The journal of medicine access最新文献

{"title":"Prevalence of anemia and years lived with disability in eastern Sub-Saharan Africa, 1990 to 2023.","authors":"Sebsibe Tadesse, Alqeer Aliyo, Fre Gebremeskel Ftwi, Kebede Embaye Gezae, Girma Ashenafi, Belda Negesa Beyene, Anteneh Fikrie","doi":"10.1177/27550834261483633","DOIUrl":"10.1177/27550834261483633","url":null,"abstract":"<p><strong>Background: </strong>Anemia remains a significant public health challenge in the Eastern Sub-Saharan Africa region, contributing to substantial morbidity and adverse outcomes across the lifespan. Understanding trends in the prevalence anemia due to all causes and the years lived with disability is critical for informing targeted interventions and strengthening health systems in the region.</p><p><strong>Methods: </strong>This study followed the methodological framework of the Global Burden of Disease 2023 study to estimate the prevalence of anemia and the years lived with disability in the Eastern Sub-Saharan African region from 1990 to 2023. Data were synthesized from a broad range of sources, including population-based surveys, antenatal clinic records, hospital registries, and demographic surveillance systems. Bayesian meta-regression tool for disease modeling (DisMod-MR 2.1) was used to estimate prevalence and years lived with disability. Estimates were stratified by age, sex, and locations, ensuring internal consistency over time and across subpopulations. All estimates were reported with 95% uncertainty intervals.</p><p><strong>Results: </strong>The age-standardized prevalence of anemia due to all causes was estimated to be 38,264 cases per 100,000 population (95% UI: 32,886-46,273), and the age-standardized years lived with disability was 1,247 years lived with disability per 100,000 population (95% UI: 787-2,015). Mild anemia (19.9% (95% UI: 15.6-27.3)) and moderate anemia (16.7% (95% UI: 13.5-20.2)) contributed higher share of the prevalence, whereas moderate anemia contributed the most for the years lived with disability (7% (95% UI: 5.4-9.3)).</p><p><strong>Conclusion: </strong>This study has underscores that the prevalence of anemia due to all causes and the years lived with disability were high in the Eastern Sub-Saharan African region, with under-five children disproportionately affected and stagnant trend over the past three decades. Strengthening nutrition programs, improving access to healthcare services, and implementing context-specific strategies are critical to accelerating progress toward anemia reduction in the region.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261483633"},"PeriodicalIF":2.7,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13504108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820429","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":"Contribution analysis of drug coverage policies on access to medicines for diabetes, dyslipidemia and hypertension in Chile.","authors":"Carla Castillo-Laborde, Oscar Arteaga","doi":"10.1177/27550834261480357","DOIUrl":"10.1177/27550834261480357","url":null,"abstract":"<p><strong>Background: </strong>Access to medicines remains a persistent global challenge. In Chile, several policies have sought to strengthen pharmaceutical coverage within the health system. Among them, the Explicit Health Guarantees (GES) and the Pharmacy Fund (FOFAR) represent major policy milestones.</p><p><strong>Objective: </strong>This study assesses the impact of GES and FOFAR on access to medicines for diabetes, dyslipidemia, and hypertension among beneficiaries of both public and private subsystems.</p><p><strong>Design: </strong>A contribution analysis approach was applied using a mixed-methods design.</p><p><strong>Methods: </strong>Quantitative analyses combined descriptive and quasi-experimental difference-in-differences methods based on repeated cross-sectional data from national health surveys (2003, 2009/10, 2016/17), focusing on medicine use and effective coverage. The qualitative component included ten semi-structured interviews with key informants involved in policy design and implementation.</p><p><strong>Results: </strong>Results show that both GES and FOFAR substantially contributed to improving access to medicines for hypertension, diabetes, and dyslipidemia. Quantitative findings revealed marked increases in medicine use and effective coverage, particularly between 2010 and 2017, while qualitative evidence highlighted their complementary and reinforcing policy roles.