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Early sexual initiation among school youths in Metekel Zone, Benishangul Gumuz Region, Northwestern Ethiopia: Cross sectional study
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.001
Mulatu Agajie , Tesfu Zewdu , Muluwas Amentie Zelka
{"title":"Early sexual initiation among school youths in Metekel Zone, Benishangul Gumuz Region, Northwestern Ethiopia: Cross sectional study","authors":"Mulatu Agajie ,&nbsp;Tesfu Zewdu ,&nbsp;Muluwas Amentie Zelka","doi":"10.1016/j.glt.2025.02.001","DOIUrl":"10.1016/j.glt.2025.02.001","url":null,"abstract":"<div><h3>Background</h3><div>Early sexual activity can have a substantial negative impact on adolescents and youths. Biological, psychological, socio-cultural, and economic factors put youths at high risk of initiating sexual intercourse at an early age. This study aimed to assess the level of early sexual initiation and associated factors among school youth in the Benishangul Gumuz region.</div></div><div><h3>Methods</h3><div>School-based cross-sectional study was conducted from February 4–15, 2022. A pretested and self-administered questionnaire was used to collect the data. Bivariable and multivariable binary logistic regression model was used to determine the presence of a significant association between sexual initiation and independent variables.</div></div><div><h3>Results</h3><div>Out of 424 study subjects, 178 (43 %) had ever initiated sexual intercourse, of which 143 (80.3 %) had initiated before 18 years of age. Students who were in the age category of 15–19 years (AOR = 6.29; 95 % CI: 2.53, 15.63) and those who had multiple sexual partners (AOR = 5.08, 95 % CI = 2.00, 12.87) had higher odds of having early sexual initiation as compared with their counterpart. Similarly, students who consumed alcohol (AOR = 2.91, 95 % CI = 1.03, 8.17) and who had never used a condom during sexual intercourse (AOR = 3.09, 95 % CI = 1.22, 7.81) had a higher odd of initiating sexual intercourse at an early age as compared with their counterpart.</div></div><div><h3>Conclusions</h3><div>This study revealed that there was high magnitude of early sexual intercourse in the region. Predictors were having multiple sexual partners, never used a condom, and drunk alcohol. Delaying age at sexual initiation is a strategy that needs to be incorporated into the curriculums of primary and secondary schools. Parents have also a moral duty and responsibility to educate their children on the impact and consequence of early sexual initiation.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 81-86"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.01.001
Masyitoh Basabih , Eko Prasojo , Amy Yayuk Sri Rahayu
{"title":"Emerson's framework on the output of public-private partnership on hemodialysis services in Indonesia regional hospitals","authors":"Masyitoh Basabih ,&nbsp;Eko Prasojo ,&nbsp;Amy Yayuk Sri Rahayu","doi":"10.1016/j.glt.2025.01.001","DOIUrl":"10.1016/j.glt.2025.01.001","url":null,"abstract":"<div><h3>Context</h3><div>Public-private partnerships (PPPs) have become the dominant solution adopted by regional hospitals in Indonesia for providing hemodialysis equipment. Analyzing the implementation of PPPs requires using a collaborative governance framework to provide a comprehensive analysis and depict the relationships between variables. This study aims to determine the influence of system context, drivers, and collaborative processes on the outcomes of PPP hemodialysis services in regional hospital in Indonesia.</div></div><div><h3>Methods</h3><div>This study employs a quantitative approach with primary data obtained through a survey. The research sample consists of 75 regional hospitals represented by 111 respondents. Analysis was conducted using the Partial Least Square-Structural Equation Modeling (PLS-SEM) technique.</div></div><div><h3>Findings</h3><div>The system context indirectly influences the process through mediation by the driver variable at 0.451, where the driver significantly affects the collaborative process at 0.534, and the collaborative process significantly influences the outcome at 0.773. The policy dimension makes the largest contribution to the systemic context, as does the consequential incentive dimension to the drivers. In the process variable, the capacity for joint action is the dimension with the greatest contribution.</div></div><div><h3>Conclusions</h3><div>The outcomes of implementing PPP in hemodialysis services at regional hospital are influenced by system context, drivers, and collaborative processes both directly and indirectly. Policy barriers, human resources, and corrupt practices also affect the process and outcomes of hemodialysis PPP, which are perceived not to be in line with good governance.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 56-68"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Development and evaluation of an artificial intelligence (AI) -assisted chest x-ray diagnostic system for detecting, diagnosing, and monitoring tuberculosis
