Towards a Feminist Global Health Policy: Power, intersectionality, and transformation

PLOS Global Public Health, Journal Year: 2024, Volume and Issue: 4(3), P. e0002959 - e0002959

Published: March 7, 2024

In the realm of global health policy, intricacies power dynamics and intersectionality have become increasingly evident. Structurally embedded hierarchies constitute a significant concern in achieving for all demand transformational change. Adopting intersectional feminist approaches potentially mitigates inequities through more inclusive responsive policies. While to foreign development policies are receiving increasing attention, they not accorded importance deserve policy. This article presents framework Feminist Global Health Policy (FGHP), outlines objectives underlying principles identifies actors responsible its meaningful implementation. Recognising that societal contexts inherently shape research, proposed was developed via participatory research approach aligns with principles. Three independent online focus groups were conducted between August September 2022 11 participants affiliated global-academic or local-activist level covering WHO regions. The qualitative content analysis revealed FGHP must be centred on considerations intersectionality, knowledge paradigms present alternatives current structures. By balancing guiding sensitivity context-specific adaptations, is designed applicable locally globally, whilst adoption intended advance equity reproductive justice, communities policymakers identified as main actors. study underscores dismantling structures by fostering equitable landscape. initiate debate among practitioners, policymakers, researchers communities. Whilst an undeniably intricate time-consuming process, continuous collaborative work towards imperative translate this vision into practice.

Language: Английский

---

Healthcare workforce equity for health equity: An overview of its importance for the level of primary health care

The International Journal of Health Planning and Management, Journal Year: 2024, Volume and Issue: 39(3), P. 945 - 955

Published: Feb. 13, 2024

Abstract Background Healthcare workforce crises often stem from healthcare workers' inequities. This study provides an overview of the main PHC policy questions related to health equity, offering examples evidence necessary support implementation policies and strategies that increase equity in access services. Methods The equity‐related were linked with indicators listed Global Health Workforce Network Data Evidence Hub guidelines for management. Results policy‐relevant cover many issues such as optimal size, equitable distribution, relevant competencies ensure access, approaches retention, training, recruitment, benefits incentive schemes governance. will require intersectionality optimised staffing workload, practitioners' training demonstrates evidence‐based knowledge aligned locally expertise. Conclusion Critical is establishment efficient measurement its implications population health. Using measure research, policy, practices may improve recruitment respond more effectively crises.

Language: Английский

---

A persona-based exploration of rabies post-exposure prophylaxis seeking behavior and its implication for communication strategic planning: Evidence from Thailand

One Health, Journal Year: 2025, Volume and Issue: unknown, P. 100980 - 100980

Published: Jan. 1, 2025

Rabies is a lethal zoonotic illness that claims over 59,000 lives annually. However, this fatality can be avoided by postexposure prophylaxis (PEP). This study aimed to identify and characterize different personas of individuals regarding their PEP-seeking behavior develop tailored communication strategies encourage PEP adoption among these distinct groups effectively. We categorized our subjects, residing in two districts Chonburi province, Thailand, into three groups: (i) with history dog bites who underwent PEP; (ii) bitten dogs did not receive (iii) had never been bitten. Subsequently, we employed an empathy map, visual method, customer journey map better understand the participants' experiences perceptions. A total 38 were interviewed. participants personas: positive, neutral, negative trends. Individuals classified within positive trend strongly advocate for seeking rabies vaccines event bite. Meanwhile, have neutral inclination are more likely contemplate getting vaccinated following bite, particularly if injury substantial. Those demonstrate notable lack attention or concern toward preventing rabies. potential severity issue characterizes attitude. Notably, nearly half (44.74 %; 17/38) involved indicated utilizing interpersonal communication, followed digital platforms (42.11 16/38) traditional channels (10.52 5/38). Tailoring modalities suit each specific group crucial effective outreach.

Language: Английский

---

The whole is greater than the sum of its parts: Integrating syndemics and intersectionality in tackling the HIV and mental health epidemics among Filipino gay and bisexual men

PLOS mental health., Journal Year: 2025, Volume and Issue: 2(2), P. e0000252 - e0000252

Published: Feb. 7, 2025

Insufficient attention has been given to the social aspects of HIV and mental health in Philippines despite their profound impact on Filipinos, particularly gay bisexual men other who have sex with men. Past evidence shows that these conditions are intertwined, amplified by combined power oppression. Yet, scholarly works, programs, interventions focusing understanding social, structural, political still early stages Philippines, calling for urgency tackling ongoing epidemics face. Therefore, we developed this essay following objectives: 1) provide context overlapping two faced Filipino men; 2) illustrate how critical perspectives such as syndemics intersectionality can deepen our conditions; 3) showcase strategies integrating into research practice. Our aim is foster discussion use addressing advocate comprehensive, inclusive, culturally informed research, broader community.

