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Empowering communities against AMR: Evaluating the one health-based antibiotic-wise village (SAJAKA) in Bali, Indonesia. 增强社区抗抗生素耐药性能力:评估印度尼西亚巴厘岛一个以健康为基础的抗生素明智村(SAJAKA)
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-02-10 DOI: 10.1080/17441692.2026.2626611
I Wayan Agus Gede Manik Saputra, Ni Komang Semara Yanti, Kadek Karang Agustina, Ni Made Kurniati, Ni Made Dian Kurniasari, Ida Ayu Manik Partha Sutema, I Gusti Ayu Rai Widowati, Cokorda Bagus Jaya Lesmana, Shailendra Prasad, I Made Ady Wirawan, Ni Nyoman Sri Budayanti
{"title":"Empowering communities against AMR: Evaluating the one health-based antibiotic-wise village (SAJAKA) in Bali, Indonesia.","authors":"I Wayan Agus Gede Manik Saputra, Ni Komang Semara Yanti, Kadek Karang Agustina, Ni Made Kurniati, Ni Made Dian Kurniasari, Ida Ayu Manik Partha Sutema, I Gusti Ayu Rai Widowati, Cokorda Bagus Jaya Lesmana, Shailendra Prasad, I Made Ady Wirawan, Ni Nyoman Sri Budayanti","doi":"10.1080/17441692.2026.2626611","DOIUrl":"10.1080/17441692.2026.2626611","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is a critical global health issue, especially in low-resource settings. A One Health-based community engagement approach, such as the Antibiotic-Wise Village (SAJAKA) model, offers a potential solution. This study assessed SAJAKA's implementation in four Bali villages, evaluating its impact on knowledge and antibiotic use behavior. The intervention included workshops, school programs, poultry feed/water analysis, and medical audits. Using a pre-test/post-test design, 769 participants including household mothers, schoolchildren, farmers, healthcare workers were surveyed. Results showed significant knowledge improvements, particularly among farmers (30.69%) and household mothers (26.65%). Behaviorally, household antibiotic storage declined (3.39%), and addition antibiotics in poultry feed were eliminated. However, irrational prescribing by healthcare workers persisted. Water tests revealed faecal contamination but no resistant <i>E. coli</i> to third-generation cephalosporins was detected. Of the four villages, Buwit achieved 'Antibiotic-Wise Village' status (score = 7). The SAJAKA model successfully boosted AMR awareness and promoted responsible antibiotic use. To expand impact, healthcare workers engagement and sustained community efforts are crucial for AMR containment.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2626611"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146149462","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 have a child i need to live for': a qualitative study of parenthood and the TB experience in South Africa. “我有一个我需要为之而活的孩子”:一项关于南非父母身份和结核病经历的定性研究。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-03-25 DOI: 10.1080/17441692.2026.2648959
Kelly Rutt, Joseph Daniels, Lindsey DeVos, Kuhle Fiphaza, Seluleko Ngcobo, Andrew Medina-Marino
{"title":"'I have a child i need to live for': a qualitative study of parenthood and the TB experience in South Africa.","authors":"Kelly Rutt, Joseph Daniels, Lindsey DeVos, Kuhle Fiphaza, Seluleko Ngcobo, Andrew Medina-Marino","doi":"10.1080/17441692.2026.2648959","DOIUrl":"10.1080/17441692.2026.2648959","url":null,"abstract":"<p><p>Existing research highlights TB's economic and social stigma burdens and impacts behavior in households, but virtually unexplored is the dynamics of TB and parenthood. This qualitative study examines the interplay between TB diagnosis and treatment, and parenting experiences, focusing on the intersections of individual agency, societal expectations, and access to resources. From March 2021 to January 2022, we conducted in-depth interviews with 98 TB patients in Buffalo City, South Africa, including 44 mothers and 54 fathers. Guided by the Network-Individual-Resource (NIR) model, we applied layered coding, memoing, and causal mapping to analyze experiences through the lens of agency and societal expectations. Mothers reported primary caregiving responsibilities, drawing motivation from their children, and relying on multigenerational family support for childcare and treatment-adherence. Children frequently provided emotional and practical care, such as cooking and medication reminders. Fathers more often distanced themselves to protect families from infection, faced isolation, and struggled to fulfill provider roles due to job loss. Extended family support for fathers was limited, with financial pressures exacerbating treatment challenges. These results illustrate how gender norms and resources structure the TB experience. Strengthening maternal caregiving networks and reimagining fatherhood beyond economic provision can foster better adherence and more equitable health outcomes.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2648959"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147511534","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
