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  • New
  • Research Article
  • 10.25258/ijddt.16.17s.109
Media Narratives and Selective Justice: Coverage of Sexual Violence against Dalit and Adivasi Women in India
  • Apr 24, 2026
  • International Journal of Drug Delivery Technology
  • Dr.Rubi Talukdar + 2 more

This study explores how media narratives construct selective justice in cases of sexual violence against Dalit and Adivasi women in India. Building on community response frameworks and Dalit feminist body politics, we propose a novel method—Intersectional Media Justice Analysis (IMJA)—to systematically evaluate how caste and gender identities shape patterns of visibility and silence in reporting. IMJA integrates community perspectives, narrative framing, and intersectionality to uncover how remedial, institutional, or radical responses are mediated through selective coverage. Both high-profile cases and underreported incidents of sexual violence against Dalit and Adivasi women between 2010 and 2025 were considered to ensure temporal depth and contextual variety. Findings reveal that while certain cases receive disproportionate national attention, the majority remain marginalized, reinforcing structural inequities in justice delivery. Media often reproduces caste hierarchies by framing survivors in ways that undermine credibility or reduce them to symbolic victims. By introducing IMJA, this paper demonstrates the need for transformative media practices that challenge entrenched biases, amplify marginalized voices, and contribute to equitable justice for Dalit and Adivasi women.

  • New
  • Research Article
  • 10.25258/ijddt.16.18s.15
Media Narratives and Selective Justice: Coverage of Sexual Violence against Dalit and Adivasi Women in India
  • Apr 24, 2026
  • International Journal of Drug Delivery Technology
  • Dr.Rubi Talukdar + 2 more

This study explores how media narratives construct selective justice in cases of sexual violence against Dalit and Adivasi women in India. Building on community response frameworks and Dalit feminist body politics, we propose a novel method—Intersectional Media Justice Analysis (IMJA)—to systematically evaluate how caste and gender identities shape patterns of visibility and silence in reporting. IMJA integrates community perspectives, narrative framing, and intersectionality to uncover how remedial, institutional, or radical responses are mediated through selective coverage. Both high-profile cases and underreported incidents of sexual violence against Dalit and Adivasi women between 2010 and 2025 were considered to ensure temporal depth and contextual variety. Findings reveal that while certain cases receive disproportionate national attention, the majority remain marginalized, reinforcing structural inequities in justice delivery. Media often reproduces caste hierarchies by framing survivors in ways that undermine credibility or reduce them to symbolic victims. By introducing IMJA, this paper demonstrates the need for transformative media practices that challenge entrenched biases, amplify marginalized voices, and contribute to equitable justice for Dalit and Adivasi women.

  • New
  • Research Article
  • 10.20935/acadonco8233
Clinical and community perspectives on sport-based care for young adults with testicular cancer
  • Apr 15, 2026
  • Academia Oncology
  • Anika R Petrella + 4 more

Introduction: Testicular cancer is one of the most curable malignancies; however, a growing number of men live with the physical and mental health sequelae of the disease and its related treatments. Although supportive care research and programs for this population have expanded, engagement remains low. Sport has been identified as a potential gender-sensitized, community-based platform for delivering supportive care. The purpose of this study was to explore the perspectives of key clinical and community sport personnel perspectives on the feasibility, acceptability, and implementation considerations of a sport-based supportive care intervention for men living with and beyond testicular cancer. Materials and methods: Thirteen semi-structured interviews were conducted with testicular cancer care clinicians (n = 7) and community sport personnel (n = 6). Data were analyzed using an inductive, reflexive thematic analysis to identify key patterns and themes related to supportive care delivery through sport. Results: Three central themes were generated: (i) disrupted trajectories and unmet supportive care needs, (ii) the locker room method, and (iii) knowing when to pass the ball. These themes highlight the complex supportive care needs of young men with testicular cancer, the perceived value of informal peer-based sport environments for fostering engagement, and the importance of clearly defined roles and collaboration between clinical and community sectors. Conclusions: Sport-based supportive care interventions may represent a feasible and acceptable approach for men living with and beyond testicular cancer. Future interventional research should continue to meaningfully involve both clinical and community partners to enhance the relevance, accessibility, and sustainability of supportive care initiatives for this population.

