International Journal of Africa Nursing Sciences最新文献

{"title":"The relationship between spiritual health and depression and anxiety among COVID-19 patients: a cross-sectional study","authors":"Razieh Mokhtari ,&nbsp;Kamel Abdi ,&nbsp;Mohamad Golitaleb ,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2025.100941","DOIUrl":"10.1016/j.ijans.2025.100941","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has significantly affected mental health worldwide, particularly among patients with the disease. Spiritual health may influence psychological resilience and adaptation. This study examined the relationship between spiritual health, depression, and anxiety in hospitalized COVID-19 patients in Iran.</div></div><div><h3>Materials &amp; Methods</h3><div>A cross-sectional study was conducted on 200 patients admitted to Amiralmomenin Hospital, Arak, Iran, using convenience sampling between June and December 2022. Data were collected using a demographic questionnaire, the Ellison &amp; Paloutzian Spiritual Health Questionnaire, the COVID-19 Anxiety Scale (CDAS), and the Beck Depression Inventory. Data were analyzed using SPSS version 25, applying descriptive and inferential statistical methods.</div></div><div><h3>Results</h3><div>More than half of the participants reported minimal levels of depression and COVID-19–related anxiety. Depression was significantly and positively correlated with mental anxiety (r_s = 0.250, p &lt; 0.001) and physical anxiety (r_s = 0.292, p &lt; 0.001). Religious well-being showed a statistically significant positive correlation with physical anxiety (r_s = 0.143, p = 0.043), while no significant correlations were observed between religious or existential well-being and depression. Existential well-being was significantly correlated with religious well-being (r_s = 0.401, p &lt; 0.001). No significant differences in depression, anxiety, or spiritual health scores were observed according to sex or marital status.</div></div><div><h3>Conclusion</h3><div>Depression was associated with COVID-19–related anxiety, while spiritual health showed no significant link with depression. These findings highlight the importance of addressing mental health in hospitalized COVID-19 patients.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100941"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SAPS II or APACHE II is better to predict mortality in patients admitted at ICU","authors":"Seksan Chaisuksant ,&nbsp;Pavinee Noinard ,&nbsp;Watchara Boonsawat ,&nbsp;Kittisak Sawanyawisuth","doi":"10.1016/j.ijans.2026.100979","DOIUrl":"10.1016/j.ijans.2026.100979","url":null,"abstract":"<div><h3>Introduction</h3><div>Selecting patients to admit at the ICU is crucial. The SAPS II and APACHE II scores have been used to choose appropriate patients to the ICU particularly in resource limited setting. However, which score is the best predictor is still debating.</div></div><div><h3>Objective</h3><div>To compare both scores in regards of ICU mortality prediction.</div></div><div><h3>Methods</h3><div>This was a retrospective cohort study at xx Hospital between Jan 1, 2016 to Jan 1, 2017. The inclusion criteria were consecutive adult patients who admitted and treated at the ICU. Those patients who admitted at the ICU for procedures such as hemodialysis were excluded. Clinical factors including SAPS II and APACHE II were studied. The primary outcome was death at the ICU. Independent factors associated with mortality were analyzed by multivariate logistic regression analysis. For significant scores to predict mortality, a receiver operating characteristic (ROC) curve was executed to calculate diagnostic properties of each cut off points.</div></div><div><h3>Results</h3><div>During the study period, there were 201 eligible patients. Of those, 98 patients (48.76 %) died. Those who died had higher average SAPS II score and APACHE score than those who were survived significantly (49.76 vs 30.61; p value &lt; 0.001; 23.88 vs 20.62; p value 0.016). There were three independent factors associated with mortality including SAPS II score, male sex, and sepsis with adjusted odds ratio (95 % CI) of 1.04 (1.02, 1.07), 2.10 (1.08, 4.06), and 2.33 (1.09, 4.97), respectively. The SAPS II score of more than 27 gave sensitivity of 90.82 %, specificity of 16.50 %, and the area under ROC curve of 73.18 %.</div></div><div><h3>Conclusion</h3><div>SAPS II showed better performance than APACHE II in this population. Further studies are needed to confirm the results of this study.