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6. Time from injury to hip-fracture surgery in low-income and middle-income regions: a secondary analysis of data from the International Orthopaedic Multicentre Study in Fracture Care (INORMUS)

Author

Guyatt, Gordon, Petrisor, Brad, Thabane, Lehana, Boniface, Respicious, Browner, Bruce, Pollak, Andrew, Slobogean, Gerard, Schemitsch, Emil, McKay, Paula, Tai, Kerry, Heels-Ansdell, Diane, Buckingham, Lisa, Norton, Robyn, Zhang, Jing, Parveen, Samina, Bhaumik, Soumyadeep, Morshed, Saam, Mackechnie, Madeline C., Zhang, Zhentao, Ma, Yinghua, Qin, Yanguo, Hu, Sanbao, Qi, Baochang, Dai, Wenjie, Cai, Xinyu, Rui, Gang, Chen, Hua, Shetty, Vijay, Dumbre Patil, Sampat, Patil, Sanjay, Shrivastava, Sandeep, Mittal, Ravi, Jepegnanam, Thilak Samuel, Mahajan, Anupam, Chhabra, Harvinder Singh, N, Rajagopalan, Amaravathi, Rajkumar S., Dhillon, Mandeep S., Chase, Asolie, Bhavsar, Neel M., Saadat, Soheil, Byanjankar, Subin, Qadir, Raja Irfan, Tabu, Irewin Alagar, Ponggsamakthai, Wanjak, Sa-ngasoongsong, Paphon, Subramanian, Panchu, Ndeleva, Benjamin Muluku, Lutomia, Mark, Otseyeno, Fred Mathew Toboso, Mwangi, Geoffrey Chege, Ndasi, Henry Tanyi, Konadu-Yeboah, Dominic, Firth, Gregory, Marealle, Paul, Temu, Rogers, Mutanda, Tony, Rio, Marcelo, Quintero, Jose Eduardo, Zuluaga, Mauricio, Minueza, Tomás, Madrigal, Ricardo, Ylizaliturri, Manuel, Garuz, Mario, Segovia Altieri, Julio, Escalante Elguezabal, Igor A., Armstrong, Elizabeth, Rogers, Kris, Li, Chuan Silvia, Jagnoor, Jagnoor, Moroz, Paul, Oguzie, Gerald Chukwuemeka, Hailu, Samuel, Miclau, Theodore, III, de la Huerta, Fernando, Martinez-Ruiz, Jose de Jesus, Bidolegui, Fernando, Zhou, Junlin, Ma, Xinlong, Wu, Bo, Sancheti, Parag, Quang, La Ngoc, Baigi, Vali, Haddadi, Mashyaneh, Tian, Maoyi, Sprague, Sheila, Devereaux, P J, Bhandari, Mohit, and Ivers, Rebecca

Published
2024
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8. A community-based intervention to improve screening, referral and follow-up of non-communicable diseases and anaemia amongst pregnant and postpartum women in rural India: study protocol for a cluster randomised trial

Author

Hirst, Jane Elizabeth, Votruba, Nicole, Billot, Laurent, Arora, Varun, Rajan, Eldho, Thout, Sudhir Raj, Peiris, David, Patel, Anushka, Norton, Robyn, Mullins, Edward, Sharma, Ankita, Kennedy, Stephen, Jha, Vivekanand, and Praveen, Devarsetty

Published
2023
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29. An intervention to reduce stigma and improve management of depression, risk of suicide/self-harm and other significant emotional or medically unexplained complaints among adolescents living in urban slums: protocol for the ARTEMIS project

Author

Yatirajula, Sandhya Kanaka, Kallakuri, Sudha, Paslawar, Srilatha, Mukherjee, Ankita, Bhattacharya, Amritendu, Chatterjee, Susmita, Sagar, Rajesh, Kumar, Ashok, Lempp, Heidi, Raman, Usha, Singh, Renu, Essue, Beverley, Billot, Laurent, Peiris, David, Norton, Robyn, Thornicroft, Graham, and Maulik, Pallab K.

Published
2022
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30. Why does a public health issue (not) get priority? Agenda setting for the national burns programme in India.

