{"title":"Determinants of immediate family planning utilization among postpartum women in Northwestern Ethiopia.","authors":"Solomon A Adete, Mmusi-Rm Phetoe","doi":"10.29063/ajrh2026/v30i13.8","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i13.8","url":null,"abstract":"<p><p>Immediate postpartum family planning is the initiation of contraception within 48 hours after delivery and is a critical intervention for preventing unintended pregnancies and reducing short inter-birth intervals. Despite its importance, utilization remains low in many parts of Ethiopia. This study aimed to determine the magnitude of immediate postpartum family planning and identify its determinants among postpartum women in public health facilities of Assosa Zone, Northwestern Ethiopia. An institutional-based cross-sectional study was conducted from January to March 2022 among 564 postpartum women who gave birth in the nine months preceding the survey in selected public health facilities. Data were collected through face-to-face interviews using a structured questionnaire. Logistic regression was used to identify factors associated with immediate postpartum family planning utilization. Only 142(25.2%) postpartum women used immediate postpartum family planning services. Rural residence, being merchants, students, and daily laborers, having partner support, attending four or more antenatal care visits, receiving postnatal care services at the hospital or health centers, and receiving postpartum family planning counselling were significantly associated with higher utilization of immediate postpartum family planning services. The strongest predictors were partner support and receiving postnatal care at a health facility. The utilization of immediate postpartum family planning was low in the study area. Strengthening high quality, client-centered counselling during critical maternal care continuum periods, along with active partner involvement is essential to improve uptake and contribute to better maternal and child health outcomes.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443895","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":"It's not just virology: The Bundibugyo Ebola outbreak in the Democratic Republic of the Congo and Uganda demands a wider public health response.","authors":"Anne Baber Wallis, Friday Okonofua","doi":"10.29063/ajrh2026/v30i13.1","DOIUrl":"10.29063/ajrh2026/v30i13.1","url":null,"abstract":"<p><p>The current outbreak of Ebola disease caused by the Bundibugyo virus (species Orthoebolavirus bundibugyoense) in the Democratic Republic of the Congo (DRC) and Uganda is much more than another infectious disease emergency. It reminds us that epidemics come not only from biological pathogens but also from social inequities, environmental disruption, fragile health systems, and persistent armed conflict. While Ebola captures headlines because of its fear-provoking symptoms and high mortality, the conditions that allow it to spread receive far less attention.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443879","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}
Chenxing Li, Junguang Hou, Yan Yao, Li Zhou, Jing Chen
{"title":"Efficacy of recombinant human collagen serum for improving skin dryness and roughness in striae gravidarum: a clinical study.","authors":"Chenxing Li, Junguang Hou, Yan Yao, Li Zhou, Jing Chen","doi":"10.29063/ajrh2026/v30i13.9","DOIUrl":"10.29063/ajrh2026/v30i13.9","url":null,"abstract":"<p><p>Striae gravidarum is common after pregnancy and may be accompanied by skin dryness, roughness, and visible textural irregularity that affect quality of life. This prospective, self-controlled clinical study evaluated whether a topical recombinant human collagen serum could improve the biophysical characteristics of postpartum striae gravidarum. Twenty postpartum women with bilateral abdominal striae applied the serum twice daily to one randomly assigned abdominal side for 4 weeks, while the contralateral side served as the within-participant control. Skin elasticity, firmness, striae area, and surface roughness were assessed at baseline, week 2, and week 4 using standardized non-invasive instruments and digital image analysis. Longitudinal modeling showed greater improvement on the treated side than on the control side, particularly for elasticity, visible striae area, and surface roughness. Multivariate analysis indicated that reductions in striae area and roughness occurred in a coordinated pattern, suggesting overall structural improvement of the affected skin. The serum was well tolerated, with only mild transient erythema in two participants. These findings indicate that recombinant human collagen serum is a promising non-invasive option for improving postpartum striae gravidarum-related dryness, roughness, and skin texture.