African journal of reproductive health最新文献_第10页

Construction and validation of a prediction model for postoperative recurrence risk of cervical high-risk lesions using nomogram analysis. 基于形态图分析的宫颈高危病变术后复发风险预测模型的构建与验证。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.9

Shuxia Wu, Miaomiao Li, Xingye Ren

{"title":"Construction and validation of a prediction model for postoperative recurrence risk of cervical high-risk lesions using nomogram analysis.","authors":"Shuxia Wu, Miaomiao Li, Xingye Ren","doi":"10.29063/ajrh2025/v29i6.9","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.9","url":null,"abstract":"Patients with cervical high-risk lesions face a heightened risk of recurrence following cervical conization, making early prediction of recurrence essential for effective treatment and follow-up. This retrospective cohort study aimed to develop a recurrence risk prediction model using clinical factors to enhance prediction accuracy and guide clinical decisions. The study included 120 female patients undergoing their first cervical conization with positive surgical margins. Clinical data such as age, human papilloma virus (HPV) typing, surgical margin status, colposcopy results, and postoperative treatments were analyzed. Univariate and multivariate logistic regression identified age ≥ 45 years, HPV 16/18 infection, and positive surgical margins at the internal or external os as independent predictors of recurrence. A nomogram model was constructed and validated externally, achieving 90.3% accuracy in predicting recurrence in an additional 31 patients. Decision curve analysis confirmed the model's higher net benefit compared to single-factor predictions. We conclude that the recurrence risk prediction model, based on age, HPV typing, and surgical margin status, offers high accuracy and clinical utility, supporting individualized patient management and precise treatment planning.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"94-107"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504486","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

Health implications of folic acid deficiency during pregnancy: women's awareness and attitudes. 怀孕期间叶酸缺乏对健康的影响：妇女的认识和态度。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.7

Alaa Aba Zayd, Ahmad Shaikh, Mohammed Makkawi, Sultan Alasmari

{"title":"Health implications of folic acid deficiency during pregnancy: women's awareness and attitudes.","authors":"Alaa Aba Zayd, Ahmad Shaikh, Mohammed Makkawi, Sultan Alasmari","doi":"10.29063/ajrh2025/v29i6.7","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6.7","url":null,"abstract":"Folic acid supplementation is crucial for the health of both mother and newborn. This study investigated Saudi women's awareness, attitudes, and adherence regarding folic acid supplementation. National surveys were conducted across Saudi Arabia from January 1 to February 28, 2025. A validated online questionnaire was presented to female participants to assess socio-demographics, knowledge, and attitudes on folic acid usage. Data analysis was performed using Microsoft Excel, with results displayed as numerical values and percentages. 60% of participants acknowledged the significance of folic acid during gestation. A fair proportion recognized food sources of folic acid, although they misinterpreted the timing of supplementation. A substantial majority (83.5%) favored supplements and natural dietary sources, whilst 10.7% depended only on prescribed supplements. Just under half (45%) reported healthcare personnel to facilitate adherence, whereas 39.1% cited inadequate knowledge as an obstacle to adherence. Despite modest awareness of folic acid importance, there remain deficits in knowledge and obstacles in adherence among Saudi women. Improving educational programs and integrating folic acid counseling into normal healthcare practices are essential for ensuring consistent supplementation and enhancing maternal and fetal health outcomes.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"72-81"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504489","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 perception of human immunodeficiency virus, acquired immune deficiency syndrome, and reproductive health education among among junior and senior high school students: A scoping review. 初高中学生对人类免疫缺陷病毒、获得性免疫缺陷综合征和生殖健康教育的风险认知：范围综述

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-26 DOI: 10.29063/ajrh2025/v29i6.14

