Global Public Health最新文献_第9页

Faith actors and social norms shifting for adolescent health: A scoping review in Sub-Saharan Africa and South Asia. 青少年健康的信仰行为者和社会规范转变：撒哈拉以南非洲和南亚的范围审查。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-03 DOI: 10.1080/17441692.2026.2712123

Rebecka Lundgren, Courtney McLarnon, Elizabeth Larson, Francine Wood, Marian Marian, Hunter Davis, Beniamino Cislaghi, Elizabeth Costenbader, Osasuyi Dirisu, William Douglas Evans, Nandita Kapadia-Kundu, Sarah Smith, Uwezo Baghuma Lele

{"title":"Faith actors and social norms shifting for adolescent health: A scoping review in Sub-Saharan Africa and South Asia.","authors":"Rebecka Lundgren, Courtney McLarnon, Elizabeth Larson, Francine Wood, Marian Marian, Hunter Davis, Beniamino Cislaghi, Elizabeth Costenbader, Osasuyi Dirisu, William Douglas Evans, Nandita Kapadia-Kundu, Sarah Smith, Uwezo Baghuma Lele","doi":"10.1080/17441692.2026.2712123","DOIUrl":"10.1080/17441692.2026.2712123","url":null,"abstract":"Across low-and-middle income countries, adolescents navigate social environments where norms shape their opportunities and life trajectories. Faith actors are deeply embedded within these systems and often influence expectations related to communication, sexuality, reproductive health, and marriage. While faith engagement is widely recognized as important for sustainable change, empirical evidence on how faith actors contribute to social norm change remains limited. This paper presents findings from a 2024 scoping review of peer-reviewed and grey literature (2014-2024) examining how faith actors contribute to shifting norms and improving health and livelihood outcomes for adolescent girls and young women. Searches of seven bibliographic databases were supplemented by grey literature. Following deduplication, two reviewers independently screened records against predefined eligibility criteria. Seventeen interventions met inclusion criteria. Findings reveal substantial variation in faith actor engagement, alongside consistent gaps in reporting on intervention design, faith-related characteristics, and approaches to addressing resistance. Few studies explicitly measured social norms, limiting comparability. While the body of evidence remains under-reported, and mixed, there are several interventions which demonstrated shifts in attitudes, behaviors, and norms. The review highlights the need for stronger documentation, participatory design, and rigorous measurement to build evidence for ethical, scalable engagement of faith actors in gender-equitable programming.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2712123"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148669276","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

"Even if you have the right, it won't be an easy path": Challenges and potentials of primary health care for legal abortion care in Brazil - a qualitative study. “即使你有权利，这也不是一条容易的道路”：巴西合法堕胎护理初级卫生保健的挑战和潜力——一项定性研究。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-10-09 DOI: 10.1080/17441692.2026.2734661

Nathália Machado Cardoso, Ana Flávia Pires Lucas d'Oliveira

{"title":"\"Even if you have the right, it won't be an easy path\": Challenges and potentials of primary health care for legal abortion care in Brazil - a qualitative study.","authors":"Nathália Machado Cardoso, Ana Flávia Pires Lucas d'Oliveira","doi":"10.1080/17441692.2026.2734661","DOIUrl":"https://doi.org/10.1080/17441692.2026.2734661","url":null,"abstract":"Access to legally permitted abortion depends not only on the legal framework, but also on policy implementation, health system organisation, and professional practices. In Brazil, abortion is legally permitted in specific circumstances, but access remains highly limited. This qualitative study aimed to understand how Primary Health Care (PHC) professionals in São Paulo deal with cases eligible for abortion in everyday practice, focusing on conditions that constrain or enable the realisation of reproductive rights. Thirteen semi-structured interviews were conducted with professionals engaged with reproductive rights. Data were analysed through a hermeneutic-dialectical approach, organised around three stages of care: identification of legal eligibility, communication of rights, and referral to specialised services. Findings show that care is shaped by macro-political conditions, service organisation, and interpersonal relations. Eligibility is identified under high workloads, limited privacy, and routines that privilege prenatal care and constrain disclosure of legal grounds for abortion. Communicating rights is affected by stigma, territorial bonding, and power asymmetries. Referral pathways are marked by institutional opacity and weak accountability. Attentive listening, feminist identification, supportive colleagues, exchange of experiences, alternative networks, and professionals' moral courage enable care. Transforming abortion care requires acting upon conditions of professional practice, not only legal frameworks or individual training.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2734661"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149147680","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

