Public health progression and related challenges

Sharma, Amit; Osoro, Ian

doi:10.1016/j.glohj.2023.02.007

Global Health Journal

2023

DOI: 10.1016/j.glohj.2023.02.007

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Public health progression and related challenges

Amit Sharma¹,

Ian Osoro²

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2024

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Cited by 3 publications

(6 citation statements)

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“…Malnutrition is a big problem, especially for children and women [12]. Also, the rugged terrain, poor healthcare facilities, and lack of healthcare workers make it hard to provide good healthcare services, especially in the countryside [13].…”

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confidence: 99%

“…(i) Improvement of the ability and strength of healthcare facilities. It is essential to make primary healthcare facilities more available, especially in rural areas [13]. That means giving more resources to basic equipment, medicines, and trained staff.…”

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confidence: 99%

“…(v) Accessible and affordable services. It is essential to ensure everyone can get healthcare, no matter how rich or poor or where they live [13]. That means fixing the current high cost of treatment and making the community more involved.…”

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confidence: 99%

“…(ii) Cooperation between the public and private sectors. Working together between the government, businesses, and NGOs can use resources and expert knowledge to help communities with enough services [13].…”

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“…(v) Research and innovation. They are significant for solving local health problems and making solutions that fit the specific situation [13]. The flow diagram also has arrows to show the links between these different parts.…”

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confidence: 99%

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An analysis of Nepal's federal health system in the context of the COVID-19 pandemic and the Sustainable Development Goals

Nawa Raj Subba

2024

World J. Adv. Res. Rev.

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Nepal's public health slogan was 'Health for All' with integrated community health services in 1991. The female community health volunteer network was created. District Public health offices (DPHO) managed these programs in their districts. After 2008 federalism, 2017 brought federal, provincial, and local governments. The federal health system substituted the administrative District Public / Health Offices in districts. The local governments or health institutions now oversee the Sustainable Development Goals (SDGs). The federal and provincial authorities should have employed qualified professionals to oversee public health at local health facilities. Healthcare efficacy and goal attainment are concerns today. This study did a microscopic investigation using health system studies. The researcher conducted field observations and stakeholder interviews and participated in public discussions. Data from Nepal's federal health system's community status was compared using SWOT analysis. The study delved into specific research gaps thoroughly. According to previous research, health infrastructure could be more effective with financial expenditures. A hypothesis was formed after comparing further information to domestic and international situations. The researcher emphasizes the need for good governance and suggests allocating 6% of national GDP to health spending, in line with WHO recommendations. To fulfil the needs of the healthcare sector, deliver quality medical services, and attain SDGs, it is imperative to ensure the presence of adequately trained health professionals at the local government level. The head of the local health institution must conduct administrative work connected to public health. Hence, public health-trained health staff are needed there.

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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An analysis of Nepal's federal health system in the context of the COVID-19 pandemic and the Sustainable Development Goals

Nawa Raj Subba

2024

World J. Adv. Res. Rev.

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Trends and inequalities in modern contraceptive use among women in Sierra Leone, 2008–2019

Osborne,

Bangura,

Ahinkorah

2024

Reprod Health

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Early sexual debut among adolescent girls and young women in Sierra Leone: A multilevel analysis of prevalence and predictors

Osborne,

Wongnaah,

Adeleye

et al. 2024

Contracept Reprod Med

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Background Early sexual debut among young women is associated with adverse sexual and reproductive health outcomes, including unintended pregnancies and sexually transmitted infections. Despite its negative impact, there is limited research on this issue in Sierra Leone. This study aims to address this gap by examining the prevalence of early sexual debut and its associated factors among adolescent girls and young women aged 15–24 years in Sierra Leone. Methods Data from the 2019 Sierra Leone Demographic and Health Survey was used for the study. Provincial variations in the proportion of early sexual debut were visualised using a spatial map. A mixed-effect multilevel binary logistic regression analysis was performed to examine the factors associated with early sexual debut. The results were presented as adjusted odds ratios (aOR) with a 95% confidence interval (CI) and intraclass correlation coefficients. Results The prevalence of early sexual debut was 26.1% [24.3, 28.0]. Adolescent girls and young women aged 20–24 were less likely to engage in early sexual debut [aOR = 0.52; 95% CI: 0.41, 0.65] than those aged 15–19. The odds of early sexual debut was lower among adolescent girls and young women with secondary/higher education [aOR = 0.62; 95% CI: 0.45, 0.85] compared to those with no education. Adolescent girls and young women who used the internet in the last 12 months [aOR = 0.50; 95% CI: 0.34, 0.73] and those who belonged to the Fullah ethnic group [aOR = 0.25; 95% CI: 0.07, 0.85] were less likely to engage in early sexual debut relative to those who did not use the internet and those belonging to the Creole ethnic group respectively. Adolescent girls and young women who intend to use contraceptives [aOR = 0.60; 95% CI: 0.46, 0.77] and those who do not intend to use contraceptives [aOR = 0.65; 95% CI: 0.49, 0.88] were less likely to engage in early sexual debut than those who were using contraceptives. Conversely, adolescent girls and young women who were working [aOR = 1.41; 95% CI: 1.12, 1.77] had higher odds for early sexual debut than those not working. The odds of early sexual debut were higher among adolescent girls and young women who were married/cohabiting [aOR = 1.72; 95% CI: 1.32, 2.22] and previously married [aOR = 3.26; 95% CI: 1.61, 6.56] than those who were never married. Adolescent girls and young women living in the North Western area [aOR = 1.81; 95% CI: 1.05, 3.13] had higher odds for early sexual debut than those living in the Eastern province. Conclusion Early sexual debut is prevalent among adolescent girls and young women in Sierra Leone. Age, education, internet use, ethnicity, contraceptive use intention, marital status, employment status, and province of residence were the factors associated with early sexual debut. The study underscores the need for policymakers, government, and non-governmental organisations to design and implement comprehensive and multifaceted interventions...

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Public health progression and related challenges

Cited by 3 publications

References 18 publications

An analysis of Nepal's federal health system in the context of the COVID-19 pandemic and the Sustainable Development Goals

An analysis of Nepal's federal health system in the context of the COVID-19 pandemic and the Sustainable Development Goals

Trends and inequalities in modern contraceptive use among women in Sierra Leone, 2008–2019

Early sexual debut among adolescent girls and young women in Sierra Leone: A multilevel analysis of prevalence and predictors

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