International Health最新文献

{"title":"Artificial intelligence-enhanced biosurveillance for antimicrobial resistance in sub-Saharan Africa.","authors":"Innocent Ayesiga, Michael Oppong Yeboah, Lenz Nwachinemere Okoro, Eneh Nchiek Edet, Jonathan Mawutor Gmanyami, Ahgu Ovye, Lorna Atimango, Bulus Naya Gadzama, Emilly Kembabazi, Pius Atwau","doi":"10.1093/inthealth/ihae081","DOIUrl":"10.1093/inthealth/ihae081","url":null,"abstract":"<p><p>Antimicrobial resistance (AMR) remains a critical global health threat, with significant impacts on individuals and healthcare systems, particularly in low-income countries. By 2019, AMR was responsible for >4.9 million fatalities globally, and projections suggest this could rise to 10 million annually by 2050 without effective interventions. Sub-Saharan Africa (SSA) faces considerable challenges in managing AMR due to insufficient surveillance systems, resulting in fragmented data. Technological advancements, notably artificial intelligence (AI), offer promising avenues to enhance AMR biosurveillance. AI can improve the detection, tracking and prediction of resistant strains through advanced machine learning and deep learning algorithms, which analyze large datasets to identify resistance patterns and develop predictive models. AI's role in genomic analysis can pinpoint genetic markers and AMR determinants, aiding in precise treatment strategies. Despite the potential, SSA's implementation of AI in AMR surveillance is hindered by data scarcity, infrastructural limitations and ethical concerns. This review explores what is known about the integration and applicability of AI-enhanced biosurveillance methodologies in SSA, emphasizing the need for comprehensive data collection, interdisciplinary collaboration and the establishment of ethical frameworks. By leveraging AI, SSA can significantly enhance its AMR surveillance capabilities, ultimately improving public health outcomes.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"795-803"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640042","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":"Large language models for analyzing open text in global health surveys: why children are not accessing vaccine services in the Democratic Republic of the Congo.","authors":"Roy Burstein, Eric Mafuta, Joshua L Proctor","doi":"10.1093/inthealth/ihaf015","DOIUrl":"10.1093/inthealth/ihaf015","url":null,"abstract":"<p><strong>Background: </strong>This study evaluates the use of large language models (LLMs) to analyze free-text responses from large-scale global health surveys, using data from the Enquête de Couverture Vaccinale (ECV) household coverage surveys from 2020, 2021, 2022 and 2023 as a case study.</p><p><strong>Methods: </strong>We tested several LLM approaches consisting of zero-shot and few-shot prompting, fine-tuning, and a natural language processing approach using semantic embeddings, to analyze responses on the reasons caregivers did not vaccinate their children.</p><p><strong>Results: </strong>Performance ranged from 61.5% to 96% based on testing against a curated benchmarking dataset drawn from the ECV surveys, with accuracy improving when LLMs were fine-tuned or provided examples for few-shot learning. We show that even with as few as 20-100 examples, LLMs can achieve high accuracy in categorizing free-text responses.</p><p><strong>Conclusions: </strong>This approach offers significant opportunities for reanalyzing existing datasets and designing surveys with more open-ended questions, providing a scalable, cost-effective solution for global health organizations. Despite challenges with closed-source models and computational costs, the study underscores LLMs' potential to enhance data analysis and inform global health policy.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"843-852"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406778/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573775","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":"Enteral nutrition therapy for elderly patients with common-type COVID-19, a retrospective study based on medical records.","authors":"Jianming Yuan, Yuening Guan, Zhifeng Zhao, Jiankang Shen, Dan Tan, Fang Zhao, Lei Ge, Rongli Xie, Tingting Li","doi":"10.1093/inthealth/ihaf012","DOIUrl":"10.1093/inthealth/ihaf012","url":null,"abstract":"<p><strong>Background: </strong>The objective was to investigate the implications of enteral nutrition for elderly patients with common-type coronavirus disease 2019 (COVID-19).</p><p><strong>Methods: </strong>Data were retrospectively extracted from medical records. Enteral nutritional supplementation was recommended for patients with a nutritional risk score >3. The preferred method was oral administration, and preparations included Ensure and TPF-T. Continuous variables were compared using analysis of two-tailed Student's t-tests or one-way analysis of variance for normally distributed data and the rank sum test for non-normally distributed data. Categorical variables were compared using the χ2 test or Fisher's exact test. Values of p <0.05 were considered to be statistically significant.</p><p><strong>Results: </strong>The mortality rate in the whole cohort was 9.54%. A total of 474 patients tested negative and were discharged; among them, 173 patients received enteral nutrition while 301 patients did not. There were significant correlations between mortality and age, serum albumin concentration, prognostic nutritional index, underlying severe disease status and diet condition. In patients with a poor diet, early use of enteral nutrition is associated with faster conversion to a negative polymerase chain reaction test.