Resurgence of measles in the United States: Examining the outbreak, vaccine hesitancy, and future directions. 麻疹在美国的死灰复燃：检查疫情、疫苗犹豫和未来方向。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-01-30 DOI: 10.1080/17441692.2026.2624148

Majani Edward

引用次数: 0

Determinants of disability three months after hospital discharge among patients with road traffic injuries at the university teaching hospital. 大学教学医院道路交通伤害患者出院后三个月残疾的决定因素。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-06-17 DOI: 10.1080/17441692.2026.2689775

Joseph Lupenga, Heather E Rosen, Penelope Kantu Machona, Adam Silumbwe, James Munthali, Nino Paichadze, Choolwe Jacobs

{"title":"Determinants of disability three months after hospital discharge among patients with road traffic injuries at the university teaching hospital.","authors":"Joseph Lupenga, Heather E Rosen, Penelope Kantu Machona, Adam Silumbwe, James Munthali, Nino Paichadze, Choolwe Jacobs","doi":"10.1080/17441692.2026.2689775","DOIUrl":"10.1080/17441692.2026.2689775","url":null,"abstract":"The global community faces a significant disability burden from road traffic injuries (RTIs). This study investigated factors associated with disability three months after hospital discharge among patients with RTIs at the University Teaching Hospital, Lusaka, Zambia. We analysed secondary data from a prospective observational study, conducted between October 2021 and April 2022, of adults aged ≥ 18 with moderate-to-severe RTIs. Patients were contacted at three months after hospital discharge to assess their disability using WHODAS-II. We used multiple linear regression analysis to determine the risk factors of disability level using Stata 17. The study involved 147 patients, with 85.7% presenting with some level of disability ranging from mild to extreme disability (mean disability score = 9.8 ± 9.1), and 81.2% of participants who were working prior to the injury returned to work. Age, unemployed, spinal injuries, multiple injuries, moderate Glasgow Coma Scale score and length of hospital stay were significantly associated with higher disability score following RTIs. Most patients still experience disability three months after hospital discharge and this is influenced by sociodemographic and injury factors, emphasising the need to improve road safety infrastructure, enforce road traffic laws and invest in rehabilitation.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2689775"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148264194","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

Burden and associated risk factors of undernutrition among displaced pregnant and lactating women: A scoping review. 流离失所的孕妇和哺乳期妇女营养不良的负担和相关危险因素：范围审查。

IF 2.1 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-01-07 DOI: 10.1080/17441692.2025.2611211

Sonjoy Saha, Nieves Amat Camacho

{"title":"Burden and associated risk factors of undernutrition among displaced pregnant and lactating women: A scoping review.","authors":"Sonjoy Saha, Nieves Amat Camacho","doi":"10.1080/17441692.2025.2611211","DOIUrl":"10.1080/17441692.2025.2611211","url":null,"abstract":"Adequate nutrition plays a vital role in maintaining women's health and ensuring the healthy growth and development of infants and children. However, during emergencies and displacement, multiple factors can disrupt adequate maternal and child nutrition. The aim of this study was to explore the available literature reporting the prevalence and associated risk factors of undernutrition among displaced pregnant and lactating women. This review follows the PRISMA guidelines for Scoping Reviews. An electronic search was conducted in the PubMed, Web of Science, and Google Scholar databases. The Emergency Nutrition Network and ReliefWeb websites were also explored for grey literature. The prevalence of wasting among pregnant and lactating women varied widely, reaching 77% in Tigray internally displaced person (IDP) camps. The underweight prevalence ranged from 9.3% in a Nigerian IDP camp to 26.7% in a refugee camp in Bangladesh. Anemia was common, affecting up to 44.7% of pregnant Syrian refugees in Jordan. Maternal age, family size, childbirth interval, family income, and lack of education were the main factors associated with undernutrition among displaced pregnant and lactating women. Acknowledging the burden of undernutrition and identifying the most frequent risk factors, should inform the development of relevant nutrition interventions in different displacement settings.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2611211"},"PeriodicalIF":2.1,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145917633","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

Community-Led Total Sanitation implementation in Malawi: process evaluation of a sanitation and hygiene intervention. 马拉维社区主导的全面环境卫生实施：环境卫生和个人卫生干预的过程评估。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-02-28 DOI: 10.1080/17441692.2026.2638018

Mindy Panulo, Kondwani Chidziwisano, Clara MacLeod, Timeyo Kapazga, Robert Dreibelbis, Tara K Beattie, Tracy Morse

