Global Public HealthPub Date : 2025-12-01Epub Date: 2025-08-07DOI: 10.1080/17441692.2025.2542400
Arne Ruckert, Zlatina Dobreva, Suzanne Garkay Naro, Sarah Paulin, Lindsay A Wilson, Clare McGall, Rosemary Morgan, Mimi Meheret Melles-Brewer, Anna Coates, Giada Tu Thanh, Esmita Charani, Amparo Gordillo-Tobar, Deepshikha Batheja, Susan Rogers Van Katwyk
{"title":"The role of gender in antimicrobial resistance: Findings from a scoping review.","authors":"Arne Ruckert, Zlatina Dobreva, Suzanne Garkay Naro, Sarah Paulin, Lindsay A Wilson, Clare McGall, Rosemary Morgan, Mimi Meheret Melles-Brewer, Anna Coates, Giada Tu Thanh, Esmita Charani, Amparo Gordillo-Tobar, Deepshikha Batheja, Susan Rogers Van Katwyk","doi":"10.1080/17441692.2025.2542400","DOIUrl":"10.1080/17441692.2025.2542400","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) is a growing global health threat requiring a strong focus on equity. This scoping review aimed to document the evidence to outline recommendations for gender-responsive AMR policies, programmes, and interventions aligned with the World Health Organization's <i>People-centered approach to addressing AMR in the human health sector.</i> We collected academic and grey literature published in English between 2000 and 2025 resulting in 141 records included for data extraction. Data was mapped onto a Gender and AMR Matrix and thematically analysed. Our findings suggest that restrictive gender norms create gender inequities in AMR vulnerability, exposure and outcomes because of the gendered distribution of labour and roles, access to resources, and inequitable decision-making and power structures. Harmful gender norms and values not only influence access to quality healthcare but are also foundational to other gender domains such as the distribution of labour and roles, and decision-making power that ultimately impact the risk of infection and access to treatment and diagnosis. These findings underscore the complex interplay between gender dynamics and AMR outcomes and highlight the need for AMR policies that recognise gender inequities and address related systemic barriers to equitable access to the prevention, diagnosis and treatment of drug-resistant infections.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2542400"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144794233","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 : 2025-12-01Epub Date: 2025-01-27DOI: 10.1080/17441692.2024.2436425
Josephine Etowa, Notisha Massaquoi, Francisca Omorodion, Danielle Brown-Shreves, Ilene Hyman, Akalewold Gebremeskel, Hugues Loemba, Bishwajit Ghose, Egbe Etowa, Jennifer Rayner, Charles Dabone, Lounanjio Brown O'Sullivan, Azeeza Sule, Joseph Kiirya, Sanni Yaya, Wangari Tharao, Haoua Inoua, Angela Kaida, Apondi Odhiambo, Clinton Beckford
{"title":"The development and implementation of an innovative community-based intervention to strengthen community capacity for HIV prevention and care among Canadians of African Caribbean and Black (ACB) women in Ontario: a research protocol.","authors":"Josephine Etowa, Notisha Massaquoi, Francisca Omorodion, Danielle Brown-Shreves, Ilene Hyman, Akalewold Gebremeskel, Hugues Loemba, Bishwajit Ghose, Egbe Etowa, Jennifer Rayner, Charles Dabone, Lounanjio Brown O'Sullivan, Azeeza Sule, Joseph Kiirya, Sanni Yaya, Wangari Tharao, Haoua Inoua, Angela Kaida, Apondi Odhiambo, Clinton Beckford","doi":"10.1080/17441692.2024.2436425","DOIUrl":"10.1080/17441692.2024.2436425","url":null,"abstract":"<p><p>African, Caribbean, and Black (ACB) women are overrepresented among new HIV diagnoses due to social and structural factors. This study seeks to create, implement, and evaluate a community-based peer-led intervention to improve access to HIV prevention and care for ACB women in Canada. This multisite, five-year project, using community-based participatory research, implementation science and evaluation frameworks, will be implemented in five non-iterative phases. Phase 1: Community and partner engagement; Phase 2: Critical health and racial literacy training curriculum and HIV resource development; Phase 3: Implementation research with first cohort of trained HIV Peer Equity Navigators [PENs] in three sites; Phase 4: Training of second cohort of HIV PENs and program implementation of HIV PEN intervention across Ontario; and Phase 5: Evaluation, knowledge sharing and plans for national scale up. We will use a mixed methods approach, including quantitative and qualitative data, such as surveys and qualitative interviews, to analyze and identify implementation scenarios, changes in improving access, and ensuring equity to HIV prevention and care for ACB women in Ontario, Canada. Evidence on the effectiveness of this innovative, peer-led intervention will be used to inform policies and practice related to HIV prevention and care for ACB women in Canada.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2436425"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143058827","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 : 2025-12-01Epub Date: 2025-07-21DOI: 10.1080/17441692.2025.2534619
Esias Bedingar, Ngarossorang Bedingar, Christopher Sudfeld
