Annals of Global Health最新文献

{"title":"Fostering Local Ownership of Infection Prevention and Control Strategies: A Multi-country Program.","authors":"Nicole C McCann, Jeanette L Kaiser, Nancy A Scott, Tamara Hafner, Andre Zagorski, Mohan P Joshi, Fozo Alombah, Allison Juntunen Morgan, José Antonio Requejo Domínguez, Veronika J Wirtz","doi":"10.5334/aogh.5198","DOIUrl":"https://doi.org/10.5334/aogh.5198","url":null,"abstract":"<p><p><i>Background:</i> The United States Agency for International Development Medicines, Technologies, and Pharmaceutical Services (MTaPS) program supported partner countries to implement infection prevention and control (IPC)-related programs. We evaluated the extent to which MTaPS-supported IPC programs fostered local ownership, such that members of local or national-level health systems had agency in developing and running programs. <i>Methods:</i> We surveyed three respondent groups involved in MTaPS IPC programs across eight African countries: (1) healthcare facility staff, (2) national-level stakeholders, and (3) MTaPS-contracted country implementers. Multiple-choice survey questions asked respondents to rate the quality of collaboration and capacity-building between their country and MTaPS, and the extent to which MTaPS fosters local ownership. Open-response questions inquired about factors that did or did not foster local ownership. We described the proportion of respondents reporting each multiple-choice response option, and conducted qualitative content analysis of open responses to generate themes about respondent perceptions of MTaPS support and local ownership. <i>Results:</i> We included 85 survey respondents: health facility staff (56%), MTaPS-contracted country implementers (29%) and national-level stakeholders (14%). Nearly all respondents rated the quality of MTaPS collaboration and capacity building \"good\" or \"excellent.\" Overall, 75%-92% of respondents rated the quality of MTaPS collaboration and capacity strengthening as \"mostly\" supportive of local ownership and 8%-25% rated it \"sometimes,\" supportive (0% selected \"rarely/never\"). Qualitatively, respondents described six activities as conducive to local ownership, including training, data collection/monitoring, stakeholder engagement, guideline/protocol standardization, creation/development of local committees, and supervision/mentorship/direct technical assistance. A reported barrier to MTaPS' support of local ownership was the inconsistent implementation of activities. <i>Conclusions:</i> IPC programs should continue to prioritize strategies for fostering local ownership, particularly as the funding landscape shifts. To increase IPC program sustainability in advance of future infectious disease threats, additional resources are needed to scale up activities perceived as conducive to local ownership.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"40"},"PeriodicalIF":3.2,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health in All Policies Implementation in Quebec Suggests Great Promise for U.S.","authors":"Keshia M Pollack Porter, Stefanie Carignan, Pierre-Gerlier Forest","doi":"10.5334/aogh.5058","DOIUrl":"https://doi.org/10.5334/aogh.5058","url":null,"abstract":"","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"35"},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13109918/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Making the Case for Dental Therapists in the United States.","authors":"Tan Minh Nguyen, Kari Ann Kuntzelman, Eleanor Fleming","doi":"10.5334/aogh.5050","DOIUrl":"https://doi.org/10.5334/aogh.5050","url":null,"abstract":"<p><p>Highlighting the historic and contemporary success of dental therapy as an accepted dental provider globally, this manuscript makes the case for the practice in the United States. Co-written with US and Australian practicing dental therapists, this manuscript names a specific challenge from organized dentistry to prevent dental therapists from practicing. Dental therapy is one of the workforce best practices globally and has important implications for the United States. To the degree that best global health practices should be bidirectional, this manuscript aims to make the case for dental therapy in the United States. There is also a call to action for global health advocates to both recognize global oral health challenges and to explore opportunities for collaboration with dental therapists and to elevate best global health workforce practice supporting dental therapy as a certified member of the oral health workforce.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"37"},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089379/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Applying Community Engagement Methods to Facilitate Global Co‑Learning among Indigenous Communities.","authors":"Sonya Shin, Nancy Rumaldo, Carmen George, Karen Ramos Carhuas, Genaro Anco, Malyssa Egge, Louise Benally, Hilda Quispe, Kerlissa Bitah, Anglene Joe, Casey Dai, Jioni Tuck, Jesus Peinado","doi":"10.5334/aogh.5057","DOIUrl":"https://doi.org/10.5334/aogh.5057","url":null,"abstract":"<p><p>Principles and methods for community engagement in research align closely with the Global Learning for Health Equity Framework. Both concepts center around trust, respect, reciprocity, and humility; elevate the inherent wisdom of community perspectives; and emphasize opportunities for equitable, bidirectional learning and co-creation across the project's life cycle. Our team utilized community engagement methods in a global learning initiative, engaging two Indigenous communities in Peru and Navajo Nation. In the initial year of this project, we used both cross-site and site-specific community engagement methods with the collective goal of identifying local strategies to address water insecurity and advance child health. In this viewpoint, we describe the community engagement process and reflect on challenges, lessons learned, and future directions.