Social medicine beyond the medical curriculum: A Latin American historical perspective. 医学课程之外的社会医学:拉丁美洲的历史视角。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-05-09 DOI: 10.1080/17441692.2026.2671502
Gabriel Abarca-Brown, Francisco Ortega
{"title":"Social medicine beyond the medical curriculum: A Latin American historical perspective.","authors":"Gabriel Abarca-Brown, Francisco Ortega","doi":"10.1080/17441692.2026.2671502","DOIUrl":"10.1080/17441692.2026.2671502","url":null,"abstract":"<p><p>Current debates in social medicine and global health have emphasized the medical curriculum as a means to foster awareness, reflexivity, and sensitivity among medical students and practitioners. Yet, this curricular focus may come at a cost, risking a narrowing of the scope of social medicine by neglecting broader historical, political, and ideological forces. This article argues for a reorientation that situates contemporary social medicine within longer histories of geopolitical struggle, using Latin American social medicine (LASM) since the mid-twentieth century as a critical lens. LASM illustrates how political regimes, international institutions, and social movements have influenced medical training, the scalability of health initiatives, and community-engaged activism. By integrating historical, ideological, and political analysis, this perspective positions LASM not merely as a regional case study but as a site of theoretical production, offering insights for social medicine, global health, and decolonial approaches to training, infrastructure, and activism.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2671502"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147863882","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
Voices from the neonatal unit: Mothers' and healthcare workers' perspectives on respectful and collaborative care for small and sick newborns in rural districts in KwaZulu-Natal, South Africa. 新生儿病房的声音:母亲和保健工作者对南非夸祖鲁-纳塔尔省农村地区小新生儿和患病新生儿的尊重和协作护理的看法。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-17 DOI: 10.1080/17441692.2026.2692100
Sphindile Mapumulo, Mary Kinney, Lyn Haskins, Silondile Luthuli, Vaughn M John, Loveday Penn-Kekana, Veronique Filippi, Christiane Horwood, Tanya Doherty
{"title":"Voices from the neonatal unit: Mothers' and healthcare workers' perspectives on respectful and collaborative care for small and sick newborns in rural districts in KwaZulu-Natal, South Africa.","authors":"Sphindile Mapumulo, Mary Kinney, Lyn Haskins, Silondile Luthuli, Vaughn M John, Loveday Penn-Kekana, Veronique Filippi, Christiane Horwood, Tanya Doherty","doi":"10.1080/17441692.2026.2692100","DOIUrl":"https://doi.org/10.1080/17441692.2026.2692100","url":null,"abstract":"<p><p>Neonatal care increasingly emphasizes improving the experience of care by engaging mothers as active partners alongside health workers providing clinical care for newborns. Guided by the World Health Organization's Standards for improving the quality of care for small and sick newborns, this study focuses on Standard 4, which promotes care that is respectful, responsive, and supportive of families' needs and preferences. We conducted a concurrent triangulation mixed-methods study among health workers and mothers of small and sick newborns admitted to neonatal units in two rural districts of KwaZulu-Natal, South Africa. Effective communication emerged as a foundational factor shaping mothers' experiences of care. Many mothers reported frustration due to inadequate, unfriendly communication and exclusion from clinical decision-making, resulting in limited collaboration and lack of informed consent. Health workers, in turn, described barriers to providing respectful, family-centred care, citing overcrowding, staff shortages, fatigue, and lack of space for mothers to participate. Findings reveal persistent gaps in the implementation of Standard 4 within rural neonatal units. Strengthening communication and integrating family-centered newborn care in rural settings requires investment in health workers' communication training, facility infrastructure that enables maternal presence, and policy adaptations that promote shared caregiving and decision-making.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2692100"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470062","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
An evaluation case study of village-based relational community engagement activities in Lao PDR. 老挝人民民主共和国基于村庄的关系社区参与活动评价案例研究。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-01-20 DOI: 10.1080/17441692.2026.2616866
