Global health journal (Amsterdam, Netherlands)最新文献

{"title":"Trends in burdens of dengue fever among children aged 0‒14 years in China from 1990 to 2021: findings from the Global Burden of Disease Study 2021, and projections up to 2035","authors":"Luqiu Tao ,&nbsp;Yanzheng Zou ,&nbsp;Tao Liu ,&nbsp;Gao Tan ,&nbsp;Li Sun ,&nbsp;Xiaoli Liu ,&nbsp;Wei Wang","doi":"10.1016/j.glohj.2025.06.010","DOIUrl":"10.1016/j.glohj.2025.06.010","url":null,"abstract":"<div><h3>Objective</h3><div>Children below 14 years of age are highly vulnerable to dengue infection and are at a greater risk of developing severe dengue illness. This study aimed to investigate the trends in the burden of dengue fever among children below 14 years of age in China from 1990 to 2021 and to project the disease burden from 2022 to 2035.</div></div><div><h3>Methods</h3><div>Based on the datasets derived from the Global Burden of Disease Study 2021, the following data were collected from dengue-affected children aged ≤ 14 years in China from 1990 to 2021: number and rate of incident dengue cases, number of prevalent dengue cases, number of deaths due to dengue, and disability-adjusted life years (DALYs) lost due to dengue. The trends in disease burden were examined based on average annual percent change (AAPC) and annual percent change, and the burdens were projected from 2022 to 2035 by using a Bayesian age-period-cohort model.</div></div><div><h3>Results</h3><div>The incidence and prevalence of dengue fever were increased in children aged ≤ 14 years in China from 1990 to 2021 (AAPC = 5.42 % and 5.44 %, respectively, <em>P</em> &lt; 0.001), while the mortality and DALYs rates were reduced (AAPC = −8.21 % and −7.55 %, respectively, <em>P</em> &lt; 0.001). The burden was comparable between genders, with numerically lower incidence and prevalence in boys than in girls. The lowest incidence and prevalence and the highest mortality and DALYs rates were observed in children aged &lt; 5 years. The incidence and prevalence rates were projected to increase from 2022 to 2035; in contrast, the mortality and DALYs rates were projected to decrease during this period.</div></div><div><h3>Conclusions</h3><div>Although the mortality and DALYs rates of dengue fever decreased significantly in children aged 0‒14 years in China from 1990 to 2021, the incidence and prevalence increased remarkably. Enhanced surveillance and ample health education programs and preventive interventions are recommended for targeting this high-risk population.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 2","pages":"Pages 145-152"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703662","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":"Global health development aid initiatives and the quality of medical laboratory services in sub-Saharan Africa: a narrative review","authors":"Hazel Musuka ,&nbsp;Oscar Mano ,&nbsp;Patrick Gad Iradukunda ,&nbsp;Gashema Pierre ,&nbsp;Ferris Tatenda Munyonho ,&nbsp;Enos Moyo ,&nbsp;Tafadzwa Dzinamarira","doi":"10.1016/j.glohj.2025.06.006","DOIUrl":"10.1016/j.glohj.2025.06.006","url":null,"abstract":"<div><h3>Background</h3><div>Medical laboratory diagnostic services play a critical role in the diagnosis, treatment, and management of diseases, forming the cornerstone of effective healthcare systems. Despite the crucial role of laboratory services, the quality and accessibility of medical laboratory services in sub-Saharan Africa (SSA) face significant challenges. Global health development aid has been pivotal in supporting SSA laboratory services. This study aimed to examine global health development aid initiatives that have successfully enhanced the quality of medical laboratory services and the challenges and barriers to effectively improving medical laboratory services through global health development aid in SSA.</div></div><div><h3>Methods</h3><div>We used a narrative review study design. We searched PubMed, Web of Science and Scopus for articles published in the last 15 years. These three databases are generally considered premier databases for peer-reviewed articles in global health, public health, health systems, and biomedical sciences. The inclusion criteria for this review included research studies, reports, and grey literature. Only articles published in English from 2010 onward were considered. The analysis followed a qualitative approach, emphasizing thematic synthesis and critical interpretation.