{"title":"Community-Led Total Sanitation implementation in Malawi: process evaluation of a sanitation and hygiene intervention.","authors":"Mindy Panulo, Kondwani Chidziwisano, Clara MacLeod, Timeyo Kapazga, Robert Dreibelbis, Tara K Beattie, Tracy Morse","doi":"10.1080/17441692.2026.2638018","DOIUrl":"10.1080/17441692.2026.2638018","url":null,"abstract":"Community-Led Total Sanitation (CLTS) seeks to eliminate open defecation by empowering households to adopt improved sanitation and hygiene behaviours. While widely integrated into national sanitation strategies of low- and middle-income countries, limited evidence exists on how implementation processes drive behaviour change. This study aimed to evaluate the implementation fidelity, reach, dose, adaptation, and mechanisms of impact of a CLTS intervention in Chiradzulu District, Malawi. We conducted a retrospective mixed methods process evaluation between January 2022 and February 2023, using 1,151 household surveys, 36 in-depth interviews, and 28 focus group discussions with community members and implementers. Outcomes assessed were latrine and handwashing facility (HWF) availability, with logistic regression used to explore associations with intervention exposure. All planned activities were delivered, but fidelity was variable ranging from low fidelity for training delivery to high fidelity for household engagement. Intervention reach was suboptimal, with limited household contact and low recall of hygiene campaigns. Combined exposure to both community and household-based activities significantly increased odds of latrine ownership (OR = 1.63, CI = 1.55-1.72) and HWF presence (OR = 1.39, CI = 1.03-1.86). CLTS programmes should strengthen intervention fidelity, integrate affordable climate resilient facilities, and strengthen household-based engagement to enhance sustainability and impact.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2638018"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321737","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

Who writes the pandemic? State power, individual subjectivity, and the history of the present in China's COVID-19 response. 谁来写大流行？国家权力、个人主体性与中国应对新冠肺炎的历史。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-04-28 DOI: 10.1080/17441692.2026.2665873

Xu Liu

{"title":"Who writes the pandemic? State power, individual subjectivity, and the history of the present in China's COVID-19 response.","authors":"Xu Liu","doi":"10.1080/17441692.2026.2665873","DOIUrl":"10.1080/17441692.2026.2665873","url":null,"abstract":"In this article, I employ Michel Foucault's notion of the 'history of the present' to examine how state power and individual experiences intersected during China's COVID-19 pandemic. This study focuses on the dynamics of power/knowledge that shaped norms of health, risk, and responsibility under the Zero-COVID regime. While the government sought to monopolise knowledge production through strict lockdowns and digital surveillance, online ethnographic observations revealed that individuals did not simply accept these narratives. By searching, sharing, and debating personal accounts of infection and medical access, particularly during the abrupt policy shift in late 2022, individuals developed counter-narratives that challenged official discourses. I argue that China's pandemic governance exemplifies authoritarian biopolitics, which disciplines life through centralised truth-making while simultaneously depending on individuals to embody these norms. The collapse of Zero-COVID exposed the fragility of this order, as people improvised alternative forms of knowledge that both relied on and unsettled official framings. This tension reveals the limits of coercive governance and the persistence of individual agency in redefining the meaning of life and health during public health crises.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2665873"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147769620","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

Redesigning humanitarian health interventions: A framework for sustainable integration with local systems. 重新设计人道主义卫生干预措施：与地方系统可持续整合的框架。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-10 DOI: 10.1080/17441692.2026.2715808

Augustus Osborne, Ahmed Vandy

{"title":"Redesigning humanitarian health interventions: A framework for sustainable integration with local systems.","authors":"Augustus Osborne, Ahmed Vandy","doi":"10.1080/17441692.2026.2715808","DOIUrl":"https://doi.org/10.1080/17441692.2026.2715808","url":null,"abstract":"The current humanitarian health model frequently, though not universally, establishes temporary parallel systems that undermine local public health infrastructure through brain drain, bypassing local supply chains, and creating data silos, ultimately leaving systems vulnerable post-aid withdrawal. This tendency is most pronounced in sudden-onset disasters and high-visibility emergencies, yet even in protracted crises where humanitarian actors work within existing Ministry of Health structures, poor coordination and absent integration accountability mechanisms perpetuate fragmentation. This viewpoint proposes a transformative approach to humanitarian interventions by mandating a Health System Integration Plan as a prerequisite for funding. This plan prioritizes integration with local staff, procurement, and data systems from the outset, ensuring flexibility to adapt to diverse crisis contexts, reinforcing existing structures in post-disaster settings and rebuilding through community-based strategies in fragile states. It balances immediate life-saving needs with long-term resilience across acute, stable, and recovery phases, embedding integration strategies from day one. Practical guidance for humanitarian actors includes co-designing plans with local stakeholders, transitioning to mentorship roles, and adopting integration-specific metrics for monitoring and evaluation. Aligned with the Humanitarian-Development-Peace (HDP) nexus, this framework leverages multi-sectoral partnerships and flexible funding to enhance feasibility, particularly in conflict-affected regions.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2715808"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701069","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

