African journal of reproductive health最新文献

{"title":"The effect of oketani massage on breastfeeding success and breast engorgement in mothers delivering by cesarean section:Randomized controlled study.","authors":"Emine S Çağan, Rumeysa Taşkın, Ebru Solmaz, Rozerin Balcı, Elmin Eminov","doi":"10.29063/ajrh2025/v29i3.11","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.11","url":null,"abstract":"<p><p>The aim of this study is to examine the effect of Oketani massage on breastfeeding success and breast engorgement in mothers who give birth by cesarean section. The study is a randomized controlled, two-group comparison, experimental study conducted in a city hospital in eastern Turkey between December 2022 and April 2023 and 116 women participated. The LATCH score was 9.25±1.25 in the massage group and 8.08±2.38 in the control group. breast engorgement scale score was 1.26±0.48 in the massage group and 1.45±0.53 in the control group. There was a statistically significant difference between the massage group and the control group in terms of LATCH score and breast engorgement scale mean score. In this study, it was found that Oketani massage reduces breast engorgement, which is an important problem for the continuation of breastfeeding, and positively affects successful breastfeeding.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"85-93"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708173","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}

{"title":"Raising our Voices: On the 30th Anniversary of the Fourth World Conference on Women, Beijing, 1995.","authors":"Anne Baber Wallis","doi":"10.29063/ajrh2025/v29i3.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.4","url":null,"abstract":"<p><p>I raise up my voice - not so that I can shout, but so that those without a voice can be heard … we cannot all succeed when half of us are held back. Malala Yousafzai, sixteenth birthday speech, United Nations, New York, 20131 Malala Yousafzai was born in the Taliban-occupied district of Swat in Pakistan in 1997, two years after the pivotal Fourth World Conference on Women. At that conference, Pakistani Prime Minister Benazir Bhutto emphasized the power of women leaders in government, especially Muslim women. Nonetheless, in 2012, Malala and two other girls were shot on their way home from school by a Taliban gunman In 2014, Malala became co recipient of the Nobel Peace Prize along with Kailish Satyarthi of India.</p><p><p>J'élève la voix – non pas pour crier, mais pour que celles et ceux qui n'ont pas de voix puissent être entendus… Nous ne pouvons pas tous réussir si la moitié d'entre nous est freinée. Malala Yousafzai, discours pour ses seizièmes ans, Nations Unies, New York, 2013 Nous avons parcouru un long chemin, et pourtant, nous sommes loin d'être si loin. \"Malala Yousafzai est née en 1997 dans le district de Swat, au Pakistan, occupé par les talibans, deux ans après la Quatrième Conférence mondiale sur les femmes, une conférence cruciale. Lors de cette conférence, la Première ministre pakistanaise Benazir Bhutto a souligné le pouvoir des femmes dirigeantes au sein du gouvernement, en particulier des femmes musulmanes. Cependant, en 2012, Malala et deux autres filles par un taliban alors qu; elles rentraient de la école. En 2014, Malala a reçu le prix Nobel de la paix avec Kailish Satyarthi; Inde\"L'histoire est davantage une tapisserie qu'une frise chronologique. Une tapisserie, en effet, est une métaphore pertinente pour comprendre le rôle des femmes dans la société, hier comme aujourd'hui. Sur tous les continents, les femmes tissent des tapis et des tapisseries ; elles confectionnent des textiles raffinés, filent la laine et le coton, raccommodent des chaussettes et tricotent des pulls. Les tapisseries féminines peuvent intégrer des motifs et des histoires complexes, ou encore des motifs tribaux – toiles de boue navajo, yoruba, persanes ou bogolanes peintes. Lorsque les femmes tissent, il leur arrive de défaire et de retisser des nœuds mal faits ou des erreurs de tissage ; ainsi va l'histoire. Nous avançons, pour ensuite reculer, et pourtant, même ce pas en arrière peut annoncer un bond de géant.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"23-27"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699300","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}

{"title":"Efficacy and safety of simplified follitropin delta dosing in women undergoing intrauterine insemination in Indonesia.","authors":"Binarwan Halim, Hilma P Lubis, Carine A Widjaja","doi":"10.29063/ajrh2025/v29i3.8","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.8","url":null,"abstract":"<p><p>Available evidence indicate that Intrauterine Insemination (IUI) cycles with controlled ovarian stimulation (COS) yield better oocyte quality and higher pregnancy rates compared to those without COS in infertile women. As follitropin delta is an improved version of recombinant FSH, its ability to stimulate the development of multiple ovarian follicles is supposedly superior to follitropin alfa. The objective of this study was to evaluate the efficacy and safety of follitropin delta with a simplified dosage equivalent method in Indonesian women undergoing IUI. The design of this study was a retrospective observational study conducted from February 2022 to December 2023 involving 248 IUI cycles at Halim Fertility Center (HFC) IVF Center, Indonesia. Controlled Ovarian Stimulation was performed with follitropin delta with a simplified dosage equivalent method in IUI. From this study, we found that the clinical pregnancy rate (CPR) for IUI was 27.8%. The Ovarian Hyperstimulation Syndrome (OHSS) rates was 0.4%, with 2,9% multiple pregnancies in the follitropin delta with a simplified dosage equivalent method. This study showed no statistically significant differences in pregnancy rates based on age groups and BMI (p=0.288 vs p=0.934). WE conclude that follitropin delta may improve the outcome of intrauterine insemination in women undergoing IUI.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"58-67"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699199","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}

