Frontiers in global women's health最新文献

{"title":"Gender-based violence among women and girls in conflict-affected areas of Northeast Amhara, Ethiopia.","authors":"Endalkachew Dellie, Endalamaw Salelew, Samrawit Mihret Fetene, Wubshet D Negash, Adane Kebede, Tsegaye G Haile, Melaku Birhanu Alemu, Jinha Park, Selamawit Tefera, Bruhtesfa Mouhabew Alene, Asmamaw Atnafu","doi":"10.3389/fgwh.2024.1453149","DOIUrl":"10.3389/fgwh.2024.1453149","url":null,"abstract":"<p><strong>Background: </strong>Gender-Based Violence (GBV) is one of the major problems that women and girls encountered during the conflict between the Ethiopian federal government and the Tigray People's Liberation Front (TPLF). However, there is a gap in evidence regarding gender-based violence resulting from the ongoing conflict in these areas. Therefore, this study assessed the prevalence of GBV and its contributing factors in the conflict-affected northeastern Amhara region of Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from July 7th to September 30th, 2023, among 597 women and girls who lived in the three most conflict-affected districts (Wadla, Lay-Gaynt, and Meket) in northeastern Amhara regional state of Ethiopia. GBV was assessed using the WHO multi-country study on women's health and domestic violence against women questionnaire, which has 13 items and measures three violence domains (emotional, physical, and sexual). A binary logistic regression analysis was conducted. We used Adjusted Odds Ratios (AOR) with their respective 95% Confidence Intervals (CI) and a <i>p</i>-value of <0.05 to identify statistically significant factors.</p><p><strong>Results: </strong>The overall prevalence of gender-based violence was 39.0% (95%CI: 35.2-43.6); 36.7% were experienced emotional, 15.4% physical, and 8.9% sexual violences. The burden is higher among individuals who are divorced, substance users, have low social support, or have participated in the war.</p><p><strong>Conclusions: </strong>Two-fifths of women and girls in conflict-affected areas of the northeastern Amhara region experienced violence. Thus, collaboration between healthcare providers and policymakers is needed to enhance care for victims, including the provision of social support and substance use mitigation.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1453149"},"PeriodicalIF":2.3,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11688406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916500","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":"Magnitude and associated factors of postpartum family planning uptake among postpartum women in Ethiopia: an umbrella review.","authors":"Teketel Ermias Geltore, Simegn Alemu, Abiy Tadesse Angelo, Teketel Tesfaye Mamito, Workneh Elias Orsongo, Lakew Lafebo Foto, Tesfahun Simon Hadaro","doi":"10.3389/fgwh.2024.1481601","DOIUrl":"https://doi.org/10.3389/fgwh.2024.1481601","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;The World Health Organization indicates that despite advancements, the rates of maternal and neonatal mortality and morbidity during the postpartum period continue to be alarmingly high. Furthermore, untapped opportunities to enhance maternal health and promote effective newborn care, including family planning services, have not been fully leveraged. Earlier meta-analyses and systematic reviews have addressed this subject; however, a thorough evidence synthesis has not been provided. Therefore, the objective of this study was to compile the existing systematic reviews (SRs) concerning postpartum family planning uptake among postpartum women in Ethiopia.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;This review used an umbrella review method, incorporating numerous systematic reviews. We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and the Meta-analysis of Observational Studies guideline (MOOSE). A comprehensive literature review was conducted across prominent four electronic databases (including MEDLINE/PubMed, Cochrane, Web of Science and Science Direct) from June 15, to July 15, 2024. This review encompassed investigations carried out within the uptake of family planning among post-partum women and its determinants in Ethiopia were the primary outcome. A set of inclusion criteria was established to identify all pertinent systematic reviews, including studies, with no restrictions on data collection and publication year. The quality of the methods was evaluated using the Assessment of Multiple Systematic Reviews tool, (AMSTAR) tool. Statistical analysis was conducted using STATA version 17 software, and the 95% confidence interval was utilized to establish statistical significance. I-squared statistics were employed to evaluate the heterogeneity of the studies by using a random-effects meta-analysis model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The umbrella review includes five studies with a total of 44,276 postpartum women. The pooled prevalence of postpartum family planning utilization was 36.41% (95% CI: 24.78, 48.03). Family planning counseling (AOR: 4.12, 95% CI: 2.89, 4.71), couple discussion (AOR: 3.06, 95% CI: 1.42, 5.60), and postnatal follow-up (AOR: 3.48, 95% CI: 2.60, 4.83) were significantly associated with postpartum family planning uptake.