</p><p><strong>Conclusions: </strong>Taken together, our findings suggest that GES and FOFAR were likely important contributors to improvements in contact coverage and effective coverage for these chronic conditions in Chile, although these changes occurred alongside ongoing health-system strengthening efforts and should therefore be interpreted accordingly. Overall, incorporating medicines into social protection schemes-especially through enforceable guarantees-plays a key role in expanding access. Sustained impact requires adequate resources, robust logistics, and strong implementation capacity for chronic disease management.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261480357"},"PeriodicalIF":2.7,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13494291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148802707","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":"Fatal and non-fatal health outcomes of congenital musculoskeletal and limb anomalies among infants in Ethiopia, from 1990 to 2023.","authors":"Sebsibe Tadesse, Hiwot Hailu Amare, Teshome Gensa, Abraham Lomboro Dimore, Abera Mersha, Abadi Hailay Atsbaha, Yemane Berhane Tesfau, Embaba Tekelaye Welesemayat, Medhin Mehari, Kebebew Lemma, Geleta Nenko Dube, Belda Negesa Beyene","doi":"10.1177/27550834261478913","DOIUrl":"10.1177/27550834261478913","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital musculoskeletal and limb anomalies disproportionately affect people living in low-income countries. However, comprehensive data on their distribution is scarce in Ethiopia. This study aimed to assess fatal and non-fatal health outcomes among Ethiopian infants from 1990 to 2023 using the Global Burden of Diseases 2023 estimates.</p><p><strong>Methods: </strong>The study utilized data and methodologies of the Global Burden of Diseases 2023 estimates. To estimate non-fatal health outcomes, a Bayesian meta-regression tool for disease modeling was employed, whereas a cause of death ensemble model was applied to quantify the fatal health outcomes. All estimates were smoothed and presented with 95% uncertainty intervals. All rates were computed per 100,000 population. The overall change in the rates between 1990 and 2023 was determined by comparing values at the baseline and end of the study period.</p><p><strong>Results: </strong>In 2023, the study estimated 2078 incident cases (95% UI: 460, 2988) and 1549 prevalent cases (95% UI: 1072, 2231) of congenital anomalies per 100,000 infants, with 5 deaths (95% UI: 2, 11). The corresponding rates of health losses were 628 disability-adjusted life years per 100,000 infants (95% UI: 336, 1224), 394 years of life lost per 100,000 infants (95% UI: 154, 950), and 234 years lived with disability per 100,000 infants (95% UI: 134, 402). Fatal outcomes were more prevalent among females, while non-fatal outcomes showed no sex disparities. Except for a reduction in the incidence rate by 19% (95% UI: -26, -11), the rates remained stable nationally between 1990 and 2023. The Addis Ababa, Dire Dawa, Harari, and Tigray regions experienced a decline in both the prevalence and incidence rates, while Amhara, Oromia, Benishangul-Gumuz, and Gambella declined the incidence rate. Moreover, there was a decline in the rate of years lived with disability in Addis Ababa.</p><p><strong>Conclusion: </strong>The findings highlight a significant burden of congenital anomalies among Ethiopian infants, particularly affecting females. To address this, strategies should focus on improving maternal and child healthcare access, raising community awareness, implementing preconception care, establishing birth defect registries, enhancing screening methods, providing rehabilitation services, and designing gender-sensitive interventions.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261478913"},"PeriodicalIF":2.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462491/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724306","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":"Motivating factors and strategies to prevent substandard and falsified medicines in low- and middle-income countries.","authors":"Stanley Mwita","doi":"10.1177/27550834261477387","DOIUrl":"10.1177/27550834261477387","url":null,"abstract":"","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261477387"},"PeriodicalIF":2.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698562","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":"Premature mortality from type 2 diabetes mellitus attributable to household air pollution from solid fuels among adults aged ≥55 years in Ethiopia, 1990 to 2023.","authors":"Sebsibe Tadesse, Lechisa Asefa, Yohannes Fekadu, Degefa Dhengesu Hero, Begetayinoral Kussia Lahole, Emiru Merdasa, Hiwot Abera Areru, Yohannes Addisu Wondimagegne, Gudina Egeta, Embay Amare Alemseged, Hailu Lemma, Medhin Mehari, Yonas Angaw, Mihretu Tagesse Sergindo","doi":"10.1177/27550834261472230","DOIUrl":"10.1177/27550834261472230","url":null,"abstract":"<p><strong>Background: </strong>Household air pollution is identified as one of the leading risk factors for mortalities from type 2 diabetes mellitus. However, there is limited epidemiological information to support decision-making in low-income countries. This study aimed to estimate the magnitude of years of life lost due to type 2 diabetes mellitus attributable to household air pollution from solid fuels among adults aged 55 years and above in Ethiopia from 1990 to 2023.