Journal of Public Health in Africa最新文献

{"title":"Adaptation of the renal clinic extension-mentorship model for chronic kidney disease prevention and control into the primary healthcare system in Nigeria.","authors":"Akinwumi A Akinbodewa, Olorunfemi A Ogundele, Olumuyiwa E Ariyo, Victoria O Oladoyin, Korede Oluwatuyi, Adeayo O Omotehinse","doi":"10.4102/jphia.v17i1.1711","DOIUrl":"10.4102/jphia.v17i1.1711","url":null,"abstract":"<p><p>Chronic kidney disease has become a global pandemic, with its burden felt mostly in developing countries where there is a deficiency or outright lack of policy and funding for chronic kidney disease prevention and treatment. In Nigeria, its prevalence stands at about 13%, with the majority living in rural settings, far flung from nephrologists. The recent success achieved in integrating chronic kidney disease into primary healthcare has yet to receive significant funding from many governments, including Nigeria. Sustaining efforts towards disease prevention remains unachievable, with renal teams only embarking on one-off community outreaches that often fail to diagnose the disease.</p><p><strong>Contribution: </strong>In this article, the authors propose an adaptation of the <i>nephrology clinic extension-mentorship model</i>, which is designed to enable community-based kidney care that is anchored on nephrology teams acting as the fulcrum and basic functional unit. The model focuses on setting up semi-autonomous, <i>quasi</i>-renal clinics in local government areas in communities across Nigeria that will serve as platforms for sustained community engagement and participation in kidney care. The model also systematically entrenches continual screening and diagnosis of chronic kidney disease amongst at-risk groups within and outside the health centre premises through the provision of laboratory equipment and personnel that are specific for the purpose.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1711"},"PeriodicalIF":1.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869909","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}

{"title":"Exploring pastoral attitudes and lived experiences of people living with HIV and/or AIDS: A case study of churches in Thulamela Municipality, South Africa.","authors":"Tshifhiwa S Netshapapame, Cairo B Ntimana","doi":"10.4102/jphia.v17i1.1416","DOIUrl":"10.4102/jphia.v17i1.1416","url":null,"abstract":"<p><strong>Background: </strong>The role of the church in addressing healthcare disparities, particularly human immunodeficiency virus (HIV) and/or acquired immunodeficiency syndrome (AIDS), and how pastors' attitudes influence the development and effectiveness of HIV and/or AIDS interventions remains underexplored.</p><p><strong>Aim: </strong>This study aimed to examine pastors' attitudes towards people living with HIV (PLWH) and to explore the lived experiences of PLWH in relation to these attitudes.</p><p><strong>Setting: </strong>Participants included pastors and congregational members living with HIV who resided in Thulamela Municipality and were affiliated with various Christian denominations.</p><p><strong>Methods: </strong>A qualitative phenomenological design was employed using semi-structured interviews. Purposive sampling was used to recruit nine pastors, while six PLWH were recruited through snowball sampling. All participants resided in Thulamela Municipality.</p><p><strong>Results: </strong>Findings indicated that pastors generally expressed sympathetic, non-judgemental and normalising attitudes towards PLWH. However, discussions around sexuality and HIV and/or AIDS were often considered taboo within the church context. People living with HIV reported experiencing stigma, and a prevailing belief among congregants attributed HIV transmission to individuals outside the church. Some participants also associated HIV infection with demonic possession.</p><p><strong>Conclusion: </strong>While pastors demonstrated compassion towards PLWH, inadequate knowledge contributed to persistent negative attitudes and stigma. Enhanced collaboration among pastors, interdenominational forums, healthcare professionals and communities is essential to promote accurate information sharing, reduce stigma and improve HIV and/or AIDS responses within faith-based settings.</p><p><strong>Contribution: </strong>This study highlights how pastor-led biblical discourse, influenced by limited theological training, shapes attitudes towards HIV and/or AIDS and underscores the need for stronger collaboration between churches and public health.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1416"},"PeriodicalIF":1.3,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149618/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147869921","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}