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.005
Lalita Kaewwilai , Hiroshi Yoshioka , Antoine Choppin , Thepasit Prueksaritanond , Thitisant Palakawong Na Ayuthaya , Chantapat Brukesawan , Somruetai Matupumanon , Sho Kawabe , Yuki Shimahara , Arthit Phosri , Orawan Kaewboonchoo
{"title":"Development and evaluation of an artificial intelligence (AI) -assisted chest x-ray diagnostic system for detecting, diagnosing, and monitoring tuberculosis","authors":"Lalita Kaewwilai ,&nbsp;Hiroshi Yoshioka ,&nbsp;Antoine Choppin ,&nbsp;Thepasit Prueksaritanond ,&nbsp;Thitisant Palakawong Na Ayuthaya ,&nbsp;Chantapat Brukesawan ,&nbsp;Somruetai Matupumanon ,&nbsp;Sho Kawabe ,&nbsp;Yuki Shimahara ,&nbsp;Arthit Phosri ,&nbsp;Orawan Kaewboonchoo","doi":"10.1016/j.glt.2025.02.005","DOIUrl":"10.1016/j.glt.2025.02.005","url":null,"abstract":"<div><h3>Objectives</h3><div>To develop an artificial intelligence (AI)-assisted chest x-ray diagnostic system for the detection, differential diagnosis, and follow-up of tuberculosis (TB), and prove its usefulness.</div></div><div><h3>Methods</h3><div>This is a retrospective study. In-house developed AI-assisted chest x-ray diagnostic system was used to identify and diagnose lung abnormalities in participants' chest x-rays and to compare imaging findings from two x-rays. First, 100 chest radiographs were reviewed including TB cases (N = 43) with positive sputum test confirmation and non-TB cases (N = 57) for initial diagnosis and differential diagnosis. Next, 45 pairs of TB cases from the identical patients were reviewed for follow-up. The AI system diagnosed TB and graded the comparison images into three categories (improved, stable, or worsening). The performance was evaluated by four expert radiologists or pulmonary medicine specialists.</div></div><div><h3>Results</h3><div>The AI system demonstrated an exceptional sensitivity of 100 %, successfully identifying all 43 TB cases. Nevertheless, it is also susceptible to misclassify other diseases as TB, resulting in low specificity score of 66.7 %. The comparison function determined that expert physicians and AI-assisted chest x-ray diagnostic system were <strong>58</strong> % in exact agreement and 100 % in within one grade agreement.</div></div><div><h3>Conclusions</h3><div>The AI system successfully detected all TB patients identified in this study and demonstrated a reasonable comparison function. Therefore, our AI assisted chest x-ray diagnostic system is feasible and practical for TB screening.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 87-93"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143552998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The significance of emotional intelligence in academic stress, resilience, and safe transition from high school to university: An SEM analysis among Northern Emirati university students
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.02.003
Mona Gamal Mohamed , Taliaa Mohsen Al-Yafeai , Shukri Adam , Md Moyazzem Hossain , Ramya Kundayi Ravi , Fatima Mohamed Jalo , Aamna Eltayeb Osman
{"title":"The significance of emotional intelligence in academic stress, resilience, and safe transition from high school to university: An SEM analysis among Northern Emirati university students","authors":"Mona Gamal Mohamed ,&nbsp;Taliaa Mohsen Al-Yafeai ,&nbsp;Shukri Adam ,&nbsp;Md Moyazzem Hossain ,&nbsp;Ramya Kundayi Ravi ,&nbsp;Fatima Mohamed Jalo ,&nbsp;Aamna Eltayeb Osman","doi":"10.1016/j.glt.2025.02.003","DOIUrl":"10.1016/j.glt.2025.02.003","url":null,"abstract":"<div><h3>Background</h3><div>Emotional intelligence and resilience empower students in the academic settings to face and overcome the challenges that comes with demanding academic tasks and social pressure.</div></div><div><h3>Objective</h3><div>This study aimed to examine the role of emotional intelligence in managing academic stress, fostering resilience, and supporting the transition experience among Northern Emirati students in health sciences. Additionally, it sought to assess whether factors such as GPA are related to EI, stress, and resilience levels.</div></div><div><h3>Methods</h3><div>A cross-sectional, descriptive survey design was used, with data collected from 230 second -year students at RAK Medical and Health Sciences University. The questionnaire included sections on sociodemographic data, the Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF), the Brief Resilience Scale (BRS), and the Student Stress Inventory - Stress Manifestations (SSISM). Data analysis involved descriptive statistics in SPSS version 29, Structural Equation Modeling (SEM) for relational insights, and regression analysis in R to evaluate the predictive influence of EI on stress and resilience.