Reproductive Health最新文献

{"title":"\"You feel like you come up short over and over again\": a qualitative study of provider perspectives of barriers to respectful maternity care in Boston.","authors":"Katherine Fachon, Sahana Narayan, Samantha Truong, Christina Duzyj, Katherine Vergara Kruczynski, Amber Trujillo Lalla, Autumn Cohen, Patricia Barbosa, Amanda Flynn, Annekathryn Goodman","doi":"10.1186/s12978-025-02053-7","DOIUrl":"10.1186/s12978-025-02053-7","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"100"},"PeriodicalIF":3.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12160462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144275781","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":"Reaching caesarean section rates below 15%: experience of a French tertiary maternity using the Robson classification system.","authors":"Julien Echalard, Manon Vouga, Aude Bourtembourg-Matras, Didier Riethmuller, Nicolas Mottet","doi":"10.1186/s12978-025-02052-8","DOIUrl":"10.1186/s12978-025-02052-8","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"98"},"PeriodicalIF":3.6,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249301","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":"Developing and validating an artificial intelligence-based application for predicting some pregnancy outcomes: a multi-phase study protocol.","authors":"Fatemeh Shabani, Ata Jodeiri, Sakineh Mohammad-Alizadeh-Charandabi, Fatemeh Abbasalizadeh, Jafar Tanha, Mojgan Mirghafourvand","doi":"10.1186/s12978-025-02048-4","DOIUrl":"10.1186/s12978-025-02048-4","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"99"},"PeriodicalIF":3.6,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12144753/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144249300","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":"Epidemiological trends in abortion and miscarriage between 1990 and 2019.","authors":"Yadi Wang, Yujie Tang, Guoshuai Wang, Ran Wei, Lu Liu, Chao Lu","doi":"10.1186/s12978-025-02049-3","DOIUrl":"10.1186/s12978-025-02049-3","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"97"},"PeriodicalIF":3.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12143105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234960","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":"Identifying the social determinants of marginalized women's quality of sexual life based on the WHO approach: path analysis.","authors":"Marzieh Bagherinia, Mahrokh Dolatian, Zoherh Mahmoodi, Giti Ozgoli, Hamid Alavi Majd, Arezoo Haseli","doi":"10.1186/s12978-025-02050-w","DOIUrl":"10.1186/s12978-025-02050-w","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"96"},"PeriodicalIF":3.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234961","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":"The impact of the SKILLZ intervention on sexual and reproductive health empowerment among Zambian adolescent girls and young women: results of a cluster randomized controlled trial.","authors":"Lila A Sheira, Chama Mulubwa, Calvin Chiu, Jenala Chipungu, Chelsea Coakley, Helene Smith, Ushma D Upadhyay, Chansa Chilambe, Besa Chibwe, Jake M Pry, Boyd Mkandawire, Maggie Musonda, Carolyn Bolton Moore, Jenny Liu","doi":"10.1186/s12978-025-02046-6","DOIUrl":"10.1186/s12978-025-02046-6","url":null,"abstract":"","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 1","pages":"95"},"PeriodicalIF":3.6,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12142864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234962","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":"Bridging the know-do gap: improved adolescent sexual and reproductive health and health information systems in West Africa and the Middle East.","authors":"Chaitali Sinha, Marie-Gloriose Ingabire, Anne-Marie Schryer-Roy","doi":"10.1186/s12978-025-01987-2","DOIUrl":"10.1186/s12978-025-01987-2","url":null,"abstract":"<p><strong>Background: </strong>As the world approaches the final five years to achieve the Sustainable Development Goals (SDGs), a global polycrisis threatens progress on health and well-being. Populations experiencing vulnerabilities, particularly women, girls, and adolescents in low- and middle-income countries, shoulder a disproportionate burden. Universal access to sexual and reproductive health (SRH) services has seen mixed progress. In particular, adolescents are facing heightened risks such as early marriage, unintended pregnancies, and limited access to SRH services, compounded by gender norms and fragile contexts. Integrated, community-driven, and gender-transformative approaches are urgently needed, as are robust health data and information systems. However, fragmented systems suffer from poor data quality and underrepresentation of marginalized groups. Digital innovations hold promise for addressing these gaps but must be adapted to local contexts.