Marco J Haenssgen, Thongkhoon Xayyahong, Latthanikone Sabphaisan, Maynika Phongsa, Antyka Xayaphone, Thinakone Louangdy, Keomano Luangkhot, Arphiluck Luanglad, Thipphaphone Phetdala, Souksakhone Xaiyalath, Phongpaserth Volady, Ounkham Souksavanh, Sysavanh Phommachanh, Sandra Bode, Elizabeth M Elliott
{"title":"An evaluation case study of village-based relational community engagement activities in Lao PDR.","authors":"Marco J Haenssgen, Thongkhoon Xayyahong, Latthanikone Sabphaisan, Maynika Phongsa, Antyka Xayaphone, Thinakone Louangdy, Keomano Luangkhot, Arphiluck Luanglad, Thipphaphone Phetdala, Souksakhone Xaiyalath, Phongpaserth Volady, Ounkham Souksavanh, Sysavanh Phommachanh, Sandra Bode, Elizabeth M Elliott","doi":"10.1080/17441692.2026.2616866","DOIUrl":"10.1080/17441692.2026.2616866","url":null,"abstract":"<p><p>Community engagement activities have rapidly gained recognition in global health policy, but comprehensive evaluations remain scarce. This article exemplifies the use of explicit evaluation criteria within a mixed-method and theory-guided evaluation, applied to village-based community engagement activities of a nationwide health Initiative in Lao PDR. The evaluation case study was one element in a multi-pronged evaluation approach and considered the criteria of effectiveness, efficiency, impact, relevance, coherence, sustainability, and equity. We gathered qualitative and quantitative data before and at least three months after the village-based activities, focusing on 14 case study communities across four provinces who participated in the Initiative. 3,161 survey observations, 50 semi-structured interviews, and 50 key informant interviews were collected. The Initiative was highly relevant and integrated seamlessly and synergistically into healthcare operations, creating important synergies through its relational and positive approach. Supported by enthusiastic stakeholder support, the Initiative aligned with its intentions to promote health equity while no major negative unintended side-effects materialized. This case study demonstrates the value of rapid feedback of and adaptation to emerging evaluation insights, the appreciation of unintended side-effects of interventions, and the theoretical grounding of evaluation approaches with a comprehensive set of evaluation criteria.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2616866"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146010063","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 feasibility of promoting recreational physical activity to manage type 2 diabetes in urban Bangladesh: A qualitative study. 在孟加拉国城市促进娱乐性体育活动管理2型糖尿病的可行性:一项定性研究。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-06-15 DOI: 10.1080/17441692.2026.2687282
Joanna Morrison, Sarker Ashraf Uddin Ahmed, Abdul Kuddus, Carina King, Tasmin Nahar, Sanjit Kumer Shaha, Malini Pires, Naveed Ahmed, Hassan Haghparast-Bidgoli, Azad Khan, Kishwar Azad, Edward Fottrell
{"title":"The feasibility of promoting recreational physical activity to manage type 2 diabetes in urban Bangladesh: A qualitative study.","authors":"Joanna Morrison, Sarker Ashraf Uddin Ahmed, Abdul Kuddus, Carina King, Tasmin Nahar, Sanjit Kumer Shaha, Malini Pires, Naveed Ahmed, Hassan Haghparast-Bidgoli, Azad Khan, Kishwar Azad, Edward Fottrell","doi":"10.1080/17441692.2026.2687282","DOIUrl":"10.1080/17441692.2026.2687282","url":null,"abstract":"<p><p>Urbanisation has contributed to increased sedentary behaviour, which is a major risk factor for non-communicable diseases. In South Asia, the type 2 diabetes burden is rapidly increasing, and there is a need to understand the effect of different social categories, such as gender, socio-economic status, and diabetes status, in shaping opportunities to participate in physical activity. We used a rapid participatory qualitative research methodology and intersectional analysis in urban Faridpur, Bangladesh, to analyse the feasibility of promoting recreational physical activity to manage and prevent type 2 diabetes. Diabetes was defined as an individual as opposed to a community health issue in Faridpur. Narratives about the causes of diabetes blamed the individual, which prevented the development of a positive diabetes identity and resulted in intersectional stigma. Women, and poorer women in particular, felt disempowered by their diabetes and therefore hid this from others. There was a collective lack of awareness about community barriers to physical activity for women, and a need to create a safe and empowering space for women, while working at the community level to address these barriers. Cross-sectoral complex, community-engaged interventions that consider intersectional experiences are needed to increase physical activity in urban areas of South Asia.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2687282"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148251284","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