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The study results indicate that the adoption of postpartum family planning in Ethiopia requires focused intervention. This can be achieved by identifying and enhancing community frameworks to involve men in reproductive health initiatives and by providing comprehensive family planning information and services during postnatal care. Addressing the aforementioned factors is crucial to mitigate the risks associated with unintended pregnancies and to manage the swift increase in population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Systematic review registration: &lt;/strong&gt;https://www.crd.york.ac.uk/prospero/display_record.php?I","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1481601"},"PeriodicalIF":2.3,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11697147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142933337","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":"Quality intrapartum care and associated factors in East Africa: multilevel analysis of recent demographic and health survey.","authors":"Alemayehu Kasu Gebrehana, Angwach Abrham Asnake, Beminate Lemma Seifu, Bezawit Melak Fente, Mamaru Melkam, Meklit Melaku Bezie, Zufan Alamrie Asmare, Sintayehu Simie Tsega, Yohannes Mekuria Negussie, Hiwot Altaye Asebe","doi":"10.3389/fgwh.2024.1507224","DOIUrl":"10.3389/fgwh.2024.1507224","url":null,"abstract":"<p><strong>Background: </strong>The time during labor and delivery is crucial for the survival of both women and their infants, as complications that occur during this period can significantly increase the risk of morbidity and mortality. In developing nations, women of reproductive age and their infants are still at risk of morbidity and death from complications associated with pregnancy and childbirth. Morbidity and death from complications of pregnancy and childbirth can be prevented through the utilization of quality care during labor and delivery. However, there is limited evidence on the magnitude and factors associated with quality intrapartum care in East Africa. Therefore, this study assessed the magnitude and associated factors of quality intrapartum care among women in East Africa.</p><p><strong>Methods: </strong>In this study, we used the most recent Demographic and Health Survey (DHS) dataset from 2015 to 2023, covering 11 East African countries. STATA version 18 software was used for data analysis. Multi-level modeling was applied due to the hierarchical or nested structure of DHS data. Variables with a <i>p</i>-value of less than 0.25 in the bivariate multi-level logistic regression model were included in the multivariable multi-level logistic regression analysis. Variables with <i>p</i>-values less than 0.05 were considered significant factors associated with receiving quality intrapartum care.</p><p><strong>Results: </strong>The prevalence of receiving quality intrapartum care in East Africa was 56.38% [95% confidence interval (CI): 56.03, 56.7]. Women with primary education [Adjusted Odds Ratio (AOR) = 1.39, 95% CI: 1.33, 1.46], secondary education (AOR = 1.62, 95% CI: 1.53, 1.62), and higher education (AOR = 1.46, 95% CI: 1.33, 1.60), those in the middle (AOR = 1.28, 95% CI: 1.23, 1.34) and rich (AOR = 1.36, 95% CI: 1.31, 1.43) wealth index categories, women with one (AOR = 1.17, 95% CI: 1.09, 1.25) or 2-4 (AOR = 1.22, 95% CI: 1.16, 1.28) living children, those who perceived the distance from the health facility as not a big problem (AOR = 1.28, 95% CI: 1.24, 1.33), and women living in Rwanda (AOR = 1.30, 95% CI: 1.19, 1.41) had higher odds of receiving quality intrapartum care. Residing in rural areas (AOR = 0.82, 95% CI: 0.78, 0.86), and being from Ethiopia, Kenya, Madagascar, Malawi, Mozambique, Tanzania, Uganda, Zambia, or Zimbabwe, were factors negatively associated with receiving quality intrapartum care.</p><p><strong>Conclusion and recommendations: </strong>Nearly half of the women in East African countries did not receive quality intrapartum care. Both individual and community-level variables were significantly associated with receiving quality intrapartum care in East Africa. Improving the quality of intrapartum care requires enhancing women's education, addressing socioeconomic challenges, and increasing access to health facilities through targeted interventions.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1507224"},"PeriodicalIF":2.3,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11685195/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142916503","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":"Associations between breastfeeding and self-reported experience of the \"10 Steps to Successful Breastfeeding\": a cross-sectional and longitudinal study of maternity clinic practices in Cyprus.","authors":"Mary Economou, Ourania Kolokotroni, Irene Paphiti-Demetriou, Christiana Kouta, Ekaterini Lambrinou, Eleni Hadjigeorgiou, Vasiliki Hadjiona, Nicos Middleton","doi":"10.3389/fgwh.2024.1420670","DOIUrl":"10.3389/fgwh.2024.1420670","url":null,"abstract":"<p><strong>Objective: </strong>To assess the implementation of the \"10 Steps for Successful Breastfeeding\" and explore associations with any Breastfeeding (BF) and Exclusive Breastfeeding (EBF) initiation and continuation.