Global Health Action最新文献

{"title":"Unwrapping the Global Financing Facility: understanding implications for women's children's and adolescent's health through layered policy analysis.","authors":"Mary V Kinney, Doris Kwesiga, Joy E Lawn, Ulla Walmisley, Meghan Bruce Kumar, Joël Arthur Kiendrébéogo, Phillip Wanduru, Peter Waiswa, Donat Shamba, Jitihada Baraka, Andes Chivangue, Georgina Msemo, Rosie Steege, Asha Sara George","doi":"10.1080/16549716.2025.2476820","DOIUrl":"10.1080/16549716.2025.2476820","url":null,"abstract":"<p><p>The Global Financing Facility (GFF), launched in 2015, aims to catalyse funding for reproductive, maternal, newborn, child, and adolescent health, and nutrition. Few independent assessments have evaluated its processes and impact. We conducted a multi-layered policy analysis of GFF documents - the Investment Cases (ICs) and the GFF-linked World Bank Project Appraisal Documents (PADs) - examining the content of GFF documents for 28 countries, comparing four tracer themes (maternal and newborn health, adolescent health, community health, and quality), and analysing the policy processes in four country studies (Burkina Faso, Mozambique, Tanzania, and Uganda). From 2015 to 2022, GFF-linked PADs reported US$ 14.5 billion of funding across 26 countries through 30 PADs, with GFF contributing 4% to this value. GFF investments primarily focused on service delivery, governance, and performance-based financing. Countries received more targeted investments for maternal and newborn health and adolescent health linked to their burden of these tracer themes. Attention to community health and quality varied. ICs were broader than PADs and more inclusive in their development. Local contexts shaped policy processes. GFF supported priority-setting and learning; however, translating priorities into resourced actions proved challenging. Power dynamics influenced country ownership, donor coordination and resource mobilisation. The GFF is a significant opportunity to advance health for vulnerable populations. Progress in transparency and data use is evident, but accountability gaps, power imbalances, and limited engagement with civil society and private sector hinder national ownership. Further research is needed to determine GFF's attribution to catalytic resource mobilization.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2476820"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12086900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081550","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":"Exploring parental knowledge, care-seeking, and support strategies for neonatal illness: an integrative review of the African Great Lakes region.","authors":"Sarah Farrell, Tracey A Mills, Dame Tina Lavender","doi":"10.1080/16549716.2025.2450137","DOIUrl":"10.1080/16549716.2025.2450137","url":null,"abstract":"<p><strong>Background: </strong>Sub-Saharan Africa shoulders much of the global burden of neonatal mortality. Quality postnatal care is often lacking due to availability, accessibility, mistrust of health systems, and socio-economic barriers, yet delays in care-seeking contribute to avoidable neonatal deaths. Research highlights the urgent need for improved health education about neonatal illness; however, contextual factors are rarely considered, and few interventions have been implemented.</p><p><strong>Objectives: </strong>To critically examine the literature on parents' knowledge of neonatal illness and care-seeking behaviour and evaluate interventions supporting parental understanding in sub-Saharan African Great Lakes countries.</p><p><strong>Methods: </strong>Systematic searches were conducted in CINAHL, MEDLINE, Global Health, the Cochrane Library, and thesis repositories. Studies meeting inclusion criteria were critically analysed using Whittemore and Knafl's framework, and quality was assessed with Hawker et al.'s tool, following PRISMA guidelines.</p><p><strong>Results: </strong>Seventy studies (48 quantitative, 14 qualitative, eight mixed methods) were reviewed. The first theme, \"poor knowledge of neonatal illness\", showed parents struggled to recognise illness, with knowledge affected by maternity and socio-economic factors. The second theme, \"sub-optimal healthcare-seeking behaviour\", highlighted delayed care-seeking due to cultural, social, and economic factors. Finally, \"strategies to support parents' understanding\" emphasised the roles of community workers, health education phone calls, SMS, and videos, and neonatal monitoring systems.</p><p><strong>Conclusions: </strong>Parental knowledge of neonatal illness is generally low, and care-seeking is influenced by beliefs, trust in healthcare, and logistical challenges. While community health workers and multi-media interventions appear effective, health education efforts must address contextual barriers and beliefs to improve recognition and care-seeking for neonatal illness.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2450137"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081216","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":"Drivers of food acquisition practices among adolescents in suburban food environments of Lao People's Democratic Republic.","authors":"Thidatheb Kounnavong, Miho Sato, Christopher Turner, Elaine Ferguson, Hongkham Xayavong, Manithong Vonglokham, Sharon E Cox, Junko Okumura, Kazuhiko Moji","doi":"10.1080/16549716.2025.2451475","DOIUrl":"10.1080/16549716.2025.2451475","url":null,"abstract":"<p><strong>Background: </strong>Dietary shifts among adolescents in low- and middle-income countries are exacerbating the double burden of malnutrition. Understanding the drivers of adolescent food acquisition and consumption practices and their lived experiences of the food environment is crucial for the effective development of targeted interventions and policies.