Co-creating antimicrobial resistance (AMR) literacy in Zimbabwean higher education institutions: A participatory, qualitative study following the one health approach. 在津巴布韦高等教育机构中共同创建抗微生物药物耐药性(AMR)扫盲:一项遵循同一健康方法的参与性定性研究。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-06-27 DOI: 10.1080/17441692.2026.2694867
Martin Mickelsson, Emma Oljans
{"title":"Co-creating antimicrobial resistance (AMR) literacy in Zimbabwean higher education institutions: A participatory, qualitative study following the one health approach.","authors":"Martin Mickelsson, Emma Oljans","doi":"10.1080/17441692.2026.2694867","DOIUrl":"10.1080/17441692.2026.2694867","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is a global health challenge that encompasses social, economic, and ecological risks, and the relationship between human, animal, and environmental health is emerging as a key factor. Addressing AMR means developing capacities across health sectors, with training of health practitioners through higher education institutions (HEIs) essential for strengthening one's health literacy. This paper explores how Zimbabwean University lecturers and students co-create an understanding of AMR, contributing to the development of AMR literacy. A participatory qualitative study using research workshops was conducted at two Zimbabwean HEIs, engaging 60 interdisciplinary participants in vignette-based discussions of AMR. Using thematic analysis, three key themes were identified: (1) reflective engagement with antimicrobial use impacting environmental, human, and animal health; (2) preventive actions to protect environmental, human, and animal health; and (3) holistic health promotion grounded in social and ecological care. AMR literacy is outlined as interdisciplinary and context-dependent, encompassing biomedical understanding, critical ethical reflections, and pluralistic reasoning, enabling context-relevant approaches and decision-making. This study contributes to global health research by highlighting the potential of participatory and contextually sensitive educational approaches to address AMR. Operationalising AMR literacy could support cross-sectoral collaboration among health practitioners, strengthening global health efforts to address sustainable health challenges.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2694867"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148338401","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
'When you hear such rumours, you get scared': A comparison of vaccine-related concerns between the oral polio vaccine and Covid-19 vaccines among communities in Cameroon and Ethiopia. “当你听到这样的谣言时,你会感到害怕”:喀麦隆和埃塞俄比亚社区口服脊髓灰质炎疫苗和Covid-19疫苗之间疫苗相关问题的比较。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-31 DOI: 10.1080/17441692.2026.2705615
Lara Lorenzetti, Emily Namey, Melissa Corkum, Ademe Tsegaye, Gloria Lihemo, Douglas Mbang Massom, Deepa Risal Pokharel, Grace McLain, Ross Mcintosh
{"title":"'<i>When you hear such rumours, you get scared':</i> A comparison of vaccine-related concerns between the oral polio vaccine and Covid-19 vaccines among communities in Cameroon and Ethiopia.","authors":"Lara Lorenzetti, Emily Namey, Melissa Corkum, Ademe Tsegaye, Gloria Lihemo, Douglas Mbang Massom, Deepa Risal Pokharel, Grace McLain, Ross Mcintosh","doi":"10.1080/17441692.2026.2705615","DOIUrl":"https://doi.org/10.1080/17441692.2026.2705615","url":null,"abstract":"<p><p>Despite widespread acceptance of the oral polio vaccine (OPV), vaccine hesitancy towards OPV in some countries presents a barrier to global eradication efforts. Between 2021 and 2022, the Global Polio Eradication Initiative implemented OPV campaigns concurrently with the roll-out of Covid-19 vaccines, for which vaccine hesitancy is well-documented. We sought to understand stakeholder perceptions of OPV and Covid-19 vaccines in Cameroon and Ethiopia. We implemented 32 focus group discussions (16 per country) with n = 216 caregivers of children under 5 and polio frontline workers to understand reasons for hesitancy, which included: fear of side effects, fear of vaccine overdosing, religious leaders being against vaccines and a lack of confidence in health workers, among others. These concerns were especially prominent toward the introduction of Covid-19 vaccines, less so toward OPV. Hesitancy reasons were more often reported as a concern held by community members, rather than participants themselves. Despite concerns, 69% of Ethiopian and 57% of Cameroonian respondents had received a Covid-19 vaccine. Our findings suggest a need for continued efforts to listen to caregiver and health worker concerns and co-create local solutions to enhance vaccine acceptability. Building trust amongst populations and addressing commonly held misconceptions is integral to vaccine introduction plans.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2705615"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148630270","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
