Frontiers in global women's health最新文献

{"title":"Being in the zone during physiological birth: a comparative study of hospital and home birth environments.","authors":"Orli Dahan, Alon Goldberg","doi":"10.3389/fgwh.2025.1573688","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1573688","url":null,"abstract":"<p><strong>Introduction: </strong>A flow experience typically occurs when the challenge of a demanding physical activity aligns with an individual's abilities, resulting in a sense of empowerment and fulfillment. Experiencing flow during physiological childbirth occurs in various birth environments, but quantitative studies comparing home birth and hospital birth in this respect are scarce. Childbirth is a psychological, social, and physiological event; thus, the birthing environment probably crucially affects the mental state of birthing women. We hypothesized that home birth will be positively correlated with a heightened flow state experienced by women during physiological labor, differing significantly from the experience of women birthing in a hospital.</p><p><strong>Method: </strong>Israeli women with physiological childbirth experience were recruited through social media. Participants (<i>n</i> = 421) completed the Flow State Scale (FSS) and a demographic questionnaire.</p><p><strong>Results: </strong>Comparing hospital births and home births, our research reveals a significant correlation between home birth environment and heightened birthing women's flow state. In physiological childbirth, women birthing at home report higher flow states compared to women in hospitals.</p><p><strong>Discussion: </strong>The observed differences indicate a compelling connection between the birthing environment and the women's experience during labor. The heightened flow state during home births is explained in measured flow dimensions: challenge-skill balance, action-awareness merging, clear goals, unambiguous feedback, concentration, and joy. By comparing correlations of birthing environments and birthing women's flow state, this research contributes a novel perspective to the ongoing discourse on optimizing childbirth experience.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1573688"},"PeriodicalIF":2.3,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060042","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":"The role of nurses, midwives, and doulas on breastfeeding: changes during the COVID-19 pandemic.","authors":"Shubhecchha Dhaurali, Shikhar Shrestha","doi":"10.3389/fgwh.2025.1469428","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1469428","url":null,"abstract":"<p><strong>Introduction: </strong>The COVID-19 pandemic has significantly altered maternal healthcare delivery, including breastfeeding practices. Our study investigated the influence of nurses, midwives, and doulas on breastfeeding education and rates, with a specific focus on changes that transpired during the COVID-19 pandemic.</p><p><strong>Methods: </strong>Using a cross-sectional design, we performed a secondary data analysis on a stratified systematic sample of forty-six U.S. states and New York City respondents who completed the Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 7 (2012-2015) and Phase 8 (2016-2020) surveys (<i>n</i> = 193,068). Descriptive analyses and adjusted multivariable logistic regression models reporting adjusted odds ratios (aORs) and 95% confidence intervals (95% CIs) were used to assess associations between the provision of breastfeeding guidance to mothers from nurses, doulas, or midwife healthcare professionals; breastfeeding/pumping rates; and the COVID-19 pandemic. Cox-proportional hazard models were used to examine the association between breastfeeding guidance and breastfeeding duration.</p><p><strong>Results: </strong>Our findings revealed that participants who received breastfeeding guidance from nurses, midwives, or doulas were twice as likely to have engaged in breastfeeding or milk pumping for their infants than participants who did not receive breastfeeding education (aOR = 1.99, 95% CI: 1.89-2.11, <i>p</i> < 0.0001). Additionally, participants who gave birth during the COVID-19 pandemic were notably less likely to receive breastfeeding education from a nurse, midwife, or doula than were those who gave birth before the pandemic (aOR = 0.92, 95% CI: 0.88-0.96, <i>p</i> < 0.0001). We also find that the hazard of stopping breastfeeding was lower among participants who received breastfeeding guidance (HR = 0.94, 95% CI: 0.91-0.97, <i>p</i> < 0.0001). Additionally, the hazard of stopping breastfeeding was lower during COVID-19 (HR = 0.94, 95% CI: 0.91-0.97, <i>p</i> = 0.001).</p><p><strong>Discussion: </strong>Our study underscores the vital role that healthcare professionals play in educating, advocating for, and promoting breastfeeding behaviors. This further highlights the pressing need for sustained efforts to support breastfeeding initiatives and address disparities in maternal and child health, particularly in the context of the challenges presented by the COVID-19 pandemic.