</p><p><strong>Objective: </strong>To explore drivers of food acquisition and consumption practices among adolescents from two suburban schools in the food environments of Phonhong District, Lao People's Democratic Republic.</p><p><strong>Methods: </strong>We implemented a Qualitative-Geographical Information System methodology, featuring participatory photography, follow-up photo-elicitation interviews and focus group discussions with 30 adolescents from April to July 2022. Thematic analysis triangulated key themes from photos, maps, and transcripts.</p><p><strong>Results: </strong>Drivers of food acquisition and consumption included interactions across external, interpersonal, and intrapersonal domains. The six key themes were food availability and accessibility, product properties and convenience, peers and social media, caregivers and household practices, affordability, desirability, and autonomy, and perceptions, beliefs, and social norms. Consumption of ultra-processed foods was driven by the availability and accessibility of these affordable products in schools. By contrast, consumption of fruits and vegetables was driven by parental food practices at home.</p><p><strong>Conclusion: </strong>A comprehensive multi-scalar approach is required to improve adolescent diets and nutrition in the suburban food environment of Lao PDR. This includes restricting the sale of ultra-processed foods in schools, promoting home gardening, increasing caregivers' awareness and engagement with adolescents about the benefits of healthy food choices, and leveraging social media to encourage healthy eating behaviors.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2451475"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081076","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":"'If her body responds then you know she wants it': a qualitative study on how young people in Ecuador and Uganda understand and practice consent.","authors":"Sara De Meyer, Katie Lau, Elizabeth Kemigisha, Ana Cevalllos, Lucia Rost, Kristien Michielsen, Anna Kågesten, Miranda van Reeuwijk","doi":"10.1080/16549716.2025.2465123","DOIUrl":"10.1080/16549716.2025.2465123","url":null,"abstract":"<p><strong>Background: </strong>Although progress has been made, adolescent sexual and reproductive health and rights (ASRHR) remain a global public health concern and continued investments are necessary. The way young people perceive, and experience sexual consent is at the centre of free and informed decision-making, a critical element of ASRHR. Nevertheless, the evidence on young people's views of sexual consent remains limited, especially in low- and middle-income countries.</p><p><strong>Objectives: </strong>To explore how young people (aged 18 to 26) understand and practice sexual consent in low- and middle-income countries.</p><p><strong>Methods: </strong>Qualitative in-depth interviews and focus group discussions were conducted among 173 young people in Ecuador (Guayaquil) and Uganda (Kampala city), involving young people in data collection and analysis. The Hickman and Muehlenhard's (1999) framework was used to categorize the ways young people express sexual consent: direct and indirect verbal and nonverbal signals.</p><p><strong>Results: </strong>We found that reflecting on sexual consent was relatively new for many participants and challenging to define. Few young people seemed to know how to apply consent in their daily lives, explaining that asking consent was often not possible in their relationships and sexual encounters. Influencing factors such as gender norms, the type of relationship and age were mentioned. Non-direct, non-verbal consent were the most commonly used strategies, meaning that sexual consent was mostly interpreted from body language or indirect questions - opening a window for sexual risks.</p><p><strong>Conclusion: </strong>Our findings call for SRHR programming that promotes communication and equality and supports skills in recognizing, giving and receiving sexual consent.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2465123"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12203704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498965","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":"Comorbidities of overweight and obesity associated risk factor in Saudi Arabia: a population-based analysis.","authors":"Arwa M Alshangiti, Mohammed S Aldossary, Abdulaziz I Abou-Hussein, Wejdan J Aloufi, Mervat M El Dalatony, Shaker A Alomary","doi":"10.1080/16549716.2025.2477387","DOIUrl":"10.1080/16549716.2025.2477387","url":null,"abstract":"<p><strong>Background: </strong>Obesity is a significant public health challenge in the Kingdom of Saudi Arabia (KSA), with profound impacts on individual well-being and the healthcare system. Recent epidemiological studies have reported variable trends in obesity prevalence within the country. This population-based study aimed to estimate the prevalence, identify behavioral risk factors, and assess comorbidities associated with overweight and obesity using a nationally representative sample in KSA. Findings will inform targeted public health policies, optimize healthcare resource allocation, and support Saudi Vision 2030 goals by promoting healthier lifestyles and reducing chronic diseases.