</div></div><div><h3>Results</h3><div>Regression analysis indicated that EI significantly predicted resilience and stress levels, with GPA showing an additional positive relationship to EI and resilience. Regression analysis indicated that EI significantly predicted resilience (β = 0.52, p &lt; 0.001) and stress levels (β = −0.33, p &lt; 0.001). GPA exhibited a positive relationship with resilience (r = 0.29, p &lt; 0.05) and well-being (r = 0.45, p &lt; 0.001). Structural Equation Modeling (SEM) confirmed a well-fitting model (Chi-Square/DF = 2.879, RMSEA = 0.108, CFI = 0.785, TLI = 0.846). The path coefficients demonstrated that well-being had the strongest influence on GPA (β = 0.452, p &lt; 0.001), while stress had a minimal but non-significant impact (β = 0.087, p = 0.107).</div></div><div><h3>Conclusions</h3><div>The findings suggest that emotional intelligence is a significant factor in helping health sciences students manage academic stress and foster resilience. These results highlight the potential benefit of EI development programs to support students during key academic transitions. However, the study's cross-sectional design and reliance on self-reported data suggest that further longitudinal research is needed to confirm these findings.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 109-117"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143553001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
SARS-CoV-2 infection dynamics in household case-contact study: Biological sample analysis from India
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2024.11.002
Aswathy Sreedevi , Ahmad Mohammad , Mini Satheesh , Anuja Ushakumari , Anil Kumar , Raveendran Geetha , Saritha Narayankutty , Neethu Valsala Mohan , Ajay Aparna , Neeraj Mohandas , Brilly Rose , Gopakumar Soumya , Sachin David , Vishnu Menon , Jaideep C Menon
{"title":"SARS-CoV-2 infection dynamics in household case-contact study: Biological sample analysis from India","authors":"Aswathy Sreedevi ,&nbsp;Ahmad Mohammad ,&nbsp;Mini Satheesh ,&nbsp;Anuja Ushakumari ,&nbsp;Anil Kumar ,&nbsp;Raveendran Geetha ,&nbsp;Saritha Narayankutty ,&nbsp;Neethu Valsala Mohan ,&nbsp;Ajay Aparna ,&nbsp;Neeraj Mohandas ,&nbsp;Brilly Rose ,&nbsp;Gopakumar Soumya ,&nbsp;Sachin David ,&nbsp;Vishnu Menon ,&nbsp;Jaideep C Menon","doi":"10.1016/j.glt.2024.11.002","DOIUrl":"10.1016/j.glt.2024.11.002","url":null,"abstract":"<div><h3>Introduction</h3><div>This study aimed to determine RNA positivity in nasopharyngeal samples, urine and stool, period to seropositivity, viral clearance and associated factors.</div></div><div><h3>Methods</h3><div>A cohort study was conducted multicentrically in Kerala, India, among 147 SARS-CoV-2 patients and 347 household contacts. Serial nasopharyngeal swabs, feces, urine, and serum samples were collected on days 1, 7, 14, and 28. Multivariable logistic regression was used to determine factors associated with RNA positivity, viral clearance and seropositivity.</div></div><div><h3>Results</h3><div>Among the index cases, median duration for respiratory samples to test negative was 10.5, 7 days in &lt;18 and &gt; 18 years respectively. The median period of RNA detection in feces was longer at 14 days (IQR 7, 28). The independent determinants of RT-PCR negativity of nasopharyngeal samples at &gt;7 days was fever a OR 3.3 (95 % CI 1.1, 10.5). In the multivariable analysis for antibody response, those with less than or equal to 12 years of schooling had five times higher risk of being seronegative [aOR 5.2 (95 % CI 1.6, 16.7)]. Shedding of the virus in stool was more common among those aged &lt;40 years (a OR 2.8, 95 % CI 1.2, 6.4) and among those who had fever (a OR 3.4, 95 % CI 1.1, 10.8). Among the contacts the seropositivity was determined by being illiterate 1.8 (95 % CI 1.1, 3.2), and reporting any symptom from day 1–14 aOR 3.2 (95 % CI 1.9, 5.2).</div></div><div><h3>Conclusion</h3><div>The shorter duration of RNA positivity in respiratory samples and viral shedding in stool has implications for managing infection control and monitoring in diverse populations.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 21-28"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reimagining carbon border adjustment mechanisms: A path to climate and development synergy
Global Transitions Pub Date : 2025-01-01 DOI: 10.1016/j.glt.2025.03.003
Thang Nam Do
