967 results match your criteria African Journal of Reproductive Health [Journal]
Afr J Reprod Health 2018 Mar;22(1):113-119
Department of Sociology, Faculty of Social Sciences & Humanities, University of Fort Hare, East London, South Africa.
Early discontinuation of implanon, a long-acting, reversible contraceptive among reproductive age women in South Africa is a serious public health concern. The aim of this study was to examine the reasons for discontinuation of implanon among its previous users. This descriptive cross-sectional study involved 188 consecutively selected participants in two large family planning clinics in Buffalo Metropolitan Municipality, East London, South Africa. Read More
Afr J Reprod Health 2018 Mar;22(1):103-112
Departments of Health Policy and Medicine & Vanderbilt Institute for Global Health, Vanderbilt University, Nashville, Tennessee, USA.
Practices related to resumption of coitus after childbirth remains poorly documented in Nigeria. This study examined factors associated with sexual intercourse, delivery-coitus interval, and contraceptive use among postpartum women attending a tertiary centre in Kano, northern Nigeria. A cross section of 317 women attending immunization, postnatal and family planning clinics within 12 months of childbirth was interviewed using a structured questionnaire. Read More
Afr J Reprod Health 2018 Mar;22(1):94-102
Necmettin Erbakan University, Faculty of Health Sciences, Nursing Department, Konya, Turkey.
In various cultures, the postpartum period is a sensitive time and various traditional practices are applied to protect the health of the mother and the baby. The aim of this study was to determine traditional practices of mother care in the postpartum period in Konya City of Turkey. The research was a descriptive, cross-sectional study carried out among 291 women at the first 8 weeks of postpartum period who visited to family health centers from June 1 to December 1, 2015. Read More
Afr J Reprod Health 2018 Mar;22(1):85-93
School of Public Health, College of Health Sciences, Moi University, Eldoret, Kenya.
More than 95% of Kenyan women receive antenatal care (ANC) and only 62% access skilled delivery. To explore women's opinion on delivery location, 20 focus group discussions were conducted at an urban and rural setting in western Kenya. Participants included health care workers, traditional birth attendants (TBAs), and women who attended at least four ANC visits and delivered. Read More
Afr J Reprod Health 2018 Mar;22(1):73-84
Senior Associate and Project Director, Population Council/Evidence Project, New York, United States.
Globally, women's access to modern contraception can be attributed to poor service conditions and care. Growing evidence from across the health sector has found that social accountability approaches have the potential to improve the quality of care and therefore the utilization of health services, little of this evidence relates to family planning and reproductive health programs. This paper therefore assessed the results of retrospective implementation research into a five-year social accountability project in Uganda that focused on family planning and reproductive health. Read More
Afr J Reprod Health 2018 Mar;22(1):60-72
Hospital for Women & Children, Koutiala, Mali, Africa; Present address: Sandy, Utah, USA.
Relatively little is known about infertility and its consequences in Mali, West Africa where the context and culture are different from those of previously studied settings. This study therefore aimed to specifically examine infertility induced psychological distress and coping strategies among women in Mali. A convergent mixed-methods design-correlational cross-sectional and qualitative descriptive-guided the study. Read More
Afr J Reprod Health 2018 Mar;22(1):47-59
Department of Economics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Urban areas include large numbers of adolescents (ages 15-19) and young adults (ages 20-24) who may have unmet sexual and reproductive health (SRH) needs. Worldwide, adolescents contribute 11% of births, many of which are in low and middle-income countries. This study uses recently collected longitudinal data from urban Kenyan women to examine the association between targeted intervention activities and adolescents' SRH transitions. Read More
Afr J Reprod Health 2018 Mar;22(1):38-46
School of Medicine, University of California, San Diego.
Donors, practitioners and scholars are increasingly interested in harnessing the potential of social norms theory to improve adolescents' sexual and reproductive health outcomes. However, social norms theory is multifaceted, and its application in field interventions is complex. An introduction to social norms that will be beneficial for those who intend to integrate a social norms perspective in their work to improve adolescents' sexual health in Africa is presented. Read More
Afr J Reprod Health 2018 Mar;22(1):29-37
Department of Human Kinetics and Health Education, Nnamdi Azikiwe University Awka, Nigeria.