</p><p><strong>Methods: </strong>This study analyzed data from the 2019 Kingdom of Saudi Arabia World Health Survey (KSAWHS), implemented by the Ministry of Health using a nationally representative sample. A stratified, three-stage sampling design based on the 2010 Census was used to select 10,000 households from 13 administrative regions. Data collection included socio-demographic, anthropometric measurements and medical information from consenting individuals. Continuous variables were summarized as mean ± SD, and univariate analysis was performed using one-way ANOVA and Chi-square tests. Logistic regression identified predictors of obesity and overweight, reporting odds ratios (OR) with 95% confidence intervals (CI). Analyses were conducted in SPSS (v29).</p><p><strong>Results: </strong>A total of 7930 adults across different regions in KSA were included in this study. The overall prevalence of obesity and overweight was 20.3% and 38.7%, respectively. Overweight was significantly more prevalent in males (44.4%) than females (35.6%), whereas obesity was more common in females (22.1%) compared to males (18.6%) (<i>p</i> < 0.001). Regional differences were observed with the West region reporting the lowest prevalence of obesity (16.5%) and overweight (37.3%) (<i>p</i> < 0.001). Married individuals exhibited a significantly higher prevalence of both obesity and overweight (<i>p</i> < 0.001).</p><p><strong>Conclusion: </strong>The burden of obesity and overweight in KSA is still alarming due to the associated risk of metabolic, cardiovascular, and psychological disorders, affecting both patients and the healthcare system. Urgent interventions, including targeted public health campaigns, lifestyle modifications, and policy-driven strategies, are essential to curb obesity trends and promote long-term health improvements.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2477387"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11983525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812769","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":"Facilitators and barriers to anemia prevention in the urban government childcare program for infants and young children in Peru.","authors":"Carla Tarazona-Meza, Rosario M Bartolini, Karina Romero, Rebecca Pradeilles, Cecilia Goya, Emily K Rousham, Paula L Griffiths, Hilary M Creed-Kanashiro","doi":"10.1080/16549716.2025.2475580","DOIUrl":"https://doi.org/10.1080/16549716.2025.2475580","url":null,"abstract":"<p><strong>Background: </strong>Anemia is a major public health problem in children under 2 years old in Peru and other low- and middle-income countries.</p><p><strong>Objectives: </strong>We aimed to explore facilitators and barriers to anemia prevention through feeding strategies in the Cuna Mas day-care centers in urban Peru among infants and young children (IYC) aged 6-23 months.</p><p><strong>Methods: </strong>Qualitative research in day-care services (<i>n</i> = 14) in Peru. We conducted direct observations and semi-structured interviews about consumption of animal source foods (ASF) and iron supplementation with day-care staff (technical managers, nursery caregivers and 'mother guides') and caregivers of IYC. We applied a grounded approach to data analysis.</p><p><strong>Results: </strong>Cuna Mas staff facilitated ASF consumption by introducing small portions of iron-rich foods and serving organ meats in tasty stews. Staff also avoided giving carbohydrate-rich foods to IYC prior to giving organ meats. Staff facilitated giving daily iron supplement by using standardized and personalized strategies, such as using a timed reminder, praising and cheering a child or giving supplements whilst washing a child's hands and face. These strategies were also shared with primary caregivers to use at home. Some barriers reported by caregivers included difficulties in accessing and preparing specific ASF at home.</p><p><strong>Conclusion: </strong>The Peruvian Cuna Mas complementary feeding program facilitated consumption of iron-rich ASF and iron supplements through a range of strategies which they then shared with caregivers for implementation at home. These institutional behavioral change initiatives could be replicated in other settings whilst considering the facilitators and barriers identified in this study.