</p><p><strong>Methods: </strong>The study used methods, tools, and estimates from the Global Burden of Diseases 2023 study. A Comparative Risk Assessment framework was applied to estimate the years of life lost.</p><p><strong>Results: </strong>There were an estimated 42,669 years of life lost (95% UI: 24,310-67,089) from type 2 diabetes mellitus attributable to household air pollution among adults aged 55 years and above in Ethiopia in 2023, with 26,183 years of life lost (95% UI: 13,213-44,070) among males and 16,486 years of life lost (95% UI: 8752-28,224) among females. The highest number of years of life lost was estimated in Oromia, Amhara, and Southern Nations, Nationalities, and Peoples, whereas the lowest was in Harari, Gambella, and Dire Dawa. The corresponding rate was 571 years of life lost per 100,000 adults (95% UI: 325-897), with 673 years of life lost per 100,000 males (95% UI: 340-1133) and 460 years of life lost per 100,000 females (95% UI: 244-787). The average estimated rate was higher among males, and increased with age. Between 1990 and 2023, the years of life lost rate remains stable across the country. However, the rate declined in Addis Ababa.</p><p><strong>Conclusion: </strong>This study revealed that there was a high burden of years of life lost from type 2 diabetes mellitus attributable to household air pollution among older adults in Ethiopia, with marked regional and male-predominant disparities. Priorities include scaling clean cooking fuel access in high-burden regions and adopting gender-sensitive strategies for older men. Integrating household air pollution reduction into Ethiopia's diabetes and aging-health frameworks is essential to reverse the stagnant trend and reduce preventable premature mortality.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261472230"},"PeriodicalIF":2.7,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13385604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148551669","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":"Drug shortages in Latin America: A cross-sectional survey on impact and mitigation in pharmacy and procurement.","authors":"Ernesto Martínez-Vargas, Arturo Villalobos-Madriz, Sebastian Arguedas-Chacón, Dadier Arroyo-Monterroza, Antonella Milano-Gil, Vania Teixeira, Jorge Morales-Vallespin, Silvestre Dalmaso-Neto, César Sánchez-Solís, Esteban Zavaleta-Monestel, Robert John Moss","doi":"10.1177/27550834261463056","DOIUrl":"10.1177/27550834261463056","url":null,"abstract":"<p><strong>Introduction: </strong>Drug shortages in Latin America represent a widespread and persistent challenge, with a high proportion of hospitals reporting frequent supply disruptions that affect treatment continuity and quality of care.</p><p><strong>Methodology: </strong>A cross-sectional study was conducted using a structured survey applied in 144 hospitals across eight Latin American countries between January and April 2025. A non-probabilistic snowball sampling strategy was used to recruit pharmaceutical professionals and personnel responsible for drug procurement. The questionnaire was developed by the research team and reviewed by a panel of hospital pharmacists to ensure content validity. Data were collected anonymously and are based on self-reported perceptions from professionals representing their institutions. Descriptive analyses and exploratory chi-square tests were performed.</p><p><strong>Results: </strong>75.0% of the responses came from South America, 20.8% from Mexico and 4.2% from Costa Rica. 75.7% of hospitals reported shortages as a serious problem, with a daily frequency in 30.6% and weekly frequency in 27.8% of cases. The most affected categories were antimicrobial, cardiovascular and oncological. Among the most relevant causes were inefficient procurement processes (84.3% in Argentina; 66.7% in Uruguay and Costa Rica), high prices, supply chain disruptions and global shortages of active ingredients. 53.7% of the hospitals had contingency plans, the presence of which was significantly associated with a lower frequency of shortages (p=0.025). The most commonly used strategies were therapeutic substitution (85-90%), inter-institutional collaboration, and the development of alternative formulations (95.5% in Colombia and 75% in Brazil).