Frontiers in global women's health最新文献

筛选
英文 中文
Strengthening maternal healthcare in Ghana: utilizing the community-based health planning and services model as a vehicle. 加强加纳的孕产妇保健:以社区保健规划和服务模式为手段。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-12 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1590452
Linus Baatiema
{"title":"Strengthening maternal healthcare in Ghana: utilizing the community-based health planning and services model as a vehicle.","authors":"Linus Baatiema","doi":"10.3389/fgwh.2025.1590452","DOIUrl":"10.3389/fgwh.2025.1590452","url":null,"abstract":"<p><strong>Introduction/aim: </strong>This review explores the Community-Based Health Planning and Services (CHPS) model and its impact on maternal healthcare delivery in Ghana's primary healthcare system. It highlights both the achievements and challenges of the initiative, focusing on community involvement, trained human resources, and effective referral linkages.</p><p><strong>Aim: </strong>To critically examine how CHPS model contributes to strengthening maternal healthcare delivery in Ghana, by assessing its successes, challenges, and potential for promoting equitable and sustainable health outcome.</p><p><strong>Methods: </strong>The study systematically reviewed literature from databases including PubMed, Google Scholar, and JSTOR, using keywords related to CHPS, maternal and child healthcare, reproductive health, and community health initiatives. Peer-reviewed articles, reports, and grey literature published within the past 10 years were prioritized, with additional insights drawn from references in the selected studies. The thematic areas were organized into maternal and child health services, reproductive health challenges, community health programs, and CHPS's role in addressing healthcare inequalities.</p><p><strong>Results: </strong>Findings reveal that, CHPS as a strategy has significant potential to improve maternal health outcomes, reduce mortality rates, and ensure equitable access to care for women in rural and underserved areas. Key challenges such as inadequate funding, staff shortages, political interference, and cultural barriers persist, limiting the model's overall impact.</p><p><strong>Conclusion: </strong>The study provides policy recommendations to enhance the effectiveness of the CHPS model and calls for a collective effort from health sector stakeholders to build a sustainable maternal healthcare system in Ghana.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1590452"},"PeriodicalIF":2.4,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12491247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234366","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}
引用次数: 0
Person-centered maternity care and its associated factors during childbirth at selected public hospitals in Eastern Ethiopia: a cross-sectional study. 埃塞俄比亚东部选定公立医院分娩期间以人为中心的产妇护理及其相关因素:一项横断面研究
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-11 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1513808
Arsema Gebreyesus, Agumasie Semahegn, Fikru Tebeje, Arega Abebe Lonsako, Sagni Girma
{"title":"Person-centered maternity care and its associated factors during childbirth at selected public hospitals in Eastern Ethiopia: a cross-sectional study.","authors":"Arsema Gebreyesus, Agumasie Semahegn, Fikru Tebeje, Arega Abebe Lonsako, Sagni Girma","doi":"10.3389/fgwh.2025.1513808","DOIUrl":"10.3389/fgwh.2025.1513808","url":null,"abstract":"<p><strong>Background: </strong>Maternal mortality has remained a major public health issue globally. Although there has been substantial reduction in maternal mortality, Ethiopia is still one of the highest burden countries in sub-Saharan Africa. Person-centered maternity care plays a key role in ending preventable maternal mortality. Nevertheless, little is known about the status of person-centered maternity care during facility-based childbirth in eastern Ethiopia. Therefore, the aim of this study was to assess the status of person-centered maternity care and its associated factors during childbirth at selected public hospitals in eastern Ethiopia.</p><p><strong>Methods: </strong>We had conducted a facility-based cross-sectional study at selected public hospitals in eastern Ethiopia from May 16 to June 17, 2022. A total of 420 postpartum women, selected by a systematic random sampling technique, were included in the study. We had collected our data by face-to-face interview using a pretested structured questionnaire. Then, the data were entered into EpiData 4.6 and exported to SPSS version 26 for cleaning and analysis. We applied linear regression analyses to determine the associations between dependent and independent variables. The association was reported using a β coefficient with a 95% confidence interval (CI) and a <i>p</i>-value ≤0.05.