  • New
  • Research Article
  • 10.1080/15528014.2026.2651494
Transporting Arctic foodways: the infrastructure of food sovereignty in Nunavut, Canada
  • Apr 15, 2026
  • Food, Culture & Society
  • Katrin Schmid

ABSTRACT The conversation around sustainable food in Canada’s Arctic today is inherently connected to the logistics of transportation. Drawing on ethnographic fieldwork (2022–2025), this research examines how control over Nunavut’s transport systems shapes food sovereignty and Nunavut’s sustainable foodways, asking whose interests current infrastructures serve and how to strengthen culturally appropriate access to food. Based primarily on participant observation, semi-structured interviews and focus groups, this article foregrounds community perspectives on hunting, sharing, and logistics. While country food remains central to wellbeing, identity, and daily practice, grocery stores are stocked with foods shipped up from the “South.” The article proposes reorienting transport toward inter-community connectivity, raising country food cargo priority, investing in year-round freezers, and long-term support for paid harvester programs as infrastructure for sustainable foodways. Ultimately, achieving food sovereignty in Nunavut requires infrastructure sovereignty and collaborative decision-making led by Nunavummiut.

  • New
  • Research Article
  • 10.1093/heapol/czag049
Health System Response and Recovery in Ukraine after Three Years of War: Perspectives of Front-Line Communities and Internally Displaced Persons.
  • Apr 14, 2026
  • Health policy and planning
  • Mark Hellowell + 4 more

Communities affected by war can play a vital role in sustaining and restoring health services, yet their perspectives are under-represented in the evidence base. This study examines the experiences of patients and health personnel in three front-line areas of Ukraine, as well as persons internally displaced due to the full-scale invasion of February 2022. Our findings reveal community perspectives on the effects of war-related insecurity, workforce shortages, and infrastructure damage on health system functions and service availability. Respondents identified health worker shortages - driven by safety risks and resource scarcity - as among the most pressing concerns. Amid these challenges, however, recent health financing reforms, notably the Programme of Medical Guarantees and Affordable Medicines Programme, were often viewed as mitigating factors. Internally displaced persons (IDPs) generally reported positive care-seeking experiences in their host communities, though administrative and information-related barriers continue to limit access for some. Capacity constraints in areas hosting large numbers of IDPs are seen as placing further stress on service availability. Respondents valued the coordinated efforts of humanitarian actors and local authorities in restoring services, helping to maintain trust and social cohesion. Many were sceptical about the feasibility of large-scale reconstruction in the short term, prioritising instead urgent security measures to protect facilities. However, they also acknowledged the importance of defining a long-term recovery strategy, and identified workforce strengthening, integration of humanitarian services, and sustained financial protection as critical priorities.

  • Research Article
  • 10.3389/fhumd.2026.1751158
Deconstructing urban flooding from the perspective of vulnerable communities in Northwestern Pakistan
  • Apr 13, 2026
  • Frontiers in Human Dynamics
  • Mushtaq Ahmad Jan + 8 more

The study aimed to deconstruct urban flooding in Peshawar (one of Pakistan's rapidly urbanizing cities) from the perspective of flood vulnerable communities. The research was conducted using a mixed-methods approach, synthesizing qualitative data with quantitative geospatial analyses of Land-Use/Land-Cover change and flood exposure. Qualitative data were collected through the Focus Group Discussion and In-depth Interviews checklist with a total sample size of 89 participants. The quantitative aspect (geospatial) was used to triangulate community-identified patterns (e.g., encroachment, land cover change). Study results reveal that the fast-increasing urban flooding phenomenon within Peshawar's rapidly urbanizing Bhudni Nullah Basin (BNB) is the outcome of a multifaceted and interrelated human-natural systems failures, driven by the merging of hydro-climatic conditions, anthropogenic modification and governance deficits. The basin's intensifying flood risk is fundamentally linked to impaired hydrological response resulting from rapid and unplanned urbanization. Erratic, high-intensity precipitation and an elevated water table critically diminish the basin's natural water retention and conveyance capacity. Geospatial analysis documented an increase in the artificial surface (impervious), surging from 39.60% in 2017 to 46.01% 2020 and eventually reached 59.96% in 2025. The transformation significantly accelerates surface runoff volume and velocity, overwhelming the existing drainage infrastructure. Unregulated riparian zone infringement and the persistent solid waste dumping severely reduce the effective cross-sectional area of the Bhudni Nullah. Concurrently, the Height Above Nearest Drainage model-based flood exposure assessment quantifies a critical vulnerability, with 11.57 km 2 (22.14%) classified as “Very High” and “High” flood exposure, concentrated within the built environment. The study provides socio-physical, environmental, and economic indicators for future urban flood modeling and research studies.