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100979"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145938648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of social media use on nursing students’ general fatigue: The mediating roles of academic engagement and academic procrastination","authors":"Rashidatu Monne ,&nbsp;Mudasir Mohammed Ibrahim ,&nbsp;Abubakari Wuni ,&nbsp;Barratu Issah ,&nbsp;Flavia A. Atirekpere ,&nbsp;Munira Abdul-Razak ,&nbsp;Abdul Latif Abdul Rahaman ,&nbsp;Iddrisu Mohammed Sisala","doi":"10.1016/j.ijans.2026.101035","DOIUrl":"10.1016/j.ijans.2026.101035","url":null,"abstract":"<div><h3>Background</h3><div>Social media addiction is increasingly prevalent among students and has been linked to negative academic and psychological outcomes. Understanding the mechanisms through which SMA impacts student well-being, particularly fatigue, remains limited in the nursing education context.</div></div><div><h3>Aim</h3><div>This study investigated the mediating roles of academic engagement and academic procrastination in the relationship between social media addiction and general fatigue among college nursing students in Northern Ghana.</div></div><div><h3>Methods</h3><div>A cross-sectional analytical survey was conducted among 373 nursing students. The hypothesized relationships among the variables were tested using structural equation modeling (SEM) in R, with the <em>lavaan</em> package.</div></div><div><h3>Results</h3><div>The average SMA score was 16.36 ± 4.54. The mean scores for academic engagement, procrastination, and general fatigue were 4.25 ± 1.29, 3.06 ± 0.60, and 2.53 ± 0.64, respectively. SMA significantly predicted lower academic engagement (β = -0.29, <em>p</em> &lt; 0.001) and higher academic procrastination (β = 0.32, <em>p</em> &lt; 0.001). Academic engagement negatively predicted both academic procrastination (β = -0.20, <em>p</em> &lt; 0.001) and general fatigue (β = -0.16, <em>p</em> = 0.003), while academic procrastination positively predicted general fatigue (β = 0.14, <em>p</em> = 0.012). The direct effect of SMA on general fatigue was not statistically significant (β = 0.02, <em>p</em> = 0.801). However, significant indirect effects were found through academic engagement (β = 0.06, <em>p</em> &lt; 0.001), and academic procrastination (β = 0.07, <em>p</em> = 0.004).</div></div><div><h3>Conclusion</h3><div>Social media addiction does not directly increase general fatigue among nursing students; rather, its effect occurs indirectly through reduced academic engagement and increased academic procrastination.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101035"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Global research trends on case managers in chronic disease management: A bibliometric analysis (2005–2025)","authors":"Muhammad Rizky Asfarada ,&nbsp;Ati Surya Mediawati ,&nbsp;Maria Komariah ,&nbsp;Mohd Khairul Zul Hasymi Firdaus ,&nbsp;Sidik Maulana ,&nbsp;Musmulyono","doi":"10.1016/j.ijans.2026.101038","DOIUrl":"10.1016/j.ijans.2026.101038","url":null,"abstract":"<div><h3>Background</h3><div>Chronic diseases are the leading global cause of mortality, and fragmented care can worsen outcomes, especially in health systems with workforce and coordination constraints. Case management-related roles (case managers, care coordinators, patient navigators) are increasingly used to support continuous, integrated, people-centered care. However, prior reviews mainly assess effectiveness in specific diseases or settings and rarely map global publication trends, geographic disparities, collaboration patterns, or thematic evolution.</div></div><div><h3>Aim</h3><div>To map the global research landscape on case management-related roles in chronic disease management (2005–2025), including publication trends, geographic contributions, influential documents, and thematic structures.</div></div><div><h3>Methods</h3><div>A bibliometric analysis was conducted using Scopus and PubMed. English-language articles, reviews, and conference papers (2005–2025) were included. Records were deduplicated and analyzed in VOSviewer using keyword and title/abstract term co-occurrence mapping; screening followed PRISMA 2020.</div></div><div><h3>Results</h3><div>After screening, 574 publications were included. Output increased markedly after the mid-2010 s and was concentrated in high-income countries, with limited representation from low- and middle-income countries. Co-occurrence mapping showed interconnected themes spanning integrated care models, community/navigation approaches, role development, and evaluation/implementation, with recent emphasis on multimorbidity, self-management, and technology-enabled coordination.</div></div><div><h3>Conclusion</h3><div>Research on case management-related roles in chronic disease care has expanded and diversified toward integrated, people-centered, longitudinal care. Future work should strengthen implementation-focused evidence (including outcomes and costs), reduce geographic inequities, and clarify how digital tools are embedded within redesigned care pathways to support scalable and equitable chronic care.