{"title":"Pregnancy health literacy and willingness for HPV Testing among pregnant women in Lahore, Pakistan.","authors":"Shahzada Khalid Sohail","doi":"10.29063/ajrh2025/v29i8s.3","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8s.3","url":null,"abstract":"<p><p>Human papillomavirus (HPV) infection is a primary risk factor for cervical cancer development. In low-resource settings, HPV screening uptake is often limited by health literacy barriers. This study examined how health literacy affects willingness to undergo HPV screening (as a cervical cancer prevention method) among 384 pregnant women (aged 15-45) in Lahore, Pakistan using cross sectional data. We assessed health literacy using Kharazi's validated questionnaire, with evaluation done across four dimensions: health information comprehension, critical evaluation, informed decision-making, and practical application. We assessed the HPV screening willingness using a WHO's instrument, with evaluation done across two dimensions: an awareness and an attitude and willingness section. Data were analyzed using SPSS version 26 through simple and multiple linear regression models. The results from the simple linear analysis showed that health literacy had a significant positive effect on women's willingness to undergo HPV testing (β=0.811, 95% CI=0.753,0.875, p=0.001). From the multiple linear regression analysis, the different dimension of health literacy had significant positive effect on willingness to undergo HPV testing, with the health information comprehension dimension having the strongest positive effect (β=0.724, 95% CI=0.676, 0.801, p=0.001). These findings suggest that enhancing pregnancy health literacy could improve HPV screening acceptance. The results have important implications for designing cervical cancer prevention programs in high-risk populations through antenatal care services.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8s","pages":"22-30"},"PeriodicalIF":1.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938935","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}
Liyu Huang, Wenjia Li, Yan Zhang, Siyu Liang, Yiran Li, Jie Li, Lulu Meng, Ruoxiang Cao, Yan Zhang, Jiarui Zheng, Sai Fan, Jiali Duan, Haiyan Zhao
{"title":"Sugar content and health risk assessment in freshly made sugary commercial beverages: A cross-sectional study.","authors":"Liyu Huang, Wenjia Li, Yan Zhang, Siyu Liang, Yiran Li, Jie Li, Lulu Meng, Ruoxiang Cao, Yan Zhang, Jiarui Zheng, Sai Fan, Jiali Duan, Haiyan Zhao","doi":"10.29063/ajrh2025/v29i8s.13","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8s.13","url":null,"abstract":"<p><p>Excessive sugar intake from beverages has become a growing concern due to its links to various health problems, such as obesity and diabetes. This study aims to evaluate the sugar content in commercial beverages and assess the associated health risks based on WHO guidelines. A cross-sectional analysis was conducted on 366 samples, where high-performance liquid chromatography was used to measure the presence of five types of sugars. The average total sugar content was 5.98 ± 3.24g/100mL, with sucrose being the most common sugar detected. Interestingly, 64.2% of the products were labeled as \"low sugar,\" but 50% exceeded the WHO's recommended daily intake of 25g per serving, and 9.8% surpassed 50g. Additionally, beverages with larger volumes (500mL) were more likely to exceed the recommended intake with potentials to increase health risks. These results highlight significant discrepancies between product labeling and actual sugar content.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8s","pages":"131-142"},"PeriodicalIF":1.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938885","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}
Xiangzhuo Wang, Hamza Iftikhar, Shafei M Hali, Umelaila Shah, Muhammad S Iqbal
{"title":"Impact of health policy reforms on telemedicine and AI integration for early cancer detection among low-income populations in South Asia: A comparative policy analysis.","authors":"Xiangzhuo Wang, Hamza Iftikhar, Shafei M Hali, Umelaila Shah, Muhammad S Iqbal","doi":"10.29063/ajrh2025/v29i8s.5","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8s.5","url":null,"abstract":"<p><p>Early cancer detection remains a major challenge in low- and middle-income countries (LMICs), where late diagnoses and unequal healthcare access are widespread. While digital innovations such as telemedicine and artificial intelligence (AI) offer significant promise, their successful adoption depends on enabling policy environments. This study investigates how health policy reforms influence the integration of telemedicine and AI tools for early cancer detection in four South Asian LMICs: India, Pakistan, Bangladesh, and Nepal. Employing a qualitative comparative case study design and guided by Walt and Gilson's Policy Triangle Framework, the research analyzes national health strategies, policy documents, and global development reports from 2010 to 2023. The analysis focuses on five thematic domains: policy integration, technological readiness, institutional capacity, regulatory frameworks, and health equity. India demonstrates the most comprehensive digital health alignment through centralized governance and public-sector AI pilots, while Pakistan shows moderate progress via public-private initiatives. Bangladesh and Nepal lag behind due to fragmented systems and infrastructural deficits. Common barriers include poor regulation, limited digital literacy, and socio economic disparities. The findings underscore the need for inclusive, equity-driven reforms and regional cooperation to scale digital health innovations sustainably across LMICs and strengthen cancer detection frameworks.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8s","pages":"43 53"},"PeriodicalIF":1.