Global Health Action最新文献

{"title":"Great strides, yet a long way to go: a comparative analysis of WASH conditions and associated sociodemographic factors from national hygiene surveys, 2014 and 2018.","authors":"Abul Kasham Shoab, Mizanul Islam Nasim, Titly Sen, Farjana Jahan, Mahbub-Ul Alam, Supta Sarker, Jesmin Sultana, Rizwana Khan, Khairul Islam, Hasin Jahan, Golam Rasul, Mahbubur Rahman","doi":"10.1080/16549716.2025.2611646","DOIUrl":"10.1080/16549716.2025.2611646","url":null,"abstract":"<p><strong>Background: </strong>Bangladesh faces substantial inequalities in water, sanitation, and hygiene (WASH), with disparities across sociodemographic groups and between urban and rural populations. Evidence on temporal changes in household WASH access and its determinants remains limited.</p><p><strong>Objective: </strong>To assess changes in household WASH and examine the influence of sociodemographic factors on access, using data from two national hygiene surveys at national and urban-rural levels.</p><p><strong>Methods: </strong>In this repeated cross-sectional study, differences in WASH outcomes between the 2014 National Hygiene Baseline Survey and the 2018 National Hygiene Survey were assessed using prevalence differences (PD), and associations with sociodemographic factors were examined using generalized estimating equations (GEE).</p><p><strong>Results: </strong>From 2014 to 2018, rural households maintained near-universal basic drinking water, while urban households showed a slight decline. Basic sanitation increased substantially in rural areas (PD = 27.8), driving national gains (PD = 25); urban changes were nonsignificant. Basic hygiene improved minimally across all levels. Higher socio-economic status was linked to better WASH outcomes, while larger households had poorer status. Rental housing was associated with unimproved drinking water (Coef.: 1.9) and lower basic sanitation (Coef.: -0.9) but better overall hygiene than self-owned homes. Urban households had lower access to basic drinking water and sanitation, yet better basic hygiene facilities than rural households.</p><p><strong>Conclusion: </strong>Household WASH improved substantially, especially in rural sanitation and hygiene, while urban areas showed stagnation. Socio-economic status, household size, and housing tenure are key determinants, highlighting the need for targeted interventions to ensure equitable, universal WASH coverage.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2611646"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12865832/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health insurance and the distribution of healthcare use in Rwanda's Vision Umurenge Programme: evidence from the Seventh Integrated Household Living Conditions Survey.","authors":"Jean de Dieu Harerimana","doi":"10.1080/16549716.2026.2641401","DOIUrl":"10.1080/16549716.2026.2641401","url":null,"abstract":"<p><strong>Background: </strong>Rwanda's community-based health insurance (CBHI) has achieved near-universal enrollment, yet inequities in healthcare use remain. Understanding whether coverage translates into equitable utilization is critical for advancing universal health coverage (UHC). This study aims to examine how social protection complements health insurance in promoting equitable healthcare access.</p><p><strong>Objective: </strong>To examine the relationship between insurance coverage and healthcare utilization in sectors targeted by the Vision Umurenge Programme (VUP), assess socioeconomic inequities, and evaluate the complementary role of social protection.</p><p><strong>Methods: </strong>This study analyzed cross-sectional data from 15,039 households in VUP sectors using the 2023-2024 Seventh Integrated Household Living Conditions Survey. Socioeconomic inequality was measured using Erreygers-corrected concentration indices and need-standardized horizontal inequity analysis. Insurance effects were estimated using survey weighted logistic regression, propensity score matching, and doubly robust inverse-probability-weighted regression adjustment.</p><p><strong>Results: </strong>Insurance coverage was 85.8%, yet only 25.5% reported any formal healthcare utilization in the 12 months preceding the survey, including outpatient visits, inpatient admissions and preventive services. Utilization showed stronger pro-rich concentration (E =  +0.066) than coverage (E =  +0.026) and need-standardized analysis confirmed residual inequity. Insurance increased utilization by +14.6% points in regression models and ~+12% points in causal estimators. Participation in VUP components, particularly direct support, was consistently associated with higher service use.</p><p><strong>Conclusions: </strong>In a high coverage setting, persistent pro-rich inequities highlight the role of non-financial barriers such as indirect costs and service readiness. Layering social protection with insurance and strengthening primary care delivery is critical to convert nominal coverage into equitable healthcare access.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2641401"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12978178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147391560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Four-quadrant analysis of universal health coverage progress in the Western Pacific region: facilitators, barriers, and trajectories to 2030.","authors":"Yiran Tian, Jin Xu, Mingyue Li, Haoqing Tang, Huixian Zheng, Ren Long, Leyang Han, Daihan Li, Yiting Lin, Yaoyun Zhang, Chengkun Lv, Xiaoyun Liu","doi":"10.1080/16549716.2026.2659459","DOIUrl":"https://doi.org/10.1080/16549716.2026.2659459","url":null,"abstract":"<p><strong>Background: </strong>Universal health coverage (UHC) progress in the Western Pacific Region (WPR) varies across countries and between service coverage (SDG 3.8.1) and financial hardship (SDG 3.8.2).