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Depression, a leading cause of global disability, arises from a multifaceted combination of genetic and environmental components. This study explores the relationship between major depressive disorder (MDD) polygenic scores (PGS), characteristics and symptoms of depression, and community-shared socioeconomic factors derived from postal code data in a cohort of 12,646 individuals from the Australian Genetics of Depression Study (AGDS). Our findings reveal that people living in areas with relatively higher socioeconomic advantages and education/occupation scores are more likely to report experiencing fewer depressive symptoms during their worst depressive period, as well as fewer number of lifetime episodes. Additionally, participants who reported depression onset later in life tend to currently reside in wealthier areas. Interestingly, no significant interaction between genetic and socioeconomic factors was observed, suggesting their independent contribution to depression outcomes. This research underscores the importance of integrating socioeconomic factors into psychiatric evaluation and care, and points to the critical role of public policy in addressing mental health disparities driven by socioeconomic factors. Future research should aim to further elucidate the causal relationships within these associations and explore the potential for integrated genetic and socioeconomic approaches in mental health interventions.
This study examines how human activities influenced soil development at two contrasting Arctic sites: Maiva, a 19th-century farmstead, and Snuvrejohka, a seasonal Sámi reindeer herding settlement in the Lake Torneträsk region, northern Sweden. Using geochemical and geophysical soil analyses, we explore the spatial distribution and vertical development of anthropogenic signals in the soil. At Maiva, prolonged agricultural use and earthworm bioturbation have led to extensive soil mixing and altered soil horizons, resulting in elevated phosphate, lead, and organic matter concentrations in Ap and Ah horizons. In contrast, Snuvrejohka displays more stratified profiles with localized chemical enrichment around hearths, primarily within E horizons. These results highlight how different land-use practices leave distinct geochemical fingerprints in Arctic soils and emphasize the need for sampling strategies adapted to site-specific soil formation processes. Our findings demonstrate that even short-term or seasonal human activities can leave distinct and detectable signatures in Arctic soils. Through an integrated approach combining soil science, geoarchaeological methods, and historical data, this study provides new insights into the reconstruction of past land-use practices and highlights the vulnerability of archaeological soil records in Arctic environments facing rapid climate-driven change.
Glyphosate, the most prevalent pesticide and widely used herbicide globally, has seen much research on its potential ecological toxicity. Glyphosate-based herbicide (GBH) is directly sprayed in the field, exposing predators to the chemical through contaminated prey or direct contact. While the consequences of ingesting glyphosate have been explored, the specific impact of GBH spraying on Chrysopa pallens (Neuroptera: Chrysopidae) remains unclear. In this study, life tables were constructed to evaluate the potential effects of different stages of exposure to GBH on both the parents (F0) and offspring (F1) of C. pallens, and the expression of genes related to the insulin signalling pathway and vitellogenin (Vg1) was detected by reverse transcription-quantitative polymerase chain reaction. The results revealed that medium (10 mL/L) and high (20 mL/L) concentrations of GBH adversely affected the development and longevity of the F0 and F1 generation of C. pallens larvae. Notably, high concentrations of GBH significantly reduced the fecundity of the F0 and suppressed Vg1 transcription at both medium and high concentrations. While GBH treatment of C. pallens adults showed no harmful effects on the longevity, fecundity, population parameters, and the transcription levels of genes involved in insulin signalling and Vg1 in the F0. Nevertheless, it altered the developmental duration of the F1. Therefore, spraying GBH may lead to reduced fecundity and inhibit the Vg1 transcription, posing potential risks to both parental and offspring generations of C. pallens. These findings offer valuable insights into the proper utilisation of GBH.