</p><p><strong>Conclusions: </strong>The prognosis of elderly patients with common-type COVID-19 was related to their nutritional status. Enteral nutritional supplementation is the preferred method of nutrition because it is the simplest and most widely accepted method for patients. For patients with poor diet conditions, enteral nutritional intervention should be performed early.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"678-684"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406777/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755445","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":"Burden, impacts and management practices of dysmenorrhea among female students in Ethiopia: a systematic review and meta-analysis.","authors":"Bikila Balis, Ibsa Musa, Lemma Demissie Regassa, Deribe Bekele Dachasa, Fethia Mohammed, Abera Cheru, Eptisam Mohammed, Dureti Abdurahman, Alemayehu Deressa, Magarsa Lami, Usmael Jibro","doi":"10.1093/inthealth/ihaf028","DOIUrl":"10.1093/inthealth/ihaf028","url":null,"abstract":"<p><p>Dysmenorrhea is a public health problem worldwide, and affects more than half of reproductive-age females in Ethiopia. Despite dysmenorrhea having being studied, this has not covered the impacts and management of dysmenorrhea. Therefore, this review aimed at critically appraising, synthesizing and presenting the evidence on the burden, impacts and management methods of dysmenorrhea among females in Ethiopia. International databases (SCOPUS, CINAHL, CAB Abstract, EMBASE, PubMed, Web of Science, Google and Google Scholar) and lists of references were employed to search literature in Ethiopia. The overall burden of dysmenorrhea was presented using a random-effects model for the reported proportion by forest plot using STATA version 18. The heterogeneity of the studies was determined using p=0.05 for I2 statistics. In addition, sensitivity analyses were performed to examine the stability of pooled values in the presence of outliers. Furthermore, Egger's regression test and funnel plot were performed to check for potential publication bias. A total of 20 studies and a population of 8713 were included in the review. The overall burden of dysmenorrhea among females was 73% (95% CI 68 to 77%), with I2=96.04. Psychological problems (59.9%), poor concentration (42.3%) and absenteeism from the class (41.3%) were the common impacts of dysmenorrhea, and bed rest (54%), use of painkillers (41.5%) and hot drinks (41.3%) were commonly practiced treatments by participants. Around three out of four females experienced dysmenorrhea. Enhancing social support may reduce stress; and behavioral interventions such as mind-body awareness and relaxation training are believed to help decrease the risk of depression by alleviating dysmenorrhea. Both pharmacological and non-pharmacological therapy have played a crucial role in its management. But the literature offers controversial scientific proof, and imply that high-quality trials are needed to make conclusive recommendations for better management methods of dysmenorrhea.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"649-660"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144055291","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":"Understanding the primary healthcare context in rural South and Southeast Asia: a village profiling study.","authors":"Rusheng Chew, Sazid Ibna Zaman, Mst Asfat Ara Joly, Didar Uddin, Md Nurullah, James J Callery, Carlo Perrone, Thomas J Peto, Koukeo Phommasone, Aung Pyae Phyo, Wanlapa Roobsoong, Aninda Sen, Moul Vanna, Arjun Chandna, Tiengkham Pongvongsa, Lek Dysoley, Nicholas P J Day, Yoel Lubell, Richard J Maude","doi":"10.1093/inthealth/ihaf025","DOIUrl":"10.1093/inthealth/ihaf025","url":null,"abstract":"<p><strong>Background: </strong>Understanding contextual factors is critical to the success of health service planning and implementation. However, few contextual data are available at the village level in rural South and Southeast Asia. This study addressed the gap by profiling representative villages across seven sites in Thailand (n=3), Cambodia, Laos, Myanmar and Bangladesh.</p><p><strong>Methods: </strong>Key informant surveys supplemented by other information sources were used to collect data from 687 villages on four key indicators (literacy rate, and percentages of attended deliveries, fully immunised children and latrine coverage), as well as access to various services. Data were analysed descriptively.</p><p><strong>Results: </strong>Sites varied considerably. Five were highly diverse ethno-culturally and linguistically, and all relied on primary health centres and village health/malaria workers as the main providers of primary healthcare. These were generally bypassed by severely ill patients for urban first-level referral hospitals and private sector facilities. While >75% of villages were near primary schools, educational attainment was generally low. Over 70% of villages at each site had mobile phone coverage and availability of electricity was high (≥65% at all sites bar Myanmar).</p><p><strong>Conclusion: </strong>These results illustrate the similarities and differences of villages in this region that must be considered in public health research and policymaking.