{"title":"\"We are on our own\": The neglected voices of the boy-child in adolescent sexual and reproductive health in Vhembe District, Limpopo, South Africa.","authors":"Fhumulani M Mulaudzi, Raikane J Seretlo, Maurine R M Usie, Nombulelo V Sepeng","doi":"10.29063/ajrh2025/v29i3.5","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.5","url":null,"abstract":"<p><p>Adolescent reproductive health activities and programmes have been made available to adolescents at schools, non-governmental organisations, and youth-friendly services. However, boys feel neglected as services are mostly catered for girls. This study reflects the neglected voices of a boy-child in Adolescent Sexual and Reproductive Health in Vhembe District in Limpopo province of South Africa. The study was conducted using a cooperative inquiry design. The data were collected using the Lekgotla discussion method. Data were analysed using NVIVO software version 14 and five steps of thematic analysis were followed during the data analysis. The main themes were as follows: We are on our own, Distorted information on Boko (masturbation); boys don't get pregnant\"; Discussion about sex with elders is taboo; Programmes are centred around a girl-child. The findings revealed that boys felt isolated as they had to rely on friends to teach them methods of preventing pregnancy that can be used by boys, such as masturbation and pulling out. They also felt that discussing sex education with parents and teachers is taboo. It is, therefore, recommended that there is a need for the Department of Health Services to consider having boy-friendly services to assist boys in managing their sexuality.</p><p><p>Des activités et des programmes de santé reproductive pour adolescents ont été mis à la disposition des adolescents dans les écoles, les organisations non gouvernementales et les services adaptés aux jeunes. Cependant, les garçons se sentent négligés dans la mesure où les services sont principalement destinés aux filles. Cette étude reflète les voix négligées d'un garçon-enfant dans le cadre de la santé sexuelle et reproductive des adolescents dans le district de Vhembe, dans la province du Limpopo en Afrique du Sud. L'étude a été menée selon un modèle d'enquête coopérative. Les données ont été collectées en utilisant la méthode de discussion Lekgotla. Les données ont été analysées à l'aide du logiciel NVIVO version 14 et cinq étapes d'analyse thématique ont été suivies lors de l'analyse des données. Les thèmes principaux étaient les suivants : Nous sommes seuls, Informations déformées sur Boko (masturbation) ; les garçons ne tombent pas enceintes » ; Les discussions sur les relations sexuelles avec les aînés sont taboues ; Les programmes sont centrés sur une petite fille. Les résultats ont révélé que les garçons se sentaient isolés car ils devaient compter sur des amis pour leur enseigner des méthodes de prévention de la grossesse qui peuvent être utilisées par les garçons, comme la masturbation et le retrait. Ils estiment également que discuter de l’éducation sexuelle avec les parents et les enseignants est tabou. Il est donc recommandé que le ministère des Services de santé envisage de mettre en place des services adaptés aux garçons pour les aider à gérer leur sexualité.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"28-37"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699196","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}

{"title":"The conditionality of COVID-19 vaccine acceptance: A qualitative study in Pakistan.","authors":"Sara Akram, Rehan Aftab, Qadar B Baloch, Farid Ullah, Wadi B Alonazi, Verdah Q Baloch, Humaira Amin, Muhammad S Alam","doi":"10.29063/ajrh2025/v29i3.17","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.17","url":null,"abstract":"<p><p>Understanding both the motivations for vaccination and the causes of vaccine reluctance is necessary for the present worldwide immunization campaigns against the COVID-19 pandemic. The intention of the article is to compile local perspectives and misconceptions about vaccination choices. The intention of this study is to assemble what is usually recognized in cultural context as conspiracies and post-traumatic phase affects in decision making. This is ethnographic exploratory study of Faisalabad, Pakistan. Purposive sampling is used to acquire data, while in-depth interviews and focus group discussions are used as data collecting strategies. Study reveals the experience of people who faced traumatic events and decision about getting vaccinated, and that impact may arise from social and cultural factors related to both the traumatic event and the vaccination experience. Vaccination decisions can be impacted by the impacts of traumatic experiences, which can be influenced by cultural norms as well as social and cultural variables. During this traumatic period, it is natural for conspiracies to emerge in order to influence people's decisions to get vaccinated. The ability of the COVID-19 vaccine to control the population and its unpleasant side effects are significant topics in this disinformation.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"143-159"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708158","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}

{"title":"Rejigging international commitment 20 years after Beijing.","authors":"Friday Okonofua","doi":"10.29063/ajrh2025/v29i3.1","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.1","url":null,"abstract":"<p><p>The Beijing conference on women which took place in China in 1995 was designed to place women at the centre stage of international development planning. This edition of the journal carries three editorials by women leaders from the USA, Belgium, and China that reflect on actions and activities 20 years after the conference especially in the context of Africa where most of the challenges relating to the under-development of women are still daunting.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"11-12"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699303","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}