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938959","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":"Advancing cross-cultural learning in sexual and reproductive health and rights.","authors":"Friday Okonofua","doi":"10.29063/ajrh2025/v29i8s.1","DOIUrl":"10.29063/ajrh2025/v29i8s.1","url":null,"abstract":"<p><p>In June 2024, this journal announced a new policy on expanding its authorship and readership beyond the African region to all parts of the world, largely due to the need to engage a broader international audience in its discourse in reproductive health. In doing so, we argued that many events in sexual and reproductive health and rights around the world have implications for the African region, and can be used as lessons for advancing and scaling related policies and programs in the region. Reproductive health, being a universal human experience, it is important that there should be no hinderances in sharing related policies, frameworks, and practices as a human right principle as enshrined in several international recommendations.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8s","pages":"9-12"},"PeriodicalIF":1.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938831","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}
Xiangzhuo Wang, Hamza Iftikhar, Umelaila Shah, Uzair Hashmi, Muhammad S Iqbal
{"title":"Transforming reproductive healthcare in rural China: The impact of mobile health, telemedicine, and e-health innovations on family planning and maternal health services.","authors":"Xiangzhuo Wang, Hamza Iftikhar, Umelaila Shah, Uzair Hashmi, Muhammad S Iqbal","doi":"10.29063/ajrh2025/v29i8s.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8s.2","url":null,"abstract":"<p><p>This study systematically examines the impact of digital health solutions on reproductive healthcare in rural China employing a mixed-method approach, including qualitative interviews with healthcare providers and rural patients, analysis of government pilot projects, and review of digital healthcare policies. The methodology combines field interviews, policy research, and project data evaluation to provide a comprehensive picture of how mobile health, telemedicine, and electronic health are being implemented and experienced in the reproductive healthcare system of rural China. The findings indicate that mobile apps for reproductive health education, appointment scheduling, and remote consultations have improved timely access to family planning information and maternal care. The results of this study underline the importance of critical innovations that are beginning to be implemented in rural healthcare in China and the difficulties that must be resolved if scalable long-term success is to be obtained. The study concludes with policy recommendations to strengthen digital health integration in rural regions, enhance training programmes for healthcare providers, and foster public-private partnerships to expand digital services.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8s","pages":"13-21"},"PeriodicalIF":1.0,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938901","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":"Quality of maternal healthcare services in public health facilities of Addis Ababa: Documentation, prenatal and postnatal care, and key determinants of service delivery.","authors":"Sintayehu A Temesgen, Thinavhuyo R Netangaheni","doi":"10.29063/ajrh2025/v29i8.2","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8.2","url":null,"abstract":"<p><p>This study assesses the quality of maternal healthcare services in Addis Ababa, Ethiopia, focusing on documentation practices, prenatal and postnatal care, and factors influencing high-quality services. A review of 354 maternity medical records from five public hospitals and ten public health centers evaluated the completeness and consistency of maternal healthcare documentation, including patient identification, prenatal care, and postnatal care services. The findings revealed gaps in prenatal care documentation, particularly in maternal medical history, risk factors, and continuity of care. While strengths were noted in patient identification and prenatal screening, challenges remain in adhering to clinical-guidelines and ensuring continuity, especially in postnatal services. Factors such as women's education, use of electronic medical records, obstetric assessments, and adherence to clinical-guidelines significantly influenced the quality of care. The study highlights the need for improved documentation practices, enhanced provider training, and better-adherence to clinical-standards to improve maternal healthcare outcomes in Addis Ababa.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8","pages":"15-29"},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938823","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}
Samira Oudahmane-Akdader, Lynda Lakabi, Assia Kamel, Michael B Zimmermann, Hanane Kherrab, Zohra Hamouli-Said, Djamila Meskine
{"title":"Urinary iodine concentration and its associations with iodized table salt and thyroid parameters during pregnancy in Algeria.","authors":"Samira Oudahmane-Akdader, Lynda Lakabi, Assia Kamel, Michael B Zimmermann, Hanane Kherrab, Zohra Hamouli-Said, Djamila Meskine","doi":"10.29063/ajrh2025/v29i8.12","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8.12","url":null,"abstract":"<p><p>Iodine is a trace element whose adequate intakes are essential during pregnancy to promote the correct development of the fetus. Iodine excess or deficiency is the cause of several disorders associated with a rise risk of miscarriage or premature birth. The aim of our study was to assess the urinary iodine concentration (UIC) and thyroid function of pregnant women (PW) in northern Algeria. Healthy PW (n=174) were recruited from Gynecology-obstetrics service divided into three group. Spot urine and venous blood samples were collected to assess iodine status through the measurement of urinary iodine concentration, serum thyroid hormones and thyroid peroxidase antibodies concentrations. The relation between thyroid parameters and UIC was studied using correlation analysis. The median UIC values were 246.74 μg/L, 244.68 μg/L and 220,63 μg/L, in the first, second and third trimester respectively. Median TSH and FT4 concentrations were within reference ranges. Among PW, More than 70% of PW, were TPO Ab+. In northern Algeria, median UICs indicate iodine sufficiency. Monitoring of iodine fortification programs is vital to avoid both iodine deficiency and excess in Algeria.