Policy Community Research Articles

Achieving synergistic benefits through integrated governance of cultivated cadmium contamination via multistakeholder collaboration.

Rice serves as a vital staple food, but its accumulation of cadmium (Cd) has sparked widespread concerns regarding food safety and ecosystem security. Here, we conducted a seven-year systematic field experiment in the Xiangjiang River Basin of China, where an integrated governance framework (IGF) was established to ensure rice safety. The IGF, tailored to geographical zoning and pollution gradation, includes targeted soil treatments, crop management strategies, and stakeholder engagement. The quality of both the soil and the crop was improved, with a reduction in soil Cd availability of 36%, and a decrease in Cd in rice grain of 57-78%. This framework not only addresses multiple challenges but also supports sustainable development goals (SDGs 2, 3, 6, 9) by fostering comprehensive synergies among science, policy, and local community participation. Our findings provide empirical guidance for safe rice production in Cd-contaminated areas and provide solid scientific-driven decision support globally.

Men's mourning experiences for the death of a loved one: An integrative review.

To analyze the current state of knowledge regarding men's mourning experiences following the death of a loved one. An integrative review was conducted using quantitative, qualitative, and mixed-methods studies published in English or Spanish between 2017 and 2022 that investigated men's mourning experiences. Studies focused on grief in participants with different sexes or gender identities, maladaptive grief, persistent complex bereavement disorder, prolonged grief disorder, bereavement over pets, or losses other than a human death were excluded. Additionally, reviews, books, theses, editorials, and opinion pieces were not included. The search was conducted in CINAHL, PubMed, and Scopus in 2023. JBI tools were used for quality appraisal, and the analysis employed the constant comparative method. Our analysis of eight English-language documents with evidence levels IV-VI, informed by the Socioecological Model of Men's Grief, revealed that factors at individual, interpersonal, community, and public policy sublevels interact significantly to shape men's grief experiences. Themes emerged along a continuum of intuitive and instrumental coping responses, including adaptive and maladaptive coping strategies, loneliness and social support needs, the influence of societal constructions of masculinity and the grieving process in men. Men's mourning experiences are complex and multifaceted, influenced by diverse expressions of masculinity and the interaction of various contextual factors. The Mental Health Nursing Process should prioritize understanding and addressing the unique experiences of bereaved men.

Navigating the Technological Tug-of-war: European Think Tanks’ Perspectives on the China–US Tech Competition

The China–US Tech Competition has become a focal point of current international research. In the context of this technological competition, Europe faces the challenge of determining its positioning. As a significant force influencing European policy direction, the perspectives of European think tanks on the China–US technology competition deserve considerable attention from the academic and policy communities. This study examines research findings from eight prominent European think tanks as the sample and employs literature analysis approach to interpret the origins, impacts and prospects of the China–US technology competition from the viewpoint of European think tanks. Additionally, the study assesses Europe’s policy orientation within this technological rivalry. The research indicates that European think tanks are dedicated to providing comprehensive and objective information and recommendations to European decision-makers. Overall, European think tanks adopt a relatively neutral stance on the China–US technology competition, which may reflect certain resistance to the United States’ efforts to create a technological coalition against China by courting Europe. Looking ahead, it is crucial to further investigate the perspectives of European think tanks on the China–US technology competition in order to promote a clearer positioning of Europe’s role and responsibilities within this intense competition. Additionally, conducting research from a third-party perspective will help us gain a comprehensive understanding of the global impact of the China–US technology competition and Europe’s position and role in this context.

Internal communication from a happiness management perspective: state-of-the-art and theoretical construction of a guide for its development