Potato (Solanum tuberosum L.) is crucial for food security in Rwanda, but its production growth has slowed. Improved potato varieties are urgently needed for Rwanda potato farmers. Crop breeding can effectively support smallholder farmers when it aligns with their environmental conditions and preferences. Additionally, integrating citizen science into variety development can enhance variety adoption and suitability for smallholder farmers. We assessed the insights from a crop trial following a triadic comparison of technology options (tricot) approach, linking the results with environmental, socio-economic, and on-station trial data. Under a tricot trial, 460 farmers tested eleven potato varieties, randomly allocated in incomplete blocks of three, allowing each farmer to test and compare three varieties. Biological data, reflecting breeding and variety genotypic values, were generated from multi-environmental tests conducted during 2018–2019 to evaluate the adaptability of new varieties. This research revealed that Rwandan farmers preferred the pre-1990 varieties (Cruza and Kirundo), while Gisubizo and Kazeneza, post-2018 varieties, were also considered competitive. Farmers’ preferences were influenced by diverse environmental and socio-economic conditions, with taste being crucial for home consumption and yield prioritized for market sales. Additionally, seasonal temperatures influenced the yield performance ranking of potato varieties across regions, while economic considerations and gender dynamics shaped different patterns of variety preferences. Despite challenges in aligning on-station and on-farm data, our integrated approach provides actionable insights for breeding programmes to develop potato varieties that better align with farmers’ needs, as well as environmental and socio-economic conditions. This innovative method can enhance breeding efficiency, variety adoption, and potato productivity, contributing to food security and agricultural sustainability.
There has been substantial research undertaken on the role of a health-promoting diet in depression. Yet, the evidence of the relationship between the Nordic diet and the risk of depression is scarce. This cross-sectional study aimed to assess whether a healthy Nordic diet is associated with depressive symptoms. In total, 2603 men aged 42–60 years from the Kuopio Ischaemic Heart Disease Risk Factor Study were included. Diet quality was evaluated with a healthy Nordic diet score derived from the 4-day food diaries and depressive symptoms with the self-reported Human Population Laboratory (HPL) depression scale. Quade ANCOVA was used to examine the mean values of HPL scores in quartiles of a healthy Nordic diet score. Participants’ mean age was 53 years and BMI 26·8 kg/m2; 31·7 % were current smokers, and 86·9 % were married or living as a couple. The mean healthy Nordic diet score was 12·8 (sd 4·0, range 2–25), and the mean HPL depression score was 1·9 (sd 2·1, range 0–13). The findings suggested that lower adherence to a healthy Nordic diet was associated with higher HPL depression scores after adjusting for age, examination year, daily energy intake, leisure-time physical activity, adulthood socio-economic status, smoking and marital status (extreme quartile difference: 0·33 points, 95 % CI 0·10, 0·56, P for trend across the quartiles = 0·003). The results support the hypothesis that a lower-quality diet increases the odds of having depressive symptoms. However, prospective studies are needed to confirm the association.
Understanding the interplay between adiposity and histopathological features of colorectal tumours is crucial for advancing strategies in disease management. We conducted a retrospective cohort study over an 8-year period (2007–2015), including patients who underwent surgical resection for colorectal cancer (CRC). Body composition was assessed via computed tomography (CT) at the level of the third lumbar vertebra, with visceral adipose tissue (VATd) and subcutaneous adipose tissue (SATd) radiodensities stratified into tertiles. Systemic inflammatory status was evaluated using the neutrophil-to-lymphocyte ratio (NLR). Logistic regression was employed to analyse the relationship between variables, using OR with 95 % CI. The Cox proportional hazards model assessed hazard ratios (HR) with 95 % CI. A total of 231 patients were included (48·9 % men, 51·1 % women), with 93·6 % in CRC stages II and III. Multivariate analyses demonstrated that CRC stages II and III (OR = 5·15, 95 % CI: 1·60, 16·62; OR = 5·16, 95 % CI: 1·59, 16·77) and low VATd (1st and 2nd tertiles; OR = 2·43, 95 % CI: 1·30, 4·53) were associated with the presence of desmoplasia. In the multivariate Cox analyses, only stage III disease (HR = 4·77, 95 % CI: 1·09, 20·89) and moderate to accentuated fibrous stroma (HR = 1·90, 95 % CI: 1·03, 3·46) were identified as predictors of reduced overall survival. These findings suggest that increased visceral adiposity may contribute to the development of a desmoplastic tumour microenvironment. Moreover, the presence of moderate to accentuated fibrous stroma is significantly associated with poorer long-term survival in patients with CRC.
