Community health equity research & policy最新文献_第10页

Women's Perspectives on Post-partum Family Planning in Banyumas, Indonesia. 印度尼西亚班尤马斯妇女对产后计划生育的看法。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-12-08 DOI: 10.1177/2752535X241304080

Sandra Olivia Frans, Utsamani Cintyamena, Shita Listyadewi, Ariane Utomo

{"title":"Women's Perspectives on Post-partum Family Planning in Banyumas, Indonesia.","authors":"Sandra Olivia Frans, Utsamani Cintyamena, Shita Listyadewi, Ariane Utomo","doi":"10.1177/2752535X241304080","DOIUrl":"10.1177/2752535X241304080","url":null,"abstract":"Background: A recent programmatic shift in the provision of family planning in the Global South led to a renewed focus on post-partum family planning (PPFP). PPFP embodies a shift in the primary narrative of global family planning programs, from fertility reduction to promoting maternal and child well-being.Purpose: We examine key factors that shape women's knowledge, attitudes and practice of PPFP in Banyumas, Indonesia.Methodology: We employed a qualitative approach utilizing focus group discussions with pregnant women and women with children aged less than 1 year old (n = 44), and in-depth interviews with health service providers (n = 10). Guided by the research questions, we conducted a thematic analysis of the transcripts.Results: Our findings demonstrate how women's agency within marriage, their social and familial networks, their interactions with healthcare providers, and policy changes related to reproductive health and health insurance schemes, all influence the extent to which women's rights to information and choice regarding post-partum family planning can be realized. Conclusions: Key implications for practice include the necessity for health providers to offer unbiased information about contraceptive options, to engage local leadership effectively, and to ensure that government targets for the PPFP program align with women's needs and the health and social conditions of the community.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"103-115"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities. 用动机访谈技巧增强可信信使的能力：提高向社区传播准确信息的能力。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-27 DOI: 10.1177/2752535X241304081

Marie Ivantechenko, Shubarna Akhter, Damara Gutnick

{"title":"Empowering Trusted Messengers With Motivational Interviewing Skills: Improving Dissemination of Accurate Information to Communities.","authors":"Marie Ivantechenko, Shubarna Akhter, Damara Gutnick","doi":"10.1177/2752535X241304081","DOIUrl":"10.1177/2752535X241304081","url":null,"abstract":"BackgroundHistorical injustices, structural racism, and negative healthcare experiences contribute to Black and Brown communities' distrust of science. Bridging Research, Accurate Information, and Dialogue (BRAID) is a community engagement model that leverages trusted messengers to share accurate, co-created health and science messages to their community through their social networks. In our prior research, trusted messengers reported encountering resistance or \"discord\" when conveying information about controversial topics such as COVID-19 vaccines and the importance of diversity in clinical trials. Motivational Interviewing (MI) is an evidence-based communication style widely practiced by healthcare providers to guide ambivalent patients toward behavior change. However, MI's application by community members, particularly trusted messengers, as a strategy for enhancing health message dissemination remains unexplored.PurposeThis study used mixed methods to explore the feasibility of training trusted messengers in MI to support the dissemination of public health messages through social networks. Specifically, we sought to understand perspectives on learning MI and use of MI in conversations about clinical trial diversity and research subject protection.Research Design13 trusted messengers completed a MI introductory training.ResultsEighty-five percent found the training highly valuable, 54% reported high self-efficacy, and 69% expressed a desire for additional training. Qualitative analysis revealed trusted messenger endorsement of MI, recognition of MI's applicability to various contexts, and a sense of empowerment to share accurate information to their communities.ConclusionsOur findings suggest that empowering trusted messengers with communication skills can be a practical, feasible, and cost-effective public health strategy for effective dissemination of accurate public health messages.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"41-51"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care. 在澳大利亚背景下，对难民获得专门的多学科难民医疗团队服务的经历进行定性探索：对未来护理的启示。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-09-19 DOI: 10.1177/2752535X241286250

Jennifer White, Ashley Young, Murray Webber, Joy Harrison, Amy Hiscox, Jessica Lush, Baeho Joo, Janessa Sherrin, Mattias Grasselli, Julie Byles

