Public health challenges最新文献

{"title":"Network Influence vs. Credibility in YouTube Sleep-Health Communication.","authors":"Atousa Ghahramani, Maria Prokofieva, Maximilian Pangratius de Courten","doi":"10.1002/puh2.70251","DOIUrl":"10.1002/puh2.70251","url":null,"abstract":"<p><p>Insomnia is a prevalent sleep disorder that remains widely underdiagnosed and undertreated, prompting many individuals to seek health information beyond formal healthcare systems. Social media platforms, such as YouTube, have become influential spaces for the circulation of sleep-health information; however, concerns persist regarding whether credible, expert-led content achieves sufficient visibility to support population-level health outcomes. This study analyses 98 English-language YouTube videos to examine how sleep-health information circulates within an algorithmically mediated environment, focusing on the relationship between source credibility, network visibility, audience engagement and diffusion potential. Drawing on diffusion of innovations and social cognitive theory, the study conceptualises YouTube as a sociotechnical system in which opinion leadership, social reinforcement and algorithmic amplification jointly shape influence. The findings revealed a systematic credibility-influence gap, whereby visibility and diffusion are driven more by network position, engagement dynamics and algorithmic amplification than by source credibility. The results highlight a key public health challenge in which credible sleep-health information struggles to achieve reach within platform-mediated systems. By identifying the network and engagement mechanisms that shape diffusion, this study provided evidence to inform more effective digital health communication strategies aimed at increasing the visibility of trustworthy sleep-health information and supporting healthier lifestyles.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70251"},"PeriodicalIF":1.8,"publicationDate":"2026-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13116175/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791690","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":"Understanding About Pesticide Handling Practice and Acute Pesticide Poisoning Among Farmers in Bangladesh.","authors":"Md Mejbah Uddin Mithu, Sadia Akter Shormela, Abdullah Jaman, Md Shahinul Islam, Mahfuza Mubarak","doi":"10.1002/puh2.70219","DOIUrl":"10.1002/puh2.70219","url":null,"abstract":"<p><p>The use of pesticides is very common in Bangladesh in order to improve the productivity of the agricultural sector, but due to its mishandling and lack of knowledge, there is a risk of exposure and consequent health effects among the farmers. The study was a cross-sectional study that was carried out among 336 farmers in Naogaon district to determine the knowledge, practices, and health impacts associated with the use of pesticides. The data were collected with the help of face-to-face interviews with the use of structured questionnaire and analyzed within SPSS version 25. Chi-square tests, correlation, and logistic regression analysis were done using descriptive statistics. The results have shown that the rate of unsafe pesticide behavior and lack of knowledge about the recommended practices is high. The age, education, farming experience, and the source of knowledge were also found to have a significant relationship with pesticide use behavior and health consequences. The number of farmers who complained of acute pesticide poisoning was very high. The article suggests that specific training and awareness campaigns as well as policy interventions are necessary to ensure the safe use of pesticides and minimize health hazards.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70219"},"PeriodicalIF":1.8,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791608","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":"Assessment of Knowledge, Attitudes, and Practices Toward Rabies Among Community Members in and Around Bishoftu Town, Central Ethiopia.","authors":"Fanuel Bizuayehu Yihunie, Tesfa Worku Jambare, Ashenafi Syoum, Mequanint Addisu Belete, Teshager Dubie, Gebremedhin Gebrezgabiher","doi":"10.1002/puh2.70246","DOIUrl":"10.1002/puh2.70246","url":null,"abstract":"<p><strong>Introduction: </strong>Zoonotic diseases pose a substantial burden on both animal and human health, with the impact being particularly severe in developing countries.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between November 2023 and May 2024 to assess community knowledge, attitudes, and practices (KAP) regarding rabies in and around Bishoftu town, central Ethiopia, using a pretested, structured questionnaire. Data were collected using multistage sampling techniques and analyzed using descriptive statistics and binary logistic regression.</p><p><strong>Results: </strong>Of the 384 respondents interviewed, 210 (54.7%) were male, 229 (59.6%) were aged 20-45 years, and 183 (47.7%) had a level of education above secondary school. The participants' overall levels of KAP were 55.2% with good knowledge, 83.9% demonstrating positive attitudes, and 42.7% exhibiting good practices. A strong association was found between knowledge scores and age, family size, occupation, and living situation (<i>p</i> < 0.05). Participants aged 21-45 (AOR = 3.1, 95% CI = 1.34, 7) and 46-60 (AOR = 3.3, 95% CI = 1.1, 9.4) showed better knowledge than younger individuals (18-20 years). The study revealed that government officials exhibited lower knowledge levels (AOR = 0.2, 95% CI = 0.1-0.4). Respondents from households with 4-6 members were 52.5% less likely (AOR = 0.5, 95% CI = 0.3, 0.9) to have good knowledge about rabies compared to those from smaller families. Females were 54.6% less likely than males to exhibit favorable attitudes (AOR = 0.5, 95% CI = 0.2, 0.9). Participants with no formal education were 7.6 times more likely to demonstrate good rabies prevention practices compared to those who attended informal schools (AOR = 7.6, 95% CI = 1.2-46.3).