Dialogues in health最新文献

{"title":"Strengthening mobile diagnostic resilience in emergencies in the WHO Eastern Mediterranean Region","authors":"Rana Abu Salbi ,&nbsp;Jessica Yazbek ,&nbsp;Deesse Tabet ,&nbsp;Wasiq Mehmood Khan ,&nbsp;Ghazi Kayali","doi":"10.1016/j.dialog.2025.100269","DOIUrl":"10.1016/j.dialog.2025.100269","url":null,"abstract":"<div><h3>Purpose</h3><div>The Eastern Mediterranean Region faces persistent challenges in laboratory capacity, exacerbated by conflicts, natural disasters, and recurrent public health emergencies. The COVID-19 pandemic further exposed these deficiencies, underscoring the urgent need for scalable and rapid diagnostic solutions. Rapid Response Mobile Laboratories (RRMLs), self-contained mobile diagnostic units that can be rapidly deployed to affected areas, offer flexible and efficient tools to address diagnostic and logistical gaps in fragile healthcare systems.</div></div><div><h3>Methods</h3><div>We used document review and deliberative expert consultation, as this paper draws on the work of the Global Outbreak Alert and Response Network (GOARN) Strategic Group for Diagnostic Surge Capacity, and insights from the WHO-convened expert meeting in Cairo (October 2024). Regional needs and priorities were reviewed to outline RRML deployment in conflict-affected and resource-limited countries of the Eastern Mediterranean Region (EMR).</div></div><div><h3>Results</h3><div>Key priorities identified include developing standard operating procedures for biosafety, logistics, and data management; establishing a regional funding mechanism to ensure sustainability and fostering inter-country agreements for rapid deployment and resource sharing. The twinning strategy was emphasized as a pivotal approach for knowledge transfer and strengthening local capacity.</div></div><div><h3>Conclusion</h3><div>A regional mobile laboratory network tailored to local needs is essential to build diagnostic resilience. Standardized training, simulation drills, and integrated data-sharing frameworks will optimize the efficiency of RRMLs. Mobilizing resources and expertise for these laboratories will enhance outbreak preparedness and support public health responses in high-risk zones.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100269"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926202","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}

{"title":"Functions and challenges of a government-run animal bite treatment center in the delivery of rabies post-exposure prophylaxis services in Iloilo City, Philippines: A 6-year descriptive study, 2018–2023","authors":"Anna-Lee B. Bandoy ,&nbsp;Neil Marc S. Dasas ,&nbsp;Alpha Issa Christianne P. Abegonia ,&nbsp;John Piox J. Badiang ,&nbsp;Chester Lloyd S. Berdan ,&nbsp;Maria Lucille M. Magallanes ,&nbsp;Jes Ivan D. Sian ,&nbsp;Therese A. Sumague ,&nbsp;Patricia Kei P. Tulio ,&nbsp;Addy Mae P. Binoya ,&nbsp;Ma. Cristina L. Erum ,&nbsp;Alfredo A. Hinay Jr","doi":"10.1016/j.dialog.2025.100266","DOIUrl":"10.1016/j.dialog.2025.100266","url":null,"abstract":"<div><h3>Background</h3><div>Animal bite injuries are a serious public health concern due to the risk of rabies infection. In March 2024, the Department of Health (DOH) reported 84 rabies cases with six fatalities from Iloilo City. The most crucial management of animal bite injuries includes immediate wound care and rabies post-exposure prophylaxis (PEP), typically administered at an Animal Bite Treatment Center (ABTC). In 2007, the Philippines established the Republic Act No. 9482, also known as the Anti-Rabies Act, which created the National Rabies Prevention and Control Program (NRPCP) to control and eliminate rabies. This study aimed to describe the functions and challenges faced by one of these government-run ABTCs in Iloilo City, specifically a) provision of rabies PEP for animal bite cases, b) instructions for proper wound care, c) documentation of animal bite cases, and d) conduct of health promotion activities.</div></div><div><h3>Materials and methods</h3><div>This mixed-methods study was conducted at an ABTC in Iloilo City between January and March 2024. The first phase of the study collected secondary data from the official registry from January 1, 2018, to December 31, 2023. In the second phase, data were collected through direct observation of practices during a site visit in February 2024. A validated checklist based on the DOH Manual of Operations and WHO health system framework was developed and used for objective points of observation. Descriptive analyses of frequencies and percentages were conducted using Microsoft Excel and compared with the NRPCP guidelines. Also, Mann-Kendall test was conducted to evaluate the temporal trends in bite incidence proportions.</div></div><div><h3>Results</h3><div>The non-hospital-based government ABTC operated under the Iloilo City Health Office provided a.) rabies PEP and wound care for animal bite cases, b.) documentation of animal bite cases, and c.) awareness campaigns. A total of 20,134 animal bite cases were documented from 2018 to 2023. Three types of vaccines were delivered to the center: Purified Vero Cell Rabies (PVRV) and Purified Chicken Embryo Cell (PCEC) for active immunization, and Equine Rabies Immunoglobulin (ERIG) for passive immunization. In 2023, the lowest number of category III ERIG recipients was 42.65 % (<em>n</em> = 534). Despite COVID-19 restrictions from 2020 to the middle of 2022, all patients completed their TCV vaccination between 2020 and 2023. Challenges, such as vaccine shortages, record inconsistencies, and referral issues, persist.</div></div><div><h3>Conclusion</h3><div>The non-hospital-based government-run ABTC has maintained rabies PEP services in Iloilo City from 2018 to 2023, despite challenges. Collaboration with the Local Government Unit (LGU) and DOH, increased campaigns, and lay lectures on the prevention of animal bites and rabies infection, along with increased healthcare funding, are needed for sustainable solutions.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100266"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791740","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}