ObjectiveThis study aims to conduct a literature review and meta-analysis on the use of Happiness Management strategies in internal communication. The objective was to extract theoretical constructs of dimensions and indicators for the development of a guide for its application, validated by a panel of experts.MethodsA systematic literature review and meta-analysis was performed under the protocol of the PRISMA Extension Guide of articles indexed in the Scopus database (2019–2024). The total number of extracted documents (n = 479) was screened based on the inclusion criteria, and the sample was delimited by 49 studies. Subsequently, after reading and analyzing the research, the dimensions and indicators of internal communication from a Happiness Management perspective were clustered. This guide was submitted to a panel of 13 experts who determined the reliability and validity of the construct and content using the Content Validity Index (CVI).ResultsThe dimensions and indicators emerging from the literature were validated with an average (X¯\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$\\overline{\\mathrm X}$$\\end{document}) of 3.36/4, achieving a level of inter-judge agreement (CVI) of 0.86, an excellent agreement of 86%, and an average score of 2.90/4 (high). The guide was composed of 9 dimensions of internal communication: Attitudes of the leader, employer or supervisor, Climate and communication policies, Feedback and recognition, Organizational environment and structures, Peer and informal communication, Organizational culture and business perspective, Employee-organization relationship, Communication media and platforms, and Employee attitudes, which brought together 103 variables. These dimensions were then reorganized into the three macro-dimensions of the Happiness Management philosophy: (1) active construction of a healthy work environment and well-being, (2) formation of employees’ positive personality, and (3) active emotional experience during the working day to build the internal communication development guide from the Happiness Management perspective.ConclusionsIntegrating Happiness Management into internal communication can significantly enhance employee well-being and organizational effectiveness. The validated framework provides a detailed guide for aligning internal communication strategies with the Happiness Management principles.

Tracing the Success of QRIS Policy Implementation in Surabaya City’s Parking Levy System

This research explores the effectiveness of the Surabaya City Government’s policy on parking levy payments via the Quick Response Code Indonesian Standard (QRIS). The study aims to analyze the policy’s success in increasing Regional Original Income (Pendapatan Asli Daerah or PAD) and enhancing community welfare by improving the payment experience for parking users and supporting efficient management by parking attendants. Using Van Meter and Van Horn’s policy implementation framework, which includes six critical factors—policy standards and objectives, resource allocation, characteristics of implementing organizations, inter-organizational communication, implementer disposition, and socio-political and economic environment—the study evaluates both the facilitating and hindering elements of the policy. A qualitative descriptive methodology was employed, with data gathered through literature reviews, field observations, and structured interviews with key stakeholders, including government officials, parking service providers, and users. Analysis revealed that QRIS implementation has been beneficial in promoting transparency and efficiency in revenue collection, supporting PAD growth. However, challenges such as varying levels of digital literacy among users, limited internet access in certain areas, and reluctance among some parking attendants to adopt digital systems were identified as barriers to optimal implementation. Key findings suggest that the policy’s long-term success hinges on consistent inter-agency coordination, community engagement initiatives to raise digital payment awareness, and ongoing training for parking attendants to improve digital proficiency. The study concludes that achieving sustainable success in implementing non-cash transactions for parking levies requires a holistic approach, integrating community awareness, inter-organizational support, and policy adaptability. This research offers valuable insights for policymakers seeking to improve public service delivery through digital transactions. It highlights the importance of adaptive management in fostering community welfare alongside regional revenue growth.

Daily pro-environment behavior in a Pakistani sample: Self and collective efficacy, individual and social norms and environmental concerns

The aim of this study was to analyze the perceived self and collective efficacy, individual and social norms and feelings related to environmental health concern among a sample of Pakistanis who are (or are not) engage in pro- environment behaviors in their daily lives. An ad hoc questionnaire with scales on pro-environmental behavior, self and collective efficacy, individual and social norms, and environmental health concerns was administered to adults in Lahore, Pakistan, and 833 respondents (62% males and 38% females) responded. Analysis of our research data shows that among those who engaged in daily pro-environmental behaviors, perceptions of individual and social norms and individual and collective efficacy were positively associated with concern for the environment and health. This study offers some interesting ideas that could be useful in developing federal, regional, local and community policies to promote daily pro-environmental behaviors. For example, in addition to advocating for environmental health and reducing one’s ecological footprint, social communication could explain that caring about environmental health (and thus adopting daily pro-environmental behaviors) is a way to manage one’s mental health. In this way, circular behavior is encouraged, which not only benefits the environment and the community, but also brings personal benefits.

