{"title":"Developing healthy attitudes to evidence through the Health Determinants Research Collaborations (HDRCs)","authors":"Simon E. Kolstoe","doi":"10.1016/j.puhip.2025.100627","DOIUrl":"10.1016/j.puhip.2025.100627","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100627"},"PeriodicalIF":2.2,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144296395","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}
Franck Mboussou , Audry Mulumba , Celestin Traore , Martin Morand , Shalom Tchokfe Ndula , Antoinette Demian Mbailamen , Jean Claude Bizimana , Charles Shey Wiysonge , Benido Impouma
{"title":"Celebrating the 50th anniversary of the essential programme on immunization and paving the way for the future of immunization in Central Africa","authors":"Franck Mboussou , Audry Mulumba , Celestin Traore , Martin Morand , Shalom Tchokfe Ndula , Antoinette Demian Mbailamen , Jean Claude Bizimana , Charles Shey Wiysonge , Benido Impouma","doi":"10.1016/j.puhip.2025.100628","DOIUrl":"10.1016/j.puhip.2025.100628","url":null,"abstract":"<div><div>The Managers of the Essential Programme on Immunization (EPI) in Central Africa meet annually to review progress made, share experiences and lessons learned from the implementation of national immunization programmes. The 2024 annual meeting coincided with the celebration of the 50th anniversary of the EPI. Indeed, the EPI has contributed significantly to increasing the number of vaccines included in national routine immunization schedules as well as the number of children vaccinated yearly, even though most countries are still off track towards achieving the 2030 immunization agenda targets. Disruptions of routine immunization caused by the COVID-19 pandemic resulted in increased burden of zero-dose children and under-immunized children. Leaders of Gavi Alliance agencies (WHO, UNICEF, and Gavi Secretariat) called for sustained efforts to ensure universal access to routine vaccinations as the 50th anniversary of the EPI in Central Africa was celebrated. It is critical to learn from 50 years of routine immunization service delivery and pave the way toward a more effective and efficient EPI.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"10 ","pages":"Article 100628"},"PeriodicalIF":2.2,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281006","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":"Comment on “Where does Hispanic Latin America stand in biomedical and life sciences literature production compared with other countries?”","authors":"Waseem Hassan , Antonia Eliene Duarte","doi":"10.1016/j.puhip.2025.100611","DOIUrl":"10.1016/j.puhip.2025.100611","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100611"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195600","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}
Mario Alejandro Fabiani, Marina Banuet-Martínez, Mauricio Gonzalez-Urquijo, Gabriela Marta Cassagne
{"title":"Response to “Comment on “Where does Hispanic Latin America stand in biomedical and life sciences literature production compared with other countries?”","authors":"Mario Alejandro Fabiani, Marina Banuet-Martínez, Mauricio Gonzalez-Urquijo, Gabriela Marta Cassagne","doi":"10.1016/j.puhip.2025.100612","DOIUrl":"10.1016/j.puhip.2025.100612","url":null,"abstract":"","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100612"},"PeriodicalIF":2.2,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144195601","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}
Luis Sordo , Jarileen Padilla-Cruz , Marina Bosque-Prous , Ainara Díaz-Geada , Gregorio Barrio , Aina Lafon-Guasch , Judit Rogés , Iñaki Galán
{"title":"Implementation of health warnings on alcoholic beverages in Spain","authors":"Luis Sordo , Jarileen Padilla-Cruz , Marina Bosque-Prous , Ainara Díaz-Geada , Gregorio Barrio , Aina Lafon-Guasch , Judit Rogés , Iñaki Galán","doi":"10.1016/j.puhip.2025.100622","DOIUrl":"10.1016/j.puhip.2025.100622","url":null,"abstract":"<div><h3>Introduction</h3><div>The objective of this study is to estimate the frequency and characteristics of health warning labeling on alcoholic beverages in Spain.</div></div><div><h3>Study design</h3><div>Cross-sectional study conducted in Madrid, Spain, between March and April 2023.</div></div><div><h3>Methods</h3><div>A convenience sample was designed by selecting four supermarket chains with a 40 % share of food distribution and two specialized alcohol stores. A total of 627 products were examined: 170 beers, 306 wines and sparkling wines, 68 liquors, 48 vermouths and aperitifs, and 35 other types of alcoholic beverages. Fisher's exact test statistically evaluated differences in labeling across beverage types.