Breeding management in laboratory rodents is challenging, particularly around parturition and the neonatal period, where cage disturbance is often avoided in an attempt to limit neonatal mortality. Nevertheless, cage-side observations and single daily checks frequently underestimate pup numbers born and miss parturition complications. Home Cage Monitoring (HCM) systems are gaining popularity in animal facilities, detecting critical events such as food availability and activity levels. Parturition is a complex event involving specific patterns of behaviour, activity and vocalisations. In this study, audio and video data were collected from parturition events of single-housed C57BL/6J females and breeding pairs housed in a prototype rack with integrated microphones. Vocalisations were detected during parturition in both housing conditions, with minimal vocalisations observed prior to parturition, except for ultrasonic sounds in pair-housed mice (Mus musculus). After parturition, all vocalisations gradually decreased. Despite limitations such as the need for post-event analysis and the focus on a single mouse strain, this study suggests that detecting vocalisations can be a promising basis for developing automated parturition detection. This highlights the potential of HCM systems for improving breeding management and welfare in laboratory rodent colonies.
In this study, the effects of wheat-based diets processed in a hammer mill with different sieve diameters (4000 (fine), 5000 (medium) and 6000 (coarse) µm) and enzyme addition (0 and 300 g/ton) on the performance, slaughtering characteristics, tibia properties, jejunum morphology and pancreatic enzyme secretion in broilers (1–42 days) were tested in a 3×2 factorial design. A total of 480 one-day-old chickens were randomly distributed into 6 treatment groups of 5 replicates, each containing 16 birds. The performance of broilers was not affected by particle size. Dietary enzyme supplementation improved body weight on the 1–10th day period but did not affect other performance parameters. Thigh and abdominal fat increased with fine particle size, breast weight increased with medium particle size and gizzard weight increased with coarse particle size. Enzyme addition decreased the carcass and gizzard weights. Tibia breaking strength decreased with fine particle size. Tibia wall thickness and ash increased with enzyme addition. Pancreatic enzyme secretions increased in the coarse group and with enzyme supplementation. Jejunum histomorphology worsened with coarse particle size, while enzyme inclusion improved histomorphology. The interactions affected feed consumption (25–42nd day), feed conversion ratio (11–24th day), breast weight, tibia breaking strength and ash, pancreas weight, lipase activity and villus parameters. These findings demonstrated that coarse grinding of wheat-based diets improved bone development and pancreatic enzyme activity without affecting performance while worsening jejunum morphology. Enzyme addition positively affected bone and digestive system development.
This study aimed to compare the clinical outcomes of using refrigerated versus pre-warmed media for preparing time-lapse dishes in in vitro fertilization (IVF). Patients undergoing their first IVF/ICSI cycle were divided into two groups. The control group used pre-warmed culture media, while the experimental group used refrigerated culture media. The osmotic pressure of the culture droplets in both groups was tested. No statistical differences were found between the two groups’ basic data. The proportion of air microbubbles affecting imaging significantly decreased (4.55% vs. 37.97%, P < 0.001) when using pre-warmed media. However, the blastocyst formation rate (56.62% vs. 49.70%, P = 0.046) and total high-quality embryo rate (22.26% vs. 17.06%, P = 0.047) were significantly higher in the refrigerated media group compared to the pre-warmed media group. The higher rate of high-quality embryos in the refrigerated media group might result in a higher single embryo transfer rate (45.10% vs. 18.52%, P = 0.020) and implantation rate (58.23% vs. 34.69%, P = 0.010). From day –1 to day 1, osmolality increased, with the P-3.5 group showing a significant elevation compared to the other three groups. After 5 days of incubation, the osmotic pressure of group R-4.0 was significantly lower than that of groups P-3.5, P-4.0 and P-3.5. In conclusion, refrigerated culture media dishes helped stabilize the osmotic pressure of the culture microenvironment and reduce water evaporation. The refrigerated group showed a higher rate of high-quality embryos and live births, although pre-warmed culture media effectively reduced the occurrence of air microbubbles that affect embryo imaging in the next day’s dishes.
Human genetic structure of Iberian populations has been thoroughly explored in the last decades. The internal diversity of the Iberian Peninsula becomes visible by the different phylogeographic origins of particular mitochondrial DNA and Y chromosome lineages, which show a high degree of population specificity. In the present study, we combined information on matrilineal and patrilineal variation patterns in two autochthonous populations from Andalusia region (southern Spain). A special focus is made to a male sample set where both uniparental data are available. Gene diversities estimates yielded not statistically significant differences between both types of samples and markers. Genetic ancestry among Andalusians seems to be constituted by three foremost continental origins: European, African, and Middle Eastern. The examined male group has revealed a noticeable proportion of individuals (over 45%) with a non-correspondence between maternal and paternal haplogroup origins, a signal of different population demographic histories linked to both sexes in the past. Andalusian males seem to be well differentiated according to ancestries. As expected, mtDNA diversity was much higher than that for the Y chromosome, a fact that can be caused by patrilocality, which leads to particular social structures with effects on haploid genomes in modern human populations.
