Global health journal (Amsterdam, Netherlands)最新文献

{"title":"Workplace harassment faced by female Nepalese migrants working aboard","authors":"Padam P Simkhada ,&nbsp;Edwin van Teijlingen ,&nbsp;Manju Gurung ,&nbsp;Samjhana Bhujel ,&nbsp;Kalpana Gyawali ,&nbsp;Sharada P Wasti","doi":"10.1016/j.glohj.2024.08.001","DOIUrl":"10.1016/j.glohj.2024.08.001","url":null,"abstract":"<div><h3>Background</h3><div>Nepal has a long history of labour migration over the years. Migrants can experience a range of problems in their destination countries, and women are more at risk than men. This paper is the first to explore the problems faced by Nepalese women migrants while working abroad.</div></div><div><h3>Methods</h3><div>This study was conducted among 1,889 women who were registered as migrant returnees at an organisation called Pourakhi Nepal. The study extracted and analysed data from a non-governmental organisation that supports returning female migrant workers in Nepal.</div></div><div><h3>Results</h3><div>Around half (43.1%) of the women were 35 or older, 30.9% were illiterate, and 63.6% were in their first overseas job. More than one-third (38.5%) had self-reported workplace harassment. Physical violence was the most prevalent (68%), followed by verbal abuse (37.5%), mental stress (29.7%), and sexual abuse (14.1%).Women who were illiterate (adjusted odds ratio [<em>AOR</em>]1.25, 95% confidence interval [<em>CI</em>]: 1.01 to 1.55), unmarried (<em>AOR</em> 1.27, 95% <em>CI</em>: 1.05 to 1.56), worked abroad twice or more (<em>AOR</em> 1.35, 95% <em>CI</em>: 1.10 to 1.66), changed their place of work (<em>AOR</em> 2.38, 95% <em>CI</em>: 1.42 to 4.01), lived without documents (<em>AOR</em> 1.24, 95% <em>CI</em>: 1.03 to 1.50), worked as domestics (<em>AOR</em> 3.56, 95% <em>CI</em>: 2.03 to 6.23), worked in other than Gulf Cooperation Council countries (<em>AOR</em> 1.45, 95% <em>CI</em>: 1.06 to 1.99), women who did not have a fixed salary (<em>AOR</em> 1.64, 95% <em>CI</em>: 1.28 to 2.10) and did not receive salary (<em>AOR</em> 3.71, 95% <em>CI</em>: 2.88 to 4.77) were more likely to be harassed at work.</div></div><div><h3>Conclusion</h3><div>Our findings suggest that the host governments should introduce and enforce policies protecting women in the workplace. Migrant women should be provided with better information about health risks and hazards as well as how to improve preventive measures in destination countries to reduce workplace harassment.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 3","pages":"Pages 128-132"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319450","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}

{"title":"Epidemiology and control of monkeypox outbreak in Houston, Texas","authors":"Abisola M. Oladimeji,&nbsp;Abayomi Joseph Afe,&nbsp;Louis Carillo,&nbsp;Courtney Hundley,&nbsp;Yufang Zhang,&nbsp;Stephen Long,&nbsp;Kirstin Short,&nbsp;Roger Sealy,&nbsp;Janeana White,&nbsp;David Persse","doi":"10.1016/j.glohj.2024.08.008","DOIUrl":"10.1016/j.glohj.2024.08.008","url":null,"abstract":"<div><h3>Background</h3><div>In the 2022–2023 global outbreak, the United States and state of Texas recorded a total of 31,277 and 3,085 confirmed monkeypox (Mpox) cases respectively as of November 2023. This study aims to investigate the demographic characteristics and risk factors of Mpox outbreak in Houston and document the epidemiologic control measures implemented with their outcomes.</div></div><div><h3>Methods</h3><div>Houston Health Department received reports of suspected Mpox cases via electronic case reports and laboratory reports from healthcare providers within Houston. These were then investigated and reclassified as either positive or negative using DNA polymerase chain reaction tests. All the reported cases received between May 2022 and January 2023 were included in this study using convenient sampling methods. Descriptive statistics using frequency distribution was used to analyze the sociodemographic, clinical features and travel history of the cases. A two-sided Chi-squared test was used to determine association between Mpox test results and risk factors with significant level set at <em>P</em> &lt; 0.05. Other infection control measures such as community engagement, health education, tracking and contact tracing, vaccination, referrals and laboratory sample logistics support were implemented by the health department.</div></div><div><h3>Results</h3><div>Out of the total of 1,625 suspected persons investigated for Mpox, 724 (44.6%) tested positive. Among the 724 confirmed cases, male was 700 (96.7%), females 20 (2.8%), transgender male 1 (0.1%), transgender female 3 (0.4%). Age groups 30–39 years constituted 43.6%, 18–29 years 27.4%, 40–49 years 18.2%, 50–59 years was 8%. Race distribution of positive cases was Whites 43.4%, African American 38.7%, Asian 1.4%. Risk factors with <em>P</em> &lt; 0.05 included male gender, age groups 30–39 years and 40–49 years, travel history to Mpox endemic areas, recent sexual contact with known or suspected Mpox cases, human immunodeficiency virus seropositivity. Identifying as gay and bisexual were also statistically significant risk factors for Mpox infection.</div></div><div><h3>Conclusion</h3><div>The timely implementation of primary and secondary prevention measures targeted at the most at-risk populations was very effective at curtailing the spread of Mpox infection within the city of Houston.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 3","pages":"Pages 133-139"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142319451","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}

