African journal of reproductive health最新文献

Client satisfaction with the quality of maternal healthcare services among immunization clinic attendees in selected primary healthcare facilities in Cross River State, Nigeria: a rural - urban comparison. 在尼日利亚克罗斯河州选定的初级卫生保健机构中，免疫诊所参加者对孕产妇保健服务质量的满意度：农村与城市的比较。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.12

Anastasia I Isika, Afiong O Oku, Izuchukwu F Obi, Angela Oyo-Ita

{"title":"Client satisfaction with the quality of maternal healthcare services among immunization clinic attendees in selected primary healthcare facilities in Cross River State, Nigeria: a rural - urban comparison.","authors":"Anastasia I Isika, Afiong O Oku, Izuchukwu F Obi, Angela Oyo-Ita","doi":"10.29063/ajrh2025/v29i6.12","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.12","url":null,"abstract":"The increasing number of maternal deaths is a major global health concern. Most causes of these deaths are preventable through provision of quality maternal healthcare services (MHS). Client satisfaction has been recognized as an important indicator of healthcare quality. This study aimed to compare client satisfaction with MHS in selected rural and urban health facilities in Cross River State. A cross-sectional comparative study conducted among 466 mothers accessing immunization services recruited using a systematic sampling technique. Data was collected using an interviewer-administered questionnaire and analysed using SPSS version 25, employing bivariate analysis at (p<0.05). The overall mean age of respondents was 26.51±5.8 years. A significantly higher proportion of clients in the urban (92.2%) compared to the rural (81.5%) were satisfied with MHS (p=0.001). Clients' satisfaction level were significantly higher in the urban compared to the rural, (input: 56.4% rural, 76.1% urban, process: 85.8% rural, 93.7% urban; outcome: 96.2% rural, 100% urban). At bivariate analysis, only marital status was found to be associated with MHS satisfaction and among married women residing in urban setting. Therefore, interventions targeting improvement across all domains in the rural and input domain in the urban facilities is strongly recommended.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"129-140"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Context and reasons of preference for use of traditional birth attendant care in Indonesia and Ethiopia. 印度尼西亚和埃塞俄比亚偏爱使用传统助产士护理的背景和原因。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.4

Sudirman Nasir

{"title":"Context and reasons of preference for use of traditional birth attendant care in Indonesia and Ethiopia.","authors":"Sudirman Nasir","doi":"10.29063/ajrh2025/v29i6.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.4","url":null,"abstract":"Despite progress achieved in improving maternal health in Indonesia and Ethiopia, both countries still have high maternal deaths. To address this key issue, the Indonesian and Ethiopian governments prioritise health facility childbirth and discourage the use of Traditional Birth Attendant (TBA) care. The study aims to explore context and reasons of preference to use TBA care in Indonesia and Ethiopia. Employing a qualitative approach, 110 semi-structured interviews (SSIs) and 7 focus group discussions (FGDs) in Cianjur and Southwest Sumba (Indonesia), as well as 44 SSIs and 14 FGDs in Sidama (Ethiopia) were conducted. Study participants included mothers, TBAs, community health providers, men within those communities and village leaders. The study found that preference for TBA care persists in the study sites within both countries. TBAs' cultural, psychological and geographical proximity, TBAs' wide-ranging and culturally deep-rooted services are important context and reasons of the preference for utilising TBA care. Improving health system cultural sensitiveness and strengthening partnership between formal health workers and TBAs have potential to enhance maternal health in both countries.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"40-57"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Risk factors and predictive modeling of exclusive breastfeeding failure in mothers separated from their infants. 与婴儿分离的母亲纯母乳喂养失败的风险因素和预测模型。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.3

Weiwei Wu, Xiangxue Wang

引用次数: 0

Men matter too: Examining the role of male partners in family planning in South Korea and Ethiopia. 男性也很重要：调查韩国和埃塞俄比亚男性伴侣在计划生育中的作用。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.15

