Luna Rodríguez Pérez, Manuel Rodríguez Rodríguez, Rosario Vigo Ortega, Silvia Sicre Alonso, Tránsito Cebrián Valero, Pilar Mentuy Isus, Luis Gabriel Luque Romero
{"title":"Use of the Delphi method as an instrument of community participation in health needs assessment.","authors":"Luna Rodríguez Pérez, Manuel Rodríguez Rodríguez, Rosario Vigo Ortega, Silvia Sicre Alonso, Tránsito Cebrián Valero, Pilar Mentuy Isus, Luis Gabriel Luque Romero","doi":"10.1057/s41271-025-00559-9","DOIUrl":"10.1057/s41271-025-00559-9","url":null,"abstract":"<p><p>We conducted a comprehensive analysis of the usefulness of the Delphi technique for facilitating community participation in local health needs assessments within the Andalusian Local Health Action Network, Spain. We developed an ad hoc online questionnaire based on the Social Determinants of Health model and applied it to a panel of experts in two municipalities in the province of Seville (Andalusia, Spain) between May and June 2021. Our results reflected good panelist participation. The questionnaire successfully enabled the prioritization of both new and original items, some of which were incorporated into local health policies. We concluded that the Delphi method was effective for facilitating participation in local health needs assessments offering a replicable, cost-effective approach that accelerated local policy development and supported the implementation of Health in All Policies within local government.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"460-472"},"PeriodicalIF":2.3,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12119341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005968","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":"Why expanding public health insurance coverage is not enough to provide effective ambulatory care: policy lessons from Mexico, 2000-2022.","authors":"Adolfo Martínez-Valle","doi":"10.1057/s41271-025-00564-y","DOIUrl":"https://doi.org/10.1057/s41271-025-00564-y","url":null,"abstract":"<p><p>Despite expanding public insurance coverage and investment in public healthcare supply, the Mexican population not covered by social security has increasingly used private-sector outpatient health services over the past two decades. This is a public health policy problem because Mexico is committed to a constitutional right to health protection, which means unmet ambulatory needs must be fulfilled. This brief aims to measure the magnitude of unmet ambulatory health care needs, analyze factors that led to their growth, and formulate policy options to address them. Private services' share of total ambulatory care grew from 38 percent in 2006 to 66 percent in 2022, despite two national policy efforts to increase public coverage to nearly 50 million people. Neither policy provided adequate ambulatory coverage for its targeted population, leading to care seeking through private outpatient providers. We recommend strengthening public ambulatory care by increasing financial resources for public primary care and implementing more effective allocation to improve timeliness and quality of care.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182490","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}
Arto Gråstén, Mark S Tremblay, Francisco B Ortega, Timo Jaakkola, Sami Yli-Piipari, Jamal Alnuaimi
{"title":"Physical activity strategies for preventing school-aged children's overweight and obesity: a systematic review.","authors":"Arto Gråstén, Mark S Tremblay, Francisco B Ortega, Timo Jaakkola, Sami Yli-Piipari, Jamal Alnuaimi","doi":"10.1057/s41271-025-00571-z","DOIUrl":"https://doi.org/10.1057/s41271-025-00571-z","url":null,"abstract":"<p><p>This systematic review examined physical activity recommendations and strategies within clinical practice guidelines (CPG) for preventing overweight and obesity in children aged 5-17. Eighteen guidelines from Asia, Europe, North America, Oceania, and South America were identified. Strategies were classified into five categories: individual, family, school, community, and healthcare. Most recommendations aligned with international guidelines, highlighting individual responsibility in increasing daily activity and reducing sedentary time. Families should support active lifestyles and limit screen time, while schools must provide quality physical education and activity opportunities. Communities should ensure safe facilities, and the healthcare sector is tasked with guiding, monitoring, and assessing physical activity levels. Improving clarity regarding sector responsibilities may enhance the effectiveness of CPGs in schools and other health practices, contributing to long-term reductions in childhood overweight and obesity rates.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144182489","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}
