Search Results (88)

This article focuses on an advocacy campaign for a complete ban on vaping in Kazakhstan led by the Smokefree Kazakhstan Coalition. Initiated in 2021, the campaign aimed to address the growing public health concerns about vaping among adolescents, which was reflected in a sharp increase in vape use among young people—from 1.6% in 2014 to 5.8% in 2022. Despite facing strong opposition from the vaping industry and political lobbyists, the Coalition gained support from key political figures, public health leaders, and NGOs. Over 32 months, the campaign achieved several key milestones, including the inclusion of criminal liabilities for those involved in the vaping industry, and, in 2024, it eventually joined a number of countries such as Thailand, Qatar, Japan, Singapore, and India in approving a vaping ban. The advocacy efforts relied on public engagement, social media, and coordinated civil society mobilization—including petitions, public meetings, awareness campaigns, and coalition-building among NGOs and health advocacy groups—to overcome industry resistance toward official vaping market ban approvals. This article uses the case study approach with the Power Prism framework to describe and evaluate the advocacy campaign’s strategic plan, its political challenges, and the significant impact of public health advocacy in shaping national health policy. The significance of the article lies in the success of the vaping ban in the Kazakhstani context, which may serve as a model for other countries facing similar public health issues, political instability, and industry resistance. Full article

The gig economy, driven by flexible and platform-based work, is reshaping labor markets and employment norms. Understanding public perceptions of this shift is critical for promoting social good and informing equitable policy. This study employs big data analytics and Latent Dirichlet Allocation (LDA) topic modeling to analyze 15,259 tweets collected from the X platform. Seven key themes emerged from the data, including labor precarity, flexibility, algorithmic control, platform accountability, gender disparities, and worker rights. While some users emphasized autonomy and new income opportunities, most expressed concerns about job insecurity, lack of protections, and digital exploitation. These findings offer real-time insights into how gig work is discussed and contested in public discourse. The study highlights how social media analytics can inform labor policy, guide platform regulation, and support advocacy efforts aimed at building a fairer and more resilient gig economy. Full article

Medicaid is a vital public health program, serving over 70 million Americans from many backgrounds. Understanding how Medicaid spending varies by political leadership and demographic factors can inform policy discussions and advocacy efforts. We conducted a cross-sectional descriptive analysis of state Medicaid spending using publicly available data. Our findings show that individuals identifying as White comprise the largest single racial group of Medicaid beneficiaries both nationally and in most states. While the 2020 Census Diversity Index correlated strongly with total Medicaid spending, no significant association was found with per enrollee spending or the federal share of Medicaid funding. States led by Democrats had higher total Medicaid spending when compared to Republican-led states. However, Republican-led states received a larger proportion of federal Medicaid funding. Among political leadership levels, Senate representation showed the strongest relationship with Medicaid spending trends compared to gubernatorial leadership and presidential voting history. In conclusion, we demonstrate that Medicaid spending impacts all racial groups and both major political parties. However, funding structures and political representation reflect distinct spending patterns. Given the evolving demographic and political landscape, ongoing policy discussions should ensure that Medicaid remains a public health program that remains effective at safeguarding human health. Full article

Today, the pet effect is a powerful symbol for advancing the understanding and acceptance of the human–animal bond in societal and policy arenas. The primary aim of this commentary is to clarify the concept of the “pet effect” and demonstrate how advocates for this bond can leverage its influence to promote meaningful change and inform public policy. Full article

One in four students in the United States is part of an immigrant family. The purpose of this study is to enhance our understanding of the barriers that immigrant students experience in US public schools by critically analyzing how newspapers portray barriers to success, as the goals and processes used in media differ from those of peer-reviewed research. The authors used a document analysis, a qualitative research methodology, and reviewed 67 newspaper articles on immigrant children struggling in US schools. The results show that immigrant students struggle with language barriers, discrimination, mental health, financial stress associated with higher education in the US, lack of preparedness and resources to provide education, lack of familiarity with policy, lack of cultural knowledge about the US, lack of parent involvement, and work and familial obligations. Results also indicate that newspapers published more articles about immigrant struggles during certain time periods, such as Spring 2015 through Winter 2016 and again Summer 2020 through Spring 2021. The paper provides implications for (1) research, suggesting a need for more qualitative primary data collection, (2) practice, including enhanced training, improved mental health referrals and collaborations, and (3) policy, which could include welcoming policies at the school level and advocacy efforts for immigrant student rights under the incoming presidential administration. Full article