{"title":"A Qualitative Exploration of Refugee Experiences of Access to a Dedicated Multi-Disciplinary Refugee Health Team in an Australian Context: Implication for Future Care.","authors":"Jennifer White, Ashley Young, Murray Webber, Joy Harrison, Amy Hiscox, Jessica Lush, Baeho Joo, Janessa Sherrin, Mattias Grasselli, Julie Byles","doi":"10.1177/2752535X241286250","DOIUrl":"10.1177/2752535X241286250","url":null,"abstract":"AimsRefugees experience physical and mental health issues that need attention following settlement in a new community. However, access to and utilisation of healthcare services is challenging. We aimed to explore the experience of refugee access to a dedicated multi-disciplinary refugee health team.MethodsAn interpretative qualitative study. 17 qualitative interviews were conducted with Ezidi refugees who attended a newly established multi-disciplinary refugee health program in a regional town in NSW, Australia. Data were analysed using an inductive thematic approach.ResultsParticipants (n = 17) identified as Ezidi and were from Iraq. Parents were between 23 and 57 years of age and had 1-12 children per family. Most had been in Australia between 2 and 5 years. Four key themes were identified: (1) Identifying the extent of health needs following a long wait to migrate; (2) Health support across the life span: the benefit of access to a multi-disciplinary team; (3) Gaps in cultural competence - impacted by understanding and interpreter access; and (4) Ongoing health and lifestyle concerns - influenced by understanding and education.ConclusionsWe identified the benefit of access to allied health for prompt diagnosis, treatment and management of conditions including congenital and developmental conditions, mental health and chronic diseases. Access to a dedicated team ensured early intervention for a broad range of health and social issues including early referral to services, close coordination and help to complete supporting paperwork and applications. Ongoing investments are needed to maintain this comprehensive and coordinated approach to care that is underpinned by a family centric approach.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"19-29"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12335621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142302406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South. 确定在美国南部黑人妇女中实施基于沙龙的干预措施以减少障碍并提高暴露前预防疗法 (PrEP) 使用率的 CFIR 内部环境因素。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-27 DOI: 10.1177/2752535X241305455

Elizabeth Jeter, Cynthia Bacon, Ragan Johnson, Hannah Lane, Schenita D Randolph

{"title":"Identifying CFIR Inner Setting Factors in the Implementation of a Salon-Based Intervention to Reduce Barriers and Improve Pre-Exposure Prophylaxis (PrEP) Uptake Among Black Women in US South.","authors":"Elizabeth Jeter, Cynthia Bacon, Ragan Johnson, Hannah Lane, Schenita D Randolph","doi":"10.1177/2752535X241305455","DOIUrl":"10.1177/2752535X241305455","url":null,"abstract":"US Black women are disproportionally represented in new HIV diagnoses. PrEP is effective in HIV prevention, but Black women's uptake is low. The UPDOs salon-based intervention is effective in overcoming barriers to care but scaling implementation is needed. This mixed-method pilot study sought to understand how salon organizational factors may have influenced UPDOs implementation with a focus on organizational culture, team culture, relational connection, and communication within a Consolidated Framework for Implementation Research (CFIR) inner setting lens. Organizational culture and team culture were measured using the Organizational Culture Survey (OCS) and Team Psychological Safety Scale (TPS). Relational connection and communication were explored qualitatively using participant observations and semi-structured interviews. Findings were positive towards teamwork, morale, information flow, involvement, and supervision as well as reflected positive organizational environment that were supportive of developing knowledge and skills. Relational connection and communication created a trusting environment that facilitated implementation. Future research can benefit from examining organizational environment when scaling interventions to overcome HIV and PrEP inequities.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"53-63"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142735186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"It's Really About Those Social Determinants of Health that Drive It": Addressing Food Insecurity in Rural Veterans. "真正的驱动因素是健康的社会决定因素"：解决农村退伍军人的粮食不安全问题。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-10-15 DOI: 10.1177/2752535X241292108

Jacquelyn N Heuer, Sarah E Bradley, Bridget Hahm, Kristin Pettey, Karen Besterman-Dahan

