BACKGROUND

This study explores the professional functions and experiences of male midwives in the Province of Aurora, highlighting their roles, challenges, and contributions to maternal and child healthcare in a traditionally female-dominated profession.

This study aims to investigate the professional functions and lived experiences of male midwives in the Province of Aurora.

This research employed a qualitative ethnographic design using semi-structured interviews to collect data. Participants were six male midwives practicing in Aurora. Data collection was conducted via mobile phone interviews from August to September 2024. A purposive sampling technique was utilized to select participants. The study adhered to ethical guidelines, receiving approval from the University of Northern Philippines Ethics Review Committee Code: 2024-251, and informed consent was obtained from all participants. Data were analyzed using qualitative content analysis. Qualitative inductive content analysis as described by Padgett was utilized to allow for data-driven analysis without pre-defined themes, making it suitable for exploring the diverse experiences of male midwives.

Analysis revealed six key themes: Diverse professional functions, gender bias and stereotyping, patient reluctance and shyness, cultural influences, experiences of discrimination and prejudice, and daily challenges and rewards in practice. The findings underscore the commitment of male midwives to providing quality care despite societal and professional barriers. Under the Functions theme, male midwives described their roles as not only caregivers but also as advocates for gender inclusivity in midwifery. In terms of experiences, some reported feelings of isolation and the need to prove their competence in a field dominated by women. However, they also shared empowering stories of camaraderie with female colleagues and the satisfaction derived from breaking down gender barriers.

Male midwives play a vital role in maternal and newborn healthcare, navigating challenges such as gender bias and patient hesitancy. Strengthening administrative support, promoting inclusivity, and updating policies can enhance their professional integration. Advocacy efforts from professional organizations are necessary to address workplace challenges and recognize their contributions to healthcare.

BACKGROUND

LGBTQ+ populations worldwide bear a disproportionate burden of health disparities aggravated by stigma and discrimination in healthcare. This struggle is worsened in the Philippines due to systemic barriers, outdated medical curricula, and the pervasive stigma in society, making it harder for LGBTQ+ individuals to access healthcare.

A community-based participatory research (CBPR) approach using the photovoice method was used to describe and co-construct perspectives from LGBTQ+ individuals related to healthcare access in the Philippine healthcare system. The LGBTQ+ participants who resided in Metro Manila were asked to capture photographs representing their healthcare experiences. Focused group discussions (FGD) were then utilized as a platform for collective discussions and interpretations of these photos, enabling the participants to voice their stories and views about healthcare access.

The results are represented in seven photographs, symbolizing seven key themes that are illustrative of the importance of narrating LGBTQ+ stories in healthcare, solidarity among the community for better access, the urgent need for a call to make healthcare spaces inclusive, navigation through intersecting identities, interaction between healthcare professionals and LGBTQ+ individuals, the call for systemic change to be fitted to the needs of LGBTQ+ people, and diverse healthcare challenges among transgender people.

The findings point to the strong call for systemic reforms in the Philippine healthcare system to better support the needs of LGBTQ+ people. This study highly recommends that lived experiences should be included in health practices and policies as a basis for inclusivity and equity.

Human ; Residence Characteristics ; Community

BACKGROUND

This study explores the professional functions and experiences of male midwives in the Province of Aurora, highlighting their roles, challenges, and contributions to maternal and child healthcare in a traditionally female-dominated profession.

This study aims to investigate the professional functions and lived experiences of male midwives in the Province of Aurora.

This research employed a qualitative ethnographic design using semi-structured interviews to collect data. Participants were six male midwives practicing in Aurora. Data collection was conducted via mobile phone interviews from August to September 2024. A purposive sampling technique was utilized to select participants. The study adhered to ethical guidelines, receiving approval from the University of Northern Philippines Ethics Review Committee Code: 2024-251, and informed consent was obtained from all participants. Data were analyzed using qualitative content analysis. Qualitative inductive content analysis as described by Padgett was utilized to allow for data-driven analysis without pre-defined themes, making it suitable for exploring the diverse experiences of male midwives.

Analysis revealed six key themes: Diverse professional functions, gender bias and stereotyping, patient reluctance and shyness, cultural influences, experiences of discrimination and prejudice, and daily challenges and rewards in practice. The findings underscore the commitment of male midwives to providing quality care despite societal and professional barriers. Under the Functions theme, male midwives described their roles as not only caregivers but also as advocates for gender inclusivity in midwifery. In terms of experiences, some reported feelings of isolation and the need to prove their competence in a field dominated by women. However, they also shared empowering stories of camaraderie with female colleagues and the satisfaction derived from breaking down gender barriers.

Male midwives play a vital role in maternal and newborn healthcare, navigating challenges such as gender bias and patient hesitancy. Strengthening administrative support, promoting inclusivity, and updating policies can enhance their professional integration. Advocacy efforts from professional organizations are necessary to address workplace challenges and recognize their contributions to healthcare.

Objectives: The authors considered the community-based on-site water sampling-surveys case-study in Angono, Rizal, in the Republic of the Philippines. The study was designed to determine whether individual citizens within the community could successfully collaborate in order to develop a method for quantification of E. coli levels in water (especially underground water) for domestic use.

Methods: We used techniques that had been validated in Japan for on-site evaluation of E. coli. These simple techniques enabled the on-site quantification of E. coli levels in multiple water sources, including underground water.