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2475580"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12004717/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144004318","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":"A decade of designing and implementing electronic health records in Sub-Saharan Africa: a scoping review.","authors":"Hamufare Dumisani Mugauri, Memory Chimsimbe, Gerald Shambira, Shepherd Shamhu, Juliet Nyamasve, Manes Munyanyi, Robert Gongora, Simukai Zizhou, Meggie Gabida, Richard Makurumidze","doi":"10.1080/16549716.2025.2492913","DOIUrl":"10.1080/16549716.2025.2492913","url":null,"abstract":"<p><p>Electronic Health Records (EHR) systems offer extensive opportunities to enhance healthcare delivery in sub-Saharan African (SSA) countries by improving data management and patient care and reducing errors. Nonetheless, EHR systems face a myriad of challenges, ranging from infrastructure and resources to policy, data management, and implementers' capacitation. This review provides a comprehensive 10-year overview of EHR implementation in the SSA region. A systematic search of PubMed, Web of Science and HINARI databases identified 30 relevant studies published from 2014 to 2024. Inclusion criteria focused on studies discussing the implementation, benefits, and challenges of EHR systems in SSA countries. Data extraction and thematic analysis facilitated the synthesis of findings. The review identified themes organized into four categories: EHR-enabled data management reduced errors, enhanced accuracy, and improved accessibility of patient records. Improved patient care correlated with better data management, facilitating timely and informed decision-making. Challenges such as limited infrastructure (power and connectivity), financial constraints, data privacy concerns, and the need for extensive training were prevalent. User acceptance also emerged as a critical barrier, with healthcare providers often resistant to adopting innovative technologies due to perceived complexity and the time required for training. EHR systems can significantly enhance healthcare delivery in sub-Saharan Africa. To fully realize these benefits, it is crucial to address challenges through targeted strategies and investments. By investing in reliable infrastructure, securing financial support, enhancing data security, developing comprehensive training programmes, and engaging stakeholders, sub-Saharan Africa can improve data management, patient care, and overall healthcare outcomes.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2492913"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042018","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":"Student experiences and perspectives on decolonising global health education: a qualitative study across five Nordic countries.","authors":"Jennifer J Infanti, Jessica Omija Korpela, Chloe Maria Stephenson, Astrid Blystad, Jane Brandt Sørensen, Jónína Einarsdóttir, Mekdes Kebede Gebremariam, Geir Gunnlaugsson, Tobias Herder, Meri Koivusalo, Jesper Löve, Karima Lundin, Mikko Perkiö, Soorej Jose Puthoopparambil, Klas-Göran Sahlen, Marte Emilie Sandvik Haaland, Jon Petter Stoor, Salla Atkins","doi":"10.1080/16549716.2025.2512624","DOIUrl":"10.1080/16549716.2025.2512624","url":null,"abstract":"<p><strong>Background: </strong>Decolonisation has become a global health priority, addressing inequities rooted in colonial histories that continue to shape power dynamics and knowledge systems. Nordic global health programmes bring together students and faculty from diverse backgrounds in a region defined by inclusive ideals but shaped by underexamined colonial legacies. This context offers a valuable setting to examine how decolonial perspectives are integrated or overlooked in global health education.</p><p><strong>Objective: </strong>To explore students' perspectives on decolonisation in global health education, focusing on their understanding, experiences, and views on potential pedagogical change.</p><p><strong>Methods: </strong>A qualitative study involving 72 students from Nordic countries and other world regions, enrolled in global health programmes at 11 academic institutions across five Nordic countries. Fourteen focus group discussions were conducted, and the data were analysed using qualitative content analysis principles.</p><p><strong>Results: </strong>Students shared nuanced understandings of systemic power imbalances in global health practice and education and expressed the need for structural changes. They identified gaps in curricula and pedagogy, including limited integration of decolonial perspectives and inequities in knowledge production. Students called for more inclusive and culturally relevant curricula that reflect diverse contexts. They emphasised student agency in shaping education while acknowledging barriers such as institutional biases and inconsistent faculty engagement.</p><p><strong>Conclusions: </strong>Decolonising Nordic global health education is a long-term process requiring sustained institutional commitment. Student-informed strategies include embedding reflexivity into curricula, engaging with Nordic colonial histories, and designing reciprocal international learning arrangements. While context-specific, these findings may inform broader efforts to decolonise global health educational practices.