{"title":"\"It's Really About Those Social Determinants of Health that Drive It\": Addressing Food Insecurity in Rural Veterans.","authors":"Jacquelyn N Heuer, Sarah E Bradley, Bridget Hahm, Kristin Pettey, Karen Besterman-Dahan","doi":"10.1177/2752535X241292108","DOIUrl":"10.1177/2752535X241292108","url":null,"abstract":"BackgroundThe Department of Veterans Affairs (VA) employs numerous strategies to address food insecurity among rural veterans. This manuscript discusses findings from a quality improvement project examining factors impacting food insecurity among rural veterans.MethodsQualitative interviews were conducted with VA expert informants (n = 30) who worked in national program offices addressing veteran food insecurity, site visit participants (n = 57) at three VA Medical Centers (VAMCs), and rural veterans who screened positive for food insecurity at the VAMC sites (n = 10). Interviews were analyzed with analysis matrices.ResultsCurrent VA programming includes a national food insecurity screening initiative and connecting veterans with local community resources. Veteran participants provided suggestions for addressing veteran food insecurity, including outreach and education. In addition, these interviews demonstrate that rural veteran food insecurity is intrinsically interwoven with other social determinants of health.ConclusionsAddressing rural veteran food insecurity must include strategies for understanding and supporting interconnected veteran needs.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"65-77"},"PeriodicalIF":1.8,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142482298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Community Health Agents Dismantling Gender Norms in a Machismo Society. 社区保健代理人在大男子主义社会中打破性别规范。

IF 1.8

Community health equity research & policy Pub Date : 2025-10-01 Epub Date: 2024-11-08 DOI: 10.1177/2752535X241298832

Elizabeth M Allen, Michael J Van Skiba, Ariel Frisancho, Claudia Llanten, Cecilia Izarra

引用次数: 0

Inadequate Indoor Air Quality and Household Overcrowding Predispose to Life-Threatening Pulmonary Infections: Call for Action. 室内空气质量不足和家庭过度拥挤易导致危及生命的肺部感染：呼吁采取行动。

IF 2.2

Community health equity research & policy Pub Date : 2025-09-25 DOI: 10.1177/2752535X251383183

Malvika Kaul, Israel Rubinstein

引用次数: 0

Impact of a Hospital-Based Food Pharmacy Program on Health Outcomes of Vulnerable Patients. 医院食品药房计划对弱势患者健康结果的影响。

Community health equity research & policy Pub Date : 2025-07-01 Epub Date: 2024-07-26 DOI: 10.1177/2752535X241269528

Lori A Bilello, Ross Jones, Nora Kassis, Chardaè Whitner, Ann-Marie Knight, Fern Webb

{"title":"Impact of a Hospital-Based Food Pharmacy Program on Health Outcomes of Vulnerable Patients.","authors":"Lori A Bilello, Ross Jones, Nora Kassis, Chardaè Whitner, Ann-Marie Knight, Fern Webb","doi":"10.1177/2752535X241269528","DOIUrl":"10.1177/2752535X241269528","url":null,"abstract":"Access to healthy foods, especially for those who are living with diabetes and hypertension, is crucial in managing these chronic diseases. This study evaluates the implementation of a food pharmacy and food prescription program at a safety-net hospital that serves vulnerable populations. Patients who screen as food insecure using the USDA adult food security survey receive a referral from the physician to the food pharmacy program where a dietician reviews their dietary requirements based on their chronic disease and develops a diet plan. Patients then receive fresh produce, meats and other products every 2 weeks that meets their nutritional needs from the food pharmacy. Biometric data from the patient's most recent clinic visit at the time of enrollment was collected as the baseline measures including blood pressure, weight, and HbA1c (if diabetic). Additionally, biometric information was collected from the patient's medical records from regularly scheduled clinic visits at 6 month intervals. A total of 266 patients were enrolled in the program during the 13-month period that was studied (121 patients with 6-month data and 68 patients with 12-month data). The statistical analysis showed a significant improvement in diastolic blood pressure at 12 months and in weight at both the 6 months and 12 months timeframes when comparing to baseline biometrics.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"423-427"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141768269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring the Use of Multiple Participatory Tools to Engage Community Health Workers in Program Evaluation and Implementation: A Case Study From the Philippines. 探索使用多种参与式工具让社区卫生工作者参与计划评估和实施：菲律宾案例研究》。

