Reproductive Health最新文献

{"title":"Willingness to bear the first child among the Chinese childless population: a national survey study.","authors":"Mengyao Yan, Wendi Sun, Yibo Wu, Yuanli Liu","doi":"10.1186/s12978-025-01998-z","DOIUrl":"10.1186/s12978-025-01998-z","url":null,"abstract":"<p><strong>Background: </strong>Having a first child is a contributing factor to having a second or third child; however, current research focuses on second and third children, and the present study aims to investigate the intention to have a first child and its main influencing factors among the childless population aged 15-49 in China, as well as analysing the influencing factors by age group.</p><p><strong>Method: </strong>As part of the 'Survey on the Psychology and Behaviour of Chinese Residents', this survey was conducted on 6941 residents aged 15-49 in 32 provinces across China. The survey was conducted from 20 June to 31 August 2022.</p><p><strong>Result: </strong>Out of 6941 respondents, the mean score of willingness to have a first child (score range: 0-100) was 42.51. 17.33% of the respondents had no willingness to have a child (0), while 9.54% had a high willingness to have a child (100). Intention to have a first child seems to peak in the age group 30-34 years (p < 0.0001). Being male (p < 0.000, OR = 0.178), having siblings (p1 < 0.035, OR1 = 1.324; p2 < 0.000, OR2 = 1.995) and good family communication (p < 0.003, OR = 1.023), and high self-efficacy (p = 0.001, OR = 1.558) were associated with higher fertility intentions. Influential factors in the lower age group (15-24 years) were mainly related to family and social support, in the 25-29 years age group they were more related to personal, family and social, while in the 30-39 years age group they were related to economic stability such as property and marital status.</p><p><strong>Conclusions: </strong>The willingness to have a child is at a low to medium level among those of childbearing age who have not had children in China. There is a need to adopt a staggered policy for the younger age group to reduce perceived economic pressure, reduce occupational pressure on the age group, and increase childcare and occupational fertility friendly environments. In addition, there is a need for multisectoral economic compensation and educational district planning to alleviate the \"don't want to save\" and solve the \"don't dare to give birth\" problem. People who have had one child are more likely to want to have a second child, so the government and society need to do more to support the desire to have a child, thereby increasing the national fertility rate.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"47"},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11974152/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing reproductive health among adolescent girls in India: results of an individualized RCT to study the efficacy of the go Nisha go mobile game.","authors":"Aparna Raj, Lalita Shankar, Anvita Dixit, Ananya Saha, Madhusudana Battala, Nizamuddin Khan, Kavita Ayyagari, Niranjan Saggurti, Susan Howard","doi":"10.1186/s12978-025-02005-1","DOIUrl":"10.1186/s12978-025-02005-1","url":null,"abstract":"<p><strong>Background: </strong>Adolescent girls in India face significant barriers to accessing sexual and reproductive health (SRH) information and services. Digital interventions, particularly mobile-based ones, promise to deliver SRH education in a fun and engaging manner. These can be offered privately directly to the adolescent, allowing players to 'experience' the outcomes of their choices, receive tailored feedback, and the option to 'try again'.</p><p><strong>Methods: </strong>This study evaluated the efficacy of \"Go Nisha GoⓇ\" (GNG), a low-end smartphone-based digital game for adolescent girls in India, using a two-armed, encouragement-led, randomized controlled trial (RCT). The study involved 1950 participants from Patna, Jaipur, and Delhi NCR. The intervention group received encouragement to play GNG, while the control group did not. Key constructs measured included menstrual health management (MHM), contraception knowledge, and agency. Data were collected at baseline and a ten-week follow-up.</p><p><strong>Results: </strong>The intervention group showed significant improvements in various MHM parameters, contraception knowledge, and agency outcomes compared to the control group. Overall, 1697 out of 1993 participants completed the study after ten weeks (85%). The intervention group's awareness of menstrual hygiene products increased from 33 to 92%, while comprehensive knowledge of oral contraceptive pills (OCPs) rose from 2 to 17% (p < 0.0001). Confidence in negotiating contraception use increased from 60 to 85% (p < 0.0001), and the attitude of refusing sex when not ready improved from 61 to 85% (p < 0.0001).The subjects in the game group showed high levels of satisfaction with the app, with 74% discussing the game with others and 66% recommending it. The belief in negotiating marriage decisions with parents also improved more in the intervention group than in the control group.</p><p><strong>Conclusion: </strong>The findings of the first-ever RCT outcome evaluation for a digital mobile game app for enhancing SRH education among adolescent girls in low-resource settings support the efficacy of digital games for health like GNG. The game's engaging and interactive format effectively communicated complex and sensitive SRH information, empowered participants, and encouraged (p < 0.0001) critical health behaviors through informed decision-making. Future studies could explore the long-term sustainability of behavior changes induced by such interventions and their effectiveness across different settings and populations.