</p><p><strong>Bridging the know-do gap: </strong>This supplement presents findings from the Cedar Cohort, an initiative supported by the International Development Research Centre across West Africa and the Middle East (2017-2023). The cohort's 16 implementation research projects explored SRH services for adolescents and health information systems, emphasizing gender equality, human rights, and knowledge translation. The articles are organized around three themes: (1) adopting contextual approaches rooted in local communities and their context-specific needs, (2) advancing gender equality and inclusion and (3) harnessing the transformational potential of data and information systems. Authored by LMIC-based researchers, the supplement provides concrete findings and localized insights into the transformative change possible when high-quality research is combined with an understanding of social, economic, political, and cultural factors at the individual, organizational, structural and systems levels.</p><p><strong>Conclusion: </strong>The collection of research projects featured in this supplement enriches our understanding of designing and implementing effective initiatives to improve health outcomes for women, children and adolescents. The findings emphasize that no singular solution exists for the multifaceted SRH challenges that continue to evolve. The projects in the Cedar Cohort offer critical insights into designing and scaling SRH interventions that are locally relevant, inclusive, and impactful. The current polycrisis necessitates a re-evaluation of global strategies, and the findings from the research projects in this supplement provide indications of ways forward.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 1","pages":"70"},"PeriodicalIF":3.6,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187846","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":"Findings and lessons learned from developing a 5-year community-based intervention for preventing early marriage in rural Gambia.","authors":"Mat Lowe, Mariama Bojang, Alhagie Gaye, Isatou Njie, Awa Dubois","doi":"10.1186/s12978-025-01992-5","DOIUrl":"10.1186/s12978-025-01992-5","url":null,"abstract":"<p><strong>Background: </strong>Preventing Early Marriage in Rural Gambia: Testing an Intervention was a 5-year project that aimed to address early marriage among girls in 53 rural communities in The Gambia. At baseline, the aim of the project was to identify the social and cultural factors that contribute to early marriage for girls aged 10-19. The baseline findings revealed that factors such as ethnicity and parents' concerns about their daughters engaging in premarital sex were significant contributors to early marriage for girls. Additionally, the lack of viable alternatives to marriage was also identified as a key factor. This information was utilized by the project team to design and implement the project intervention that included community engagement forums and discussion sessions and capacity building for key community stakeholders.</p><p><strong>Methods: </strong>This study compared the project's baseline and endline data to assess the impact of the project intervention on girls' age at first marriage and changes in parents' knowledge of and attitudes toward early marriage and its prevention. It utilized a non-experimental evaluation design.</p><p><strong>Results: </strong>The study results showed a significant increase in the average age of girls at first marriage, from 15.9 at baseline to 23.9 years at endline (P < 0.0001). Additionally, parents who actively participated in the community engagement forums and discussions have significantly improved their understanding of the harmful effects of early marriage on girls. This new knowledge has empowered these parents to re-evaluate the necessity of early marriage for girls.</p><p><strong>Conclusion: </strong>A key lesson we learned from developing this project intervention is that locally-based interventions, carefully designed and implemented with meaningful participation from key community stakeholders, have the potential to address the underlying causes of early marriage for girls in rural communities in The Gambia.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 1","pages":"75"},"PeriodicalIF":3.6,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187849","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":"Identifying promising or priority effective adolescent, sexual and reproductive health interventions in Ghana: what frameworks should guide the selection of interventions?","authors":"Daniel Malik Achala, Ama Pokuaa Fenny, Chris Atim, John Ele-Ojo Ataguba","doi":"10.1186/s12978-025-01989-0","DOIUrl":"10.1186/s12978-025-01989-0","url":null,"abstract":"<p><strong>Background: </strong>Adolescent sexual and reproductive health (ASRH) is an integral part of the global health agenda. It is strongly featured in the universal health coverage (UHC) agenda of the sustainable development goals (SDGs). The need to expand ASRH services to accelerate progress on UHC is urgent in Africa, compared to other regions, given its youthful population and unmet ASRH needs. Limited access to ASRH services increases the risk and vulnerability of adolescents to poor health outcomes such as unintended pregnancies, high adolescent birth rate, poor birth outcomes, high maternal and neonatal mortalities and high exposure to sexually transmitted infections. The unavailability and inaccessibility of ASRH interventions to adolescents and young adults in most African countries, including Ghana, arise from several limitations, including inadequate funding of interventions, cultural barriers and norms, lack of education, and inadequate supplies of ASRH services and commodities, among others. However, gains from investments in ASRH interventions, especially following the implementation of the Millennium Development Goals, highlight the importance of identifying and prioritising adequate funding for effective ASRH interventions. This paper identifies priority ASRH interventions that can potentially advance the sexual and reproductive health (SRH) needs of adolescents in Ghana to accelerate progress towards UHC.