{"title":"A systematic review of implementation strategies to improve timely initiation of antenatal care among pregnant women in sub-Saharan Africa.","authors":"Olatubosun Akinola, Rabson Zimba, Kutha Banda, Caroline L Mangani, Hilda Shakwelele, Ibrahim Abdallah, Angel Mwiche, Cindy Chirwa, Mutale Sampa, Ronald Fisa, Mercy W Monde, Choolwe Jacobs","doi":"10.4102/jphia.v17i1.1461","DOIUrl":"10.4102/jphia.v17i1.1461","url":null,"abstract":"<p><strong>Background: </strong>Despite the availability of antenatal care (ANC) services, fewer than 40% of pregnant women in sub-Saharan Africa initiate ANC within the first trimester, indicating suboptimal early utilisation of maternal health services in the region.</p><p><strong>Aim: </strong>This review aimed to identify and synthesise evidence on interventions that improve the timely initiation of ANC among pregnant adolescents and women in sub-Saharan Africa.</p><p><strong>Setting: </strong>All studies included in the review were conducted in sub-Saharan Africa.</p><p><strong>Method: </strong>A systematic search guided by Preferred Reporting Items for Systematic Review and Meta-Analyses across seven databases (PubMed, Embase, Cumulative Index to Nursing and Allied Health Literature [CINAHL], Scopus, and the Cochrane Database of Systematic Reviews - and grey literature sources including ProQuest Dissertations & Theses Global and African Journals Online [AJOL]) identified eligible English-language studies (1990-2022), including randomised and non-randomised trials, controlled before-and-after studies, and interrupted time-series. The review was conducted between September 2022 and October 2022, and the protocol was registered with PROSPERO (CRD42022380283).</p><p><strong>Results: </strong>Eleven studies met the inclusion criteria. Three types of intervention approaches were identified: community-based, facility-based, and a combination of both. Facility-based interventions, such as mobile phone reminders, for instance, the wired mothers innovation and quality improvement initiatives, showed improvements in early ANC attendance ranging from a 5% increase to more than triple the uptake. Community-based interventions also proved effective, with gains of up to 200%, as in Malawi, where early ANC increased from 10% to 29%. These mechanisms included home visits, education, male involvement, and engagement with traditional leaders.</p><p><strong>Conclusion: </strong>Integrated community and facility-based interventions offer promising strategies to improve timely ANC. Future efforts should consider cost-effectiveness and implementation research to enhance decision-making.</p><p><strong>Contribution: </strong>This study demonstrates the potential of underutilised interventions to enhance first-trimester ANC attendance and maternal health outcomes across sub-Saharan Africa.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1461"},"PeriodicalIF":1.3,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646914","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}

{"title":"Socio-ecological analysis of nurses' roles and challenges in choice on termination of pregnancy services in South Africa: A scoping review.","authors":"Vutlhari A Ndlovu, Tshepo A Ntho, Masenyani O Mbombi, Mxolisi W Ngwenya","doi":"10.4102/jphia.v17i1.1600","DOIUrl":"10.4102/jphia.v17i1.1600","url":null,"abstract":"<p><strong>Background: </strong>Choice on termination of pregnancy remains a sensitive and complex aspect of reproductive healthcare, particularly in settings where cultural, religious, legal and institutional factors intersect.</p><p><strong>Aim: </strong>To identify nurses' roles and challenges in providing choice on termination of pregnancy services in South Africa using a socio-ecological framework.</p><p><strong>Setting: </strong>The review was conducted using findings from studies on nurses regarding the provision of choice on termination of pregnancy services in South Africa.</p><p><strong>Method: </strong>A scoping review was conducted following the Arksey and O'Malley framework and aligned with the Systematic Reviews and Meta-Analyses extension for Scoping Reviews guidelines. Electronic databases include ScienceDirect, EBSCOhost, PsycINFO, PubMed and regional databases like African Index Medicus. Literature published between January 1996 and December 2024 was searched; only English-language studies were included.</p><p><strong>Results: </strong>Twenty-one studies, published between 1998 and 2023, were included. The results show diverse and in-depth insights into the multifaceted challenges of nurses involved in choice on termination of pregnancy services, highlighting emotional and moral challenges, interpersonal dynamics, organisational constraints, sociocultural influences and legal gaps.</p><p><strong>Conclusion: </strong>This review reveals that nurses' roles in providing choice on termination of pregnancy services are shaped by multiple levels of influence, with moral beliefs, stigma and systemic barriers hindering the delivery of quality care.</p><p><strong>Contribution: </strong>This review enhances understanding of the multi-level barriers nurses face in providing choice on termination of pregnancy services in South Africa and underscores the need for targeted interventions to improve access to sexual and reproductive health services.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1600"},"PeriodicalIF":1.3,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058541/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646935","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}

{"title":"Lessons learned in implementing an Alcoholics Anonymous peer support model in Lilongwe, Malawi.","authors":"Katherine Boyd, Chifundo S Tepeka, Thomas W Psyata, Tommy Mthepheya, Thuy Bui, Caroline Kensler, Phillip Wagner","doi":"10.4102/jphia.v17i1.1343","DOIUrl":"10.4102/jphia.v17i1.1343","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1343"},"PeriodicalIF":1.3,"publicationDate":"2026-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058521/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646903","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}