Author

Keshri, Vikash Ranjan, Jagnoor, Jagnoor, Peden, Margie, Norton, Robyn, and Abimbola, Seye

Subjects
PUBLIC health, CAPITAL cities, FRAMES (Social sciences), THEMATIC analysis
Abstract

There is growing scholarly interest in what leads to global or national prioritization of specific health issues. By retrospectively analysing agenda setting for India's national burn programme, this study aimed to better understand how the agenda-setting process influenced its design, implementation and performance. We conducted document reviews and key informant interviews with stakeholders and used a combination of analytical frameworks on policy prioritization and issue framing for analysis. The READ (readying material, extracting data, analysing data and distilling findings) approach was used for document reviews, and qualitative thematic analysis was used for coding and analysis of documents and interviews. The findings suggest three critical features of burns care policy prioritization in India: challenges of issue characteristics, divergent portrayal of ideas and its framing as a social and/or health issue and over-centralization of agenda setting. First, lack of credible indicators on the magnitude of the problem and evidence on interventions limited issue framing, advocacy and agenda setting. Second, the policy response to burns has two dimensions in India: response to gender-based intentional injuries and the healthcare response. While intentional burns have received policy attention, the healthcare response was limited until the national programme was initiated in 2010 and scaled up in 2014. Third, over-centralization of agenda setting (dominated by a few homogenous actors, located in the national capital, with attention focused on the national ministry of health) contributed to limitations in programme design and implementation. We note following elements to consider when analysing issues of significant burden but limited priority: the need to analyse how actors influence issue framing, the particularities of issues, the inadequacy of any one dominant frame and the limited intersection of frames. Based on this analysis in India, we recommend a decentralized approach to agenda setting and for the design and implementation of national programmes from the outset. [ABSTRACT FROM AUTHOR]

Published
2024
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31. Delays in hospital admissions in patients with fractures across 18 low-income and middle-income countries (INORMUS): a prospective observational study