</div></div><div><h3>Results</h3><div>One or more health warnings were observed on 63.0 % of the products, with the most frequent being a recommendation against consumption during pregnancy (56.5 %), followed by recommendations against consumption by minors (19.0 %), and while driving (9.1 %). Only 9.1 % of the labels displayed two warnings, and 6.2 % displayed three. Significant differences were observed according to beverage type (p < 0.001), with the beer products presenting the highest frequency of displaying at least one warning (81.8 %), and liquors presenting the lowest frequency (50 %).</div></div><div><h3>Conclusions</h3><div>In Spain, alcohol industry's adherence to its own voluntary labeling guidelines of health warnings is low and inconsistent across type of beverages.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100622"},"PeriodicalIF":2.2,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144123637","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}
Christiana Lokko , Jonathan Sackey , Francis Lokko
{"title":"Factors influencing type of contraceptive use among Ghanaian males: Insights from the 2022 Ghana demographic and health survey","authors":"Christiana Lokko , Jonathan Sackey , Francis Lokko","doi":"10.1016/j.puhip.2025.100623","DOIUrl":"10.1016/j.puhip.2025.100623","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines the socio-demographic, media, and health-related factors influencing contraceptive use among men of reproductive age in Ghana.</div></div><div><h3>Study design</h3><div>The 2022 GDHS consists of three datasets which are nationally representative cross-sectional data that elicited the demographic and health indicators of children 0–59 months, women 15–49 years of age, mean aged 15–59 years old as well as households.</div></div><div><h3>Methods</h3><div>This study utilised the 2022 Ghana Demographic and Health Survey (GDHS) men recode file, analysing a sample of 7044 men aged 15–59 years. The dependent variable, contraceptive use, was categorised into modern, traditional, and no method. Data were weighted and cleaned, and multinomial logistic regression was used to identify factors associated with contraceptive use.</div></div><div><h3>Results</h3><div>Among the respondents, 16.6 % used modern contraceptives, 4.3 % used traditional methods, and 79.0 % used no method. Significant predictors of contraceptive use included age, education, ethnicity, region, marital status, wealth index, number of wives/partners, and media exposure (p < 0.05). Men aged 15–54 were more likely to use modern methods, while those with lower education levels were more likely to use no method. Ethnic differences were observed, with Mole-Dagbani men more likely to use modern methods. Media exposure, particularly frequent radio and television consumption, was positively associated with modern contraceptive use.</div></div><div><h3>Conclusions</h3><div>The persistently low uptake of modern contraceptives among men in Ghana hampers efforts to achieve universal access to family planning. Tackling socio-demographic disparities and strengthening media-driven awareness can foster greater male involvement. These findings highlight the need for targeted strategies to enhance male contraceptive use and support shared responsibility in family planning.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100623"},"PeriodicalIF":2.2,"publicationDate":"2025-05-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107759","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":"The impact of the malaria centre program on malaria incidence in Papua Province","authors":"Eni Setianingsih , Eny Sulistyaningrum","doi":"10.1016/j.puhip.2025.100625","DOIUrl":"10.1016/j.puhip.2025.100625","url":null,"abstract":"<div><h3>Objective</h3><div>The goal of eliminating malaria in Indonesia by 2030 faces significant challenges, particularly due to the stagnation of malaria cases in recent years. This issue is exacerbated by the high concentration of cases in Eastern Indonesia, with Papua Province alone contributing to 86 % of the national malaria cases. To address this, the Malaria Centre Programme has been implemented to eradicate malaria in highly endemic regions. This study aims to evaluate the impact of the malaria centre program on the prevalence of malaria in Papua.</div></div><div><h3>Study design</h3><div>a mixed-method approach.</div></div><div><h3>Method</h3><div>First, fixed effects analysis effectively evaluates program impacts shaped by pre-existing attributes. Second, in-depth interviews help identify potential impacts, analyze mechanisms, and assess benefits to beneficiaries.