</p><p><strong>Conclusion: </strong>The study found that although a larger proportion of participants had good knowledge and attitudes about rabies, a smaller proportion demonstrated good practices. As the study was limited to a specific area in and near Bishoftu, a broader study covering a larger region is recommended.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70246"},"PeriodicalIF":1.8,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13110789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791627","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":"Old Wine in a New Bottle: Rebounding Vasectomy Practice in Low-Middle-Income Country.","authors":"Abraham Fessehaye Sium, Zerihun Beyene, Abrham Getachew, Malede Birara, Delayehu Bekele","doi":"10.1002/puh2.70249","DOIUrl":"10.1002/puh2.70249","url":null,"abstract":"<p><strong>Background: </strong>Despite existing overwhelming evidence on the effectiveness and safety of vasectomy as a permanent method of family planning, its use worldwide has been declining over the last 5 decades. Currently, there are several studies on knowledge and acceptance of vasectomy in Ethiopia from the client-side (men). In this study, we investigated knowledge, attitude, and practice of vasectomy among family planning providers in Ethiopia.</p><p><strong>Methods: </strong>We conducted a descriptive survey study on knowledge, attitude, and practice of vasectomy among family planning providers in Ethiopia at St. Paul's Hospital Millennium Medical College over 2 months (from September 1, 2024, to October 30, 2024). Data were collected prospectively using a structured self-administered questionnaire. Data were analyzed using SPSS version 23. Simple descriptive statistics were employed to analyze the data.</p><p><strong>Results: </strong>We approached 100 family planning providers, and 90 of them completed the response, making a response rate of 90%. Majority of the participants were obstetrics and gynecology resident physicians constituting 70% (63/90) followed by midwives who accounted for 13.3% (12/90). Seventy-eight (86.7%) and 46 (51.1%) out of the 90 participants had good knowledge and favorable attitude towards vasectomy, respectively. Only 7 (7.8%) out of the total had good practice. The mean scores for knowledge, attitude, and practice were 80%, 50%, and 20%, respectively.</p><p><strong>Conclusion: </strong>Despite good knowledge and favorable attitude of family providers towards vasectomy in our study, significant gap was identified in the practice of vasectomy (less than 1 in 10 of the providers included in the study had good practice of vasectomy).</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70249"},"PeriodicalIF":1.8,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13108704/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791302","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":"Public Health Achievements in Rwanda: A 21st Century Transformation.","authors":"Niyibizi Julius, Mugisha John, Nizeyimana Emmanuel","doi":"10.1002/puh2.70225","DOIUrl":"10.1002/puh2.70225","url":null,"abstract":"<p><p>This narrative review documents how Rwanda has transformed in public health extraordinarily post the 1994 Genocide against the Tutsi, placing it as an exemplary model for health care systems resilience in low-income countries. The review is based on the World Health Organization building blocks to look at the strategic changes that have led to measurable gains in the health of Rwandan people. Good centralized leadership and control have been key to this accomplishment. This made it possible to decentralize service delivery, build excellent health information systems, and invest money in the health workforce. A key part of the transformation is universal health coverage (UHC), especially mutuelle de santé, which increased coverage from 27% in 2004 to more than 85%, hence cutting down out of pocket costs, which improved equity. Integration and use of community health workers (CHWs) have been instrumental in expansion of primary care to the population mostly in rural settings, improving maternal and child life, tuberculosis (TB) treatment through direct observed therapy (DOT), and disease surveillance. These coordinated actions have resulted in substantial reductions in mortality from infectious diseases (HIV/AIDS, TB, and malaria), maternal and child health indicators, and the gradual integration of services for noncommunicable diseases and mental health. Rwanda's health system was stress tested and proved its effectiveness in the COVID-19 and Marburg outbreaks, proving exceptional planning and rapid response capacities. Despite Rwanda's achievement, obstacles still persist, such as reliance on foreign funds, limited human resources lowering the quality-of-service delivery, and mental health challenges still in existence. Rwanda's experience illustrates that a proactive government, citizen participation, and research-based innovation may produce rapid and significant overall health gains, providing a valuable model for similar situations to other countries.