</div></div><div><h3>Results</h3><div>Forty articles were included in this study. Of these, 18 were primary research studies, 11 were reports, 7 were commentaries, and 4 were reviews. Five sub-themes from the successful global health development aid initiative themes were capacity building and training programs, infrastructure development, partnership models, policy advocacy and regulatory support, quality control and standardization of laboratory services. The sub-themes from the challenges and barrier theme were insufficient funding and resource allocation, human resource constraints, inadequate infrastructure and equipment, and political and institutional barriers. This review revealed that several factors, including financial sustainability, human resource capacity, institutional support, resilience, and effective monitoring systems, shape the sustainability of improvements in medical laboratory services in SSA.</div></div><div><h3>Conclusion</h3><div>Achieving long-term sustainability requires strategies that ensure financial self-sufficiency, foster a skilled and stable workforce, and integrate laboratory services into national health frameworks.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 2","pages":"Pages 104-112"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703665","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":"Occupational health in agriculture: a re-emerging frontier in worker protection","authors":"Min Zhang ,&nbsp;Rokho Kim","doi":"10.1016/j.glohj.2025.06.001","DOIUrl":"10.1016/j.glohj.2025.06.001","url":null,"abstract":"<div><div>Agricultural workers are among the most vulnerable groups facing occupational health risks, yet their protection remains insufficient globally. Despite employing nearly one-third of the global workforce, agriculture is one of the most hazardous sectors, with risks intensified by climate change and limited regulatory coverage. This commentary examines emerging challenges, research gaps, and policy directions, with a focus on international frameworks and China’s recent experiences. While initiatives like <em>Healthy China 2030</em> and pilot projects using international tools have advanced rural occupational health, major barriers persist, especially for precarious and informal agricultural workers. Strengthening national actions and international coordination is urgently needed. Reviving the Joint ILO/WHO Committee on Occupational Health would help bridge the gap between global commitments and local implementation. Protecting agricultural workers is essential for promoting human rights, advancing public health resilience, and achieving sustainable development goals related to health, labor, and food security.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 2","pages":"Pages 65-71"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144703753","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":"Waste handlers’ health and experiences of healthcare waste management in a Lassa fever treatment centre in Nigeria","authors":"Idorenyin Utip,&nbsp;Anne Krayer,&nbsp;Sion Williams","doi":"10.1016/j.glohj.2025.02.007","DOIUrl":"10.1016/j.glohj.2025.02.007","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;Studies on the occupational health risks and experiences of healthcare waste handlers since the decline in coronavirus disease 2019 (COVID-19) incidence are scarce in Nigeria. The current study aimed to examine what seemed as the “hidden” and rarely researched area of practice from the standpoint of different stakeholders in a Nigerian Lassa fever treatment hospital. The primary objective was to understand the nature of waste handlers’ practices and experiences and identify areas for improvement centred on supporting the development of best practices, in accordance with the World Health Organisation (WHO) guidelines.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;div&gt;This study employed a qualitative case study design, gathering data from healthcare waste handlers &lt;em&gt;(n&lt;/em&gt; = 34) through four focus groups. Additionally, four in-depth interviews were conducted with ward managers and the infection control team to gain insight into the organisational framing of waste handling practice, the perceived challenges faced by waste handlers from their perspectives, and the provision of training and support. The qualitative data were audio-recorded and transcribed verbatim through manual processes and subjected to a reflexive thematic analysis conducted manually.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The findings revealed that waste handlers were subjected to various occupational health risks, including back pain, needlestick injuries, psychological distress, fatigue, anxiety, and prolonged exposure to sunlight. Concerns were raised regarding the inadequate supply of personal protective equipment and other essential tools, which suggests a need for organisational commitment to ensure the continual availability of these resources to protect the health and safety of these employees. A critical issue identified was the lack of comprehensive training for waste handlers, highlighting a form of organisational negligence. The consensual views expressed by the waste handlers indicated a sense of dissatisfaction with their working environment, largely attributable to organisational and societal stigmatisation. Furthermore, the study underscored that the hospital management faced significant financial constraints and advocated for increased funding to effectively implement best practice standards.