  • Research Article
  • 10.63201/gs6j-b02k
The Role of the Church Fathers’ Legacy in Eastern Orthodox and Adventist Hermeneutics
  • Apr 13, 2026
  • Journal of Asia Adventist Seminary
  • Bodhan Koval

This article explores the place and role of the Church Fathers’ legacy in the hermeneutical frameworks of Eastern Orthodox and Adventist theology through claims of both denominations to be the true heirs of the Early Christian faith. The Eastern Orthodox Church has always declared a deep reverence for the Church Fathers, considering their writings integral to the church tradition. According to Orthodox opinion, the Fathers are not merely historical figures but living witnesses to the apostolic doctrine, whose interpretations and teachings should be regarded as authoritative in the process of biblical exegesis and theological reflection. In contrast, the Adventist movement, with its emphasis on Sola Scriptura and the primacy of the Bible, has traditionally viewed the writings of the Church Fathers with a degree of skepticism, often perceiving them as potential sources of doctrinal deviation from biblical teaching. Indeed, the valuable insights and historical perspectives that the Fathers can offer should be thoroughly studied, particularly for understanding the development of Christian theology and practice in the formative centuries of the church. This presentation aims to investigate the nuanced and evolving perspectives of both Eastern Orthodox and Adventist communities towards Patristic studies, highlighting the potential for dialogue on the issue and mutual understanding between these two traditions. Such a study contributes to the ongoing discussion on the role of tradition, authority, and interpretation in Christian theology and biblical hermeneutics.

  • Research Article
  • 10.1016/s0140-6736(26)00192-3
Measuring progress in pregnancy planning and preconception health.
  • Apr 11, 2026
  • Lancet (London, England)
  • Danielle Schoenaker + 18 more

Measuring progress in pregnancy planning and preconception health.

  • Research Article
  • 10.1080/18117295.2026.2633890
Decolonising Mathematics Education: Reimagining Pedagogical Practices Through Indigenous Knowledge Systems in Zambia
  • Apr 10, 2026
  • African Journal of Research in Mathematics, Science and Technology Education
  • Kaziya Kadonsi

This study examines how Indigenous Knowledge Systems (IKS) can be meaningfully integrated into mathematics education in Zambia to support decolonised and culturally responsive pedagogy. Situated within a post-colonial education system shaped by Eurocentric curricula, the research addresses the persistent marginalisation of local epistemologies and their implications for teaching practices. Guided by a decolonial and Afrocentric conceptual framework and informed by curriculum theory, the study employed a qualitative exploratory research design. Data were collected through semi-structured interviews, focus group discussions, classroom observations and policy document analysis with Indigenous knowledge holders, curriculum specialists, mathematics teachers and learners in selected secondary schools across Southern Province, Zambia. Using thematic analysis with an inductive approach, the study identified six key findings: recognition of the value of IKS; limited classroom integration; teacher preparedness and constraints; community perspectives on cultural relevance; learner perceptions; and weak policy curriculum alignment. While IKS was widely acknowledged as valuable, its integration was constrained by rigid curricular structures, inadequate teacher training and the dominance of Western pedagogical norms. Learners often perceived mathematics as disconnected from their cultural realities, which undermined motivation and comprehension. The study recommends curriculum reform, culturally responsive teacher education and inclusive policy frameworks that actively engage Indigenous communities. These measures are essential to transform mathematics education into a more contextually meaningful and empowering experience for Zambian learners.

  • Research Article
  • 10.25258/ijddt.16.18s.14
Media Narratives and Selective Justice: Coverage of Sexual Violence against Dalit and Adivasi Women in India
  • Apr 10, 2026
  • International Journal of Drug Delivery Technology
  • Dr.Rubi Talukdar + 2 more

This study explores how media narratives construct selective justice in cases of sexual violence against Dalit and Adivasi women in India. Building on community response frameworks and Dalit feminist body politics, we propose a novel method—Intersectional Media Justice Analysis (IMJA)—to systematically evaluate how caste and gender identities shape patterns of visibility and silence in reporting. IMJA integrates community perspectives, narrative framing, and intersectionality to uncover how remedial, institutional, or radical responses are mediated through selective coverage. Both high-profile cases and underreported incidents of sexual violence against Dalit and Adivasi women between 2010 and 2025 were considered to ensure temporal depth and contextual variety. Findings reveal that while certain cases receive disproportionate national attention, the majority remain marginalized, reinforcing structural inequities in justice delivery. Media often reproduces caste hierarchies by framing survivors in ways that undermine credibility or reduce them to symbolic victims. By introducing IMJA, this paper demonstrates the need for transformative media practices that challenge entrenched biases, amplify marginalized voices, and contribute to equitable justice for Dalit and Adivasi women.