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70225"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791562","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":"Orofacial Tumours at the Oral and Maxillofacial Unit of Komfo Anokye Teaching Hospital: A 2-Year Retrospective Study.","authors":"Gift Obiageri Maduagwu, Nana Bempong Owusu-Ankomah, Nana Atuahene Oti, Afia Boko Ampe Asare, John Billy Owusu Quarshie, Elijah Kwegyir Johnson, Kwame Adu Okyere Boadu","doi":"10.1002/puh2.70240","DOIUrl":"10.1002/puh2.70240","url":null,"abstract":"<p><strong>Background and aims: </strong>Orofacial tumours represent a significant health challenge in Ghana impacting functions and quality of life. Despite their importance, there is a dearth in literature on the epidemiological patterns of these neoplasms in Ghana. This study aims to bridge this knowledge gap by investigating their characteristics at a major teaching hospital in Ghana.</p><p><strong>Methods: </strong>A retrospective, cross-sectional study was conducted on 204 patients with consecutive sampling. Data were retrieved from the Lightwave Health Information Management System. Ethical approval was obtained from the Institutional Review Board of Komfo Anokye Teaching Hospital. Descriptive statistics were used to summarize the data. Chi-square tests were performed to assess associations between age, gender and tumour type.</p><p><strong>Results: </strong>The study included 204 patients with a mean age of 40.24 ± 22.268 years. There was a slight female predominance (51.0%) with a male-to-female ratio of 1:1.04. Benign tumours (59.8%) were more prevalent than the malignant ones (40.2%). The highest incidence of orofacial tumours was observed in the 5th decade of life (16.7%). The mandible was the commonest site of tumour occurrence (18%), followed by the tongue (12%). A significant association was found between age and tumour type (<i>p</i> < 0.001), with benign tumours more common in younger age groups (peak in 31-40 years, 18.9%) and malignant tumours more prevalent in older individuals (peak in 61-70 years, 24.4%).</p><p><strong>Conclusions: </strong>This study provides valuable insights into the epidemiology of orofacial tumours in Ghana, highlighting the importance of age-specific screening and early detection strategies. The findings contribute to the understanding of orofacial tumour patterns in Ghana and underscore the need for further research to elucidate underlying factors contributing to these patterns.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70240"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791340","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":"Better Governance and Skilled Health Workforce Density: Are They Twin Catalysts for Health Outcomes in Sub-Saharan Africa?","authors":"Michael Kouadio","doi":"10.1002/puh2.70235","DOIUrl":"10.1002/puh2.70235","url":null,"abstract":"<p><p>Sub-Saharan Africa (SSA) faces a persistent shortage of skilled health workers, which constrains health system performance and population health outcomes. Although previous studies examine either health workforce density or governance quality separately, little empirical evidence exists on their interaction. This study investigates the relationship between skilled health workforce density and health outcomes in 45 SSA countries over the period 1996-2023, with particular attention to the moderating role of governance quality. Using a dynamic panel approach and the two-step system generalised method of moments (GMM) estimator, the analysis evaluates the impact of health workforce density on life expectancy (LE), maternal mortality and under-5 mortality. The results show that greater availability of skilled health professionals significantly improves health outcomes, particularly by increasing LE and reducing maternal mortality. Furthermore, governance quality strengthens the effectiveness of health workforce investments, indicating that institutional capacity is crucial to translating human resources into better health outcomes. Control variables, such as GDP per capita, government health expenditure and primary education, also contribute to improved population health. The findings highlight the importance of integrating governance reforms with policies aimed at expanding the health workforce. Strengthening institutional quality alongside investments in medical training and workforce retention can provide a sustainable pathway to improving health outcomes in SSA.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70235"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098659/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791601","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":"Determinants of Health-Seeking Behavior and Quality of Life in Patients With Noncommunicable Diseases in Bangladesh.","authors":"Kazi Abdus Sobur, Md Faisal Ahmed, Gazi Mahjabin Islam, Sanjana Islam, Saiyada Hossain Saima","doi":"10.1002/puh2.70238","DOIUrl":"10.1002/puh2.70238","url":null,"abstract":"<p><strong>Background: </strong>Noncommunicable diseases (NCDs) are the leading cause of mortality in Bangladesh, yet healthcare access and quality of life (QoL) remain suboptimal. Unlike previous studies in Bangladesh, this research systematically applies Andersen's model to jointly assess health-seeking behavior (HSB) and QoL, offering a novel framework for policy relevant insights.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted from November 2024 to February 2025 among 1052 adults with clinically confirmed NCDs in urban and rural areas of Dhaka, Khulna, and Mymensingh. Data on sociodemographic, HSB, and QoL (Bangla WHOQoL-BREF) were collected. Chi-square tests, ANOVA, and multiple regression identified predictors of HSB and QoL.