To adjust, reform, or transform? Criteria for distinguishing efforts to change knowledge practices in global health. 调整、改革还是转型？改变全球卫生知识实践的区分努力的标准。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-07-23 DOI: 10.1080/17441692.2026.2707692

Alice Bayingana, Seye Abimbola

{"title":"To adjust, reform, or transform? Criteria for distinguishing efforts to change knowledge practices in global health.","authors":"Alice Bayingana, Seye Abimbola","doi":"10.1080/17441692.2026.2707692","DOIUrl":"10.1080/17441692.2026.2707692","url":null,"abstract":"Over the last decade, there has been an increase in calls and efforts to change knowledge practices in global health, from within the field, in the fields that intersect with it, and from outside the field. While these calls and efforts are often aimed at rethinking or reimagining the field, they often fall short. Based on interviews with researchers who have participated in change efforts within and around global health, we developed criteria for distinguishing change efforts between first-order change, which seeks to adjust the current system for efficiency and effectiveness while keeping things the same; second-order change, which seeks to reform the current system to meet the needs of stakeholders; and third-order change, which seeks the total transformation of the system. In addition to the schema, our findings illustrate how the desired order of change is not simply a choice but rather dynamically determined in the interaction between change seekers and the institutions and systems they seek to change. This study offers a tool to clearly articulate the nature of a particular change effort, to distinguish and allow for comparison between change efforts, and to think through the kinds and extents of change required to achieve desired transformational change.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2707692"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13404156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148578393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

When coverage is not autonomy: Reproductive health indicators, inequality, and governance in India's national family health survey (NFHS-5). 当覆盖不是自治：印度全国家庭健康调查（NFHS-5）中的生殖健康指标、不平等和治理。

IF 2.6 3区医学

Global Public Health Pub Date : 2026-12-31 Epub Date: 2026-08-19 DOI: 10.1080/17441692.2026.2715193

Ayushi Raghuwanshi, Sony Kulshrestha

{"title":"When coverage is not autonomy: Reproductive health indicators, inequality, and governance in India's national family health survey (NFHS-5).","authors":"Ayushi Raghuwanshi, Sony Kulshrestha","doi":"10.1080/17441692.2026.2715193","DOIUrl":"https://doi.org/10.1080/17441692.2026.2715193","url":null,"abstract":"Reproductive health monitoring systems typically measure progress through service-coverage indicators, such as contraceptive prevalence and institutional delivery rates. This article argues that treating high coverage as evidence of women's autonomous reproductive choice creates interpretive risks for rights-based accountability, a problem we term metric conflation. Using published tables from India's National Family Health Survey (NFHS-5, 2019-21), we show how national averages obscure structural inequalities across wealth groups. Despite high institutional delivery (90.4%) and modern contraceptive use (56.4%), unmet need remains 9.4% nationally, and 23.3% of women aged 20-24 were married before age 18. The poorest quintile faces higher unmet need (11.4% vs. 8.6%) and far lower secondary education attainment (37.9% vs. 88.7%) than the wealthiest quintile, structural differentials obscured by aggregate reporting. Female sterilisation accounts for 67.2% of modern method use, raising governance-relevant questions about choice that coverage metrics cannot detect. State-level contrasts (Kerala, Bihar and Uttar Pradesh, selected as high-performing, low-performing, and large-population benchmarks, respectively) further illustrate subnational heterogeneity. We propose a minimal reform package: strengthened use of existing wealth-quintile disaggregation, interpretive guidance for SDG dashboards, and piloting of autonomy-sensitive companion indicators to strengthen equity and accountability in reproductive health monitoring.","PeriodicalId":12735,"journal":{"name":"Global Public Health","volume":"21 1","pages":"2715193"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148792199","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