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

Understanding the social, emotional and economic challenges of surrogate mothers in Ghana: A phenomenogical study. 理解加纳代孕母亲的社会、情感和经济挑战：一项现象学研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-26 DOI: 10.29063/ajrh2026/v30i12.7

Isaac M Boafo, Doris A Amarteifio, Rosemond A Hiadzi, Peace M Tetteh

{"title":"Understanding the social, emotional and economic challenges of surrogate mothers in Ghana: A phenomenogical study.","authors":"Isaac M Boafo, Doris A Amarteifio, Rosemond A Hiadzi, Peace M Tetteh","doi":"10.29063/ajrh2026/v30i12.7","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i12.7","url":null,"abstract":"Surrogacy is an emerging assisted reproductive practice in Ghana that expands pathways to parenthood but presents significant challenges for surrogate mothers. This study examines the lived experiences of surrogate mothers in Accra, focusing on the physical, emotional, social, and economic difficulties they face. The study adopted a phenomenological qualitative approach. 21 surrogate mothers were purposively sampled from three agencies in the Greater Accra Region. Data were collected through semi-structured interviews and analysed thematically. The findings show that surrogates experience intense social stigma. Emotional distress, ranging from depression to symptoms of post-traumatic stress, often stems from abrupt separation from babies and limited psychological support. Physical challenges, including pregnancy complications and unwarranted caesarean sections, further shape their experiences. Economic exploitation emerged as a critical issue, with participants dissatisfied with inadequate compensation and minimal bargaining power. Surrogacy additionally strained personal relationships, with several women reporting partner conflict or separation. The study underscores the urgent need for regulatory frameworks that safeguard the rights and well-being of surrogate mothers. Clear legislation, mandatory counselling, fair compensation, and public education to reduce stigma are recommended. The study contributes to the limited literature on surrogacy in sub-Saharan Africa and offers insights for improving practice in Ghana.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 12","pages":"62-72"},"PeriodicalIF":1.0,"publicationDate":"2026-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148337317","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

Navigating motherhood twice: Lived experiences of teenage mothers with repeat pregnancies in a rural Municipality, South Africa. 导航母亲两次：在一个农村直辖市，南非的青少年母亲多次怀孕的生活经历。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-26 DOI: 10.29063/ajrh2026/v30i12.5

Allen E Sunday, Pranitha Maharaj

引用次数: 0

Midwifery students' experiences with a virtual reality simulation for newborn care: A qualitative study. 助产学学生在新生儿护理虚拟现实模拟中的体验：一项定性研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-26 DOI: 10.29063/ajrh2026/v30i12.4

Serap Oner

引用次数: 0

Knowledge of human papillomavirus and vaccination attitudes among female university students in Turkey: A cross-sectional study. 土耳其女大学生对人乳头瘤病毒知识和疫苗接种态度：一项横断面研究。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-26 DOI: 10.29063/ajrh2026/v30i12.10

Emel Güden, Selma D Sarıkahya, Sevil Ç Özbay

引用次数: 0

Provision of faith-based services: challenges and opportunities. 提供基于信仰的服务：挑战与机遇。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-11 DOI: 10.29063/ajrh2026/v30i11.1

Lindsay Edouard, Cecilia Maurente Beherns

引用次数: 0

Effect of multimodal electrical stimulation combined with low-intensity focused ultrasound on endometrial receptivity and clinical pregnancy outcomes in infertile women undergoing freeze-thawed embryo transfer. 多模态电刺激联合低强度聚焦超声对冷冻解冻胚胎移植不孕症患者子宫内膜容受性及临床妊娠结局的影响

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-11 DOI: 10.29063/ajrh2026/v30i11.5