Eun W Nam, Melika G Desalegn

{"title":"Men matter too: Examining the role of male partners in family planning in South Korea and Ethiopia.","authors":"Eun W Nam, Melika G Desalegn","doi":"10.29063/ajrh2025/v29i6.15","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.15","url":null,"abstract":"Male involvement in family planning (FP) is a critical but often underemphasized aspect of reproductive health. This scoping review examines male participation in FP in Ethiopia and South Korea, with a focus on how cultural, economic, and policy factors shape engagement. Following PRISMA-ScR guidelines, a systematic search of PubMed, Scopus, Web of Science, and Google Scholar identified 18 eligible studies published between 2004 and 2024, incorporating both qualitative and quantitative designs. In Ethiopia, male participation remains limited due to entrenched gender norms, low awareness, and health systems and policies that have historically prioritized women. In South Korea, evolving gender norms and significant policy shifts from aggressive anti-natalist campaigns in the 1960s-70s to pro-natalist policies in the 2000s have fostered gradual improvements in male engagement, particularly among younger urban populations. Across both countries, barriers include gender stereotypes, lack of male-centered health services, and weak spousal communication, while facilitators include culturally sensitive education programs and supportive policy reforms. Strengthening open partner communication and embedding male engagement strategies directly into national reproductive health policies are essential for improving contraceptive uptake and achieving more equitable reproductive outcomes. This review highlights the need for context-specific, policy-driven approaches to promote sustained male participation in FP.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"167-173"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prevalence of HIV and Hepatitis B virus among adolescents seeking healthcare services at the Federal Teaching Hospital, Kebbi State, Nigeria. 在尼日利亚凯比州联邦教学医院寻求保健服务的青少年中艾滋病毒和乙型肝炎病毒的流行情况。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.6

Min Wang, Mary O Oyebamiji, Amechi E Igharo, Elizabeth U Osabohien, Eugene O Ifere

{"title":"Prevalence of HIV and Hepatitis B virus among adolescents seeking healthcare services at the Federal Teaching Hospital, Kebbi State, Nigeria.","authors":"Min Wang, Mary O Oyebamiji, Amechi E Igharo, Elizabeth U Osabohien, Eugene O Ifere","doi":"10.29063/ajrh2025/v29i6.6","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.6","url":null,"abstract":"This study examines the prevalence of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) among adolescents seeking healthcare services at the Federal Teaching Hospital, Birnin Kebbi, Nigeria. The rationale for this study is that adolescents represent a critical demographic in the context of infectious diseases, as they often engage in behaviours that increase their risk for HIV and HBV infections. The study made use of a cross-sectional survey involving 300 adolescents aged 10 to 19 years who presented for various health services between January and June 2023. Blood samples were collected and tested for HIV and HBV using enzyme-linked immunosorbent assay (ELISA) techniques. The results revealed prevalence rate of 4.3% for HIV and 7.0% for HBV among the participants. Notably, the prevalence of HIV was higher in males (5.2%) compared to females (3.1%), while HBV showed no significant gender difference. Factors such as age, sexual activity, and history of blood transfusion were significantly associated with increased risk for both infections. The findings underscore the urgent need for targeted public health interventions, including education on safe practices, routine screening, and vaccination programs, to mitigate the risks of HIV and HBV among adolescents in this region.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"58-71"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504491","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"Of course I would tell a friend about self-management with pills": the role of hotlines in increasing access to self-managed abortion in Kenya. “我当然会告诉一个朋友关于服药的自我管理”：在肯尼亚，热线在增加自我管理堕胎方面的作用。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.10

Yves-Yvette Young, Lucía B Pizzarossa, Ibtehal Jastaniah, Margot Cohen, Sheilah Warindi, Samantha Ruggiero

{"title":"\"Of course I would tell a friend about self-management with pills\": the role of hotlines in increasing access to self-managed abortion in Kenya.","authors":"Yves-Yvette Young, Lucía B Pizzarossa, Ibtehal Jastaniah, Margot Cohen, Sheilah Warindi, Samantha Ruggiero","doi":"10.29063/ajrh2025/v29i6.10","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.10","url":null,"abstract":"Safe abortion hotlines operating in highly restrictive abortion settings provide critical information about safe self-managed medication abortion. The Mobilizing Activists around Medical Abortion (MAMA) Network has pioneered this model in the African region and supports various safe abortion hotlines across the continent. The aim of this study was to document the experiences of callers using a safe abortion hotline in Kenya and to better understand the role that safe abortion hotlines can play in facilitating access to abortion information. In this paper, we present findings from interviews with 19 hotline callers seeking information about medication abortion from a hotline in Kenya, between February and May 2019. Emergent themes included support from hotline counselors, readiness to self-manage, abortion experiences, preference for medication abortion, and the role of hotlines in reducing abortion stigma. Our findings shed light on important components related to the quality of the care provided by the hotlines and their role in destigmatizing abortion care, while serving as an example of the crucial work of feminist activists in expanding pregnant people's health and autonomy in highly restrictive abortion settings.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"108-116"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Analysis of factors influencing blood glucose self-monitoring behavior in patients with gestational diabetes mellitus and construction of its prediction model. 妊娠期糖尿病患者血糖自我监测行为的影响因素分析及预测模型构建