{"title":"Adolescents and young adults dating and HIV perceptions: A phenomenological study in N'Djamena, Chad.","authors":"Esias Bedingar, Ngarossorang Bedingar, Christopher Sudfeld","doi":"10.1080/17441692.2025.2534619","DOIUrl":"https://doi.org/10.1080/17441692.2025.2534619","url":null,"abstract":"<p><p>The study investigates the interplay between adolescent dating behaviours and HIV perceptions in Chad, where adolescents and young adults (AYA) aged 15-24 years are disproportionately affected. Four focus group discussions (n = 48) were conducted with high school students in N'Djamena, stratified into beneficiaries and non-beneficiaries of a peer education programme. Using a phenomenological approach and the Colaizzi method in ATLAS.ti, we examined lived experiences around relationships, risk behaviours, and prevention strategies. Distinct gender differences emerged in dating motivations: males prioritised sexual satisfaction, while females sought emotional connection. Partner selection was influenced by intrinsic factors (emotional attraction) and extrinsic factors (financial benefits). Awareness of PrEP was absent, and condom use was more often linked to pregnancy prevention than HIV/STI protection. Risk behaviours such as alcohol use and multiple partnerships were common, with gender roles influencing safe sex decision-making. Shared responsibility for protection was noted only among beneficiaries of the peer programme. The findings highlight the need for gender-sensitive HIV prevention interventions addressing AYA's realities. Increased awareness of PrEP and moving beyond abstinence-focused strategies are essential to bridge gaps in HIV prevention and education in Chad.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2534619"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674533","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 : 2025-12-01Epub Date: 2025-08-04DOI: 10.1080/17441692.2025.2541220
Lisa Klamert, Camilla Brockett, Melinda Craike, Nipun Shrestha, Alexandra G Parker
{"title":"The imperative of planetary mental health: insights, recommendations, and a call to action.","authors":"Lisa Klamert, Camilla Brockett, Melinda Craike, Nipun Shrestha, Alexandra G Parker","doi":"10.1080/17441692.2025.2541220","DOIUrl":"https://doi.org/10.1080/17441692.2025.2541220","url":null,"abstract":"<p><p>An alarming progression of human-centred and environmental concerns has marked the Anthropocene, including climatic changes and the inextricably linked deterioration of human mental health. Expanding on the 2015 <i>Rockefeller Foundation-Lancet Commission on Planetary Health</i>, we propose that mental health be explicitly included within the <i>planetary health approach</i>. This inclusion acknowledges the importance of population mental health as part of planetary health and addresses the symbiotic deterioration of global mental health and environmental health. As part of this approach, we conceptualise several types of interventions, including <i>symbiocentric</i> and <i>transformative mental health interventions</i>, with the latter combining active environmentalism with the aim of simultaneously improving mental health and wellbeing. We further identify several areas of opportunity in which transformative interventions could be translated to practice and implemented across a range of settings, including workplaces, educational contexts, and organised sport. Making a call to action, we highlight the urgency of shifting from individualised to collective environmental responsibility, including collective transformative reflection, with different stakeholders coming together to scale up transformative interventions and working towards true planetary (mental) health. Finally, we give recommendations to promote symbiocentric and transformative interventions in policy and reform.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2541220"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144784148","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 : 2025-12-01Epub Date: 2025-01-09DOI: 10.1080/17441692.2024.2448272
Josie McAllister, Fran Amery, Melanie Channon, Jennifer Thomson
{"title":"Where is menstruation in global health policy? The need for a collective understanding.","authors":"Josie McAllister, Fran Amery, Melanie Channon, Jennifer Thomson","doi":"10.1080/17441692.2024.2448272","DOIUrl":"https://doi.org/10.1080/17441692.2024.2448272","url":null,"abstract":"<p><p>From both an academic and a policy angle, menstruation is receiving an unprecedented level of attention. Within the academic literature, there are many different normative arguments being furthered for how menstruation <i>should</i> be understood and framed - variously, that it should be understood as an issue of rights, justice, health or hygiene management. Yet less attention has been paid to the step preceding these normative arguments - how menstruation actually <i>is</i> understood at present within global health policy. In this paper, we argue that, despite this proliferation of academic and policy interest, attention to menstruation is still relatively muted at the level of global health policy. Using Carol Bacchi's 'what's the problem?' approach to critical frame analysis, we show that global health policy on menstruation remains patchy, with little cohesive understanding of it as a policy issue emerging at the international level. Instead, competing constructions of it as an issue emerge, such that there is not one clear way in which menstruation is addressed in international health policy. We sketch the implications of this, arguing that without a collective understanding of the problem, solutions are likely to remain siloed, and cross-sectoral work will be difficult.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2448272"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142947634","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 : 2025-12-01Epub Date: 2025-02-11DOI: 10.1080/17441692.2025.2462626