</p><p><strong>Results: </strong>The percentage mean score of person-centered maternity care was 68.1 (CI: 59.94, 62.66), SD (±14.1). From the subscales of person-centered maternity care, the percentage mean score of dignity and respect was 80.6%, communication and autonomy 61.1%, and 67.3% for supportive care. Women who'd had antenatal care (ANC) follow-up (<i>β</i> = 5.66, 95% CI: 2.79, 8.53) and women who gave birth to a live newborn (<i>β</i> = 7.59, 95% CI: 3.97, 11.20) had a positive association with person-centered maternity care. However, women who had experienced childbirth complications (<i>β</i> = -7.01, 95% CI: -9.88, -4.13) and those who had a hospital stay of more than two days (<i>β</i> = -4.08, 95% CI: -6.79, -1.38) were negatively associated with person-centered maternity care.</p><p><strong>Conclusion: </strong>Our study revealed that the mean person-centered maternity care score of the participants was significantly higher than in previous studies. Women who had antenatal care follow-up, experienced complications during childbirth, gave birth to a live newborn, and had a hospital stay of more than two days were significantly associated with person-centered maternity care. Therefore, we strongly concluded that strengthening antenatal care utilization and early detection and appropriate management of childbirth and pregnancy complications would greatly improve person-centered maternity care.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1513808"},"PeriodicalIF":2.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460229/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187657","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}
引用次数: 0
Perceptions of mindfulness to pregnant women with gestational diabetes: an exploratory qualitative Portuguese study. 妊娠期糖尿病孕妇的正念知觉:一项探索性质的葡萄牙研究。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-11 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1558231
Sandra Seixinho, Maria Helena Presado
{"title":"Perceptions of mindfulness to pregnant women with gestational diabetes: an exploratory qualitative Portuguese study.","authors":"Sandra Seixinho, Maria Helena Presado","doi":"10.3389/fgwh.2025.1558231","DOIUrl":"10.3389/fgwh.2025.1558231","url":null,"abstract":"<p><strong>Introduction: </strong>Gestational diabetes (GD) significantly impacts maternal well-being, influencing both physical and psychological health. Non-pharmacological interventions, such as mindfulness, have emerged as potential nursing strategies to promote positive experiences during pregnancy. This study investigates the perceptions of mindfulness in pregnant women diagnosed with GD, with the aim of analyzing the perceptions of pregnant women about mindfulness. The research question was defined as \"What are the perceptions of mindfulness to diabetic pregnant women?\".</p><p><strong>Methods: </strong>An exploratory qualitative approach was employed to deeply explore the perceptions of pregnant women regarding mindfulness. Seven pregnant women with GD, who met specific inclusion criteria, were intentionally selected and invited to participate in the study. Data were collected through semi-structured interviews and analyzed using Bardin's content analysis method.</p><p><strong>Results: </strong>Participants perceived mindfulness as beneficial in several areas. Improvements in general well-being, physical and psychological health, better interpersonal relationships, increased relaxation, greater preparation for childbirth, and strengthened confidence during the transition to motherhood.</p><p><strong>Discussion: </strong>The results indicate that mindfulness is perceived by pregnant women with GD as a valuable tool for improve their well-being and facilitating a smoother transition to motherhood. The study highlights the importance of incorporating mindfulness into nurse care, especially in the context of high-risk pregnancies. The results suggest that mindfulness can be integrated into nursing practices to more effectively support pregnant women. Further research is recommended to explore the broader implications of mindfulness in high-risk pregnancy care.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1558231"},"PeriodicalIF":2.4,"publicationDate":"2025-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12460244/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145187675","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}