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;div&gt;To effectively manage healthcare waste and reduce hazards to waste handlers, the organisational leadership should prioritise training and support. This initiative will not only benefit the waste handlers but also the patients, other healthcare workers, and the general public. Although the findings focus on the case context of a Nigerian Lassa fever treatment hospital, the wider implications of this study are linked to the role of institutional support for waste handling practice. Moreover, it extends to the potential positions of institutions as displaying a form of “benign anomie” in not ensuring the wellbeing of waste","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 37-45"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715596","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":"Intimate partner violence among people living with the human immune virus: a quantitative analysis of prevalence and associated sociodemographic factors in Ghana","authors":"Maximillian Kolbe Domapielle ,&nbsp;Benjamin Spears Ngmekpele Cheabu ,&nbsp;Constance Awinpoka Akurugu ,&nbsp;Justine Guguneni Tuolong ,&nbsp;Marshall Kala ,&nbsp;Sadat Zakari Abugbila","doi":"10.1016/j.glohj.2025.02.006","DOIUrl":"10.1016/j.glohj.2025.02.006","url":null,"abstract":"<div><h3>Objective</h3><div>Intimate partner violence (IPV) among people living with the human immune deficiency virus (PLHIV) poses a significant threat to efforts to reduce the spread of human immune deficiency virus (HIV) and achieve the sustainable development goals. In Ghana, scholarly research on the forms and prevalence of IPV is available, however knowledge of the prevalence of IPV among PLHIV is limited. To understand the prevalence of IPV among PLHIV and the intersectional factors that contribute to it, this study examined the overall prevalence of IPV among PLHIV and the associated sociodemographic factors across ten regions of Ghana.</div></div><div><h3>Methods</h3><div>We administered face-to-face survey questionnaires to 661 randomly selected antiretroviral therapy (ART) clients using Research Electronic Data Capture tools. We used descriptive statistics (mean, standard deviation, minimum, and maximum), pairwise correlation, and multivariate regression analysis to look at the data.</div></div><div><h3>Results</h3><div>The clients of ART experienced various forms of IPV, including sexual, physical, emotional, and economic violence and controlling behaviour. The overall prevalence of IPV among PLHIV was 27.5 %. This result, although on par with the global IPV average (27 %), is 1.5 % higher than the national rate (26 %). The Upper West Region had the highest prevalence in all the categories of IPV analysed, followed by Oti Region in second place and the Upper East Region in third, except for the prevalence of sexual violence, where Greater Accra Region ranks second. In specific regions of Ghana, sociodemographic factors shaped by patriarchal and economic considerations contribute to a higher prevalence of IPV among people living with HIV.</div></div><div><h3>Conclusion</h3><div>The findings have implications for developing policies and interventions that address the specific factors associated with HIV-induced IPV in different regions of Ghana. These interventions should also include screening PLHIV receiving ART for their IPV status regardless of gender and deploying culturally appropriate education at the community level to foster empathy towards intimate partners living with HIV.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 46-54"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715597","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":"Rethinking global health research for better methods, processes, and capacity: global evidence and perspectives from the Global Health Network Conference 2022","authors":"Malak Alrubaie ,&nbsp;Mohammed Alkhaldi ,&nbsp;Zeeshan Salvia ,&nbsp;Farah Rasheed ,&nbsp;Trudie Lang","doi":"10.1016/j.glohj.2025.02.001","DOIUrl":"10.1016/j.glohj.2025.02.001","url":null,"abstract":"<div><div>The Global Health Network Conference 2022 addressed the critical need for expanded health research capabilities in low- and middle-income countries and low-resource settings, particularly in light of global health threats such as pandemics and climate change. This deficit often results in insufficient research to inform effective health interventions. Held in Cape Town, South