Eva Rehfuess
Biographic Data
| ID | 6162767 |
|---|---|
| NAME | Eva Rehfuess |
| GIVEN NAMES | Eva |
| FAMILY NAME | Rehfuess |
| SIGNATURE | REHFUESS E |
| AFFILIATIONS | Ludwig-Maximilians-Universität München |
| VERIFIED | No |
| TOTAL WORKS | 14 |
| TOTAL CITATIONS | 26 |
| AUTHOR COUNT | 14 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2007 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Assessing governance structures for climate-resilient and sustainable health systems
Background: The consequences of climate change have detrimental effects on human health. The establishment of functional governance structures is considered crucial for addressing health challenges, as such structures provide the foundation for coordinated and coherent action. At present, no standardised and internationally applicable approach exists for assessing and benchmarking governance structures for climate and health at national level. Th…
Heat, health and inequalities in the WHO European region – a scoping review with an intersectional lens
Climate change exerts diverse impacts on human health, with heatwaves emerging as a substantial concern. Social and health inequalities play a decisive role in this. Older people, children, and people experiencing homelessness or with low socioeconomic status, among others, are particularly affected by the health effects of heat and heatwaves. There is little evidence on the burden of being affected by multiple determinants of inequalities in the…
The impact of tiered soft drink taxes in Europe on mean sales-weighted sugar content of soft drinks
Varying effect sizes emphasize the importance of considering specific tax design, co-interventions and contextual factors when implementing tax policies. Further research could help to shed light on these variations and to achieve a higher level of accuracy and precision in the effect estimates
Population-Level Interventions Targeting Risk Factors for Hypertension and Diabetes in Rwanda
Background: Eighty percent (80%) of global Non-Communicable Diseases attributed deaths occur in low- and middle-income countries (LMIC) with hypertension and diabetes being key contributors. The overall prevalence of hypertension was 15.3% the national prevalence of diabetes in rural and urban was 7.5 and 9.7%, respectively among 15-64 years. Hypertension represents a leading cause of death (43%) among hospitalized patients at the University teac…
How a generally well-accepted measles vaccine mandate may lead to inequities and decreased vaccine uptake
The new measles vaccine mandate in Germany, though well accepted by many, might have unintended consequences. Parents with lower socio-economic status, who know less about the mandate and vaccine, might be less likely to comply with it. The mandate may also lead to some parents omitting other childhood vaccines, as a way to restore their freedom. This could decrease vaccination coverage of other vaccines. Any potential loss of trust might provoke…
Value and Challenges of Using Observational Studies in Systematic Reviews of Public Health Interventions
Adapting interventions to new contexts—the Adapt guidance
Implementing interventions with a previous evidence base in new contexts might be more efficient than developing new interventions for each context. Although some interventions transfer well, effectiveness and implementation often depend on the context. Achieving a good fit between intervention and context then requires careful and systematic adaptation. This paper presents new evidence and consensus informed guidance for adapting and transferrin…
How can we adapt complex population health interventions for new contexts? Progressing debates and research priorities
Introduction The UK Medical Research Council and National Institute for Health Research have funded the ADAPT study (2018–2020), to develop methodological guidance for the adaptation of complex population health interventions for new contexts. While there have been advances in frameworks, there are key theoretical and methodological debates to progress. The ADAPT study convened a panel meeting to identify and enrich these debates. This paper pres…
Energy access in Malawian healthcare facilities
Many healthcare facilities (HCFs) in low-income countries experience unreliable connectivity to energy sources, which adversely impacts the quality of health service delivery and provision of adequate environmental health services. This assessment explores the status and consequences of energy access through interviews and surveys with administrators and healthcare workers from 44 HCFs (central hospitals, district hospitals, health centres and he…
When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance
First paragraph: Rational models of evidence-informed policy have historically centred on an assumption that it is possible to identify "effective" health interventions, before recommending wider implementation. However, for population health interventions (which we define as inclusive of public health and health services), transferability to new contexts is often uncertain [1]. Some interventions have demonstrated limited effectiveness, or even …
Making sense of complexity in context and implementation
BACKGROUND: The effectiveness of complex interventions, as well as their success in reaching relevant populations, is critically influenced by their implementation in a given context. Current conceptual frameworks often fail to address context and implementation in an integrated way and, where addressed, they tend to focus on organisational context and are mostly concerned with specific health fields. Our objective was to develop a framework to f…
The need for a complex systems model of evidence for public health
Millions Dead
In the Comparative Risk Assessment (CRA) done as part of the Global Burden of Disease project (GBD-2010), the global and regional burdens of household air pollution (HAP) due to the use of solid cookfuels, were estimated along with 60+ other risk factors. This article describes how the HAP CRA was framed; how global HAP exposures were modeled; how diseases were judged to have sufficient evidence for inclusion; and how meta-analyses and exposure-r…
Urban Environmental Health Hazards and Health Equity
This paper outlines briefly how the living environment can affect health. It explains the links between social and environmental determinants of health in urban settings. Interventions to improve health equity through the environment include actions and policies that deal with proximal risk factors in deprived urban areas, such as safe drinking water supply, reduced air pollution from household cooking and heating as well as from vehicles and ind…
Urban Environmental Health Hazards and Health Equity
This paper outlines briefly how the living environment can affect health. It explains the links between social and environmental determinants of health in urban settings. Interventions to improve health equity through the environment include actions and policies that deal with proximal risk factors in deprived urban areas, such as safe drinking water supply, reduced air pollution from household cooking and heating as well as from vehicles and ind…
How can we adapt complex population health interventions for new contexts? Progressing debates and research priorities