Bactrocera dorsalis (Hendel) (Diptera: Tephritidae) is an invasive tropical pest that is currently expanding in its geographical range into temperate regions. This study examined the temporal and spatial dynamics of B. dorsalis along an altitudinal gradient in Mpumalanga Province, South Africa, in its southernmost adventive limit, which experiences a temperate climate with dry winters. Populations were monitored from October 2020 to October 2022 at three sites with altitudes ranging from 452 to 1 741 m above sea level. At each site, clusters of attractant-based traps (methyl eugenol and three-component Biolure) were set up and serviced at least monthly. We analysed the effects of climate, time of the year, altitude, and landscape on B. dorsalis abundance. Single population peaks of B. dorsalis were recorded from mid-summer to autumn in all sites, with higher prevalence at the low-altitude site. In the low- and mid-altitude sites, catches were recorded year-round, while at the high-altitude site, there were no catches for four to six months after onset of winter. Higher B. dorsalis catches were recorded as temperatures increased and precipitation decreased. Catches were higher in commercial orchards and home gardens compared to abandoned orchards. These findings provide valuable information for improving simulation models of B. dorsalis distribution and population growth that can be used to inform the management of this pest.
Genetic evidence indicates that Progamotaenia macropodis Beveridge, 1976 (Cestoda: Anoplocephalidae), found in various macropodid host species, is a complex of cryptic species. However, the genetic data are incomplete, and no morphological re-appraisal of the species has been undertaken since its original description. Here, additional mitochondrial cytochrome c oxidase I sequence data have been added from the type host, Macropus giganteus, as well as other host species, and a morphological study of all available material undertaken. A new species, Progamotaenia mollicula sp. nov., is erected for specimens from the tammar wallaby, Notamacropus eugenii, which are smaller, and the testes in pre-mature and mature proglottids occur invariably in two lateral groups. Specimens from the remaining host species, Macropus fuliginosus, Notamacropus parryi, N. rufogriseus, Osphranter robustus, and Wallabia bicolor are highly variable with obvious differences in length and proglottid shape, but with no reliable internal morphological characters for separating the various genotypes. The study was limited by incomplete molecular data (N. rufogriseus) and the poor quality of some of the preserved material.
The water buffalo farm with intensive breeding techniques promotes the spread of lice (Haematopinus tuberculatus), leading to a reduction in meat and milk productions. Current control measures include the use of chemicals, which in the long-term lead to the development of resistance. Given the lack of alternative solutions, the aim of this study was to evaluate the repellent effect of a low impact by-product, the wood vinegar (WV), against H. tuberculatus using a new in vitro bioassay test. The test consisted of a glass Petri dishes subdivided in 3 separate areas. WV was tested at different concentrations (100%, 75%, 50%, 25%). Each of the 3 replicates was performed with 10 adults, at 27 °C and 75% relative humidity. Observations were made 5, 15, 30, 60, 90, 120 and 180 min after application to evaluate movement, the living/dead ratio and the ability to overcome the obstacle area of the lice, in terms of comparative avoidance (%). Additional in vitro cytotoxicity tests were performed. The test performed showed a repellent effect of 77% for the 100% WV concentration against lice of both sexes 30 min after exposure, similar (P < 0.05) to the repellent effect of deltamethrin (77%). The in vitro bioassay developed during the experiment proved to be reliable and can be used to evaluate the repellent effect of new molecules against lice before testing them in vivo. Furthermore, WV has a potential to be a valid tool for the control of buffalo pediculosis, although in vivo studies have to be undertaken.