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8","pages":"123-130"},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938828","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":"How do school-going adolescents in KwaZulu-Natal perceive sexual and reproductive health and rights? A qualitative study.","authors":"Betty Lubuta, Rakgadi G Malapela","doi":"10.29063/ajrh2025/v29i8.5","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8.5","url":null,"abstract":"<p><p>Adolescents' risky sexual behaviour and increased teenage pregnancies have become a concern in sub-Saharan Africa, including KwaZulu-Natal province. This study explored school-going adolescents' perceptions of sexual reproductive health and rights in KwaZulu-Natal, South Africa. An exploratory, descriptive qualitative design was used to select 20 school-going adolescents in grades 10 to 12 using non-probability quota sampling. Individual, face-to-face, semi-structured interviews were conducted to collect data, which were thematically analysed using Braun and Clarke's six steps. The findings revealed that school-going adolescents received inadequate sexual education and information from teachers, parents, and churches, and the classroom environment was too noisy and uncontrollable to promote learning. The study recommended strategies for multi-disciplinary teams to improve the quality of sexual health information available to adolescents. This contributed to addressing the concerning issue of risky sexual behaviour and teenage pregnancies in sub-Saharan Africa, specifically within the KwaZulu-Natal province of South Africa.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8","pages":"51-59"},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938754","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":"Teaching reproductive healthcare services in public high schools in the Eastern Cape, South Africa: Experiences of school principals and professional nurses.","authors":"Nadine N Rall, Sindiwe S James","doi":"10.29063/ajrh2025/v29i8.3","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i8.3","url":null,"abstract":"<p><p>The study investigates the experiences by teachers of teaching reproductive healthcare services related modules at school to young women in developing countries. These experiences highlight the complexity of youth sexual and reproductive health problems and their negative impact on teenagers. The study focuses on understanding the experiences of school principals and professional nurses in facilitating the teaching of reproductive healthcare in public high schools, with the goal of improving knowledge and access to services for school-going teenage girls. The study was conducted in the Eastern Cape Province of South Africa. The study used qualitative research methods, including interviews with school principals, deputy principals and professional nurses. Data analysis revealed three main themes: challenges in healthcare and education systems, contextual factors influencing learner behaviour and personal factors affecting school-going teenage girls. The study emphasises the importance of skilled teachers and comprehensive training to empower educators in reproductive healthcare teaching. Ethical principles were followed during the study. In conclusion, this study identified the essential support and resources that school principals and professional nurses require to promote the teaching of reproductive healthcare to ultimately empowering school-going teenage girls to make informed decisions about their health and wellbeing.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8","pages":"30-39"},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938862","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":"Exploring health care experiences and access challenges: A qualitative study of African migrants in Guangzhou, China.","authors":"Wanqing Zheng, Sara Akram, Ruqin He","doi":"10.29063/ajrh2025/v29i8.4","DOIUrl":"10.29063/ajrh2025/v29i8.4","url":null,"abstract":"<p><p>This study analyzes the health care experiences and barriers of African migrants in Guangzhou, China, employing the Cultural Ecological Access Framework (CEAF). Using 35 participant in-depth interviews, the study describes the challenges of accessing health care as multi-dimensional: the participants faced language barriers, legal and financial discrimination, culturally inappropriate care, and lack of competent clinicians. The results explain how migrants' interactions with health providers and the services, as well as the community and policy, enable or disable their abilities to receive-and sometimes to seek-their medical needs. Support networks served participants as both a coping strategy and as an important informant to aid in navigating the health system. At the institutional and structural level, unfamiliar workflows, insufficient interpreting resources, and exclusionary health policy severely impede access. Utilizing CEAF, the study highlights how different forms of power, including culture and structural relations, bind together explaining the care of Africans in China. The findings call for inclusive and responsive African migrant health policies in China.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 8","pages":"40-50"},"PeriodicalIF":1.0,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144938732","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}