International Health最新文献_第4页

Advancing IHR capacities in the DRC: findings from the 2022 e-SPAR and NAPHS evaluation. 推进刚果民主共和国的《国际卫生条例》能力：2022年e-SPAR和国家卫生健康战略评估的结果。

IF 2.4 4区医学

International Health Pub Date : 2026-09-01 DOI: 10.1093/inthealth/ihaf145

Jean Paul Muambangu Milambo, Longo Mbenza Benjamin

{"title":"Advancing IHR capacities in the DRC: findings from the 2022 e-SPAR and NAPHS evaluation.","authors":"Jean Paul Muambangu Milambo, Longo Mbenza Benjamin","doi":"10.1093/inthealth/ihaf145","DOIUrl":"10.1093/inthealth/ihaf145","url":null,"abstract":"The Democratic Republic of the Congo (DRC) conducted a national self-assessment of the 2005 International Health Regulations (IHR) core capacities using the revised 2021 electronic State Party Self-Assessment Annual Reporting tool. Held in March 2022, the hybrid workshop involved multisectoral stakeholders and evaluated 15 core capacities. The average national score was 36%, indicating limited capacity to implement IHR and the 2019 National Action Plan for Health Security. Four capacities, including points of entry and radiation emergencies, showed no capacity, while 10 were classified as limited. Only the IHR coordination reached the developed capacity level. Key weaknesses were identified in emergency operations, laboratory systems and legal preparedness. Strengths included One Health integration and risk communication efforts. These findings underscore the urgent need to improve multisectoral coordination, operational readiness and infrastructure investment to meet IHR requirements and better respond to public health threats. Strategic recommendations were proposed to guide national and international support.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"680-684"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145959374","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}

引用次数: 0

Comment on: 'Livestock farmers' knowledge, attitudes and practices relating to zoonoses in the Coastal Savannah zone of Ghana'. 评论：“加纳沿海萨凡纳地区畜牧农民对人畜共患病的知识、态度和做法”。

IF 2.4 4区医学

International Health Pub Date : 2026-09-01 DOI: 10.1093/inthealth/ihaf134

Gareth Davey

引用次数: 0

Barriers in managing maternal schistosomiasis: a qualitative study of healthcare providers in Tanzania. 管理孕产妇血吸虫病的障碍：对坦桑尼亚保健提供者的定性研究。

IF 2.4 4区医学

International Health Pub Date : 2026-09-01 DOI: 10.1093/inthealth/ihag001

Manase Kilonzi, Rebecca D Mkumbwa, Thadeus Ruwaichi, Nathanael Sirili

{"title":"Barriers in managing maternal schistosomiasis: a qualitative study of healthcare providers in Tanzania.","authors":"Manase Kilonzi, Rebecca D Mkumbwa, Thadeus Ruwaichi, Nathanael Sirili","doi":"10.1093/inthealth/ihag001","DOIUrl":"10.1093/inthealth/ihag001","url":null,"abstract":"Background: Maternal schistosomiasis threatens the health of pregnant women and their foetuses in endemic regions. Although praziquantel is recommended for treatment, its utilization remains low. This study explored the experiences of healthcare providers (HCPs) with schistosomiasis, particularly maternal schistosomiasis, and their perceived management barriers in Tanzania.Methods: This qualitative case study was conducted in October 2024 with nine purposefully selected HCPs. In-depth interviews guided by a semi-structured tool analysed HCPs' experiences with schistosomiasis, maternal schistosomiasis and perceived management barriers. Interviews were audio recorded, transcribed verbatim and thematically analysed to identify key insights and barriers.Results: Barriers to maternal schistosomiasis management were identified across three levels. At the policy level, the absence of guidance on diagnosis, treatment and prophylaxis in maternal health guidelines, along with the exclusion of pregnant women from mass drug administration programs, were prominent. Health system barriers included limited knowledge and training among HCPs and concerns about praziquantel safety in pregnancy. At the community level, inadequate health education, misconceptions, reliance on drug outlets and negative perceptions of praziquantel further impeded effective management.Conclusions: Maternal schistosomiasis management in Tanzania is hindered by policy gaps, limited HCP training and community misconceptions. Integrating care into antenatal services, updating guidelines and strengthening community education are essential in endemic settings.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"782-788"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146120607","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}

引用次数: 0

Circus arts shine a spotlight on antimicrobial resistance in Cambodia. 马戏艺术使人们关注柬埔寨的抗菌素耐药性问题。