Sense of humor is a universal human trait, enjoyed daily across cultures. However, little is known about the factors that shape individual differences in humor, particularly what contributes to developing a great sense of humor. While previous studies have identified a significant genetic component for various humor attributes, such as humor appreciation and humor styles, no study has looked at the heritability of humor production ability. This study is the first to assess the genetic and environmental influences on humor production ability using a twin study design. Participants included 448 pairs of monozygotic twins and 196 pairs of dizygotic twins (median age 66 years, mostly female) from the Twins UK registry. Twins self-assessed their humor ability, rated the funniness of their co-twin, and completed an objective humor production task by composing funny captions for captionless cartoons. Additionally, they completed a short cognitive ability test and reported their overall health. Findings revealed that self-rated humor ability was influenced by both additive genetic and nonshared environmental factors. In contrast, objective humor production showed no evidence of additive genetic effects. Instead, all individual differences were shaped by shared and nonshared environmental influences, though a small genetic effect cannot be ruled out. These results suggest that humor production may be more complex and difficult to assess than other cognitive abilities. The study also presents intriguing implications for the evolutionary basis of humor.
The objective was to evaluate the use of resveratrol conjugated with silica nanoparticles during the in vitro maturation of bovine oocytes. The oocytes were divided into the following treatment groups during the maturation process: control (n = 159), resveratrol 0.5 μM (n = 158), resveratrol 1 μM (n = 155), nanoparticles conjugated with 0.5 μM resveratrol (n = 159), and nanoparticles conjugated with 1 μM resveratrol (n = 158). Several parameters were assessed, including cumulus oophorus size, reactive oxygen species (ROS) production, oocyte nuclear maturation, cell apoptosis, cleavage rates, and blastocyst production rates. Statistical analysis was conducted using Sigma Plot software (version 11) and SAS Studio, with statistical significance defined as P ≤ 0.05 for the main effects and interactions. The results indicated that the cumulus oophorus size was smaller in the resveratrol 1 μM treatment group, and the oocyte size was reduced in the nanoparticle 1 μM treatment group. No significant differences were detected between the treatment groups in terms of ROS production, oocyte maturation, or cell apoptosis. However, the resveratrol 1 μM treatment group exhibited decreased rates of cleavage and blastocyst formation. In contrast, the nanoparticles 0.5 μM and 1.0 μM treatments showed improved cleavage and blastocyst rates compared with the resveratrol 1.0 μM treatment group. In summary, while resveratrol alone at 1 μM concentration had a negative impact on cleavage and blastocyst rates, the use of silica nanoparticles conjugated with resveratrol (both 0.5 μM and 1 μM) enhanced these outcomes, suggesting a potential advantage in using nanoparticle-conjugated resveratrol for the in vitro maturation of bovine oocytes.
Partnerships between public, private and civil society actors can potentially address food systems challenges. However, such cross-sector partnerships may require the management of potential tensions and conflicts of interest. This article presents the development and content of a framework for engagement between food systems actors involved in NewTools, a cross-sector research partnership involving twenty-eight partners from research institutions, government, food industry and civil society. The purpose of the framework is to facilitate engagement of partners and maintain research integrity.
Design:
This two-phased, iterative study was conducted in 2022. It was guided by recommendations for methodological framework development and was informed by existing frameworks and recommendations as well as two rounds of consultations with partners.
Setting:
The Norwegian cross-sector research partnership NewTools that aims to develop two food profiling models: one for dietary quality and one for environmental and social impact.
Participants:
Food systems actors involved in the NewTools project.
Results:
The NewTools framework consists of four main parts: (1) definition of overarching principles for collaboration (transparency, regular information, adhering to defined roles and responsibilities), (2) descriptions of roles and responsibilities of the partners involved, (3) procedures to ensure involvement and transparency and (4) identification and mediation of potential conflict areas.
Conclusions:
This article provides an example of how a cross-sector research partnership developed a framework to facilitate engagement between partners with different interest within a food system. Future studies are needed to assess the potential value of frameworks for cross-sector research partnerships towards healthier and more sustainable food systems.
Sustainable development is present everywhere in Vietnam. This book analyses the sustainable development narrative and its use by different actors in Vietnam. It examines how narratives are used to establish environmental rule in the socialist state. By focusing on NGOs and their positions in the Vietnamese context, the book illustrates how different actors use the Sustainable Development narrative to navigate power relations with the authoritarian state and the international donors, and how the narrative differs from theory to the actual practices on the ground. The book will be of interest to scholars of Vietnam who wish to understand development and state-society relations in environmental governance. It is an important read for development practitioners.