{"title":"The control and prevention of sexually transmitted infections in primary healthcare facilities among key and priority population in sub-Saharan Africa: A systematic review.","authors":"Mohlago A Seloka, Edith Phalane, Refilwe N Phaswana-Mafuya","doi":"10.29063/ajrh2025/v29i3.19","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.19","url":null,"abstract":"<p><p>The syndromic management approach lacks diagnostic accuracy for asymptomatic infections, although it is the standard STI treatment method. The study aimed to understand the status quo on sexually transmitted infections (STI) control in primary healthcare (PHC) facilities among key and priority populations in sub-Saharan Africa (SSA). We registered the review on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (ID: CRD42023439416). A systematic search of published articles was done using online databases and grey literature between 2016 and 2024. The search identified 2283 studies, and 1251 were excluded, remaining with 39 eligible studies for inclusion across 15 SSA countries. Of the 39 eligible studies, 11 were conducted on laboratory-diagnostic methods, and 28 were on treatment for STIs. Laboratory-diagnostic methods, including Gene Xpert assay, nucleic acid amplification transcriptase test, and multiplex reverse transcription polymerase chain reaction, have high diagnostic accuracy, sensitivity and specificity rates. However, they may result in delayed sampled results. Eighteen studies indicate that the STI syndromic management approach remains the standard care for treatment in PHC facilities, but its challenges include drug resistance, misdiagnosis, and low sensitivity. Integrating syndromic management with laboratory-diagnostic methods can improve diagnostic accuracy and allow early identification, diagnosis and treatment of STIs. These findings aim to inform policymakers and STI stakeholders to provide scientific evidence for targeted approaches to optimise and strengthen the STI response in SSA.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"168-203"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143708162","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}

{"title":"Three decades after Beijing: Progress and challenges in Africa.","authors":"Qiao Weng","doi":"10.29063/ajrh2025/v29i3.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.2","url":null,"abstract":"<p><p>In September 1995, the Fourth World Conference on Women in Beijing, China marked a watershed moment for global gender equality. The resulting \"Beijing Declaration and Platform for Action\" laid out an ambitious agenda to advance women's rights, with reproductive health positioned as a cornerstone of empowerment. For African women, this framework catalyzed unprecedented attention to their bodily autonomy, healthcare access, and socioeconomic dignity. Three decades later, Africa has made measurable strides in reproductive health outcomes, yet challenges persist.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"13-16"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699306","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}

{"title":"Marital experience and challenges of women with disabilities in Saudi Arabia: A phenomenological study.","authors":"Yasir A Alsamiri, Ayesha Alnemah Alaghdaf, Basheer A Allouash, Ibraheem M Alsawalem, Seham D Alfaidi, Malik A Hussain","doi":"10.29063/ajrh2025/v29i3.9","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i3.9","url":null,"abstract":"<p><p>Women with disabilities, like all women, deserve equal opportunities for marriage. However, their experiences within marriage remain unclear, making it difficult to effectively address the issue. This qualitative study aims to explore the marriage experiences of women with disabilities in Saudi Arabia. The study utilized a developed semi-structured interview to collect data from eight participants registered with a private association in Riyadh, Saudi Arabia. Data analysis followed the six-step Braun and Clarke (2006) model. The study found that some women with disabilities have positive marriage experiences, but they also face societal negativity regarding their right to marry. Additionally, the support from families and partners is often insufficient. Legal and financial challenges also hinder marital stability. The research area is extremely important due to its impact on the physical and psychological health of women with disabilities, as well as on society. The article concludes by discussing implications for practices and future research.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 3","pages":"68-75"},"PeriodicalIF":0.7,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143699211","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}

{"title":"Barriers to sexual health communication between parents and teenagers: Perspectives of parents in a rural community in Mpumalanga province, South Africa.","authors":"Nothando M Mngomezulu, Majapi E Masala-Chokwe, Tshiamo N Ramalepa","doi":"10.29063/ajrh2025/v29i2.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i2.4","url":null,"abstract":"<p><p>Teenagers are affected by negative sexual and reproductive health outcomes because of the lack of knowledge and risky decision-making. This may be worsened by teenagers seeking information from questionable sources such as the internet, and social media. This highlights the need for parent-teen communication on sexual health practices. The study aimed to explore the perspectives of parents regarding the barriers to sexual health communication with their teenagers in the Masoyi rural community, Mpumalanga province, South Africa. This exploratory, descriptive, qualitative study was conducted using in-depth interviews and analyzed using content analysis. Purposive sampling was used to select 14 parents who had teenagers aged 12 to 19 years. Parents revealed that the barriers that hindered parent-teen communication include cultural influences, unavailability of parents and conflicting messages from parents and media, age difference and media (television). Parents need to be confident or comfortable in engaging with their teenagers about sexual health content.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 2","pages":"35-41"},"PeriodicalIF":0.7,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143497951","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}