引用次数: 0
The vicious circle: how systemic barriers perpetuate maternity interpreting service inadequacies for migrant women in the UK. 恶性循环:系统障碍如何使英国移民妇女的产妇口译服务不足持续存在。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1638434
Li Li
{"title":"The vicious circle: how systemic barriers perpetuate maternity interpreting service inadequacies for migrant women in the UK.","authors":"Li Li","doi":"10.3389/fgwh.2025.1638434","DOIUrl":"10.3389/fgwh.2025.1638434","url":null,"abstract":"<p><strong>Introduction: </strong>Migrant women who speak languages other than English in the UK face elevated risks of adverse birth outcomes and experience significant maternal health disparities, conditions exacerbated by persistent inadequacies in interpreting service availability, quality, and costs. While video-mediated interpreting has been proposed as a solution, little is known about the systemic barriers that might limit its effectiveness in real-world settings.</p><p><strong>Methods: </strong>This study employed a transformative mixed-methods approach to investigate systemic barriers in maternity interpreting services, focusing on interpreter retention, service availability, and video-mediated interpreting implementation, specifically LanguageLine Solutions' interpreter-on-wheels (IOW). Data were collected in the UK between 2019 and 2022 from seven key stakeholder groups: Migrant women (<i>n</i> = 24), support workers (<i>n</i> = 10), maternity care professionals (<i>n</i> = 46), interpreters (<i>n</i> = 159), bilingual health advocates (<i>n</i> = 7), language service providers (<i>n</i> = 6) and a commissioner. Semi-structured interviews, surveys, focus groups, ethnographic observations and service provider data were analysed using reflexive thematic analysis and descriptive statistics.</p><p><strong>Results: </strong>The analysis revealed three interconnected systemic barriers forming a vicious circle in interpreting service provision: (1) Constrained user agency, where migrant women prioritised basic access to any interpreting support over preferences for service quality due to systematic service failures; (2) interpreter workforce sustainability crisis, with nearly 60.4% of interpreters having decreased or stopped healthcare interpreting assignments due to poor remuneration and better opportunities elsewhere; (3) infrastructure implementation failures, with interpreter-on-wheels implementation hampered by unreliable infrastructure, achieving only 11% utilisation despite its potential benefits.</p><p><strong>Discussion: </strong>These findings demonstrate how interpreting service challenges form an interconnected system where workforce issues, technical infrastructure, and institutional practices mutually reinforce one another, creating a vicious circle that perpetuates service inadequacies. This study advances understanding of the systemic nature of interpreting service challenges in maternity care for migrant women and highlights the need for coordinated interventions that address multiple interconnected barriers simultaneously, rather than isolated technological solutions.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1638434"},"PeriodicalIF":2.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151820","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}
引用次数: 0
Weaving birth: interdependence and the fungal turn. 编织诞生:相互依存与真菌转化。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-10 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1642537
Michelle Sadler, Sara Cohen Shabot
{"title":"Weaving birth: interdependence and the fungal turn.","authors":"Michelle Sadler, Sara Cohen Shabot","doi":"10.3389/fgwh.2025.1642537","DOIUrl":"10.3389/fgwh.2025.1642537","url":null,"abstract":"<p><p>In this article, we approach childbirth through the lens of the \"fungal turn,\" using fungal mycelial networks as a conceptual and metaphorical resource for rethinking birth as a relational experience of collective care. Like fungi, which thrive through mutualistic, multispecies relationships, childbirth unfolds within dense networks of biological, social, and ecological connections; between pregnant person and fetus, caregivers, communities, and environments. We draw on our own contrasting childbirth experiences -one shaped by obstetric violence and the need for hyper-vigilant control, the other by trust, safety, and the capacity to surrender- to illustrate how different models of care either reinforce the logic of autonomous, isolated, and bounded birthing