Introduction The UK Medical Research Council and National Institute for Health Research have funded the ADAPT study (2018–2020), to develop methodological guidance for the adaptation of complex population health interventions for new contexts. While there have been advances in frameworks, there are key theoretical and methodological debates to progress. The ADAPT study convened a panel meeting to identify and enrich these debates. This paper pres…
When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance
First paragraph: Rational models of evidence-informed policy have historically centred on an assumption that it is possible to identify "effective" health interventions, before recommending wider implementation. However, for population health interventions (which we define as inclusive of public health and health services), transferability to new contexts is often uncertain [1]. Some interventions have demonstrated limited effectiveness, or even …
Urban Environmental Health Hazards and Health Equity
This paper outlines briefly how the living environment can affect health. It explains the links between social and environmental determinants of health in urban settings. Interventions to improve health equity through the environment include actions and policies that deal with proximal risk factors in deprived urban areas, such as safe drinking water supply, reduced air pollution from household cooking and heating as well as from vehicles and ind…
Millions Dead
In the Comparative Risk Assessment (CRA) done as part of the Global Burden of Disease project (GBD-2010), the global and regional burdens of household air pollution (HAP) due to the use of solid cookfuels, were estimated along with 60+ other risk factors. This article describes how the HAP CRA was framed; how global HAP exposures were modeled; how diseases were judged to have sufficient evidence for inclusion; and how meta-analyses and exposure-r…
Making sense of complexity in context and implementation
BACKGROUND: The effectiveness of complex interventions, as well as their success in reaching relevant populations, is critically influenced by their implementation in a given context. Current conceptual frameworks often fail to address context and implementation in an integrated way and, where addressed, they tend to focus on organisational context and are mostly concerned with specific health fields. Our objective was to develop a framework to f…
The need for a complex systems model of evidence for public health
When and how do ‘effective’ interventions need to be adapted and/or re-evaluated in new contexts? The need for guidance
First paragraph: Rational models of evidence-informed policy have historically centred on an assumption that it is possible to identify "effective" health interventions, before recommending wider implementation. However, for population health interventions (which we define as inclusive of public health and health services), transferability to new contexts is often uncertain [1]. Some interventions have demonstrated limited effectiveness, or even …
Energy access in Malawian healthcare facilities
Many healthcare facilities (HCFs) in low-income countries experience unreliable connectivity to energy sources, which adversely impacts the quality of health service delivery and provision of adequate environmental health services. This assessment explores the status and consequences of energy access through interviews and surveys with administrators and healthcare workers from 44 HCFs (central hospitals, district hospitals, health centres and he…
Adapting interventions to new contexts—the Adapt guidance
Implementing interventions with a previous evidence base in new contexts might be more efficient than developing new interventions for each context. Although some interventions transfer well, effectiveness and implementation often depend on the context. Achieving a good fit between intervention and context then requires careful and systematic adaptation. This paper presents new evidence and consensus informed guidance for adapting and transferrin…
How can we adapt complex population health interventions for new contexts? Progressing debates and research priorities
Introduction The UK Medical Research Council and National Institute for Health Research have funded the ADAPT study (2018–2020), to develop methodological guidance for the adaptation of complex population health interventions for new contexts. While there have been advances in frameworks, there are key theoretical and methodological debates to progress. The ADAPT study convened a panel meeting to identify and enrich these debates. This paper pres…
Population-Level Interventions Targeting Risk Factors for Hypertension and Diabetes in Rwanda
Background: Eighty percent (80%) of global Non-Communicable Diseases attributed deaths occur in low- and middle-income countries (LMIC) with hypertension and diabetes being key contributors. The overall prevalence of hypertension was 15.3% the national prevalence of diabetes in rural and urban was 7.5 and 9.7%, respectively among 15-64 years. Hypertension represents a leading cause of death (43%) among hospitalized patients at the University teac…
How a generally well-accepted measles vaccine mandate may lead to inequities and decreased vaccine uptake
The new measles vaccine mandate in Germany, though well accepted by many, might have unintended consequences. Parents with lower socio-economic status, who know less about the mandate and vaccine, might be less likely to comply with it. The mandate may also lead to some parents omitting other childhood vaccines, as a way to restore their freedom. This could decrease vaccination coverage of other vaccines. Any potential loss of trust might provoke…
Value and Challenges of Using Observational Studies in Systematic Reviews of Public Health Interventions
The impact of tiered soft drink taxes in Europe on mean sales-weighted sugar content of soft drinks
Varying effect sizes emphasize the importance of considering specific tax design, co-interventions and contextual factors when implementing tax policies. Further research could help to shed light on these variations and to achieve a higher level of accuracy and precision in the effect estimates
Assessing governance structures for climate-resilient and sustainable health systems
Background: The consequences of climate change have detrimental effects on human health. The establishment of functional governance structures is considered crucial for addressing health challenges, as such structures provide the foundation for coordinated and coherent action. At present, no standardised and internationally applicable approach exists for assessing and benchmarking governance structures for climate and health at national level. Th…
Heat, health and inequalities in the WHO European region – a scoping review with an intersectional lens
Climate change exerts diverse impacts on human health, with heatwaves emerging as a substantial concern. Social and health inequalities play a decisive role in this. Older people, children, and people experiencing homelessness or with low socioeconomic status, among others, are particularly affected by the health effects of heat and heatwaves. There is little evidence on the burden of being affected by multiple determinants of inequalities in the…
Medicine (11 works) · Environmental health (7 works) · Psychological intervention (7 works) · Nursing (6 works) · Public health (6 works) · Computer Science (5 works) · Health Policy Implementation Science (5 works) · Political science (5 works) · Context (archaeology) (4 works) · Business (3 works)