Author

Bhandari, Mohit, Devereaux, PJ, Guyatt, Gordon, Petrisor, Brad, Thabane, Lehana, Boniface, Respicious L., Browner, Bruce, de la Huerta, Fernando, Ivers, Rebecca Q, Miclau, Theodore, III, Moroz, Paul, Pollak, Andrew, Slobogean, Gerard, Sancheti, Parag, Schemitsch, Emil, Zhou, Junlin, Sprague, Sheila, McKay, Paula, Li, Chuan Silvia, Mundi, Raman, O'Hara, Nathan, Heels-Ansdell, Diane, Buckingham, Lisa, Simunovic, Nicole, Jagnoor, Jagnoor, Norton, Robyn, Zhang, Jing, Tian, Maoyi, Bhaumik, Soumyadeep, Parveen, Samina, Morshed, Saam, MacKechnie, Madeline C., Liu, Yang, Zhao, Yanrui, Li, Junfei, Zhang, Haoran, Zhang, Zhentao, Zhang, Wei, Guo, Tao, Chen, Guang, Jia, Zichao, Yang, Jianzhong, Kang, Lixing, Zhang, Peng, Ma, Haoqing, Liu, Donghai, Ma, Yinghua, Qin, Yanguo, Wang, Jincheng, Liu, He, Ma, Xinlong, Ma, Jianxiong, Jia, Haobo, Cui, Shuangshuang, Zhao, Zhihu, Fu, Lin, Jiang, Hongqiang, Lv, Jianwei, Hu, Sanbao, Wang, Yongwei, Sun, Mingyao, Tao, Shuqing, Qi, Baochang, Gao, Ming, Wu, Bo, Zhi, Chunsheng, Xing, Ben, Yang, Jun, Dai, Wenjie, Lu, Duo, He, Shisheng, Cai, Xinyu, Liu, Gejun, Rui, Gang, Hu, Baoshan, Shi, Pingfang, Chen, Hua, Wang, Te, Wang, Qingqing, Xie, Linzhen, Xie, Huanguang, Mutanda, Tony, Ntuulo, Juliet, Lubega, Flavia, Tracy, Gayita Teddy, Zaitun, Kayondo, Ndayisaba, Sylvester, Amone, Titus, Odong, Samuel Remmy, Lutomia, Mark, Okatch, Caesar, Bitok, Thomas, Kiambuthi, Alexander, Otsyeno, Fred Mathew Toboso, Jani, Pankaj G, Mutiso, Vincent Muoki, Ating'a, John EO, Kilonzo, Peter Kavoo, Muoki, James, Mbogori, Makena, Wambugu, Joan Wambui, Torutt, Dorothy, Odok, Christopher, Ngetich, Elisha, Otsyeno, Dean, Wakhayanga, Juma, Nzioka, Desmond, Owende, Deogracia, Lucinde, Ruth, Kariuki, Brian Ngure, Kinyua, Dennis, Kamau, Maureen, Mwancha, Maureen, Murgor, Mellany, Nyabuti, Marilyn, Njoki, Rita, Wanza, Patricia, Odongo, Abraham, Marealle, Paul, Wanini, Athman, Elisha, Marwa, Zumbulu, Damas, Godfrey, Pariyo Bonane, Ndeleva, Benjamin Mukulu, Johnson, Murila, Kimani, Moses, Gichui, Kinuthia, Temu, Rogers Joachin, Mselle, Angela Neofitus, Kimario, Ancelimu Rafael, Ramokgopa, Mmampapatla Thomas, Firth, Gregory, Biscardi, Anna Grisillo, Poopedi, Machuene Ananias, Moolman, Johan, Milner, Brenda, Maluleke, Matimba, Jingo, Maxwell, van Deventer, Susan, Pikor, Timothy, Bhaga, Ravi, Mara, Michael, Mwangi, Geoffrey Chege, Maina, Anthony Muchiri, Gicheru, David Wamae, Mwangi, Carol, Wangai, Isaac Kingori, Maina, Peter Watson, Kiptoo, Ezra Mitei, Temiloluwa, Olufemi Olukemi, Ikechukwu, Adeyeye Adeolu, Olugbenga, Ige Oluwole, Bamidele, Ojodu Ishaq, Akanbi, Oladimeji Oladipupo, Subramanian, Panchu, Mosweu, Olivia L, Hailu, Samuel, Tessema, Geletaw, Bezabih, Bahiru, Ayana, Birhanu, Hailu, Hiwot, Zewdneh, Betelhem, Tesfaye, Hana, Tadesse, Sosena, Konadu-Yeboah, Dominic, Ativor, Vincent, Konadu, Peter, Awariyah, Dominic, Quartey, Raphael, Kumah-Ametepey, Raphael, Saani, Osman, Quansah, Robert Ekow, Baidoo, Paa Kwesi, Trafton, Peter, Anyitey-Korkor, David, Leat, Michael, Sobotie, Johnny, Opuni, Godwin, Kusi, Kwasi, Baah, Twimasi, Okyere, Paul, Mensah, Bernice, Sarpong, Doris Akuoko, Agbenorwu, Felicia, Osei-Donkor, Phyllis, Opoku, Priscilla, Segbefia, Michael, Oguzie, Gerald Chukwuemeka, Iyidobi, Emmanuel Chino, Nwadinigwe, Cajetan Uwatoronye, Oguzie, Sharon Amarachi Uloma, Kesiena, Emina Bami, Ndasi, Henry Tanyi, Ghislain, Nietiayurk