</p><p><strong>Trial registration number: </strong>CTRI/2023/03/050447. Date: March, 2023.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"48"},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home delivery among women with adequate antenatal care: insights from a multilevel analysis of the 2019 Ethiopian mini demographic and health survey.","authors":"Degefa Gomora, Girma Beressa, Kenbon Seyoum, Yohannes Tekalegn, Biniyam Sahiledengle, Daniel Atlaw, Neway Ejigu, Chala Kene, Telila Mesfin, Lillian Mwanri","doi":"10.1186/s12978-025-01970-x","DOIUrl":"10.1186/s12978-025-01970-x","url":null,"abstract":"<p><strong>Background: </strong>Despite Ethiopia's efforts to increase antenatal care (ANC) attendance, a significant number of women continue to deliver at home without skilled assistance, even after completing the recommended ANC visits. This study investigates the individual and community factors associated with home delivery among women who have received adequate ANC in Ethiopia.</p><p><strong>Methods: </strong>Data from 1643 women in the 2019 Ethiopian Mini Demographic and Health Survey were analyzed. The study focused on women who completed adequate ANC visits for their most recent birth. Multivariable multilevel logistic regression was used to identify factors influencing home delivery, with adjusted odds ratios (AOR) and 95% confidence intervals (CI) for association strength.</p><p><strong>Results: </strong>Home delivery prevalence among women with adequate ANC (≥ 4 visits) was 25.6% (95% CI: 23.55, 27.78). Community differences significantly contributed, as intra-cluster correlation dropped from 59 to 36.5% in the final model. Factors increasing the likelihood of home delivery included larger households (≥ 5 members) [AOR = 1.70; 95% CI: (1.09, 2.66)], poorest [AOR = 6.98; 95% CI: (2.89, 16.83)] and poorer wealth statuses [AOR = 2.77; 95% CI: (1.19, 6.45)], and 2-3 birth order [AOR = 2.48; 95% CI: (1.45, 4.21)]. Secondary education reduced home delivery risk [AOR = 0.37; 95% CI: (0.17, 0.80)]. Community-level factors included rural residence [AOR = 2.74; 95% CI: (1.19, 6.30)] and poor communities [AOR = 2.13; 95% CI: (1.03, 4.40)].</p><p><strong>Conclusion: </strong>Socioeconomic disparities and rural settings contribute to home delivery prevalence. Policies should prioritize education, rural health infrastructure, and economic empowerment to address these gaps.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"49"},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the psychosocial dilemma in breastfeeding: a narrative review of extended theory of planned behavior and its intervention strategies.","authors":"Lin Wu, Xiaoxin Li, Hairul Nizam Ismail, Pengyue Guo, Jing Yang","doi":"10.1186/s12978-025-02001-5","DOIUrl":"10.1186/s12978-025-02001-5","url":null,"abstract":"<p><strong>Background: </strong>Breastfeeding provides health benefits for both mothers and children. However, most families face challenges in initiating and maintaining breastfeeding owing to psychosocial factors. Despite the importance of these factors and their practical implications, comprehensive review research based on a robust theory in this area is lacking. This narrative review addresses this research gap by exploring the utility of the extended theory of planned behavior (ETPB) in understanding and promoting breastfeeding.</p><p><strong>Methods: </strong>A systematic search was conducted using the relevant Web of Science, Scopus, EBSCO, PubMed, and PsycINFO; 22 studies published between January 2000 and March 2023 were identified.</p><p><strong>Results: </strong>These included studies understanding the psychosocial factors of breastfeeding by introducing the ETPB framework, incorporating psychosocial factors such as affective attitude, instrumental attitude, injunctive norms, descriptive norms, perceived behavioral control, breastfeeding self-efficacy, moral norms, breastfeeding knowledge, and breastfeeding self-identity. Based on these factors, intervention strategies for breastfeeding enhancement were categorized into professional breastfeeding education, interpersonal social support, and personalized breastfeeding services.</p><p><strong>Conclusions: </strong>The 22 breastfeeding studies related to the ETPB model demonstrate its effectiveness in explaining the psychosocial factors influencing breastfeeding intention and duration. The model's application in intervention studies suggests that more diverse and proactive approaches are required to empower mothers. Future research should address societal context and cultural influences and expand interventions beyond essential information provision.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"46"},"PeriodicalIF":3.6,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11971870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expectant fathers' knowledge and attitudes towards postpartum depression and the associated factors: a cross-sectional study in a rural community, Sri Lanka.","authors":"Kanchana Jayamanna, Chrishantha Abeysena","doi":"10.1186/s12978-025-01999-y","DOIUrl":"10.1186/s12978-025-01999-y","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum depression is easily managed when detected early. Since mothers' and newborns' health is influenced by fathers, good knowledge and positive attitudes toward postpartum depression among fathers would help in early detection and early intervention.