{"title":"Reimagining carbon border adjustment mechanisms: A path to climate and development synergy","authors":"Thang Nam Do","doi":"10.1016/j.glt.2025.03.003","DOIUrl":"10.1016/j.glt.2025.03.003","url":null,"abstract":"<div><div>The European Union (EU)'s Carbon Border Adjustment Mechanism (CBAM) imposes import charges tied to carbon intensity and is set for full enforcement by 2026. Although it aims to reduce global emissions, its one-size-fits-all structure risks penalizing developing nations that often lack financial and technical resources for rapid decarbonization. This article presents “CBAM-Plus,” a framework that reinvests CBAM revenues in clean energy infrastructure, facilitates technology transfer, and recognizes non-pricing mitigation strategies. By bridging capacity gaps and channeling funds toward local development, CBAM-Plus seeks to promote decarbonization without reinforcing global inequities. As additional countries consider carbon border policies, measures that align climate objectives with development priorities are vital to preventing a new global carbon divide.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 144-147"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143684673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Interplay between poverty, poverty eradication and sustainable development: A semi-systematic literature review 贫困、消除贫困与可持续发展之间的相互作用:半系统的文献综述
Global Transitions Pub Date : 2024-11-23 DOI: 10.1016/j.glt.2024.11.001
Affandi , Yunastiti Purwaningsih , Lukman Hakim , Tri Mulyaningsih
{"title":"Interplay between poverty, poverty eradication and sustainable development: A semi-systematic literature review","authors":"Affandi ,&nbsp;Yunastiti Purwaningsih ,&nbsp;Lukman Hakim ,&nbsp;Tri Mulyaningsih","doi":"10.1016/j.glt.2024.11.001","DOIUrl":"10.1016/j.glt.2024.11.001","url":null,"abstract":"<div><h3>Purposes</h3><div>This research aims to identify the most appropriate analytical tools for future poverty and sustainable development analysis, whether quantitative, qualitative, or mixed methods. It also aims to determine the factors influencing poverty, which can be categorized into several groups.</div></div><div><h3>Methods</h3><div>This study used Semi-Literature Review (SLR) to review articles published in online scientific databases from Google Scholar and Sciendirect.com from 2008 to 2024. It selected 149 papers that passed the identification, screening, eligibility, and inclusion process. The selected articles were discussed using two approaches: quantitative with the help of the VOSviewer application and qualitative analysis.</div></div><div><h3>Findings</h3><div>The analytic tools recommended for further research are qualitative methods, mainly in-depth interviews with focus group discussions with relevant parties; quantitative methods, including multilevel logistic analysis models and spatial analysis; and a mixed methods approach using a grounded theory approach. The causes of poverty are not only related to the economy or income. The findings show that a multidimensional approach to poverty is essential to address it and promote sustainable development effectively. Seven dimensions affect poverty.</div></div><div><h3>Conclusions</h3><div>To assess poverty alleviation and achieve sustainable development, a holistic, multidimensional approach combines capabilities, institutions, and sustainability. Some multidimensional factors that need to be studied to see their influence on poverty and sustainable development are energy accessibility, the type of human capital needed, care among fellow social beings, the role of government in providing infrastructure for the community, and the role of financial institutions in empowering low-income communities.</div></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"7 ","pages":"Pages 1-20"},"PeriodicalIF":0.0,"publicationDate":"2024-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142742938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal associations between living alone, childlessness and mental health and mortality in ageing adults in Thailand 泰国老年人独居、无子女与心理健康和死亡率之间的纵向关系
Global Transitions Pub Date : 2024-01-01 DOI: 10.1016/j.glt.2024.06.001
Supa Pengpid , Karl Peltzer , Dararatt Anantanasuwong , Wasin Kaewchankha
{"title":"Longitudinal associations between living alone, childlessness and mental health and mortality in ageing adults in Thailand","authors":"Supa Pengpid ,&nbsp;Karl Peltzer ,&nbsp;Dararatt Anantanasuwong ,&nbsp;Wasin Kaewchankha","doi":"10.1016/j.glt.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.glt.2024.06.001","url":null,"abstract":"<div><h3>Background</h3><p>This study aimed to evaluate the longitudinal relationships between living alone, being childless, and six mental health indicators and mortality in older adults in Thailand between 2015 and 2020.</p></div><div><h3>Methods</h3><p>We examined prospective cohort data from the Health, Aging and Retirement in Thailand (HART) study, which included participants 45 years of age and older (N = 2863) from three successive waves in 2015, 2017, and 2020. Mental health indicators were assessed by self-report. We used Generalized Estimating Equations analysis (GEE) to evaluate the longitudinal relationships between measures of living alone, childlessness and six mental health indicators and mortality.