1,080 results match your criteria African Journal of Reproductive Health [Journal]


Might Reinfibulation be Medically Plausible in Carefully Screened Cases?

Afr J Reprod Health 2020 Mar;24(1):165-181

Department of Legal Medicine & Toxicology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, University Campus, 54124 Thessaloniki, Greece.

In light of the relational account of autonomy and the modern (holistic and phenomenological) account of health, this paper examines ethical justifications for ̳consensual' reinfibulation. Significant and constant discomfort in the body following deinfibulation might make a case for reinfibulation (considered as medical treatment in the traditional sense of the term). In any other case, the following requirements should be met for reinfibulation to be considered medically plausible: a) strong evidence that reinfibulation could help effectively improve woman's relational well-being, b) insignificant complications are expected, c) congruence between first-order and second-order autonomy or -in the context of political liberalism- strong second-order autonomy, d) an -open door‖ for the woman to exit an oppressive context, e) rigorous scrutiny of woman's psychology, and f) woman's practical wisdom to organize her identity-related values, find a balance between her extreme emotions and realize her own goal of meaningful life in accordance with her own conception of the good. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.17DOI Listing

Improving Adolescent Access to Contraception in Sub-Saharan Africa: A Review of the Evidence.

Authors:
Julia Smith

Afr J Reprod Health 2020 Mar;24(1):152-164

Faculty of Health Sciences, Simon Fraser University, Canada; Health Economics and HIV/AIDS Research Division, University of KwaZulu-Natal, South Africa.

Global commitments to and support for sexual and reproductive health (SRH) have increased over the past 10 years. Adolescent access to contraception has emerged as a crucial area of focus within this agenda, particularly in sub-Saharan Africa (SSA), where there is the greatest unmet need for contraception. Yet there is little synthesized knowledge around adolescents' use and knowledge of, and access to contraception in SSA. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.16DOI Listing

Factors Associated with Choice of Non-Facility Delivery among Women Attending Antenatal Care in Bali Local Government Area of Taraba State, North-Eastern Nigeria.

Afr J Reprod Health 2020 Mar;24(1):143-151

Department of Community Health and Primary Care, College of Medicine, University of Lagos.

One intervention that is widely believed to reduce the high maternal mortality in resource-poor countries including Nigeria is delivery in health facilities under skilled birth attendance. However, the practice of non-facility delivery is still common in these countries. Curiously, women who attend ANC in health facilities are also among those who choose to deliver in a non-facility. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.15DOI Listing

Contraceptive Use in Nigeria: Does Social Context Matter?

Afr J Reprod Health 2020 Mar;24(1):133-142

Department of Sociology and Anthropology, University of Uyo, Uyo, Nigeria.

Contraceptive use in Nigeria has remained low despite the efforts of government and non-governmental agencies to increase its uptake. Most studies on contraceptive use have focused on individual-level determinants and evidence is sparse on the influence of social or community context. This study examines the influences of contextual factors on modern contraceptive use in Nigeria. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.14DOI Listing

Knowledge of Obstetric and Neonatal Danger Signs among Community Health Workers in the Rongo Sub-County of Migori County, Kenya: Results of a Community-based Cross-Sectional Survey.

Afr J Reprod Health 2020 Mar;24(1):121-132

Vanderbilt Institute for Global Health, Department of Pediatrics, 2525 West End Avenue Suite 750, Nashville, TN 37203.

In efforts to reduce maternal and neonatal mortality, it is recommended that all pregnant women be counseled on signs of pregnancy related complications and neonatal illness. In resource limited settings, such counselling may be task-shifted to lay health workers. We conducted a community-based cross-sectional survey of community health workers/volunteers in North and East Kamagambo of the Rongo Sub- County of Migori County, Kenya, between January-April 2018. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.13DOI Listing

Fertility after Endoscopic Surgery for Ectopic Pregnancy Management in Point "G" Teaching Hospital, Bamako-Mali.

Afr J Reprod Health 2020 Mar;24(1):115-120

Surgery and endoscopic department of Point "G" Teaching Hospital, Bamako.

Endoscopic surgery of ectopic pregnancy is actually the gold standard for the management of fallopian tubal diseases. A survey was conducted to evaluate fertility in patients who underwent endoscopic management for ectopic pregnancy. A retrospective study was conducted at the department of general and endoscopic surgery of the Point "G" teaching hospital, in Bamako, Mali, from January 1st 2007 to December 31, 2016. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.12DOI Listing

Challenges Related to the Structure of the Choice on Termination of Pregnancy Services in Public Health Facilities in the Tshwane District of Gauteng.