{"title":"Mobile health interventions for improving maternal and child health outcomes in South Africa: a systematic review","authors":"Elliot Mbunge ,&nbsp;Maureen Nokuthula Sibiya","doi":"10.1016/j.glohj.2024.08.002","DOIUrl":"10.1016/j.glohj.2024.08.002","url":null,"abstract":"<div><h3>Background</h3><div>Maternal and child health (MCH) remains a significant public health concern globally despite previous efforts made to improve MCH services. Initiatives such as antenatal care, postnatal care services exclusive breastfeeding, child vaccination and supplements have been rolled out to improve MCH outcomes. However, inadequate maternal healthcare, socioeconomic factors, obstetric haemorrhaging, complications of hypertension during pregnancy, lack of maternal information, poor universal health coverage and uptake of MCH services exacerbate maternal mortality and child mortality rates, especially in resource-constrained areas in many sub-Saharan African countries including South Africa.</div></div><div><h3>Objective</h3><div>This study aimed to review mobile health (mHealth) interventions deployed to improve maternal and child health outcomes.</div></div><div><h3>Methods</h3><div>The study adopted the Preferred Reporting Items for Systematic Reviews and Meta-Analyses model to search and retrieve relevant literature from reputable, prominent electronic databases (Google Scholar, Scopus, PubMed, Embase, CINAHL, Web of Science, etc.). A total of 26 papers were selected and analyzed.</div></div><div><h3>Results</h3><div>The findings revealed several mHealth interventions such as MomConnect, Mobile Alliance for Maternal Action, NurseConnect, ChildConnect, CommCare, Road to Health Application and Philani Mobile Video Intervention for Exclusive Breastfeeding have been utilized by healthcare workers and women to improve access to MCH services. However, inadequate digital infrastructure, digital divide, resistance to change, inadequate funding, language barriers, short message service and data costs, lack of digital skills and support, compatibility, scalability and interoperability issues, legislative and policy compliance, lack of mHealth awareness, data security and privacy concerns hinder uptake and utilisation of mHealth interventions. There is a need to scale up and sustain mHealth interventions and update existing regulatory framework, policies and strategies.</div></div><div><h3>Conclusion</h3><div>mHealth interventions offer unprecedented opportunities to improve access to maternal information and substantially improve maternal and child health services. Stakeholder engagement and the development of sustainable funding strategies are important for successfully implementing and scaling mHealth projects while addressing existing and emerging key issues.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 3","pages":"Pages 103-112"},"PeriodicalIF":0.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142318701","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}