  • Research Article
  • 10.1177/27539687261431320
Responsibilization in Water Supply in International Development
  • Apr 9, 2026
  • Progress in Environmental Geography
  • Marina Korzenevica + 1 more

Domestic water supply responsibilities in the Global South are typically explored through the lens of the efficiency or failure of different models. In this article, we explore how, why, and with what effects various responsibilities have been assigned at different scales, focusing on global–local relations and perspectives of individuals (end users), social groups, and communities. We conceptualize responsibilization in water by proposing a framework to analyze three questions: (1) How is responsibilization institutionalized and rationalized?—including its rationales and mechanisms of power; (2) How is it operationalized and negotiated?—focusing on capacities and negotiations of responsibility; (3) With what impacts at the individual level?—particularly competing, gendered responsibilities and vulnerabilities. Through a literature review, we critically examine the techniques and expansion of responsibilization, highlighting how they may lead to negative impacts.

  • Research Article
  • 10.18060/28798
Contextual Indigeneity in Social Work (CISW)
  • Apr 7, 2026
  • Advances in Social Work
  • Ausirys Alviz

This literature review examines the importance of decolonizing social work by integrating Contextual Indigeneity (CI) into the profession. It emphasizes aligning social work practices with the needs and perspectives of Indigenous communities, as recognized by global organizations such as the United Nations (UN), the International Federation of Social Work (IFSW), and the Council on Social Work Education (CSWE). Drawing on recent scholarship by Indigenous scholars and allies, it highlights the need to dismantle colonized systems and infuse culturally grounded approaches into social work education and practice. Indigenous communities hold unique strengths that support eco-social justice and reconciliation with Indigenous Peoples, Nations, and Tribes. Theoretical frameworks such as Tribal Critical Race Theory (TribalCrit), Indigenous Decolonial Feminism (IDF), Indigenous Wholistic Framework (IWF), and Indigenous Ways of Knowing provide critical insights for developing culturally sensitive and effective practices. Indigenizing curricula, research, and community programming is essential for promoting educational justice, inclusion, diversity, representation, and, where appropriate, reparations. Social workers have an ethical duty to acknowledge the historical and ongoing trauma Indigenous Peoples face while recognizing their resilience and continued existence. The Contextual Indigeneity in Social Work (CISW) model offers a pathway to embed Indigenous sovereignty into social work, transforming theory into actionable, decolonial practice.

  • Research Article
  • 10.1007/s40808-026-02735-6
Integrating local perceptions and Bayesian belief networks into model ecosystem services multifunctionality in the Colombian Andes
  • Apr 4, 2026
  • Modeling Earth Systems and Environment
  • Cesar Rojas + 3 more

Abstract Access to water in rural watersheds is affected by land-use changes and limited integration of governance factors into ecosystem service (ES) analysis. This study implemented a participatory spatial Bayesian belief network (BBN) for the practical application of ES multifunctionality in Rural water supply systems (RWSS) to enhance their role in watershed planning and governance. The framework applies indicators of ES supply and demand (derived from the InVEST and ARIES models), socioeconomic data (demographic and multidimensional poverty), and local perceptions collected through interviews. Two BBN models were developed: Model 1 used quantitative biophysical and socioeconomic indicators. Model 2: Incorporating governance and perception variables from a local community perspective. Probabilistic spatial inference and uncertainty analysis were implemented to map multifunctionality and to identify priority zones for governance. The results showed that incorporating local perceptions increased the probability of highly multifunctional areas by approximately 10%, particularly in the upper sub-watersheds characterized by strong local participation. The uncertainty analysis identified transitional agricultural–urban zones as areas that require additional data collection and participatory validation. The participatory BBN framework successfully integrated socio-ecological and governance dimensions, facilitating the identification of ES multifunctionality zones that align ecological integrity with community priorities. A spatial BBN is a flexible methodology for data-scarce Andean regions that supports watershed management plans. This approach contributes to a method that links stakeholder perceptions to spatial decision-making and benefits achievement to Sustainable Development Goals (SDG), SDG 6 (Clean Water and Sanitation), and SDG 15 (Life on Land) by advancing adaptive, inclusive, and evidence-based watershed planning.