</p></div><div><h3>Results</h3><p>The proportion of living alone was 6.3 % and childlessness 9.9 % in 2015, while living alone only was 3.9 %, childlessness only 7.5 % and both living alone and childlessness 2.4 % in 2015. In the adjusted model, living alone only was among men positively associated with depressive symptoms, loneliness, poor quality of life and mortality, and among women only positively associated with poor quality of life. Childlessness only was among women positively associated with depressive symptoms, insomnia symptoms, loneliness, poor quality of life, poor self-rated mental health, and mortality, and among men with depressive symptoms, loneliness, poor quality of life and poor self-rated mental health. Both living alone and childlessness was among men associated with four mental health indicators (depressive symptoms, insomnia symptoms, loneliness, and poor quality of life), and among women two mental health indicators (loneliness and poor quality of life), all with higher odds ratios than in living alone only and childlessness only.</p></div><div><h3>Conclusions</h3><p>Living alone only, childlessness only and/or both living alone and childlessness were associated with several poor mental health indicators and/or mortality. Enhanced screening and management of living alone and being childless may improve mental health in Thailand.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"6 ","pages":"Pages 145-151"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791824000082/pdfft?md5=88e32601337a7427a55a5ced090951d9&pid=1-s2.0-S2589791824000082-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Health for all: Primary care facility localization in Lesotho using qualitative research and GIS 人人享有健康:利用定性研究和地理信息系统实现莱索托初级保健设施的本地化
Global Transitions Pub Date : 2024-01-01 DOI: 10.1016/j.glt.2024.05.002
Mariam A. Mostafa , Joy Oluwaseun Ogunmuyiwa , Kathryne Appleby Tenney , Sai Lone Tip , CarlosO. Zegarra Zamalloa , Jeffery C. Blossom , Tlebere Mpo
{"title":"Health for all: Primary care facility localization in Lesotho using qualitative research and GIS","authors":"Mariam A. Mostafa ,&nbsp;Joy Oluwaseun Ogunmuyiwa ,&nbsp;Kathryne Appleby Tenney ,&nbsp;Sai Lone Tip ,&nbsp;CarlosO. Zegarra Zamalloa ,&nbsp;Jeffery C. Blossom ,&nbsp;Tlebere Mpo","doi":"10.1016/j.glt.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.glt.2024.05.002","url":null,"abstract":"<div><h3>Background</h3><p>Lesotho has made significant strides towards universal health coverage and yet a significant proportion of the population has difficulty accessing health care services due to mountainous terrain and long travel times to nearest health facility. There have been previous studies that utilized Geographical Information Systems (GIS) to assess access to healthcare and to identify optimal locations for placement of new health facilities, though never in Lesotho.</p></div><div><h3>Methods</h3><p>The authors employed a mixed-methods design. Qualitative research consisting of semi-structured interviews and focus group discussions was used to gain a deep understanding of the problem with access to healthcare and to allow for the perspectives of the people of Lesotho to guide decision-making about placement of new healthcare facilities. GIS analysis was done using ArcGIS Pro v. 2.3 software and modern satellite imagery to map current access to healthcare facilities and create site recommendations for new healthcare facilities.</p></div><div><h3>Results</h3><p>Qualitative research revealed that walking was the primary mode of transport to healthcare facilities and that distance was the crucial barrier in limiting access to care. Decentralization in decision-making was identified as an important element in health policy decisions and study participants recommended placing health facilities centrally in large villages. GIS analysis identified that 77.7 % of the population was currently within 3-h walking distance to nearest health facility and that the addition of fifty new healthcare facilities would increase that proportion to 90.0 %.</p></div><div><h3>Conclusion</h3><p>This study mapped current access to care in Lesotho in rural and urban areas. It also provided an objective strategy for identifying the location of new healthcare facilities while incorporating the voices of the people of Lesotho in the process. The findings can be used to assist policymakers, and the methodology can be employed in the allocation of other public-service facilities in different countries or regions.</p></div>","PeriodicalId":33615,"journal":{"name":"Global Transitions","volume":"6 ","pages":"Pages 123-135"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2589791824000069/pdfft?md5=bffbf6d9e77522fa78734b32b26ca207&pid=1-s2.0-S2589791824000069-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141290852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distribution matters: Long-term quantification of the Sustainable Development Goals with household detail for different socio-economic pathways 分配问题:可持续发展目标的长期量化与不同社会经济路径下的家庭细节
Global Transitions Pub Date : 2024-01-01 DOI: 10.1016/j.glt.2024.06.004
Rienne Wilts, Wolfgang Britz
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