Improving health literacy and stakeholder-directed knowledge of One Health through analysis of readability: A cross sectional infodemiology study

BackgroundThe One Health approach involves collaboration across several sectors, including public health, veterinary and environmental sectors in an integrated manner. These sectors may be disparate and unrelated, however to succeed, all stakeholders need to understand what the other stakeholders are communicating. Likewise, it is important that there is public acceptance and support of One Health approaches, which requires effective communication between professional and institutional organisations and the public. To help aid and facilitate such communication, written materials need to be readable by all stakeholders, in order to communicate effectively. There has been an exponential increase in the publication of papers involving One Health, with <5 per year, in the 2000s, to nearly 500 published in 2023. To date, readability of One Health information has not been scrutinised, nor has it been considered as an integral intervention of One Health policy communication. The aim of this study was therefore to examine readability of public-facing One Health information prepared by 24 global organisations. MethodsReadability was calculated using Readable software, to obtain four readability scores [(ⅰ) Flesch Reading Ease (FRE), (ⅱ) Flesch-Kinkaid Grade Level (FKGL), (ⅲ) Gunning Fog Index and (ⅳ) SMOG Index] and two text metrics [words/sentence, syllables/word] for 100 sources of One Health information, from four categories [One Health public information, PubMed abstracts; Science in One Health (SOH) abstracts (articles); SOH abstracts (reviews)]. ResultsReadability of One Health information for the public is poor, not reaching readability reference standards. No information was found that had a readability of less than 9th grade (around 14 years old). Mean values for the Flesch Reading Ease and Flesch Kincaid Grade Level were (19.4 ​± ​1.4) (target >60) and (15.6 ​± ​0.3) (target <8), respectively, with mean words per sentence and syllables per word of 20.5 and 2.0, respectively. Abstracts with “One Health” in the title were more difficult to read than those without “One Health” in the title (FRE: P ​= ​0.0337; FKGL: P ​= ​0.0087). Comparison of FRE and FKGL readability scores for the four categories of One Health information [One Health public information, PubMed abstracts; SOH abstracts (articles); SOH abstracts (reviews)] showed that SOH abstracts from articles were easier to read than those from SOH reviews. No One Health public-facing information from the 100 sources examined met the Flesch Kincaid Grade Level target of ≤8. The most easily read One Health information required a Grade Level of 9th grade (14–15 year old), with a mean Grade Level of 15.5 (university/college level). ConclusionConsiderable work is required in making One Health written materials more readable, particularly for children and adolescents (<14 years of age). It is important that any interventions or mitigations taken to support better public understanding of the One Health approach are not ephemeral, but have longer lasting and legacy value. Authors of One Health information should consider using readability calculators when preparing One Health information for their stakeholders, to check the readability of their work, so that the final material is within recommended readability reference parameters, to support the health literacy and stakeholder-directed knowledge of their readers.

Looking to the past: Investigating 10-year place histories as a determinant of home food environments in the Healthy Communities Study

Emerging research suggests there is a need to consider the importance of place histories in studying neighborhood effects. Guided by a life course of place framework, the objective of this study is to investigate the relationship between two place history exposures and three contemporary home food environment outcomes. Exposures included 10-year neighborhood socioeconomic status (SES) histories and multi-year nutrition community programming and policy (CPP) histories. Outcomes included the availability of healthy foods in the home, the availability of unhealthy foods in the home, and household food insecurity. Associations are investigated using cross-sectional and retrospective data on 4210 US families in the national, observational Healthy Communities Study (2013–2015). Multilevel regression models, adjusted for household income and other factors, were fit for each exposure and outcome. Households residing in neighborhoods with intermittently low, consistently moderate, intermittently high, and consistently high SES histories had greater availability of healthy foods in the home than households in neighborhoods with consistently low SES histories (adjusted βs: 0.11 [95% CI: 0.02, 0.20], 0.13 [95% CI: 0.06, 0.21], 0.23 [95% CI: 0.13, 0.34], and 0.24 [95% CI: 0.15, 0.33], respectively). Households in consistently high SES neighborhoods also had a lower likelihood of household food insecurity than those in consistently low SES neighborhoods (adjusted OR: 0.54 [95% CI: 0.42, 0.71]). Neighborhood SES histories were not significantly associated with the availability of unhealthy foods in the home. Nutrition CPP histories were not significantly associated with food insecurity or the availability of unhealthy foods in the home. However, more intense nutrition CPP histories were significantly associated with greater availability of healthy foods in the home. Moreover, effect estimates increased with more long-term historical accounts of CPPs (adjusted βs: 1-year CPP histories, 0.21 [95% CI: 0.03, 0.39]; 3-year CPP histories, 0.22 [95% CI: 0.03, 0.41]; 6-year CPP histories, 0.25 [95% CI: 0.04, 0.46]; 10-year CPP histories, 0.28 [95% CI: 0.05, 0.50]). To curb food insecurity and promote the availability of healthy foods, the findings suggest considering how neighborhoods develop and evolve over time with respect to SES and nutrition CPP implementation.