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101038"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The perceived impact of a Student-Led domiciliary midwifery care on Patient-Centered Care: A mixed methods Inquiry into postnatal Mothers’ experiences","authors":"Mary Aleni ,&nbsp;Joshua Epuitai ,&nbsp;Mary Grace Akao ,&nbsp;Richard Mangwi Ayiasi ,&nbsp;Mildred Edna Assusi ,&nbsp;Monicah Andru ,&nbsp;Douglas Tonny Otim ,&nbsp;Tracy Alexis Kakyo","doi":"10.1016/j.ijans.2026.101022","DOIUrl":"10.1016/j.ijans.2026.101022","url":null,"abstract":"<div><h3>Background</h3><div>Domiciliary midwifery care focuses on providing pregnancy, labor, and postpartum care in women’s homes rather than in health facilities, yet this model of care remains underexplored in Uganda.</div></div><div><h3>Purpose</h3><div>To examine the experiences of postnatal mothers with a student-led domiciliary midwifery care and its influence on patient-centered care.</div></div><div><h3>Materials and Methods</h3><div>We conducted a sequential explanatory mixed-methods design among postnatal mothers who had received student-led domiciliary midwifery care. Quantitative data were collected using a patient-centered care (PCC) scale, while qualitative data were collected using in-depth interview. Qualitative data were analyzed using content analysis based on the PCC constructs, while quantitative data were summarized using descriptive statistics.</div></div><div><h3>Results</h3><div>Mothers experienced moderate levels of PCC after completing the student-led domiciliary midwifery care (Mean 3.46 ± 0.704) and were satisfied with the care provided (Mean 4.19 ± 0.804). Respect for patients’ preferences, values, and needs scored highest among the PCC constructs (Mean 4.03 ± 0.94), whereas continuity and transition of care scored lowest (Mean 2.92 ± 1.06). Client’s experience of domiciliary care was shaped by skepticism toward new model of care, the familiarity of home setting versus hospital settings, and care provided by male students.</div></div><div><h3>Conclusion</h3><div>Student-led domiciliary midwifery care had a moderate effect on PCC, with most postnatal women satisfied with the care. The Findings highlight the need to raise community awareness about domiciliary midwifery and the importance of integrating mothers’ experiences into curriculum design.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 101022"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147419746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical error and three concealed victims: The patient, healthcare caregivers, and the credibility of the healthcare system","authors":"Pardis Roumiani ,&nbsp;Hadis Roumiani ,&nbsp;Ali Safdari","doi":"10.1016/j.ijans.2025.100940","DOIUrl":"10.1016/j.ijans.2025.100940","url":null,"abstract":"<div><div>Medical errors, including execution and planning failures, remain a critical concern in global healthcare. They are the third leading cause of death in some countries and impose severe consequences not only on patients (first victims) but also on healthcare providers (second victims) and institutions (third victims). Affected professionals often experience emotional distress, while organizations face legal, financial, and reputational damage. Despite limited research on the third victim phenomenon, evidence highlights significant economic impacts, including billions in annual costs. Addressing medical errors requires systemic strategies: fostering a culture of safety, continuous staff education, standardized protocols, improved team communication, and meaningful patient engagement. Non-punitive error reporting and integration of evidence-based technologies and decision-support systems are also crucial. Ultimately, medical errors are not intrinsic to healthcare but reflect systemic weaknesses. Continuous quality improvement, guided by international experience and localized solutions, is essential to reduce errors, support staff well-being, and restore public trust.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"24 ","pages":"Article 100940"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multifaceted ergonomics interventions to prevent work-related musculoskeletal disorders among nurses at intermediate hospitals in Namibia: a qualitative study","authors":"Ananias Akweetelela,&nbsp;Moses Chirimbana,&nbsp;Anna Shilunga,&nbsp;Kabwebwe Honoré Mitonga","doi":"10.1016/j.ijans.2026.101143","DOIUrl":"10.1016/j.ijans.2026.101143","url":null,"abstract":"<div><h3>Introduction</h3><div>Work-related musculoskeletal disorders (WRMSDs) are prevalent among nurses globally, varying across regions and body areas. They pose a significant occupational health burden due to physical workload, psychosocial stressors, and poor ergonomic conditions. In Namibia, particularly in intermediate hospitals such as Katutura, Onandjokwe, Oshakati, and Rundu, nurses work under resource constraints, including staffing shortages, high patient loads, and limited ergonomic support, which may worsen WRMSDs. However, evidence on multifactorial ergonomic interventions remains limited. This study explored interventions to prevent WRMSDs among nurses.