This study explores the role of social media in raising awareness, fostering community engagement, and supporting efforts to reduce marine and coastal litter in Cyprus. Focusing on campaigns led by community-based organizations such as Yesil Baris Hareketi, Teneke Cocuk, and the Spot Turtle Project, the research highlights how digital platforms can mobilize public opinion and influence pro-environmental behaviors. Artificial intelligence (AI) algorithms particularly natural language processing (NLP) techniques were employed to analyze large volumes of social media data, enabling the detection of engagement patterns, sentiment dynamics, and thematic trends within environmental campaigns. A mixed-methods approach was adopted, combining social media content analysis, engagement metrics, and stakeholder interviews to provide a comprehensive view of the digital advocacy landscape. Findings suggest that social media plays a critical role in shaping public perceptions of marine litter; however, sustaining long-term behavioral change remains a significant challenge. The study offers practical recommendations for enhancing digital strategies, strengthening stakeholder collaboration, and integrating social media efforts with policy development and environmental education. Full article

The present study explores the emerging role of “public affairs live streamers” on the short video platform Kuaishou, examining how these individuals have evolved into new forms of rural elites, expanding opportunities for civic participation and rural governance in China. Through content analysis and case studies, the research identifies six key themes central to the streamers’ discourse: land and property issues, financial aid and subsidies, policy and governance, advocacy for the public, educational outreach, and customs. These themes underscore their role as rural knowledge elites who bridge the gap between the government and rural residents through digital platforms. The study further examines the mechanisms behind the emergence of “public affairs live streamers”. Empowered by the platform, these streamers effectively convert their cultural capital into online social capital, which may then be partially transformed into offline social influence and economic returns. However, their empowerment is constrained by the platform’s algorithm distribution mechanisms and opaque content regulation, making the conversion of capital unstable, traffic-dependent, and challenging to sustain. Linking to the broader socio-political landscape, the study delves into the empowering role of “public affairs live streamers” in society. These online rural elites blend knowledge with digital skills to facilitate public engagement and inspire civic awareness in rural areas through their activities. Nonetheless, their contribution to rural governance and civilization is often limited to informal mediation and emotional expression, with limited capacity to foster rational discourse or deeper improvements in rural governance. Overall, this study contextualizes the rise of rural elites within China’s rapid technological and rural development, offering a fresh perspective on how digital media can supplement governance strategies and enhance grassroots’ civic participation. Based on this analysis, the study proposes recommendations for improving platform governance and integrating public affairs streamers into broader participatory frameworks, thereby stabilizing their empowering effects and promoting sustainable rural governance. Full article

Intimate partner violence (IPV) continues to be a serious public health issue, particularly in Ghana. It is crucial to create evidence-based, preventative measures to stop IVP. This study empirically investigated the factors related to married women’s perceptions of male IPV against women. The United Nations Sustainable Development Goals (SDGs) (Goal 5.2) advocate for the elimination of male violence against women by governments, hence this study contributes to monitoring the progress being made. This study employed cross-sectional secondary data from Ghana Multiple Indicator Cluster Surveys (MICS) conducted in 2018 with a sample of 14,237 women aged 15–49. Data were analyzed using descriptive statistics and bivariate and multivariate logistic regressions, and the results were presented as odds ratios (ORs) with a confidence interval (CI) of 95%. Women’s justification of male IPV against women was correlated with socio-demographic factors such as education level, marital status, age of the woman, area of residence (rural or urban), ethnic background, and economic disadvantage (wealth status). Higher educated women (OR 0.248 [95% CI 0.185–0.332, p < 0.001]) were less likely to justify male IPV against women than women with no/less formal education. Women who were in the richest quintile (OR 0.766 [95% CI 0.634–0.926, p = 0.006]) were less likely than those in the poorest/lowest quintile to rationalize/justify intimate partner violence. In terms of ethnicity of the household head, the Ga/Dangme (OR 0.86 [95% CI 0.714–1.036, p = 0.112]) had lower odds of justifying male IPV against women compared to the Akan. The government, through the Ministry of Gender and Child Protection and women’s advocacy groups, should devise strategies, programs, and policies to empower women through formal education and economically through job training and employment support for women and victims to help them achieve financial independence and reduce negative attitudes toward women and the prevalence of male IPV against women. Full article

