Eva Rehfue
Biographic Data
| ID | 5133128 |
|---|---|
| NAME | Eva Rehfue |
| GIVEN NAMES | Eva |
| FAMILY NAME | Rehfue |
| SIGNATURE | REHFUE E |
| AFFILIATIONS | Zimmer Biomet (Germany) |
| ORCID | 0000-0002-4318-8846 |
| VERIFIED | Yes |
| TOTAL WORKS | 33 |
| TOTAL CITATIONS | 28 |
| WORKS AS AUTHOR | 33 |
| WORKS AS EDITOR | 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…
Tool for assessing food industry commitments and practices to address the double burden of malnutrition
BACKGROUND: Many low- and middle-income countries face a double burden of malnutrition, i.e., a co-occurrence of undernutrition with overweight, obesity, or other diet-related noncommunicable diseases. In an increasingly connected global food system, multinational and domestic food industry actors - through their commercial practices and corporate political activity - both contribute to the double burden of malnutrition and hold potential to addr…
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
Drivers and levers of the double burden of malnutrition in Cape Town, South Africa
South Africa faces a high burden of malnutrition, including undernutrition, overweight, obesity, and diet-related non-communicable diseases. This coexistence and interaction of multiple forms of malnutrition within individuals and communities across the life-course is referred to as the double burden of malnutrition (DBM) and has complex, interrelated causes that need to be concurrently addressed. This qualitative study explored the drivers and p…
Logic models for the evaluation of complex interventions in public health
Developing a logic model in a staged process over the course of the evaluation of an intervention is a useful approach for stimulating reflection and obtaining a more realistic depiction of the intervention
Cinemeducation
Beyond buzzwords
BACKGROUND: Germany has increased its political and financial commitment for global health, but this needs to be backed by a robust global health research ecosystem with strong partnerships in low- and middle-income countries (LMICs). OBJECTIVE: This article suggests pathways for empowering researchers to operate beyond their disciplinary silos and strengthen partnerships across sectors and countries. The authors identify barriers and enablers of…
Emergency obstetric and newborn care signal functions
Expanding access to facility-based delivery services and improving the functionality of emergency obstetric and neonatal care (EmONC) are important strategies toward achieving a maternal mortality ratio of 70 deaths per 100,000 live births by 2030. In this study the researchers assess signal functions at designated facilities in Nepal, using Nepal Health Facility Survey data for 2015 and 2021. The functionality of basic and comprehensive EmONC si…
A place where I have lost and made friends”
Worldwide, the number and proportion of people living in cities continue to grow. Building new districts creates opportunities for designing urban environments that promote the health of their residents from the get-go. In this study, we used the photovoice methodology to explore the perspectives of adolescents on health and well-being in a new urban development area in Munich, Germany. Eleven adolescents aged 13-19 years were recruited in the ne…
Rapid development of an evidence- and consensus-based guideline for controlling transmission of Sars-CoV-2 in schools during a public health emergency – A process evaluation
Introduction: Different measures to prevent and control the spread of SARS-CoV-2 have been implemented in German schools. Decisions regarding such measures should be informed by evidence regarding their effectiveness, and their unintended consequences for health and society. A multi-stakeholder panel was convened to develop an evidence- and consensus-based guideline for school measures, using the novel WHO-INTEGRATE framework. Developing a guidel…
Taking stock of population-level interventions targeting risk factors for hypertension and diabetes in Rwanda and South Africa
Conducting a situational analysis is crucial for understanding the current state of interventions and identifying opportunities for new interventions. The multi-component methodology used in two African countries was found to be feasible, appropriate, and informative. Others planning to conduct situational analysis may follow, adapt and improve upon our approach, reacting to the challenges encountered
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…
Cinemeducation online—First German public health film festival
The field of Public Health was discredited in Germany for a long time due to misconduct during the Nazi regime. It still plays only a marginal role in the curriculum of medical faculties and in political decision-making in Germany. To make public health more visible and convey its relevance to all areas of life, we used the didactic method ‘cinemeducation’,1 combining online film screenings and discussions to enable participants to adopt differen…
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…
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…
Social determinants and behaviors associated with overweight and obesity among youth and adults in a peri-urban area of Maputo City, Mozambique
BACKGROUND: Overweight and obesity are important risk factors for non-communicable diseases (NCDs) such as cardiovascular diseases (CVD), type 2 diabetes and certain cancers. NCDs are responsible for an increased number of deaths worldwide, including in developing countries. We aimed to determine the prevalence of overweight and obesity among youth and adults in a peri-urban area of Maputo city, Mozambique, and to assess their social and behavior…
Mental burden and its risk and protective factors during the early phase of the Sars-CoV-2 pandemic
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 …
Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
Household air pollution is a major cause of ill health, but few solutions have been effective to date. While many quantitative studies have been conducted, few have explored the lived experiences and perceptions of women who do the cooking, and as a result are those most exposed to household air pollution. In this study, we worked with groups of home cooks, and sought to use art as a means of engaging them in discussions of how household air poll…
Voluntary industry initiatives to promote healthy diets
Objective To analyse the scope and content of the nutrition pledge announced by Lidl. Design We applied the approach recommended by the private-sector module of the INFORMAS (International Network for Food and Obesity Research, Monitoring and Action Support) food environment monitoring framework and qualitative content analysis to Lidl’s nutrition pledge. Setting Global. Subjects The nutrition pledge of Lidl, Europe’s largest food retailer. Resul…
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
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…
Solid fuel use and cooking practices as a major risk factor for Alri mortality among African children
BACKGROUND: Almost half of global child deaths due to acute lower respiratory infections (ALRIs) occur in sub-Saharan Africa, where three-quarters of the population cook with solid fuels. This study aims to quantify the impact of fuel type and cooking practices on childhood ALRI mortality in Africa, and to explore implications for public health interventions. METHODS: Early-release World Health Survey data for the year 2003 were pooled for 16 Afr…