{"title":"Factors associated with completion of 6 months of isoniazid preventive therapy among under-five children exposed to tuberculosis patients in Blantyre, Malawi.","authors":"Glory T Mzama, Kruger Kaswaswa, Tobias Chirwa, Juliana Kagura, Latifat Ibisomi","doi":"10.4102/jphia.v17i1.1528","DOIUrl":"10.4102/jphia.v17i1.1528","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization recommends 6 months of isoniazid preventive therapy (IPT) to children who have been exposed to tuberculosis (TB) patients to prevent active TB. Although IPT is an efficacious intervention, it is underutilised.</p><p><strong>Aim: </strong>The aim of this study was to examine factors associated with the completion of IPT among children under 5 years who have been exposed to TB patients.</p><p><strong>Setting: </strong>This was a secondary data analysis; the primary study was conducted in Blantyre, Malawi.</p><p><strong>Methods: </strong>This study was a secondary analysis of a randomised controlled trial with follow-up at 3 months and 6 months. Univariable and multivariable logistic regression models were used to identify factors associated with the completion of IPT.</p><p><strong>Results: </strong>One hundred and twenty-eight children were included, of whom 58 (45.3%) completed IPT. Index patient human immunodeficiency virus (HIV)-positive status (adjusted odds ratio [aOR] = 0.39, 95% confidence interval [CI]: 0.16-0.94) and longer distance (> 5 km) (aOR = 0.25, 95% CI: 0.07-0.89) were associated with lower IPT completion. Wealth status, household health-seeking decision maker and type of contact tracing were associated with higher IPT completion, with aOR = 3.42 (95% CI: 1.19-9.88) for children coming from households of high wealth status, aOR = 3.17 (95% CI: 1.19-8.42) in which the health-seeking decision maker was the parent compared to other guardians, and aOR = 3.13 (95% CI: 1.25-7.84) for children who were identified through patient-conducted tracing compared to routine contact tracing.</p><p><strong>Conclusion: </strong>Human immunodeficiency virus status, wealth status, household health-seeking decision maker, proximity to health facility and type of contact tracing are key determinants of IPT completion among children.</p><p><strong>Contribution: </strong>This study provides valuable insights into the factors that affect the completion of IPT. By addressing these factors, completion of IPT can be improved, thereby preventing TB among children.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1528"},"PeriodicalIF":1.3,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646915","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}

{"title":"Presence and prevalence of single nucleotide sequence polymorphisms in <i>TP53</i> and <i>BRCA2</i> genes as of cervical and ovarian cancers in women using hormonal contraceptives in Abuja, Nigeria.","authors":"Omorinsola F Odebiyi, Adedapo Kehinde, Mohammed S Abdulsalami, Deborah M Dibal","doi":"10.4102/jphia.v17i1.1453","DOIUrl":"10.4102/jphia.v17i1.1453","url":null,"abstract":"<p><strong>Background: </strong>Cancer remains a major health burden in sub-Saharan Africa, characterised by high incidence and mortality rates as a result of late diagnosis, limited access to treatment and poor outcomes. Among gynaecological malignancies, cervical and ovarian cancers are of particular concern. Emerging evidence suggests that hormonal contraceptives may influence genetic susceptibility through single nucleotide polymorphisms (SNPs) in cancer-related genes such as <i>TP53</i> and <i>BRCA2</i>.</p><p><strong>Aim: </strong>This study investigated the prevalence of SNPs in the <i>TP53</i> and <i>BRCA2</i> genes and their association with cervical and ovarian cancer risk in a selected population.</p><p><strong>Setting: </strong>Civil Defence Medical Centre, Abuja, Nigeria.</p><p><strong>Methods: </strong>A total of 108 samples were analysed using polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) to detect gene polymorphisms. Single nucleotide polymorphisms were confirmed at the nucleotide level using purified PCR products, and deoxyribonucleic acid (DNA) fragments were sequenced with a Genetic Analyzer 3130xl (Applied Biosystems). BioEdit and MEGA 6 software were used for genetic analysis.</p><p><strong>Results: </strong>Polymorphisms were detected in the <i>TP53</i> gene, but not in BRCA2. The TP53 variants were predominantly missense mutations, including G > A (40%) and G > C (60%) substitutions. Among 98 hormonal contraceptive users, 5 (5.1%) had TP53 SNPs. No BRCA2 SNPs were identified. Fisher's exact test showed marginal statistical significance (<i>p</i> = 0.059).</p><p><strong>Conclusion: </strong>The findings underscore the relevance of TP53 screening in populations at risk of cervical cancer, while BRCA2 screening may be less applicable in this cohort. Larger studies across diverse populations are recommended.</p><p><strong>Contribution: </strong>However, further research is needed with larger sample sizes in other geographical regions and additional genetic markers to fully understand the genetic risk landscape for both cancers in hormonal contraceptive users within the population.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1453"},"PeriodicalIF":1.3,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058514/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646958","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}