Africa, the conference brought together a diverse group of health researchers, practitioners, and policymakers from over 50 countries to explore how health research can be embedded into every healthcare setting. The conference emphasized fostering leadership, integrating research findings into policy and practice, enabling research in all healthcare settings, and engaging communities through the research process. This article collates and considers the key findings and recommendations from the eight sessions. These sessions were designed to follow the research cycle, from setting the question to taking the findings into practice, with a focus on capacity building, data-driven decision-making, and tackling gender and societal disparities. Our aim is that by reporting these outputs we can share valuable experience and insights that can help research teams in their studies and through doing so, spark a shift in global health research through this remarkable collaborative effort in knowledge and methods sharing that continues through the Global Health Network community. The recommendations derived from this conference align with the World Health Organization's strategies for reinforcing health research systems and showcase the importance of empowering low- and middle-income countries to conduct research that addresses their unique health challenges. By advancing global health research through collaboration, innovation, and community involvement, the conference laid the groundwork for a comprehensive framework that supports the Sustainable Development Goals and promotes equitable healthcare for all.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 20-26"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715601","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":"Responsible consumption of medicines: a cross-sectional qualitative exploration","authors":"Sanju Kaladharan,&nbsp;Dhanya Manayath,&nbsp;Rejikumar Gopalakrishnan,&nbsp;Vandana Madhavan","doi":"10.1016/j.glohj.2025.02.005","DOIUrl":"10.1016/j.glohj.2025.02.005","url":null,"abstract":"<div><h3>Objective</h3><div>Irrational medicine consumption practices increase the country's health expenditures and raise public health concerns, challenging sustainable development in multiple ways. The objective of this study is to identify the key factors influencing irrational medicine consumption and devise a strategic framework to encourage responsible medicine use.</div></div><div><h3>Method</h3><div>A cross-sectional qualitative descriptive design was used. Study data were collected using semi-structured interviews and analysed using thematic analysis to identify the key factors contributing to irrational medicine consumption.</div></div><div><h3>Results</h3><div>Various factors like cyberchondria coupled with health misinformation, inaccessible healthcare, limited product choices, misleading online pharmacies, and infeasible pharmaceutical regulations act as key drivers of irresponsible medicine consumption. The participants recommended enhancing healthcare access, utilizing technology, promoting health literacy, and updating regulations as strategies to improve responsible medicine use. Against this backdrop, the study proposes a double helix model for responsible consumption of medicines through bilateral efforts from both consumers and the health system.</div></div><div><h3>Conclusion</h3><div>Highlighting the importance of responsible consumption, this paper calls health system actors to action to accelerate the efforts to foster responsible consumption of medicines.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 55-62"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715598","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":"Overview of the emerging role of chatbots, including large language models, in supporting tobacco smoking and vaping cessation: a narrative review","authors":"Albert Andrew","doi":"10.1016/j.glohj.2025.02.003","DOIUrl":"10.1016/j.glohj.2025.02.003","url":null,"abstract":"<div><div>Despite a global decline in tobacco use, smoking remains a leading cause of preventable death, with rising vaping rates among adolescents and young adults further complicating nicotine cessation efforts. Digital interventions, particularly chatbots, have gained attention for their potential to support tobacco and vaping cessation by simulating human-like conversations and providing instant feedback. However, evidence of their effectiveness is limited. The emergence of generative artificial intelligence (AI) chatbots, such as ChatGPT, offers a promising avenue for more personalised and effective cessation support. This article reviews existing literature on traditional chatbot interventions for cessation services, explores the potential of AI chatbots, namely ChatGPT, in continuing to support tobacco and vaping cessation efforts, and identifies areas for future research. It highlights the need to further monitor the reliability and accuracy of AI-generated content and to develop frameworks ensuring healthcare professionals receive adequate training in using these new tools effectively to support patients in quitting smoking and/or vaping.