{"title":"Integrating education-based interventions and machine learning for stunting prevention: A case study in East Lombok, Indonesia","authors":"Mhd. Lailan Arqam ,&nbsp;Asno Azzawagama Firdaus ,&nbsp;Ahmad Muslih Atmojo ,&nbsp;Ginanjar Zukhruf Saputri ,&nbsp;Furizal ,&nbsp;Palahuddin ,&nbsp;Retno Sirnopati","doi":"10.1016/j.dialog.2025.100264","DOIUrl":"10.1016/j.dialog.2025.100264","url":null,"abstract":"<div><div>One of the regions in Indonesia that has the highest prevalence of stunting cases is West Nusa Tenggara, with a percentage of cases almost reaching 12.7 %, even though this province is a priority target for stunting reduction by 2022. Specifically in the East Lombok region, this study took this location point because of the high number of stunting cases in West Nusa Tenggara. Puskesmas Denggen was the target of the study, covering six working areas namely Denggen, East Dengen, Majidi, Rakam, Sekarteja, and Pancor, with a total of 3416 under-five data. The data were obtained through two measurements: the initial in February 2024 and the final in August 2024. This research integrates a multidisciplinary approach, encompassing health and nutrition science, psychology, education, and religion, to create comprehensive interventions for stunting prevention and employs machine learning models to predict future cases. The interventions include Motivation, Hygiene, Nutrition, Mental Health, and Infant Health, which are designed to cover all the essential needs of children in the growth and development process. The results of the six villages measured showed that significant changes in data were obtained in Denggen Village when compared before and after the intervention. The results of measuring the effectiveness of the anti-stunting educational interventions were also found to be effective across the five key aspects, with several showing dominant and statistically significant improvements. The machine learning algorithms used also achieved very high accuracy using Decision Tree and Gaussian Naive Bayes. This anti-stunting education model can be applied to the same case in a wider scope by paying attention to several aspects as an evaluation.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100264"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145738558","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}