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.11

Yanfei Zhu, Jing Zhou, Xiaoe Xie, Chenyang Ding, Chunmei Zhu, Yayan Li, Ping Lan

{"title":"Analysis of factors influencing blood glucose self-monitoring behavior in patients with gestational diabetes mellitus and construction of its prediction model.","authors":"Yanfei Zhu, Jing Zhou, Xiaoe Xie, Chenyang Ding, Chunmei Zhu, Yayan Li, Ping Lan","doi":"10.29063/ajrh2025/v29i6.11","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.11","url":null,"abstract":"The objective of this study was to investigate the factors influencing self-monitoring of blood glucose (SMBG) behavior in patients with gestational diabetes mellitus (GDM) and to develop a predictive model for clinical intervention. The method of this study was to divide 587 GDM patients admitted to Lishui Maternal and Child Health Hospital from May 2020 to June 2023 into training group (n = 410) and test group (n = 177) by using R 4.3.2 in a ratio of 7:3. The training set cases were divided into target group (n = 109) and non-target group (n = 301) according to whether SMBG was met (monitoring fasting or postprandial 2 h blood glucose 2-4 times per week).Key factors affecting SMBG were identified through univariate analysis and logistic regression, including education level, family income, glucometer possession, and dimensions of the Information-Motivation-Behavior (IMB) model. A nomogram prediction model was developed, with Area Under the Curve (AUC) values of 0.863 and 0.829 in the training and testing cohorts, respectively, demonstrating good predictive performance. The calibration curve confirmed the accuracy of the model. The findings suggest that SMBG behavior in GDM patients is influenced by socioeconomic and psychological factors, and the developed model provides a valuable tool for clinical assessment and intervention.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"117-128"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504481","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical application of vaginal natural orifice transluminal endoscopic surgery in hysterectomy. 阴道自然口腔内内镜手术在子宫切除术中的临床应用。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.5

Chenghong Xie, Huarong Cao

{"title":"Clinical application of vaginal natural orifice transluminal endoscopic surgery in hysterectomy.","authors":"Chenghong Xie, Huarong Cao","doi":"10.29063/ajrh2025/v29i6.5","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.5","url":null,"abstract":"This study aimed to evaluate the effect of vaginal natural orifice transluminal endoscopic surgery in hysterectomy. A retrospective analysis of 80 patients who underwent hysterectomy at the Maternity & Child Care Center in Qinhuangdao, China from October 2022 to October 2024 was conducted. The patients were randomly divided into a transumbilical laparoendoscopic single-site surgery group and a vaginal natural orifice transluminal endoscopic surgery group. The surgical time of 40 cases of the vaginal natural orifice transluminal endoscopic surgery group tended to stabilize, and learning curve showed no marked fluctuations. The anal exhaust time, indwelling catheter time, hospital stay, and degree of pain in vaginal natural orifice transluminal endoscopic surgery group were less than the transumbilical laparoendoscopic single-site surgery group. On the first day after surgery, compared to the transumbilical laparoendoscopic single-site surgery group, the vaginal natural orifice transluminal endoscopic surgery group had higher superoxide dismutase and glutathione peroxidase levels and lower malondialdehyde and advanced oxidation protein products levels. We conclude that vaginal natural orifice transluminal endoscopic surgery has less postoperative pain than transumbilical laparoendoscopic single-site surgery, which reduces patients' postoperative stress responses and facilitates postoperative recovery.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"49-57"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Reproductive health and the Vatican. 生殖健康和梵蒂冈。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.1

Lindsay Edouard, Cecilia Maurente Beherns

引用次数: 0

Exploring the sexual and reproductive health needs of adolescents and young people living with vertically acquired HIV in South Africa. 探索南非感染垂直获得性艾滋病毒的青少年和年轻人的性健康和生殖健康需求。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.2

Bandile E Ndlazi, David D Mphuthi, Thinavhuyo R Netangaheni

{"title":"Exploring the sexual and reproductive health needs of adolescents and young people living with vertically acquired HIV in South Africa.","authors":"Bandile E Ndlazi, David D Mphuthi, Thinavhuyo R Netangaheni","doi":"10.29063/ajrh2025/v29i6.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.2","url":null,"abstract":"The implementation of prevention of mother-to-child HIV transmission and pediatric HIV treatment has led to infected children transitioning into adolescence. Young people living with vertically acquired HIV face complex sexual and reproductive health (SRH) concerns, including challenges in relationships with parents, dating, and accessing services. This qualitative exploratory-descriptive study involved in-depth interviews with sixteen young individuals aged 18 to 24 who have vertically acquired HIV. Conducted in three healthcare facilities in Gauteng province, South Africa, the study utilised non-probability purposive sampling and thematic analysis for data analysis. Key themes included discomfort with dating, limited family support, and negative sexual experiences. Participants were hesitant to disclose their HIV status due to fear of rejection. Family support was primarily emotional, lacking focus on SRH needs. Healthcare providers often overlook individual sexual health needs, resulting in limited client-focused services. Despite regular healthcare contact, adolescents living with vertically acquired HIV experience unmet SRH communication needs, highlighting the necessity for improved sexual communication opportunities.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"19-28"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504488","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0