  • Research Article
  • 10.1007/s13280-026-02386-y
Towards a more just post-coal future: Engaging local communities in post-mining landscape restoration through participatory mapping methods.
  • Apr 4, 2026
  • Ambio
  • Lucia Brisudová + 1 more

Although energy transition policies are expected to adhere to the principles of procedural, distributive, recognition, and restorative justice, there remains a significant gap in both practice and research regarding public participation in post-mining land-use planning. Using a case study of a closing open-cast mine in Most district, Czech Republic, drawing on responses from 101 local residents, we demonstrate the efficacy of combining a participatory mapping approach with statistical and spatial analysis to engage local stakeholders in the research. It also highlights the importance of integrating community perspectives and interests into landscape assessment and post-mining land-use planning. Adoption of the approaches and methods presented in this study can enable post-mining regeneration planners to understand better the sense of place, landscape values, and needs of local communities. This, in turn, can foster place-making on post-mining sites, help prevent land-use conflicts, and contribute to more just post-coal development.

  • Research Article
  • 10.1371/journal.pone.0345182
Examining community perspectives on integrated service delivery for tuberculosis, mental health and substance use disorder in Nigeria: A qualitative study
  • Apr 3, 2026
  • PLOS One
  • Martin Njoku + 23 more

BackgroundThe concept of integrated service delivery was the focus for the envisaged essential health care under one roof. Despite being the central focus of essential health under one roof and a crucial principle of primary health care, relatively little is known about community perceptions on integrated service delivery in low-and middle income countries. This study was designed to examine community perspectives on integrated service delivery for tuberculosis (TB), mental health (MH) and substance use disorder (SUD) in Nigeria.MethodsThis was a community-based cross-sectional study design using qualitative data collection methods. Data was obtained from the participants using a pre-tested focus group discussion (FGD) guide. Data was collected from three states in Nigeria including Anambra, Enugu and Nasarawa states. Twelve FGDs were conducted among 116 participants who were beneficiaries of the integrated service delivery for TB/MH/SUD and their relatives. There were four FGDs in each state. The discussions were conducted separately for patients and relatives and for male and female participants. QDA Miner Lit v2.0.6 was used in the thematic analysis of data.ResultsAlmost all the participants perceived the three disease entities as being linked to one another hence it may not be the best to manage each condition in isolation thus supporting the integrated approach. The participants noted the positive provider attitude of the healthcare workers involved in the program. They were of the opinion that integrated service delivery (ISD) has improved the awareness of the three disease entities among the populace. Most of the participants expressed their willingness to patronize integrated service delivery at the community level from trained lay health workers. This willingness to patronize was predicated on the approval of the program by the government.ConclusionsPositive provider attitude of health service providers will be a good boost to efforts to improve health service delivery in Nigeria including integrated service delivery. Government has a key role to play in community acceptance of health service delivery programs. The program increased the awareness of the three diseases among the people. Thus, increasing the community awareness of TB, mental health and substance use disorders should be prioritized. Adopting the integrated service delivery approach will be of value. Consideration should be made on the use of lay health workers for the delivery of such services at the community level especially in rural areas. There is a need to incorporate community perspectives on the value, benefits, barriers and acceptability of integrated service delivery into policies guiding TB/MH/SUD integration in Nigeria.

  • Research Article
  • 10.1186/s12913-026-14435-z
Community and health workers perspectives on barriers to diabetes and hypertension screening in North Eastern India: a qualitative study.
  • Apr 3, 2026
  • BMC health services research
  • Balaplielad Warlarpih + 8 more

Non-communicable diseases (NCDs) such as diabetes and hypertension are growing global health concerns, including in India. Despite the launch of the National Programme for Cancer, Diabetes, Cardiovascular Diseases, and Stroke in 2010, screening uptake for diabetes and hypertension remains low in Meghalaya, a state in northeast India. We conducted a qualitative study with 52 participants including healthcare providers, frontline workers, community members, and Village Health Council members (VHC) to document barriers of uptake of diabetes and hypertension screening services. Health workers were selected from a sample of Health and Wellness Centres (HWCs) and the VHCs were drawn from the HWC catchment villages with active engagement in health activities. The research involved seven in-depth interviews and six focus group discussions across three blocks in West Garo Hills District. Data were transcribed, translated into English, uploaded into Taguette, and thematically analyzed. Our analysis identified several barriers to hypertension and diabetes screening across levels of the socio-ecological model. At the individual level, the cause and prevention of diabetes and hypertension were often associated primarily with diet. Work obligations, fear of diagnosis, and concern about long-term treatment discouraged participation in screening. Interpersonally, family members - particularly elders - played a key role in determining participation in screening. At the community level, limited involvement of VHCs and a preference for traditional medicine constrained screening efforts. At the policy level, a high village-to-HWC ratio, workforce vacancies and limited training created systemic barriers to screening. These same factors point to opportunities through intervention: providing screening and care that is reliable and easy to access, reaching out to trusted community messengers, and reducing logistical barriers to screening could all be effective strategies. These findings highlight the need for multipronged strategies that address individual, community, and systemic factors to enhance screening for early detection and management of NCDs in Meghalaya.

