Research Square (Research Square),
Год журнала:
2023,
Номер
unknown
Опубликована: Дек. 21, 2023
Abstract
Background
We
investigated
how
social
and
contextual
factors
shape
perceptions
attitudes
of
rural
urban
dwellers
towards
vaccines
in
South
Africa.
assessed
the
views,
acceptance,
uptake
for
a
range
infectious
diseases,
light
experiences
COVID-19
pandemic.
Methods
conducted
30
in-depth
face-to-face
virtual
interviews
uMkhanyakude
district
municipality
Durban,
KwaZulu-Natal
Participants
were
adults
(≥
18
years)
consisting
ordinary
citizens,
traditional
leaders
healers,
nurses.
Data
collection
was
IsiZulu.
Thematic
analysis
used
to
identify
key
themes.
Findings
found
broad
vaccine
acceptance
among
most
study
participants.
The
main
reasons
given
included
fear
death,
government
campaigns,
mandates
penalties,
understanding
importance
disease
prevention
survival,
securing
health
family
members.
Older
participants
40
demonstrated
more
positive
vaccines.
Most
downplayed
role
culture
religion
Some
drivers
hesitancy
having
an
ancestral
calling,
medical
pluralism,
or
local
myths
around
treatment
infections
such
as
influenza
mumps,
insufficient
information,
perceived
depopulation
agenda
couched
mistrust
use
incentives
threats
force
people
accept
Conclusion
Participants’
views
confidence
Exploring
roots
over
time
communities
occupying
different
geographical
cultural
spaces
provides
opportunities
understand
complex
why
are
accepted
rejected.
exploration
contexts,
exposures
circumstances
provide
insights
into
perceptions,
outlook,
behaviour.
Deeper
engagement
with
is
therefore
crucial
develop
evidence
that
can
inform
interventions.
Assumptions
about
affect
should
be
avoided
process
developing
evidence.
Annual Review of Public Health,
Год журнала:
2022,
Номер
44(1), С. 171 - 191
Опубликована: Дек. 21, 2022
The
impacts
of
climate
change,
such
as
sea-level
rise
and
extreme
weather
events,
are
expected
to
increase
alter
human
migration
mobility.
Climate-related
mobility
is
not
inherently
a
crisis;
it
can
provide
pathway
for
adaptation
change.
However,
growing
body
research
identifies
health
risks
some
opportunities
associated
with
climate-related
This
review
examines
recent
(published
since
2018)
on
the
change-mobility-health
nexus;
this
focuses
largely
in-country
in
Asia,
Africa,
Pacific
Island
countries.
It
considers
links
between
anthropogenic
change
documents
findings
empirical
that
addresses
consequences
displacement,
planned
relocation,
migration,
into
sites
risk.
highlight
need
climate-sensitive
migrant-inclusive
care
heating
world.
BMJ Open,
Год журнала:
2025,
Номер
15(2), С. e096554 - e096554
Опубликована: Фев. 1, 2025
Background
Extreme
weather
and
climate-related
events
are
increasing
in
frequency
intensity,
which
pose
substantial
human
casualties
economic
losses.
The
healthcare
health-determining
sectors
require
information
about
how
extreme
affect
the
population’s
health,
other
sectors’
capacities
to
prepare
for
manage
these
their
aftermath.
We
aim
conduct
a
systematic
review
identify
recent
evidence
on
costs
health
outcomes
of
humans.
Methods
analysis
Preferred
Reporting
Items
Systematic
Reviews
Meta-Analyses
Protocols
guidelines
were
followed
reporting
this
protocol.
A
comprehensive
search
will
be
conducted
using
several
engines,
example,
PubMed,
Scopus
Institute
Scientific
Information
Web
Science.
Peer-reviewed
grey
literature
published
English
that
evaluated
climate
retrieved
without
restriction
publication
year
or
geographical
location.
Two
reviewers
independently
assess
each
study
inclusion.
Study
quality
with
recommended
assessment
tools.
