http://bura.brunel.ac.uk/handle/2438/8611 2026-04-18T02:40:20Z 2026-04-18T02:40:20Z Norris, M Fortune, J Ryan, J Walsh, A Kroll, T Lavelle, G Hensey, O http://bura.brunel.ac.uk/handle/2438/33157 2026-04-17T02:00:56Z 2026-01-01T00:00:00Z

Title: Navigating Transition to Adulthood: Perspectives from Young People with Cerebral Palsy, Parents, and Health Professionals Authors: Norris, M; Fortune, J; Ryan, J; Walsh, A; Kroll, T; Lavelle, G; Hensey, O Abstract: ... Description: ...

2026-01-01T00:00:00Z Althabaiti, KS Bhuiyan, MB Hunsberger, M Ahmed, S Khan, J http://bura.brunel.ac.uk/handle/2438/33146 2026-04-14T02:01:05Z 2026-03-25T00:00:00Z

Title: Determinants of private health insurance uptake and its association with healthcare utilization in Gulf Cooperation Council countries: a systematic review Authors: Althabaiti, KS; Bhuiyan, MB; Hunsberger, M; Ahmed, S; Khan, J Abstract: All Gulf Cooperation Council (GCC) countries have a multi-payer healthcare system that comprises governmental health coverage (GHC), funded by the government, and private health insurance (PHI), mainly sponsored by employers and purchased by individuals. Both are expected to influence healthcare utilization and contribute to system efficiency and patient well-being. This systematic review explored the determinants of PHI uptake and its association with healthcare service utilization in the presence of GHC in GCC countries. We systematically searched CINAHL, PubMed, Scopus, Web of Science, and Cochrane Library for peer-reviewed studies published between January 2012 and October 2022. Study quality was assessed using the Critical Appraisal Skills Programme (CASP) checklists for both quantitative and qualitative studies, following PRISMA guidelines. Twenty-six studies met the inclusion criteria. Determinants of PHI uptake were mapped to Andersen’s Behavioral Model of Health Services Use (BMHSU) and categorized into (1) predisposing factors (sex, age, marital status, and education), (2) enabling factors (employment/income and health system-related factors such as access and perceived service quality), and (3) need factors (health status, including chronic noncommunicable diseases). PHI uptake was positively associated with being male, married, highly educated, employed with a high income, and having chronic diseases. PHI was positively associated with healthcare utilization, particularly routine check-ups, preventive services, and the use of prescribed medicines. In GCC countries, PHI uptake is influenced by sociodemographic and socioeconomic characteristics, health status, and perceived service quality. PHI is also associated with higher healthcare utilization, underlining the need for evidence-informed policies that enhance equity and expand coverage. Description: Paper context: • Main finding: Private health insurance uptake across Gulf Cooperation Council countries was influenced by sociodemographic and socioeconomic characteristics, health status, and the quality of services. Additionally, private health insurance was likely to be associated with higher utilization of healthcare services. • Added knowledge: This systematic review identifies how shifts in health policy across Gulf Cooperation Council countries, particularly the move from universal public coverage toward mixed systems combining governmental and mandatory private insurance which have redefined the determinants of private health insurance enrollment and healthcare utilization. It highlights how socioeconomic characteristics and policy reforms interact to shape access patterns under differing insurance schemes. • Global health impact: The findings can support policymakers in developing equitable and sustainable health financing reforms toward universal health coverage.; Supplemental material is available online at: https://www.tandfonline.com/doi/full/10.1080/16549716.2026.2647528# .