</p><p><strong>Methods: </strong>Implementation of the 10 Steps was assessed based on a consecutive sample of 568 mothers' self-reported experience across all public (<i>N</i> = 5) and 29 (of 35) private maternity clinics using the WHO/UNICEF BFHI questionnaire (Section 4) within the first 24-48 h after birth. BF and EBF were estimated within 48 h after birth as well as at 1st, 4th and 6th month based on a self-reported current status method. Associations with initiation and continuation of any BF and EBF up to the 6th month were explored in logistic regression after adjusting for potential confounders. Associations were explored with individual steps as well as the overall experience, operationalized as the sum score of full, partial or no implementation of each item, with the exception of Step 6 (exclusive breastfeeding).</p><p><strong>Results: </strong>At mean score 6.2 (SD = 2.7), the overall 10 Steps experience was low (theoretical range 0-14), even among those who breastfed exclusively (M = 7.7, SD = 2.0). EBF and BF initiation and continuation showed a stepwise association with self-reported experience of the 10 Steps. Across quartiles of increasing scores within 48 h after birth, the prevalence of EBF was 7.5%, 14.4%, 19.0%, and 34.2%. Mothers who experienced full or partial implementation of Step 4 (i.e., early initiation with skin-to-skin) were more likely to continue BF and EBF up to the 4th month, while use of pacifiers (Step 9) was more likely to have an adverse effect on breastfeeding continuation and exclusivity.</p><p><strong>Conclusion: </strong>The BFIH's \"10 Steps\" are associated with BF initiation while certain practices seem to be more strongly associated with exclusivity and continuation of breastfeeding up to the sixth month. While breastfeeding intention may determine the experience of the 10 Steps, this also suggests that maternity care practices can have a supportive role for mothers to succeed their intentions to BF and EBF.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1420670"},"PeriodicalIF":2.3,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908065","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 of unintended pregnancy and associated factors among pregnant women with disabilities in Ethiopia: from the social model of disability perspective.","authors":"Abebe Alemu Anshebo, Yilma Markos Larebo, Sujit Behera, Natarajan Gopalan","doi":"10.3389/fgwh.2024.1458664","DOIUrl":"10.3389/fgwh.2024.1458664","url":null,"abstract":"<p><strong>Background: </strong>In low-income countries, women with disabilities face numerous challenges in accessing sexual and reproductive health services and experience high unintended pregnancy rates and adverse pregnancy outcomes, with 42% of cases ending in abortion. However, little is known about unintended pregnancy among women with disabilities in Ethiopia. Therefore, this study aimed to assess the prevalence of unintended pregnancy and associated factors among women with disabilities in the Central Regional State of Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from December 2023 to February 2024, and multistage random sampling was used to enroll 572 study participants. The sample size was proportionally allocated to each zone, district and kebele. The Kobo Toolbox was used for data collection and cleaning, and the Statistical Package for Social Science version 26 was used for analysis. The multivariable analysis was used to identify the factors significantly associated with unintended pregnancy using an adjusted odds ratio (AOR), a 95% confidence interval (CI), and a <i>p</i>-value less than 0.05.</p><p><strong>Results: </strong>The prevalence of unintended pregnancy was 43.8% (95% CI: 39.5, 47.8) in the Central Ethiopia Regional State, Ethiopia. The significantly associated factors were household size (AOR = 4.6, 95% CI: 2.6, 7.9), awareness of pregnancy intention (AOR = 2.4, 95% CI:1.4, 4.1), domestic violence (AOR = 5.9, 95% CI: 3.4, 10.4), accessibility of service (AOR = 2.4, 95% CI: 1.2, 5.4), discrimination by care providers (AOR = 2.1, 95% CI: 1.5, 2.9), disability-unfriendly health facility structure (AOR = 1.5, 95% CI: 1.2, 2.40), and negative community attitudes (AOR = 2.7, 95% CI: 1.7, 4.3). The overall direction of the associated variables' effect was positive.</p><p><strong>Conclusion: </strong>This study sheds light on the need for disability-inclusive and sensitive healthcare services. Therefore, to achieve universal access to sexual and reproductive healthcare targeted under the Sustainable Development Goals, the Minister of Women and Social Affairs, Ministry of Health, Regional Health Bureau, and health facilities authorities should pay attention to improving awareness on pregnancy intention and domestic violence and ensuring accessible, inclusive, and equitable maternal health care for women with disabilities.