</p><p><strong>Objectives: </strong>To characterize patterns and trajectories of UHC progress in the WPR, identify associated health-system and socioeconomic factors, and project progress to 2030.</p><p><strong>Methods: </strong>This convergent mixed-methods study used data from the WHO, World Bank, and UN. Countries were classified according to a four-quadrant typology, with 2022 global estimates of SDG 3.8.1 and 3.8.2 serving as reference benchmarks. Fixed-effects panel models were employed to examine associations of SDG 3.8.1 with key covariates. Peer-reviewed, policy, and grey literature were analyzed using the READ approach and thematic framework analysis, while Bayesian models were used to project UHC progress to 2030.</p><p><strong>Results: </strong>From 2000 to 2022, SDG 3.8.1 in the WPR rose from 63 to 81, while SDG 3.8.2 fell from 39.6% to 27.0%. Twelve countries were classified as low SDG 3.8.1/low SDG 3.8.2, five as high/low, three as low/high, and China alone as high/high. More favorable patterns were associated with stronger financing, primary health care orientation, workforce capacity, and governance, whereas less favorable patterns were linked to fragmented financing, workforce shortages, remoteness, climate vulnerability, and population ageing. SDG 3.8.1 was positively associated with education and urbanization and showed an inverted U-shaped relationship with GDP per capita. By 2030, SDG 3.8.1 and SDG 3.8.2 are projected to reach 85.6% and 22.2%, respectively.</p><p><strong>Conclusion: </strong>Accelerating progress will require context-specific reforms tailored to individual countries.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2659459"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forecasting preterm birth in Kazakhstan through 2050: a cohort-component demographic modeling study.","authors":"Saule Issenova, Gulmira Altynbayeva, Abay Kussainov, Gulzhan Issina, Balzira Bishekova, Dilfuza Sultanmuratova","doi":"10.1080/16549716.2026.2665507","DOIUrl":"https://doi.org/10.1080/16549716.2026.2665507","url":null,"abstract":"<p><strong>Background: </strong>Preterm birth remains a major global health challenge, particularly in countries undergoing demographic transition such as Kazakhstan.</p><p><strong>Objective: </strong>To estimate long-term trends in preterm birth in Kazakhstan through 2050 using a cohort-component demographic modeling approach.</p><p><strong>Methods: </strong>National demographic and birth data for 2009-2023 were analyzed. A cohort-component model was used to project the population of women aged 15-49 years, accounting for aging, survival, and migration. Future live births and preterm births were estimated under three combined scenarios (optimistic, baseline, and pessimistic), reflecting alternative assumptions regarding fertility and preterm birth proportions. Model performance was evaluated using out-of-sample validation for 2019-2023.</p><p><strong>Results: </strong>Between 2013 and 2023, the annual number of preterm births ranged from approximately 21,000 to 27,000 cases, with an increase in the proportion observed after 2020. Under the baseline scenario, preterm births are projected to stabilize at approximately 30,000-33,000 cases annually by 2050. Predicted values closely matched observed data, with a mean absolute error of 4 cases and a root mean square error of 4.5 cases.</p><p><strong>Conclusions: </strong>Preterm birth is expected to remain a sustained public health burden in Kazakhstan through 2050. The projected trends are consistent with demographic changes in the size and age structure of women of reproductive age and should be interpreted as population-level associations rather than direct causal effects. These findings underscore the need for long-term planning of maternal and neonatal health services.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2665507"},"PeriodicalIF":2.6,"publicationDate":"2026-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction.","authors":"","doi":"10.1080/16549716.2026.2629743","DOIUrl":"10.1080/16549716.2026.2629743","url":null,"abstract":"","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2629743"},"PeriodicalIF":2.6,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12943798/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147311755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Strengthening interventions to support the sexual and reproductive health and wellbeing of young women involved in sex work amid conflict and distress migration in Ethiopia.","authors":"Kate Pincock, Nicola Jones, Workneh Yadete, Fitsum Workneh","doi":"10.1080/16549716.2025.2606431","DOIUrl":"10.1080/16549716.2025.2606431","url":null,"abstract":"<p><strong>Background: </strong>Amid growing global recognition of the importance of young people's sexual and reproductive health and wellbeing, an intervention to support peer-based comprehensive sexuality education (CSE) for young women involved in sex work in Ethiopia was implemented in 2020. Since 2018, conflict has driven an upsurge in distress migration by young women to some intervention sites.</p><p><strong>Objective: </strong>This article explores the experiences of young women involved in sex work alongside peer facilitators to understand the strengths and limitations of the CSE intervention and the broader impacts of conflict and distress migration, in order to identify implications for future interventions in Ethiopia.