Applying arts to health interventions and health research in Ghana: a scoping review.

This review documents arts applied to health interventions and health research in Ghana, examines evidence of their impact on health outcomes, and identifies research and practice gaps. Eight databases (MEDLINE, Academic Search Complete, CINAHL, Health Source: Nursing/Academic Edition, Humanities International Complete, Scopus, African Journals Online and PsycINFO) were searched for articles published between 2000 and 2022. Following screening, seventeen articles reporting sixteen eligible studies were selected. Ten art forms (including comedy, music, theatre) were applied to eight health conditions (including HIV/AIDS, mental illness, COVID-19). Most studies involved artists and artist-researchers. The majority of studies were cross-sectional. Impact was reported on health education, illness management and community health development. Some studies engaged with health policy communities, but none reported impact on health policy change. Creative arts have a reported measurable impact on selected health outcomes in Ghana. Participatory arts-based projects have the greatest potential for sustainable and transformational social health impact.

Situating inservice teacher training in reform community of developing holistic competence to engage practice

This article investigates the situating of inservice teacher training (TT) in teaching-learning, education, and other sector reform communities for developing holistic competence to engage practice. It vignettes a holistic inservice TT resilience to situate in an often transient reform community of developing capacity to engage practice, including competence-based education (CBE) reform that often spews vague ideas in pieces amid low incentive and commitment to undergo practice. To assist, this article adopts the situated learning lens to investigate the extent to which contextualising inservice TT in authentic teaching-learning reform community resources develops competence to engage practice. In this holistic regard, the article mixes text, interview, and questionnaire methods involving 420 Cameroon inservice TT-CBE reform community subjects as part of the global education-for-all-practice reform flow. From findings, few teachers undergo narrow inservice training and lead few partners in reform oration, resenting few means and evading complex teaching-learning reform community practices. Inservice TT’s bare oration of public education policy and reform community changes prepares teachers to facilitate teacher-centred acquisition of less competence than what learners need to engage practice. The article opines ongoing inservice TT preplanning-research, onsite activity, and outcome sustainability themes to further situate in authentic reform community resources to develop holistic competence to engage complex practice.

Implementing regional blue economy research and innovation strategies: a case study for the Black Sea

The Black Sea is a vital resource with vast potential to boost the societal value of the Blue Economy for its surrounding countries. Improved knowledge and enhanced infrastructure together with better coordination and alignment of research and innovation efforts are critical for the better management of the deteriorated Black Sea ecosystem to help restore and maintain its resilience and enable sustainable use of natural resources. In 2019, the Black Sea Strategic Research and Innovation Agenda (Black Sea SRIA), was developed by the Black Sea experts, in cooperation with European marine institutes and organizations, with the support of the European Commission. Black Sea SRIA presents the priorities and ecosystem-based management options needed for a healthy, sustainable, and resilient Black Sea. Since 2019, efforts focused on developing concrete actions under the Black Sea SRIA Implementation Plan (IP) to contribute to the national blue economy strategies, better structuring of the relevant funding mechanisms for solution-oriented implementation and the international and regional strategies, supporting the co-funding mechanisms. In this study, we present a transnational process that has led to the development of the IP which utilized a bottom-up, co-design and co-creation-based approach. The SRIA and its IP support better governance of the blue economy principles towards sustainable development and conservation of unique Black Sea ecosystems. The Black Sea SRIA and IP address the fundamental research challenges of the region, promote the blue economy, and also build vital support systems and innovative research infrastructure and capacity together with academia, funding organizations, industry, policy, civil society and local communities. The IP is a long-lasting guide to catalyze new ideas and innovations towards and with the Black Sea community with strong implications for other sea basins.