K Amitha, Arya Rahul, Anoop C Choolayil, Hisham Moosan
{"title":"Exploring the capacity and challenges to strengthen the health system performance for future outbreaks of Aedes-borne diseases in Puducherry, India.","authors":"K Amitha, Arya Rahul, Anoop C Choolayil, Hisham Moosan","doi":"10.1057/s41271-025-00565-x","DOIUrl":"https://doi.org/10.1057/s41271-025-00565-x","url":null,"abstract":"<p><p>Vector-borne diseases (VBDs) pose a global health threat, particularly in tropical and sub-tropical regions like India. This study investigates the capacities and challenges of Puducherry's health system in combating Aedes-borne diseases. A multi-method qualitative approach including reviews of governmental documents and media reports, focus group discussions and in-depth interviews with stakeholders, and field observations was used. We performed a thematic stakeholder power-interest analysis using the World Health Organization's \"Health System Building Blocks\" framework. Key challenges included unsustainable interventions, poor interdepartmental collaboration, limited manpower, and urban-centric facilities causing long waiting times. Furthermore, growing migrant population, limited social media engagement, inefficient primary-level surveillance, and passivity in community responsibility sharing were noted. The findings emphasize the global value of investing in robust healthcare infrastructure, interdisciplinary collaboration, and community empowerment to mitigate VBD risks. The insights are valuable for policymakers and researchers to enhance the effectiveness of vector control programs in diverse settings.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006204","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":"Community engagement: the missing piece in solving the puzzle of XDR-typhoid spread in Pakistan.","authors":"Madiha, Adeela Shahzadi, Zohaib Ashiq","doi":"10.1057/s41271-025-00568-8","DOIUrl":"https://doi.org/10.1057/s41271-025-00568-8","url":null,"abstract":"<p><p>Typhoid has been a major infectious health threat for the masses in Pakistan with increasing antimicrobial resistance, socio-economic decline, and environmental challenges. Since 2019, the percentage of cases has reduced with the implementation of Typhoid Conjugate Vaccine (TCV) program but reports of widened geographical spread particularly as aftermath of flooding in 2022 and resistance to Azithromycin or Meropenem in adult population are a matter of serious concern. Now is the right time to reconsider whether strategies like mass immunization or health infrastructure development solely can combat the hazards of Extensively Drug-Resistant (XDR)-Typhoid. Public health policies developed due to COVID-19, such as incorporating all stakeholders especially the public through community engagement, may provide a collaborative effort to lessen the prevailing threat of antibiotic resistance.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056099","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}
Juntao Lyu, Baobin Feng, Hansoo Kim, Gayatri Marwah
{"title":"Evaluating Chinese migrant workers' housing conditions by diarrhea disease prevalence.","authors":"Juntao Lyu, Baobin Feng, Hansoo Kim, Gayatri Marwah","doi":"10.1057/s41271-025-00567-9","DOIUrl":"https://doi.org/10.1057/s41271-025-00567-9","url":null,"abstract":"<p><p>Chinese migrant workers often face significant health-related social inequalities, particularly in housing, in urban China. However, there is limited research investigating the health impacts of housing inequalities among migrant workers. We examined the accommodation types associated with the prevalence of diarrhea among migrant workers in urban China. We used a nationwide survey data to investigate the overall housing conditions and applied multilevel logistic regression models to analyze the association between diarrhea and housing types. The findings highlight that the prevalence of diarrhea among migrant workers is significantly associated with housing types rather than neighborhood or income levels. Compared with living in private rental properties, migrants living in government-subsidized properties have significantly increased odds of reporting diarrhea episodes (OR = 1.41; 95% CI 1.23-1.61; p < 0.001). This study indicated the need to address the quality and maintenance of housing infrastructure rather than ownership status alone.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025043","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}
Eugenio Weigend Vargas, Daniel B Lee, Zainab Hans, Jason E Goldstick, Megan Simmons, Patrick M Carter