Community health equity research & policy Pub Date : 2025-07-01 Epub Date: 2024-09-06 DOI: 10.1177/2752535X241280353

Laura J Brubacher, Lincoln L Lau, Monica Bustos, Melinda Kelly Mijares, Krisha Lim Mar, Warren Dodd

{"title":"Exploring the Use of Multiple Participatory Tools to Engage Community Health Workers in Program Evaluation and Implementation: A Case Study From the Philippines.","authors":"Laura J Brubacher, Lincoln L Lau, Monica Bustos, Melinda Kelly Mijares, Krisha Lim Mar, Warren Dodd","doi":"10.1177/2752535X241280353","DOIUrl":"10.1177/2752535X241280353","url":null,"abstract":"This study explored the use of three participatory tools within a Philippines-based case study with community health workers (CHWs) by comparing and contrasting the process and data generated across the tools, and critically reflecting on adaptations and facilitation considerations that affected the tools' use. Facilitator notes and audio-recordings of discussions were integrated and analyzed thematically. Tools differed by the type of data generated: program-specific data related to CHWs' roles and responsibilities or data on broader structural factors. A stepwise approach within each tool facilitated focused, in-depth sharing, as did initial paired discussions that allowed exchange of knowledge and experiences among CHWs. Facilitators required topic- and context-specific knowledge to guide discussion effectively. CHWs discussed challenges and successes in their roles; program recommendations; and broader challenges related to healthcare delivery in their communities. This study contributes critical insights on the use of participatory tools to promote the inclusion of implementer perspectives in health program co-design, implementation, and evaluation.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"351-363"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059235/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142143491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Planning in Times of COVID-19 in Burkina Faso: The Role of Its National Strategic Pandemic Management Committee. 布基纳法索在 COVID-19 期间的卫生规划：国家大流行病战略管理委员会的作用。

Community health equity research & policy Pub Date : 2025-07-01 Epub Date: 2024-05-30 DOI: 10.1177/2752535X241256414

Thomas Druetz, Frank Bicaba, Cissé Zainabou, Abel Bicaba

{"title":"Health Planning in Times of COVID-19 in Burkina Faso: The Role of Its National Strategic Pandemic Management Committee.","authors":"Thomas Druetz, Frank Bicaba, Cissé Zainabou, Abel Bicaba","doi":"10.1177/2752535X241256414","DOIUrl":"10.1177/2752535X241256414","url":null,"abstract":"ContextPresenting the COVID-19 crisis as a pandemic misleadingly implies a certain homogeneity between the regions of the Globe in terms of their burden and reactions. However, from the outset of the crisis, countries presented different epidemiological realities and sometimes adopted divergent, even opposing measures. Curiously, the heterogeneity of responses persisted as scientific evidence accumulated about COVID-19 and the strategies for dealing with it.Case studyThis commentary aims to recount the specific experience of Burkina Faso, and how it reoriented its initial biomedical response into a multisectoral strategy. Burkina Faso set up a committee specifically to examine the effects not only of the pandemic, but also of the control measures. This committee was mandated to decompartmentalize the lens through which the COVID-19 was dealt with. It entered into dialogue with a level of stakeholders often overlooked during national health crisis: communities. As a member of this \"National Committee for Crisis Management of the Pandemic\", one of the co-authors contributed to its orientations and has witnessed first-hand some of the challenges it faced.RecommendationsThis experience suggests that the project of extricating the field of public health from medicine is advancing in Burkina Faso. In order to manage future crises more effectively and across different sectors, there is an urgent need to establish state structures and to strengthen public health systems. States need coordination units that have the legitimacy, authority and resources required to mobilize a variety of actors at the community, national and international levels.","PeriodicalId":72648,"journal":{"name":"Community health equity research & policy","volume":" ","pages":"375-384"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12059233/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141175093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0