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443841","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 of live lactobacillus preparations in treating cervical inflammation and clearing viral infections in patients with HPV infection complicated by bacterial vaginosis.","authors":"Yan Cui, Xiaoping Cheng","doi":"10.29063/ajrh2026/v30i13.11","DOIUrl":"10.29063/ajrh2026/v30i13.11","url":null,"abstract":"<p><p>This study aimed to evaluate the efficacy and safety of Dingjunsheng, a live Lactobacillus preparation, as adjuvant therapy in patients with human papillomavirus (HPV) infection complicated by bacterial vaginosis (BV). A retrospective analysis was conducted on 152 eligible patients, randomly divided into two groups: the observation group (n=87) receiving standard BV antibacterial therapy plus Dingjunsheng, and the control group (n=65) who received standard BV antibacterial therapy alone. The patients were followed up for six months. Primary outcomes included HPV clearance rate and cervical cytological inflammation improvement, while secondary outcomes involved BV recurrence rate and adverse reaction incidence. The results showed that the observation group had a significantly higher HPV clearance rate (73.6% vs 53.9%) and inflammation improvement rate (90.8% vs 76.9%), as well as a lower BV recurrence rate (3.1% vs 13.9%) compared to the control group. Dingjunsheng was identified as an independent protective factor for HPV clearance (OR=2.5, 95%CI:1.3-5.1). The incidence of adverse reactions was similar between both groups. We conclude that Dingjunsheng adjuvant therapy demonstrated effectiveness in improving HPV clearance, alleviating inflammation, and reducing BV recurrence, with good safety, making it a valuable treatment strategy for these patients.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443839","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":"Evaluation of the effectiveness of multidimensional nursing interventions on post-caesarean section abdominal distension.","authors":"Li Huang, Hongfeng Zhu","doi":"10.29063/ajrh2026/v30i13.5","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i13.5","url":null,"abstract":"<p><p>To investigate the efficacy of a multidimensional nursing intervention combining Zusanli massage with psychological counselling and breathing exercises in alleviating post-caesarean section abdominal distension, 120 women who underwent caesarean section at Hefei Maternal and Child Health Hospital between September 2025 and March 2026 were selected as the study subjects. Participants were divided into a control group (n=52) and an study group (n=68) based on the nursing intervention protocols they actually received postoperatively. Data were collected and compared regarding the incidence of abdominal distension, indicators of gastrointestinal function recovery, postoperative pain levels, anxiety and depression status, and postoperative complications. The results showed that the incidence of postoperative abdominal distension, pain scores and anxiety and depression scores were all significantly lower in the study group than in the control group. The time taken for bowel sounds to return, flatus passage and bowel movement were all significantly shorter in the study group than in the control group, and the incidence of complications showed a downward trend. This indicates that multidimensional nursing interventions can effectively alleviate postoperative abdominal distension following caesarean section, promote gastrointestinal function and physical and mental recovery, and have positive implications for improving the quality of postpartum maternal rehabilitation.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443854","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":"Assessment of Kenyan pregnant women's tolerance to adverse effects of iron and folic acid supplementation: A retrospective study.","authors":"Shadrack O Oiye, Margaret Juma, Gilbert O Dachi","doi":"10.29063/ajrh2026/v30i13.6","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i13.6","url":null,"abstract":"<p><p>Iron and folic acid supplementation is a maternal and fetal health imperative. This study introduced an examination of antenatal tolerance to the adverse effects of the supplements, defined as persisting with supplementation for a longer duration than the group mean. Multiple logistic regression modeled tolerance against maternal and supplement-related factors. The number of adverse effects experienced was not associated with tolerance [p=0.14, adjusted odds ratio (aOR): 0.8 (0.6-3.4)], but counseling on adverse effects was associated with it [p=0.01, aOR: 3.0 (1.3-7.1)]. Nausea (an important side effect as identified by previous compliance analyses), constipation, and black stool (newly identified) were the only distresses significantly associated with the tolerance ([p=0.02, aOR: 4.4 (1.3-14.9)]; [p=0.03, aOR: 2.1 (1.1-4.3)]; and [p=0.047, OR: 4.2 (0.9-19.2)], respectively). Tolerance analysis presented can identify additional pertinent context-specific adverse effects. Intensified counseling on the effects to improve the tolerance and compliance to antenatal iron and folic acid supplementation should be encouraged and supported.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443920","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":"Determinants of adolescent deaths in China.","authors":"Jin Wang","doi":"10.29063/ajrh2026/v30i13.3","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i13.3","url":null,"abstract":"<p><p>This study examined the determinants of adolescent deaths in China, focusing on the period from 2000 to 2022. The objective is to analyze the relationship between health expenditure, GDP per capita, urbanization, and injury related mortality with adolescent mortality rate. The study employed secondary data sourced from the World Development Indicators (WDI) and the Global Burden of Disease (GBD) database. The graphical trend analysis revealed a persistent decline in adolescent deaths over the study period, corresponding with rising health expenditure and economic growth. However, injury-related deaths made up a significant percentage of adolescent deaths in the early years of the study period, before steadily decreasing in subsequent years. Evidence indicates that macroeconomic advancements and increased healthcare expenditure have significantly mitigated adolescent mortality, injury-related incidents persist as a primary structural determinant of death within this demographic. The study emphasizes the need of persistent health funding, enhanced safety protocols, and targeted injury prevention programs to further mitigate adolescent deaths rate in China.