IF 2.4 4区医学

International Health Pub Date : 2026-09-01 DOI: 10.1093/inthealth/ihaf160

Vanna Moul, Rashaad Wijntuin, Thyl Miliya, Phallina Thong, Phal Chanpheakdey, Sambou Bran, Abhjit Mishra, Aaryan Dahal, Florine van Driessen, Marco Liverani, Tibor Almasy, Hem Vattanak, Neil Murphy, Elke Wynberg, Rusheng Chew, Mom Ean, Osman Khawaja, Chan Davoeung, Voeurng Bunreth, Sarath Kros, Phaik Yeong Cheah, Bipin Adhikari, Thomas J Peto, Sidonn Krang, Paul Turner, Dysoley Lek

{"title":"Circus arts shine a spotlight on antimicrobial resistance in Cambodia.","authors":"Vanna Moul, Rashaad Wijntuin, Thyl Miliya, Phallina Thong, Phal Chanpheakdey, Sambou Bran, Abhjit Mishra, Aaryan Dahal, Florine van Driessen, Marco Liverani, Tibor Almasy, Hem Vattanak, Neil Murphy, Elke Wynberg, Rusheng Chew, Mom Ean, Osman Khawaja, Chan Davoeung, Voeurng Bunreth, Sarath Kros, Phaik Yeong Cheah, Bipin Adhikari, Thomas J Peto, Sidonn Krang, Paul Turner, Dysoley Lek","doi":"10.1093/inthealth/ihaf160","DOIUrl":"10.1093/inthealth/ihaf160","url":null,"abstract":"Background: In Cambodia, limited conceptual understanding of antimicrobials and the wide availability of over-the-counter medications increases antimicrobial resistance (AMR) threats. Community-based campaigns are critical to foster fundamental concepts of antimicrobials, their appropriate use and potential consequences of AMR.Methods: A circus-based drama on AMR was co-designed with a non-profit arts school and local youth groups, in coordination with two provincial health authorities.Results: Events held across three venues were attended by >1200 people and the accompanying social media campaign received >0.5 million views.Conclusions: Following the success of the campaign, the circus drama's key messages are being developed into educational materials for school children nationwide.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"789-792"},"PeriodicalIF":2.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13530287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913696","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}

引用次数: 0

Comment on: "Impact of home-based follow-up care on hypertension control among patients attending Thika Level Five Hospital, Kiambu County, Kenya: a randomized controlled study": reply. 评论：“以家庭为基础的随访护理对肯尼亚Kiambu县Thika五级医院患者高血压控制的影响：一项随机对照研究”：答复。

IF 2.4 4区医学

International Health Pub Date : 2026-09-01 DOI: 10.1093/inthealth/ihag008

Veronica Njaramba, David Kamau, Jesse Gitaka

引用次数: 0

Persistent gaps in the prevention of mother-to-child HIV transmission in central Uganda: a case-control study. 乌干达中部预防母婴艾滋病毒传播方面的持续差距：一项病例对照研究。

IF 2.4 4区医学

International Health Pub Date : 2026-08-27 DOI: 10.1093/inthealth/ihag087

Gloria Lubega, Benard Kikaire, Michael Mubiru, Violet Ankunda, Wilber Ssembajjwe, Samuel Bengo, Moses Kibirige, Joseph Lutaakome, Sylvia Kusemererwa, Andrew Abaasa, Eugene Ruzagira

{"title":"Persistent gaps in the prevention of mother-to-child HIV transmission in central Uganda: a case-control study.","authors":"Gloria Lubega, Benard Kikaire, Michael Mubiru, Violet Ankunda, Wilber Ssembajjwe, Samuel Bengo, Moses Kibirige, Joseph Lutaakome, Sylvia Kusemererwa, Andrew Abaasa, Eugene Ruzagira","doi":"10.1093/inthealth/ihag087","DOIUrl":"https://doi.org/10.1093/inthealth/ihag087","url":null,"abstract":"Objectives: Achieving elimination of mother-to-child transmission (eMTCT) remains a challenge in sub-Saharan Africa. Identifying persistent risk factors is critical for addressing remaining gaps in the prevention-of-mother-to-child HIV transmission (PMTCT) cascade.Methods: We conducted a case-control study among mother-child pairs where cases were mothers of HIV-positive children aged <6 years, while controls were mothers of HIV-exposed but HIV-negative children aged <6 years. Data were collected on sociodemographic characteristics, antiretroviral therapy (ART), antenatal care (ANC), infant-feeding practices, and partner involvement. Logistic regression identified factors independently associated with being a case.Results: A total of 183 mothers (91 cases and 92 controls) were included, with a median age of 30.9 (IQR 27.0-36.0) years. Attending <4 ANC visits (aOR 2.58; 95% CI 1.07-6.22) and mixed feeding before 6 months (aOR 5.56; 95% CI 2.22-13.94) were significantly associated with increased odds of MTCT. Child age ≥4 years (aOR 5.65; 95% CI 2.36-13.51) was associated with HIV-positive status. ART duration >5 years (aOR 0.07; 95% CI 0.03-0.18) and partner support (aOR 0.20; 95% CI 0.07-0.59) were strongly protective.Conclusion: Residual MTCT remains associated with modifiable factors across the PMTCT cascade. Strengthening early and sustained ANC attendance, partner involvement, exclusive breastfeeding, and ART retention may accelerate progress towards eMTCT.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841574","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}