Asha Herten-Crabb, Alice Mũrage, Julia Smith, Clare Wenham
{"title":"An opportunity for gender transformation? UN Women's policy response to COVID-19.","authors":"Asha Herten-Crabb, Alice Mũrage, Julia Smith, Clare Wenham","doi":"10.1080/17441692.2025.2462626","DOIUrl":"10.1080/17441692.2025.2462626","url":null,"abstract":"<p><p>Pandemics disproportionately affect women due to their dominant roles in healthcare, caregiving, and industries vulnerable to public health policies. Women face higher infection risks, greater unpaid care burdens, and job losses during crises. Violence against women and disrupted access to healthcare, including sexual and reproductive services, also increase. Despite clear evidence of these effects, global pandemic responses have historically been gender-blind, with only limited improvements during COVID-19. This study uses the READ approach to analyze UN Women COVID-19 policy documents published in 2020, examining recommendations related to socio-economic security, violence against women and girls (VAWG), and people living across borders. From these documents we also analyzed 301 recommendations using the WHO's Gender Responsive Scale to assess their transformative potential. The results show that while UN Women addressed key gendered impacts, the recommendations often stopped short of promoting systemic change, reflecting broader limitations in global health responses. The findings highlight the gap between acknowledging gender disparities and promoting (let alone implementing) transformative policies that address structural inequalities. This research contributes to ongoing debates on the role of global institutions in advancing gender-responsive pandemic policies and calls for more meaningful engagement in addressing gender inequities in global health governance.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2462626"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390723","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 : 2025-12-01Epub Date: 2025-06-30DOI: 10.1080/17441692.2025.2523542
Alexander Stoljar Gold
{"title":"Vertical dominance: Cost-effectiveness, randomisation, and the bias against horizontal interventions in global health.","authors":"Alexander Stoljar Gold","doi":"10.1080/17441692.2025.2523542","DOIUrl":"https://doi.org/10.1080/17441692.2025.2523542","url":null,"abstract":"<p><p>Interventions in global health are frequently divided into two categories: vertical, which address one disease, and horizontal, which tackle multiple health problems through the building of health infrastructure. When identifying interventions to fund, global health practitioners place great weight on cost-effectiveness, which is determined through cost-effectiveness analyses. These analyses frequently draw on data from randomised controlled trials (RCTs), as they are considered the gold standard for determining causality. I argue that the use of RCT data in cost-effectiveness analyses leads to a bias in favour of vertical interventions and against horizontal interventions. This is because it is significantly easier to randomise vertical interventions compared to horizontal ones, so analyses that draw on RCTs will preferentially report on vertical initiatives. This bias contributes to a trend of underfunding horizontal interventions in global health. I argue that this trend is problematic, as horizontal interventions have the potential to be highly cost-effective. Finally, I argue that global health practitioners should find effective ways of evaluating horizontal interventions to ensure their benefits are captured.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2523542"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527576","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 : 2025-12-01Epub Date: 2024-12-31DOI: 10.1080/17441692.2024.2445840
Paulien Tensen, Simone van Dormolen, Steven J M van de Vijver, Myrthe L van de Pavert, Charles O Agyemang