Data
reported
descriptive
statistics,
graphical
plots
narrative
synthesis.
Ethics
dissemination
An
ethical
was
not
required.
data
generated
from
disseminated
through
peer-reviewed
journal
articles
international
conferences
inform
our
original
research
study.
PROSPERO
registration
number
This
has
been
registered
at
International
Prospective
Register
(registration
ID:
CRD42024582635).
International Journal of Environmental Research and Public Health,
Год журнала:
2024,
Номер
21(6), С. 731 - 731
Опубликована: Июнь 5, 2024
Indigenous
groups
across
Africa
mobilized
Knowledge
(IK)
practices,
albeit
not
without
challenges,
to
respond
the
COVID-19
pandemic.
Yet
Systems
(IKS)
continue
be
sidelined
in
formal
healthcare
policies
and
programmes.
This
underscores
urgency
liberate
Africa’s
epistemologies.
Employing
decoloniality
lens,
this
paper
examined
colonial
influences
inherent
African
responses
while
also
exploring
role
of
IKS
uMkhanyakude
District
Municipality
(UKDM).
The
argument
is
made
that,
case
UKDM,
efficacy
was
demonstrated
response
fight
against
basis
for
call
embrace
recognize
that
a
legitimate
body
knowledge
comparable
Western
science.
Such
recognition
paves
way
more
equitable,
contextually
relevant,
sustainable
health
strategies
can
better
address
complexities
current
future
pandemics.
Abstract
Background
We
investigated
how
social
and
contextual
factors,
including
a
pandemic,
shape
vaccine
perceptions
attitudes
among
people
living
in
KwaZulu-Natal
South
Africa.
assessed
participants’
views,
acceptance,
uptake
of
vaccines
for
range
infectious
diseases,
may
be
influenced
by
experiences
events
linked
to
the
COVID-19
pandemic.
Methods
conducted
30
in-depth
face-to-face
telephonic
interviews
with
participants
diverse
rural
urban
communities
two
districts
within
KwaZulu-Natal.
Participants
were
adults
(≥
18
years)
consisting
ordinary
citizens,
traditional
healers,
nurses.
combined
non-representative
convenience,
snowballing
purposeful
sampling
techniques
recruit
participants.
Data
collection
was
IsiZulu,
we
used
both
inductive
deductive
thematic
analysis
approaches
identify
key
themes
towards
vaccines.
Findings
Our
study
mostly
those
who
had
accepted
vaccination.
The
main
reasons
given
included
understanding
importance
disease
prevention
survival,
securing
health
family
members,
fear
death,
government
campaigns,
mandates
penalties.
Older
40
demonstrated
more
positive
Most
downplayed
role
culture
religion
However,
some
drivers
hesitancy
having
an
ancestral
calling,
medical
pluralism,
or
local
myths
around
treatment
infections
such
as
influenza
mumps,
perceived
depopulation
agenda
couched
mistrust
use
incentives
penalties
force
accept
Conclusion
Exploring
what
shapes
provides
opportunities
understand
reasoning
behind
make
decisions
about
whether
take
different
geographical
cultural
spaces.
exploration
contexts,
exposures
circumstances
provide
insights
into
behaviour.
Deeper
engagement
is
crucial
develop
evidence
that
can
inform
interventions.
Assumptions
affect
acceptance
should
avoided
process
developing
evidence.
Sustainability,
Год журнала:
2024,
Номер
16(22), С. 9902 - 9902
Опубликована: Ноя. 13, 2024
The
escalation
in
both
frequency
and
severity
of
drought
events
has
significantly
amplified
the
vulnerability
numerous
countries,
particularly
developing
ones,
imposing
substantial
economic,
environmental,
social
pressures.
This
article
presents
a
systematic
review
occurrences
Sub-Saharan
Africa
(SSA),
examining
historical
trends,
current
impacts,
projected
future
implications.