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"36"},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Power and Global Learning: <i>A Case Study of the Four Pillar Model of CORD from India to Michigan</i>.","authors":"Vidya Kumar Ramanathan, Alexander Plum, Narender Paul, Kathleen Babuska, Morgan Pigott, Kshama Metre","doi":"10.5334/aogh.5043","DOIUrl":"https://doi.org/10.5334/aogh.5043","url":null,"abstract":"<p><p>A bidirectional, community‑based intervention in Washtenaw County, Michigan for women aged 12+, experiencing personal and systemic barriers, was developed based on learning from Himachal Pradesh, India. The partners, a global NGO, a local adolescent healthcare organization, and a community development network, leveraged community resources to help women achieve discrete goals in three arenas (access to healthcare, education for their children, and employment) by adapting and applying four \"pillars\" of the global NGO (participation, integration, sustainability, and networking) in maternal‑infant health care delivery and community engagement. The result was women reporting increased hopefulness, better health, and greater sense of agency in their lives, with implications for future work in improving health indicators and maternal‑infant health outcomes.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"38"},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global Learning for Health Equity: Assessing Pilot Grants as a Tool to Advance the Strategy.","authors":"Virginia Rowthorn, Shadae Chambers, Yolanda Ogbolu","doi":"10.5334/aogh.5155","DOIUrl":"10.5334/aogh.5155","url":null,"abstract":"<p><p><i>Background:</i> Persistent health and healthcare inequities in the United States, rooted in systemic racism and power imbalances, continue to drive poor health outcomes for marginalized communities. Global learning, also termed reciprocal innovation, has emerged as a promising strategy for addressing these inequities by adapting ideas across national contexts through mutually beneficial partnerships. <i>Objective(s):</i> To describe the Global Learning for Health Equity (GL4HE) Pilot Grant Initiative as a strategy to advance health equity in US communities, examining the characteristics of participating organizations, the utility of the GL4HE Framework, and the role of funding, mentorship, and peer learning. <i>Methods:</i> This evaluation drew on multiple forms of descriptive information generated during Network implementation, including an external evaluation report, grantee final narrative reports, mentor-mentee feedback surveys, and observations documented during technical assistance sessions and convenings. These materials were qualitatively analyzed to identify recurring observations related to strengths, barriers, organizational readiness, and the perceived usefulness of Network supports, allowing for an integrated understanding across sources. <i>Findings:</i> Through the GL4HE Pilot Grant Initiative, seven organizations implemented global learning projects addressing varied health equity challenges. Grantees valued the GL4HE Framework for providing a shared language and conceptual roadmap but noted gaps in actionable guidance. Seed funding, intensive mentorship, and convenings were critical to progress. Deep community engagement and reciprocal cross-cultural exchange also emerged as key enablers of success. Major challenges included administrative burdens, partner identification, travel logistics, and concerns about long-term scalability and sustainability. <i>Conclusions:</i> Pilot grants, when paired with mentorship, peer learning, and a guiding framework, can effectively catalyze global learning for health equity. To maximize impact, future efforts should provide more operational tools, streamline administrative processes, and invest in sustained, community-centered partnerships. Global learning represents a viable and important approach for advancing equitable, innovative solutions to complex health challenges in the United States.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"34"},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reciprocal Innovation in Action: Adapting a Community-Based Care Model for Pregnant and Parenting Women in Kenya to Indiana.","authors":"Michael Scanlon, Dominique Dumornay, Debra K Litzelman, Justus E Ikemeri, Anjellah Jumah, Leonce Jean-Baptiste, Jasmine Jackson, Marie Nicolle Joseph, Astrid Christoffersen-Deb, Julia Songok, Laura J Ruhl","doi":"10.5334/aogh.5052","DOIUrl":"10.5334/aogh.5052","url":null,"abstract":"<p><p><i>Background:</i> Reciprocal innovation and global learning emphasize mutual exchange, shared benefit, and co-creation between partners in high-, middle-, and low-income settings to address persistent global health inequities. Building on more than three decades of collaboration between Indiana University and the Academic Model Providing Access to Healthcare partnership in western Kenya, the IU Center for Global Health established a reciprocal innovation program to apply lessons from global partnerships to health challenges in Indiana. <i>Objectives/Methods:</i> This article presents a case study of reciprocal innovation in action through the adaptation of Chamas, a community-based maternal and child health program developed in Kenya, for Haitian immigrant communities in Indianapolis. <i>Findings:</i> We describe the co-design and early implementation of the Chamas-Indiana program using a five-stage process framework for reciprocal innovation: (1) building partnerships and trust with immigrant-serving organizations; (2) identifying shared challenges and priorities; (3) shared learning and adaptation of Chamas; (4) piloting and evaluation; and (5) reciprocal feedback with Kenyan partners. <i>Conclusions:</i> By situating this work within a shared global health priority area of maternal and child health, the case illustrates how reciprocal innovation can strengthen health equity efforts, bridge global and local learning, and foster enduring partnerships rooted in trust, cultural responsiveness, and mutual learning.