{"title":"Time trends and disparities of obesity and related national policies and programs in Nepal: a systematic review","authors":"Junxiang Wei ,&nbsp;Peng Nie ,&nbsp;Liwang Gao ,&nbsp;Yang Mi ,&nbsp;Youfa Wang","doi":"10.1016/j.glohj.2024.05.006","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.05.006","url":null,"abstract":"<div><h3>Objective</h3><p>Overweight and obesity prevalence has increased in low-income countries. This study systematically reviewed the obesity trend, disparities, and prevention and control efforts in Nepal.</p></div><div><h3>Methods</h3><p>We searched PubMed and Google Scholar for articles and reports published between January 1, 2004 and December 31, 2022. Additional information on National policies and programs related to obesity prevention was retrieved from governmental websites and consultation with relevant experts. Overweight and obesity were defined using the World Health Organization body mass index cut points. Thirty-two studies and reports were included.</p></div><div><h3>Results</h3><p>Overall, overweight and obesity rates increased in all groups in Nepal although nationally representative data remained limited. The combined overweight and obesity (OW/OB) and obesity rates in women aged 15‒49 years increased from 8.5% to 22.2% and from 0.9% to 5.1% between 2006 and 2016, respectively. OW/OB and obesity rates in men were 17.1% and 2.5% based on data from the 2016 Demographic and Health Survey. OW/OB rate in under-five children increased from 0.6% to 2.8% between 2006 and 2016. Obesity rates for school-age (5‒9 years) boys and girls in 2016 were 2.4% and 2.8%, respectively, and were 1.1% and 1.4% for male and female adolescents aged 10‒19 years, respectively. OW/OB prevalence was much higher among women, residents in urban areas and central provinces, and in higher socioeconomic status groups. Projected prevalence of OW/OB and obesity for 2030 in adults aged 15‒49 was 44.7% and 8.3%, respectively, while it was 2.2% for OW/OB in preschool children. Policies and direct interventions that specifically focused on obesity prevention and control are limited.</p></div><div><h3>Conclusions</h3><p>OW/OB prevalence in Nepal has increased during the past 1.8 decades, disproportionately affecting population groups. Existing interventions mostly focused on undernutrition with some indirect implications for obesity prevention. In the future, Nepal needs to develop population-based programs for obesity prevention.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 46-57"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000277/pdfft?md5=1d70fae9d7f451fd2270152c93833a2d&pid=1-s2.0-S2414644724000277-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486845","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}

{"title":"Shaping global health promotion: a comprehensive analysis of the 10 Global Conferences on Health Promotion Conferences (1986‒2021)","authors":"Shiyu Liu ,&nbsp;Meichen Sun ,&nbsp;Na Zhang ,&nbsp;Zhaozhang Sun ,&nbsp;Xiangyang Tian ,&nbsp;Liming Li ,&nbsp;Youfa Wang","doi":"10.1016/j.glohj.2024.05.002","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.05.002","url":null,"abstract":"<div><h3>Objective</h3><p>This study analyzed how the 10 Global Conferences on Health Promotion have played a significant role in shaping and promoting a worldwide consensus and actions on health promotion, effectively addressing diverse health challenges that evolved over different periods.</p></div><div><h3>Methods</h3><p>The textual analysis method was used in this study and text encoding was conducted to systematically examine the declarations and reports presented by the 10 Global Conferences on Health Promotion held during 1986‒2021. We summarized the themes and key achievements, and key vocabulary in the conference declarations was extracted and analyzed to construct the global health promotion consensus and actions.</p></div><div><h3>Results</h3><p>The fundamental principles of the conferences are to foster consensus and initiate actions in the realm of health promotion on a global scale. The primary purpose and goal are to promote health from regional to global. Significantly, our findings highlight a transition in the primary actors driving health promotion. It underscores a shift in health promotion from being driven primarily by organizations like the World Health Organization, governments, and international bodies, to a more inclusive approach involving non-governmental organizations and the general public. This development implies that health promotion has evolved into a collective global endeavor, demanding the proactive involvement of various stakeholders, and forging new alliances in public health. Meanwhile, the coronavirus disease 2019 (COVID-19) pandemic has further shaped the landscape of health promotion, underscoring the need for intensified focus on areas including disease prevention, health education, and the integration of digital health technologies, and emphasizing the importance of a multidimensional, responsive approach in public health initiatives.</p></div><div><h3>Conclusions</h3><p>Sustained collaboration and innovative strategies are pivotal to advancing health promotion globally. Countries, together with public and private entities, should intensify cooperation. Multisectoral collaboration among partners such as healthcare, education, social security, and the industry is vital for health promotion and achieving global health goals.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 91-96"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S241464472400023X/pdfft?md5=aacecf9c1ee4c8b6f66367f9a4333cd6&pid=1-s2.0-S241464472400023X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486846","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}

