We discuss how corruption affects access to antiretroviral therapies (ARVs) globally. Recent cases of theft of ARVs, collusion, and manipulation in procurement found in countries such as Central African Republic, Bangladesh, Malawi, and Guinea, show there is still much work to be done to reduce the risk of corruption. This includes addressing the structural weaknesses in procurement mechanisms and supply chain management systems of health commodities and medicines.
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http://dx.doi.org/10.1002/cpt.1172 | DOI Listing |
Educ Action Res
June 2024
Department of Public Health, Leiden University Medical Center, Leiden, The Netherlands.
Globally, many complex issues, like the ageing population and health inequalities, require attention. People are experimenting to combat these issues in their local contexts through bigger or smaller networks; however, much of the knowledge about these initiatives remains localised and elitist and omits the voices and perspectives of citizens. This article identifies the characteristics of a more horizontal, emergent and plural epistemology to mobilize knowledge.
View Article and Find Full Text PDFGlob Ment Health (Camb)
December 2024
Department of Child and Adolescent Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Background: Engaging with personal mental health stories has the potential to help people with mental health difficulties by normalizing distressing experiences, imparting coping strategies and building hope. However, evidence-based mental health storytelling platforms are scarce, especially for young people in low-resource settings.
Objective: This paper presents an account of the co-design of 'Baatcheet' ('conversation' in Hindi), a peer-supported, web-based storytelling intervention aimed at 16-24-year-olds with depression and anxiety in New Delhi, India.
Asia Pac J Public Health
November 2024
School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, QLD, Australia.
The past decade has seen a rapidly changing landscape in priority areas for public health globally and, as such, across the teaching and learning curriculum for tertiary education in health sciences. The nature of some of these changes has led to pedagogical challenges in higher education that require transformative, interactive, and virtual modes of delivery and knowledge facilitation not previously seen. The COVID-19 pandemic, climate change, increasing health disparities, and a shift to a focus on noncommunicable diseases has merged with the changing nature of social, cultural, and technological preferences of the generations living through such times to see an increasing need in more viable teaching solutions for these "wicked problems.
View Article and Find Full Text PDFAnimal
December 2024
Animal Welfare Program, Faculty of Land and Food Systems, The University of British Columbia, 2357 Main Mall, Vancouver, BC V6T 1Z6, Canada. Electronic address:
Early life killing of male and female dairy calves not needed as replacements for the lactating herd poses a threat to the social sustainability of the dairy industry. However, implementing sustainable alternatives to this common practice is a complex challenge exhibiting many characteristics of a 'wicked problem'. Addressing these problems requires understanding the needs of a wide range of actors including farmers, their advisors, beef and dairy value chain stakeholders, the public, and the animals.
View Article and Find Full Text PDFPhilos Trans A Math Phys Eng Sci
December 2024
Camborne School of Mines, University of Exeter, Penryn Campus, Treliver Road, Penryn, Cornwall TR10 9FE, UK.
A transition to a more sustainable human-nature system is inextricably linked to raw materials production, if economic growth is to be maintained or increased by the emergence of new, energy- and metal-hungry technology innovation clusters. The dependence on mined raw materials is a wicked problem for societies vulnerable to negative ecological impacts and for global power bases wanting to secure access to an increasing array of feedstocks. We interrogate the issue of what constitutes a sustainable metal from a triple perspective: (i) the characteristics of ore deposits and the primary extractive operations that supply critical raw materials; (ii) the impediments for complex and interacting supply chains to maintain critical (and other) metals in use; and (iii) the lack of transparency in supply chains that makes it challenging for customers to avoid resources that have been produced by unsustainable and poor practices.
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