subjects or, in contrast, highlight their vulnerability, interconnectedness, and permeability. Our analysis combines a descriptive phenomenological approach, to convey the lived experience of birth in its sensory, embodied immediacy, with a hermeneutical phenomenological approach, which situates and interprets these experiences within the broader cultural and relational frameworks that shape them. Phenomenological insights on intercorporeality challenge the idea of the autonomous subject, reframing subjectivity as emerging through inherently embodied and interconnected engagements with others and the world. In this framework, the fungal metaphor illuminates how the weaving of interdependence unsettles dominant modern conceptions of agency and individuation, offering new ways to imagine what constitutes a positive birth.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1642537"},"PeriodicalIF":2.4,"publicationDate":"2025-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12457297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151834","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}
引用次数: 0
Prevalence of technology facilitated and other gender-based violence among adolescent girls in Gqeberha, South Africa and its association with probable common mental disorders. 在南非盖伯哈的少女中,技术的普及助长了其他基于性别的暴力行为及其与可能的常见精神障碍的关系。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1546901
Miriam Aviva Hartmann, Erica Browne, Shepherd Mutangabende, Patience Mungwari, Danielle Stotesbury, Nataly Woollett, Anna Kågesten, Sarah T Roberts, Abbey Hatcher
{"title":"Prevalence of technology facilitated and other gender-based violence among adolescent girls in Gqeberha, South Africa and its association with probable common mental disorders.","authors":"Miriam Aviva Hartmann, Erica Browne, Shepherd Mutangabende, Patience Mungwari, Danielle Stotesbury, Nataly Woollett, Anna Kågesten, Sarah T Roberts, Abbey Hatcher","doi":"10.3389/fgwh.2025.1546901","DOIUrl":"10.3389/fgwh.2025.1546901","url":null,"abstract":"<p><strong>Background: </strong>Emerging evidence is raising alarms that technology facilitated gender-based violence (TF-GBV) is a growing public health concern with impacts on child wellbeing, yet little research on the topic has been conducted in middle-income country settings. This study aimed to investigate the prevalence of TF-GBV, other GBV, and their association with common mental disorder (CMD) symptoms among adolescent girls in South Africa.</p><p><strong>Methods: </strong>Trained enumerators facilitated surveys on exposure to physical and sexual violence with adolescent girls aged 10-19 from 14 low-income primary and secondary public schools. An index of TF-GBV assessed past-year exposure to acts such as public posting of sexual photos. CMD screening used Patient Health Questionnaire-2 and Generalized Anxiety Disorder-2 tools. Generalized estimating equations assessed associations between violence (TF-GBV, other GBV, or both) and CMD.</p><p><strong>Results: </strong>A total of 1,540 adolescent girls participated in the study. Most participants identified as Black (84%). CMD symptoms were more prevalent among girls in secondary school (37%) than primary school (10%). All forms of past-year GBV were more prevalent among secondary school girls, including TF-GBV (43% vs. 11% in primary school girls). Exposure to both TF-GBV and other forms of GBV were significantly associated with a 3.68 times higher risk of CMD (aRR = 3.68, 95% CI 2.42-5.62) after adjusting for demographics and partnership status.</p><p><strong>Conclusion: </strong>These findings underscore the need for targeted content to address TF-GBV within existing GBV programs, and its impact on mental health among adolescent girls in similar contexts.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1546901"},"PeriodicalIF":2.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139721","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}
引用次数: 0
Routine antenatal ultrasound by nurse-midwives in rural Kenya: a pragmatic trial assessing feasibility and effects of the Mimba Yangu (My Pregnancy) project. 肯尼亚农村护士-助产士的常规产前超声:一项评估Mimba Yangu(我的怀孕)项目可行性和效果的实用试验。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-09 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1555547
Claudia Hanson, Lucy Nyaga, Nidhi Leekha, Michaela Mantel, Sarah Kedenge, Caroline W Gitonga, Violet Naanyu, Jasmit Shah, Marleen Temmerman