</p><p><strong>Objective: </strong>To describe the knowledge and attitudes of expectant fathers about postpartum depression and factors associated with their knowledge and attitudes about postpartum depression in a rural community in Sri Lanka.</p><p><strong>Methods: </strong>A descriptive cross-sectional study was conducted among 440 expectant fathers selected using cluster sampling. A pretested self-administered questionnaire was used with 30 knowledge statements with a maximum score of 30 points and 15 Likert scale attitude statements with a maximum score of 60 points. Good knowledge was defined as ≥ 50% of the total knowledge score. Positive attitudes were defined as ≥ 50% of the total attitude score. The chi-square test was applied to identify the significance of the associations between sociodemographic factors and knowledge and attitude levels. Multiple logistic regression was performed, and the results were expressed as adjusted odds ratios (aOR) and 95% confidence intervals (CI).</p><p><strong>Results: </strong>The response rate was 93.6%. Most of the expectant fathers (58.2%, n = 256) had never heard about postpartum depression. The median knowledge score was 10 (IQR 4-16), and 33.6% (n = 148) of participants had good knowledge. Good knowledge was significantly associated with a higher educational level (p < 0.001), having a close relative/friend with postpartum depression (p < 0.001), and having heard about postpartum depression before (p < 0.001). Logistic regression revealed significant associations only with higher educational level (aOR = 2.53; 95% CI = 1.54-4.15) and having heard about postpartum depression before (aOR = 5.46; 95% CI = 3.47-8.59). The median attitude score was 36 (IQR 31-40.75), and 83.4% (n = 367) had positive attitudes. Although the bivariate analysis showed that working in the private sector (p = 0.04) and expecting their first child (p = 0.04) were significantly associated with positive attitudes, logistic regression did not reveal any significant association.</p><p><strong>Conclusions: </strong>The majority of fathers had positive attitudes toward postpartum depression, but their knowledge was limited. Since their attitudes are favorable, the knowledge gap should be minimized by imparting knowledge to facilitate the early detection of postpartum depression among mothers in the area.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"45"},"PeriodicalIF":3.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11959977/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143765065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Formative research to optimize pre-eclampsia risk-screening and prevention (PEARLS): study protocol.","authors":"Nicole Minckas, Alim Swarray-Deen, Sue Fawcus, Rosa Chemwey Ndiema, Annie McDougall, Jennifer Scott, Samuel Antwi Oppong, Ayesha Osman, Alfred Onyango Osoti, Katherine Eddy, Mushi Matjila, George Nyakundi Gwako, Joshua P Vogel, A Metin A Gülmezoglu, Adanna Uloaku Nwameme, Meghan A Bohren","doi":"10.1186/s12978-025-01980-9","DOIUrl":"10.1186/s12978-025-01980-9","url":null,"abstract":"<p><strong>Background: </strong>Pre-eclampsia is a leading cause of maternal and neonatal mortality, affecting nearly 5% of pregnant women worldwide. Accurate and timely risk-screening of pregnant women is essential to start preventive therapies as early as possible, including low-dose aspirin and calcium supplementation. In the formative phase for the \"Preventing pre-eclampsia: Evaluating AspiRin Low-dose regimens following risk Screening\" (PEARLS) trial, we aim to validate and implement a pre-eclampsia risk-screening algorithm, and validate an artificial intelligence (AI) ultrasound for gestational age estimation. In the trial phase, we will compare different daily aspirin doses (75 mg v 150 mg) for pre-eclampsia prevention and postpartum bleeding. This study protocol outlines the mixed-methods formative phase of PEARLS, which will identify challenges and the feasibility of implementing these activities in participating facilities in Ghana, Kenya, and South Africa.</p><p><strong>Methods: </strong>We will employ qualitative and quantitative methods to identify factors that may influence trial implementation. In-depth interviews and focus group discussions with policy stakeholders, research midwives, health workers, and pregnant women will explore the barriers, facilitators, and acceptability of pre-eclampsia risk screening, AI ultrasound, and aspirin uptake. A cross-sectional survey of antenatal care and maternity health workers will assess current clinical practices around pre-eclampsia and willingness to participate in the trial activities. Data will be analyzed using thematic analysis and triangulated across sources and participant groups. The findings will inform trial design and help optimize implementation.</p><p><strong>Discussion: </strong>The research will provide critical insights into the feasibility of pre-eclampsia risk screening and AI ultrasound for gestational age estimation in resource-limited settings. By identifying factors that can influence implementation of pre-eclampsia prevention and care pathways, the findings will inform successful execution of the PEARLS trial, and post-research scale-up activities. This, in turn, can help reduce the prevalence of pre-eclampsia, and improve maternal and newborn outcomes in high-burden settings.