Results: The techniques used in Japan were successfully adopted in the Philippines, and we cooperated with regional medical technicians, scientists, and citizens, in order to develop a system where ultimately, the people in Angono can perform all the tasks related to on-site water quality evaluation. From societal and economic perspectives, we were able to reduce the traditionally high laboratory cost (including testing cost and samples transit cost) of coliform bacteria and E. coli evaluation to a lower, fixed cost level that is affordable for regional health centers and other sites.

Conclusion: The transfer of a simple inspection method technology, under the supervision of an experienced Japanese research team, allowed us to validate the E. coli on-site quantification strategy at a regional level as "co-creation of science and society". In addition, beyond technology transfer, our collaborative efforts with scientists, regional medical engineers, and citizens, led to the creation of an NGO (non-governmental organization) that serves citizens in the town of Angono with regard to water quality assessment and certification activities.

Key Words: water quality, water management, community, local people, participatory approach, underground water, Escherichia coli, coliform bacteria, Philippines

Adult ; Aged ; China/epidemiology* ; Cohort Studies ; Female ; Humans ; Male ; Metabolic Syndrome/etiology* ; Middle Aged ; Parks, Recreational/supply & distribution* ; Prevalence ; Residence Characteristics/statistics & numerical data* ; Rural Population/statistics & numerical data* ; Young Adult

Background: Numerous approaches have been taken to reduce mental health issues in the population. However, mental health problems are still arising in the population, and one of the main factors is discrimination towards the mentally ill patient. This issue is inhibiting people from seeking help. This study aimed to assess community discrimination towards people with mental illness and factors affecting it. Methods: A cross-sectional study was conducted with a total of 840 respondents (420 males and 420 females) from Sarawak, Malaysia aged 21 years and above. Samples were selected by gender-stratified multistage sampling. Collection of data was done using a pre-tested questionnaire to assess the discrimination towards mental illness via face-to-face interviews. A multiple linear regression analysis was conducted to determine the factors affecting community discrimination towards mental illness. Results: Multiple linear regression analysis revealed that aged between 40 to 49 years old (p = 0.004), aged between 50 to 59 years old (p < 0.001), female respondents (p = 0.014) and having no experience with the mentally ill patient (p < 0.001) appeared to be predictors for discrimination towards mental illness. The model significantly explained 6.6% of variance of discrimination score (F (10,829) = 6.91, p < 0.001). Conclusion The findings suggested that community discrimination towards people with mental illness are still common in the rural population. Effective strategies to combat discrimination will need to be organised and implemented at the community level. Further research on this study in different settings is suggested to understand the associated factors better.
Residence Characteristics

Introduction: Knowledge, attitude, and practices among diabetes patients have been heavily studied topics in different settings. Organizations catering to diabetic patients such as community clubs play pivotal role in diabetes care and management. Objectives: This research explored the knowledge, attitudes and practices among adults living with Type 2 Diabetes Mellitus in an urban community. The objective of this study was to determine the KAP of DM patients attending a community-based DM Club. Methods: Using the DAS-3 and AACE Knowledge evaluation, this study was particularly interested in knowing the KAP of the patients in the different domains such as Nutrition, Exercise, Self-monitoring, and Treatment. Type 2 DM patients attending the community-based DM club were recruited and KAP questionnaires were administered among the 89 survey respondents. Results: The level of knowledge in each domain of AACE had a mean evaluation score of 50 and above. The results also show that majority of diabetic patients strongly believe in the need for special training in teaching, counselling and behavior change techniques among health care professionals, psycho-social impact of diabetes, and patients’ autonomy. Conclusion This research also emphasizes that a community-based diabetes club may play an important role in diabetes care and management providing patient education which may lead to increased KAP.
Diabetes Mellitus ; Knowledge ; Attitude ; Residence Characteristics

BACKGROUND: The physical environment can facilitate or hinder physical activity. A challenge in promoting physical activity is ensuring that the physical environment is supportive and that these supports are appropriately tailored to the individual or group in question. Ideally, aspects of the environment that impact physical activity would be enhanced, but environmental changes take time, and identifying ways to provide more precision to physical activity recommendations might be helpful for specific individuals or groups. Therefore, moving beyond a "one size fits all" to a precision-based approach is critical. MAIN BODY: To this end, we considered 4 critical aspects of the physical environment that influence physical activity (walkability, green space, traffic-related air pollution, and heat) and how these aspects could enhance our ability to precisely guide physical activity. Strategies to increase physical activity could include optimizing design of the built environment or mitigating of some of the environmental impediments to activity through personalized or population-wide interventions. CONCLUSIONS Although at present non-personalized approaches may be more widespread than those tailored to one person's physical environment, targeting intrinsic personal elements (e.g., medical conditions, sex, age, socioeconomic status) has interesting potential to enhance the likelihood and ability of individuals to participate in physical activity.
Air Pollution ; Built Environment ; Environment ; Exercise/psychology* ; Hot Temperature ; Humans ; Precision Medicine/psychology* ; Residence Characteristics

COVID-19/therapy* ; COVID-19 Testing ; Communicable Disease Control ; Early Diagnosis ; Housing ; Humans ; Infection Control/organization & administration* ; Patient Isolation ; Primary Health Care/organization & administration* ; Residence Characteristics ; SARS-CoV-2 ; Singapore ; Transients and Migrants