</p><p><strong>Methods: </strong>Qualitative descriptive methods, combining literature review and stakeholder engagement, were used for this study. A literature review complemented by stakeholder engagement ensured the listing, ranking and validation of interventions.</p><p><strong>Results: </strong>Adapting an established framework designed by the West African Health Organization (WAHO) through stakeholders' engagement process, the paper identifies four of seven priority interventions ranked and validated by stakeholders for addressing the SRH needs of adolescents in Ghana. Consistent with the literature, several interventions exist to address ASRH needs. The most effective priority or promising four interventions in Ghana, according to stakeholders, include adolescent health clubs programmes, girls' empowerment programmes through comprehensive sexuality education, national capacity-building programmes to deliver high-quality integrated family planning and comprehensive maternal health services, and electronic health (eHealth)/digital health programmes.</p><p><strong>Conclusion: </strong>Identifying effective priority interventions for addressing the SRH needs of adolescents is a consultative process facilitated by proven and valid frameworks adapted to align with specific country contexts.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 1","pages":"78"},"PeriodicalIF":3.6,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187851","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 data-driven decision-making in Jordan: strengthening national health information system and achieving consensus on core set of health system indicators.","authors":"Fadi El-Jardali, Racha Fadlallah, Raeda Abu AlRub, Diana Jamal, Najla Daher","doi":"10.1186/s12978-025-01988-1","DOIUrl":"10.1186/s12978-025-01988-1","url":null,"abstract":"<p><strong>Background: </strong>A well-functioning health information system (HIS) is foundational for strong health systems and the achievement of the Sustainable Development Goals. In Jordan, the national HIS, overseen by the Ministry of Health, faces challenges related to overlapping data collection, data availability gaps, and operational inefficiencies which compromise effective decision-making. This study aims to promote data-driven decision-making in Jordan by assessing the existing HIS and fostering consensus on a standardized set of indicators for core health system functions, maternal, child and adolescent health, and refugee health.</p><p><strong>Methods: </strong>A multifaceted stepwise approach was adopted, encompassing the following steps: baseline assessment of HIS, compilation of a comprehensive list of candidate indicators, consensus meetings to prioritize and validate the indicators, and development of procedure manual for standardizing the shortlisted indicators.</p><p><strong>Results: </strong>The baseline assessment of HIS identified areas for improvement at the following levels: governance and planning; infrastructure and resources; data management; and institutional capacity to support data-driven decision-making. Of 4,120 indicators reviewed from international sources and 215 from Jordan's indicators inventory, 415 candidate indicators were compiled and categorized into three priority thematic areas: core health and health systems indicators (n = 167), maternal, child and adolescent health indicators (n = 137), and refugee health indicators (n = 111). Fifteen stakeholders took part in the first consensus meeting, 14 in the second, and 10 in the third meeting. Utilizing a criterion-based ranking system, participants independently rated each candidate indicator against three criteria: Importance, Feasibility, and Actionability. The shortlisted indicators were subsequently validated against the criterion 'retain'. This process resulted in a final validated list of indicators, comprising 55 core health systems indicators (33 of which are reported in Jordan); 40 maternal, child and adolescent health indicators (21 of which are reported in Jordan); and 26 refugee health indicators (none of which are reported in Jordan). Participants also suggested indicators to be added to each thematic areas. Three procedure manuals were developed and validated, corresponding to the three thematic areas.</p><p><strong>Conclusion: </strong>Findings from this study can contribute to the broader discourse on HIS reforms in Jordan, emphasizing the need for ongoing efforts to enhance data quality, stakeholder collaboration, and infrastructure.</p>","PeriodicalId":20899,"journal":{"name":"Reproductive Health","volume":"22 Suppl 1","pages":"72"},"PeriodicalIF":3.6,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12125760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144187853","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}