Yixin Sun, Bingbing Qian, Xun Zhang, Chao Yang, Yun Ge

{"title":"Effect of multimodal electrical stimulation combined with low-intensity focused ultrasound on endometrial receptivity and clinical pregnancy outcomes in infertile women undergoing freeze-thawed embryo transfer.","authors":"Yixin Sun, Bingbing Qian, Xun Zhang, Chao Yang, Yun Ge","doi":"10.29063/ajrh2026/v30i11.5","DOIUrl":"10.29063/ajrh2026/v30i11.5","url":null,"abstract":"We aimed to investigate the effect of multimodal electrical stimulation combined with low-intensity focused ultrasound on endometrial receptivity as well as clinical pregnancy outcomes in infertile women. One hundred women undergoing in vitro fertilization-frozen-thawed embryo transfer were randomly divided into a treatment group and a control group. The treatment group received multimodal electrical stimulation combined with low-power focused ultrasound treatment for 30 min/times per day, once a day, for 7-10 days; the control group did not receive the treatment, and at the end of the treatment each of the two groups underwent frozen embryo transfer. The effect was assessed by the following indicators: endometrial thickness and volume, type of endometrium, endometrial blood flow, uterine artery pulsatility index, resistance index, and uterine arteria peak systolic velocity/end-diastolic velocity values, endometrial peristaltic wave frequency and endometrial volume; biochemical pregnancy rate, clinical pregnancy rate, and embryo implantation rates. uterine artery S/D and uterine artery RI were significantly increased after treatment with statistical differences. The rest of the indicators showed positive changes but no statistical differences. We conclude that multimodal electrical stimulation combined with low-frequency focused ultrasound therapy is effective in improving endometrial receptivity and clinical pregnancy outcomes in infertile women undergoing frozen-thawed embryo transfer.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":" 11","pages":"51-62"},"PeriodicalIF":1.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215965","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

Diagnostic accuracy of visual inspection with acetic acid versus Papanicolaou smear in cervical cancer screening among HIV-positive women in rural Nigeria. 醋酸目视检查与巴氏涂片在尼日利亚农村hiv阳性妇女宫颈癌筛查中的诊断准确性

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-11 DOI: 10.29063/ajrh2026/v30i11.3

Akhere E Oshodin, Eustace E Ehikioya, Okelue E Okobi, Anthonia I Njoku, Felix O Okogbo, Stella Ehi Egege, Olamma A Dike, Ifunanya C Modebelu, Omowunmi Adewara

{"title":"Diagnostic accuracy of visual inspection with acetic acid versus Papanicolaou smear in cervical cancer screening among HIV-positive women in rural Nigeria.","authors":"Akhere E Oshodin, Eustace E Ehikioya, Okelue E Okobi, Anthonia I Njoku, Felix O Okogbo, Stella Ehi Egege, Olamma A Dike, Ifunanya C Modebelu, Omowunmi Adewara","doi":"10.29063/ajrh2026/v30i11.3","DOIUrl":"10.29063/ajrh2026/v30i11.3","url":null,"abstract":"Cervical cancer remains a significant reproductive and public health concern, particularly among women living with Human Immunodeficiency Virus (HIV) in low-resource settings like Irrua community in Edo State Nigeria. This study aimed to compare the sensitivity and specificity of visual inspection with acetic acid (VIA) and the Papanicolaou smear (Pap smear) as screening methods for premalignant and malignant cervical lesions in HIV-positive women. A comparative cross-sectional design was employed, involving 136 HIV-positive women who met the inclusion criteria. Suspicious or well-defined aceto-white areas observed during VIA were biopsied and subjected to histopathological examination. The sensitivity of VIA was higher than that of the Pap smear (94.1% vs. 73.5%), whereas its specificity was lower (25% vs. 79.5%). When both methods were combined, the screening performance improved, yielding higher sensitivity, specificity, positive predictive value, and negative predictive value (92.3%, 87.5%, 92.3%, and 87.5%, respectively) than either test alone. These findings indicate that VIA demonstrates higher sensitivity than the Pap smear, while using both methods in combination enhances overall diagnostic accuracy. We recommend that VIA can therefore serve as an effective complementary screening tool to the Pap smear for the early detection of cervical cancer, particularly in resource-constrained healthcare settings. Keywords: Cervical cancer, HIV-positive women, Pap smear, Visual Inspection with Acetic Acid (VIA), Screening methods, Sensitivity and specificity, Low-resource settings, Premalignant lesions, Histopathology, Comparative cross-sectional study.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":" 11","pages":"28-37"},"PeriodicalIF":1.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215981","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

Effects of dance education on emotional repair and identity reconstruction in women. 舞蹈教育对女性情绪修复与身份重建的影响。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-11 DOI: 10.29063/ajrh2026/v30i11.9