</p><p><strong>Methods: </strong>The article draws on qualitative findings from implementation research undertaken with young women involved in sex work (<i>n</i> = 60) and peer facilitators (<i>n</i> = 15) in Addis Ababa, Bahir Dar and Hawassa cities.</p><p><strong>Results: </strong>Participants' entry into sex work is characterised by an absence of supportive networks, yet their social isolation is exacerbated by the stigma of sex work. In areas affected by distress migration, adolescent girls and young women entering sex work are younger, and thus particularly vulnerable to abuse and exploitation by brokers, which further undermines their sexual and reproductive health and rights.</p><p><strong>Conclusion: </strong>CSE interventions should include adolescent girls involved in sex work who are under 18, given their heightened vulnerabilities. Interventions should engage with a broader range of stakeholders, including police, social services and legal systems, to enhance the sexual and reproductive health and rights of girls and young women, and address violence and exploitation.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2606431"},"PeriodicalIF":2.6,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12875096/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146114823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public opinion survey on heritable human genome editing in South Africa: a study protocol.","authors":"Siddharthiya Pillay, Donrich Thaldar","doi":"10.1080/16549716.2025.2598132","DOIUrl":"10.1080/16549716.2025.2598132","url":null,"abstract":"<p><p>Heritable human genome editing (HHGE) presents new possibilities for the prevention of genetic diseases but also raises ethical and societal questions. While international surveys have explored public attitudes, particularly in high-income countries, there is a lack of large-scale empirical data from the Global South. In South Africa, previous work used deliberative public engagement to examine public perspectives. The present study aims to complement this by capturing public opinion through a cross-sectional survey, enabling direct comparison with deliberative findings. This study will recruit 400 adult participants residing in South Africa using targeted Facebook advertisements. A two-phase sampling process will be employed: initial screening for demographic information, followed by stratified sampling to ensure a representative South African population. The opinion survey consists of 19 HHGE scenarios, each explored through private and public moral lenses. Additionally, participants will indicate their interpretation of 'safe and effective' genome editing. Quantitative data will be analysed using descriptive statistics, chi-square tests, and logistic regression. Qualitative responses will undergo thematic analysis using both manual coding and generative AI tools under human oversight. The study includes two stages of informed consent and ensures data confidentiality through strict data handling protocols. Results will be disseminated in peer-reviewed journals and policy forums. The study will also generate a secondary dataset for evaluating AI-assisted qualitative analysis, to be conducted under separate ethical clearance.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2598132"},"PeriodicalIF":2.6,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating a sexual and reproductive health and rights programme within Swedish for Immigrants education: a study protocol.","authors":"Tanja-Tatiana Lukin, Anna Andren, Herborg Holter, Malin Bogren","doi":"10.1080/16549716.2026.2657089","DOIUrl":"10.1080/16549716.2026.2657089","url":null,"abstract":"<p><p>Sexual and reproductive health and rights (SRHR) are central to health equity, yet migrants in Sweden, especially from low-income countries, experience linguistic, cultural, and structural barriers to SRHR information and services. Although migrants are prioritised in Sweden's national strategy for SRHR, no evaluation has examined SRHR education embedded within language programmes, limiting culturally responsive and scalable interventions. This protocol describes a study evaluating an SRHR programme integrated into Swedish for Immigrants (SFI), the national language programme for newly arrived adults.The study explores implementation processes, experiences of participants and implementers, and changes in SRHR knowledge, attitudes, behaviours, and healthcare navigation. Guided by implementation research principles and the UK Medical Research Council process evaluation framework, four qualitative sub-studies will be conducted across participating SFI sites. Semi-structured interviews and ethnographic fieldwork will involve midwives, SFI teachers, municipal stakeholders, and adult migrant learners. Data will be analysed using a combination of deductive and inductive qualitative content analysis and an ethnographic - hermeneutic approach, with process evaluation examining fidelity, adaptations, mechanisms of impact, and contextual determinants.The study is expected to identify key facilitators and barriers influencing programme delivery, acceptability, and relevance. Findings will inform evidence-based recommendations to strengthen cultural adaptation, implementation strategies, and learner engagement. Anticipated impacts include improved individual SRHR knowledge and health literacy, enhanced institutional capacity for inclusive SRHR promotion, and more equitable public service delivery at the societal level.<b>Trial registration:</b> ISRCTN 63,513,002 (registered 27 November 2025).