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1469428"},"PeriodicalIF":2.3,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12034719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059290","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":"\"Vaccinating a child is upon the woman\": implications for improving uptake for the recently introduced second dose of measles-containing vaccine based on a rapid community assessment in Uganda.","authors":"Adelline Twimukye, Nessa Ryan, Flavia Vivian Najjuma, Yvette Wibabara, Judith Nanyondo, Shillah Nakato, Maria Sarah Nabaggala, Ciara Sugerman, Daniel Kadobera, Rita Atugonza, John Kamulegeya, Joseph Magoola, Racheal Beyagira, Mohammed Lamorde, Alex Riolexus Ario, Alfred Driwale, Shibani Kulkarni","doi":"10.3389/fgwh.2025.1441242","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1441242","url":null,"abstract":"<p><strong>Background: </strong>Caregiver barriers to accessing immunizations are a key factor influencing childhood vaccination. In preparation for the rollout of the second dose measles-containing vaccine (MCV2) in Uganda in October 2022, we aimed to identify possible barriers specific to female caregivers that could influence MCV2 implementation and suggest initiatives to facilitate MCV2 uptake.</p><p><strong>Methods: </strong>In September 2022, we conducted a rapid community assessment in 18 districts in Uganda. We conducted key informant interviews with 17 district health managers and 18 community leaders, and 18 focus group discussions, one in each district, with caregivers of immunization-eligible children. We conducted a rapid analysis based of debriefing notes and in-depth thematic analysis of translated transcripts. Data were analyzed using NVivo version 12, wherein we used the framework analysis approach to define and structure codes deductively and inductively to identify themes. We mapped themes onto the socio-ecological model to examine factors that influence immunization at individual, household, community, and health system level.</p><p><strong>Results: </strong>We found that individual, household, and health system factors influenced childhood vaccination and could be potential barriers to MCV2 uptake. At the individual level, female caregiver's heavy workload and limited decision-making power hindered their ability to take children for vaccination, with mothers often relying on fathers and depended on men for transport costs to immunization centers. At the household level, participants mothers were primarily responsible for taking children to vaccination centers, while fathers were less involved in child health. Health workers often gave preferential treatment to fathers over mothers at the health facility when they brought the child in for vaccination Participants suggested that approaches that ensure the involvement of fathers, other family members and mother-to-mother peer groups could address the barriers specific to female caregivers.</p><p><strong>Conclusion: </strong>Role differentiation between female and male caregivers affect childhood vaccination practices within communities in Uganda, potentially exacerbating challenges in accessing vaccines for children in the second year of life. Integrating interventions responsive to specific caregiver needs and that improve family participation may improve childhood vaccination in Uganda.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1441242"},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999734","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":"Prevalence and determinants of contraceptive discontinuation among reproductive age women: analysis of Tanzania demographic health survey.","authors":"Bezawit Melak Fente, Angwach Abrham Asnake, Yohannes Mekuria Negussie, Meklit Melaku Bezie, Zufan Alamrie Asmare, Hiwot Altaye Asebe, Beminate Lemma Seifu","doi":"10.3389/fgwh.2025.1393020","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1393020","url":null,"abstract":"<p><strong>Background: </strong>Abortions performed unsafely, unintended births, and missed and unwanted pregnancies are linked to discontinuation of contraception for reasons other than wanting to become pregnant, and these situations raise the risk of maternal morbidity and death. However, a study on the determination of factors contributing to contraceptive discontinuation in Tanzania is limited. Therefore, we aimed to investigate the prevalence and determinants of contraceptive discontinuation among reproductive-age women in Tanzania using recent Tanzania Demographic Health Surveys.</p><p><strong>Method: </strong>A cross-sectional study was conducted using secondary data analysis from of 2022 Tanzania Demographic Health Survey (DHS). A total weighted sample of 6,467 reproductive-age women were included. To account for the clustering effects of DHS data and the binary nature of the outcome variable, a multilevel binary logistic regression model was applied. An adjusted odds ratio with a 95% confidence interval was reported to declare the statistical significance. In addition, the model that had the lowest deviance was the one that best fit the data.