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"754-768"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665106","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 effect of an interactive mobile health intervention to improve community-based essential neonatal care practices among postpartum women in northeast Ethiopia: a cluster randomized controlled trial.","authors":"Niguss Cherie, Muluemebet Abera Wordofa, Gurmesa Tura Debelew","doi":"10.1093/inthealth/ihae080","DOIUrl":"10.1093/inthealth/ihae080","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite global declines in child mortality rates, Africa's reduction is lagging behind other regions. Neonatal survival remains a key priority in the sustainable development agenda. Promoting neonatal care practices at the individual and community levels is essential, and technology-based interventions can effectively reach potential future mothers. This study aimed to evaluate the effect of an interactive mobile health intervention on improving community-based essential neonatal care practices among postpartum women in northeast Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This study was conducted in Dessie and Kombolcha city zones, in northeast Ethiopia. A cluster randomized controlled trial was implemented among 743 participants (376 intervention and 367 control) from 2 January to 15 June 2023. Pregnant women at 30-weeks' gestation in selected clusters were enrolled and followed up to 45 days after childbirth. Data were collected using Open Data Kit and analysed with Stata version 17. Structural equation modelling through confirmatory factor analysis was employed. Model fitness was evaluated using the χ2:degree of freedom ratio, root mean square error of approximation and standardized root mean square residual, indicating a good model fit. Statistical significance was declared at a level &lt;0.05 with a 95% confidence interval.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The study revealed high narrow birth-to-pregnancy intervals of &lt;24 months in both groups (48.5% control, 49.5% intervention). Awareness of neonatal care increased markedly in the intervention group, increasing from 62.0% to 85.9%, compared with an increase from 57.8% to 67.6% in the control group. Disagreement regarding immediate newborn bathing was more prevalent in the intervention group (73.9%) than in the control group (58.9%). Initiating breastfeeding within 1 h after birth was higher in the intervention group (85.4%) compared with the control group (74.4%). Postnatal visits to health facilities were more frequent in the intervention group (79.6%) than in the control group (54.8%). Mobile health intervention (β=0.393, p=0.007) and knowledge of neonatal care (β=0.347, p=0.012) had a significant positive effect on neonatal care practices. There were no significant indirect pathways between the variables analysed. Mobile health intervention and knowledge of neonatal care remain significant predictors with a total effect of β=0.382, p=0.009 and β=0.347, p=0.012, respectively, in enhancing neonatal care practices.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study underscores the significant role of mobile health interventions and maternal knowledge in enhancing neonatal care practices. These findings should inform the design and implementation of maternal and child health programs, emphasizing the integration of technology and education to improve neonatal outcomes in resource-limited settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;Protocol Registration and Res","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"820-835"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957630","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":"Ending nuclear weapons, before they end us†.","authors":"Kamran Abbasi, Parveen Ali, Virginia Barbour, Marion Birch, Inga Blum, Peter Doherty, Andy Haines, Ira Helfand, Richard Horton, Kati Juva, Jose F Lapena, Robert Mash, Olga Mironova, Arun Mitra, Carlos Monteiro, Elena N Naumova, David Onazi, Tilman Ruff, Peush Sahni, James Tumwine, Carlos Umaña, Paul Yonga, Chris Zielinski","doi":"10.1093/inthealth/ihaf052","DOIUrl":"10.1093/inthealth/ihaf052","url":null,"abstract":"","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"614-616"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406774/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095506","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":"Machine learning insights on the effectiveness of non-pharmaceutical interventions against COVID-19 in Nigeria.","authors":"Kolapo M Oyebola, Funmilayo C Ligali, Afolabi J Owoloye, Blessing D Erinwusi, Adesola Z Musa, Oluwagbemiga O Aina, Babatunde L Salako","doi":"10.1093/inthealth/ihae065","DOIUrl":"10.1093/inthealth/ihae065","url":null,"abstract":"<p><strong>Background: </strong>The lack of effective pharmacological measures during the early phase of the COVID-19 pandemic prompted the implementation of non-pharmaceutical interventions (NPIs) as initial mitigation strategies. The impact of these NPIs on COVID-19 in Nigeria is not well-documented. This study sought to assess the effectiveness of NPIs to support future epidemic responses.</p><p><strong>Methods: </strong>Daily COVID-19 cases and deaths were analysed using smoothed variables to identify transmission trends. Regression analysis and clustering algorithms were applied to evaluate the impact of each NPI.