{"title":"Healthcare providers intentions to use an electronic personal health record for undocumented migrants: A qualitative exploration study in The Netherlands.","authors":"Paulien Tensen, Simone van Dormolen, Steven J M van de Vijver, Myrthe L van de Pavert, Charles O Agyemang","doi":"10.1080/17441692.2024.2445840","DOIUrl":"https://doi.org/10.1080/17441692.2024.2445840","url":null,"abstract":"<p><p>Electronic Personal Health Records (EPHRs) are potentially effective tools for improving the continuity and quality of care for migrants and refugees, and specifically for undocumented migrants (UDMs). However, little is known about the intention and preconditions of healthcare providers (HCPs) to use an EPHR for UDM in the Netherlands. Between April 2023 and June 2023, thirteen interviews, using a semi-structured topic guide, were conducted with Dutch HCPs. Open coding and axial coding were used for data coding, organised using the Technology Acceptance Model (TAM). HCPs reported a positive user intention towards using an EPHR for UDMs, coupled with a cautious optimism regarding UDMs' willingness to use an EPHR. Actual usage was dependent on several preconditions: establishing trust among HCPs and UDMs in the EPHR, implementing a highly secure system to protect UDM's sensitive data, giving UDMs control over their EPHR, and using approaches to minimise dual record keeping and developing a user-friendly system. An EPHR shows promise to enhance continuity of care and quality for UDMs in the Netherlands. However, an EPHR should not be a prerequisite for receiving medical care but rather a supportive element in the provision of care.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2445840"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142909532","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 : 2025-12-01Epub Date: 2025-08-22DOI: 10.1080/17441692.2025.2547849
Fernandos Ongolly, Susi Geiger
{"title":"The long last mile of access to essential medicines: A qualitative study on access barriers to HIV pre-exposure prophylaxis in Kenya and Ireland.","authors":"Fernandos Ongolly, Susi Geiger","doi":"10.1080/17441692.2025.2547849","DOIUrl":"https://doi.org/10.1080/17441692.2025.2547849","url":null,"abstract":"<p><p>This study examines the last mile barriers to HIV Pre-Exposure Prophylaxis (PrEP) in Kenya and Ireland, highlighting its role in reducing HIV infection among high-risk individuals. Despite PrEP's efficacy, timely access and consistent use are hindered by several obstacles. Using qualitative methods, the study involved 54 interviews (40 in Kenya and 14 in Ireland) and 4 focus group discussions in Kenya, engaging activists, healthcare providers, policymakers and gatekeepers. Fieldwork in Ireland took place online (due to the Covid-19 pandemic) while interviews and focus group discussions in Kenya took place in-person. Data were thematically and comparatively analysed on dedoose.com. Results identified similarities and differences in socio-cultural, economic, structural, and COVID-19 pandemic barriers. In Kenya, community, and healthcare provider stigma, along with infrastructural issues, were significant impediments. In Ireland, the focus on one community limited access for others. Both countries faced additional barriers due to the pandemic, such as lockdowns, movement restrictions, overwhelmed health infrastructure, and fear of contracting COVID-19 during clinic visits. Conclusions emphasise that providing free medicines does not ensure access. Overcoming barriers at the last mile requires more focus and funding, incorporating healthcare providers' and end users' perspectives to improve accessibility on the ground.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2547849"},"PeriodicalIF":2.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144951563","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 : 2025-12-01Epub Date: 2025-04-21DOI: 10.1080/17441692.2025.2495328
Natalia Tsybuliak, Anastasia Popova, Hanna Lopatina, Yana Suchikova
{"title":"Mental health of Ukrainian researchers during wartime.","authors":"Natalia Tsybuliak, Anastasia Popova, Hanna Lopatina, Yana Suchikova","doi":"10.1080/17441692.2025.2495328","DOIUrl":"https://doi.org/10.1080/17441692.2025.2495328","url":null,"abstract":"<p><p>The full-scale war in Ukraine has introduced unique challenges for researchers, including physical displacement, destruction of research infrastructure, and deteriorating working conditions. This qualitative study investigates the impact of the ongoing war on the mental health and academic functioning of Ukrainian researchers. Based on 30 semi-structured interviews conducted between February and April 2024, the study reveals pronounced psychological consequences, including stress, anxiety, burnout, and feelings of isolation. Academically, researchers reported significant disruptions in research productivity, loss of professional networks, and diminished institutional support. Three critical areas of impact were identified: (1) the deterioration of working conditions and researcher well-being, (2) the fragmentation of academic communities and networks, and (3) restricted access to research resources and support. Despite these challenges, many researchers demonstrated resilience by adapting to remote work, forming new international collaborations, and finding renewed purpose in contributing to Ukraine's recovery through science. The findings underscore the urgent need for comprehensive, multilevel support systems that include mental health services, financial and infrastructural assistance, and initiatives to restore academic belonging. These insights are essential for developing responsive strategies to support academic communities in crisis settings globally.</p>","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"20 1","pages":"2495328"},"PeriodicalIF":2.3,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143964043","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}