African journal of reproductive health最新文献

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Two decades of women's sexual and reproductive health and rights in Nigeria: Successes, challenges, and opportunities.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.3
Ajoke E Ogedegbe, Oluwafemi Adeagbo, Brenda M Yankam, Oluwaseun Badru, Muktar A Gadanya, Luchuo E Bain
{"title":"Two decades of women's sexual and reproductive health and rights in Nigeria: Successes, challenges, and opportunities.","authors":"Ajoke E Ogedegbe, Oluwafemi Adeagbo, Brenda M Yankam, Oluwaseun Badru, Muktar A Gadanya, Luchuo E Bain","doi":"10.29063/ajrh2025/v29i1.3","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.3","url":null,"abstract":"<p><p>With over 200 million people, 50% of Nigeria's population comprises women of reproductive age (15-49 years), making Sexual Reproductive Health and Rights (SRHR) invaluable in achieving SDGs 3 and 5 on health and well-being and gender equality, respectively. Although Nigeria's reproductive health indices have improved over the past two decades, some critical gaps must be closed. We examined SRHR trends in Nigeria using the Nigerian DHS data sets spanning 2003-2018. Key indicators examined included contraceptive prevalence, skilled assistance during delivery, child marriage, and female genital mutilation prevalence. Reducing maternal mortality rates, closing the quality and availability data gaps, equitably increasing the needed healthcare workforce, and systematically integrating a gender lens into programming remain key priority areas for action. Implementation research through gender transformative approaches is highly relevant in identifying, testing, and scaling effective and culturally appropriate interventions.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"25-37"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121846","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
Stigma experience of female infertility patients in China: A phenomenological study.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.4
Liling Jiang, Lili Xiao, Yuan Zhong
{"title":"Stigma experience of female infertility patients in China: A phenomenological study.","authors":"Liling Jiang, Lili Xiao, Yuan Zhong","doi":"10.29063/ajrh2025/v29i1.4","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.4","url":null,"abstract":"<p><p>Stigma is a psychological issue prevalent among patients with infertility. We employed qualitative research methods to explore the experiences of Chinese women with infertility-related stigma in the context of their cultural environment. We selected twelve participants who underwent infertility treatment at The First Affiliated Hospital of Gannan Medical University between March and April of 2024. Data collection involved semi-structured in-depth interviews, which we analyzed using Colaizzi's phenomenological seven-step analysis method. We identified ten subthemes across three main themes: emotional responses to stigma (anxiety, guilt, and feelings of inferiority), sources of stigma (self-stigma, family stigma, and societal stigma), and coping strategies (concealment, social withdrawal, spousal support, and optimistic coping). These findings highlight the pervasive effects of the stigma experienced by female patients with infertility in China. Targeted interventions should be developed to address and alleviate stigma and associated challenges for these patients.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"38-45"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187607","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
Factors influencing access and utilization of sexual and reproductive health services by adolescents in Namibia: Insights from nurses.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.11
Daniel O Ashipala, Vaja Katjimune
{"title":"Factors influencing access and utilization of sexual and reproductive health services by adolescents in Namibia: Insights from nurses.","authors":"Daniel O Ashipala, Vaja Katjimune","doi":"10.29063/ajrh2025/v29i1.11","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.11","url":null,"abstract":"<p><p>The use of sexual and reproductive health (SRH) services by adolescents needs urgent attention worldwide, with a view to improving their health and wellbeing. The aim of the study is to examine and describe the factors that influence the access to, and utilisation of, SRH services by adolescents in primary healthcare facilities in Rundu District, Kavango East Region, Namibia. A qualitative approach with an explorative strategy was used, with data collected via semi-structured interviews. A convenience sampling technique was used to select 15 nurse respondents. Each interview was audio-recorded before being transcribed verbatim, and thematic analysis was used to analyse the data. Two themes emerged: factors influencing access to, and utilisation of, SRH services; and strategies to improve the access to, and utilisation of, SRH services among adolescents. The study's findings showed that the factors include a lack of comprehensive SRH services in many healthcare facilities; cultural factors; distance to health facility; insufficient information about the services provided; stigma; nurses' attitudes; and lack of privacy. The results from this study could assist the Ministry of Health and Social Services and its stakeholders to create strategies to address the factors influencing access to, and utilisation of, SRH services.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"109-117"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187603","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
Where are the "rights" in SRHR?