Background: Early Hearing Detection and Intervention (EHDI) is essential for minimising the negative impact of childhood hearing loss on speech, language, and cognitive development. However, in low- and middle-income countries such as South Africa, various challenges hinder the implementation of EHDI services, leading to delayed diagnosis and intervention. Aim: This study explores caregivers’ experiences with EHDI services, identifying key challenges and facilitators affecting access and timely intervention. Methods: A narrative inquiry approach was used as part of a broader research initiative on family-centred EHDI. Nine caregivers of children who are deaf or hard of hearing (DHH) were purposively sampled, and data were collected through semi-structured interviews. Results: Thematic analysis revealed systemic and structural challenges, logistical and financial constraints, and caregiver-related factors that hindered access to EHDI services. Key facilitators included caregiver knowledge and advocacy, family support services such as counselling and South African Sign Language training, and high-quality audiological and educational services. Conclusions: Findings emphasise the need for policy-driven reforms, including expanding newborn hearing screening programmes, improving financial assistance mechanisms, and increasing public awareness. Addressing these challenges and leveraging facilitators can help South Africa align with global EHDI benchmarks and improve outcomes for DHH children. Full article

Background: Infertility is a neglected global public health issue, particularly in the Global South, where policy interventions and research remain limited. In China, rising public demand and declining birth rates have renewed interest in integrating fertility care into reproductive health policies, though operational challenges and systemic gaps persist. Objectives: This study aims to explore the perceptions of health system professionals regarding the opportunities and barriers to integrating fertility care into China’s reproductive health policy. Methods: This qualitative study involved 31 interviewees, including health system leaders (n = 5), health practitioners (n = 21), and civil society advocates (n = 5), from November 2023 to October 2024. The transcribed and anonymized data were thematically analyzed using MAXQDA version 2020, guided by the World Health Organization’s health system building blocks framework. Results: Interviewees reported that integrating fertility care has markedly improved service accessibility and quality, driven by strong governmental leadership. They identified opportunities for further progress through focused government initiatives, expanded public–private partnerships, and the adoption of international best practices, while also noting obstacles such as operational challenges, systemic policy gaps, uneven resource distribution, and persistent cultural stigma. Conclusions: The findings underscore the need for a robust national policy framework, sustainable funding mechanisms, and enhanced primary healthcare capabilities, along with cultural advocacy and awareness campaigns to reduce stigma and foster equitable access. Full article

Background: The Healthy, Hunger-Free Kids Act was passed in 2010 to update nutrition standards in the National School Lunch and Breakfast Programs to be in accordance with evidence-based guidelines. In 2017 and 2020, the United States Department of Agriculture proposed flexibilities to the nutrition standards for milk, whole grains, and sodium. Objective: This study examines the positions used by stakeholders in support for or opposition to the proposed rules. Methods: We conducted a longitudinal qualitative content analysis of public comments posted to the U.S. Federal Register in response to the USDA’s proposed rules in 2017 and 2020. All public comments submitted by individuals and organizations were analyzed (n = 7323, 2017 and n = 2513, 2020). Results: Results indicated three categories of arguments: (1) comments favoring the original law, (2) comments favoring flexibilities, and (3) other. In both comment periods, constituents opposed the implementation of flexibilities, while schools and manufacturers/industry predominately supported them. Academic and advocacy organizations opposed the original proposed change (2017) but relaxed their position in 2020. Conclusions: Any flexibility to the required nutritional standards of school meals has the potential to affect the health trajectory of youth. It is imperative to understand how stakeholders view this issue and inform policy change. Full article