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2512624"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164382/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276443","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":"Advancing knowledge, maps and tools to address obesity and related socio-economic disparities in Europe: the OBCT project.","authors":"Thao Minh Lam, Julie Aarestrup, Erica L T van den Akker, Jennifer L Baker, Anna Banik, Bram J Berntzen, Lucrezia Bertoni, Joline W J Beulens, Kirsten Bjørnsbo, Sheree Bryant, Luis Cereijo, Priyanka Choudhary, Valeria C Cuenca Cuenca, Julia Diez, Ulf Ekelund, Majid Ezzati, Matthew O'Flynn, Manuel Franco, Jet van de Geest, Pedro Gullon, Lisa Heggie, Sondre H Herstad, Søren Holm, Rachel Jackson Leach, Nanna Lien, Tim Lobstein, Aleksandra Luszczynska, Joreintje Mackenbach, Renate Meeusen, Paul Meijer, Biljana Meshkovska, Jouko Miettunen, Rozenn Nedelec, Jack Olney, Natalia Paduszyńska, Nishit Patel, Jaynaide Powis, Jayashankaramma S Mohan Raju, Tessa Roseboom, Elisabeth F C van Rossum, Miguel A Sanchez-Lastra, Fahmida Sarker, Franco Sassi, Sylvain Sebert, Maria Siwa, Josine Stuber, Jakob Tarp, Ulla Toft, Kamille A B Torp, Jorrit van Uhm, Roberto Valiente Borox, Alfred Wagtendonk, Maggie Wetzel, Euan Woodward, Jingmin Zhu, Jeroen Lakerveld","doi":"10.1080/16549716.2025.2517492","DOIUrl":"10.1080/16549716.2025.2517492","url":null,"abstract":"<p><p>The steady rise in overweight and obesity in Europe disproportionately affects people and communities with a lower socio-economic position (SEP). Many obesity prevention approaches exist, but these have had limited reach and unsatisfactory effects thus far, especially in low-SEP populations. In this context, there is a need for implementation of effective individual-level and population-based preventive strategies that also tackle health inequalities. Effective strategies require consideration of the complex and cross-domain obesity risk factors across the life course. Feasible and acceptable strategies require multisectoral collaborations and innovative approaches, including a whole-of community and systems perspective. With the Horizon Europe-funded OBCT project, we aim to quantify the relative contribution of biological, socio-cultural and built environment factors to obesity and the interactions of these risks within and across various life course stages; and translate the resulting knowledge into practical, equitable, and effective tools for action. These tools will include: a comprehensive obesity risk screener; a map of the obesogenicity of neighbourhood environments as well as trends in obesity prevalence of each European country; recommendations for lifestyle behaviours (diet, physical activity, sedentary behaviours) to prevent obesity during key life transition stages; a decision support dashboard for policy makers; and co-developed toolboxes to support implementation of policy recommendations in low-SEP communities. OBCT's outputs will highlight the areas and domains in which obesity should be targeted and will empower the research community, policymakers, health professionals and residents in Europe to adapt and implement strategies to effectively reduce obesity risk, particularly in low-SEP communities.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2517492"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278475/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660877","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":"Using maternal sepsis patient journeys to map and prioritise barriers to quality maternal healthcare in Malawi: a multidisciplinary stakeholder consultation workshop.","authors":"Yamikani Chimwaza, Dalisto Ndaferankhande, Leonard Mndala, Chifundo Ndamala, Emily Lifa, Mercy Machilika, Esther Mwagomba, Bernard Dossie, Meliya Kwelepeta, Bertha Maseko, David Lissauer, Maria Lisa Odland","doi":"10.1080/16549716.2025.2451467","DOIUrl":"10.1080/16549716.2025.2451467","url":null,"abstract":"<p><strong>Background: </strong>Malawi has made progress in improving access to maternity care services, shifting the focus to quality of care as an essential determinant of maternal health outcomes. However, no effective mechanisms exist to use patients' experiences of care at health facilities to inform and improve the quality of maternal healthcare.</p><p><strong>Objective: </strong>To use maternal sepsis patient journeys in a workshop with maternal health stakeholders to identify and prioritise barriers in care and recommend interventions to improve maternal healthcare quality in Malawi.</p><p><strong>Methods: </strong>In February 2024, in Blantyre, Malawi, using a modified nominal group technique, 28 stakeholders reviewed the patient journeys of three women hospitalised at Queen Elizabeth Central Hospital, who had sepsis after childbirth. Patient journeys narrate events experienced within a healthcare system in the patient's words. In a multiframework approach (Four Delays, Respectful Maternity Care, and WHO Quality of Care), stakeholders identified and prioritised barriers to care and recommended interventions to improve the quality of maternal healthcare. Content analysis of the workshop data linked barriers with stakeholders' suggested interventions.</p><p><strong>Results: </strong>Nineteen barriers identified included various delays in receiving care, mistreatment by healthcare providers, and suboptimal quality of care. Stakeholders found patient journeys valuable and insightful for identifying gaps in the quality of care and promoting sepsis awareness among healthcare workers and the public.</p><p><strong>Conclusions: </strong>Patient journeys are a novel tool for capturing the experience of care in Malawi. They have the potential to guide strategic improvements in maternal healthcare quality and ultimately reduce maternal morbidity and mortality.</p>","PeriodicalId":49197,"journal":{"name":"Global Health Action","volume":"18 1","pages":"2451467"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11792116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143081632","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}