</p><p><strong>Conclusions: </strong>Shortage of drugs in the region are a multifactorial phenomenon with a relevant clinical and organizational impact. The implementation of contingency plans and inter-institutional cooperation strategies is associated with improved response capacity, understood as a reduced frequency and better management of shortage events. These findings highlight the need to strengthen contingency planning and promote coordinated regional policies based on the observed variability in causes and mitigation strategies.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261463056"},"PeriodicalIF":2.7,"publicationDate":"2026-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13333057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392845","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":"Recurrent urinary tract infection: Effect of glycemic status, disease severity and antimicrobial response in wasit, Iraq a prospective comparative cohort study.","authors":"Maher Kadhum Abed, Manal Khalid Abdulridha, Hussein Adnan Mohammed","doi":"10.1177/27550834261461758","DOIUrl":"10.1177/27550834261461758","url":null,"abstract":"<p><p>Type 2 diabetes mellitus (T2DM) is a known risk factor for recurrent urinary tract infections (rUTIs), which impacts the response to antimicrobial therapy due to glycemic variability. This study aimed to evaluate the association between glycemic control and antimicrobial treatment response in T2DM patients with rUTIs. A prospective observational comparative cohort study was conducted in the Wasit province of Iraq at Al-Zahraa Teaching Hospital and private internal medicine clinics from October 2024 to June 2025. Patients with rUTIs were enrolled, including patients with T2DM. Patients underwent structured follow-up at Days 1, 3, 7, and 30. Laboratory testing, urine cultures, antibiotic sensitivity tests, and antimicrobial prescriptions were assessed. Outcomes included clinical cure (Day 14) and recurrence (Day 30). Among the 99 patients who participated, 58 (58.6%) had diabetes, while the remaining 41 (41.4%) were non-diabetic. The most frequently identified bacteria in this study were Escherichia coli (32%), Staphylococcus aureus (20%), Enterococcus species (15%), Pseudomonas aeruginosa (17%), and Proteus spp. (7%). The study results demonstrate a significant association between diabetes status and the age of patients (p-values of <0.001). Furthermore, there was a significant association between UTI recurrence and RBS, the HbA1c variable (p-value=0.001). Patients with poor glycemic control demonstrated substantially higher recurrence rates within 30 days following treatment (65%) compared with patients with good glycemic control (22.2%), whereas no recurrence was observed among non-diabetic patients. Resistance patterns were more prominent in the uncontrolled group. Poor glycemic control was associated with increased UTI recurrence despite adequate initial antimicrobial response, underscoring the importance of glycemic optimization for sustained treatment success.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261461758"},"PeriodicalIF":2.7,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13272865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148280315","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":"Incidence of oral disorders and the years lived with disability in Eastern Sub-Saharan Africa, from 1990 to 2023.","authors":"Sebsibe Tadesse, Yemane Berhane Tesfau, Abadi Kidanemariam Berhe, Angefa Ayele, Gelgelo Wodessa","doi":"10.1177/27550834261458635","DOIUrl":"10.1177/27550834261458635","url":null,"abstract":"<p><p>Oral conditions are major global public health issue. This study aimed to systematically analyze the incidence of and years lived with disability due to oral disorders by age, sex, and region in Eastern Sub-Saharan African (ESSA) region, from 1990 to 2023 using data, methods, and procedures of the Global Burden of Diseases (GBD) 2023 study. The Bayesian meta-regression tool for disease modeling (DisMod-MR 2.1) was used to quantify the incidence and years lived with disability. In 2023, there were an estimated 239.3 million (95% UI: 209.1, 270.6) new cases of oral disorders with an age standardized incidence rate (ASIR) of 45,553 per 100,000 persons (95% UI: 40360, 51457). In the ESSA, oral disorders accounted for 713,803 years lived with disability (YLD) in 2023. The age-standardized YLDs rate for both sexes associated with oral disorders was 265 in 1990 and 220 years per 100,000 population (95% UI: 124, 350) in 2023 corresponding to annualized rate of change of -17% (-25.2%, -8.5%). In the region, there were no statistically significant differences in the incidence and YLD rates by sex and country. The