引用次数: 0

Closing the implementation gap for WHO's new dementia risk reduction guidelines in low- and middle-income countries. 在低收入和中等收入国家缩小世卫组织新的减少痴呆症风险指南的实施差距。

IF 2.4 4区医学

International Health Pub Date : 2026-08-22 DOI: 10.1093/inthealth/ihag085

Yusuf Hared Abdi, Sharmake Gaiye Bashir

引用次数: 0

A scoping review of malaria chemoprevention strategies and effectiveness among children under five in Africa. 非洲五岁以下儿童疟疾化学预防战略和有效性的范围审查。

IF 2.4 4区医学

International Health Pub Date : 2026-08-14 DOI: 10.1093/inthealth/ihag083

Michèle L Simo-Simo, Arnauld Efon-Ekangouo, Fanny C Mayoh, Francis B Kengne, Hugues C Nana-Djeunga, Joseph Kamgno, Yves Coppierters

{"title":"A scoping review of malaria chemoprevention strategies and effectiveness among children under five in Africa.","authors":"Michèle L Simo-Simo, Arnauld Efon-Ekangouo, Fanny C Mayoh, Francis B Kengne, Hugues C Nana-Djeunga, Joseph Kamgno, Yves Coppierters","doi":"10.1093/inthealth/ihag083","DOIUrl":"https://doi.org/10.1093/inthealth/ihag083","url":null,"abstract":"Malaria remains a leading cause of morbidity and mortality among children under five in Africa. Chemoprevention strategies, including perennial malaria chemoprevention (PMC), seasonal malaria chemoprevention (SMC), together with other control measures, constitute a cornerstone of current preventive approaches. This scoping review aimed to synthesize evidence on the effectiveness of malaria chemoprevention strategies and to examine factors influencing their implementation across diverse epidemiological contexts. We systematically searched PubMed, Scopus, the Cochrane Database of Systematic Reviews, and Google Scholar for peer-reviewed quantitative studies published from 2002 to October 2025. Two reviewers independently screened records and extracted data using a standardized extraction form. Of 386 records identified, 42 met the inclusion criteria. Coverage across all doses ranged from 50% to 60% for both PMC and SMC, with adherence to the first dose consistently higher than for later doses. PMC showed a protective efficacy ranging from 20% to 87.5%, while SMC's protective efficacy reached 88.2%. Protection was markedly enhanced when chemoprevention was combined with malaria vaccination (RTS, S/AS01E). Effectiveness was modulated by transmission seasonality, prevalence of asymptomatic parasitemia, and local transmission intensity. Malaria chemoprevention is an effective strategy for reducing malaria burden in children under five, with the greatest impact observed when combined with vaccination.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760070","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}

引用次数: 0

Associations between extreme weather, resource insecurities and mobility with HIV risks among Ugandan refugee youth. 乌干达难民青年中极端天气、资源不安全和流动性与艾滋病毒风险之间的关系。

IF 2.4 4区医学

International Health Pub Date : 2026-08-13 DOI: 10.1093/inthealth/ihag082

Carmen H Logie, Zerihun Admassu, Moses Okumu, Frannie MacKenzie, Simon Odong Lukone, Nelson Kisubi, Miranda Loutet, Peter Kyambadde, Lesley Gittings, Rukshan Mehta, Manjulaa Narasimhan