Chloe N Alderson, Ransford Aduah, Traci L Wells

{"title":"Risk perception of human immunodeficiency virus, acquired immune deficiency syndrome, and reproductive health education among among junior and senior high school students: A scoping review.","authors":"Chloe N Alderson, Ransford Aduah, Traci L Wells","doi":"10.29063/ajrh2025/v29i6.14","DOIUrl":"10.29063/ajrh2025/v29i6.14","url":null,"abstract":"This scoping review aims to identify studies that examine the existence and impact of HIV/AIDs education among high school-aged individuals in Ghana, underscoring the association of factors such as stigma and HIV/AIDs education. A robust literature review was conducted, where 23 studies were analyzed. From existing literature, it was clearly found that significant gaps in knowledge do exist, making younger populations more vulnerable to contracting HIV/AIDs. Additionally, it was found that there was a reluctance for healthcare workers to teach HIV/AIDs education in schools due to parents' fears of encouraging sexual intercourse. This reduces the opportunity for students to be taught accurate sexual education in school, increasing their vulnerability. To counteract this vulnerability, there must be a greater focus on sexual education in Ghana potentially stemming from more government funding as well as nonprofit interventions. It is clear that more research is needed to understand what specific curricula are being implemented in schools and to analyze their effectiveness in Ghana.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6","pages":"150-166"},"PeriodicalIF":0.7,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144504494","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

Applying community-based action learning in the provision of gender transformative sexual and reproductive health services in Ebonyi State, Nigeria. 在尼日利亚埃邦伊州将社区行动学习应用于提供改变性别的性健康和生殖健康服务。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.7

Ifunanya C Agu, Chibuike Agu, Chinyere O Mbachu, Chinazom N Ekwueme, Ozioma Nwankpa, Nkoli Ezumah, Obinna Onwujekwe

{"title":"Applying community-based action learning in the provision of gender transformative sexual and reproductive health services in Ebonyi State, Nigeria.","authors":"Ifunanya C Agu, Chibuike Agu, Chinyere O Mbachu, Chinazom N Ekwueme, Ozioma Nwankpa, Nkoli Ezumah, Obinna Onwujekwe","doi":"10.29063/ajrh2025/v29i6s.7","DOIUrl":"10.29063/ajrh2025/v29i6s.7","url":null,"abstract":"This study describes the adoption of an action learning (AL) approach to (i) identify challenges that primary healthcare workers face in delivering gender-transformative sexual and reproductive health and rights (SRHR) services to young people, and (ii) recommend feasible solutions to resolve these challenges. This study implemented in Ebonyi State, Nigeria, included three AL structured sessions with healthcare workers, community members, and researchers. AL participants formed six groups, each representing one of the six selected local government areas. Data on potential challenges in providing youth-friendly gender-equitable and inclusive SRHR services and strategies for addressing them were synthesized through consultations with the stakeholders using the modified Delphi technique. The key challenges that health workers faced were: (i) provider-related issues such as personal values and beliefs regarding providing contraceptives to young unmarried people; (ii) community/client-related issues such as lack of male, parents/guardians, and community support; and (iii) negative perceptions regarding health seeking for SRHR services. Proposed strategies include reaching young men and boys with SRHR services outside Primary Health Care settings; facilitating dialogue to support female partners; and promoting community advocacy. AL has shown promise in understanding young people's SRHR challenges and in developing strategies to advance gender-transformative youth-friendly SRHR services in Nigeria.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6s","pages":"89-105"},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473705","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

Co-creating gender-transformative interventions for adolescent mental, sexual, and reproductive health and rights: Influence of context and actors on process and content in Niger, Ghana, and Burkina Faso. 共同创建促进青少年心理、性和生殖健康及权利的性别变革干预措施：尼日尔、加纳和布基纳法索的背景和行动者对进程和内容的影响。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.2

Lauren J Wallace, Natasha A Darko, Aissa Diarra, Maurice Yaogo, Bernice Gyawu, Priscilla Prempeh, Emelia A Agblevor, Ann-Michelle Darko, Tolib Mirzoev, Irene A Agyepong