Afr J Reprod Health 2020 Mar;24(1):106-114

Department of Nursing Sciences, Faculty of Health Sciences, University of Pretoria.

In 1997 South Africa legalised termination of pregnancy services for all women living within the country. It is now more than a decade since Choice on Termination of Pregnancy (CTOP) services have been implemented however, the state of the infrastructure of CTOP services in public health facilities is a cause for concern. The assessment of the quality of CTOP services in public health facilities has been seriously neglected. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.11DOI Listing

Determinants of Maternal Health Services Use among Vulnerable Women in a Rural Community in the Moroccan High Atlas.

Afr J Reprod Health 2020 Mar;24(1):97-105

Human Ecology Laboratory, Biology Department, Science Faculty Semlalia, Cadi Ayyad University, Marrakech, Morocco.

Several factors affect the use of maternal health care services in developing countries. The aim was to describe the knowledge and attitudes of women in a rural area of the Moroccan High Atlas regarding aspects of maternal health, and to identify the determinants of use of maternal health care services. A cross-sectional study of 87 participants was conducted in a mountainous area near Marrakech utilizing two sampling methods (a door-to-door approach, and a mobile health caravan). Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.10DOI Listing

Sexual and Reproductive Health Needs and Problems of Internally Displaced Adolescents (IDAs) in Borno State, Nigeria: A Mixed Method Approach.

Afr J Reprod Health 2020 Mar;24(1):87-96

Department of Statistics, University of Nigeria, Nsukka.

Insurgency in the Northeastern Nigeria has left millions of adolescents internally displaced, with deplorable living conditions that affect adolescents' sexual and reproductive health (SRH). The aim of the study was to identify SRH needs and problems of Internally Displaced Adolescents (IDAs) and ways of improving their SRH. The study used cross-sectional design. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.9DOI Listing

Association between Non-Competitive Physical Exercise and Menstrual Disorders.

Afr J Reprod Health 2020 Mar;24(1):81-86

Department of Nursing, University of Jaén, Campus de Las Lagunillas s/n, 23071 Jaén, Spain.

Menstrual disorders are highly prevalent and generate discomfort, anxiety, and more gynecological visits. There has been an increase in the practice of physical exercise among the general population. This study determined the association between physical exercise and menstrual disorders. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.8DOI Listing

Women's Land Rights and Maternal Healthcare in Southwestern Uganda: Exploring the Implications of Women's Decision-Making Regarding Sale and Use of Land on Access to Maternal Healthcare.

Afr J Reprod Health 2020 Mar;24(1):62-80

School of Nursing, University of Virginia, USA.

Most traditional land tenure practices among developing economies are opposed to protecting and promoting women's land ownership rights. In Uganda, land tenure practices are largely customary and patriarchal in nature, in most communities women's land tenure security is dependent on marriage. This paper builds a body of evidence on how gender biased land tenure negatively affects maternal healthcare decision-making for family planning, antenatal care services and skilled care during childbirth. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.7DOI Listing

Investigating the Nexus between Gynaecologic Cancer and Human Development Index.

Afr J Reprod Health 2020 Mar;24(1):53-61

Institute of Business studies and Leadership, Faculty of Business and Economics, Abdul Wali Khan University, Mardan Pakistan.

This study aimed to describe the current incidence and mortality rates of gynecologic cancer and their association with socio- economic development. The data for the age-standardized incidence rate (ASRI) and age-standardized mortality rate (ASRM) were acquired from the GLOBOCAN-2012 database. Human Development Index (HDI) data were obtained from the 2015- Human Development Report. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.6DOI Listing

Young Adult Sexual Behavior in South Africa: How Important is Parental Social Support?

Afr J Reprod Health 2020 Mar;24(1):35-52

Harvard T.H. Chan School of Public Health, Department of Social and Behavioral Sciences, Boston, USA.

Risky sexual behavior exposes young adults to poor reproductive health outcomes. Parental social support is associated with reduced incidence of risky sexual behavior, but this association has not been adequately investigated in South Africa. We used data from Waves 1 and 3 of the Cape Area Panel Study (a longitudinal study of adolescents and young adults aged 14-22 years and living in the Cape Town metropolitan area) to investigate the associations between parental social support and young adult risky sexual behavior in South Africa. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.5DOI Listing

The State of Maternal and Infant Health and Mortality in Chad.

