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Using fitness trackers to generate and collect quantifiable data is a widespread practice aimed at better understanding one's health and body. The intentional design of fitness trackers as genderless or universal is predicated on masculinist design values and assumptions that do not result in "neutral" devices and systems. Instead, ignoring gender in the design of fitness tracking devices marks a dangerous ongoing inattention to the needs, desires, and experiences of women, as well as transgender and gender non-conforming persons. We utilize duoethnography, a methodology emphasizing personal narrative and dialogue, as a tool that promotes feminist reflexivity in the design and study of fitness tracking technologies. Using the Jawbone UP3 as our object of study, we present findings that illustrate the gendered physical and interface design features and discuss how these features reproduce narrow understandings of gender, health, and lived experiences.

First, this paper argues that applications of SCOT in feminist science and technology studies have largely focused on analyzing how gender and technology are coproduced, resulting in lack of scholarship that examines the mutually constitutive relationship between technology, gender and other intersecting categories, such as race, ethnicity, class, sexual orientation, and ability. Second, this paper argues that an intersectional view of technology can dismantle the language of objectivity deeply embedded in technological artifacts by revealing how identity categories, such as gender, race, and ethnicity, are integral components of "the social shaping of technology" and by extension participation in technological initiatives (Faulkner, p. 90, 2001). Finally, through a brief discussion of CompuGirls, a culturally responsive technology program for girls of color, this paper demonstrates how an intersectional, social constructionist approach to technology education can challenge stereotypes of girls of color as passive victims of technology and provide a counter-narrative that can empower girls of color to form generative relationships with technology.

El modelo femenino ofrecido por la factoría Disney está cambiando. Sus princesas han vivido un proce­so de empoderamiento acorde con los cambios sociales experimentados por las mujeres en los últimos años. De una tríada sumisa y adscrita al ámbito privado –Blancanieves, Cenicienta y Aurora– se pasa a unos personajes femeninos incorporados al espacio público, independientes y decididas –Rapunzel, Mé­rida, Anna y Elsa–. Son justamente las transformaciones en el papel femenino protagonizado por estas últimas jóvenes las que justifican este artículo. Pero, ¿cómo ha sido la evolución? ¿Qué variaciones ha habido en sus actitudes y apariencias? ¿En qué se fundamenta su adquisición de poder? Las respuestas se buscan a través de un análisis de contenido cualitativo de las doce películas sobre princesas con base en varias categorías: aspecto físico; personalidad; roles; y relaciones con el entorno. Todo ello bajo el pa­raguas del feminismo crítico, que se esfuerza en erradicar conductas sexistas y un androcentrismo que también se ve reflejado en el ámbito cultural. En este sentido, Disney es fuente de valores y comporta­mientos en la población infantil, de manera que sus mensajes son interiorizados por la ciudadanía del futuro. Toda una industria cultural que influye en la construcción de espacios, roles y estereotipos de hombres y mujeres en función del género. Así, el fin de esta investigación es analizar las características adscritas a las protagonistas femeninas y su evolución a lo largo de los años. Además de atestiguar si hay una progresión real hacia patrones más igualitarios respecto a los mensajes conservadores que han im­pregnado tradicionalmente sus productos audiovisuales. ¿Una expresión de un disfraz sutil del patriar­cado o un cambio real hacia una educación equitativa respecto al género?

As social property and resources formerly open to common use, such as beaches and coastal lakes, have been privately appropriated, an environmental discourse has arisen among national and transnational elites that justifies this appropriation in terms of conservation and even shapes environmental policies for their benefit. One example is the creation of natural protected areas in zones of predominantly private property, giving them exclusive rights and increasing real estate values and investments in tourism. As a result, tourist paradises have sprung up in places of high biodiversity, offering exclusivity to their owners and clients while violating agrarian rights, creating social conflict, and destroying ecosystems. [Reprinted by permission of Sage Publications Inc., copyright holder.]

In this article, we examine diverse forms of youth participation among Black girls through an analysis of 390 application responses for a leadership and empowerment conference. Using a counternarrative methodological approach and intersectional analytical lens, we illustrate how Black girls (a) view participation as an empowering avenue for countering harmful stereotypes that have individual and collective impacts, (b) utilize participation as an intervention for effecting change in their communities, and (c) draw upon their present participation experiences to imagine future selves and life trajectories. We contribute an expanded understanding of "youth participation" grounded in the lives of Black girls that draws from how they describe their daily lives across a diverse range of learning, religious, familial, and geographic contexts. Ultimately, we argue for studies of youth participation that are grounded in lived realities and extend beyond the limited forms of youth participation legible to society.