</p><p><strong>Result: </strong>The prevalence of discontinuation for all contraceptive methods among reproductive-age women was 34% (95% CI: 31.3%, 34.7%). Women who age group of 20-29 years (AOR = 4.45, 95% CI: 1.11, 17.78), women with no formal education (AOR = 1.94, 95% CI: 1.71, 2.93), women having no children (AOR = 4.25, 95% CI: 3.47, 8.06) women who want another child (AOR = 1.89, 95% CI: 1.76, 3.46), distance to the health facility as a big problem (AOR = 2.43, 95% CI: 1.38, 4.26), rural residence (AOR = 1.67, 95% CI: 1.48, 3.23) Were factors strongly associated with contraceptives discontinuation.</p><p><strong>Conclusion: </strong>Among women of reproductive age, the withdrawal of contraception was 34% and it was determined by several factors. Providing a variety of contraceptive techniques and spreading knowledge about family planning are the primary goals of contraceptive counseling. It is also suggested by prospective investigators to use primary data to address independent factors that were missing.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1393020"},"PeriodicalIF":2.3,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12021848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044189","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":"Determinants of long-acting family planning utilization among reproductive-age women in Ethiopia: further analysis of recent demographic and health survey data.","authors":"Melsew Setegn Alie, Gossa Fetene Abebe, Yilkal Negesse, Desalegn Girma","doi":"10.3389/fgwh.2025.1480509","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1480509","url":null,"abstract":"<p><strong>Background: </strong>Despite advancements in modern contraceptive use in Ethiopia, the uptake of long-acting family planning services remains low due to various factors. To our knowledge, there is currently no national evidence regarding the prevalence of long-acting family planning methods. Therefore, this study aimed to identify the determinants of long-acting family planning utilization among women of reproductive age in Ethiopia.</p><p><strong>Method: </strong>A secondary data analysis was conducted using the 2019 Ethiopian Demographic and Health Survey data. The data were extracted from the child record file using STATA version 15. A total of 4,782 reproductive-age women were selected for the study. After applying appropriate weighting, generalized estimating equation modeling was performed using the xtgee command in STATA. Model selection was based on the quasi-likelihood criteria, and model fitting was carried out using two proposed working correlation structures: exchangeable and independent. The generalized estimating equations modeling of the study parameters was assessed accordingly.</p><p><strong>Result: </strong>The magnitude of long-acting family planning utilization in this study was 8.6 [95% confidence interval (CI): 7.8-9.4]. Determinants of long-acting family planning utilization were age of women 40-49 years [odds ratio (OR) = 1.87, 95% CI: 1.7-4.7], rural residence (OR = 0.47, 95% CI: 0.19-0.89], female head of household (OR = 1.67, 95% CI: 1.5-2.2), family size ≥13 (OR = 0.04, 95 CI: 0.003-0.68), and number of children aged under 5 years ≥4 (OR = 0.26, 95% CI: 0.09-0.68).</p><p><strong>Conclusion: </strong>The utilization of long-acting family planning methods among women in Ethiopia is relatively low compared to the Ethiopian government's plan. Key factors influencing this utilization include age, place of residence, head of household, family size, and number of children aged under 5 years. These findings suggest that the country should enhance the use of long-acting family planning by focusing on improving access for young and adolescent women, empowering women, and addressing the needs of households with larger family sizes. Reproductive health interventions, including family planning services, should specifically target rural, male-headed households with young women who have more than four children aged under 5 years to increase the uptake of long-acting family planning methods.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1480509"},"PeriodicalIF":2.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018466/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059594","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":"Comparing adverse maternal outcomes among adolescent and adult women in North Wollo Zone governmental hospitals, northern Ethiopia.","authors":"Tadele Emagneneh, Chalie Mulugeta, Belay Susu, Negesse Belayneh, Delelegn Tsegaye","doi":"10.3389/fgwh.2025.1336661","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1336661","url":null,"abstract":"<p><strong>Background: </strong>Adolescents differ from adults in biological, social, and psychological characteristics, which can impact maternal health outcomes during pregnancy and childbirth. Research suggests that adolescents are at a higher risk of experiencing adverse maternal outcomes. However, the extent to which these differences are driven by various mediating factors-such as biological, lifestyle, or socioeconomic conditions-remains unclear. This study aimed to compare adverse maternal outcomes between adolescent and adult mothers in public hospitals in North Wollo Zone, northern Ethiopia, while adjusting for potential confounders such as healthcare access, antenatal care, and pregnancy intentions.