Afr J Reprod Health 2020 Mar;24(1):26-34

Department of Public Policy and Administration, Yeungnam University, Daegu, Korea.

The level of Chad's government expenditure on health is a predictor of the general health of the population and, consequently, life expectancy. We used data from the World Bank's World Development Indicators and publications from the World Health Organization to assess the state of maternal and infant health and mortality. The primary objective of this research was to investigate whether Chad had reduced the risk of maternal and infant mortality after signing the Abuja Declaration in 2001. Read More

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http://dx.doi.org/10.29063/ajrh2020/v24i1.4DOI Listing

A Research Agenda on the Sexual and Reproductive Health Dimensions of the COVID-19 Pandemic in Africa.

Authors:
Babatunde Ahonsi

Afr J Reprod Health 2020 Mar;24(1):22-25

Resident Representative, United Nations Population Fund (China) and Country Director (Mongolia), and Assistant Editor, African Journal of Reproductive Health.

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http://dx.doi.org/10.29063/ajrh2020/v24i1.3DOI Listing

Lessons from the USA Delayed Response to the COVID-19 Pandemic.

Authors:
Joseph A Balogun

Afr J Reprod Health 2020 Mar;24(1):14-21

Distinguished University Professor, College of Health Sciences, Chicago State University, Chicago, USA, and Emeritus Professor of Physiotherapy at the University of Medical Sciences, Ondo City, Nigeria.

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http://dx.doi.org/10.29063/ajrh2020/v24i1.2DOI Listing

COVID-19: Perspectives and Reflections from Africa.

Afr J Reprod Health 2020 Mar;24(1):10-13

Editor of the African Journal of Reproductive Health.

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http://dx.doi.org/10.29063/ajrh2020/v24i1.1DOI Listing

Advantages of Peritoneal Closure at the Time of Cesarean Section.

Afr J Reprod Health 2019 Dec;23(4):129-131

University of Verona, Italy.

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http://dx.doi.org/10.29063/ajrh2019/v23i4.15DOI Listing
December 2019

Case Report: Traumatic Incomplete Fracture of an Implanon NXT® Contraceptive Implant.

Afr J Reprod Health 2019 Dec;23(4):124-128

Botswana-UPenn Partnership, Gaborone, Botswana.

The etonogestrel (ENG) subdermal contraceptive implant (Implanon NXT®) is a safe and highly effective method of contraception which is increasing in popularity globally. This case report describes a 26-year-old woman who requested removal of the Implanon NXT® contraceptive implant. She reported that her implant had bent following direct trauma. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.14DOI Listing
December 2019

A Review of the Conceptual Issues, Social Epidemiology, Prevention and Control Efforts Relating to Rape in Nigeria.

Afr J Reprod Health 2019 Dec;23(4):108-123

Nigeria; Department of Private and Property Law, Faculty of Law, University of Ibadan, Nigeria.

Rape is an endemic criminal sexual behaviour in Nigeria and its perpetration not only violates survivors' dignity but also compromises their health and wellbeing. The rape-related data used in this traditional literature review are derived mainly from small-scale surveys conducted in Nigeria. The deviant behaviour could be perpetrated against both males and females of various socio-demographic characteristics; however, it is young females that are disproportionately more affected. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.13DOI Listing
December 2019

Plants Used as Abortifacients and Contraceptives in Some Communities on the Fringes of Subri River Forest Reserve in Ghana.

Afr J Reprod Health 2019 Dec;23(4):92-98

Department of Environmental Science, School of Biological Sciences, University of Cape Coast, Ghana.

Ethnobotanical survey was undertaken in four communities located on the fringes of the Subri River Forest Reserve in the Mpohor Wassa East District of the Western Region, Ghana. Twelve informants, three each from the four communities were called upon to assist with collection of data. The informants who include community leaders, herbalists and traditional birth attendants assisted in field expeditions. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.11DOI Listing
December 2019

Evaluation of the Krio Language Version of the London Measure of Unplanned Pregnancy in Western Area, Sierra Leone.