2026-03-25T00:00:00Z Farrag, D Girginov, V Rocha, C Ghanem, M Althawadi, O http://bura.brunel.ac.uk/handle/2438/33145 2026-04-14T08:13:19Z 2026-04-06T00:00:00Z

Title: Organizational Learning from Sport Major-Events: The Case of the Asian Men’s Handball Qualification for Paris 2024 Olympic Games Authors: Farrag, D; Girginov, V; Rocha, C; Ghanem, M; Althawadi, O Abstract: Studies on sports event management have focused on how host residents perceive the event and its impacts, but very little is still known about how such experiences can facilitate organizational learning (OL) in host sports organizations. The study explores the potential of major sports events to generate human and social capital amongst the public and the ensuing process of OL for host sports organizations. Using the 2023 Asian Men’s Handball Qualification for the Paris 2024 Olympic Games held in Qatar, a mixed-method concurrent nested design was employed, collecting quantitative (survey questionnaires) and qualitative (interviews) data from event attendees and event managers, respectively. The interplay between tacit and explicit knowledge, as well as individual and collective learning, stimulated a combination of low levels of organizational formalization and specialization and individual (i.e., tacit) knowledge, which has resulted in an ‘operational adhocracy’ form of OL in sports organizations dominated by embracing knowledge.

2026-04-06T00:00:00Z Donnang, S Yokolo, H Makeda, D Ekouo, J Shams, Z Kaptso, JAD Kamgang, JS Waffo, YV Tague, C http://bura.brunel.ac.uk/handle/2438/33142 2026-04-13T08:02:50Z 2026-03-29T00:00:00Z

Title: Triple Burden in the Democratic Republic of Congo: Climate Change, Armed Conflict, and the Silent Spread of Arboviruses. A Narrative Review Authors: Donnang, S; Yokolo, H; Makeda, D; Ekouo, J; Shams, Z; Kaptso, JAD; Kamgang, JS; Waffo, YV; Tague, C Abstract: Background: The Democratic Republic of Congo (DRC) faces a “triple burden” of public health threats which includes climate change, protracted armed conflict, and the under-recognized spread of arboviral diseases. Arboviruses, such as dengue, chikungunya, Zika, and yellow fever, are transmitted by Aedes aegypti and Aedes albopictus mosquitoes. Certain factors, like environmental changes, population displacement, and inadequate vector control, have created conditions that favor sustained transmission. Methods: The narrative review was conducted to compile evidence on factors influencing arbovirus spread in the DRC and to identify the priority causes of prevention. A comprehensive literature search was done in PubMed and Google Scholar for studies, NGO reports, and government documents published between 2019 and 2025 in French or English, focusing on human populations in the DRC or similar contexts. Results: Key findings demonstrate that yellow fever remains endemic, with recurrent outbreaks and a case fatality rate of up to 21.3% in past years. Seroprevalence studies show significant dengue exposure (up to 41% in Kinshasa), multiple chikungunya epidemics which affected millions, and intermittent Zika virus exposure. On the other hand, adverse climate change alters vector ecology and increases transmission potential through drought, floods, rising temperatures, and deforestation. Armed conflict proved to play a major role in the large-scale displacement of people into overcrowded, unsanitary environments. This, as a result, disrupts the surveillance and control programmes and increases vulnerability to arboviruses. Conclusion: The convergence of climate change, armed conflict, and arbovirus transmission poses a growing public health threat in the DRC. Strengthening integrated and reinforced surveillance, augmenting diagnostic capacity, applying sustainable vector control, and advocating climate and security considerations in health policy are essential and mandatory. Without coordinated and multidisciplinary action, the silent and hazardous spread of arboviruses will remain consistent to weaken and compromise health system resilience. Summary: • The Democratic Republic of Congo (DRC) confronts a triple health crisis facilitated by adverse climate change, ongoing armed conflict, and emerging arboviral infections. • Climate change in the DRC is speeding up vector proliferation and extending transmission seasons, which in turn expands arbovirus-endemic zones. • Ongoing armed conflict causes disruption in healthcare delivery and displacement of populations, increasing extreme vulnerability to infectious disease outbreaks. • Arboviruses such as dengue, Zika, yellow fever, and chikungunya are often underdiagnosed due to limited laboratory capacity and overlap of symptomatic manifestations with malaria. • In addition, climate-driven ecological and epidemiological shifts establish ideal conditions for silent arbovirus spread and contribute to risk for the human population. • These problems can be eradicated by coordinated surveillance, aggressive vector control, and humanitarian-health integration, which are essential to break the cycle of vulnerability and unsafe situations. Description: Data Availability Statement: The authors have nothing to report.

2026-03-29T00:00:00Z