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.1
Friday Okonofua
{"title":"Where are the \"rights\" in SRHR?","authors":"Friday Okonofua","doi":"10.29063/ajrh2025/v29i1.1","DOIUrl":"10.29063/ajrh2025/v29i1.1","url":null,"abstract":"<p><p>The impetus to write this editorial came from a commentary written by the late Professor Jonathan Mann and Deborah Maine in 19851 , the mentors and advocates of this journal, when they asked the question \"where is the M in MCH?\" That editorial arose from the global tendency at the time to ignore programming and policies on maternal health but rather to concentrate on child health despite the global joint composition of maternal and child health as a critical determinant outcome. The editorial led to the re-ordering of policies, research, and programs to focus on maternal health, especially in low-income countries where the paradigm had been largely exclusive.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"11-14"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143121847","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
The effects of long-term low-dose aspirin on coagulation function in gynaecological patients with co-existing chronic periodontitis.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.16
Xi Lu, Jie Miao, Neng Shi, Chaosheng Lin, Hongmei Yu, Xun Hu, Yi Shen
{"title":"The effects of long-term low-dose aspirin on coagulation function in gynaecological patients with co-existing chronic periodontitis.","authors":"Xi Lu, Jie Miao, Neng Shi, Chaosheng Lin, Hongmei Yu, Xun Hu, Yi Shen","doi":"10.29063/ajrh2025/v29i1.16","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.16","url":null,"abstract":"<p><p>This study investigates the safety of non-surgical periodontal treatment during long-term low-dose aspirin therapy in patients with chronic periodontitis and gynaecological conditions, focusing on bleeding risk and coagulation function. Patients received low-dose aspirin (100 mg/d) and were divided into a medication continuation group (observation) and a cessation group (control), with 41 patients each. Key periodontal parameters (plaque index, probing depth, attachment loss) and coagulation indices (activated partial thromboplastin time, prothrombin time, thrombin time, prothrombin activity) were assessed post-treatment. Results showed no significant difference in coagulation indices and bleeding scores between the groups (P > 0.05). Grade 3 bleeding incidents were slightly higher in the observation group but not statistically significant. The observation group's maximum platelet aggregation rate was significantly lower (P < 0.0001), with no significant differences in activated partial thromboplastin time, prothrombin time, thrombin time, or prothrombin activity. The findings suggest that non-surgical periodontal treatment is safe for these patients under long-term low-dose aspirin therapy, with limited increased bleeding risk.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"153-159"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187628","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
Dezocine versus esketamine as postoperative analgesia in women undergoing cesarean section.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.13
Wei Qiao, Xiaoxiao Zhang
{"title":"Dezocine versus esketamine as postoperative analgesia in women undergoing cesarean section.","authors":"Wei Qiao, Xiaoxiao Zhang","doi":"10.29063/ajrh2025/v29i1.13","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.13","url":null,"abstract":"<p><p>The objective of this was to investigate the effect of esketamine as a postoperative analgesia in women undergoing caesarean section. A total of 134 patients were divided into two groups: 112 received esketamine and 22 received dezocine, based on their voluntary choice of analgesic drugs for patient-controlled intravenous analgesia (PCIA). The postoperative analgesic effects were compared between the two groups. The results showed that the visual analogue scale (VAS) scores at 12 and 24 hours post-operation were significantly lower in the esketamine group than in the dezocine group (P<0.05). Additionally, the time to first anal exhaust was earlier in the esketamine group (P<0.05), while there were no significant differences in the time to first ambulation or urination between the two groups (P>0.05). There was no significant difference in adverse reactions between the groups (P>0.05). The Edinburgh postnatal depression scale (EPDS) scores at 1 and 3 days after surgery were significantly higher than the preoperative scores in both groups (P<0.05); however, the EPDS scores were significantly lower in the esketamine group compared to the Dezocine group (P<0.05). We conclude that esketamine provides effective postoperative pain relief in women undergoing caesarean section patients without increasing adverse reactions, while it promotes recovery and reduces postpartum depression.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"127-133"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188051","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 COVID-19 on traumatic stress and psychological health: A qualitative exploratory study.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.9
Sara Akram, Humera Amin, Muhammad S Alam, Sarwar Khawaja, Muhammad Imran, Anum Obaid, Rashid Iqbal