Afr J Reprod Health 2019 Dec;23(4):81-91

EGA Institute for Women's Health, University College London, Medical School Building, 74 Huntley Street, London, WC1E 6AU, United Kingdom.

New ways of measuring pregnancy planning/intention such as the London Measure of Unplanned Pregnancy (LMUP), which recognise the complexity of the construct, are being adopted worldwide. The aim of this study was to evaluate the psychometric properties of the Krio version of the LMUP in Sierra Leone. An interviewer-administered version of the LMUP was translated into Krio and pre-tested with 12 pregnant women. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.10DOI Listing
December 2019

Exploring Knowledge, Attitudes and Practices Regarding the Intrauterine Contraceptive Device (IUD) among Family Planning Acceptors in Windhoek, Khomas Region, Namibia.

Afr J Reprod Health 2019 Dec;23(4):75-80

University of Namibia, School of Nursing, Windhoek.

The intrauterine contraceptive device (IUD) is one of the contraceptive methods that are under-utilized in many African countries, including Namibia. The aim of this study was to explore and describe knowledge, attitudes and practices regarding the IUD among family planning (FP) acceptors in Khomas Region, Namibia. A non-experimental, quantitative, exploratory, descriptive study was conducted at nine health facilities in Windhoek. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.9DOI Listing
December 2019

Qualitative Exploration of factors affecting Uptake and Demand for Contraception and other Family Planning Services in North-West Nigeria.

Afr J Reprod Health 2019 Dec;23(4):63-74

Association for Reproductive and Family Health.

In spite of the improvements in knowledge about family planning (FP), the contraceptive prevalence rate and unmet need for FP remain poor in most parts of Northern Nigeria. This study sought to explore specific factors that influence contraceptive uptake and demand in North-West Nigeria. Key Informant and In-depth Interviews were conducted using guides among stakeholders in two selected states in North-West Nigeria, Kebbi and Sokoto States. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.8DOI Listing
December 2019

Assessment of Serological Markers of Genital Chlamydia trachomatis Infection Among the Gynaecology Patients attending Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.

Afr J Reprod Health 2019 Dec;23(4):54-62

Department of Medical Microbiology, Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.

Genital Chlamydia trachomatis infection causes significant morbidity and mortality in women. A number of epidemiologic studies have suggested that Polymerase Chain Reaction (PCR) is more accurate as a diagnostic tool for Chlamydia trachomatis. However, the use of serological markers may be cost effective and practical in diagnosing and estimating the burden of the disease in resource limited countries. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.7DOI Listing
December 2019

Sexual Practices among Senior Students in Private Secondary Schools in Uyo, Southern Nigeria.

Afr J Reprod Health 2019 Dec;23(4):46-53

Department of Community Health, University of Uyo Teaching Hospital, Uyo, Nigeria.

Sexual practices of adolescents have enormous consequences on their health and career outcome. The objective of this study was to assess the sexual practices among senior secondary students in private schools in Uyo, Nigeria. This was a descriptive crosssectional study. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.6DOI Listing
December 2019

Government Ownership and Adaptation in Scale-Up: Experiences from Community-Based Family Planning Programme in the Democratic Republic of the Congo.

Afr J Reprod Health 2019 Dec;23(4):35-45

Ministry of Health, DRC.

A systematic approach to scale-up was applied to expand an integrated package of family planning and primary healthcare services from the Democratic Republic of the Congo's South Kivu province to health zones in Lomami, Lualaba, and Kasai Central provinces. This approach was based on recommendations from the ExpandNet/WHO guide Beginning with the end in mind. The approach emphasized application of three recommendations: engaging government stakeholders, ensuring the relevance of the intervention, and tailoring the innovation to the setting. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.5DOI Listing
December 2019

Experiences of HIV-Infected Mothers Regarding Exclusive Breast-Feeding in the First Six Months of the Infant's Life in Mangaung, South Africa.

Afr J Reprod Health 2019 Dec;23(4):27-34

Department of Health Studies, University of South Africa.

In 2011, the Department of Health in South Africa committed to promote, support and protect breast-feeding. Subsequently, the supply of free formula milk to HIV-infected mothers was discontinued, with these mothers encouraged to breast-feed. This was also in compliance with the WHO's call for countries to adopt a single-feeding practice for HIV-infected mothers. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.4DOI Listing
December 2019

Closing the Gap: Ensuring Access to and Quality of Contraceptive Implant Removal Services is Essential to Rights-based Contraceptive Care.