{"title":"Associations between extreme weather, resource insecurities and mobility with HIV risks among Ugandan refugee youth.","authors":"Carmen H Logie, Zerihun Admassu, Moses Okumu, Frannie MacKenzie, Simon Odong Lukone, Nelson Kisubi, Miranda Loutet, Peter Kyambadde, Lesley Gittings, Rukshan Mehta, Manjulaa Narasimhan","doi":"10.1093/inthealth/ihag082","DOIUrl":"10.1093/inthealth/ihag082","url":null,"abstract":"Background: Humanitarian settings face elevated extreme weather events (EWEs), yet few studies with refugees have examined EWE-related risks and associations with human immunodeficiency virus (HIV) vulnerabilities.Methods: Among refugee youth ages 16-24 y in a Ugandan refugee settlement, we conducted latent class analysis to examine EWE-related risk classes (resource insecurities [water, food, sanitation], EWE exposure, mobility) and multivariable regression to assess associations between class membership and HIV vulnerabilities (sexual relationship power [SRP], intimate partner violence [IPV], condom use self-efficacy [CUSE], reproductive autonomy).Results: Participants' (n=400, 50% women; mean age 19.49 y [standard deviation 2.3]) class profiles included Class-1 (moderate resource insecurity, high mobility, high EWE), Class-2 (water insecurity, low mobility, low EWE) and Class-3 (severe resource insecurity, moderate mobility, high EWE). Compared with Class-2, Class-1 and Class-3 reported lower SRP (Class-1: adjusted beta coefficient (aβ)=-3.63 [95% confidence interval {CI} -6.27 to -0.98]; Class-3: aβ=-4.24 [95% CI -6.80 to -1.68]) and CUSE (Class-1: aβ=-2.55 [95% CI -4.21 to -0.90]; Class-3: aβ=-3.09 [95% CI -4.69 to -1.48]) and higher IPV (Class-1: odds ratio [OR] 4.81 [95% CI 1.00 to 23.03]; Class-3: OR 5.59 [95% CI 1.19 to 26.36]), and Class-1 reported lower reproductive autonomy (aβ=-0.27 [95% CI -0.54 to -0.01]).Conclusion: Converging EWE, mobility and resource insecurities increase refugee youths' HIV vulnerabilities, requiring urgent attention.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727142","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}

引用次数: 0

Factors influencing COVID-19 vaccine hesitancy among pregnant women in Jos, Plateau State, Nigeria. 影响尼日利亚乔斯高原州孕妇COVID-19疫苗犹豫的因素

IF 2.4 4区医学

International Health Pub Date : 2026-08-07 DOI: 10.1093/inthealth/ihag078

Sophia Osawe, Yusuff Akinkunmi Olasunkanmi, Mobolaji Modinat Salawu, Omowumi O Okedare, Felicia Okolo, Tolulope Yemisi Adenekan, Sikiratu Mohammed Babamale, James Onyemata, Sussan Israel-Isah, Adam Abdullahi, Alash'le Abimiku

{"title":"Factors influencing COVID-19 vaccine hesitancy among pregnant women in Jos, Plateau State, Nigeria.","authors":"Sophia Osawe, Yusuff Akinkunmi Olasunkanmi, Mobolaji Modinat Salawu, Omowumi O Okedare, Felicia Okolo, Tolulope Yemisi Adenekan, Sikiratu Mohammed Babamale, James Onyemata, Sussan Israel-Isah, Adam Abdullahi, Alash'le Abimiku","doi":"10.1093/inthealth/ihag078","DOIUrl":"10.1093/inthealth/ihag078","url":null,"abstract":"Background: Vaccine hesitancy is a serious public health problem that contributes to poor vaccine uptake with associated poor health outcomes among the population. This study assessed the level of hesitancy of coronavirus disease 2019 (COVID-19) vaccination among pregnant women in Jos, Plateau State, Nigeria.Methods: A hospital-based cross-sectional study involving 104 pregnant women was conducted at a specialist hospital antenatal clinic. COVID-19 vaccine hesitancy was assessed using a 10-item tool. Descriptive statistics and binary logistic regression were performed, with statistical significance set at p<0.05.Results: The mean age of the participants was 30.3 y (standard deviation 6.3), with 49% ages 25-34 y. Most were married (96.2%), resided in urban areas (84.6%) and were employed (64.4%). About 72% of the participants had more than one child, were healthy (55.8%) and had no family members or friends who had been vaccinated against COVID-19 (70.2%). Overall, about 58% of the participants were hesitant regarding COVID-19 vaccine. Participants' parity, health status, social influence and negative perceptions towards vaccination influenced vaccine hesitancy.Conclusion: Pregnant women were likely to be hesitant about the COVID-19 vaccines if they felt their health was good and had a family member who had received a COVID-19 shot. Public health efforts and education campaigns for pregnant women are needed to change their perception patterns to promote vaccination uptake and participation in vaccine trials.","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686435","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}

引用次数: 0