{"title":"Intersectionality-informed eating pathology research: A scoping review","authors":"Mikyung Lee ,&nbsp;Eun Jung ,&nbsp;Bridgett Chau ,&nbsp;Eun-Young Lee","doi":"10.1016/j.dialog.2026.100286","DOIUrl":"10.1016/j.dialog.2026.100286","url":null,"abstract":"<div><h3>Objectives</h3><div>This scoping review aimed to synthesize findings from intersectionality-informed eating pathology (EP) research and documented how intersectionality has been operationalized in this body of literature.</div></div><div><h3>Methods</h3><div>Systematic literature searches were conducted in October 2022 and updated in May 2025 across six databases. Articles meeting the following criteria were included: 1) written in English, 2) published in peer-reviewed journals, 3) acknowledged and/or employed intersectionality as a study rationale, 4) employed intersectional investigations, and 5) addressed EP as an outcome.</div></div><div><h3>Results</h3><div>A total of 42 articles were included, comprising 27 quantitative, 14 qualitative, and one mixed-methods study. Limited engagement with intersectionality was evident, with 21 quantitative and 11 qualitative findings citing foundational authors and 11 quantitative and 8 qualitative findings providing a definition or explanation of intersectionality. While all qualitative articles addressed the concept of power by considering both social identities and systems of oppression, less than half of the quantitative articles did so (<em>n</em> = 13). Sex/gender and race/ethnicity were the most frequently employed exposures in exploring EP, while other social identities (e.g., sexual orientation) were relatively overlooked. The most commonly investigated intersection was sex/gender × race/ethnicity, followed by sex/gender × race/ethnicity × sexism × racism. Body image was the most common EP outcome examined.</div></div><div><h3>Conclusion</h3><div>Most EP research is limited in its engagement with intersectionality. This review highlights the underrepresentation of diverse social identities and associated systems of oppression, as well as prevalent patterns of gender binarism. Based on these gaps, recommendations for future research were provided.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100286"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146173503","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}

{"title":"Socio-ecological model: Understanding facilitators and barriers to HIV testing and counseling uptake in sub-Saharan Africa – A systematic review","authors":"Amanda Debuo Der ,&nbsp;Elvis Enowbeyang Tarkang","doi":"10.1016/j.dialog.2025.100273","DOIUrl":"10.1016/j.dialog.2025.100273","url":null,"abstract":"<div><h3>Objective</h3><div>This systematic review examined the facilitators and barriers to HTC uptake among adults in SSA using the socio-ecological model (SEM).</div></div><div><h3>Methods</h3><div>A systematic search of Google Scholar, PubMed, Scopus, Sociological Abstracts, PsycINFO and Europe PMC identified 114 HTC uptake studies in SSA from 2010 to 2023 of which 6 met the inclusion criteria. The search followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.</div></div><div><h3>Results</h3><div>Individual level facilitators of HTC included high perceived HIV risk, privacy, higher education, and prior testing experience while low HIV knowledge, fear of positive results, stigma, and lack of confidence in self-testing were barriers. Interpersonal facilitators included partner and peer support, and peer normalization of testing, while barriers involved fear of partner reactions, trust concerns, and fear of unintentional disclosure. At the health system-level, facilitators included counseling, positive experiences with providers, and no discrimination while privacy concerns, stigma, and judgmental attitudes of healthcare workers hindered HTC uptake. The community-level barriers included misconceptions and stigma, whereas community-based education improved HTC uptake. At the policy level, cost was a barrier, but availability of self-testing facilitated uptake. The interpersonal factors presented the most significant facilitators (53.3 %), while the policy-level factors were the most significant barriers (57.1 %).</div></div><div><h3>Conclusion</h3><div>HTC uptake in SSA is shaped by intersecting SEM factors. Understanding these influences are essential for designing effective interventions to improve HTC uptake and linkage to care.</div><div><strong>PROSPERO ID:</strong> CRD42024583105.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100273"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926206","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}