Afr J Reprod Health 2019 Dec;23(4):19-26

Botswana-UPenn Partnership, Gaborone, Botswana.

The use of the subdermal contraceptive implant is increasing globally, and particularly so in lower- and middle-income countries in sub-Saharan Africa. For initiation or discontinuation of the implant, users need to have access to services for insertion and removal by healthcare providers. Providing access to safe and effective contraceptive implant removal services presents both clinical and programmatic challenges. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i4.3DOI Listing
December 2019

Brown-Séquard, Father of Endocrinology.

Authors:
Lindsay Edouard

Afr J Reprod Health 2019 Dec;23(4):16-18

Member of the Editorial Advisory Board, AJRH; Blue Bay, Mauritius.

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http://dx.doi.org/10.29063/ajrh2019/v23i4.2DOI Listing
December 2019

International Childbirth Initiative: A new Paradigm in Maternal Health Care.

Authors:
André Lalonde

Afr J Reprod Health 2019 Dec;23(4):11-15

Professor Obstetrics and Gynecology McGill and Ottawa University, Chair FIGO ICI Working Group.

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http://dx.doi.org/10.29063/ajrh2019/v23i4.1DOI Listing
December 2019

Barriers and Enablers to Task Shifting for Caesarean Sections in sub-Saharan Africa: A Scoping Review.

Afr J Reprod Health 2019 Sep;23(3):149-160

University of Kwazulu Natal, College of Health Sciences, Howard College Campus.

Task shifting of Caesarean-sections to non-physician clinicians (NPCs) has raised concerns over NPCs' competences and rationale of using them in facilities where medical doctors (MDs) are scarce to provide mentorship. We conducted a scoping review to provide an update on NPCs' contribution to C-sections including barriers and enablers to task shifting. Using the PRISMA Flow Diagram, we identified 15 eligible articles from Google Scholar, PubMed and Africa Index Medicus using specific search terms and a pre-established inclusion criterion. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.13DOI Listing
September 2019

Challenges of Including Sex Education in the Life Orientation Programme Offered by Schools: The Case of Mahikeng, North West Province, South Africa.

Afr J Reprod Health 2019 Sep;23(3):134-148

Qualification and Academic Programme Planning (EDULEAD Research Entity), North-West University, South Africa.

Teenage pregnancy and the prevalence of HIV among school girls are very high in South Africa, despite the introduction of sexuality education in schools since 2002. A qualitative approach of inquiry was used to investigate challenges faced by schools offering sexuality education in Mahikeng, South Africa. Four school principals, seven teachers and 39 learners were interviewed. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.12DOI Listing
September 2019

Child's Risk Attributes at Birth and Infant Mortality Disparities in Nigeria.

Afr J Reprod Health 2019 Sep;23(3):120-133

Department of Demography and Social Statistics, Obafemi Awolowo University, Ile Ife, Nigeria.

Births in avoidable high-risk contexts defined by the interplay of sub-optimal childbearing age, short spacing, and first and high birth order incur elevated risks of childhood death. However, the extent of disparities in risks of dying in infancy vis-à-vis the continuum of non-high-risk and (un)avoidable high-risk attributes at birth as determined by mother's age at childbirth, child spacing, and birth order characteristics is yet to be adequately explored in Nigeria as elsewhere. To fill this gap, chi-square association test and Cox's proportional hazards regression were used to analyze data of 31,260 nationally representative children aged 0-59 months drawn from 2013 Nigeria Demographic and Health Survey. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.11DOI Listing
September 2019

Community and Provider Perspectives on Addressing Unmet Need for Contraception: Key Findings from a Formative Phase Research in Kenya, South Africa and Zambia (2015-2016).

Afr J Reprod Health 2019 Sep;23(3):106-119

UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training Human Reproduction, Avenue Appia 20, 1202 Geneva, Switzerland.

Unmet need for contraception remains a challenge especially in low and middle-income countries. Community participation or the -active involvement of affected populations in all stages of decision-making and implementation of policies, programs, and services‖ is a precondition for attaining the highest standard of health. Participation as a key component of rights and quality of care frameworks could increase met needs. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.10DOI Listing
September 2019

Trends in Contraceptive Prevalence in Sub-Saharan Africa: The Roles of Family Planning Programs and Education.

Afr J Reprod Health 2019 Sep;23(3):96-105

Hardee Associatess.