</p><p><strong>Methods: </strong>A comparative cross-sectional study was conducted from November 2022 to February 2023 involving 488 mothers. Data were collected through interviews and clinical chart reviews and then entered into EpiData version 4.6.6.0 and analyzed using SPSS version 26. Descriptive statistics were used to summarize the data, and logistic regression was applied to identify significant variables (<i>p</i> < 0.05). To correct for multiple testing, the false discovery rate method, using the Benjamini-Hochberg procedure, was applied with a threshold of adjusted <i>p</i>-values <0.1.</p><p><strong>Results: </strong>Adolescent mothers exhibited significantly higher rates of adverse outcomes compared to adult mothers, including preterm labor (7.0% vs. 2.0%, <i>p</i> = 0.04), antepartum hemorrhage (11.9% vs. 4.9%, <i>p</i> = 0.014), anemia (19.3% vs. 10.2%, <i>p</i> = 0.006), pregnancy-induced hypertension (11.9% vs. 7.0%, <i>p</i> = 0.047), malpresentation (9.0% vs. 2.5%, <i>p</i> = 0.008), cephalopelvic disproportion (6.1% vs. 1.2%, <i>p</i> = 0.046), major perineal tears (8.6% vs. 3.3%, <i>p</i> = 0.016), and cesarean delivery (16.0% vs. 9.8%, <i>p</i> = 0.04).</p><p><strong>Conclusion: </strong>Adolescent pregnancy was strongly linked to a range of adverse maternal outcomes, including preterm labor, antepartum hemorrhage, malpresentation, oligohydramnios, anemia, major perineal tears, and an increased likelihood of cesarean delivery. To mitigate these risks, it is crucial to implement targeted community and health facility-based interventions that focus on preventing adolescent pregnancies and addressing contributing factors, ultimately improving maternal health outcomes among adolescents.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1336661"},"PeriodicalIF":2.3,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12018451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022452","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":"Proactive approaches to preventing postpartum depression in non-depressive pregnant women: a comprehensive scoping review.","authors":"Nga Thi Nguyen, Supa Pengpid","doi":"10.3389/fgwh.2025.1497740","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1497740","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum depression is a significant global health challenge that affects mothers, infants, and families. Although various preventive strategies show promise, comprehensive reviews evaluating interventions among pregnant women without a clinical diagnosis of depression remain limited. This scoping review aims to identify and synthesize the existing evidence on proactive postpartum depression prevention programs initiated during pregnancy.</p><p><strong>Methods: </strong>Following PRISMA guidelines for scoping reviews, we systematically searched PubMed and Scopus, supplemented by manual reference reviews. Our search strategy combined terms related to postpartum depression, pregnancy, and preventive interventions. Studies were included if they evaluated interventions conducted during pregnancy, targeting women without a clinical diagnosis of depression, and assessed PPD outcomes using established diagnostic criteria or validated screening tools. Only English-language articles published between 2013 and 2023 were considered.</p><p><strong>Results: </strong>A total of 49 studies met the inclusion criteria. Interventions were categorized into nine themes: psychoeducation (<i>n</i> = 18), home visits (<i>n</i> = 6), cognitive behavioral therapy (CBT) (<i>n</i> = 6), mindfulness (<i>n</i> = 6), exercise (<i>n</i> = 4), dietary supplements (<i>n</i> = 3), interpersonal therapy (IPT) (<i>n</i> = 4), consultation (<i>n</i> = 1), and inhalation aromatherapy (<i>n</i> = 1). Psychoeducational and mindfulness-based interventions consistently reduce PPD risk, particularly when delivered in structured, theory-driven formats and incorporating family support. Digital CBT interventions demonstrated limited effectiveness due to lower engagement, while home-visit and consultation-based interventions were effective when integrated into existing maternal healthcare despite scalability challenges. Exercise and dietary supplement interventions yielded inconsistent outcomes, indicating that factors such as adherence, duration, and intensity are crucial determinants of effectiveness.