Aminake, Shey, Mala Irine, Nanje, Ikose John, Shyam, Ashok, Borate, Madhav, Patil, Sampat Dumbre, Karkamakar, Sachin, Patil, Shailesh, Ranaware, Abhijeet, Tamboli, Shadab, Gandhalikar, Manish, Tupe, Rohini, Chaudhari, Vishal, Joshi, Avanti, Patil, Sanjay, Dalwekar, Mohit Madhukar, Gandhi, Tejas, Latkar, Chintamani, Pundkare, Gopal, Shrivastava, Sandeep, Singh, Pradeep K, Deshpande, Sanjay, Baheti, Sumit, Mittal, Ravi, Sharma, Vijay, Cherian, Vinoo Mathew, Jepegnanam, Thilak Samuel, Titus, Vijay T K, Nithyananth, Manasseh, Boopalan, Palapattu R J V C, Varghese, Viju Daniel, Arockiaraj, Justin, Mahajan, Anupam, John, Bobby, Pandey, Ritesh, Prakash, Jeewan S, Abraham, Valsamma, Rajkumar, Arti, Chhabra, Harvinder Singh, Sharawat, Rajesh, Kumar, Ritabh, Chawla, Pushkar, Yadav, Rashmi, Iyer, Rajagopalan N, Nair, Naveen, Amaravathi, Rajkumar S, Santhanagopa, Srinivasalu, Pilar, Anoop, Tamboowala, Keith Behram, Dhillon, Mandeep S, Dhatt, Sarvdeep S, Chase, Asolie, Bhavsar, Neel M, Musa, Rameez, Shah, Darshan, Chodavadiyah, Sunil, Patel, Pankaj G, Qadir, Raja Irfan, Bukhari, Syed Imran, Baz, Khushnood Ali, Byanjankar, Subin, Joshi, Ruban Raj, Dwivedi, Rajeev, Sharma, Jay Raj, Quang, La Ngoc, Chinh, Nguyen Duc, Hong, Vu Bao, Sa-ngasoongsong, Paphon, Kulachote, Noratep, Sirisreetreerux, Norachart, Pongsamakthai, Wanjak, Tabu, Irewin Alagar, Reyes, Paula Veronica, Caiquep, Iardinne, Bituin, Joni Mitchell Robles, González, Jenna, Golbakhsh, Mohammadreza, Haddadi, Mashyaneh, Saadat, Soheil, Zafarghandi, Mohammadreza, Orozco, Clotilde Fuentes, Ruíz, José de Jesús Martínez, Arreguin, Gustavo Armando Tafoya, Flores, César Eduardo Pinedo, Verduzco, Irydia Guadalupe Pellegrini, Camacho, Miguel Oscar Hernandez, Téllez, Diego Abraham Estrada, López, Rodrigo Salcedo, Navarro, Ileana Guadalupe Canales, Pérez, Mizael Dennis, Carrillo, Daniel de Jesús Enciso, López, Paola Alejandra Álvarez, Gómez, Adán Cervantes, Bravo, Fátima Nohemí Franco, Arias, Eugenia de los Ángeles Reyes, Elguezabal, Igor A. Escalante, Rizzo, Ennio Antonio, Hovsepian, Jean Michel, Rodriguez, Victor, Baldo, Manuel Malaret, Serrano, Andres, Valenciano, Carlos G. Sanchez, Salcedo, Edgar Efren Mercado, Medina, Fryda, Bidolegui, Fernando, Pereira, Sebastian, Aguilar, Gerardo, Rubio-Avila, Jorge, Belangero, William Dias, Mariolani, José Ricardo Lenzi, Livani, Bruno, Lugnani, André, Rossi, Felipe, Katayama, Angela, Baldy, Fernando, de Moraes, Vinícius Ynoe, Fogagnolo, Fabricio, Kojima, Kodi Edson, Silva, Jorge dos Santos, Demange, Marco Kawamura, de Andrade-Silva, Fernando Brandão, da Silva, Adriana Carvalho Gomes, Elias, Nelson, Martinez, Dino Aguilar, Contreras, Fernando, Garuz, Mario, Quintero, Jose Eduardo, Merchan, Gavino, Lurita, Christian M. Lozano, Manrique, Aturo D. Torres, Fernandez, Jorge Hurtado, Vincenti, Sergio Iriarte, Bobarin, Alfredo Pozzo, Sanchez, Dalton Salinas, Altieri, Julio Segovia, Almada, Diego, Bogado, Derlis, Coronel, Carlos, Boveda, Cristian, del Valle, Victor, Montiel, Carlos, Marin, Nelson, Barquet, Antonio, Rienzi, Daniel, Amanquez, Carlos, Beauvoir, Georges, Cutipa, Iván J Salce, Ribeiro, José Eduardo Grandi, Avila, José María Jiménez, Padilla, Luis, Ochoa, Hernando Cuevas, Cano, Hernando Cuevas, González, Adriana Vaca, Gutierrez, Nubia Itzel Gonzalez, Espinola, Victor, Pouramin, Panthea, Busse, Jason W, Devereaux, P J, and Ivers, Rebecca