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1458664"},"PeriodicalIF":2.3,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908066","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":"Spatial variation and associated factors of home delivery among reproductive age group women in Ethiopia, evidence from Performance Monitoring for Action Ethiopia Survey 2019, spatial and multilevel logistic regression analysis.","authors":"Ermias Bekele Enyew, Kokeb Ayele, Lakew Asmare, Fekade Demeke Bayou, Mastewal Arefaynie, Yawkal Tsega, Abel Endawkie, Shimelis Derso Kebede, Abiyu Abadi Tareke, Kaleab Mesfine Abera, Natnael Kebede, Mahider Shimelis Feyisa, Mengistu Mera Mihiretu","doi":"10.3389/fgwh.2024.1474762","DOIUrl":"10.3389/fgwh.2024.1474762","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Home birth is described as a delivery that takes place at home without the presence of a skilled birth attendant. In 2017, nearly 295,000 mothers died from various pregnancy and childbirth-related problems, accounting for approximately 810 maternal deaths per day. Therefore, this study aims to investigate the spatial distributions of home birth and associated factors in Ethiopia using the Performance Monitoring for Action Survey (PMAS) 2019) to get information that helps to take geographic-based interventions and can assist health planners and policymakers in developing particular measures to reduce home deliveries.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Method: &lt;/strong&gt;In PMA-ET 2019, a community-based cross-sectional study was conducted in collaboration with Addis Ababa University, Johns Hopkins University, and the Federal Ministry of Health from September 2019 to December 2019, in Ethiopia. A multi-stage cluster sampling procedure was employed to draw from the stratified 2019 PMAS sample. A weighted total of 5,796 women were included in this study. ArcGIS version 10.7 software was used to visualize the spatial analysis. In addition, STATA version 14 of the statistical software was used for multilevel analysis The Bernoulli model was applied using Kulldorff's SaTScan version 9.6 software to identify significant purely spatial clusters for home delivery in Ethiopia. Intra-class Correlation Coefficient (ICC), Likelihood Ratio (LR) test, Median Odds Ratio (MOR), and deviance (-2LLR) values were used for model comparison and fitness. Adjusted Odds Ratios (AOR) with a 95% Confidence Interval (CI) and &lt;i&gt;p&lt;/i&gt;-value &lt;0.05 in the multilevel logistic model were used to declare significant factors associated with home delivery.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Result: &lt;/strong&gt;The spatial distribution of home delivery was non-random in Ethiopia. Statistically significant high hotspots of home delivery were found in Somali, Afar, Sidama, most of South Nation Nationality and People Region (SNNP), most parts of Amhara, south west Ethiopia, and Oromia region. In the multilevel logistic regression model; Women from the lowest wealth quintile were 1.68 times [AOR = 1.68; 95% CI: 1.31, 2.15] higher odds of giving birth at home as compared to their counterparts. Regarding maternal educational status, mothers who had no education, primary education, and secondary education had 9.91 times [AOR = 9.91, 95% CI: 5.44, 18.04], 6.62 times [AOR = 6.62, 95% CI: 3.65, 12.00] and 2.99 times [AOR = 2.99, 95% CI: 1.59, 5.63] higher odds of giving birth at home compared to mothers who attained higher education, respectively. In addition, community-level factors were significantly associated with home delivery, women who had high community-level poverty were 1.76 times [AOR = 1.76; 95% CI: 1.14, 2.72] higher odds of home delivery compared to women who had low community-level poverty.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Home delivery was statistically found to be a significantly high ho","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1474762"},"PeriodicalIF":2.3,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11683123/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907994","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":"Husband involvement in postnatal care services utilization and associated factors in Bishoftu Town, Central Ethiopia; community-based cross-sectional study.","authors":"Hana Israel Gesisa, Befekadu Tesfaye Oyato, Warkitu Sileshi, Husen Zakir Abasimel, Dursa Hussien","doi":"10.3389/fgwh.2024.1423439","DOIUrl":"10.3389/fgwh.2024.1423439","url":null,"abstract":"<p><strong>Background: </strong>Both mothers and newborns go through a critical time in their lives during the postnatal period, and the majority of deaths of mothers and neonates happen during this period. Postnatal care is the care given to women and their neonates, starting from delivery to 42 postnatal days. Although the significance of postnatal care in maternal and child health is acknowledged, the influence of husbands in either facilitating or impeding access to these services has been largely unexplored. So it's important to find out husbands' involvement in postnatal care service utilization in Bishoftu town.