{"title":"Weaknesses and strengths in the emergency response and management of the first mpox case in The Gambia.","authors":"Sheikh O Bittaye, Lamin Manneh, Morikebba Danso, Sheriffo Jagne, Amadou W Jallow, Ya Fatou B M Jobe, Mary Bobb, Ebrima K Jallow, Momodou Kalisa, Kebba Jobarteh, Modou L Sanneh, Haddijatou Allen, Ifeanyi L Udenweze, Pius Ononigwe, Abdoulie Badjan, Mustapha Bittaye, Momodou T Nyassi","doi":"10.4102/jphia.v17i1.1648","DOIUrl":"10.4102/jphia.v17i1.1648","url":null,"abstract":"<p><p>Mpox is a zoonotic virus that can infect humans and animals. The director general of the World Health Organization (WHO) declared the mpox outbreak a public health emergency of international concern on 14 August 2024, with the greatest burden in Africa. The Gambia registered its first case of mpox on 18 July 2025. This case study, therefore, assesses the weaknesses and strengths in the emergency response and management of the first mpox case in The Gambia. The patient is a 26-year-old female Gambian, who presented with a two-day history of a skin rash which was associated with fever, headache and myalgia. This patient was seen at the health centre, and swab samples were collected for mpox testing before she returned home. The samples were delivered to the National Public Health Laboratories (NPHL) a day later, and the polymerase chain reaction tests were conducted 8 days later, which confirmed the presence of mpox virus infection. The confirmed mpox case initially presented challenges with compliance, as the patient could not be readily located for isolation and treatment. However, through the coordinated efforts of the police, mobile operators, the village health worker (VHW), field investigators, surveillance officers, public health officers, regional health directorate staff, the head of the village or community, and the nurse at the Fajikunda Health Centre (FJKHC), the case was successfully traced. The assessment of the emergency response and management of the first mpox case in The Gambia revealed notable strengths and weaknesses. Surveillance efforts at the primary healthcare level were effective, leading to the detection of the case and a well-coordinated overall response. However, significant challenges emerged in the laboratory analysis of collected samples, including delays in processing as a result of an unreliable electricity supply and gaps in appropriate infection prevention and control measures.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1648"},"PeriodicalIF":1.3,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13058487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646884","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}

{"title":"Traditional health practices in child care: Perceptions of caregivers in a township community.","authors":"Eugene M Makhavhu","doi":"10.4102/jphia.v17i1.1578","DOIUrl":"10.4102/jphia.v17i1.1578","url":null,"abstract":"<p><strong>Background: </strong>For women of childbearing age in South Africa, using different traditional healthcare practices is common. The use is intended for differing reasons, including aiding with conception and care of the baby during the neonatal phase and of the mother during the nursing stages. This is particularly so in underserved communities; however, perceptions of those who use such treatments are not widely explored.</p><p><strong>Aim: </strong>This study explored the perceptions of caregivers in township communities regarding traditional practices in healthcare.</p><p><strong>Setting: </strong>This study was conducted in a township in a metropolitan city in Gauteng.</p><p><strong>Methods: </strong>The study used a qualitative exploratory design, and data were collected using a semi-structured interview guide from 15 participants who were sampled conveniently.</p><p><strong>Results: </strong>Three themes were generated: (1) critical perspectives on traditional healthcare practices use, (2) benefits of using traditional healthcare and (3) the preference and influence on continued traditional healthcare use. Results indicated continued traditional healthcare practice use because of the belief systems and trust enshrined in individual families and communities. Benefits such as the ability to use multiple healthcare modalities were also a strong indication.</p><p><strong>Conclusion: </strong>This study highlights a strong need to understand the traditional healthcare practices to foster safe and comprehensive healthcare delivery and meet the health needs of communities.</p><p><strong>Contribution: </strong>The study contributes to literature on the use of traditional health practices and has captured the perceptions of caregivers in a South African township.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1578"},"PeriodicalIF":1.3,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12969651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436419","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}

{"title":"Charting Africa's digital public health future: Five priorities for action.","authors":"Ngashi Ngongo, Nebiyu Dereje, Shanelle Hall, Jean Kaseya","doi":"10.4102/jphia.v17i1.1857","DOIUrl":"10.4102/jphia.v17i1.1857","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1857"},"PeriodicalIF":1.3,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12973256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436375","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}