Implementation of the ASEAN Political-Security Community (APSC) Blueprint by Indonesia in Handling Rohi Ngya Refugees in Aceh (Community Security Perspective)

The ongoing humanitarian crisis faced by Rohingya refugees has drawn significant attention across Southeast Asia, particularly regarding Indonesia’s response under the ASEAN Political-Security Community (APSC) Blueprint. This study aims to analyze Indonesia's implementation of APSC policies in handling Rohingya refugees in Aceh, focusing on the balance between community security and humanitarian obligations. Using a qualitative approach, this research employs a case study method, analyzing data from policy reports, official documents, and community feedback. The findings indicate that while Indonesia has made efforts to assist refugees, challenges persist due to limited legal frameworks and mixed local reception. The study reveals that community security concerns, alongside the lack of comprehensive refugee policies, have led to social tensions in Aceh, impacting both the refugee population and the host community. The research concludes that to enhance the effectiveness of APSC policies, Indonesia must foster greater community engagement and optimize resource allocation, thus promoting a more stable environment for both refugees and local residents.

Participant Diversity in Stroke‐Related Medical Device Trials: Historical Context and Ongoing Challenges

Despite an acknowledgment of the ethical and clinical importance of recruiting diverse populations into clinical trials, there is a continued underenrollment of patients with diverse demographic characteristics within the field of neurology and more specifically, in stroke‐related device trials. Efforts on the part of the US Congress, the National Institutes of Health, the US Food and Drug Administration, and the Centers for Medicare &amp; Medicaid Services over the past several decades have attempted to increase trial participant diversity with varying success. This historical context provides an important lens for analyzing diversity proposals and their bearing on device trials in the field of stroke neurology. Despite economic and logistical challenges, recruitment of appropriately diverse clinical trial populations through policy change and community engagement is critical to continuing to advance health equity goals.

Collaboration to Reduce Sudden Unexpected Infant Death With Child Fatality Review and Outreach.

Sudden unexpected infant death (SUID) is the leading cause of postneonatal infant mortality in the United States, with disproportionately high rates in Baltimore City and Baltimore County in Maryland. This Advocacy Case Study describes the collaboration between the City and County Child Fatality Review teams to decrease infant mortality. B'more for Healthy Babies, formed in 2009 by the Bureau of Maternal Child Health in Baltimore City with the goal of reducing infant mortality through policy change, service improvements, community mobilization, and behavior change has had a sustained effort to respond to SUID. Recognizing that infants born in Baltimore City often reside in Baltimore County (and vice versa), collaboration with Baltimore County has been essential to increasing B'more for Healthy Babies' scope, reach, and effectiveness. Public health messaging campaigns, creation, and dissemination of a "SLEEP SAFE" testimonial video, and Safe Sleep Summits have involved caregivers, healthcare providers, and community partners. Outcomes of this ongoing collaboration demonstrate a decrease in sleep-related infant mortality rates. Our findings also highlight the need for continued, real time monitoring of sleep-related infant mortality trends with a coordinated, multidisciplinary, and crossjurisdictional response. This initiative can serve as a model of cross-sector communication that can be replicated in other similar geographic locations to further reduce SUID.

Driving Thailand healthcare communication policy on e-cigarettes through social network analysis

E-cigarettes pose a significant public health concern, particularly for youth and young adults. Policymaking in this area is complicated by changing consumption patterns, diverse user demographics, and dynamic online and offline communities. This study uses social network analytics to examine the social dynamics and communication patterns related to e-cigarette use. We analyzed data from various social media platforms, forums, and online communities, which included both advocacy for e-cigarettes as a safer smoking alternative and opposition due to health risks. Our findings inform targeted healthcare policy interventions, such as educational campaigns tailored to specific network clusters, regulations based on user interaction and influence patterns, and collaborations with key influencers to spread accurate health information.

Communication barriers to optimal access to emergency rooms according to deaf and hard-of-hearing patients and health care workers: A mixed-methods study.