</p><p><strong>Objectives: </strong>To assess husband involvement in postnatal care services utilization and associated factors in Bishoftu town, Central Ethiopia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted in Bishoftu town, central Ethiopia, between April 1 and 27, 2022, among 624 fathers. After being selected through simple random sampling, 610 husbands were interviewed face-to-face. The data was then entered into Epi-Data version 3.1 and analyzed using SPSS version 26. Binary logistic regression was employed for analysis and variables with a <i>p</i>-value ≤0.2 in the bivariate analysis were entered into multivariable logistic regression analysis. In multivariable analysis, statistical significance was declared at <i>p</i>-value <0.05.</p><p><strong>Results: </strong>This study reveals that overall husband involvement in postnatal care utilization was found to be 34.1% with a 95% CI (30.3%-38.0%). Residing in urban areas (AOR = 2.3, 95% CI 1.39-3.82), having good knowledge of neonatal (AOR = 3.1, 95% CI 2.04-4.7) and maternal danger signs and complications during the postnatal period (AOR = 2.44; 95% CI: 1.64, 3.63), having history of child illness (AOR = 2.18; 95% CI: 1.4-3.3), and accompanying wife in antenatal care services (AOR = 2.73, 95% CI 1.82-4.07) were the factors found to determine husband's involvement in postnatal care service utilization.</p><p><strong>Conclusion: </strong>The level of husband involvement in their spouse's postnatal care service utilization was relatively low in this study. Encouraging husbands to participate in prenatal care services, availing healthcare facilities to rural communities, and increasing community awareness of maternal and neonatal warning signs might boost husbands' involvement in postnatal care services utilization.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1423439"},"PeriodicalIF":2.3,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11671517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142904134","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":"Older women's well-being during the COVID-19 pandemic: individual, community, and contextual factors.","authors":"Andrew Banda, Jaco Hoffman, Vera Roos","doi":"10.3389/fgwh.2024.1484469","DOIUrl":"10.3389/fgwh.2024.1484469","url":null,"abstract":"<p><strong>Objective: </strong>This article aims to examine the influence of individual and community-contextual factors on the well-being of older women in Zambia during the COVID-19 pandemic, drawing on Bronfenbrenner's process-person-context-time model.</p><p><strong>Methods: </strong>Secondary data from the nationally representative 2021 SEIA were used, and bivariate and logistic regression analyses were performed to determine factors associated with the well-being of older women during the COVID-19 pandemic.</p><p><strong>Results: </strong>Overall, 29% (613) of older women reported a decline in their well-being due to COVID-19. Older women in rural areas had lower odds of well-being [Adjusted Odds Ratio (AOR) 0.607, 95% 0455,0.809]. At the individual level, the well-being of older women during COVID-19 was associated with age (AOR O.362, 95% CI: 0.190,0.689) and being in paid work (AOR 0.737, 95% CI: 0.552,0.984). Despite education having a strong relationship with well-being, it had a weak effect on the well-being of older women during COVID-19. Community-level factors significantly associated with the well-being of older women amidst COVID-19 included attendance at public gatherings (e.g., church meetings, funerals) (AOR 1.465, 95% CI: 1.139,1.885) and perceived fear or anxiety due to COVID-19 (AOR 0.522, 95% CI: 0.392,0.696). A significant contextual-level factor was access to transport services during the pandemic (AOR 0.589, 95% CI: 0.390,0.890).</p><p><strong>Conclusion: </strong>COVID-19 has exposed the inadequacy of systems at different levels in meeting the needs of older women and promoting their well-being during emergencies. At the individual level, there is a need to support older women's livelihoods and educational opportunities. Despite limitations on social interactions during COVID-19, access to social gatherings and interactions supported older women's well-being. However, this was hampered by fear of contracting COVID-19 and the limitations in public transport that compromised their mobility to access services and visit people. A more extensive analysis of individual, community, and contextual factors should identify factors that support or compromise the well-being of older women during emergencies or shocks. There is a need for information about what livelihood strategies during and/or post shocks, or critical events such as COVID-19 could sustainably support older women's well-being.