{"title":"Scale strategies in the promotion of youth health: systematization of the experience through a technological platform in Central America and beyond.","authors":"Carolina Alfaro González, Adriana Gómez Gómez","doi":"10.1177/17579759251363602","DOIUrl":"https://doi.org/10.1177/17579759251363602","url":null,"abstract":"<p><p>Digital health platforms hold promise for addressing youth health inequalities; however, the factors that enable their successful expansion remain to be explored in depth. This study examines the scaling process of JovenSalud.net, a nonprofit digital platform for adolescent health promotion in Central America, led by TeenSmart International, as part of the 18-month 'Transition to Scale' initiative (2022-2023). The evaluation combined platform analysis (41,550 new registrations; 9087 sexual and reproductive health enrollments; 1739 course completions) and experience systematization as a methodology. Quantitative findings demonstrated substantial improvements in sexual and reproductive health knowledge and attitudes among graduates, along with increased condom use, rejection of unsafe sex practices, awareness of STIs and breast health, and understanding of the benefits of delaying sexual activity. From these data, five critical success factors emerged: (1) unique value proposition and competitive advantage, (2) technological innovation and modernization, (3) strategic alliances, (4) a diversified marketing and promotion strategy, and (5) a monitoring and evaluation (M&E) systems. Conversely, five key barriers were identified: (1) complex regulatory and political environments impede the formation of sustained advocacy partnerships, (2) limited promotional budgets constrain effective marketing and user outreach, (3) unstable, diversified funding streams challenge long-term financial sustainability, (4) technological inequities and low digital skills hinder platform adoption and (5) continuous technological change demands ongoing investment in team skills and infrastructure. Clearly defining and preserving core intervention components within adaptive M&E systems proved essential for maintaining fidelity and enabling real-time optimization, while sustained investment in organizational capacity and user-centered design underpins the long-term, scalable impact of nonprofit digital health initiatives for adolescents.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251363602"},"PeriodicalIF":1.3,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144993824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Open defecation in the Malete community of Kwara State, Nigeria: a study of residents' awareness level and practice.","authors":"Semiu Bello, Perpetua C Umeaku, Yusuf B Suleiman","doi":"10.1177/17579759251342820","DOIUrl":"https://doi.org/10.1177/17579759251342820","url":null,"abstract":"<p><p>A clean and safe environment is necessary for healthy living. This explains why safe water and sanitation is a component of the Sustainable Development Goals, to achieve access to adequate and equitable sanitation and hygiene for all, and ending open defecation by 2030. However, with the snails pace of development and poor open defecation free initiatives, particularly in many developing countries, the 2030 target appears highly threatened. This study, therefore, examined the level of open defecation practice and awareness of the dangers associated with such a practice among residents of the Malete community of Kwara State. The study employed the survey method with a structured questionnaire to gather data from 228 participants out of the 10,547 community population. Among other findings, the study found a high prevalence of open defecation among Malate residents. It also discovered that through radio and interpersonal communication most respondents were exposed to messages on the significance of the regular use of enclosed toilet systems for defecation. Still, the respondents further confirmed that the spread of open defecation practice among them was exacerbated by poverty and lack of enclosed toilet facilities. However, in the case of the Malete community, the study found that there is no significant relationship between income level and involvement in open defecation. The study concluded that exposure to health messages via interpersonal and radio channels, provision of public toilet facilities, and awareness creation through education and community-driven campaigns could potentially improve behaviour.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251342820"},"PeriodicalIF":1.3,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
María Del Carmen Malagón-Aguilera, Anna Bonmatí-Tomàs, Glòria Reig-García, Cristina Bosch-Farré, Alicia Baltasar-Bagué, David Ballester-Ferrando, Sandra Gelabert-Vilella
{"title":"Promover la salud de las personas mayores mediante la transformación del modelo gerontológico en el tiempo de ocio: estudio cualitativo.","authors":"María Del Carmen Malagón-Aguilera, Anna Bonmatí-Tomàs, Glòria Reig-García, Cristina Bosch-Farré, Alicia Baltasar-Bagué, David Ballester-Ferrando, Sandra Gelabert-Vilella","doi":"10.1177/17579759251338561","DOIUrl":"https://doi.org/10.1177/17579759251338561","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251338561"},"PeriodicalIF":1.3,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144805054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of positive parenting campaigns on the Maltese population.","authors":"Vincent Marmarà, Danika Marmarà, Angela Abela","doi":"10.1177/17579759251353765","DOIUrl":"https://doi.org/10.1177/17579759251353765","url":null,"abstract":"<p><p>This quantitative study examined the impact of positive parenting campaigns on the Maltese population. Two cross-sectional