</p><p><strong>Results: </strong>Multiple transmission peaks were reported, with the highest smoothed daily new cases (approximately 1790) observed around 29 December 2021 and smoothed daily new deaths (approximately 23) peaking around 8 September 2021. NPIs such as public transport (coefficient value -166.56, p=0.01) and workplace closures (coefficient value -150.06, p=0.01) strongly correlated with decreased case numbers. This finding highlights the importance of mobility control and non-essential workplace management in slowing infection transmission during an outbreak. Public transport restrictions (coefficient value -2.43, p<0.001) also had a direct effect on death reduction.</p><p><strong>Conclusions: </strong>Public transport restrictions and workplace closures correlated with reductions in the number of cases and deaths. These findings can guide future pandemic responses to enhance favourable public health outcomes.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"809-819"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142957629","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":"Family-based sexual health interventions for adolescents in low- and middle-income countries: systematic analysis and meta-analysis.","authors":"Dilini Mataraarachchi, Thomas Shepherd, Ram Bajpai, Gayan Ariyadasa, Nadia Corp, Priyamvada Paudyal","doi":"10.1093/inthealth/ihaf017","DOIUrl":"10.1093/inthealth/ihaf017","url":null,"abstract":"<p><p>Family-based sexual health interventions (FBSHI) have received considerable attention for their success in promoting adolescent sexual health outcomes. However, their effectiveness in low- and middle-income countries (LMICs) is unclear. Systematic searches were conducted for studies published from January 2000 to October 2023 using five electronic databases. Studies were included if they included adolescents aged 10-19 y and their family members (parents, siblings or primary caregivers) in a key intervention component, evaluated the effectiveness of the interventions using an experimental or quasi-experimental design, assessed sexual and reproductive health outcomes reported by adolescents and were carried out in LMICs. The review included nine studies, with 2404 adolescent participants and their families. Meta-analysis was carried out using a random-effects model. The key themes that emerged from this systematic review were: (i) FBSHI significantly improved adolescents' sexual health knowledge; and (ii) the impact of FBSHI on molding adolescents' sexual health attitudes, practices and family communication around sexual health topics was inconsistent. The importance of conducting combined interventions that involved adolescents and their parents to elicit better outcomes was highlighted in the review. Future research should prioritize under-represented geographical regions such as Asia and include culturally adopted, contextually relevant material to increase the acceptability and effectiveness in LMIC settings. By synthesizing existing literature, this review contributes to gaining a comprehensive understanding of varying strategies that can be used to ensure the effectiveness of family-based sexual health interventions in promoting adolescent sexual health in the LMIC setting. The review also highlights areas not explored by the existing research and that need attention when conducting further research.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"617-648"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406781/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671593","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":"Scheduled couple consultations during pregnancy as a lever to increase male involvement in maternal health: results of a qualitative photovoice study in Mozambique.","authors":"Anna Galle, Maria S B Maguele, Elisio Maxlhusa, David Aguacheiro, Tina Krüger, Málica de Melo","doi":"10.1093/inthealth/ihaf027","DOIUrl":"10.1093/inthealth/ihaf027","url":null,"abstract":"<p><strong>Background: </strong>Men in low- and middle-income countries often play a critical role in maternal health by increasing access to and utilization of maternal health services. This photovoice study examined the experiences of men and women with scheduled couple consultations during pregnancy, supported by social mobilization activities, as a lever to increase male involvement during pregnancy and childbirth.</p><p><strong>Methods: </strong>The lived experiences with scheduled couple consultations were evaluated by collecting photovoice data from couples, conducting focus group discussions with health providers and in-depth interviews with women. Analysis was done by applying a thematic inductive approach.</p><p><strong>Results: </strong>Data were collected from five couples using photovoice, nine health providers by conducting focus group discussions and nine single women by conducting individual in-depth interviews. Two overall themes arose during analysis of the data: health center experiences and community norms about pregnancy. Overall, the couple consultations had a positive effect on the interest of the male partner in pregnancy and childbirth, but deep-rooted gender norms around women's roles during pregnancy persisted.</p><p><strong>Conclusions: </strong>Implementing scheduled couple consultations at health center level, supported by social mobilization activities, is a promising strategy for stimulating active participation of male partners in maternal health.</p>","PeriodicalId":49060,"journal":{"name":"International Health","volume":" ","pages":"778-789"},"PeriodicalIF":2.2,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755446","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}