</div></div><div><h3>Result</h3><div>The findings indicate that the malaria centre program has successfully reduced the annual parasite incidence (API) in Papua Province by 31.81 cases per 1000 population. Additionally, controlling for healthcare facilities, especially the ratio of community health centres, significantly lowers malaria incidence by 430.695 cases. However, the availability of hospitals does not significantly impact malaria incidence in the province.</div></div><div><h3>Conclusion</h3><div>The malaria centre program has had a significant impact on reducing malaria incidence in Papua Province. Implementing the program has effectively lowered malaria cases in several regencies, including Keerom, Nabire, Boven Digoel, and Jayapura.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100625"},"PeriodicalIF":2.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144072474","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}
Margaret J. Douglas , Anna Gale , Rok Hrzic , Timo Clemens , Adrian L. Davis
{"title":"Strategic partnership for Health in All Policies and sustainable transport in Scotland: a case study evaluation","authors":"Margaret J. Douglas , Anna Gale , Rok Hrzic , Timo Clemens , Adrian L. Davis","doi":"10.1016/j.puhip.2025.100624","DOIUrl":"10.1016/j.puhip.2025.100624","url":null,"abstract":"<div><h3>Background</h3><div>Health in All Policies aims to ensure policy decisions across sectors improve health and health equity. Principles of a Health in All Policies approach have been defined as Governance, Comprehensive approach to health, Collaboration, Equity, Participation, Evidence-based and Sustainability. Intersectoral partnerships are a recognised mechanism for Health in All Policies but few evaluations study partnerships that aim to influence policy. This case study evaluation studied a national Partnership focused on transport policy in Scotland. The evaluation aimed to assess the extent to which the Partnership meets the principles of Health in All Policies and informs policy and practice. It also identified actions to improve its impact.</div></div><div><h3>Study design</h3><div>Anonymous self-completion survey of members of the Partnership and its wider Learning Network.</div></div><div><h3>Methods</h3><div>The survey used Likert scales to assess respondents’ views on whether the Partnership was meeting its aims and supporting principles of Health in All Policies. Respondents also recorded whether the Partnership had increased their knowledge, supported wider collaboration or informed decision making. The Partnership used structured discussion in groups and an online poll to generate and prioritise improvement actions.</div></div><div><h3>Results</h3><div>A vast majority of respondents scored the Partnership highly for Comprehensive approach to health (82 %), and being Evidence-based (78 %). Most rated it highly for Governance (63 %), Collaboration (62.5 %) Equity (63 %) and Sustainability (57 %). However, less than half (43 %) scored it highly for Participation. Respondents indicated a range of ways the Partnership impacted on their knowledge and practice. The top actions identified by the Partnership to improve its impact were to investigate car culture and identify specific national transport policies to influence.</div></div><div><h3>Conclusions</h3><div>A national sector-specific Partnership can provide a constructive platform for a Health in All Policies approach to improve health and health equity, but further mechanisms are needed to support participation of affected populations.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100624"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089621","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}
Beate Hüner , Anand Kumar Vinayak , Martina Schmiedhofer , Christina Derksen , Frank Reister , Christoph Scholz , Sonia Lippke
{"title":"Cost effective analysis after patient communication training in obstetrics - Evaluating economic efficiency","authors":"Beate Hüner , Anand Kumar Vinayak , Martina Schmiedhofer , Christina Derksen , Frank Reister , Christoph Scholz , Sonia Lippke","doi":"10.1016/j.puhip.2025.100618","DOIUrl":"10.1016/j.puhip.2025.100618","url":null,"abstract":"<div><h3>Background</h3><div>In obstetrics, teamwork among healthcare professionals and effective communication with expectant parents are key to prevent adverse events during childbirth. These events can have lasting impacts on families and lead to significant costs for both the healthcare system and the affected families. The aim of this study is to evaluate the cost effectiveness of a training intervention for expectant mothers, focusing on improving effective communication in obstetrics.