{"title":"Routine antenatal ultrasound by nurse-midwives in rural Kenya: a pragmatic trial assessing feasibility and effects of the <i>Mimba Yangu</i> (My Pregnancy) project.","authors":"Claudia Hanson, Lucy Nyaga, Nidhi Leekha, Michaela Mantel, Sarah Kedenge, Caroline W Gitonga, Violet Naanyu, Jasmit Shah, Marleen Temmerman","doi":"10.3389/fgwh.2025.1555547","DOIUrl":"10.3389/fgwh.2025.1555547","url":null,"abstract":"<p><strong>Introduction: </strong>Task-sharing of obstetric ultrasound between nurse-midwives and doctors has the potential to operationalize the World Health Organization's recommendation of at least one ultrasound before 24 weeks of gestational age for every pregnant woman. Here, we report on the feasibility, acceptability, and effects of the Mimba Yangu (My Pregnancy) task-sharing approach in rural Kenya.</p><p><strong>Methods: </strong>We conducted a pragmatic trial including 28 primary care facilities between April 2021 and March 2022, selected based on feasibility criteria. Fourteen facilities received the ultrasound intervention composed of (i) task-sharing with nurse-midwives, (ii) the use of portable ultrasound devices (Lumify™) connected to a tablet, and (iii) a digital platform facilitating distant support. Hybrid training of 32 nurse-midwives was provided based on a nationally derived curriculum, including theoretical and hands-on components, by an academic team. We used (i) in-depth interviews with nurse-midwives and healthcare managers, (ii) exit interviews using a quantitative questionnaire with pregnant and recently delivered women, and (iii) data abstraction from the health facility records. We descriptively analyzed data and used a difference-in-difference analysis based on a generalized linear model to assess the effect of the intervention on the number of antenatal visits.</p><p><strong>Results: </strong>The intervention was successfully and consistently implemented during a 9-month period in all 14 health facilities providing obstetric ultrasound services to 2,799 pregnant women. Interviews with trained nurse-midwives indicated that the intervention was relevant, feasible, and acceptable. In the intervention facilities, 50.4% of pregnant women received at least one ultrasound compared with 19.2% in the comparison facilities, where women were referred to other facilities for an ultrasound based on obstetric risk factors.</p><p><strong>Conclusion: </strong>Our analysis provides evidence of the feasibility, acceptance, and positive effects on service availability of providing ultrasound at the primary care level delivered by nurse-midwives. Scalability and feasibility of such an intervention are critical to global health but will demand policy reforms to allow task-sharing at national and sub-national levels.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1555547"},"PeriodicalIF":2.4,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12454332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145139786","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}
引用次数: 0
A policy brief on improving reproductive and maternity services utilisation among women of reproductive age in Nigeria. 关于改善尼日利亚育龄妇女对生殖和孕产服务利用情况的政策简报。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-05 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1608774
Obasanjo Bolarinwa, Rebecca Tadokera, Ritika Tiwari
{"title":"A policy brief on improving reproductive and maternity services utilisation among women of reproductive age in Nigeria.","authors":"Obasanjo Bolarinwa, Rebecca Tadokera, Ritika Tiwari","doi":"10.3389/fgwh.2025.1608774","DOIUrl":"10.3389/fgwh.2025.1608774","url":null,"abstract":"<p><p>Nigeria continues to struggle with high maternal and child mortality despite its large economy. Reproductive and maternity services are underutilised, contributing to poor maternal and newborn outcomes. Barriers include geographic, socio-demographic, and economic factors. Northern and south-south regions show particularly low service utilisation. Young maternal age, low education, rural location, and Hausa ethnicity are key socio-demographic barriers. Non-Christian religious affiliation and limited mass media exposure also reduce service uptake. Poverty, unemployment, and lack of health insurance are major economic challenges. Community engagement and culturally sensitive care are essential. The use of religious and traditional leaders for advocacy could improve outreach. Expanding insurance and financial incentives, like vouchers or cash transfers, can reduce cost-related barriers.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1608774"},"PeriodicalIF":2.4,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115324","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}