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"39"},"PeriodicalIF":3.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Tortuous Road to Ending Preventable Maternal Deaths in Nigeria.","authors":"Gabriel Dogbanya","doi":"10.5334/aogh.5197","DOIUrl":"https://doi.org/10.5334/aogh.5197","url":null,"abstract":"<p><p>Nigeria continues to bear a disproportionate share of the global burden of maternal mortality despite decades of national and international commitments to its reduction. This viewpoint examines the tortuous and unstable trajectory of efforts to end preventable maternal mortality in Nigeria, noting a modest decline from extremely high levels exceeding 1000 maternal deaths per 100,000 live births. A shift that signals incremental progress, however, remains fragile, nonlinear, and vulnerable to reversal due to recurrent programmatic setbacks and weak health system resilience. The article situates Nigeria's experience within the global ending preventable maternal mortality framework, analyzing the continued relevance of its five strategic objectives in the Nigerian context. It reviewed key national initiatives from the Midwives Service Scheme to the widely acclaimed \"Abiye\" program in Ondo State-highlighting how political transitions, funding instability, and weak institutionalization have undermined continuity and scale-up. It argues that Nigeria's fluctuating maternal mortality trends are closely linked to inconsistent coverage, quality, and sustainability due to discontinuity driven by political turnover. It calls for the elimination of all barriers to care, functional emergency obstetric care services, governance, and accountability through the Maternal and Perinatal Death Surveillance and Response program.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"33"},"PeriodicalIF":3.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Workforce Safety Vulnerabilities in Pakistan's Construction Sector.","authors":"Muhammad Umair, Muhammad Uzair Yousuf","doi":"10.5334/aogh.5077","DOIUrl":"10.5334/aogh.5077","url":null,"abstract":"<p><p><i>Background:</i> The construction workforce drives infrastructure growth in Pakistan but faces severe occupational safety and health (OSH) risks, including high injury rates and poor protection. These vulnerabilities threaten worker well-being and jeopardize sustainable development. <i>Objective:</i> This study investigates OSH vulnerabilities among construction workers in Pakistan and identifies sociodemographic factors contributing to occupational injuries. <i>Methods:</i> The Labour Force Survey (LFS), a nationally representative survey conducted by the Pakistan Bureau of Statistics, collects comprehensive data on employment, occupational injuries, and sociodemographic characteristics using standardized questionnaires. LFS data from 2001-02 to 2017-18 were analyzed using the index value trend method, documenting construction worker injuries from 151 cases (7.3% injury rate) in 2001-02 to 516 cases (8.6% injury rate) in 2017-18 across four provinces. Injuries were examined by age, province, education, occupation, unsafe acts, unsafe conditions, and treatment received. <i>Findings:</i> Younger workers, those in rural areas, and low-skilled, less-educated blue-collar employees faced the highest risk of occupational injuries. Unsafe practices, including neglecting the use of protective equipment and improper handling of materials, combined with hazardous site conditions, were the primary contributors to accidents. Trends across provinces and occupational categories reveal persistent vulnerabilities, indicating that despite some minor improvements over time, significant risks in workplace safety remain. <i>Conclusions:</i> Targeted OSH interventions, including safety training, mandatory compliance in construction projects, and formalization of informal labor, are essential. Integrating OSH measures with social protection programs can reduce injuries, improve workforce health, and support safer practices in Pakistan's infrastructure development.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"32"},"PeriodicalIF":3.2,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Excellent Clinicians to Custodians of Life: Reimagining Internationalization in Health Professions Education.","authors":"Lilian Ferrer, Felipe Heusser, Javiera Fuentes, Javier Kattan, Camila Lucchini, Patricio Smith, Andrea Moreno, Claudia Bambs","doi":"10.5334/aogh.5146","DOIUrl":"10.5334/aogh.5146","url":null,"abstract":"<p><p>Health professions education faces growing challenges such as climate disruption, migration, inequities, and information-driven mistrust. Preparing health professionals for this reality requires more than clinical excellence; it calls for reimagining internationalization as the intentional integration of global, intercultural, ethical, interprofessional, and ecological competencies across curricula and accreditation systems. This commentary argues that internationalization must move beyond mobility for a privileged few toward a universal framework of global competencies accessible to all students. Drawing on frameworks from UNESCO, World Health Organization, and the Lancet Commission, and illustrated through the experience of the Faculty of Medicine at Pontificia Universidad Católica de Chile, it outlines three strategic directions: reorienting accreditation, embedding global engagement into curricula, and fostering authentic interdisciplinary teamwork. Ultimately, this paper offers a normative framework and institutional illustration to guide faculties of health worldwide in preparing graduates as custodians of life in a shared and fragile world.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"92 1","pages":"31"},"PeriodicalIF":3.2,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13089375/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}