</div></div><div><h3>Methods</h3><div>A qualitative exploratory descriptive study was conducted using non-probability purposive sampling among 56 nurses and 1 Occupational Health and Safety key informant from the Ministry of Health and Social Services. Data were collected using semi-structured interview guides and analyzed through inductive thematic analysis using ATLAS.ti 23. The study followed a systematic qualitative rigor framework to ensure credibility, dependability, confirmability, and transferability of findings.</div></div><div><h3>Results</h3><div>Participants identified key interventions including promoting physical activity and healthy lifestyle, training, adequate staffing, pre-employment screening, improved management approaches, and hazard identification. These interventions reflect an interaction between individual, organizational, and system-level determinants of occupational health, highlighting the multifactorial nature of WRMSDs prevention.</div></div><div><h3>Conclusion</h3><div>Multifaceted ergonomic interventions tailored to the Namibian healthcare context are necessary to address the complex and interrelated risk factors contributing to WRMSDs among nurses. The Ministry of Health and Social Services should prioritize implementation of these interventions. Further studies, including quantitative, mixed-methods, and comparative designs, are recommended to strengthen evidence across similar resource-constrained healthcare settings.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"26 ","pages":"Article 101143"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148737775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male partner support in breastfeeding practices and associated factors among mothers having less than a year of infant in Jimma town","authors":"Yemisirach Firetsdk ,&nbsp;Ebrahim Yimam ,&nbsp;Bayisa Bereka ,&nbsp;Lemlem Negussie ,&nbsp;Mulatu Abageda","doi":"10.1016/j.ijans.2026.101054","DOIUrl":"10.1016/j.ijans.2026.101054","url":null,"abstract":"<div><h3>Background</h3><div>Breastfeeding is crucial for infant health, but various factors can influence its optimal practices. Male partners play a significant yet often unrecognized role in supporting breastfeeding. Therefore, this study aims to assess the magnitude of male partner support in breast feeding practices and associated factors among mothers having less than a year of infant in Jimma Town, Southwest Ethiopia.</div></div><div><h3>Methods</h3><div>A community-based cross-sectional study was conducted from August 1–September 5,2022, using both quantitative and qualitative approaches. A multistage sampling method selected 483 respondents for the quantitative analysis, while 12 fathers and 6 healthcare providers were purposively chosen for qualitative interviews. A structured questionnaire was used for quantitative and an interview guide for qualitative study. Data were analyzed using SPSS version 23.0, with multivariate logistic regression identifying significant predictors (p &lt; 0.05).</div></div><div><h3>Results</h3><div>The study revealed that 55.9% of male partners provided good breastfeeding support. Key factors associated with good support were among male partners who visited health facilities (AOR = 12.507), have more than one child (AOR = 1.822), social media users (AOR = 3.132), wives’ perceptions towards male partner support (AOR = 2.598), living in urban area (AOR = 2.370).Qualitative data revealed misconceptions about breastfeeding and insufficient counseling during antenatal care as barriers to male partner support.</div></div><div><h3>Conclusions</h3><div>Over half of male partners provide good breastfeeding support, influenced by various factors. Targeted interventions focusing on education and counseling for male partners are recommended to enhance breastfeeding practices.