</p><p><strong>Trial registration: </strong>PACTR202403785563823 || pactr.samrc.ac.za (Date of registration: 12 March 2024).</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"44"},"PeriodicalIF":3.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11934789/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701353","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation, effectiveness, and barriers of obstetric triage in reducing waiting time: a scoping review.","authors":"Zemenu Yohannes Kassa, Abel F Dadi, Habtamu Mellie Bizuayehu, Subash Thapa, Getiye Dejenu Kibret, Tahir A Hassen, Abdulbasit Seid, Daniel Bekele Ketema, Meless G Bore, Teketo Kassaw Tegegne, Daniel Bogale Odo, Erkihun Amsalu, Sewunet Admasu Belachew, Desalegn Markos Shifti, Kedir Y Ahmed","doi":"10.1186/s12978-025-01982-7","DOIUrl":"10.1186/s12978-025-01982-7","url":null,"abstract":"<p><strong>Background: </strong>The assessment of a pregnant woman typically begins at obstetric triage, where healthcare providers evaluate whether life-altering decisions are necessary for the woman and her unborn baby. This scoping review aimed to assess the lack of comprehensive evaluation of across diverse settings of the evidence on the effectiveness, implementation, and barriers to the successful implementation of obstetric triage during pregnancy and childbirth.</p><p><strong>Methods: </strong>The Arksey and O'Malley scoping review methodological framework and Joanna Briggs Institute Reviewers' Manual were applied to conduct the scoping review. The Population, Concept, and Context strategy (PCC) was used to develop the review questions, eligibility criteria, and research strategy, incorporating findings from both quantitative and qualitative research. Preferred Reporting Items for Systematic Reviews and Meta-analyses: Extension for Scoping review (PRISMA-ScR) was implemented. A scoping review search was conducted using four databases by specific key words for example: \"pregnant woman\" OR \"postnatal woman\" AND \"triage\" OR \"obstetric emergency service\" OR \"health facility\" AND \"delivery\" OR \"childbirth\" OR \"obstetric\" OR \"prenatal care\" OR \"parturition\" OR \"pregnancy\" OR \"maternal health services\" OR \"perinatal care\" OR \"postnatal care\". Further additional studies or references were culled from included primary studies to identify relevant studies that were missed in the initial search.</p><p><strong>Results: </strong>The search strategy generated an initial list of 622 studies of which 15 studies were included. The findings revealed that the implementation of obstetric triage can substantially reduce delays in getting care (delay 3) during birth. The barriers within the department which hindered the successful implementation of obstetric triage included shortages of staff and space, burnout and fatigue among health professionals, inadequate knowledge, resistance to change, lack of commitment and responsibility, unclear task descriptions, insufficient supplies, and deficient communications system.</p><p><strong>Conclusion: </strong>Our findings underscore that the effective implementation of triage was linked to reduced costs, such as decreased waiting times for women, across six countries. However, identified factors frequently hampered the successful implementation of obstetric triage during pregnancy and childbirth. Given that implementing obstetric triage can substantially reduce delays in getting care during pregnancy and childbirth, linked to reducing costs, and the identified barriers need to be addressed.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"43"},"PeriodicalIF":3.6,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of immediate and sustained effects of transitioning quality long-acting reversible contraceptives (LARCs) services to public sector health facilities in Ghana: a pre-post intervention study.","authors":"Yuen Wai Hung, Sara Riese, Kofi Issah, Claudette A Diogo, Nirali Chakraborty","doi":"10.1186/s12978-025-01979-2","DOIUrl":"10.1186/s12978-025-01979-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Long-acting reversible contraceptives (LARCs) are highly effective at preventing pregnancy and demonstrate favorable client satisfaction. However, limited knowledge, misconceptions, and concerns about side effects hinder LARC adoption. Marie Stopes International-Ghana collaborated with Ghana Health Service to implement a 5 year multifaceted intervention to transition quality LARC services from an outreach approach to being available in public sector health facilities. This study evaluates if the intervention resulted in immediate or sustained improvements in the provision of quality LARC services in the public sector.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;Using a pre-post intervention design, facility structural quality, providers' training, practice, and knowledge on the provision of LARCs, and clients' perceived service quality were assessed in 8 Ghanaian regions. Analyses compared endline and baseline data, categorized into two groups based on the program phase: Recent Intervention facilities and GHS Support facilities. Facility records on a 3 month volume of LARC provision were compared between the last quarters of 2019 and 2022. Multivariate logistic regressions of any increase in the volume of LARC provision were conducted with associated endline facility and provider characteristics summarized at the facility level.