Published
2020
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34. The health workforce conundrum for burn care in Uttar Pradesh, India: a qualitative exploration.

Author

Keshri, Vikash Ranjan, Parveen, Samina, Abimbola, Seye, Mishra, Brijesh, Khurram, Mohammed Fahad, Peden, Margie, Norton, Robyn, and Jagnoor, Jagnoor

Subjects
TREATMENT for burns & scalds, BURN care units, QUALITATIVE research, RESEARCH funding, INTERVIEWING, LEADERSHIP, JUDGMENT sampling, DESCRIPTIVE statistics, DECISION making, THEMATIC analysis, ATTITUDES of medical personnel, RESEARCH, LABOR supply, HEALTH care teams
Abstract

Delivering specialised care for major burns requires a multidisciplinary health workforce. While health systems ‘hardware’ issues, such as shortages of the healthcare workforce and training gaps in burn care are widely acknowledged, there is limited evidence around the systems ‘software’ aspects, such as interest, power dynamics, and relationships that impact the healthcare workforce performance. This study explored challenges faced by the health workforce in burn care to identify issues affecting their performance. Qualitative in-depth interviews were conducted with a purposively selected sample (n = 31, 18 women and 13 men) of various cadres of the burn care health workforce in Uttar Pradesh, India. Inductive coding and thematic analysis identified three major themes. First, the dynamics within the multidisciplinary team where complex relations, power and normative hierarchy hampered performance. Second, the dynamics between health workers and patients due to the clinical and emotional challenges of dealing with burn injuries and multitasking. Third, dynamics between specialised burn units and broader health systems are narrated in challenges due to inadequate first response and delayed referral from primary care facilities. These findings indicate that burn care health workers in India face multiple challenges that need systemic intervention with a multipronged human resource for health framework. [ABSTRACT FROM AUTHOR]

Published
2024
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36. Health systems research in burn care: an evidence gap map.

Author

Keshri, Vikash Ranjan, Peden, Margaret, Singh, Pratishtha, Norton, Robyn, Abimbola, Seye, and Jagnoor, Jagnoor

Subjects
TREATMENT for burns & scalds, ONLINE information services, CINAHL database, HEALTH services accessibility, MEDICAL information storage & retrieval systems, SYSTEMATIC reviews, MEDICAL care research, MEDLINE
Published
2023
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37. Multi-morbidity and blood pressure trajectories in hypertensive patients: A multiple landmark cohort study

Author

Tran, Jenny, Norton, Robyn, Canoy, Dexter, Ayala Solares, Jose Roberto, Conrad, Nathalie, Nazarzadeh, Milad, Raimondi, Francesca, Salimi-Khorshidi, Gholamreza, Rodgers, Anthony, and Rahimi, Kazem

Subjects
Blood pressure -- Demographic aspects, Comorbidity -- Physiological aspects -- Care and treatment, Hypertension -- Care and treatment, Biological sciences
Abstract

Background Our knowledge of how to better manage elevated blood pressure (BP) in the presence of comorbidities is limited, in part due to exclusion or underrepresentation of patients with multiple chronic conditions from major clinical trials. We aimed to investigate the burden and types of comorbidities in patients with hypertension and to assess how such comorbidities and other variables affect BP levels over time. Methods and findings In this multiple landmark cohort study, we used linked electronic health records from the United Kingdom Clinical Practice Research Datalink (CPRD) to compare systolic blood pressure (SBP) levels in 295,487 patients (51% women) aged 61.5 (SD = 13.1) years with first recorded diagnosis of hypertension between 2000 and 2014, by type and numbers of major comorbidities, from at least 5 years before and up to 10 years after hypertension diagnosis. Time-updated multivariable linear regression analyses showed that the presence of more comorbidities was associated with lower SBP during follow-up. In hypertensive patients without comorbidities, mean SBP at diagnosis and at 10 years were 162.3 mm Hg (95% confidence interval [CI] 162.0 to 162.6) and 140.5 mm Hg (95% CI 140.4 to 140.6), respectively; in hypertensive patients with [greater than or equal to]5 comorbidities, these were 157.3 mm Hg (95% CI 156.9 to 157.6) and 136.8 mm Hg (95% 136.4 to 137.3), respectively. This inverse association between numbers of comorbidities and SBP was not specific to particular types of comorbidities, although associations were stronger in those with preexisting cardiovascular disease. Retrospective analysis of recorded SBP showed that the difference in mean SBP 5 years before diagnosis between those without and with [greater than or equal to]5 comorbidities was -9 mm Hg (95% CI -9.7 to -8.3), suggesting that mean recorded SBP already differed according to the presence of comorbidity before baseline. Within 1 year after the diagnosis, SBP substantially declined, but subsequent SBP changes across comorbidity status were modest, with no evidence of a more rapid decline in those with more or specific types of comorbidities. We identified factors, such as prescriptions of antihypertensive drugs and frequency of healthcare visits, that can explain SBP differences according to numbers or types of comorbidities, but these factors only partly explained the recorded SBP differences. Nevertheless, some limitations have to be considered including the possibility that diagnosis of some conditions may not have been recorded, varying degrees of missing data inherent in analytical datasets extracted from routine health records, and greater measurement errors in clinical measurements taken in routine practices than those taken in well-controlled clinical study settings. Conclusions BP levels at which patients were diagnosed with hypertension varied substantially according to the presence of comorbidities and were lowest in patients with multi-morbidity. Our findings suggest that this early selection bias of hypertension diagnosis at different BP levels was a key determinant of long-term differences in BP by comorbidity status. The lack of a more rapid decline in SBP in those with multi-morbidity provides some reassurance for BP treatment in these high-risk individuals., Author(s): Jenny Tran 1, Robyn Norton 2, Dexter Canoy 1,3,4,5, Jose Roberto Ayala Solares 1, Nathalie Conrad 1, Milad Nazarzadeh 1,3, Francesca Raimondi 1, Gholamreza Salimi-Khorshidi 1,3, Anthony Rodgers 2, [...]