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1484469"},"PeriodicalIF":2.3,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669703/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900967","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":"Enhancing mental health literacy and care through community-driven solutions in rural Bangladesh.","authors":"Ryan Afreen, Sanjna L Surya, Tasnim Jara, Ima Islam, Rahana Parvin, S M Ferdousuzzaman, Masum Salah Uddin, Nahreen Ahmed","doi":"10.3389/fgwh.2024.1478817","DOIUrl":"10.3389/fgwh.2024.1478817","url":null,"abstract":"<p><p>Women in rural Bangladesh encounter significant barriers to seeking mental healthcare, primarily due to stigmatization rooted in a lack of knowledge about mental health. To address this issue, community-based participatory research (CBPR) has been identified as a promising approach. CBPR involves the active collaboration of community members and stakeholders in the research process to tackle pressing community issues. This study examines the application of CBPR to enhance mental health awareness and education among women. The program described in this study leverages local technology centers and community health workers to boost participation in improving access to equitable mental healthcare and increasing health literacy. Implemented across three rural districts in Bangladesh, the program began with a needs assessment survey to evaluate participants' knowledge, experiences, and stigmatization of psychological conditions such as depression, anxiety, psychosis, suicide, and postpartum depression. This survey assessed baseline knowledge, personal experiences, and the perceived impact of mental wellness as a community issue. Additionally, five focus group discussions were conducted at local tech hubs with trained community health workers to explore participants' perceptions and attitudes toward mental health. These discussions highlighted the role of medical misinformation, the shortage of professionals, and other factors contributing to mental health stigmatization. The study's second phase would focus on developing digital medical content for screening at tech hubs, followed by live Q&A sessions with Bangladeshi health experts. This initiative aims to familiarize women with user-friendly telehealth services, fostering healthcare literacy and improving well-being in rural Bangladesh.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1478817"},"PeriodicalIF":2.3,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669598/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142901005","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":"Willingness of caregivers to have their daughters vaccinated against human papilloma virus and associated factors in Jimma Town, Southwest Ethiopia.","authors":"Anebo Getachew, Susan Anand, Tilahun Wodaynew","doi":"10.3389/fgwh.2024.1400324","DOIUrl":"10.3389/fgwh.2024.1400324","url":null,"abstract":"<p><strong>Introduction: </strong>Human Papillomavirus (HPV) is a widespread sexually transmitted infection and a leading cause of cervical cancer. Although there is a significant HPV prevalence in Ethiopia, yet the uptake of the HPV vaccine remains low. This study aimed to assess the level of caregivers' willingness to vaccinate their daughters against the human papilloma virus and associated factors in Jimma town.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted from June 1-30, 2023. A total of 471 study participants were selected using multi-stage sampling techniques. Data was collected using an interviewer-administered questionnaire. Binary and multiple logistic regression analyses were done to identify associated factors, and the adjusted odds ratio and 95% confidence interval were computed. A value <i>p</i> of <0.05 was used to determine statistical significance.</p><p><strong>Results: </strong>About 82.4% (95% CI: 79.0-86.0) of caregivers indicated a willingness to have their daughters vaccinated. Having college education or above (AOR:3.31, 95%CI:1.02-10.8), good knowledge of the HPV vaccine (AOR:2.25, 95%CI:1.05-4.85), good knowledge of sexually transmitted infections (STIs) (AOR:2.04, 95%CI: 1.09-3.82), good knowledge of cervical cancer (AOR:2.50, 95%CI:1.31-4.77) and a positive attitude towards the vaccine (AOR:4.03, 95%CI: 2.26-7.22), were associated with willingness.</p><p><strong>Discussion: </strong>The majority of caregivers were willing to vaccinate their daughters against HPV. Caregivers who had higher education, good knowledge about the HPV vaccine, cervical cancer, and STIs, as well as positive attitudes towards the vaccine, were more likely to be willing to vaccinate. Efforts should be made to educate caregivers about the vaccine, cervical cancer, and STIs while promoting positive attitudes.</p>","PeriodicalId":73087,"journal":{"name":"Frontiers in global women's health","volume":"5 ","pages":"1400324"},"PeriodicalIF":2.3,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142900971","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}