{"title":"Adapting and mitigating: an exploratory Delphi approach to climate change impacts on healthcare institutions in Switzerland","authors":"Rafaël Weissbrodt ,&nbsp;Pauline Roos ,&nbsp;Bozica Krsmanovic ,&nbsp;Typhaine Maïko Juvet ,&nbsp;Sandrine Corbaz-Kurth ,&nbsp;Claude-Alexandre Fournier ,&nbsp;Stéphanie Hannart ,&nbsp;Valentino Piana","doi":"10.1016/j.dialog.2025.100275","DOIUrl":"10.1016/j.dialog.2025.100275","url":null,"abstract":"<div><div>Climate change is increasing morbidity and mortality, exacerbating the imbalance between care needs and available resources. Peer-reviewed literature and international frameworks have emphasized the importance of health system resilience in the face of this growing stressor. Because effective action plans must be tailored to specific national, regional, or local contexts, this study focuses on Switzerland—a Central European country with a high-performing acute care system that is notably energy-intensive and heavily reliant on fossil fuels and imported supplies. Given that temperatures in Switzerland are rising faster than the Northern Hemisphere average, adapting the healthcare system and reducing its energy consumption are critical challenges. The study provides a systematic overview of the anticipated impacts of climate change on the Swiss healthcare institutions and explores their adaptation and mitigation needs. Employing a Delphi approach with ten international climate experts across three phases—semi-structured interviews with thematic analysis, prioritization, and final consensus—we developed a concise conceptual model comprising seven dimensions: (1) Health problems related to climate change, (2) Changing care needs and expectations, (3) Impacts on the functioning of healthcare institutions, (4) Vulnerability of healthcare institutions to the physical impacts of climate change, (5) Contextual factors, (6) Adaptation measures, and (7) Mitigation measures. A typology of items was created for each dimension. Of the 114 final items, 102 were deemed important with strong consensus. The findings complement existing evidence and aim to support healthcare institutions in assessing their external and internal environments to enhance resilience.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100275"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926307","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}

{"title":"Use of lethal weapons to kill protesters by Bangladesh police: A discussion analyzing 253 deaths of July 24 revolution","authors":"Md Abu Bakkar Siddik ,&nbsp;Md Syful Islam ,&nbsp;Sheikh Muzzammil Hussen ,&nbsp;Md. Khalid Syfullah","doi":"10.1016/j.dialog.2026.100277","DOIUrl":"10.1016/j.dialog.2026.100277","url":null,"abstract":"<div><div>The use of lethal force by law enforcement against protesters is a critical issue in Bangladesh, where police actions during the July 24 Revolution resulted in more than a thousand recorded deaths. This study analyses the circumstances, demographics, and geographic distribution of these fatalities through a quantitative content analysis of national newspaper reports of 253 deaths, verified through a multi-step validation process to reduce bias. The findings reveal that young adults aged 18 to 29 accounted for 58.1% of victims, underscoring the historical role of youth in political mobilization. Lethal bullets were responsible for 78.66% of deaths, with most fatalities occurring on the spot (77.47%) and predominantly at demonstration sites (75.89%). The chest (46.64%) and head (29.25%) were the most frequently targeted areas, suggesting intentional use of lethal force inconsistent with international norms on proportionality and necessity. These patterns illustrate how the securitization of dissent discursively frames protesters as threats, legitimizing violent repression consistent with broader theories of state violence. In doing so, the findings extend global debates on protest policing by showing how securitization discursively legitimized the lethal targeting of youth protesters in a South Asian context. By situating Bangladesh within South Asian and global debates on protest policing, the study contributes to understanding how state violence undermines democratic participation and public health. The analysis aligns with the World Health Organization's objectives on reducing violence and promoting human rights. While limited by reliance on media reports and cross-sectional data, the findings highlight the need for future research on long-term impacts and for context-specific reforms in accountability, training, and oversight.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100277"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977663","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}