This study examines the framing of African technological innovations in Western media over the past two decades (2003–2023), focusing on four case studies: M-Pesa, LifeBank, FarmDrive, and NigeriaSat-1. Using a qualitative research design that integrates content analysis and framing theory, we analyze how major media outlets, including the BBC, CNN, The Guardian, Reuters, and The New York Times, represent African innovations. The analysis reveals that media coverage tends to frame these innovations primarily through a humanitarian lens, emphasizing their role in addressing poverty, healthcare, and food security challenges. While highlighting the social impact of these technologies, this narrative often overlooks their broader potential for global scalability and industry disruption. To complement the content analysis, we conducted 24 semi-structured interviews with tech entrepreneurs, media professionals, and scholars from Kenya, Ghana, Nigeria, and Senegal, investigating their perspectives on how Western media coverage impacts investment and collaboration in African technological sectors. The interview findings confirm that such media portrayals hinder international investment and partnership opportunities by reinforcing the narrative that African technologies are primarily crisis management tools, rather than innovative solutions with global market potential. This article argues for a shift in this narrative, recommending policies that include strategic media advocacy, enhanced public relations, and increased investment in Research and Development. Full article

Climate change presents one of the biggest global threats to society, while the impact of its manifestations on human health has been poorly characterized and quantified, especially in middle- and low-income countries. The perceptual views of health professionals about the climate and health nexus are critical for the effective implementation of climate policies. The Sierra Leone health professionals are no exception to this, and no such data exist for their country. To this extent, we distributed a cross-sectional survey to understand the perceptual views and beliefs of health professionals in Sierra Leone about the climate and health nexus. A validated international questionnaire on the topic was electronically administered to 265 participants. A descriptive analysis of the survey responses was conducted. Results showed that almost all of the respondents (97%) felt that climate change is an important issue; more than half (68%) of them were very worried about climate change, and 28% were somewhat worried. About half of respondents believed that human activities mostly caused climate change, while 40% of health professionals felt this was equally caused by human activities and natural changes in the environment. The need to engage health professionals with the public and policymakers to bring the health effects of climate change to their attention was particularly highlighted; however, most respondents (81%) stated that numerous barriers impede them from doing so. The most widely reported barriers and needs were the need for training to communicate effectively about climate change and health (96%) and guidance on creating sustainable workplaces (94%), followed by the need for lifelong training and education programs on climate and health, and the lack of time (73%). These survey findings would be valuable to policymakers in Sierra Leone and the broader African regions towards mitigating and adapting to climate change threats to human health. Full article

This brief commentary describes the reflections on a fundamental question by the Public Interest Group on Cancer Research, a successful academic-community partnership focused on cancer research, education, public engagement, and advocacy in Canada’s Eastern province of Newfoundland and Labrador. Our Group has achieved some success in a short time with very limited funding. It has successfully created public spaces for conversations about cancer care and priorities for research and regularly advocated for health service change prioritized by input from patients and family members. However, we remain challenged in our understanding of how to truly implement change within oncology care contexts that is informed by patients and families affected by cancer. In this short reflection, we hope to raise awareness of this important issue and question whose responsibility it is to work with patients and families and follow through on prioritized healthcare issues and services. We suggest this may be a matter of integrated knowledge translation and a better understanding of where patients and families fit in this space. We hope to encourage reflection and conversation among all relevant stakeholders about how best to implement patient-prioritized change in oncology care and policy. Full article

This study investigates the adoption of green design strategies in Nigerian public buildings, focusing on architects’ perspectives and practices. Through qualitative interviews, architects demonstrated a shift towards sustainability, emphasising passive design, active technologies, water conservation, and sustainable materials. Challenges of the adoption include cost constraints and technical complexities, among others. The study recommends that prioritised collaborative action, community engagement, and policy advocacy would facilitate the implementation of green architecture. Despite limitations, the study findings contribute to Nigeria’s architectural landscape sustainability. The study underscores the potential for Nigeria to lead in sustainable architecture, aligning with global goals for climate resilience and environmental stewardship. Full article