Since the 1990s some countries in Africa have experienced very rapid increases in contraceptive prevalence (e.g. Ethiopia, Malawi, Rwanda), while others (e. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.9DOI Listing
September 2019

Pregnancy Planning among Female Sex Workers in Uganda: Evaluation of the Psychometric Properties of the London Measure of Unplanned Pregnancy.

Afr J Reprod Health 2019 Sep;23(3):79-95

Institute for Women's Health, University College London, United Kingdom.

The aim of the study was to evaluate the psychometric properties of the London Measure of Unplanned Pregnancy (LMUP) among female sex workers (FSWs) in Uganda. The LMUP was translated into Luganda and adapted for use with FSWs and underwent cognitive testing and two field tests. From the final Luganda LMUP, three other language versions were created (Acholi, Lugisu and Runyakole), and preliminary field test data were collected. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.8DOI Listing
September 2019

Challenges and Successes of Distributing Birth Kits with Misoprostol to Reduce Maternal Mortality in Rural Tanzania.

Afr J Reprod Health 2019 Sep;23(3):68-78

Shirati KMT District Hospital, Shirati, Rorya, Mara, Tanzania.

The Saving Mothers Project was conducted from September 2015 to March 2017 in Bunda and Tarime Districts, Mara Region, Tanzania. The purpose of this project was to train community health workers (CHWs) to use mobile phones applications to register and educate pregnant women about safe deliveries and encourage them to access skilled health care providers for antenatal care and delivery, and to provide nurses and CHWs with clean birth kits with misoprostol to distribute to women. The birth kits were for use in case women could not access the health facility, or if the health facility was lacking supplies at the time of delivery. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.7DOI Listing
September 2019

Scaling up Maternal and Child Healthcare Delivery among Mission Hospitals in Southeast Nigeria: An Empirical Application of Data Envelopment Analysis for Setting Benchmarks and Targets.

Afr J Reprod Health 2019 Sep;23(3):57-67

DDepartment of Economics and Development Studies, Alex Ekwueme Federal University, Ndufu-Alike, Ikwo, Nigeria.

The health system in many parts of Nigeria has been dysfunctional in several domains including financing, human resources, infrastructure, health management information system and hospital services. In an attempt to scale up Maternal and Child Health (MCH) services and ensure efficiency, Ebonyi State Government in Southeast Nigeria provided funding to mission hospitals across the State as a grant. This study used nonparametric method to assess the effect of this public financing on the efficiency of the mission hospitals. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.6DOI Listing
September 2019

Knowledge of Sexually Transmitted Infections amongst Pregnant Women Attending Antenatal Clinics in West Coast Region of The Gambia.

Afr J Reprod Health 2019 Sep;23(3):49-56

Department of Community Health, Centre of Excellence for Reproductive Health Innovation (CERHI), University of Benin, Benin City, Nigeria.

Sexually Transmitted Infections (STIs) during pregnancy remain a public health concern especially in developing countries including The Gambia. This study assessed the knowledge of STIs and its associated factors amongst pregnant women attending antenatal clinics in West Coast region of The Gambia. A descriptive cross-sectional study design was used. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.5DOI Listing
September 2019

Outcome of Pregnancy in Saudi Women with Sickle Cell Disease Attending the Tertiary Care University Hospital in Eastern Province of Saudi Arabia.

Afr J Reprod Health 2019 Sep;23(3):42-48

Department of Obstetrics and Gynaecology, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.

Sickle cell disease (SCD) is a chronic genetic hematological disorder with multiorgan involvement and is associated with complications during the pregnancy. This is a well-known disorder in Saudi Arabia, but no study has reported its outcomes in pregnant Saudi females of the Eastern region. This study was carried out to compare the fetomaternal outcome in patients with SCD with those without SCD. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.4DOI Listing
September 2019

Factors Associated with Postpartum Health Problems among Married Women of Reproductive Age in the Democratic Republic of the Congo: A Cross-sectional Study in Kenge City.

Afr J Reprod Health 2019 Sep;23(3):30-41

Department of Health Administration, Graduate School, Yonsei University, Wonju, Korea.

