This perspective lays out the challenges and conundrums facing global health and discusses possible solutions applicable in the future. The world is facing numerous challenges that include those associated with globalization, climate change, emerging diseases, continuation of non-communicable diseases, reemerging communicable diseases, antimicrobial resistance (AMR), wars, terrorism, and humanitarian crises, among others. The recent challenges exaggerated by the COVID-19 pandemic have exposed vulnerabilities within healthcare systems, particularly in low- and middle-income countries (LMIC). The solutions must be interprofessional and multifarious with collaborative efforts and partnerships. One world order seems to be a far-fetched ideal utopian goal, but it can be a remedy for ensuring health for all. In the meantime, strengthening the World Health Organization’s role in coordinating global health efforts and improving its capacity to respond to future health crises will be critical in ensuring that the vision of a unified, healthier world becomes a reality.

Background: Ready-made garments (RMG) sector expositions preeminent growth and makes an important contribution to the national economy of Bangladesh Pregnancy is a critical event for working women specially garment worker& Methods: A cross sectional study was carried out to find out the barriers to utilization of intra-natal (INC) maternal health care services among 349 female RMG workers having at least one child less than 2 years and working more than 6 months in the selected five garment factories located in Savar and Gazipur areas, Dhaka, Bangladesh Results: The mean age of the respondent was 25.01+3.722 years and majorities (45%) were from the age group 23-27 years. Half of the respondents (50.4%) completed primary level of education in contrast to their partner (35.8%). More than half of the workers (516%) said that they consumed INC services and among them, only 3.1% received delivery related services_ Two-third (662%) did not avail any type of allowances for delivery service& Majorities of the respondents (562%) delivered their last child at home. INC services provided by the garment authorities were found statistically significant (p=0.048) with the place of delivery. Conclusion: Among the global maternal deaths almost all maternal deaths occur in developing countries and most of these deaths can be prevented. Strengthening of garment factory based strategies associated with delivery care services will be combat maternal and newborn mortality and morbidity of all the working women.

Cancer survivors face an elevated risk of severe COVID-19 outcomes and were prioritized for vaccination, yet reported rates of vaccination refusal in this population vary widely. The objective of this scoping review was to map the available evidence on COVID-19 vaccination refusal among adult cancer survivors in the United States, to characterize the reported barriers and enablers, and to examine how differences in measurement account for variation in the reported estimates. PubMed, EBSCOhost, CINAHL, medRxiv, and Google Scholar were searched for studies published between 1 December 2020 and 30 April 2026 reporting primary data on COVID-19 vaccination refusal among U.S. adults with a current or previous cancer diagnosis. Findings were charted and summarized descriptively. Six sources comprising 3344 participants met the eligibility criteria. Reported refusal ranged from 7.3% to 39.0%, a more than fivefold difference, with a median of 14.7%. This variation corresponded closely to what each source measured: declination of an offered vaccine, likelihood of acceptance on a Likert scale, hesitancy assessed before vaccines were widely available, or observed non-receipt of any dose. Barriers included concerns about vaccine safety, efficacy, and interaction with cancer treatment, mistrust of science and government, and low perceived need; clinician recommendation was the most consistent enabler. Estimates of vaccination refusal in this population are not directly comparable and should be interpreted alongside the construct measured.

This study examines the impact of the Affordable Care Act (ACA) on substance-associated emergency department (ED) visits among young adults, revealing reduced alcohol-associated visits but unchanged opioid-associated visits.