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Worldwide recognition of gender inequality and discrimination following the #MeToo movement has been slow to reach the field of global health. Although international institutions have begun to address gender, the perspectives of front-line global health workers remain largely undocumented, especially in regions not captured by large-scale surveys. Long-term collaborative relationships between clinicians and educators participating in paired institutional partnerships can foster cross-cultural dialogue about potentially sensitive subjects. King’s Somaliland Partnership (KSP) has linked universities and hospitals in Somaliland and London, UK, for health education and improvement, since 2000.We collaboratively developed an anonymous, mixed methods, online survey to explore workplace experiences among Somaliland and UK-based staff and volunteers. We adapted the Workplace Prejudice/Discrimination Inventory to address gender inequality, alongside qualitative questions. Somaliland (but not UK) women reported significantly more gender prejudice and discrimination than men (medians=43 and 31, z=2.137, p=0.0326). While front-line Somaliland workers described overt gender discrimination more frequently, UK respondents reported subtler disadvantage at systemic levels. This first survey of its kind in Somaliland demonstrates the potential of global health partnerships to meaningfully explore sensitive subjects and identify solutions, involving a range of multidisciplinary stakeholders. We propose priority actions to address pervasive gender inequality and discrimination, including wider engagement of academia with gender-focused research, institutional actions to address barriers, national prioritisation and nurturing of grassroots initiatives, through institutional partnerships and international networks. Without sustained, concerted intervention across all levels, gender inequality will continue to hinder progress towards the vision of good health for all, everywhere.

Purpose Despite the World Health Organization and United Nations recognising violence, abuse and mental health as public health priorities, their intersection is under-studied in low- and middle-income countries (LMICs). International violence, abuse and mental health network (iVAMHN) members recognised the need to identify barriers and priorities to develop this field. Methods Informed by collaborative discussion between iVAMHN members, we conducted a pilot study using an online survey to identify research, education and capacity building priorities for violence, abuse and mental health in LMICs. We analysed free-text responses using thematic analysis. Results 35 senior (29%) and junior researchers (29%), non-government or voluntary sector staff (18%), health workers (11%), students (11%) and administrators (3%) completed the survey. Respondents worked in 24 LMICs, with 20% working in more than one country. Seventy-four percent of respondents worked in sub-Saharan Africa, 37% in Asia and smaller proportions in Latin America, Eastern Europe and the Middle East. Respondents described training, human resource, funding and sensitivity-related barriers to researching violence, abuse and mental health in LMICs and recommended a range of actions to build capacity, streamline research pathways, increase efficiency and foster collaborations and co-production. Conclusion The intersection between violence, abuse and mental health in LMICs is a priority for individuals with a range of expertise across health, social care and the voluntary sector. There is interest in and support for building a strong network of parties engaged in research, service evaluation, training and education in this field. Networks like iVAMHN can act as hubs, bringing together diverse stakeholders for collaboration, co-production and mutually beneficial exchange of knowledge and skills.

Medical and health science students are among the demographics most at risk from Methicillin-resistant Staphylococcus aureus (MRSA), which is a serious hazard to public health. The main reservoir for MRSA is the nasal cavity, and colonization of this area can raise the risk of infection and transmission in healthcare settings. This study aimed to assess the nasal carriage rate of MRSA among clinically affiliated students at Haramaya University, College of Health and Medicine Sciences, Ethiopia, from July to August 2022. An institution-based cross-sectional study of 250 study participants was conducted using a stratified random sampling methods. The data were collected via structured questionnaires. Nasal swabs were cultured on mannitol salt agar and blood agar at 37 °C for 24 h. Staphylococcus aureus was identified using catalase and coagulase tests. The MRSA was screened using the cefoxitin disk diffusion method on Muller Hinton agar. The data were entered and analyzed by SPSS version 25. Pearson’s chi-square test was performed to predict associations between variables. A p value less than 0.05 was regarded as statistically significant. The nasal carriage rate of S. aureus was 8% (95% CI: 4.6-11.3%). The Nasal carriage rate of MRSA was 4.8% (95% CI: 2.1-7.4%). Overall, 4.8% of all the students were identified as MRSA carriers. MRSA carriage was high among medical students (33.3%). Nose-picking habit (X 2  = 16.7, P  = 0.001) and dormitory occupancy (X 2  = 3.6, P  = 0.045) were significantly associated with the MRSA rate. All the MRSA strains were resistant to penicillin and ampicillin. However, all the MRSA strains were susceptible to chloramphenicol and clindamycin. This study revealed that MRSA is a threat due to significant resistance. Nasal carriage is associated with nose picking and dorm occupancy. Encourage practices such as avoiding nose picking and maintaining personal cleanliness. Regular cleaning and disinfection of shared spaces can reduce the presence of MRSA.

Background Ethiopia’s Community-based health insurance (CBHI) is currently providing financial protection to more than 54 million beneficiaries (64% of the target population). Beneficiaries’ satisfaction with health service provision is among the important factors that influence the decision to enroll and renew. Despite the importance of satisfaction in influencing such important decisions, there is limited evidence on systematic studies conducted at a national level on CBHI beneficiaries’ satisfaction with health care service provision. Hence, this study aimed to measure the level of CBHI beneficiaries’ satisfaction with health service provision and identify its determinants in Ethiopia. Methods This study employed a health facility-based cross-sectional study design. A total of 1,836 patients who made OPD visits were sampled, yielding a 99.9% response rate. The mean value of a composite variable derived from satisfaction items, was used to measure the level of satisfaction. Factors determining patient satisfaction were measured using binary logistic regression model, and variables with p-values < 0.05 were considered the final predictors of satisfaction. Results Overall, 58% [(95% CI: 55.8, 60.4)] of the patients were satisfied with the health service they received. Factors associated with higher satisfaction include fully receiving prescribed medicines [AOR = 5.31, 95% CI; 3.74, 8.12], partially receiving prescribed medicines [AOR = 1.92, 95% CI; 1.27, 2.9], being informed about health problem [AOR = 1.84, 95% CI; 1.47, 2.31], being informed about recovery methods [AOR = 1.61, 95% CI; 1.28, 2.03], patient’s perception about conformity of service with benefit package [AOR = 1.4, 95% CI; 1.12, 1.73], visiting urban health facility [AOR = 1.34, 95% CI; 1.07, 1.67], and being in older age group. The study revealed a lower satisfaction at hospitals (53%) compared with health centers (61%). Conclusion Notably, a substantial proportion of patients (42%) were not satisfied, a rate higher than reported in comparable studies. Dissatisfaction was predominantly associated with shortages of prescribed medicines, inadequate laboratory services, and exposure to out-of-pocket payments. These findings highlight the need for coordinated efforts among health authorities and service providers to ensure uninterrupted availability of prescribed medicines and diagnostic services in alignment with the CBHI benefit package. Addressing these gaps is critical to fostering trust and improving satisfaction among CBHI beneficiaries.