Purpose: This study aimed to examine the level of falls efficacy and identify its predictors among community-dwelling older adults with ischemic stroke in Wenzhou, China. Design/methodology/approach: A cross-sectional descriptive study was conducted with 335 participants aged 60–75 years, recruited from urban and rural communities in Wenzhou. Data were collected using validated instruments, including the demographic questionnaire, the Short Falls Efficacy Scale-International, the Timed Up and Go Test, the Manual Muscle Testing, the Geriatric Depression Scale (GDS-15), the Physical Activity Scale for the Elderly, the Barthel Index, the Social Support Rating Scale, and the Stroke Stigma Scale. Descriptive statistics and a simultaneous multiple regression analysis were used to analyze the data. Findings: The mean falls efficacy score among 335 community-dwelling older adults with ischemic stroke was 15.70 (SD = 5.37), with 51.9% reporting moderate concern and 48.1% high concern about falling. Multiple regression analysis indicated that activities of daily living (ADL) were the strongest predictor of fall efficacy (β = −0.659, p < 0.001), followed by depression (β = 0.229, p < 0.001) and social support (β = −0.063, p = 0.015). Together, these factors explained 80.3% of the variance in falls efficacy. Balance function, lower limb power, fall history, physical activity, and stroke stigma were not statistically significant in the final model. Practical implications: Practitioners supporting older stroke survivors in the community should prioritize ADL rehabilitation and routine depression screening, while also actively engaging available social support networks. Community health care providers can use these findings to design multidimensional fall-prevention programs. The GDS-15 is recommended as an accessible tool for detecting depressive symptoms in this population during routine follow-up. Originality/value: This is one of the first studies to comprehensively examine predictors across multiple domains of the International Classification of Functioning, Disability, and Health framework among community-dwelling older adults with ischemic stroke in China. The findings provide a strong empirical basis for culturally tailored community interventions to improve falls confidence and functional independence in this growing population.

Maternal survival remains an urgent global-health priority, yet survival does not necessarily imply recovery, wellbeing, or long-term health. After childbirth, women may experience persistent physical, psychological, reproductive, cardiometabolic, nutritional, and social challenges that extend beyond conventional maternity care. Although contemporary postnatal guidance increasingly recognizes maternal wellbeing and continuity, an important operational gap remains between time-limited maternity services and longitudinal women’s healthcare. This narrative review synthesizes peer-reviewed literature, international guidance, and selected national policy evidence to examine the health-system gap between time-limited maternity services and longitudinal women’s healthcare and proposes a Postpartum Women’s Health Continuum (PWHC) to address this transition. Japan, Sri Lanka, Thailand, and Mongolia are used as purposively selected health-system exemplars to illustrate institutionalized postpartum support, community-based continuity, integration within universal health coverage, and adaptation to geographic constraint. We propose a PWHC encompassing six interconnected domains and emphasizing universal early continuity, risk-stratified follow-up, nurse- and midwife-enabled coordination, selective use of digital health, and explicit handover of unresolved or pregnancy-associated risks into continuing care. As 2030 approaches, maternal-health success should be judged not only by survival, but also by recovery and long-term health.

This quasi-experimental research examined the effects of self-management support program on knowledge, exercise and eating behaviors, body mass index (BMI), and waist circumference among overweight employees in an industry in Samutprakarn Province, Thailand. Seventy overweight employees aged 20-59 years were equally randomly allocated into either the treatment or control group. Thirty-five overweight employees were in each group. In the 16 weeks, the treatment group was intervened through a selfmanagement support program, while the control group received standard care. Research tools consisted of two parts: a self-management support program and questionnaires. The data were analyzed by using descriptive statistics, paired t-tests, and independent t-tests. The results after 16 weeks of the self-management program showed that its average scores of knowledges, exercise, and eating behavior were higher than the baseline and control group (p<.05) while scores of waist circumferences and BMI were lower than the baseline (p<.05). The findings of this study indicated that the self-management support program had outcomes that not only could improve knowledge, exercise and eating behavior, but also reduce BMI and waist circumference. It is suggested that the self-management support program should be applied in the organization to promote knowledge and modify the health behaviors of overweight employees in other industries.