{"title":"Co-creating gender-transformative interventions for adolescent mental, sexual, and reproductive health and rights: Influence of context and actors on process and content in Niger, Ghana, and Burkina Faso.","authors":"Lauren J Wallace, Natasha A Darko, Aissa Diarra, Maurice Yaogo, Bernice Gyawu, Priscilla Prempeh, Emelia A Agblevor, Ann-Michelle Darko, Tolib Mirzoev, Irene A Agyepong","doi":"10.29063/ajrh2025/v29i6s.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6s.2","url":null,"abstract":"This paper explores how context and actors influence processes and content efforts to co-create gender transformative primary health care systems for adolescents in West Africa and draws out lessons for co-creation of effective adolescent mental, sexual, and reproductive health and rights (AMSRHR) interventions in low and middle income countries. The study design was a multi country case study with the case defined as \"processes, context, actors and content of co-creation of gender-transformative adolescent mental, sexual, and reproductive health interventions\". Data are from mixed qualitative sources in two research phases: a situational/context analysis and co-creation/data validation workshops. Findings reveal that while national AMSRHR policies promote gender-sensitive approaches, actual programmes remain largely gender-neutral or gender-blind. Important considerations in co-creating AMSRHR interventions include how to effectively engage powerful stakeholders with diverse positions, pay attention to gendered power imbalances in co-creation processes, and raise critical consciousness of complex AMSRHR issues through non-threatening, participatory approaches.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6s","pages":"20-35"},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473706","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

Shaping the African research agenda for gender transformative approaches to sexual and reproductive health and rights: A scoping review taking stock to re-align and move forward. 制定非洲对性健康和生殖健康及权利采取性别变革办法的研究议程：一项评估范围的审查，以重新调整和向前推进。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.8

Asha S George, Woldekidan Amde, Kéfilath Bello, Tanya Jacobs, Sundari T K Ravindran

{"title":"Shaping the African research agenda for gender transformative approaches to sexual and reproductive health and rights: A scoping review taking stock to re-align and move forward.","authors":"Asha S George, Woldekidan Amde, Kéfilath Bello, Tanya Jacobs, Sundari T K Ravindran","doi":"10.29063/ajrh2025/v29i6s.8","DOIUrl":"10.29063/ajrh2025/v29i6s.8","url":null,"abstract":"Given the imminent threats to gender equality, it is critical to take stock of what is documented in terms of gender transformative approaches supporting sexual and reproductive health and rights across the African continent. This scoping review found 52 articles published between 2012-2022 from PubMed and Scopus. We describe the geographic distribution, terms, the conceptual frameworks and social theories used, program areas, target populations and intervention approaches, as well as study designs and outcomes found. While a substantial body of evidence on gender and sexual and reproductive health and rights across Africa is building, it remains skewed geographically, programmatically, and analytically. More rigorous research is needed about the dynamics of shifting gender power relations undertaken in partnership with social movements and practitioners who can ensure more ownership and accountability for gender justice in sexual and reproductive health and rights in Africa over the long term.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6s","pages":"106-119"},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473772","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

Empowering community health workers in Malawi to deliver gender responsive life skills training for adolescent mothers to overcome social exclusion. 增强马拉维社区卫生工作者的权能，为青少年母亲提供促进性别平等的生活技能培训，以克服社会排斥。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.3

Emmanuel O Otukpa, Witness O T Alfonso, Anthony I Ajayi, Caroline W Kabiru, Cynthia W Kairu, Beatrice W Maina, Michelle N Mbuthia, Alister Munthali, Ramatou Ouedraogo

{"title":"Empowering community health workers in Malawi to deliver gender responsive life skills training for adolescent mothers to overcome social exclusion.","authors":"Emmanuel O Otukpa, Witness O T Alfonso, Anthony I Ajayi, Caroline W Kabiru, Cynthia W Kairu, Beatrice W Maina, Michelle N Mbuthia, Alister Munthali, Ramatou Ouedraogo","doi":"10.29063/ajrh2025/v29i6s.3","DOIUrl":"10.29063/ajrh2025/v29i6s.3","url":null,"abstract":"The social exclusion of adolescent mothers has negative repercussions for them, their children, and their families. Community health workers (CHWs) are well-placed to address the social exclusion of adolescent mothers if they are adequately trained and supported. This paper examines CHWs' perspectives about an intervention designed to strengthen their capacity to deliver gender-responsive life skills training to adolescent mothers. We drew on information obtained from focus group discussions with 14 CHWs who facilitated life skills sessions for adolescent mothers in Blantyre in southern Malawi. Prior to the sessions, the CHWs participated in a values clarification and attitudes transformation and a training of trainers workshops on life skills training. The CHWs posited that gender responsive life skills training enabled them to shift from judgmental views of adolescent mothers to greater acceptance and openness to support them. The study underscores the benefit of interventions that enable CHWs to provide gender-responsive support to adolescent mothers.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6s","pages":"36-47"},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473769","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

