Adv Glob Health最新文献

{"title":"The gendered socioeconomic impact of the COVID-19 pandemic on women with fistula repair in Uganda","authors":"Mekaleya Tilahun, Mariko Costantini, Hadija Nalubwama, J. Barageine, Florence Nalubega, Andrew L Muleledhu, A. E. El Ayadi","doi":"10.1525/agh.2023.1825767","DOIUrl":"https://doi.org/10.1525/agh.2023.1825767","url":null,"abstract":"Public health mitigation strategies for SARS-COV-2 are effective in limiting the spread of COVID-19; however, these restrictions can create gendered socioeconomic impacts and further isolate marginalized communities from essential resources. Our qualitative study aimed to understand the gendered effects of the COVID-19 lockdown on a population of women in Uganda with a history of prior obstetric fistula repair, a group experiencing greater vulnerability and less support due to intersecting stigmatized identities. We conducted in-depth interviews among 30 women with prior genital fistula and corrective fistula repair surgery at 3 hospitals in Southern Uganda. We found that COVID-19 lockdown measures caused both financial and health-related impacts in this community such as inaccessibility of healthcare and loss of income. Understanding these experiences should inform strategies to ensure equitable, future pandemic responses.","PeriodicalId":325595,"journal":{"name":"Adv Glob Health","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132448475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disrupting global commitments to eradicate poverty and hunger: Covid-19 and its effects on adolescent physical and mental health in Jordan and Palestine","authors":"B. A. Abu Hamad, N. Jones, Eric D. Neumeister, Agnieszka M. Małachowska","doi":"10.1525/agh.2023.1833917","DOIUrl":"https://doi.org/10.1525/agh.2023.1833917","url":null,"abstract":"Sustainable Development Goals (SDGs) 1 and 2 aim to eradicate poverty and hunger in all their forms. However, the onset of the Covid-19 pandemic and subsequent lockdowns has disrupted progress toward achieving these goals. Despite considerable attention to the effects of the pandemic on poverty and food insecurity, there has been much less attention to the experiences of forcibly displaced adolescents during Covid-19 lockdown measures. This article addresses this evidence lacuna by drawing on mixed-methods data collected through phone-based surveys (n = 4,319) and in-depth qualitative interviews (n = 191) carried out in 2020 with adolescents (aged 12–19 years) from host and refugee communities in Jordan and Palestine. We also examine whether social protection has been able to mitigate the worst effects of food and economic insecurity on adolescents from host and refugee communities. Descriptive and inferential analysis of the quantitative data was conducted using Stata 16. The qualitative interviews were recorded, transcribed, and thematically coded using MAXQDA 12 software. We found that a significant proportion of adolescents experienced reduced diet diversity and food insecurity during the Covid-19 lockdown in autumn 2020 in both Jordan and Palestine. Adolescents with the worst economic and food security outcomes also had poorer self-reported physical health, lower resiliency scores, and higher levels of anxiety and depression. In Palestine, social protection measures contributed less to mitigating the negative consequences of the pandemic, whereas in Jordan—largely due to higher transfer amounts—social protection was more significant in mitigating these negative health and well-being consequences. Priority actions for getting adolescent-related SDGs back on track include scaling up emergency-responsive and age- and gender-sensitive social protection, especially for the most disadvantaged young people, including adolescents with disabilities, married girls, adolescents out of school, and young people from refugee households living in host communities, where packages of support are typically more disparate.","PeriodicalId":325595,"journal":{"name":"Adv Glob Health","volume":"88 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126349813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 and adolescent girls’ mental health in Uganda: A panel data analysis","authors":"Danish Us-Salam, Benjamin Y. Avuwadah, Chiara Dell’Aira, Christine Nabulumba, Sarah Baird","doi":"10.1525/agh.2023.1798880","DOIUrl":"https://doi.org/10.1525/agh.2023.1798880","url":null,"abstract":"The COVID-19 pandemic and associated mitigating measures are expected to aggravate the mental health challenges of adolescents. Poor mental health among young people is of concern in itself but is also known to affect long-term outcomes. Given the global burden of the pandemic, it is particularly concerning that limited empirical evidence currently exists for young women, especially in low- and middle-income countries (LMICs), where the pandemic serves as an additional psychosocial stressor for the already challenging lives that most young women in low-resource contexts experience. This article adds to the existing evidence base by drawing on 3 rounds of panel data (2019–2021) to assess changes in adolescent mental health among 468 young women aged 13–19 years residing in rural to semi-urban villages in Uganda before and during the pandemic. Using fixed effects models, we find increases in symptoms of moderate-to-severe depression as measured by both the Patient Health Questionnaire-8 during the pandemic and accompanying lockdown measures. We also find that adolescent girls who faced a higher COVID-19 burden exhibit stronger declines in mental health. Our findings shed light on the impacts of the pandemic on young women’s mental health in an LMIC context, and suggest the need for age-, gender-, and vulnerability-targeted policies that ensure that the pandemic does not undo current progress toward a more gender equitable world.","PeriodicalId":325595,"journal":{"name":"Adv Glob Health","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114756709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}