</p><p><strong>Results: </strong>Among 1052 participants, hypertension (36%), diabetes (24%), and cardiovascular disease (18%) were most common. Over half (58%) sought care only in emergencies, mainly due to financial (48%) and access (21%) barriers. Education strongly predicted proactive HSB (<i>p</i> < 0.001), whereas employment was negatively associated with follow-up and visits (<i>p</i> < 0.01). Socioeconomic status predicted higher QoL (<i>β</i> = 0.174 and <i>p</i> < 0.001), and rural residents reported significantly lower QoL than urban counterparts (<i>p</i> < 0.001). Men had better psychological health than women (<i>p</i> < 0.001). Overall, findings highlight socioeconomic, occupational, and geographic disparities in care-seeking and QoL.</p><p><strong>Conclusion: </strong>Patients with NCDs in Bangladesh face delayed care-seeking, rural-urban disparities, and low uptake of lifestyle modifications. Interventions should prioritize community-based screening, financial protection schemes, and health literacy programs to improve preventive care and QoL.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70238"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791747","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":"Suicide Among Physicians and Medical Students in Bangladesh: Variations in Associated Factors.","authors":"S M Yasir Arafat, Sadeed Hossain, Farhin Islam","doi":"10.1002/puh2.70243","DOIUrl":"10.1002/puh2.70243","url":null,"abstract":"<p><strong>Background: </strong>Although health professionals and medical students may be at higher risk for suicide due to occupational stress, academic pressure, and access to lethal methods, evidence regarding suicide among these groups in Bangladesh remains limited.</p><p><strong>Objective: </strong>To examine and compare suicide methods, locations, and reported associated factors between medical students and physicians in Bangladesh.</p><p><strong>Methods: </strong>This media-based retrospective descriptive study identified 50 suicide cases (25 medical students and 25 physicians) from Bangladeshi online news reports published between 2010 and 2025. Data on sociodemographics, suicide methods, locations, timing, and reported associated factors were extracted. Categorical variables were analyzed using chi-square or Fisher's exact test, and continuous variables using an independent samples <i>t</i>-test. A <i>p</i> value <0.05 was considered statistically significant.</p><p><strong>Results: </strong>Hanging was the most common method (57.8% among cases with available method information, <i>n</i> = 45), followed by poisoning/overdose (33.3%), with no significant differences between the groups. Associated risk factors showed marked differences: Academic pressure and exam failure were predominant among students (71.4%), whereas marital discord was most common among physicians (42.1%, <i>p</i> < 0.001).</p><p><strong>Conclusions: </strong>The findings suggest differences in reported associated factors between medical students and physicians in Bangladesh. Academic stress appeared more frequently among students, whereas marital discord was more commonly reported among physicians. These preliminary findings may help inform future suicide prevention initiatives targeting different career stages within the medical profession.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70243"},"PeriodicalIF":1.8,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13098753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791592","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":"Implementing a Co-Produced Women's Health Programme in an Integrated Care System.","authors":"Susan Conquer, Lizzie Mapplebeck, Annetta Bradshaw, Lisa Nobes, Camille Cronin","doi":"10.1002/puh2.70223","DOIUrl":"10.1002/puh2.70223","url":null,"abstract":"<p><strong>Introduction: </strong>Co-production is a key principle of the Women's Health Strategy for England, yet there are limited published examples of its application at system level. This article describes the development of a co-produced women's health programme within an integrated care system in England.</p><p><strong>Methods: </strong>A service improvement approach was used, involving a multidisciplinary advisory group of over 160 members, including people with lived experience. The group co-designed methods to identify local priorities and support programme development.</p><p><strong>Results: </strong>A survey of 1238 respondents identified gaps in access to and integration of women's health services. These findings informed the design and implementation of five prioritised women's health service models, each with defined objectives and built-in evaluation to support quality and sustainability.</p><p><strong>Discussion: </strong>This study demonstrates how community co-production can inform the design of locally responsive women's health services. Integrating lived experience with professional expertise supported equitable service development, though challenges included limited long-term funding and sustaining broad engagement.</p><p><strong>Conclusion: </strong>System-level co-production can support the development of women's health programmes aligned with national strategy. This model illustrates a co-production approach that may inform the development of women's health services in other local settings.</p><p><strong>Patient and public contribution: </strong>People with lived experience of women's health services were involved throughout, including identifying priorities, co-designing solutions and shaping programme development.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"5 ","pages":"e70223"},"PeriodicalIF":1.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13088274/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724841","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}