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 6-11"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715604","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":"Well-being as a core element of rehabilitation: preventing mental health challenges in a global context","authors":"Lucas Murrins Marques ,&nbsp;Linamara Rizzo Battistella","doi":"10.1016/j.glohj.2025.02.004","DOIUrl":"10.1016/j.glohj.2025.02.004","url":null,"abstract":"<div><div>Rehabilitation for patients with chronic physical conditions, such as stroke, spinal cord injury, and fibromyalgia, is predominantly focused on physical recovery, often neglecting the affective and social dimensions crucial for comprehensive health outcomes. This oversight contributes to a significant mental health burden, with up to 40 % of rehabilitating patients experiencing depression or anxiety. This perspective article reviews evidence from social and affective neuroscience to highlight the urgent need to integrate well-being as a central component of rehabilitation. We propose a holistic rehabilitation model that includes psychological, affective, and social interventions alongside physical therapies. This model draws on existing studies demonstrating that emotional resilience and social support are key predictors of successful rehabilitation outcomes. Patients with strong social and affective well-being are more likely to adhere to treatment protocols and achieve better physical recovery. Conversely, neglecting these dimensions can exacerbate mental health conditions, leading to what we identify as a “second wave” of health crises—mental health conditions triggered by chronic physical ailments. By adopting this holistic approach, healthcare systems can improve immediate rehabilitation outcomes, prevent the long-term escalation of mental health issues, and reduce the overall burden on global mental health services, ultimately enhancing the quality of life for patients worldwide.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 1-5"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715599","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":"What are the key determinants to fostering equity within coronavirus disease 2019 (COVID-19) vaccination deployment initiatives in Nigeria? A scoping review","authors":"Asua Okolie ,&nbsp;Shahreen Rahman ,&nbsp;Anita Kothari ,&nbsp;Obidimma Ezezika","doi":"10.1016/j.glohj.2025.02.008","DOIUrl":"10.1016/j.glohj.2025.02.008","url":null,"abstract":"<div><h3>Objective</h3><div>This review aimed to identify the barriers and facilitators to equitable coronavirus disease 2019 (COVID-19) vaccine distribution in Nigeria using the consolidated framework for implementation research (CFIR).</div></div><div><h3>Methods</h3><div>A comprehensive search strategy was applied across five databases—Web of Science, MEDLINE, EMBASE, CAB Direct, and CINAHL. The search, conducted as part of a scoping review, yielded 2,751 citations. Seven studies met the inclusion criteria after screening. Data were extracted and analyzed using CFIR constructs to identify key barriers and facilitators to equitable vaccine distribution.</div></div><div><h3>Results</h3><div>Six barriers were identified: limited physical and socioeconomic access, bribery, nepotism, and insufficient availability of translated information. Facilitators included community involvement as local monitoring agents, unannounced staff inspections, healthcare worker training tailored to community needs, and localized outreach strategies such as jingles and call-in programs. CFIR constructs, including Local Conditions, Tailoring Strategies, Available Resources, and Physical Infrastructure, provided a framework for analyzing the findings.</div></div><div><h3>Conclusion</h3><div>This review highlights significant barriers and promising facilitators to equitable vaccine distribution in Nigeria. Targeted interventions, such as community engagement, anti-corruption measures, and culturally tailored strategies, are critical to addressing these challenges and improving access. These findings underscore the need for localized, equity-focused approaches to enhance vaccine distribution systems in Nigeria and other low-resource settings.</div></div>","PeriodicalId":73164,"journal":{"name":"Global health journal (Amsterdam, Netherlands)","volume":"9 1","pages":"Pages 12-19"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715595","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}