Maternal mortality is attracting attention worldwide, but maternal health problems after delivery have received less attention. Most studies focus on prenatal maternal health problems. We aimed to identify factors associated with postpartum health problems among married women of reproductive age in Democratic Republic of the Congo. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.3DOI Listing
September 2019

Reaching the Youngest Moms and Dads: A Socio-Ecological View of Actors and Factors Influencing First-time Young Parents' Use of Sexual and Reproductive Health Services in Madagascar.

Afr J Reprod Health 2019 Sep;23(3):19-29

Tandem.

Globally, few programs consider the needs of first-time young parents (FTYPs), who face disproportionate negative health consequences during pregnancy and childbirth. Scant evidence exists on FTYPs' broader health needs. Formative research in two regions of Madagascar used a socio-ecological lens to explore, via 44 interviews and 32 focus group discussions, the influences on FTYPs at the individual, couple, family, community, and system levels. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i3.2DOI Listing
September 2019

Advocacy for Research Evidence in Academic Public Policy Development.

Authors:
Joseph A Balogun

Afr J Reprod Health 2019 Sep;23(3):9-18

Distinguished University Professor, College of Health Sciences, Chicago State University, Chicago, USA, and Emeritus Professor of Physiotherapy at the University of Medical Sciences, Ondo City, Nigeria.

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http://dx.doi.org/10.29063/ajrh2019/v23i3.1DOI Listing
September 2019
4 Reads

The Benefits of a Guideline on Safe Termination of Pregnancy for Legal Indications: An Illustrative Case Report of a Hydranencephaly.

Afr J Reprod Health 2019 Jun;23(2):148-151

DDepartment of Radiology Ahmadu Bello University Zaria.

After years of the worsening burden of unsafe abortion and attendant morbidities and mortalities in Nigeria, a National Guideline on the Safe termination of pregnancy for legal indications was enunciated. This report presents and discusses an illustrative case of a hydranencephaly that benefited from it. A 43-year old multipara was informed during routine ultrasonography at booking for antenatal care, at 16 weeks of gestation, of a major defect in her baby and advised to meet her physician. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i2.14DOI Listing
June 2019
5 Reads

Views of Service Providers and Adolescents on Use of Sexual and Reproductive Health Services by Adolescents: A Systematic Review.

Afr J Reprod Health 2019 Jun;23(2):134-147

School of Education and Social sciences, University of Hull, Hull; HU6 7RX United Kingdom.

This review examines the literature on adolescents' and providers' views on access and use of Sexual and Reproductive Health (SRH) information and services. The SRH services referred to in this study were predominantly family planning services, STI treatment including HIV testing and counselling services. The study design was a systematic review of empirical studies. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i2.13DOI Listing

Child Marriages, Child Protection and Sustainable Development in Kenya: Is Legislation Sufficient?

Authors:
Ajwang Warria

Afr J Reprod Health 2019 Jun;23(2):121-133

Department of Social Work, University of the Witwatersrand.

Globally, 15 million girls are married before the age of 18, with Kenya having one of the highest child marriages prevalence in the world, estimated at 25-30%. Child marriages in Kenya are rampant in rural areas. Child marriages are part of customary practices in communities where they are prevalent. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i2.12DOI Listing
June 2019
1 Read

Assessment of the Implementation of Comprehensive Sexuality Education in Kenya.

Afr J Reprod Health 2019 Jun;23(2):110-120

Institute of Public Health and Management at Clarke International University, Kampala.

This study sought to establish the awareness, perception and implementation of comprehensive sexuality education (CSE), by 170 teachers in 11 secondary schools in Kisumu central sub-county, Kenya. Purposive and simple random sampling techniques were used. Quantitative data was collected using a self- administered questionnaire and an observation checklist, while qualitative data was collected through key informant interviews using a semi-structured interview guide. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i2.11DOI Listing
June 2019
3 Reads

Modern Contraceptive Use and Associated Factors among Women with Disabilities in Gondar City, Amhara Region, North West Ethiopia: A Cross Sectional Study.

Afr J Reprod Health 2019 Jun;23(2):101-109

College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Attention to the sexual reproductive health needs of persons with disabilities is important to ensure the protection and promotion of their human rights, to move forward the international development agenda, and to build a truly inclusive society. The objective of this study was to assess modern contraceptive use and associated factors among women with disabilities in Gondar city, Ethiopia. A community-based cross- sectional study was employed, from 25 June to 05 August 2013. Read More

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http://dx.doi.org/10.29063/ajrh2019/v23i2.10DOI Listing