AbstractIntroductionHealth challenges in the 21st century underscore the need for adaptable and innovative approaches in public health. Academic institutions can and should contribute much more effectively to generate and translate scientific knowledge that will result in better programmes to improve societal health. Academic accountability to local communities and society requires universities to actively engage with local communities, understanding the context, their needs, and leveraging their knowledge and local experience. The Programme Science initiative provides a framework to optimize the scale, quality and impact of public health programmes, by integrating diverse approaches during the iterative cycle of research and practice within the strategic planning, programme implementation and programme management and evaluation. We illustrate how the Programme Science framework could be a useful tool for academic institutions to accomplish accountability to local communities and society through the experience of Project HOPE in Peru.DiscussionProject HOPE applied the Programme Science framework to introduce HPV self‐sampling into a women's health programme in Peru. Collaboration with local authorities and community members was pivotal in all phases of the project, ensuring interventions aligned with community needs and addressing social determinants of health. The HOPE Ladies—community women trained and empowered to promote and provide the HPV kits—crafted the messages used through the study and developed strategies to reach individuals and provided support to women's journey through health centres. By engaging communities in co‐creating knowledge and addressing health inequities, academic institutions can generate contextually relevant and socially just scientific knowledge. The active participation of community women in Project HOPE was instrumental in improving service utilization and addressing barriers to self‐sampling.ConclusionsThe Programme Science approach offers a pathway for academic institutions to enhance their accountability to communities and society at large. By embedding researchers within public health programmes and prioritizing community engagement, academic institutions can ensure that research findings directly inform policy improvements and programmatic decisions. However, achieving this requires a realignment of research agendas and recognition of the value of community engagement. Establishing Programme Science networks involving academia, government and funding entities can further reinforce academic accountability and enhance the impact of public health programmes.

Abstract Background There are few published reports of research training needs assessments and research training programs. In an effort to expand this nascent field of study and to bridge the gap between research and practice, we sought to systematically assess the research training needs of health care professionals working at Peruvian governmental institutions leading HIV and tuberculosis (TB) control and among senior stakeholders in the field. Methods Six institutional workshops were conducted with the participation of 161 mid-level health professionals from agencies involved in national HIV and TB control. At each workshop informants completed a structured questionnaire and participated in small and large group discussions. Additional data and institutional commitment was obtained through in-depth interviews from 32 senior managers and researchers from the Ministry of Health, academia and NGOs. Results Participants exhibited an overwhelming receptivity for additional research training, observing a gap between current levels of research training and their perceived importance. Specialized skills in obtaining funding, developing research protocols, particularly in operational, behavioral and prevention research were considered in greatest need. Beyond research training, participants identified broader social, economic and political factors as influential in infectious disease control. Conclusions The needs assessment suggests that future training should focus on operational research techniques, rather than on clinical skill building or program implementation only. Strengthening health systems not only requires additional research training, but also adequate financial resources to implement research findings.

Background: Cervical cancer is one of the leading causes of death among Peruvian women. Women seeking screening or treatment services experience delays in receiving screening results provided at community clinics or district hospitals, and lack sufficient resources to pay out-of-pocket to travel to the capital city of Lima for specialized treatment. Continued disparities in health outcomes and systemic barriers to accessing services suggest there are gaps between policy measures and implementation.Objectives: We aim to understand why national policies and clinical pathways that are aligned to global standards have been insufficient in improving cervical cancer screening and treatment in Peru, particularly among women who experience systemic exclusion from health services.Methods: We conducted a policy analysis based on a literature review (2005–2020), in Spanish and English, on PubMed, Global Health, Scopus, EconLit, Lilacs, and Scielo using a value-based care framework.Findings: The main barriers included unequal distribution of health infrastructure and health care workforce, and differences in access to health insurance. Additional barriers, including limited political will and support, limit efforts to prioritize the implementation of cervical cancer policies. We propose policy considerations in redesigning payment models, expanding healthcare workforce, generating costing and policy evidence, and reviewing policies for point-of-care technologies.Conclusions and Recommendations: The barriers identified in this literature review are applicable not only to cervical cancer care, but to primary health care in Peru. Systematic policy changes that address root causes of health inequities and are implemented at scale are needed to advance health reform efforts.

OBJECTIVE: In Peru, the past three decades have witnessed impressive growth in biomedical research catalyzed from a single research university and its investigators who secured international partnerships and funding. We conducted a bibliometric analysis of publications by Peruvian authors to understand the roots of this growth and the spread of research networks within the country. METHODS: For 1997–2016, publications from Web of Science with at least one author affiliated with a Peruvian institution were examined by year, author affiliations, funding agencies, co-authorship linkages, and research topics. RESULTS: From 1997–2016, the annual number of publications from Peru increased 9-fold from 75 to 672 totaling 6032. Of these, 56% of the articles had co-authors from the US, 13% from the UK, 12% from Brazil, and 10% from Spain. Universidad Peruana Cayetano Heredia (UPCH) was clearly the lead research institution noted on one-third of publications. Of the 20 most published authors, 15 were Peruvians, 14 trained at some point at UPCH, and 13 received advanced training abroad. Plotting co-authorships documented the growth of institutional collaborations, the robust links between investigators and some lineages of mentorship. CONCLUSIONS: This analysis suggests that international training of Peruvian physician-scientists who built and sustained longstanding international partnerships with funding accelerated quality research on diseases of local importance. The role of a single research university, UPCH, was critical to advance a culture of biomedical research. Increased funding from the Peruvian Government and its Council for Science, Technology and Innovation will be needed to sustain this growth in the future. Middle-income countries might consider the Peruvian experience where long-term research and training partnerships yielded impressive advances to address key health priorities of the country.