This study explored intention of parents not to circumcise daughters in Enugu State, Nigeria using theory of planned behavior (TPB) as a framework. A survey of 1345 parents was carried out using structured questionnaire with FGM question items based on TPB constructs of attitude, subjective norm (SN), perceived behavioral control (PBC), and intention. Intention was dichotomized into two categories and logistic regression analysis was performed to examine the association between the constructs of TPB while controlling for some socio-demographic factors. Read More
Afr J Reprod Health 2018 Mar;22(1):20-28
Department of Sociology, Bowen University, Iwo, Nigeria.
Men's roles in any patriarchal society and the influence of their religious belief cannot be overemphasized especially in a culturally encrypted matter like female genital cutting (FGC).The study sample consisted of 8,111 men who had previous awareness of FGC from a cross-sectional nationally representative survey in Nigeria. The data took into cognizance the religious belief of the respondents as well as their attitude towards FGC among others. Read More
Afr J Reprod Health 2018 Mar;22(1):9-19
Department of Health Care Organization & Policy, University of Alabama at Birmingham (UAB), USA.
Afr J Reprod Health 2017 Dec;21(4):102-109
Department of Obstetrics and Gynecology, University College Hospital, University of Ibadan, Ibadan, Nigeria.
Gender-based violence is one of the major public health problems in Ethiopia. This study aimed to assess the perception and attitude of the community towards gender-based violence among married women in Northwest Ethiopia. A qualitative study was conducted using the purposive sampling technique for the three focus group discussions and ten in-depth interviews among married women. Read More
Afr J Reprod Health 2017 Dec;21(4):93-101
Provincial Education Offices, Ministry of Education, Lusaka, Zambia.
Relationship-related characteristics influence diverse health and demographic outcomes. This study examined the role of couples' characteristics in contraceptive use. Data were obtained from 2013 Nigeria and 2013-14 Zambia Demographic and Health Surveys. Read More
Afr J Reprod Health 2017 Dec;21(4):80-92
Department of Nursing, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Adolescent girls should be empowered to acquire the ability to take care of their sexual and reproductive health. The present study aimed to improve the understanding of the factors affecting the empowerment of Iranian adolescent girls in terms of taking care of their sexual and reproductive health (e.g. Read More
Afr J Reprod Health 2017 Dec;21(4):73-79
Department of Nursing Science, Bayero University Kano, Nigeria.
Unskilled home delivery is a threat to maternal and child health. In northern Nigeria, many pregnant women attend antenatal care but opt to deliver at home despite knowing the potential consequences. An institutional delivery, helps reduce various complications during childbirth, and therefore decreases the rates of maternal and child mortality. Read More
Afr J Reprod Health 2017 Dec;21(4):67-72
Department of Obstetrics and Gynaecology.
Restrictive episiotomy is recommended for the prevention of vertical transmission of HIV. The study compared the frequency of episiotomy use and the occurrence of perineal tears; and related factors in HIV positive and HIV negative women and to assess their effect on Mother-to-child transmission (MTCT) of HIV. A total of 110 HIV positive and 134 HIV negative parturients were enrolled in the study. Read More
Afr J Reprod Health 2017 Dec;21(4):55-66
Department of Obstetrics & Gynaecology, Faculty of Medicine, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria.
There is a high rate of infertility among couples in Nigeria. This challenge is perceived differently in each socio-cultural context in which it is experienced but solution to the problem is adversely affected by the people's perception of the phenomenon. This study thus explored the perceptions of infertility and in vitro fertilization (IVF) and how to enhance the use of IVF treatment among married couples. Read More
Afr J Reprod Health 2017 Dec;21(4):45-54
University of Illinois at Urbana-Champaign.
This study examines the connection between intimate partner violence (IPV) and Human Immunodeficiency Virus status among married and cohabitating women in Zimbabwe using an African feminist framework. Stata 13.0 was used to analyze data from the 2010-2011 Zimbabwe Demographic and Health Survey, which used a national probability sample of households in the country of Zimbabwe. Read More
Afr J Reprod Health 2017 Dec;21(4):33-44
Department of Plant Sciences Microbiology & Biotechnology, Makerere University P.O. Box 7062 Kampala, Uganda.