{"title":"Firearm transactions and background checks in Missouri, USA in 2020.","authors":"Eugenio Weigend Vargas, Daniel B Lee, Zainab Hans, Jason E Goldstick, Megan Simmons, Patrick M Carter","doi":"10.1057/s41271-025-00566-w","DOIUrl":"https://doi.org/10.1057/s41271-025-00566-w","url":null,"abstract":"<p><p>Federal law requires all Federal Firearm Licensees (FFL) to ensure a background check has been conducted before any firearm sale in the United States. We estimated the proportion of firearm transactions without background checks across various forms of sales and other transfers in Missouri, United States in 2020. Based on the Missouri Firearm Survey responses from 361 respondents, 44% of firearms transactions did not involve a background check in Missouri, a proportion higher than national average. Sales at FFL presented the lowest proportion of non-background checks transfers (18.5%) while private sales from known sellers and transfers without sales had the highest proportion (82.8% and 78.4%). Among private sales, there were significant differences between those involving known sellers and those involving unknown sellers. This information can be used by policy makers to discuss potential solutions to reduce levels of firearm violence and relevant health issues in Missouri.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057249","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}
Dennis Minoru Fujita, Roberto Fioravante Alvarenga, Heitor Franco de Andrade
{"title":"Trends in tuberculosis and inequality-adjusted Human Development Index in Brazil, 2018-2022.","authors":"Dennis Minoru Fujita, Roberto Fioravante Alvarenga, Heitor Franco de Andrade","doi":"10.1057/s41271-024-00543-9","DOIUrl":"10.1057/s41271-024-00543-9","url":null,"abstract":"<p><p>Tuberculosis (TB) remains a significant global health concern, causing 1.5 million deaths annually. We conducted an ecological analysis to examine TB prevalence in Brazil from 2018 to 2022, focusing on its relationship with the Human Development Index (HDI) and its inequality-adjusted version HDI (IHDI). We determined significant correlation between HDI and TB prevalence for the period of 2018-2021 (P = 0.044 in 2018, P = 0.041 in 2019, P = 0.044 in 2020, and P = 0.043 in 2021). However, an unexpected rise in TB cases in 2022, despite an increase in HDI, disrupted this trend (P = 0.12), indicating additional influencing factors. The IHDI showed correlation with TB prevalence, underscoring the importance of addressing socio-economic inequalities. These findings suggest the need for targeted interventions, particularly for vulnerable populations.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"139-148"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878458","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}
Lucas Ferrante, Eduardo Capanema, Wilhelm Alexander Cardoso Steinmetz, Bruce Walker Nelson, Alexandre Celestino Leite Almeida, Jeremias Leão, Letícia Sarturi Pereira, Ruth Camargo Vassão, Philip Martin Fearnside, Unaí Tupinambás
{"title":"High transmission of SARS-CoV-2 in Amazonia, Brazil: an epidemiological strategy to contain severe cases of COVID-19.","authors":"Lucas Ferrante, Eduardo Capanema, Wilhelm Alexander Cardoso Steinmetz, Bruce Walker Nelson, Alexandre Celestino Leite Almeida, Jeremias Leão, Letícia Sarturi Pereira, Ruth Camargo Vassão, Philip Martin Fearnside, Unaí Tupinambás","doi":"10.1057/s41271-024-00530-0","DOIUrl":"10.1057/s41271-024-00530-0","url":null,"abstract":"<p><p>We followed the COVID-19 pandemic in Manaus, one of the epicenters of COVID-19 in Brazil, using an epidemiological mathematical model and made five main conclusions. First, in early 2022, the actual cases exceed officially reported data by up to 8 times. Second, despite vaccination campaigns, the collective immunity threshold necessary was insufficient to contain severe cases of COVID-19. Next, the low observed mortality demonstrated the effectiveness of vaccination. Next, the drop in the vaccination rate combined with immune escape by the Omicron sub-variants (BA.2.12.1, BA.4, and BA.5) resulted in new wave after November 2022. Finally, to minimize severe cases of COVID-19, we need to raise vaccination thresholds above 90-95% of the entire population including children aged 6 months and older and require booster doses at least in four-month intervals. This approach would help to prevent severe cases of COVID-19 that cause hospitalizations and deaths.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"71-86"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786613","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":"The education and training of the public health workforce: working at the intersection of the WFPHA Global Charter and the WHO Roadmap.","authors":"Leanne Coombe, Priscilla Robinson","doi":"10.1057/s41271-024-00545-7","DOIUrl":"10.1057/s41271-024-00545-7","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"222-228"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371378","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}