</div></div><div><h3>Study design and methods</h3><div>An experimental intervention study was conducted with 76 pregnant women in the intervention group receiving patient training, and 88 in the control group. Cost effectiveness of the obstetric data was collected and evaluated with the Diagnosis Related Groups (DRG) classification, the internal cost of medical treatment and reimbursement by health insurance. In addition, patient characteristics, co-morbidities, and risk factors were assessed.</div></div><div><h3>Results</h3><div>We found meaningfully lower costs per patient following patient training including communication training (patients with complications and in the intervention group 3053 Euros vs. with complications but in the control group 4523 Euros; patients without complications 2168 vs. 2418 Euros). The training significantly impacted patient safety in terms of a reduced average patient costs by 30 % only in case where women experienced complications.</div></div><div><h3>Conclusion</h3><div>The results demonstrate the positive impact of communication training on enhancing patient safety while simultaneously reducing costs. The implementation of a patient training program focusing on communication skills for expectant parents effectively merges economic efficacy with a progressive approach in obstetrics. Furthermore, effective communication training could improve the articulation of needs, thereby bridging the gap between potentially exacerbated health inequalities for pregnant women with social risk factors.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100618"},"PeriodicalIF":2.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116360","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}
Marcelo Antonini , Gabriela Moreira Santos , André Mattar , Marina Diogenes Teixeira , Andressa Gonçalves Amorim , Marina Fleury de Figueiredo , Marcellus do Nascimento Moreira Ramos , Francisco Pimentel Cavalcante , Eduardo Camargo Millen , Antonio Luis Frasson , Felipe Zerwes , Odair Ferraro , Fabricio Palermo Brenelli , Juliana Francisco , Luiz Henrique Gebrim
{"title":"Barriers to breast cancer treatment in Brazil: A study on migration and regional disparities","authors":"Marcelo Antonini , Gabriela Moreira Santos , André Mattar , Marina Diogenes Teixeira , Andressa Gonçalves Amorim , Marina Fleury de Figueiredo , Marcellus do Nascimento Moreira Ramos , Francisco Pimentel Cavalcante , Eduardo Camargo Millen , Antonio Luis Frasson , Felipe Zerwes , Odair Ferraro , Fabricio Palermo Brenelli , Juliana Francisco , Luiz Henrique Gebrim","doi":"10.1016/j.puhip.2025.100614","DOIUrl":"10.1016/j.puhip.2025.100614","url":null,"abstract":"<div><h3>Background</h3><div>Breast cancer (BC) is one of the most prevalent cancers globally, with 2.3 million new cases annually in 2023. In Brazil, it is estimated that there are 74,000 new cases per year, representing 20.3 % of cancers in women in the country. Limited access to adequate treatment forces patients to seek care elsewhere, straining the healthcare system and delaying treatment initiation. This study aimed to determine the migration rate of BC patients in Brazil and specifically to analyze migration rate by stage and treatment modality, as well as its costs and possible reasons for delays.</div></div><div><h3>Study design</h3><div>A cross-sectional observational ecological study was conducted using retrospective data on the prevalence of breast cancer in Brazil, including the number of diagnoses and treatments in each state. The study evaluated patient migration rate for treatment, with information obtained from the DATASUS - SISCAN/Cancer Information System database. The selected analysis period was from 2017 to 2022, during which all necessary variables were available.</div></div><div><h3>Results</h3><div>Among the 275,140 cases analyzed, 98.18 % were women. The national migration rate was 2.12 %, ranging from 0.35 % in the Northeast to 9.31 % in the Midwest. Stage IV had the highest migration rate (1.74 %), and migration rate for radiotherapy was significant in some states, reaching 100 % in specific cases.</div></div><div><h3>Conclusion</h3><div>The migration rate of BC patients for treatment in Brazil shows significant regional variations, with higher rates in the Midwest and lower rates in the South. Some states exhibited a 100 % migration rate for access to radiotherapy. Stage IV patients are the most prone to migrate, and the search for radiotherapy can lead patients to move to other states. These results highlight the need for specific health policies to ensure access to treatment across the country.</div></div>","PeriodicalId":34141,"journal":{"name":"Public Health in Practice","volume":"9 ","pages":"Article 100614"},"PeriodicalIF":2.2,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089632","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}