Published
2021
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39. Burden of non-communicable diseases and behavioural risk factors in Mexico: Trends and gender observational analysis

Author

Guerrero-López, Carlos M., Serván-Mori, Edson, Miranda, J. Jaime, Jan, Stephen, Orozco-Núñez, Emanuel, Downey, Laura, Feeny, Emma, Heredia-Pi, Ileana, Flamand, Laura, Nigenda, Gustavo, and Norton, Robyn

Subjects
Factores de Riesgo, Enfermedades no Transmisibles, Risk factors, México, Gender, Identidad de Género, Non-communicable diseases, Trends, Mexico
Abstract

BACKGROUND: There is scarce gender-disaggregated evidence on the burden of disease (BD) worldwide and this is particularly prominent in low- and middle-income countries. The objective of this study is to compare the BD caused by non-communicable diseases (NCDs) and related risk factors by gender in Mexican adults. METHODS: We retrieved disability-adjusted life years (DALYs) estimates for diabetes, cancers and neoplasms, chronic cardiovascular diseases (CVDs), chronic respiratory diseases (CRDs), and chronic kidney disease (CKD) from the Global Burden of Disease (GBD) Study from 1990-2019. Age-standardized death rates were calculated using official mortality microdata from 2000 to 2020. Then, we analysed national health surveys to depict tobacco and alcohol use and physical inactivity from 2000-2018. Women-to-men DALYs and mortality rates and prevalence ratios (WMR) were calculated as a measure of gender gap. FINDINGS: Regarding DALYs, WMR was >1 for diabetes, cancers, and CKD in 1990, indicating a higher burden in women. WMR decreased over time in all NCDs, except for CRDs, which increased to 0.78. However, WMR was 1 for diabetes and cardiovascular diseases in 2000 and 1 and increasing. CONCLUSIONS: The gender gap has changed for selected NCDs in favour of women, except for CRDs. Women face a lower BD and are less affected by tobacco and alcohol use but face a higher risk of physical inactivity. Policymakers should consider a gendered approach for designing effective policies to reduce the burden of NCDs and health inequities.

Published
2023

45. Gender roles, generational changes and environmental challenges: an intersectional interpretation of perceptions on healthy diets among iTaukei women and men in Fiji.

Author

McKenzie, Briar Louise, Waqa, Gade, Hart, Ashleigh Chanel, Moala Silatolu, Anasaini, Palagyi, Anna, Norton, Robyn, McLean, Rachael, and Webster, Jacqui

Abstract

Objective: To investigate perceptions of iTaukei Fijian women and men around diet and the ability to consume a healthy diet.Design: Six focus groups were conducted with women and men separately. Six to ten women and men participated in each group. Discussions were recorded, transcribed, translated and thematically analysed. Themes were mapped to an intersectionality framework to aid interpretation.Setting: Four villages in Viti Levu, Fiji.Participants: Twenty-two women and twenty-four men.Results: Seven overarching themes were identified, including generational changes in food behaviour, strong-gendered beliefs around food and food provision, cultural and religious obligations around food, the impact of environmental change on the ability to consume a healthy diet, perceptions of the importance of food, food preferences and knowledge. Participants across focus groups identified that it was the 'duty' of women to prepare food for their families. However, some women reflected on this responsibility being unbalanced with many women now in the formal workforce. Changes between generations in food preferences and practices were highlighted, with a perception that previous generations were healthier. Power dynamics and external factors, such as environmental changes, were identified by women and men as crucial influences on their ability to eat a healthy diet.Conclusion: Embedded traditional perceptions of gendered roles related to nutrition were misaligned with other societal and environmental changes. Given factors other than gender, such as broader power dynamics and environmental factors were identified as influencing diet, viewing nutrition-related issues through an intersectional lens is important to inform equitable food policy in Fiji. [ABSTRACT FROM AUTHOR]

Published
2022
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