Language: Английский

---

Autoimmune Health Crisis: An Inclusive Approach to Addressing Disparities in Women in the United States

International Journal of Environmental Research and Public Health, Journal Year: 2024, Volume and Issue: 21(10), P. 1339 - 1339

Published: Oct. 10, 2024

Autoimmune diseases are identified by the chronic inflammation and tissue damage resulting from unregulated immune responses throughout body. Systemic lupus erythematosus, type 1 diabetes mellitus, Hashimoto's thyroiditis among 80+ characterized conditions, 80% of which diagnosed in women. The compounded effects biological sex hormones; social identities, such as age, race, gender; other determinants on health highlight a pressing need for an inclusive approach to address disparities women living with autoimmune diseases. Such must recognize incorporate intersectional experiences diverse populations into biomedical research, clinical practice, policy solutions. Research prioritize designs, data collection, representation studies. Clinical care focus developing guidelines promoting patient-provider interactions that meet range demographic needs. Health policies support financial investments research equitable access care. This review provides overview impacts women's through lens, identifies persistent gaps addressing unique needs women, proposes recommendations comprehensive, equity-focused mitigate better serve all at risk or

Language: Английский

---

Association between ethnicity and emergency department visits in the last three months of life in England: a retrospective population-based study using electronic health records

BMJ Public Health, Journal Year: 2024, Volume and Issue: 2(2), P. e001121 - e001121

Published: Oct. 1, 2024

Introduction Emergency department (ED) visits are distressing yet common in the last months of life and many could be avoided. The association between ethnicity ED has rarely been studied detail intersection with area-based deprivation other risk factors is not known. Methods Population-based, retrospective cohort study, using electronic health records for adults who died from all causes 2019 2020 England. Results Of 566 930 deaths 2020, 356 700 (62.9%) had at least one visit 3 life. Most ethnic minority groups more than white British people differences were larger out-of-hours. After adjusting social clinical factors, compared people, out-of-hours rate Bangladeshi, Pakistani Indian ethnicities was 17% (95% CI 6% to 28%), 19% 12% 27%) 14% 22%) higher women, 16% 9% 23%), 13% 8% 19%) 0% 12%) men. lower 2019, but similar. For there a clear gradient—those live deprived areas have visits—but this seen most groups. Conclusion People rates that fully explained by factors. This difference driven out-of-hours, which may indicate need better support. Future work should try understand why some use how relates needs, preferences experiences.

Language: Английский

---

No pandemic preparedness and research without gender equality

BMJ, Journal Year: 2023, Volume and Issue: unknown, P. p1213 - p1213

Published: June 7, 2023

Language: Английский

---

Effects of Health Technology Use and Digital Health Engagement on Clinical Trial Participation: Findings from the Health Information National Trends Survey

medRxiv (Cold Spring Harbor Laboratory), Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 14, 2024

Abstract Background Clinical trials are critical to scientific advances and medical progress, although awareness participation remain low in the general population. The existing literature indicates that clinical trial knowledge is multifactorial. Yet, little known about association between with health technology use digital engagement search for information, interact providers, seek supports. Objective Examine multivariate past-year providers. Design Cross-sectional data from a federal surveillance system. Participants A total of 3,865 US adult respondents Health Information National Trends Survey 5, Cycle 4 conducted 2020. Main Measures two outcomes were (no knowledge, lot knowledge) (never invited, invited did not participate, participated). There four binary indicators following purposes past year: searching or communicating doctor’s office, looking up test results, making appointments. sharing information on social media, participating forum support group, watching health-related videos YouTube, ClinicalTrials.gov. Key Results Survey-weighted regression models demonstrated ClinicalTrials.gov had largest associations participation. Digital engage providers electronic records was associated participation, vast majority never been invited. Conclusions Findings this study can inform design large-scale campaigns quality improvement programs focused increasing

Language: Английский

---

Embracing Inclusion, Diversity, Equity and Access (IDEA): Cultivating understanding internally to foster external change

Journal of Spinal Cord Medicine, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 9

Published: Nov. 22, 2024

Healthcare institutions acknowledge the value of diverse workforces for enhancing programs and meeting varied needs individuals with Spinal Cord Injury. This survey conducted at 2023 Academy Injury Professions (ASCIP) conference assesses healthcare professionals' views on workplace Diversity, Equity, Inclusion (DEI) their support integrating related educational content in future events.

Language: Английский

---