surveys of the Maltese population were conducted at two time points, examining two campaigns that were conducted over two consecutive years. The first and second survey comprised 800 and 600 respondents, respectively. In total, 25% and 20% parents had heard about the first and second campaigns, respectively, suggesting that these campaigns had an impact, even when launched for short durations. The second campaign was rated as more effective than the first campaign, and fewer participants in the second campaign recalled no learning points from the campaign. Television spots during prime time and storyboards were most effective modes of media, followed by Facebook posts. Future long-term studies should explore the retention of the learning points from the campaigns, and the inclusion of practical examples is recommended for future positive parenting campaigns.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251353765"},"PeriodicalIF":1.7,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Historias musicales para el aprendizaje colectivo: una propuesta metodológica de educación para la salud desde el paradigma crítico.","authors":"Carlos D Páez-Mora, Kelly T Cetina-Matallana","doi":"10.1177/17579759251334393","DOIUrl":"https://doi.org/10.1177/17579759251334393","url":null,"abstract":"","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251334393"},"PeriodicalIF":1.7,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144567977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Evangelia Zouli, George Koulierakis, Anna Tsikouraki
{"title":"Illness perceptions, fear, and COVID-19 protective behaviours: the mediating role of health literacy.","authors":"Evangelia Zouli, George Koulierakis, Anna Tsikouraki","doi":"10.1177/17579759251342822","DOIUrl":"https://doi.org/10.1177/17579759251342822","url":null,"abstract":"<p><p>The COVID-19 pandemic affected both the behaviour and the mental health of people and made the decision-making process on health subjects a difficult task. Based on the Common-Sense Model, the current study aimed to investigate and document the public's perceptions of COVID-19, examine the relationship between health literacy, fear of COVID-19, and illness perceptions and explore their role in the adoption of protective behaviours. Data from 330 adults were collected through an electronic questionnaire, including the Perceived Stress Scale, the Brief Illness Perceptions Questionnaire, the European Health Literacy Questionnaire-16, the Coronavirus Anxiety Scale, the Fear of COVID-19 Scale, and items related to socio-demographic characteristics, protective behaviours and experience of illness. The results show that increased fear was correlated to more dysfunctional perceptions and increased adherence to protective behaviours (mask use and intention to vaccinate). Increased health literacy was correlated to more functional perceptions and higher intention to use masks, but not to get vaccinated. Health literacy was a significant mediator in the relationship between fear and illness perceptions and between fear and protective behaviours. The results could be useful for promoting public health risk prevention. Targeting strategies for managing negative emotions and enhancing health literacy could be an important step toward more functional illness perceptions and health behaviours.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251342822"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nicole W Chng, Geralyn J Kwek, Kenrick Y Cheong, Syed Munauwwar B Syed Mahmud, Vinita L Sheri, Debbie S Wong, Meredith T Yeung
{"title":"Health literacy survey in health science students versus population-based sample of residents in Singapore.","authors":"Nicole W Chng, Geralyn J Kwek, Kenrick Y Cheong, Syed Munauwwar B Syed Mahmud, Vinita L Sheri, Debbie S Wong, Meredith T Yeung","doi":"10.1177/17579759251337767","DOIUrl":"https://doi.org/10.1177/17579759251337767","url":null,"abstract":"<p><strong>Background: </strong>Health literacy encompasses the social and cognitive skills required to access, comprehend, and use health information to maintain or improve health. This is the first study to assess the health literacy levels of health science students and adult residents in Singapore using the health literacy questionnaire (HLQ) and compare their levels.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted in Singapore from December 2019 to January 2023. The 44-item HLQ was administered to (1) entry-level health science students in a local university and (2) adult residents aged 18 and 80 who could understand and respond in English, Mandarin, or Malay. Variables such as demographic data, gender, age, language(s) spoken, education levels, and employment status were collected. HLQ scores were analysed using descriptive statistics, Mann-Whitney U-test, and rank-biserial coefficient.</p><p><strong>Results: </strong>Two hundred and eighty-two surveys were returned (students, <i>n</i> = 112; residents, <i>n</i> = 170). Overall, the health science students, particularly the female subgroup, obtained higher mean HLQ scores than the residents. Conversely, male residents scored better in 5 of the 9 subscales. Most comparisons lack statistical significance despite the noticeable effect sizes.</p><p><strong>Conclusions: </strong>Health science students have better health literacy when navigating health information. However, the lack of significant difference between groups for most HLQ scales, especially when comparing within age groups, indicated that the health science students needed to be more confident in their health literacy skills.