Maiming by design: Structural harm in oral health systems globally. 故意致残:全球口腔卫生系统中的结构性危害。
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-14 DOI: 10.1080/17441692.2026.2709658
Habib Benzian, Sudeshni Naidoo
{"title":"Maiming by design: Structural harm in oral health systems globally.","authors":"Habib Benzian, Sudeshni Naidoo","doi":"10.1080/17441692.2026.2709658","DOIUrl":"https://doi.org/10.1080/17441692.2026.2709658","url":null,"abstract":"<p><p>Tooth extraction is among the most common dental interventions, particularly in underfunded health systems where preventive, restorative, and rehabilitative dental services remain scarce. Drawing on Jasbir Puar's concept of 'maiming' tooth extraction is reframed from technical/economic inevitability to care that results in structural harm. Extraction-based oral healthcare reflects a transnational logic in which injury is normalised, repair withheld, and debility managed rather than resolved. The analysis shows how tooth extraction becomes an organised response to resource constraints; absence of restoration or rehabilitation produces lasting debility; and how omission of population-level preventive strategies maintains predictable cycles of disease and loss. Stigma and narratives of personal responsibility recast this structural injury as individual failure, extending maiming into psychological dimensions that constrain civic mobilisation. A typology of structural maiming in dental care makes these dynamics explicit. Recognising the global patterns through which oral harm is produced shifts the discourse from clinical shortcomings to systemic governance, aligning with Universal Health Coverage commitments and the right to health. Extraction-based care persists across countries despite vast differences in wealth and infrastructure, calling for renewed scrutiny of the global political, economic, and institutional conditions that continue to render avoidable harm a global routine in dental healthcare.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2709658"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758322","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
Seroprevalence of hepatitis C virus among refugees, asylum seekers, and internally displaced populations within Africa: A systematic review and meta-analysis. 非洲难民、寻求庇护者和国内流离失所者中丙型肝炎病毒的血清患病率:一项系统回顾和荟萃分析
IF 2.6 3区 医学
Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-04-10 DOI: 10.1080/17441692.2026.2654240
Eleanor K Beddard, Getahun Molla Kassa, Josephine G Walker, Aaron G Lim, Clare E French
{"title":"Seroprevalence of hepatitis C virus among refugees, asylum seekers, and internally displaced populations within Africa: A systematic review and meta-analysis.","authors":"Eleanor K Beddard, Getahun Molla Kassa, Josephine G Walker, Aaron G Lim, Clare E French","doi":"10.1080/17441692.2026.2654240","DOIUrl":"10.1080/17441692.2026.2654240","url":null,"abstract":"<p><p>Hepatitis C virus (HCV), an often overlooked public health concern, is highly prevalent among marginalized groups. Refugees, asylum seekers, and internally displaced people (RASIDP) constitute an underserved population in healthcare. Given that displacement rates are increasing and that HCV is endemic to many African countries, we aimed to determine the prevalence of HCV among RASIDP communities in Africa. Studies investigating HCV prevalence within RASIDP communities across Africa were identified via the following database searches: Ovid MEDLINE, EMBASE, Web of Science, APA PsycINFO, and the WHO Africa Index Medicus. Seroprevalence estimates were meta-analysed using a random-effects model, with data stratified by participant region, age, and gender. Across 9 studies, we estimated a pooled HCV seroprevalence of 3.63% (95% CI: 0.54, 9.16) among RASIDP in Africa. Seroprevalence varied by region of origin and age, with those from Northern Africa and those aged > 40 years having the highest seroprevalence, at 10.03% (95% CI:9.03, 11.13) and 5.70% (95% CI: 0.81, 14.21), respectively. RASIDP communities represent a marginalised and vulnerable population that often faces significant barriers to accessing healthcare. Our findings show that HCV seroprevalence within these communities varies by region and age, thus suggesting a need for targeted screening approaches.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2654240"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653984","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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