Through
this
comprehensive
assessment,
clear
trend
intensifying
phenomena
emerges
across
SSA,
leading
to
crop
failures,
drying
water
sources,
loss
pasture,
food
shortages,
an
increase
prices.
also
highlights
concerning
potential
for
worsening
conditions
certain
regions,
resulting
consequences
such
as
migration,
insecurity,
malnutrition,
family
disintegration,
losses,
increased
disease
prevalence,
notably
HIV/AIDS.
study
further
reveals
that
adaptation
measures
by
governments
NGOs
should
be
improved
effectively
adapt
diverse
impacts
drought,
it
contributes
deeper
understanding
dynamics
assesses
its
critical
on
security
well-being.
It
evaluates
different
highlighting
their
strengths
weaknesses
enabling
quick
identification
areas
improvement.
Additionally,
informs
resilience-building
efforts
vulnerable
communities.
Sustainability,
Год журнала:
2024,
Номер
16(23), С. 10618 - 10618
Опубликована: Дек. 4, 2024
The
elimination
of
poverty
in
all
its
forms
is
the
first
global
goal
United
Nations’
2030
Agenda
for
Sustainable
Development.
Achieving
this
recognized
as
a
long-term
process
that
complicated
by
persistent
vulnerabilities
stemming
from
factors
such
natural
disasters,
food
insecurity,
health
challenges,
educational
disparities,
and
social
inequality.
This
systematic
bibliometric
review
provides
comprehensive
survey
impact
protection-based
policies
mitigating
vulnerability,
focusing
on
selected
countries
regions,
including
America,
Europe,
Oceania,
part
Asia
Africa.
Our
analysis
reveals
81%
studies
examine
vulnerability
single
dimension,
predominantly
security
nutrition
(23%),
climate
change
shocks
(18%),
health-related
(14%).
geographic
distribution
indicates
Kingdom
States
lead
research
field,
contributing
36
32
papers,
respectively,
followed
China
(16
papers),
South
Africa
(15
Canada
(10
papers).
results
indicate
these
fiscal
redistribution
significantly
contribute
to
reducing
inequality
have
positive
impacts
other
Development
Goals
(SDGs),
particularly
SDG
1
(No
Poverty),
2
(Zero
Hunger),
3
(Good
Health
Well-being),
10
(Reduced
Inequalities).
However,
notable
gaps
remain,
especially
regarding
integration
with
environmental
sustainability
goals
like
13
(Climate
Action),
which
are
addressed
only
minority
studies.
study
concludes
recommending
adoption
more
holistic
integrated
policy
frameworks
bridge
gap
between
protection
sustainability,
thereby
advancing
entire
EcoHealth,
Год журнала:
2023,
Номер
20(2), С. 178 - 193
Опубликована: Июнь 1, 2023
Abstract
This
analysis
investigates
the
relationship
between
drought
and
antiretroviral
treatment
(ART)
adherence
retention
in
HIV
care
Hlabisa
sub-district,
KwaZulu-Natal,
South
Africa.
Data
on
ART
were
collated
for
study
period
2010–2019.
Drought
was
quantified
using
3-month
Standard
Precipitation
Evapotranspiration
Index
(SPEI)
(SPI)
from
station
data.
Adherence,
proxied
by
Medication
Possession
Ratio
(MPR),
data
obtained
public
programme
database.
MPR
calculated
individuals
aged
15–59
years
who
initiated
January
2010
December
2018
visited
clinic
through
February
2019.
Between
01
31
2018,
40,714
started
sub-district
made
1,022,760
visits.
The
SPI
showed
that
2014–2016
dry
years,
with
partial
recovery
after
2016
wet
years.
In
to
2012,
mean
6-month
increased
0.85
July
a
high
of
0.92
2012.
then
decreased
steadily
2013
2014
0.78
2014.
proportion
retained
6
months
starting
similar
trends
MPR,
increasing
86.9%
91.4%
Retention
2013,
evidence
pronounced
drop
when
odds
30%
(OR
=
0.70,
CI
0.53–0.92,
P
0.01)
relative
end
2013.
Adherence
during