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251337767"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530329","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Youth-led mental health promotion in Pakistan informed by intergenerational resilience.","authors":"Panos Vostanis, Sajida Hassan, Syeda Zeenat Fatima, Michelle O'Reilly","doi":"10.1177/17579759251342821","DOIUrl":"https://doi.org/10.1177/17579759251342821","url":null,"abstract":"<p><p>Interventions informed by intergenerational resilience have shown positive effects on youth mental health. In Majority World countries, however, mental health promotion remains constrained by stigmatizing beliefs and limited resources. This study explored multiple stakeholder perspectives of how intergenerational learning was incorporated in youth-led mental health promotion in Pakistan. Fourteen youth peer educators co-designed a mental health promotion programme with family advisers and facilitated 11 workshops in two disadvantaged areas of Karachi. Of the 304 workshops participants, a sub-sample of 63 youth, mothers, teachers and peer educators attended 11 focus groups. Established themes related to the process that enabled intergenerational learning, notably participatory activities, and how such learning could be transferred to resilience-enabling systems by mobilizing communities. A multidimensional resilience framework that draws upon intergenerational experiences can usefully inform youth mental health promotion, especially in resource-constrained settings. Co-production with holders of local knowledge can engage and empower communities.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251342821"},"PeriodicalIF":1.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144530331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin Tézier, Quentin Michaud, Florence Rostan, Fabienne Lemonnier, Anne Vuillemin, Francis Guillemin, Kévin Barros, Aurélie Van Hoye
{"title":"Scaling up PROSCeSS intervention in France: a systems approach to health-promoting sports clubs.","authors":"Benjamin Tézier, Quentin Michaud, Florence Rostan, Fabienne Lemonnier, Anne Vuillemin, Francis Guillemin, Kévin Barros, Aurélie Van Hoye","doi":"10.1177/17579759251332971","DOIUrl":"10.1177/17579759251332971","url":null,"abstract":"<p><p>Sports clubs have been encouraged by political and health authorities to exploit their health promotion potential. Yet, existing literature highlights a lack of systems thinking and coordination, limiting sports clubs' capacity to implement sustainable health promotion interventions. The aim of this article is to describe the scaling-up process and the initial systems map of a health promotion intervention in sports clubs - the PROSCeSS intervention - and to discuss the use of the ExpandNet/WHO guide in this context.A participatory research approach using the nine-step guide from the ExpandNet/WHO was used. Five 2-hour meetings, completed with feedback and questionnaires between meetings, involving 36 stakeholders (14 from public health, 7 from sports, 7 academics and 8 political actors, from local to national levels), were recorded. The data (notes, meeting minutes, questionnaires) were analysed using a deductive process based on the nine-step ExpandNet/WHO guide. Results enabled researchers to identify targets of the intervention, as well as challenges and facilitators for implementing health promotion interventions in sports clubs. Fifty political, sports, academic and public health organisations at local and regional levels were identified as being able to support the scaling-up of the intervention, endorsing different roles : 1) methodological support, 2) communication, 3) provision of resources, 4) advocacy and 5) research. Twenty-two actions were identified and prioritised to support organisations in fulfilling the role they can play in the institutionalisation and expansion of health promotion in sports clubs. This work contributes to strengthening the multi-level systems thinking needed for health promotion implementation in sports clubs, enhancing their societal role to support individuals' health.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251332971"},"PeriodicalIF":1.7,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Benjamin Djoudalbaye, Richard Kabanda, Thomas Mavuto, Modou Njai, Addis Mhiraf, G Nekerwon Gweh
{"title":"Conceptualization of the Africa CDC Public Health Risk Communication and Community Engagement Community of Practice for Africa (PH-RCCE-CoPA) in 2020: successes and challenges in implementation.","authors":"Benjamin Djoudalbaye, Richard Kabanda, Thomas Mavuto, Modou Njai, Addis Mhiraf, G Nekerwon Gweh","doi":"10.1177/17579759251320648","DOIUrl":"https://doi.org/10.1177/17579759251320648","url":null,"abstract":"<p><strong>Background: </strong>The Africa Centres for Disease Control and Prevention established and launched the Public Health Risk Communication and Community Engagement Community of Practice in Africa (PH-RCCE-CoPA) initiative during the COVID-19 pandemic in May 2020 in collaboration with the World Health Organization Regional Office for Africa and developed terms of reference. This initiative aimed to strengthen capacity of Member States and institutionalize Risk Communication and Community Engagement (RCCE) for public health emergencies in Africa through the exchange of knowledge and best practices, as well as respond to rumours and misconceptions.</p><p><strong>Conclusions: </strong>Establishing the PH-RCCE-CoPA and subsequent training of RCCE focal points in Member States facilitated a coordinated approach to RCCE which helped to reduce rumours and misconceptions and increase COVID-19 vaccine confidence and uptake.</p>","PeriodicalId":46805,"journal":{"name":"Global Health Promotion","volume":" ","pages":"17579759251320648"},"PeriodicalIF":1.7,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}