引用次数: 0
Preconception care practice among pregnant women attending antenatal care at Wachemo University, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, southern Ethiopia, 2022: a mixed-methods study. 2022年,在埃塞俄比亚南部的Wachemo大学、Nigist Eleni Mohammed纪念综合专科医院接受产前护理的孕妇的孕前护理实践:一项混合方法研究。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-04 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1569410
Tadesse Getu, Melesech Eliso, Mengistu Lodebo, Tesema Beraku, Temesgen Getaneh, Engdaw Asmare Anlay, Samuel Yohannes, Pammla Petrucka, Ayenew Tega
{"title":"Preconception care practice among pregnant women attending antenatal care at Wachemo University, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital, southern Ethiopia, 2022: a mixed-methods study.","authors":"Tadesse Getu, Melesech Eliso, Mengistu Lodebo, Tesema Beraku, Temesgen Getaneh, Engdaw Asmare Anlay, Samuel Yohannes, Pammla Petrucka, Ayenew Tega","doi":"10.3389/fgwh.2025.1569410","DOIUrl":"10.3389/fgwh.2025.1569410","url":null,"abstract":"<p><strong>Background: </strong>Preconception care includes biomedical, behavioral, and social health interventions for women and couples before conception, aiming to improve their overall health status. Despite its importance, studies conducted in Ethiopia reveal that the practice remains unacceptably low; this emphasizes the need for further investigation, particularly through mixed-methods studies incorporating women's perspectives.</p><p><strong>Methods: </strong>An institution-based, cross-sectional study with concurrent triangulation was conducted at Wachemo University, Nigist Eleni Mohammed Memorial Comprehensive Specialized Hospital between 1 April and 30 June 2022. Quantitative data were collected using a systematic random sampling method, while qualitative data were obtained through purposive sampling. A structured, interviewer-administered questionnaire was used to collect data from 332 eligible antenatal care clients. The data were entered into EpiData and analyzed using SPSS. Bivariate and multivariate analyses were performed to identify factors associated with the practice of preconception care. A 95% confidence interval (CI) and <i>p</i>-values <0.05 were considered statistically significant. Thematic analysis of qualitative data was performed using ATLAS.ti version 7.</p><p><strong>Results: </strong>This study showed that 104 women (31.3%) (95% CI: 26.5-36.5) engaged in good preconception care practices. Factors significantly associated with good practices included attending college or university [adjusted odds ratio (AOR) = 3.52, 95% CI: 1.14-10.87], having a history of adverse pregnancy outcomes (AOR = 4.82, 95% CI: 2.20-10.58), receiving support from one's husband (AOR = 2.45, 95% CI: 1.05-5.73), and having good knowledge of preconception care (AOR = 4.52, 95% CI: 2.11-9.68). The qualitative analysis revealed that client-related and health facility-related factors influenced the practice of preconception care.</p><p><strong>Conclusion: </strong>Nearly 7 out of 10 women in this study became pregnant without the utilization of any component of preconception care. To improve the practice of preconception care, it is essential to raise awareness about its benefits among all women of reproductive age. Future efforts focusing on knowledge dissemination and awareness creation to improve partner support are crucial to enhancing preconception care practices.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1569410"},"PeriodicalIF":2.4,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12443850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115326","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}
引用次数: 0
Editorial: Use of artificial intelligence to improve maternal and neonatal health in low-resource settings. 社论:利用人工智能改善低资源环境下的孕产妇和新生儿健康。
IF 2.4
Frontiers in global women's health Pub Date : 2025-09-02 eCollection Date: 2025-01-01 DOI: 10.3389/fgwh.2025.1675578
Z Hoodbhoy, S Martinez-Sanchez, M I Nisar, E Smith
{"title":"Editorial: Use of artificial intelligence to improve maternal and neonatal health in low-resource settings.","authors":"Z Hoodbhoy, S Martinez-Sanchez, M I Nisar, E Smith","doi":"10.3389/fgwh.2025.1675578","DOIUrl":"10.3389/fgwh.2025.1675578","url":null,"abstract":"","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1675578"},"PeriodicalIF":2.4,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12436304/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082610","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}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信