Yalin Cui

{"title":"Effects of dance education on emotional repair and identity reconstruction in women.","authors":"Yalin Cui","doi":"10.29063/ajrh2026/v30i11.9","DOIUrl":"10.29063/ajrh2026/v30i11.9","url":null,"abstract":"This study examines the effects of dance education on emotional repair and identity reconstruction among women, with particular attention to the roles of embodiment, bodily governance, and negotiated agency. Using a quantitative cross-sectional design, data were collected through a structured questionnaire administered to women participating in formal and semi-formal dance education settings in selected Chinese cities. The study measured six latent constructs: Dance Education Engagement, Embodiment, Emotional Repair, Identity Reconstruction, Bodily Governance, and Negotiated Agency. Structural equation modeling was employed to test the relationships among these variables. The findings show that dance education significantly enhances embodiment, which in turn positively contributes to emotional repair and identity reconstruction. The results further indicate that although dance spaces may reproduce forms of bodily governance through discipline and normative expectations, women actively negotiate these structures through agency and self-expression. Overall, the study highlights dance education as both an embodied pedagogical practice and a psychosocial resource that supports women's emotional wellbeing and self-redefinition. These findings contribute to growing scholarship on movement-based interventions and suggest that dance education may offer meaningful benefits for women's mental health, empowerment, and holistic wellbeing.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 11","pages":"98-110"},"PeriodicalIF":1.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216020","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

Contraceptive failure prediction framework: A veritable tool for reducing incidence of unintended pregnancies among HIV-positive women. 避孕失败预测框架：减少艾滋病毒阳性妇女意外怀孕发生率的名副其实的工具。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-11 DOI: 10.29063/ajrh2026/v30i11.2

Racheal T Oguntade, Akebe Lk Abia, Modupe O Ogunrombi, Elizabeth B Ojewole

{"title":"Contraceptive failure prediction framework: A veritable tool for reducing incidence of unintended pregnancies among HIV-positive women.","authors":"Racheal T Oguntade, Akebe Lk Abia, Modupe O Ogunrombi, Elizabeth B Ojewole","doi":"10.29063/ajrh2026/v30i11.2","DOIUrl":"10.29063/ajrh2026/v30i11.2","url":null,"abstract":"Contraceptive failure remains a global public health challenge among HIV positive women. Therefore, this study aimed to propose a contraceptive failure prediction framework based on the findings from HIV-positive women of reproductive age in South Africa and the perception of their healthcare providers. A mixed-methods approach was utilized, with participants purposively selected based on their knowledge and experiences. Qualitative data gathered from two focus group discussions (FGDs) involving seven (n = 7) healthcare workers (HCWs) and in-depth interviews involving ten (n = 10) HIV-positive women as well as quantitative data comprising a cohort of one hundred and seventy-three (n = 173) HIV-positive women who participated in the South African National HIV Prevalence, Incidence, Behavior Survey (SABSSM) were used to identify contraceptive failure determinants. Participant demographic information was analyzed using descriptive statistics, while inferential analysis was done using multiple regression statistics. The qualitative data were thematically analyzed. Healthcare workers' (HCWs') support, knowledge of contraceptive use, access to preferred contraceptives, and income collectively predicted contraceptive failure. These findings facilitated the development of a Contraceptive Failure Prediction Framework (CFPF), interpreted here as a determinants framework.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":" 11","pages":"20-27"},"PeriodicalIF":1.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215992","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

Perspectives among postpartum women, men, and healthcare providers on barriers to family planning services in rural Nigeria. 产后妇女、男子和保健提供者对尼日利亚农村计划生育服务障碍的看法。

IF 1 4区医学

African journal of reproductive health Pub Date : 2026-06-11 DOI: 10.29063/ajrh2026/v30i11.4

Love B Ayamolowo, Nadine N Rall, Sindiwe S James

{"title":"Perspectives among postpartum women, men, and healthcare providers on barriers to family planning services in rural Nigeria.","authors":"Love B Ayamolowo, Nadine N Rall, Sindiwe S James","doi":"10.29063/ajrh2026/v30i11.4","DOIUrl":"10.29063/ajrh2026/v30i11.4","url":null,"abstract":"Low uptake of family planning (FP) particularly during the postpartum period contributes to unintended pregnancies, thus increasing the risk of maternal morbidity and mortality globally. This cross-sectional mixed-methods study explored barriers to FP in rural southwest Nigeria using surveys from 388 men and women and interviews with 14 midwives across three states (June-July 2022). Eligible participants included postpartum women, men, and midwives. Quantitative data were analyzed using SPSS, and qualitative data using Braun and Clarke's thematic analysis in Atlas.ti. The results show that although 62.6% of respondents had good knowledge of FP, only 35.5% reported current use. However, positive attitude (OR=1.689, p<0.05), tertiary education (OR=2.331, p<0.05), and having multiple partners (OR=1.793, p<0.05) were significant predictors. Thematic analysis of provider interviews revealed user-related, provider-related, and health system barriers. The study highlights the need for targeted FP education and structural interventions to improve uptake and overcome both individual and systemic challenges in rural communities.","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":" 11","pages":"38-50"},"PeriodicalIF":1.0,"publicationDate":"2026-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148215937","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