  • Research Article
  • 10.1007/s10661-026-15245-w
Assessment of urban and peri-urban grazing practices from herders and local community perspective in the semiarid region of Pakistan.
  • Apr 3, 2026
  • Environmental monitoring and assessment
  • Muhammad Farooq Azhar + 5 more

Rapid urbanization puts additional strain on traditional livestock systems, but the spatial dynamics of urban/peri-urban grazing in South Asia remain largely unknown. This study examines practices, socioeconomic effects, and stakeholder acceptance via surveys conducted with 100 graziers and 50 non-graziers in the semiarid region of Multan, Pakistan. The results indicate clear spatial divergence. Urban areas face significantly elevated public health hazards, deterioration of green belts, and spatial limitations that concentrate livestock among middle-income groups, whereas peri-urban systems exhibit inequities in land access that benefit small ruminants and exhibit bimodal income distributions. Urban graziers like young cattle for rapid turnover and exhibit heightened confidence for expansion, in contrast to peri-urban stakeholders who foresee a reduction due to urban sprawl. Perceptions of non-graziers markedly differ, highlighting zoonotic and environmental concerns in contrast to cultural advantages and waste recycling. Findings necessitate cohesive policies that safeguard grazing lanes, create peripheral market centers, and improve veterinary services to maintain livelihoods during urban transitions.

  • Research Article
  • 10.1016/j.gaceta.2026.102572
New models of collaboration within the primary care team: transversality and coordination. SESPAS Report 2026
  • Apr 2, 2026
  • Gaceta sanitaria
  • Eduardo Satue De Velasco + 3 more

New models of collaboration within the primary care team: transversality and coordination. SESPAS Report 2026

  • Research Article
  • 10.1371/journal.pgph.0006206
Perceived benefits of community-based TB preventive treatment in children in Uganda: “When she sees other children getting the same medication, she will feel not alone.”
  • Apr 2, 2026
  • PLOS Global Public Health
  • Elijah Ronald Kakande + 19 more

Tuberculosis preventive treatment (TPT) uptake among children at risk for TB remains low in sub-Saharan Africa. Community-based TPT delivery is effective at increasing uptake and completion in children compared to clinic-based models, but implementation research is needed to inform scale-up in real-world settings. In this qualitative study, we assessed community and health care provider perspectives on the anticipated benefits and barriers of a community-based TPT differentiated delivery model comprising three components: (1) initial screening and TPT initiation at the nearest public health facility; (2) community health worker (CHW)-led TB education with community-based medication delivery; and (3) CHW-facilitated delivery in a Community Adherence Group (CAG). From 5 September to 12 October 2023, we conducted in-depth semi-structured interviews (N = 20) with a purposively selected sample of six public health care providers, four CHWs, and ten caregivers of children with latent TB infection. A six-person multi-regional research team translated and coded transcripts. Framework analysis was used to identify perceived benefits and barriers. Participants identified five main benefits: (1) comfort receiving care in the community due to familiarity with differentiated HIV care models and trust in CHWs; (2) peer support in CAGs promoting adherence and reducing stigma; (3) reduced transport costs; (4) improved efficiency through reduced waiting times and provider workload; and (5) enhanced CHW capacity to provide TB prevention services and increase community awareness. Perceived barriers included low community knowledge, need for a consistent drug supply, stigma, and inadequate CHW training. Caregivers, healthcare workers, and CHWs identified peer support, trust in CHWs, reduced transport costs, and increased efficiency as key benefits. Implementation efforts should address these barriers to optimize delivery in rural East Africa and similar settings. Integration of CAGs into community-based TPT models warrants further study.

  • Research Article
  • 10.1016/j.apmr.2026.03.020
Patient-scientists: Lived experience combined with academic rigor in rehabilitation research.
  • Apr 1, 2026
  • Archives of physical medicine and rehabilitation
  • Sonya Kim + 2 more

Patient-scientists: Lived experience combined with academic rigor in rehabilitation research.

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