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…
Solid fuel use and cooking practices as a major risk factor for Alri mortality among African children
BACKGROUND: Almost half of global child deaths due to acute lower respiratory infections (ALRIs) occur in sub-Saharan Africa, where three-quarters of the population cook with solid fuels. This study aims to quantify the impact of fuel type and cooking practices on childhood ALRI mortality in Africa, and to explore implications for public health interventions. METHODS: Early-release World Health Survey data for the year 2003 were pooled for 16 Afr…
GRADE for the advancement of public health
The recent debate in this journal about the applicability of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach to public health interventions is both important and timely.1 2 To say it upfront, we are enthusiastic about the transparent, systematic, comprehensive and nevertheless straightforward way in which GRADE guides its users in judging the quality of evidence and in classifying the strength of a recommend…
Solid Fuel Use for Household Cooking
BACKGROUND: Exposure to household air pollution from cooking with solid fuels in simple stoves is a major health risk. Modeling reliable estimates of solid fuel use is needed for monitoring trends and informing policy. OBJECTIVES: In order to revise the disease burden attributed to household air pollution for the Global Burden of Disease 2010 project and for international reporting purposes, we estimated annual trends in the world population usin…
Neonatal health in Nepal
Neonatal mortality varies greatly by socio-demographic variables. This study clearly shows that much remains to be achieved in terms of reducing neonatal mortality across different socio-economic, ethnic and geographical population groups in Nepal. In moving forward it will be important to scale up programs of proven effectiveness, conduct in-depth evaluation of promising new approaches, target unreached and hard-to-reach populations, and maximiz…
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…
Towards Effective and Socio-Culturally Appropriate Sanitation and Hygiene Interventions in the Philippines
Inadequate water, sanitation and hygiene (WASH) represent an important health burden in the Philippines. The non-governmental organisation Fit for School intends to complement its handwashing programme in schools with sanitation interventions. The objectives of this mixed-method study therefore were to describe WASH practices and their impact on childhood diarrhoea in the Philippines, and to examine socio-cultural and environmental factors underl…
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
The impact of sanitation on infectious disease and nutritional status
Women’s Ideas about the Health Effects of Household Air Pollution, Developed through Focus Group Discussions and Artwork in Southern Nepal
Household air pollution is a major cause of ill health, but few solutions have been effective to date. While many quantitative studies have been conducted, few have explored the lived experiences and perceptions of women who do the cooking, and as a result are those most exposed to household air pollution. In this study, we worked with groups of home cooks, and sought to use art as a means of engaging them in discussions of how household air poll…
Voluntary industry initiatives to promote healthy diets
Objective To analyse the scope and content of the nutrition pledge announced by Lidl. Design We applied the approach recommended by the private-sector module of the INFORMAS (International Network for Food and Obesity Research, Monitoring and Action Support) food environment monitoring framework and qualitative content analysis to Lidl’s nutrition pledge. Setting Global. Subjects The nutrition pledge of Lidl, Europe’s largest food retailer. Resul…
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…
Social determinants and behaviors associated with overweight and obesity among youth and adults in a peri-urban area of Maputo City, Mozambique
BACKGROUND: Overweight and obesity are important risk factors for non-communicable diseases (NCDs) such as cardiovascular diseases (CVD), type 2 diabetes and certain cancers. NCDs are responsible for an increased number of deaths worldwide, including in developing countries. We aimed to determine the prevalence of overweight and obesity among youth and adults in a peri-urban area of Maputo city, Mozambique, and to assess their social and behavior…
Mental burden and its risk and protective factors during the early phase of the Sars-CoV-2 pandemic
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…
Cinemeducation online—First German public health film festival
The field of Public Health was discredited in Germany for a long time due to misconduct during the Nazi regime. It still plays only a marginal role in the curriculum of medical faculties and in political decision-making in Germany. To make public health more visible and convey its relevance to all areas of life, we used the didactic method ‘cinemeducation’,1 combining online film screenings and discussions to enable participants to adopt differen…
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…
Rapid development of an evidence- and consensus-based guideline for controlling transmission of Sars-CoV-2 in schools during a public health emergency – A process evaluation
Introduction: Different measures to prevent and control the spread of SARS-CoV-2 have been implemented in German schools. Decisions regarding such measures should be informed by evidence regarding their effectiveness, and their unintended consequences for health and society. A multi-stakeholder panel was convened to develop an evidence- and consensus-based guideline for school measures, using the novel WHO-INTEGRATE framework. Developing a guidel…
Taking stock of population-level interventions targeting risk factors for hypertension and diabetes in Rwanda and South Africa
Conducting a situational analysis is crucial for understanding the current state of interventions and identifying opportunities for new interventions. The multi-component methodology used in two African countries was found to be feasible, appropriate, and informative. Others planning to conduct situational analysis may follow, adapt and improve upon our approach, reacting to the challenges encountered
Cinemeducation
Beyond buzzwords
BACKGROUND: Germany has increased its political and financial commitment for global health, but this needs to be backed by a robust global health research ecosystem with strong partnerships in low- and middle-income countries (LMICs). OBJECTIVE: This article suggests pathways for empowering researchers to operate beyond their disciplinary silos and strengthen partnerships across sectors and countries. The authors identify barriers and enablers of…
Medicine (28 works) · Environmental health (18 works) · Public health (16 works) · Nursing (14 works) · Psychological intervention (11 works) · Political science (10 works) · Computer Science (9 works) · Business (8 works) · Health Policy Implementation Science (8 works) · Psychology (8 works)