogeneity amongst the slum population lead to differential experiences in Water, Sanitation, and Hygiene (WASH) and housing access. This scoping review provides evidence of the interconnection of WASH and housing and presents barriers to access and the consequences thereof for slum dwellers. It does so while considering the social stratification amongst urban slum dwellers and their lived experiences. A systematic search of journal articles was conducted in November 2022 in PubMed, Scopus, and Web of Science. A total of 33 papers were identified which were full text reviewed and data extracted. Infrastructure, social and cultural, socio-economic, governance and policy and environmental barriers emerged as general themes. Barriers to WASH and housing were more frequently described concerning women and girls due to gender norms within WASH and the home. Barriers to WASH lead to compromised health, socio-economic burdens, and adverse social impacts, thus causing residents of slums to navigate their WASH mobility spatially and over time. Insights from this review underscore the need for an intersectional approach to understanding access inequalities to WASH and housing.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2369099"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141467507","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

Acceptability of self-collected vaginal swabs and point-of-care testing for sexually transmitted and genital infections among pregnant women in Papua New Guinea. 巴布亚新几内亚孕妇对自取阴道拭子和护理点检测性传播疾病和生殖器感染的接受程度。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-25 DOI: 10.1080/17441692.2024.2381685

Lisa M Vallely, Priscilla Poga, Michaela A Riddell, Handan Wand, Alice Mengi, Steven G Badman, John Bolnga, Delly Babona, William S Pomat, Somu Nosi, Andrew J Vallely, Angela Kelly-Hanku

{"title":"Acceptability of self-collected vaginal swabs and point-of-care testing for sexually transmitted and genital infections among pregnant women in Papua New Guinea.","authors":"Lisa M Vallely, Priscilla Poga, Michaela A Riddell, Handan Wand, Alice Mengi, Steven G Badman, John Bolnga, Delly Babona, William S Pomat, Somu Nosi, Andrew J Vallely, Angela Kelly-Hanku","doi":"10.1080/17441692.2024.2381685","DOIUrl":"10.1080/17441692.2024.2381685","url":null,"abstract":"The self-collection of vaginal swabs and point-of-care testing and treatment of sexually transmitted infections (STIs) is reported from several low-and middle-income countries. However, the reporting on women's experiences of self-collection and same-day testing and treatment of STIs is less well described. In this paper, we present the acceptability of self-collected vaginal swabs and point-of-care testing and treatment among pregnant women enrolled in a clinical trial (Women and Newborn Trial of Antenatal Intervention and Management - WANTAIM) in Papua New Guinea. Semi-structured interviews were conducted among 54 women enrolled into WANTAIM to identify the acceptability of the test and treat approach. Analysis of qualitative data used deductive and inductive thematic analysis applying Sekhon, Cartwright and Francis' acceptability theoretical framework. Most women reported that they understood that the vaginal swab was to identify infections that may affect their unborn baby; however, some were unsure about the specific infections they were being tested for. Among women who tested positive for an STI, some were unsure what they had been treated for. Overall, the self-collection of vaginal swabs for STI testing during pregnancy was highly acceptable.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2381685"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758244","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

Airborne infection prevention and control implementation: A positive deviant organisational case study of tuberculosis and COVID-19 at a South African rural district hospital. 空气传播感染预防与控制的实施：南非农村地区医院结核病和 COVID-19 的积极偏差组织案例研究。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-26 DOI: 10.1080/17441692.2024.2382343

Helene-Mari van der Westhuizen, Sarah Tonkin-Crine, Rodney Ehrlich, Chris C Butler, Trisha Greenhalgh

{"title":"Airborne infection prevention and control implementation: A positive deviant organisational case study of tuberculosis and COVID-19 at a South African rural district hospital.","authors":"Helene-Mari van der Westhuizen, Sarah Tonkin-Crine, Rodney Ehrlich, Chris C Butler, Trisha Greenhalgh","doi":"10.1080/17441692.2024.2382343","DOIUrl":"10.1080/17441692.2024.2382343","url":null,"abstract":"There are many examples of poor TB infection prevention and control (IPC) implementation in the academic literature, describing a high-risk environment for nosocomial spread of airborne diseases to patients and health workers. We developed a positive deviant organisational case study drawing on Weick's theory of organisational sensemaking. We focused on a district hospital in the rural Eastern Cape, South Africa and used four primary care clinics as comparator sites. We interviewed 18 health workers to understand TB IPC implementation over time. We included follow-up interviews on interactions between TB and COVID-19 IPC. We found that TB IPC implementation at the district hospital was strengthened by continually adapting strategies based on synergistic interventions (e.g. TB triage and staff health services), changes in what value health workers attached to TB IPC and establishing organisational TB IPC norms. The COVID-19 pandemic severely tested organisational resilience and COVID-19 IPC measures competed instead of acted synergistically with TB. Yet there is the opportunity for applying COVID-19 IPC organisational narratives to TB IPC to support its use. Based on this positive deviant case we recommend viewing TB IPC implementation as a social process where health workers contribute to how evidence is interpreted and applied.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2382343"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758245","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

Analyzing One Health governance and implementation challenges in Mexico. 分析墨西哥的 "一个健康 "治理和实施挑战。

IF 2.3 3区医学

Global Public Health Pub Date : 2024-01-01 Epub Date: 2024-07-25 DOI: 10.1080/17441692.2024.2377259

Jennifer Hegewisch-Taylor, Anahí Dreser, Alondra Coral Aragón-Gama, María Antonieta Moreno-Reynosa, Celso Ramos Garcia, Arne Ruckert, Ronald Labonté

{"title":"Analyzing One Health governance and implementation challenges in Mexico.","authors":"Jennifer Hegewisch-Taylor, Anahí Dreser, Alondra Coral Aragón-Gama, María Antonieta Moreno-Reynosa, Celso Ramos Garcia, Arne Ruckert, Ronald Labonté","doi":"10.1080/17441692.2024.2377259","DOIUrl":"10.1080/17441692.2024.2377259","url":null,"abstract":"Establishing a robust One Health (OH) governance is essential for ensuring effective coordination and collaboration among human, animal, and environmental health sectors to prevent and address complex health challenges like zoonoses or antimicrobial resistance. This study conducted a mixed-methods environmental scan to assess to what extent Mexico displays a OH governance and identify opportunities for improvement. Through documentary analysis, the study mapped OH national-level governance elements: infrastructure, multi-level regulations, leadership, multi-coordination mechanisms (MCMs), and financial and OH-trained human resources. Key informant interviews provided insights into enablers, barriers, and recommendations to enhance a OH governance. Findings reveal that Mexico has sector-specific governance elements: institutions, surveillance systems and laboratories, laws, and policies. However, the absence of a OH governmental body poses a challenge. Identified barriers include implementation challenges, non-harmonised legal frameworks, and limited intersectoral information exchange. Enablers include formal and ad hoc MCMs, OH-oriented policies, and educational initiatives. Like other middle-income countries in the region, institutionalising a OH governance in Mexico, may require a OH-specific framework and governing body, infrastructure rearrangements, and policy harmonisation. Strengthening coordination mechanisms, training OH professionals, and ensuring data-sharing surveillance systems are essential steps toward successful implementation, with adequate funding being a relevant factor.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"19 1","pages":"2377259"},"PeriodicalIF":2.3,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141758246","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