</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2657089"},"PeriodicalIF":2.6,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13084836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692757","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multilevel correlates of childhood violence in refugee settings: findings from the Ethiopia humanitarian violence against children and youth survey.","authors":"Yadeta Dessie, Bonnie Wandera, George Odwe, Francis Obare, Dagim Habteyesus, Stella Muthuri, Gloria Seruwagi, Ushuu Namarra, Abir Nur, Peter Kisaakye, Caroline W Kabiru, Chi-Chi Undie, Yohannes Dibaba Wado","doi":"10.1080/16549716.2026.2647656","DOIUrl":"10.1080/16549716.2026.2647656","url":null,"abstract":"<p><strong>Background: </strong>Despite their right to protection, children in refugee settings face various forms of violence, including physical, sexual, and emotional violence.</p><p><strong>Objective: </strong>This study examined the factors associated with childhood violence (before turning 18) in refugee settings of Ethiopia, guided by the socioecological framework.</p><p><strong>Methods: </strong>The study used data from the 2024 Ethiopia Humanitarian Violence Against Children and Youth Survey (HVACS). This cross-sectional survey included females and males aged 13-24 years. We estimated a mixed-effects regression model to examine the correlates associated with experiencing violence in childhood in the refugee camps by taking into account camp-level clustering.</p><p><strong>Results: </strong>The study involved a total of 3473 respondents (1937 females and 1536 males) and revealed that about one in three (33.3%; 95% CI: 27.5, 39.6) had experienced childhood violence; the highest proportion 29.1% [23.1,35.9] reported experiencing physical violence, followed by emotional violence (12.4% [8.5,17.8]) and sexual violence (6.6% [5.3,8.1]). Correlates of experiencing childhood violence included being an orphan, having any form of disability, witnessing intimate partner violence against women, and having family members who were killed or died unnaturally. In contrast, households headed by women and children living in families with two or more rooms, had a lower likelihood of experiencing childhood violence. At the community level, witnessing violent attacks in the village was associated with a higher likelihood of experiencing childhood violence.</p><p><strong>Conclusions: </strong>Childhood violence is prevalent in refugee settings in Ethiopia and is associated with factors occurring at multiple levels, suggesting for individual-, household-, and community - level prevention and response strategies.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2647656"},"PeriodicalIF":2.6,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13034712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147522478","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Community Health Participatory interventions in the prevention and control of non-communicable diseases including mental health in crisis-affected Low-and Middle-Income Countries - a scoping review.","authors":"Sara Imtiaz, Nadia Khaleeq, Noor Sanauddin, Saima Afaq, Hannah Maria Jennings, Amber Tahir, Mariam Abdeali, Zala Khan, Farman Khan, Rubia Zafar, Asima Khan, Abdul Rahman Shahab, Farhad Ali, Helen Elsey, Farwah Hassan, Alishba Khan, Sayed Murtaza Sadat Hofiani, Nagina Alimi, Shabnam Azizi, Najeeb Alizoi, Khalid Rahman, Aziz Sheikh, Abdul Basit, Zia Ul Haq","doi":"10.1080/16549716.2025.2599011","DOIUrl":"10.1080/16549716.2025.2599011","url":null,"abstract":"<p><p>The rising burden of Non-Communicable Diseases (NCDs) requires a comprehensive strategy by integrating community-based interventions - especially in Low- and Middle-Income Countries (LMICs). Over the past decade, researchers have emphasized communities as key agents of change in health systems. While Community Health Participatory (CHP) interventions show promise in NCD management, their application in crisis-affected contexts remains underexplored. This scoping review examines the adoption of CHP interventions, strategies employed, their barriers and facilitators encountered in crisis-affected LMICs to prevent and control NCDs. Utilising the Arksey and O'Malley framework, comprehensive search was conducted across PubMed, Web of Science, Scopus, and Google Scholar. Primary studies and grey literature in English were included focusing on CHP interventions among adults in such settings. Studies on unrelated health issues, review articles, protocols, and conference abstracts were excluded. Data extraction was conducted using Covidence, with discrepancies resolved through consensus. The narrative analysis of the extracted data was conducted. The review identified varied CHP interventions, with the majority focusing on mental health. The included studies highlighted the role of community engagement and stakeholders' involvement. Strategies included raising awareness, providing social support and focusing on lifestyle modifications. Barriers to interventions included limited resources, socio-cultural constraints, and logistical challenges, while facilitators involved community leadership and ownership, empathy, cultural adaptations of interventions, and multi-sectoral collaboration.CHP interventions represent a promising strategy for tackling NCDs in crisis-affected LMICs, however, limited evidence on their long-term impact needs further research.This review was registered on the Open Science Framework and funding was provided by NIHR-UK (NIHR203248).</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"19 1","pages":"2599011"},"PeriodicalIF":2.6,"publicationDate":"2026-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12777845/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145890431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}