{"title":"Community-led total sanitation (CLTS) implementation in West Mamprusi Municipal Assembly in Ghana. What do communities think eleven years on?","authors":"Elijah Adam ,&nbsp;Emmanuel Badu","doi":"10.1016/j.glohj.2024.05.003","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.05.003","url":null,"abstract":"<div><h3>Objective</h3><p>Access to improved sanitation is a fundamental human right and an important aspect of Public Health. However, an estimated thousands of people in Ghana especially, the West Mamprusi Municipal Assembly (WMMA) still have no access to adequate toilet facilities. This has brought untold health repercussions to the inhabitants, the community, and the environment at large. To address this menace, the community-led total sanitation (CLTS) was implemented. This study aimed to assess communities’ perspectives on the implementation of CLTS and to understand the factors influencing its success and failures.</p></div><div><h3>Methods</h3><p>A mixed-method approach involving sequential qualitative and quantitative methods was employed in this study. Participants for the quantitative study were randomly selected and surveyed using questionnaires. The qualitative study employed focus group discussion involving purposively sampled participants including assembly members, opinion leaders, and assembly staff.</p></div><div><h3>Results</h3><p>The CLTS program in WMMA realized an apparent use of construction and proper use of household latrines leading to a reduction of open defecation free (ODF) and two communities achieving sanitized status in the history of the study area, enabling the training of latrine artisans and natural leaders to facilitate the CLTS expansion and sustainability, improved sanitation and hygiene, strengthened the enforcement of community rules and regulations and many others.</p></div><div><h3>Conclusion</h3><p>The CLTS program has received more widespread acceptance in the study area than the previous government policy of constructing public toilets, which was greeted with massive failures due to poor implementation. To ensure that gains achieved through CLTS implementation are sustained longer, it is recommended that chiefs and opinion leaders should be involved in the CLTS programs to ensure checks and enforcement. The entrenchment of bylaws and more education to address enduring myths and misconceptions will sustain the program. Subsidies in the form of sanitation loans for latrine construction materials by the government and supporting non-governmental organizations (NGOs) will be paramount in sustaining ODF.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 67-73"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000241/pdfft?md5=587da95365fd2d0603ca6221d55bf614&pid=1-s2.0-S2414644724000241-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483849","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}

{"title":"Charting the course: India’s health expenditure projections for 2035","authors":"Pragyan Monalisa Sahoo ,&nbsp;Himanshu Sekhar Rout","doi":"10.1016/j.glohj.2024.05.001","DOIUrl":"10.1016/j.glohj.2024.05.001","url":null,"abstract":"<div><h3>Objectives</h3><p>Understanding past trends and forecasting future changes in health spending is vital for planning and reducing reliance on out-of-pocket (OOP) expenses. The current study analyzed health expenditure patterns in India and forecasted future trends and patterns until 2035.</p></div><div><h3>Methods</h3><p>Data on health expenditure in India from 2000 to 2019 was collected from the Organisation for Economic Co-operation and Development (OECD) iLibrary and National Health Accounts 2019 databases. Gross domestic product (GDP) data from the World Bank was also utilized. Descriptive statistics analyzed the composition and pattern, while the exponential smoothing model forecasted future health expenditures.</p></div><div><h3>Results</h3><p>The findings revealed that expenditure made by OOP is the primary health financing source, followed by government and pre-paid private spending. The percentage of GDP allocated to total health expenditure remains stable, while the per capita health expenditure fluctuates. Variations in expenditure among states are observed, with Karnataka relying heavily on pre-paid private coverage. Future projections suggest a decline in per capita and total health expenditure as a share of GDP, with a slight increase in the government’s share. Pre-paid private expenditure per capita and OOP health expenditure as a share of the total is projected to remain relatively constant but still high in absolute terms.</p></div><div><h3>Conclusion</h3><p>The study highlights variations in health spending in India, characterized by high OOP spending, limited public coverage, and a need for investments, and reforms to improve healthcare access and equity.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 58-66"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000228/pdfft?md5=f3fd43ea7276dd00f388f8c9a116c18e&pid=1-s2.0-S2414644724000228-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141049786","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}