Transforming and integrating gender norms and social practices to promote maternal health through male engagement. 改变和整合性别规范和社会做法，通过男性参与促进孕产妇健康。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.6

Abdoul-Moumouni Nouhou, Mohamed Sallah Harouna Oumara, Aminatou Issaka Assoumane, Amadou Nouhou Chatima, Maman Moudaha Maman Tchiroma

引用次数: 0

Promoting husbands' participation in birth preparedness and complication readiness in The Gambia: Implications for gender transformation. 在冈比亚促进丈夫参与生育准备和并发症准备：对性别转变的影响。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.5

Mat Lowe, Muhammed Jobe, Awa Dubois, Oghenowede Eyawo

{"title":"Promoting husbands' participation in birth preparedness and complication readiness in The Gambia: Implications for gender transformation.","authors":"Mat Lowe, Muhammed Jobe, Awa Dubois, Oghenowede Eyawo","doi":"10.29063/ajrh2025/v29i6s.5","DOIUrl":"10.29063/ajrh2025/v29i6s.5","url":null,"abstract":"This study assessed the gender-transformative implications of a training aimed at transforming gender norms and promoting husbands' involvement in birth preparedness and complication readiness in The Gambia. The study used an observational quantitative evaluation design, beginning with a pre-training assessment of 100 husbands and a post-training assessment of 96 husbands who participated in the training. It also incorporated a qualitative component comprising 12 interviews with the pregnant wives of husbands who participated in the training. The results indicated that husbands reported an increased understanding of pregnancy and childbirth due to the training. As a result, 73% reported accompanying their wives for skilled birth attendance and 60% reported saving money for potential delivery-related complications. Pregnant women have also reported improved communication with their husbands. However, sustaining these changes may require broader socioeconomic considerations. These insights, along with observations and reflections from training sessions, provide valuable lessons for organizations implementing similar programs.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6s","pages":"65-75"},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473771","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

Let's hear it from the facilitators: Experiences of peer facilitators in engendering work with adolescent boys and young men in Cape Town, South Africa. 让我们听听引导者们是怎么说的：在南非开普敦，同侪引导者在与青春期男孩和年轻男子进行性别工作方面的经验。

IF 0.7 4区医学

African journal of reproductive health Pub Date : 2025-06-20 DOI: 10.29063/ajrh2025/v29i6s.4

Nikki Schaay, Tanya Jacobs, Phoene Oware, Vuyo Mjijelwa, Colleen Wagner, Bronwyn Damon, Ulla Walmisley, Anam N Yembezi, Olagoke Akintola, Asha George

{"title":"Let's hear it from the facilitators: Experiences of peer facilitators in engendering work with adolescent boys and young men in Cape Town, South Africa.","authors":"Nikki Schaay, Tanya Jacobs, Phoene Oware, Vuyo Mjijelwa, Colleen Wagner, Bronwyn Damon, Ulla Walmisley, Anam N Yembezi, Olagoke Akintola, Asha George","doi":"10.29063/ajrh2025/v29i6s.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i6s.4","url":null,"abstract":"Working with men and boys is central to improving sexual and reproductive health and rights and contributes to gender equality and social justice. Focusing on two behaviour change interventions (\"One Youth Can\" and \"SKILLZ Guyz\"), embedded within a national HIV programme (\"My Journey\"), this qualitative, exploratory study explored the contextual and organizational realities faced by peer facilitators in implementing these two interventions and what it would take to integrate a gender-transformative approach into their practice. The research, conducted in South Africa, used three data sources: a curriculum gender analysis, observations of both interventions and capacity strengthening sessions with peer facilitators. The study found that facilitators have to manage an array of contextual challenges. The programmatic context in which they work is dominated by the need to meet quantitative targets, leaving the capacity strengthening and mentoring needs of the facilitators - and their own lived experiences insufficiently addressed. Our research confirms the pivotal role peer facilitators can play in implementing gender-transformative approaches with adolescent boys and men in South Africa, but recommends that their practice be accompanied by sustained capacity strengthening and organisational support to address the unequal systems of gender and intersecting power relations in the contexts in which they work and live.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 6s","pages":"48-64"},"PeriodicalIF":0.7,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144473770","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