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443849","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":"Workplace lactation support, policy awareness, and breastfeeding outcomes among clean room employees in Taiwan's electronics industry - A cross-sectional study.","authors":"Su-Ying Tsai","doi":"10.29063/ajrh2026/v30i13.10","DOIUrl":"10.29063/ajrh2026/v30i13.10","url":null,"abstract":"<p><p>While breastfeeding-friendly policies aim to support employed mothers, limited research has examined how specific work environments, such as clean rooms, affect breastfeeding behavior. This study examined how clean room work affects breastfeeding behavior among 608 employed mothers in a Taiwanese electronics company. Data were collected on demographic and employment characteristics, breastfeeding behavior, awareness and use of lactation rooms, and perceptions of breastfeeding-related policies and support. Despite access to certified lactation rooms, clean room workers had lower breastfeeding continuation rates, less awareness and use of policies and facilities, and perceived less workplace support. Mothers in clean rooms with shift work had the highest breastfeeding discontinuation rate and lowest continued breastfeeding beyond six months. Regression analysis showed clean room work was linked to early breastfeeding cessation and reduced policy engagement. Findings suggest that beyond providing facilities, workplaces must address structural and social barriers in controlled environments to better support breastfeeding mothers.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443843","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":"Educational inequality and reproductive autonomy among female students in China: The mediating role of educational attainment in the context of urban-rural disparities.","authors":"Guohong He","doi":"10.29063/ajrh2026/v30i13.12","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i13.12","url":null,"abstract":"<p><p>Urban-rural educational inequality remains a major structural challenge in China, yet its implications for young women's reproductive autonomy remain underexplored. This study examined the relationships among educational resource accessibility, perceived educational opportunity equality, school support environment, educational attainment, and reproductive autonomy among female students in China, with educational attainment modeled as a mediator. A cross-sectional quantitative survey was conducted among female students aged 15-24 from selected secondary, vocational, and higher education institutions in Gansu, Henan, and Jiangsu provinces of China. A total of 674 valid responses were analyzed using Structural Equation Modeling. The results showed that educational resource accessibility, perceived educational opportunity equality, and school support environment all positively predicted educational attainment. Educational attainment, in turn, positively predicted reproductive autonomy. The three educational antecedents also had significant direct effects on reproductive autonomy. In addition, educational attainment significantly mediated the relationships between each educational antecedent and reproductive autonomy. These findings suggest that female students' reproductive autonomy is shaped not only by health-related factors but also by educational conditions and academic development. We conclude that, in the context of urban-rural disparities, promoting reproductive autonomy among young women therefore requires greater attention to educational equity, supportive school environments, and the strengthening of students' educational progress.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443868","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}
Okoko O Joséphine, Imani Rb Eradi, Léon C N Ngandu, Marie C O Ohambe
{"title":"Determinants of maternal mortality in the Province of Maniema, Democratic Republic of the Congo.","authors":"Okoko O Joséphine, Imani Rb Eradi, Léon C N Ngandu, Marie C O Ohambe","doi":"10.29063/ajrh2026/v30i13.2","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i13.2","url":null,"abstract":"<p><p>Maternal mortality remains a major public health problem in the Democratic Republic of the Congo. This case-control study, conducted in four health zones of the province of Maniema, aimed to identify the independent determinants of maternal death. A total of 197 maternal death cases were matched with 394 controls (surviving women). Multivariate analysis showed that lack of attendance at antenatal care visits, non-use of the partograph, receiving antenatal consultations in community health centers, as well as delivery in these facilities, were significant risk factors for maternal mortality. In contrast, the age group of 18 to 34 years, absence of delay in decision-making, and good knowledge of obstetric danger signs were protective factors. The main direct causes of death were hemorrhage, complicated abortions, and anemia. These results highlight the need to strengthen the quality of antenatal and obstetric care, as well as community-based interventions.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 13","pages":"15-24"},"PeriodicalIF":1.0,"publicationDate":"2026-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148443897","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}