</p><p><strong>Conclusion: </strong>Various proactive interventions are available to prevent PPD, and this scoping review systematically maps the different strategies used and their outcomes. Proactive, theory-based, and multi-component interventions, particularly psychoeducational and mindfulness programs, demonstrate promising potential. Future research should emphasize evaluating long-term outcomes, optimizing digital engagement strategies, and developing culturally tailored models to enhance scalability and accessibility across diverse populations, including low-resource settings.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1497740"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144014250","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":"Leveraging health financing, digital health and self-care approaches to strengthen maternal health journeys in India: perspectives from Assam.","authors":"Sowmya Ramesh, Charlotte E Warren, Ben Bellows, Himanshi Dwivedi, Himani Gupta, Ashita Munjral, Swapnil Rawat, David Tresner-Kirsch, Jitender Nagpal","doi":"10.3389/fgwh.2025.1469328","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1469328","url":null,"abstract":"<p><p>Maternal morbidity and mortality in India continue to be high in populations and places with limited access to quality health services. Major barriers include out of pocket expenditure, lack of autonomy and information around maternal health services and weak implementation of pro-poor policies. Addressing demand-side barriers and enablers is critical to improving healthcare uptake and healthcare adherence along the pregnancy-postnatal continuum. This paper describes three well known operational spaces, maternal health financing, digital health, and self-care interventions within the Indian context including pro-poor maternal health policies, mobile health ecosystems and networks, and self-care opportunities that promote women's knowledge, choice, self-efficacy, and autonomy. These are expanded on to identify additional opportunities to improve access to MH services. Finally, the authors describe a new digital health intervention using a chat-based digital support system that has the potential to reduce barriers that women face in seeking and receiving quality MH services in Assam and elsewhere. Future work on how to implement such a combined approach need to account for multiple contextual factors, including understanding the nature and success of national pro-poor MH policies in each state, how the public and private health systems function and interact, social determinants of health as well as engaging women in the process to improve maternal and newborn health outcomes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1469328"},"PeriodicalIF":2.3,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12014564/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013726","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":"Inequities and factors associated with gender and disability in NTD-endemic communities in Benin and Côte d'Ivoire: an intersectional approach to interventions.","authors":"Ginette Victoire Senami Gandigbe, Zinsou Franck Mignanwande, Yévèdo Borel Tossou, Karine Lucrèce Marie Codjo-Seignon, Sonagnon Inès Elvire Agbo, Fifamin Noël Christelle Gbaguidi, Sèdjro Gimatal Esaï Anagonou, Fernand Aimé Guedou, Mark Nichter, Cristina Juan Jimenez, Roch Christian Johnson, Anna Gine-March","doi":"10.3389/fgwh.2025.1575082","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1575082","url":null,"abstract":"<p><strong>Introduction: </strong>Gender inequity among people with disabilities (PWD) is a complex issue influenced by a combination of socioeconomic, cultural, political, and institutional factors. Women with disabilities often experience double discrimination, increasing their vulnerability. These exacerbate their already difficult health and living conditions. This study aimed to explore the factors associated with gender inequities among PWD in Benin and Côte d'Ivoire, and to design and implement tailored interventions to address these inequities.</p><p><strong>Method: </strong>This intervention-oriented operational research, employing a mixed-methods approach (quantitative and qualitative), targeted 841 PWD and 90 community members. Initially, records from various centers managing Neglected Tropical Diseases (NTDs) in the study areas were reviewed. All PWD listed in the registers and residing in the community, as well as other community members, were included. Data on socio-demographic and socioeconomic and clinical factors were collected using an interview guide and an observation grid. Quantitative data were analyzed using SPSS version 25 (alpha = 5%), while qualitative data were processed through triangulation, categorized, cross-tabulated, and synthesized by theme, hypothesis, and indicator. A subset of PWD facing barriers to accessing education, training, income-generating activities, or healthcare was selected for intervention.