Peatland ecosystems in Southeast Asia are globally important as carbon sinks, rich in terrestrial and aquatic fauna and flora, and important sources of livelihood for local communities. However, agribusiness-driven land-use change and drainage cause peatland degradation and peat fires, which generate 'haze' air pollution and lead to significant economic losses and health impacts. Disturbed peatlands also become substantial sources of greenhouse gas (GHG) emissions. While the problems of haze and climate change are connected through peatlands, these issues have been treated largely separately in policy and governance. We provide an overview of Southeast Asian peatlands, assessing opportunities and challenges for greater integration of policy and governance in addressing haze, climate change and other sustainability dimensions. We focus on Indonesia and Malaysia, the Southeast Asian countries with the largest peatland areas.
We summarize key developments, along with evidence indicating that peatlands represent a large proportion of national GHG emissions in both Indonesia and Malaysia. We trace the evolution of peatland policies at the national and regional levels, from focusing on conservation to addressing fire and haze issues, reflecting their complex relationship with national development and the corporate sector. We found that for these two key countries, the most recent government-reported peatland emissions appear somewhat lower than is suggested by academic studies for Indonesia and substantially lower in the case of Malaysia. We emphasize the complex challenge of integrating policies across multiple scales and issues, with international, regional and national actors, and in multiple industries, all active in peatland governance.
Trichinellosis is a parasitic zoonosis caused by a nematode parasite of the Trichinella (T.) genus. It poses significant public health issues due to limited effective and safe treatment options, especially for the muscle-encysted larval stage. Citrus paradisi (C. paradisi), with its high content of flavonoids and polyphenols, has been recorded to possess anti-parasitic properties and numerous therapeutic applications. The present work aimed to assess the efficacy of C. paradisi extract peel extract as a therapeutic agent, either alone or combined with albendazole (ABZ), against T. spiralis in experimentally infected mice. Sixty-six lab-bred Swiss albino mice were divided into control and treatment groups, then received either ABZ, C. paradisi extract, or a combination of both during the enteral, migratory, and encapsulation phases of infection. Parasitological, histopathological, and immunohistochemical examinations were performed to evaluate the efficacy of the treatments. All treated groups displayed a highly significant difference (p < 0.001) in larval counts compared to the positive control group, with the combination therapy group having the highest efficacy and the lowest mean count value during different treatment regimens. In addition, treated groups showed improved muscle integrity compared to the positive control group. Moreover, the nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) showed the highest expression reduction in the combination therapy group. These findings highlight the potential of C. paradisi as a complementary therapy to albendazole for treating trichinellosis through muscle larva reduction and mitigation of inflammation.
Determine the feasibility of implementing a facility-based breastfeeding counselling (BFC) mentorship program and its effect on mentee confidence and client perceptions of breastfeeding counselling.
Setting:
Mbagathi County Referral Hospital in Nairobi, Kenya
Participants:
Health facility management, health workers (21 mentees and seven mentors), 120 pregnant women in the third trimester who attended an antenatal care appointment at Mbagathi Hospital and reported receiving BFC during a visit in the 2 weeks prior, and 120 postpartum women in the postnatal care ward who delivered a full-term infant and reported receiving breastfeeding counselling.
Design:
Mixed methods study incorporating online surveys, client exit interviews, key informant interviews, and focus group discussions. The 4-month intervention involved facility-wide orientations, selection and training of mentors, assigning mentees to mentors, and implementing mentorship activities.
Results:
The program successfully maintained 90.5% mentee retention (19/21) over four months. At baseline, mentees demonstrated high knowledge (94% questions answered correctly) which was maintained at endline (92%). Mentees showed significant improvement in confidence counselling on breastfeeding and infant feeding (67% at baseline vs. 95% at endline, p=0.014). The percentage of ANC clients who felt BFC gave them more knowledge increased from 73% to 97% (p<0.001). Among PNC clients, those reporting friendly treatment increased from 89% to 100% (p=0.007), verbal mistreatment declined from 7% to 0% (p=0.044), and those feeling discriminated decreased from 11% to 2% (p=0.03). Key enablers included administrative support, structured mentorship tools, and peer learning communities. Implementation barriers included scheduling conflicts, staff shortages, and high patient volumes.
Conclusions:
BFC mentorship was feasible in this setting and was associated with improved health worker confidence in BFC. The program can be successfully implemented with supportive facility leadership, well-matched mentors and mentees, and adaptable mentorship approaches.