This study aimed to identify communication barriers between health care workers (HCWs) and deaf and hard-of-hearing (DHH) patients. Both perspectives are offered to provide a comprehensive understanding. Two consecutive studies were conducted from 2018 to 2021. Study 1 comprised mixed methods, employing a cross-sectional survey (n = 288) and in-depth interviews (n = 9) with DHH participants, utilizing accessible tools including sign language. Study 2 involved a cross-sectional survey of health care emergency workers without hearing loss (N = 391). The perceived self-efficacy of DHH patients, and not their hearing loss, was linked with their ability to communicate independently with HCWs. No significant differences in successful communication with these providers were found vis-à-vis mode of communication utilized (sign language, writing, interpreter, etc.). In the qualitative findings, DHH patients noted two urgent care barriers: HCWs' communication unfamiliarity and patients' communication accessibility issues. Quantitative findings indicated a main barrier: difficulties in communicating with HCWs in general (57%) and specifically in the emergency room (ER; 65%). Only 28.8% reported being able to independently communicate with ER staff. Health care providers were not familiar with effective communication strategies when treating these patients. Respondents indicating that communication was not a barrier to care were mainly administrative staff (54.55%), compared to nurses (32.74%) and physicians (22.58%). Communication solutions are needed to improve access to health services, especially in emergencies. Providing medical staff training on effective communication strategies with these patients could simplify interactions and reduce the reliance on hearing family members, potentially improving medical care. Implementing a communication policy for frontline staff, along with the use of visual aids, is crucial. Health care professionals may not realize that small changes can greatly improve communication with DHH patients.

Responsible innovation across societal sectors: a practice perspective on Quadruple Helix collaboration

ABSTRACT To address societal challenges, research and innovation approaches, involving a wide range of actors, are increasingly promoted by policy communities. This paper explores the practice of Quadruple Helix collaborations for responsible innovation and how these implement the theoretical ambition of including actors from different societal sectors in innovation, including actors from the fields of arts, media and civil society, which is conceptualized as the Fourth Helix in this concept. Referring to cross-sector collaboration literature and based on an empirical investigation, we explore which actors, representing the Fourth Helix, actually engage in innovation collaborations, how this engagement plays out in practice, and the institutional and systemic dynamics involved in output and value creation. We rely on data from three Social Labs in Austria, Germany, and the Netherlands, which constitute qualitative, change-oriented research processes, where we researched and engaged with actors from cases constituting- or aiming for a Quadruple Helix collaboration. This was accompanied by a desktop study including qualitative interviews of 51 further cases. We find that the actual engagement of actors from civil society is fragile and that forces beyond Quadruple Helix cases impact these quite firmly in some cases.

Breaking barriers: The impact of girls’ education on poverty eradication in northern Nigeria – A Focus on Sokoto State

This research explores the critical role of girls' education in alleviating poverty in Sokoto State, Nigeria. It highlights the significant gender disparities in educational access, driven by cultural norms that prioritize boys' education, which impede both individual potential and broader economic growth. The research underscores that educated women contribute to workforce participation and family income, thereby fostering community development and reducing poverty. Despite some progress, challenges such as socio-cultural attitudes, inadequate infrastructure, and economic constraints persist, necessitating a multi-faceted approach involving policy reforms and community engagement. The study employs a mixed-methods methodology, revealing that while enrolment rates have improved, gender inequities remain pronounced. It advocates for targeted interventions and community involvement to shift perceptions and enhance girls' educational opportunities, ultimately aiming for sustainable development goals in Northern Nigeria.

Rhetorical Precision in Educational Leadership: Optimizing Policy Communication for Effective Governance

Rhetorical Precision in Educational Leadership: Optimizing Policy Communication for Effective Governance

Sickle cell disease burden among tribal population of India: a narrative review

Sickle cell disease (SCD) is a serious health challenge for tribal communities in India. These groups often have limited access to healthcare, lack proper awareness of the disease, and face higher rates of illness and death due to SCD. This review looks at the impact of SCD on tribal populations and identifies the states where the burden is most significant. A review of existing literature was conducted using sources like PubMed and Google Scholar. The focus was on studies that explored the prevalence of SCD among tribal populations. Various government reports and research articles were also examined to create a well-rounded understanding of how SCD affects these communities. The findings show that Madhya Pradesh and Chhattisgarh have particularly high rates of SCD compared to other parts of India. In these states, between 10% and 30% of tribal groups carry the sickle cell trait. Other states, such as Odisha and Maharashtra, have lower rates of the disease, suggesting that specific attention is needed in regions like Madhya Pradesh and Chhattisgarh to manage the disease more effectively. SCD continues to pose a serious public health issue in India’s tribal regions, particularly in certain states. It is essential to develop strategies that focus on raising awareness, improving access to healthcare, and managing SCD effectively in these communities. Public health efforts must include community involvement, education programs, and policy changes to better address the unique challenges faced by these populations.