{"title":"Effects of COVID-19 on traumatic stress and psychological health: A qualitative exploratory study.","authors":"Sara Akram, Humera Amin, Muhammad S Alam, Sarwar Khawaja, Muhammad Imran, Anum Obaid, Rashid Iqbal","doi":"10.29063/ajrh2025/v29i1.9","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.9","url":null,"abstract":"<p><p>The physical and mental health of the general people was seriously endangered by the advent of coronavirus pandemic (COVID-19). The purpose of this study was to assess the psychological well-being of people during the pandemic using stressors related to COVID-19 that produce dread, obsessions, and anxiety, ultimately leading to a scenario of collective trauma. This study adopted a qualitative methodology that focuses on a thorough justification of the events. It made use of a focused ethnographic design, a kind of ethnography that gathers information about a particular social phenomenon in a specific cultural setting from a variety of sources. Statistics were gathered in the Pakistani province of Punjab city of Faisalabad. We used the purposive random selection strategy to pick our interlocutors. 321 in-depth interviews and three online focus groups were done by us (FGDs). Although qualitative data was sorted into themes for additional research analysis, quantitative data was run via Excel to produce frequency distribution. It was investigated how trauma stresses might cause emotional discomfort such as boredom, loneliness propensity, future anxiety, and financial instability. Social media's COVID-19-related impact on mental and psychological health was detrimental. Using the explorative study approach, all these trauma determinants are investigated.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"87-99"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188077","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
The questionnaire for the detection of invisible violence against women: Turkish validity and reliability study. 用于发现针对妇女的隐形暴力的调查问卷:土耳其有效性和可靠性研究。
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.15
Tuğçe Sönmez, Serap E Apay, Adnan Taşgin
{"title":"The questionnaire for the detection of invisible violence against women: Turkish validity and reliability study.","authors":"Tuğçe Sönmez, Serap E Apay, Adnan Taşgin","doi":"10.29063/ajrh2025/v29i1.15","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.15","url":null,"abstract":"<p><p>This study aims to determine the Turkish validity and reliability of the questionnaire for the detection of invisible violence against women. This methodological study was conducted online with 221 single women with an intimate partner and 277 married women. The scale was confirmed that the 23-item scale had 5 sub-scales. Fit indices were found χ2/sd=2.202, TLI=.900, RMSEA=.074, SRMR =.0571, AGFI=.800, GFI=.850, IFI=.903, CFI=.902 and df= 214 in single women who had an intimate partner. Fit indices were found χ2/sd=2.212, TLI=.901, RMSEA=.066, SRMR=.0582, AGFI=.827, GFI=.864, IFI=.916, CFI=.915 and df=216 in married women. The scale Cronbach's alpha coefficient was found to be 0.93 for the whole scale. And also the reliability of scale showed that it has excellent Cronbach's alpha coefficient of 0.84, 0.83, 0.86, 0.74 and 0.72 for the subscales of crisis, utilitarian, coercive, ambivalent and benevolent sexist behaviors respectively. The Turkish version of the questionnaire for the detection of invisible violence against women is a valid and reliable measurement tool for married/single women who have an intimate partner.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"144-152"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187639","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
Awareness and attitudes of pregnant women regarding endocrine disruptors.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.6
Mukaddes T Miral, Elif Koç
{"title":"Awareness and attitudes of pregnant women regarding endocrine disruptors.","authors":"Mukaddes T Miral, Elif Koç","doi":"10.29063/ajrh2025/v29i1.6","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.6","url":null,"abstract":"<p><p>This study aims assessment of the level of knowledge and attitudes of pregnant women regarding endocrine disruptors. This cross-sectional, descriptive study was carried out in the antenatal clinic of a hospital in Istanbul between January 25, 2023, and March 3, 2023. The study sample consisted of 350 pregnant women. The data collection tools were a Personal Data Form, an Endocrine Disruptors Awareness Test, and an Endocrine Disruptors Attitude Scale. The rate of women reporting that they received no education on endocrine disruptors is 99.7%. The average score for the Endocrine Disruptors Awareness Test was 9.15±3.19, and for the Endocrine Disruptors Attitude Scale was 73.26±8.51. There was a moderate positive correlation between the scores of the Endocrine Disruptors Awareness Test and the Endocrine Disruptors Attitude Scale (r= .52, p< .01). In conclusion, it is believed that pregnant women may be aware of toxic substances in their environment but may not recognise them as endocrine disruptors. It is recommended that the topic of endocrine disruptors be added to antenatal education.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"59-69"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143187992","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
An exploratory study on midwives' fear of childbirth in Türkiye.
IF 0.7 4区 医学
African journal of reproductive health Pub Date : 2025-01-31 DOI: 10.29063/ajrh2025/v29i1.8
Esra Sarı, Joeri Vermeulen
{"title":"An exploratory study on midwives' fear of childbirth in Türkiye.","authors":"Esra Sarı, Joeri Vermeulen","doi":"10.29063/ajrh2025/v29i1.8","DOIUrl":"https://doi.org/10.29063/ajrh2025/v29i1.8","url":null,"abstract":"<p><p>This study examines Fear of Childbirth (FoC) among pregnant midwives in Türkiye using the Wijma Delivery Expectancy/Experience Questionnaire-Version A (W-DEQ A). A cross-sectional design was employed, including 270 healthy pregnant midwives in their 28th to 40th gestational weeks, who were employed in healthcare and had internet and social media access. Data were gathered through social media between platforms February and July 2023 using the Participant Introduction Form and W-DEQ A, and analyzed with SPSS 25.0 (p<0.05).The mean W-DEQ A score was 78.70 (±26.59), indicating severe FoC, with 53.3% experiencing clinically significant levels. FoC scores were higher among midwives working in labor and gynecology units compared to postnatal wards (p<0.05). Positive correlations were identified between FoC and variables such as age, midwifery experience, and perceived labor pain severity. These findings underscore the influence of professional settings on FoC, emphasizing the need for targeted support and training to improve outcomes.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"29 1","pages":"77-86"},"PeriodicalIF":0.7,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143188044","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
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