age-sex distribution of the incidence rate of oral disorders was higher among 5-9 years children of both sexes compared to the other age groups, where the rate decreased as age increased among both sexes. However, the age-sex distribution of the YLDs rate of oral disorders was higher among 95+ years of both sexes compared to the other age groups, where the rate increased as age increased among both sexes. There was slight decline in the trend of age-standardized incidence rate in the region. Except in Kenya, there was also a slight and statistically significant decline in the trends of the age-standardized YLDs rates from 1990 to 2023. In all countries, the leading cause of age-standardized incidence rate was caries of permanent teeth. From 1990 to 2023, despite the incidence and YLD rates of oral disorders have slightly decreased in the ESSA, it is considered still a public health challenge. Strengthening the oral health promotion policy and context specific public health interventions need to be considered to mitigate oral health disparities.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261458635"},"PeriodicalIF":2.7,"publicationDate":"2026-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13230668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148166056","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 post-natal care service utilization among women in rural Ethiopia: A multilevel analysis of EDHS data (EDHS 2019).","authors":"Dessalegn Tamiru, Merertu Tsega, Abdulwahid Awol, Mulugeta W/Micheal, Birtukan Edilu Tufa, Gurmesa Tura, Yibeltal Siraneh, Masrie Getnet, Fira Abamacha, Negalign Berhanu Bayu","doi":"10.1177/27550834261455610","DOIUrl":"10.1177/27550834261455610","url":null,"abstract":"<p><strong>Background: </strong>Despite the recognized importance of postnatal care, utilization of postnatal care services remains markedly low in Ethiopia, particularly in rural areas.</p><p><strong>Objective: </strong>This study aims to identify the multilevel determinants of postnatal care (PNC) service utilization among rural women in Ethiopia using a multilevel analysis of secondary data from the Ethiopian Demographic and Health Survey (EDHS-2019).</p><p><strong>Methods: </strong>This study utilized secondary data from the 2019 EDHS. The study population included 2,900 (weighted sample) of 15-49 years women residing in rural areas of Ethiopia who had experienced at least one birth. The data were analyzed using Stata version 17 software. A multilevel mixed-effects logistic regression model was employed to identity the independent determinants by using adjusted odds ratio with 95% CI (p-value <0.05). Model diagnostics were done to assess the goodness-of-fit and validity of the regression model by AIC, BIC, ICC and the log-likelihood ratio test.</p><p><strong>Results: </strong>Among 2,900 women, only 283 (9.7%) sought postnatal care (PNC) services within the first six weeks after delivery. Several determinants of PNC service utilization at the individual level were identified, including being in the middle wealth index (AOR=1.48[1.04, 2.14]), having fewer than four antenatal care visits (AOR=2.17[1.66, 2.82]), having an institutional delivery (AOR=1.42[1.08, 1.89]), delivering via cesarean section (AOR= 1.60[1.01, 2.57]), having a third birth order (AOR=1.54[1.09, 2.19]), having a birth order of four or more (AOR=1.77[1.18, 2.69]) and being informed about family planning methods (AOR=3.67[1.51, 9.39]).</p><p><strong>Conclusions: </strong>The findings of this study showed that in rural Ethiopia, socio-economic, maternal and health facility-related factors are significant determinants of PNC service utilization. Therefore, addressing individual-level factors such as socio-economic status, ANC attendance, delivery location, birth order, and awareness of family planning methods is essential to enhance the uptake of PNC services in these areas.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261455610"},"PeriodicalIF":2.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13226984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148159360","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":"COVID-19 pandemic effects on seminal fluid analysis parameters: Comment.","authors":"Hinpetch Daungsupawong, Viroj Wiwanitkit","doi":"10.1177/27550834261455609","DOIUrl":"10.1177/27550834261455609","url":null,"abstract":"<p><p>COVID-19 pandemic effects on seminal fluid analysis parameters: comment.</p>","PeriodicalId":75087,"journal":{"name":"The journal of medicine access","volume":"10 ","pages":"27550834261455609"},"PeriodicalIF":2.7,"publicationDate":"2026-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148140043","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}