{"title":"Predicting nurse burnout: A logistic regression approach to workplace and demographic factors","authors":"Edona Haxhija ,&nbsp;Drita Kruja ,&nbsp;Zamira Shabani","doi":"10.1016/j.dialog.2025.100267","DOIUrl":"10.1016/j.dialog.2025.100267","url":null,"abstract":"<div><h3>Purpose</h3><div>This study aimed to identify key occupational and demographic factors associated with nurse burnout in a major public hospital in Albania.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional survey was conducted among nurses in a regional hospital. Nursing management invited all units to participate. Nurses completed the questionnaire voluntarily and anonymously during breaks. The survey included job satisfaction, burnout risk, working conditions, supervisor and colleague support, workload, shift duration, career opportunities, and demographic variables. Cluster analysis was used to categorize nurses, and exploratory factor analysis examined the structure of job satisfaction factors.</div></div><div><h3>Results</h3><div>Data from 345 nurses showed that high workload and long shifts significantly increased burnout risk. Strong supervisor support and greater job satisfaction were associated with reduced burnout. Nurses in rural settings had 1.57 times higher odds of burnout compared to urban nurses. Female nurses had 1.25 times greater odds of burnout than male nurses. Advanced education and better career advancement opportunities were linked to lower burnout levels.</div></div><div><h3>Conclusion</h3><div>Burnout is more prevalent among rural nurses and, to a lesser extent, among female nurses, suggesting the need for context-sensitive and inclusive interventions. Burnout stems from systemic challenges such as excessive workload, insufficient managerial support, and role misalignment. Addressing these issues requires organizational changes including staffing improvements, supportive leadership, and professional development. Future research should apply standardized burnout measures and longitudinal approaches to better understand nurse well-being.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100267"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926205","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}

{"title":"Changing the narrative: Socioeconomic determinants, not gun ownership, drive global homicide rates across 237 countries and territories","authors":"Rae-Anne Kastle ,&nbsp;Shelby Baxter ,&nbsp;Christine Edomwande ,&nbsp;An-Lin Cheng ,&nbsp;Michael Moncure ,&nbsp;Cuthbert Simpkins","doi":"10.1016/j.dialog.2025.100270","DOIUrl":"10.1016/j.dialog.2025.100270","url":null,"abstract":"<div><div>Intentional homicide is defined as the unlawful taking of a human life with the intent to cause death or serious injury. Gun ownership is often at the forefront of debates regarding IH, but few have explored this relationship worldwide. Our study seeks to fill this gap by examining the relationship between civilian gun ownership and IH rates globally, while also analyzing various socioeconomic determinants. To investigate this relationship, we conducted a retrospective, cross-national review using publicly available data reported from government websites and public health journals across 237 countries and territories. Spearman Correlation analysis, multivariable linear regression, and ANOVA were conducted with homicide rates as the dependent variable and were repeated after countries were stratified by gross national income. <em>P</em>-values &lt;0·05 were considered significant. Civilian gun ownership did not correlate with IH rates with and without the stratification. The dependent variables that showed the strongest positive correlations with IH rates included Gini Index (r² = 0·55; <em>p</em> &lt; 0·0001) and maternal mortality ratio (r² = 0·52; <em>p</em> &lt; 0·0001). Linear regression showed that the Gini Index (r² = 0·60; p &lt; 0·0001) and poverty rate (r² = 0·44; <em>p</em> = 0·033) can be used to calculate possible IH rates. Gini Index had a positive correlation with IH in lower-income countries. Globally, we found that the Gini Index and poverty rates were strongly associated with IH rates, while there was no correlation between civilian gun ownership. This suggests there are several underlying socioeconomic factors, rather than gun ownership alone, that contribute to IH globally.</div></div>","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100270"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926207","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}

{"title":"Systems thinking in action: Lessons from Jharkhand's journey to reducing maternal mortality","authors":"Sanjeev Kumar ,&nbsp;Anand Kumar ,&nbsp;Amit Kumar Goyal ,&nbsp;Ramkrishna Kumar ,&nbsp;Pranav Bhushan ,&nbsp;Sarwar Khan ,&nbsp;Ajit Kumar Singh ,&nbsp;Vikas R. Kehsri","doi":"10.1016/j.dialog.2025.100265","DOIUrl":"10.1016/j.dialog.2025.100265","url":null,"abstract":"","PeriodicalId":72803,"journal":{"name":"Dialogues in health","volume":"8 ","pages":"Article 100265"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145791739","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}