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Significant increases were found in the provision of IUD services among Recent Intervention facilities (CHPS facilities: T0 13%, T2 50%, p &lt; 0.001; HC/Hospitals: T0 23%, T2 53%, p &lt; 0.001), while almost all providers offered implant services across facility types and intervention phases. The proportion of providers ever been trained to insert LARCs increased. Immediate and sustained effects were found on knowledge of LARC provision. Although facilities had significant increases in usual IUD availability among those in Recent Intervention (CHPS: T0 13.0%, T2 50.0%, p &lt; 0.001), availability of IUD decreased to pre-intervention level upon transition to GHS Support. Controlling for other factors, facilities which had transitioned to GHS support were far less likely than those in the Recent Intervention phase to have an increase in the volume of LARC provision.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This 5 year collaboration between MSI-Ghana and the Ghana Health Service increased the capacity of providers at 210 GHS facilities to provide high-quality LARC services. Future programs to improve LARC provision in the public sector may also consider including sustainable interventions to strengthen logistical management systems and targeting barriers to LARC access in the community. Increasing access to and use of modern contraception reduces unintended pregnancies and unsafe abortions, thereby decreasing maternal morbidity and mortality. Despite long-acting reversible contraceptives (LARCs) are highly effective at pregnancy prevention and favored by clients, utilization in many low","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"41"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Infertility stigma and openness with others are related to depressive symptoms and meaning in life in men and women diagnosed with infertility.","authors":"Brennan Peterson, Orit Taubman-Ben-Ari, Bonnie Chiu, Douglas Brown, David A Frederick","doi":"10.1186/s12978-025-01983-6","DOIUrl":"10.1186/s12978-025-01983-6","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"42"},"PeriodicalIF":3.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11927198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting respectful maternity care: a quasi-experimental study on the effectiveness of an educational intervention in Iranian hospitals.","authors":"Maryam Tajvar, Shohreh Alipour, Omolbanin Atashbahar, Elham Shakibazadeh, Abdul Sami Saeed, Zeinab Khaledian","doi":"10.1186/s12978-025-01969-4","DOIUrl":"10.1186/s12978-025-01969-4","url":null,"abstract":"<p><strong>Background: </strong>Respectful Maternal Care (RMC) is a crucial strategy for improving the quality of maternity care and reducing mortality and morbidity among mothers. This study aimed to evaluate the effect of an RMC educational intervention on reducing mistreatment during maternal care.</p><p><strong>Methods: </strong>A quasi-experimental study was conducted in two intervention hospitals and two control hospitals affiliated with Tehran University of Medical Sciences. Initially, the provision of RMC in all four hospitals was assessed through an RMC questionnaire completed by newly delivered mothers (n = 357) in a cross-sectional study. Subsequently, an educational intervention was designed and implemented from September to November 2020 exclusively in the two intervention hospitals, targeting midwives working in the delivery department. Approximately four months post-intervention, in June 2021, the status of RMC was evaluated in all hospitals through a cross-sectional survey of 383 newly delivered women. The differences in RMC scores between pre- and post-intervention between the two groups of hospitals were assessed. The Generalized Estimating Equations (GEE) model was used to analyze the effectiveness of the educational intervention in practicing RMC while controlling for background variables.</p><p><strong>Results: </strong>Mothers who received delivery services at certain hospitals, had lower levels of education, or were younger were more likely to experience disrespectful maternal care during labor and delivery. During the baseline phase, the intervention and control hospitals exhibited similar rates of mistreatment, with scores of 11.3 and 11.4, respectively. However, four months after implementing the intervention, the incidence of mistreatment in the control hospitals increased by approximately 7 points, while the score in the intervention hospitals decreased by around 10 points. Consequently, the difference between the intervention and control hospitals exceeded 17 points (p < 0.001), which was statistically significant.</p><p><strong>Conclusions: </strong>The RMC educational intervention significantly reduced mistreatment during childbirth. To fully realize its potential, this intervention should be implemented alongside other strategies by all stakeholders, including providing specialized personnel, motivating staff, and educating mothers about their rights.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"40"},"PeriodicalIF":3.6,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11907772/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}