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101054"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147601884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond the classroom: investigating the ‘unseen curriculum’ and a proposed holistic student success framework for nursing education","authors":"Xolani L. Mhlongo","doi":"10.1016/j.ijans.2026.101070","DOIUrl":"10.1016/j.ijans.2026.101070","url":null,"abstract":"<div><div>The academic performance of student nurses is often attributed to pedagogical quality and institutional support, a perspective that can overlook the profound impact of students’ personal lifestyles and environmental circumstances. This article aims to analyse the components of this ’unseen curriculum’ by investigating how non-academic factors including career motivation, socio-economic pressures, and lifestyle choices affect performance in the high-stakes Biological Nursing Science module. Drawing on data collected through a self-administered Likert-scale questionnaire distributed to participants during their free periods to avoid academic disruption, in a quantitative descriptive study of 114 (n = 114) second-year nursing students in South Africa, this analysis revealed a significant motivation deficit: 57% of students did not initially intend to study nursing, with 62% of this group citing financial challenges as their primary reason for enrolment. Furthermore, a majority acknowledged that personal problems impact their performance (51.8%) and perceived first-year alcohol consumption as high (57%). These findings suggest that an unseen curriculum, shaped by financial necessity, extrinsic motivation, and potential maladaptive coping, significantly hinders student success. The article concludes by proposing the Holistic Student Success Framework, a multi-level strategy for incorporating wellness support, structural reform, and motivational development to improve academic outcomes.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101070"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147703236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Students’ Perceptions of Reproductive Health Education Provided by Parents, Teachers, and Community Health Centers in Indonesia: A Cross-Sectional Study","authors":"Yanti Hermayanti ,&nbsp;Lilis Mamuroh ,&nbsp;Udin Rosidin ,&nbsp;Nina Sumarni ,&nbsp;Hidayatu Rohmah ,&nbsp;Julia Ernayanti ,&nbsp;Nafadya Nur’Alya Syafira","doi":"10.1016/j.ijans.2026.101080","DOIUrl":"10.1016/j.ijans.2026.101080","url":null,"abstract":"<div><h3>Objective</h3><div>To assess students’ perceptions of the roles of parents, teachers, and community health center (Puskesmas) staff in delivering reproductive health education and promoting healthy behaviors, and to explore differences in these perceptions by sex.</div></div><div><h3>Methods</h3><div>A cross-sectional survey was conducted from October to 10 November 2025 in six public senior high schools in Garut Regency, West Java, Indonesia. A school-based cluster recruitment approach was used, in which all eligible students in Grades 10–12 within the selected schools were invited to participate. A total of 1,115 students (351 males and 764 females) completed a structured questionnaire consisting of 25 dichotomous items covering parental roles (10 items), teacher roles (10 items), and Puskesmas roles (5 items). The instrument showed good internal consistency (KR-20 = 0.82). Descriptive statistics were used to summarize students’ perceptions, and chi-square tests were performed to examine differences by sex, with p &lt; 0.05 considered statistically significant.</div></div><div><h3>Results</h3><div>Parents and teachers were perceived as the dominant sources of reproductive health education, with more than 90% of students reporting exposure to guidance from both groups for most indicators. However, education about sexually transmitted infections (STIs) remained comparatively lower (parents: 74.4%; teachers: 84.5%). The perceived role of Puskesmas staff was substantially lower than family and school inputs, with reported exposure ranging from 55.2% to 75.1% across indicators. Across domains, the least-addressed content areas involved STI-related information and early reproductive function. Differences by sex were identified in several indicators, with male students generally reporting lower exposure to reproductive health information than female students.</div></div><div><h3>Conclusion</h3><div>Reproductive health education for adolescents is primarily delivered through families and schools, while health-system involvement via Puskesmas remains limited. Gaps in STI-related content and early reproductive function, along with lower reported exposure among male students on several indicators, suggest the need for stronger multisectoral collaboration and more gender-responsive reproductive health education strategies.</div></div>","PeriodicalId":38091,"journal":{"name":"International Journal of Africa Nursing Sciences","volume":"25 ","pages":"Article 101080"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147951352","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}