</p><p><strong>Results: </strong>The median age was 38 years (IQR = 22-52). Among the 841 PWD, 497 were men and 344 were women (sex ratio = 1.45). Univariate analysis revealed significant associations (<i>p</i> = 0.000) between gender disparities and marital status, monthly income, education level and occupation type. Multivariable analysis identified three factors strongly associated with gender disparities (<i>p</i> = 0.000): marital status, monthly income, and profession. Interventions were designed to address these factors and included vocational training, medical care, and educational or professional scholarships. These measures collectively improved the living conditions of PWD and helped raise awareness among those in their immediate environment, fostering social integration and reducing self-stigmatization.</p><p><strong>Conclusion: </strong>This study provides a deeper understanding of the inequalities that PWDs face in Benin and Côte d'Ivoire. It highlights the need to adopt intersectional approaches in policies and practices to effectively address the multiple forms of discrimination faced by women and girls with disabilities, promoting their inclusion and protection in all areas of society.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1575082"},"PeriodicalIF":2.3,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051490","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":"Immediate postpartum modern family planning utilization and associated factors among postpartum women in Gurage Zone, Southern Ethiopia 2022: community-based cross-sectional study.","authors":"Tolesa Gemeda Gudeta, Ayana Benti Terefe, Girma Teferi Mengistu, Seboka Abebe Sori","doi":"10.3389/fgwh.2025.1355620","DOIUrl":"https://doi.org/10.3389/fgwh.2025.1355620","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The period immediately following delivery is crucial for addressing the many requirements women have in terms of reproductive health, including the need for family planning after delivery and for lowering the risks associated with closely spaced pregnancies. However, contraception during the immediate postpartum period has not received enough attention in Ethiopia. Information on the use of modern family planning in the immediate postpartum period is also sparse in this study area. Therefore, the current study aimed to assess the level of immediate postpartum modern family planning utilization and associated factors among mothers who had given birth within the past twelve months in Gurage Zone, Southwest Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The present study was conducted from May 1 to July 1, 2022, involving 844 mothers who had given birth in the previous year in the Gurage Zone of Southern Ethiopia. A community-based cross-sectional study design was utilized, with participants selected through a multistage sampling method. Data collection was performed via face-to-face interviews using a structured questionnaire. After data entry, which was done using EpiData version 3.1, analysis was carried out using the Statistical Package for Social Science (SPSS) version 26. To investigate the relationships between dependent and independent variables, both binary and multivariable logistic regressions with 95% confidence intervals were applied. In the multivariable logistic regression analysis, variables with &lt;i&gt;P&lt;/i&gt;-values below 5% were considered statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;Altogether, a total of 836 postpartum women participated in the current study. The overall prevalence of immediate postpartum modern family planning utilization (IPPFP) was (42.9%) with 95% CI (39.6-46.3%). Attending secondary school [AOR = 1.966(1.028-3.761)], postpartum women from wealthier families [AOR = 2.57 (95% CI: 1.44-4.58)], giving birth in health facility [AOR = 2.06 &lt;i&gt;t&lt;/i&gt; (95% CI: 1.26-3.38)], reporting higher women empowerment [AOR = 4.365 (2.436-7.824)], having favorable attitude [AOR = 2.65 (95% CI: 1.86-3.78)], getting counseling during ANC [AOR = 1.93 (95% CI: 1.36-2.76)] and immediate postpartum period [AOR = 2.51 (95% CI: 1.77-3.56)] were significant associated factors of IPPFP utilization.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;This study concluded that approximately two in five postpartum women utilized immediate postpartum family planning this study area. Socio-economic and informational factors significantly influence the adoption of these methods. To enhance the uptake of immediate postpartum family planning, it is essential to improve the quality of counseling provided during antenatal care visits and at the time of delivery, thereby empowering women with the knowledge needed for informed decision-making. Additionally, efforts to change attitudes toward immediate postpartum family planning thro","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"6 ","pages":"1355620"},"PeriodicalIF":2.3,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047613","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}