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Using Human Centred Design to Engage Men and Boys in Ending Harmful Practices among the Kuria Community in Kenya: Lessons from the Power to You(th) Project
Migori County’s Kuria community continues to experience high levels of FGM and SGBV due to entrenched patriarchal norms and limited male engagement. This paper documents a Human Centred Design (HCD) pilot under the Power to You(th) Project (2023–2025) that engaged adolescent boys, young men and elders as change agents through two co‑created models: the Positive Masculinity Program and the Kuria Intergenerational Assembly. Reaching over 900 participants, the intervention led to improved attitudes and behaviours, including increased reporting of FGM, reduced stigma against uncut girls, str
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Gender Dynamics in Vaccine Acceptance and Hesitancy Among Primary Caregivers in Ethiopia: A Mixed-Methods Study
This mixed‑methods study examined how gender norms influence childhood vaccination uptake in Ethiopia. While overall willingness to vaccinate was high, more than half of caregivers showed some vaccine hesitancy, particularly men. Hesitancy was shaped by traditional gender roles, misinformation, and socio‑economic factors, while education, family and religious support, and engagement with health workers increased acceptance. The findings highlight the ne
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Disparities and barriers to life-course vaccination in Ethiopia: Evidence from a household survey
This large-scale community-based study assessed life‑course vaccination coverage and inequities across four regions of Ethiopia in the context of Immunization Agenda 2030. Despite strong routine immunization performance, gaps persist: 9.1% of the population were zero‑dose and 11.2% under‑immunized, with particularly low coverage among marginalized groups. While coverage was relatively high
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Evaluating the role of the Health Bazaar Initiative on Sexual and Reproductive Health Service Utilization in Ethiopia: A Comparative Analysis of community- based interventions
The study shows that the Health Bazaar, a community-based intervention in Ethiopia, significantly improved access to sexual and reproductive health services compared to routine service delivery. Women in intervention areas had higher use of family planning, antenatal care, institutional delivery, and postnatal care, with stronger upward trends over time. Overall, the findings indicate that the Health Bazaar model is an effective and scalable approach for improving SRH and maternal health service utilization in low-resource settings.Read MoreUncategorizedFlowing toward well-being: exploring the nexus of clean water access and sexual reproductive health among women and girls in rural Uganda
This qualitative study explored how access to clean water affects the sexual and reproductive health (SRH) of women and girls in Jimo Parish, Uganda, revealing that entrenched gender norms, socio‑economic limitations, and women’s responsibility for water collection significantly shape their SRH challenges. Clean water access was found essential for maintaining menstrual, prenatal, and postnatal health, while limited access heightened vulnerabilities and restricted wellbeing. The study also showed that involving women in water‑related decision‑making improved both the accessibility and
Read MoreUncategorizedThe cost and cost drivers of delivering COVID-19 vaccines in low- and middle-income countries: a bottom-up costing study of rollouts in seven countries
This multi‑country study assessed the cost of delivering COVID‑19 vaccines across seven low‑ and middle‑income countries and found that financial costs ranged from $0.29–$2.18 per dose, while economic costs ranged from $1.14–$9.50, largely driven by labor. Costs were lower when vaccination volumes were high, when delivery occurred through campaigns rather than continuous services, and as programs scaled up. Health worker commitment, political support, and volunteers enabled efficient rollout despite major resource and staffing constraints. Overall, the findings show that countries
Read MoreUncategorizedAbstracts of the 11th Tanzania Health Summit
The article presents meeting abstracts from the 11th Tanzania Health Summit (2024), highlighting key public health research, including a matched case‑control study on the determinants of a cholera outbreak in Mwanza in early 2024. The study found that eating away from home, contact with cholera patients, and using Lake Victoria water for domestic purposes significantly increased the risk of infection, while prior health education on diarrheal diseases offered protective effects. The findings underscore the importance of improved water and sanitation infrastructure, food safety practices, hea
Read MoreUncategorizedIs it feasible to implement a community-based participatory group programme to address issues of access to healthcare for people with disabilities in Luuka district Uganda? A study protocol for a mixed-methods pilot study
This study outlines a pilot protocol for testing Participatory Learning and Action for Disability (PLA‑D) groups aimed at improving healthcare access for people with disabilities, who typically face significant barriers and poorer health outcomes. The pilot will be implemented in five groups in Luuka district, Uganda, each comprising around 20 people with disabilities, their caregivers, and family members, meeting every 2–3 weeks over 9–11 months to identify health access challenges and co‑create local solutions such as rights awareness, advocacy, and community‑based financing scheme
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