{"title":"Knowledge and discriminatory attitudes towards HIV/AIDS among the women of reproductive age group of Pakistan using the Multiple Indicator Cluster Survey (MICS)","authors":"Remsha Hussain,&nbsp;Russell Kabir","doi":"10.1016/j.glohj.2024.05.004","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.05.004","url":null,"abstract":"<div><h3>Background</h3><p>Human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) has become a major worldwide public health issue, with a focus on developing nations. Despite having a very low HIV prevalence, South Asia faces serious issues with stigma and false information because of a lack of awareness. This stigma highlights significant gaps in popular awareness while also sustaining unfavorable attitudes towards those living with HIV/AIDS. Pakistan is ranked second in South Asia for the rapidly increasing AIDS epidemic. Thorough information and optimistic outlooks are essential for successful HIV/AIDS prevention, control, and treatment. But false beliefs about how HIV/AIDS spreads lead to negative perceptions, which highlights the need to look into how women’s knowledge and attitudes about HIV/AIDS in Pakistan are influenced by sociodemographic traits and autonomy.</p></div><div><h3>Methods</h3><p>The purpose of this study is to evaluate Pakistani women’s discriminatory attitudes and level of awareness on HIV/AIDS. This study used data (the women in reproductive age 15‒49 years’ dataset) from the Pakistan Multiple Indicator Cluster Survey to conduct an analytical cross-sectional analysis. To represent the respondents’ attitudes and knowledge towards people living with HIV (PLHIV), two composite variables were developed and composite scored. Binary logistics regression was used to identify predictor variables and chi-square was used for bivariate analysis.</p></div><div><h3>Results</h3><p>The findings reveal that almost 90% of Pakistani women have poor knowledge and attitude with HIV/AIDS. In Punjab, 72.8% of rural residents have low knowledge, whereas only 20.6% of young individuals (15–&lt; 25 years old) show the least amount of ignorance. Education is shown to be crucial, and “Higher” education is associated with superior knowledge. Urban dwellers in Khyber Pakhtunkhwa typically have more expertise. Knowledge of HIV is positively correlated with education; those with higher education levels know a lot more (odds ratio [<em>OR</em>] = 5.419). Similarly, quintiles with greater incomes show a higher likelihood of knowing about HIV (<em>OR</em> = 6.745). The study identifies age, wealth index, place of residence, educational attainment, and exposure to contemporary media as significant predictors influencing HIV knowledge and attitudes among women in these provinces.</p></div><div><h3>Conclusion</h3><p>The majority of respondents had negative opinions regarding the virus, and the majority of women in the study knew very little about HIV. Individuals who live in metropolitan areas, have higher incomes, are better educated, are exposed to contemporary media, and are generally more aware of HIV and have more positive attitudes towards HIV/AIDS, or PLHIV. The study found that, in comparison to those living in urban environments, those from rural areas with low socioeconomic level have a negative attitude and inadequate understa","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 74-82"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000253/pdfft?md5=fd05280f432cac9f3f346298d7c0c749&pid=1-s2.0-S2414644724000253-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483850","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}

{"title":"Erratum regarding previously published articles","authors":"","doi":"10.1016/j.glohj.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.04.001","url":null,"abstract":"","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Page 97"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000204/pdfft?md5=fc81af6aed5540c812d88dfbe721d496&pid=1-s2.0-S2414644724000204-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483848","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}

{"title":"Does community-based health insurance affect lifestyle and timing of treatment seeking behavior? Evidence from Ethiopia","authors":"Zecharias Fetene Anteneh ,&nbsp;Anagaw D. Mebratie ,&nbsp;Zemzem Shigute ,&nbsp;Getnet Alemu ,&nbsp;Arjun S. Bedi","doi":"10.1016/j.glohj.2024.05.005","DOIUrl":"https://doi.org/10.1016/j.glohj.2024.05.005","url":null,"abstract":"<div><h3>Objectives</h3><p>This paper aims to investigate the effects of enrollment in the Ethiopian community-based health insurance (CBHI) scheme on household preventive care activities and the timing of treatment-seeking behavior for illness symptoms. There is growing concern about the financial sustainability of CBHI schemes in developing countries. However, few empirical studies have identified potential contributors, including ex-ante and ex-post moral hazards.</p></div><div><h3>Methods</h3><p>We implement a household fixed-effect panel data regression model, drawing on three rounds of household survey data collected face to face in districts where CBHI scheme is operational and in districts where it is not operational in Ethiopia.</p></div><div><h3>Results</h3><p>The findings show that enrolment in CBHI does not significantly influence household behaviour regarding preventive care activities such as water treatment before drinking and handwashing before meals. However, CBHI significantly increases delay in treatment-seeking behaviour for diseases symptoms. Particularly, on average, we estimate about 4‒6 h delay for malaria symptoms, a little above 4 h for tetanus, and 10‒11 h for tuberculosis among the insured households.</p></div><div><h3>Conclusions</h3><p>While there is evidence that CBHI improve the utilization of outpatient or primary care services, our study suggests that insured members may wait longer before visiting health facilities. This delay could be partly due to moral hazard problems, as insured households, particularly those from rural areas, may consider the opportunity costs associated with visiting health facilities for minor symptoms. Overall, it is essential to identify the primary causes of delays in seeking medical services and implement appropriate interventions to encourage insured individuals to seek early medical attention.</p></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"8 2","pages":"Pages 83-90"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2414644724000265/pdfft?md5=a91cab8c1b4cdf841a7b16b9ac7b989d&pid=1-s2.0-S2414644724000265-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141483846","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}