Plants are commonly used during the antenatal stage in pregnancy to manage different ailments in Africa. In Uganda, both medicinal and food plants are used to handle common pregnancy related conditions. An ethnobotanical survey was conducted in Iganga district, eastern Uganda. Read More
Afr J Reprod Health 2017 Dec;21(4):24-32
Ministry of Devolution and Planning, Jhpiego Baltimore.
As international development partners reduce funding for family planning (FP) programs, the need to estimate the financial resources devoted to FP is becoming increasingly important both at all levels. This cross-sectional assessment examined the FP financing sources, agents, and expenditures in two counties of Kenya for fiscal years 2010/2011 and 2011/2012 to guide local decision-making on financial allocations. Data were collected through a participatory process. Read More
Afr J Reprod Health 2017 Dec;21(4):17-23
Department of Obstetrics and Gynecology, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.
Although cervical cancer is a preventable cancer with a well-known natural history, it remains a huge burden in developing countries of sub-Saharan Africa where organized cervical cancer screening services are lacking. Developed countries that have invested on providing organized screening programs have made substantial progress in reducing both incidence and mortality due to cervical cancer. Implementing evidence-based interventions such as human papillomavirus (HPV) vaccination of young girls, early detection and treatment of premalignant conditions of the cervix through conventional Pap cytology, HPV screening or visual aided inspection with acetic acid could significantly reduce incidence of new cases at population level. Read More
Afr J Reprod Health 2017 Dec;21(4):9-11
Department of Pharmacology & Toxicology, University of Benin, Benin-City, Edo State, Nigeria.
Afr J Reprod Health 2017 Jun;21(2):108-118
Microbial Endogenous Infections Studies, Department of Medical Biosciences, University of the Western Cape, Bellville, South Africa.
Aerobic vaginitis (AV) is an endogenous opportunistic infection brought about by the disruption of the normal vaginal microbiota. Its early diagnosis and treatment during pregnancy may reduce the risk of negative pregnancy outcomes. The aim of this review was to report on the aerobic bacteria most prevalent in AV and to provide evidence of the threat of untreated AV on pregnancy outcomes. Read More
Afr J Reprod Health 2017 Jun;21(2):96-108
Palladium, 1331 Pennsylvania Ave., NW, Washington, DC 20004.
Demand for and utilization of women's health services in northern Nigeria are consistently low and health indicators in the region are among the poorest in the world. This literature review focuses on social and cultural barriers to contraceptive use, antenatal care, and facility births in northern Nigeria, and influencers of young women's health-seeking behavior. A thorough search of peer reviewed and grey literature yielded 41 publications that were synthesized and analyzed. Read More
Afr J Reprod Health 2017 Jun;21(2):81-95
Department of Health Services Research, CAPHRI, Maastricht University Medical Centre, Faculty of Health, Medicine and Life Sciences, Maastricht University, The Netherlands.
Suitable options for improving women's access to effective, safe and context-specific contraceptive methods must be explored to curtail rising unmet needs for contraceptive use in rural Ghana. The study aimed to outline context-specific factors associated with contraceptive use, access on demand and future use intentions among women in one district of Ghana. Using mixed method approach, quantitative data (n=720) was collected among women aged 18-28. Read More
Afr J Reprod Health 2017 Jun;21(2):73-80
Research Utilization, FHI 360.
Little is known on integrating HIV and family planning (FP) services in community settings. Using a cluster randomized controlled design, we conducted a formative assessment in two districts in Uganda where community health workers, called VHTs, already offered FP. Thirty-six trained VHTs also provided HIV testing and counseling (HTC) during the intervention. Read More
Afr J Reprod Health 2017 Jun;21(2):64-72
Gender and Sexual Health Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, CANADA, V6Z 1Y6.
This study aimed to examine the correlates of unintended pregnancies among young women sex workers in conflict-affected northern Uganda. Data were drawn from the Gulu Sexual Health Study, a cross-sectional study of young women engaged in sex work. Bivariable and multivariable logistic regression was used to examine the correlates of ever having an unintended pregnancy. Read More
Afr J Reprod Health 2017 Jun;21(2):55-63
University of Ghana, Department of Sociology.
There is a changing trend in adolescent girls' sexual and reproductive behaviour in Ghana. However, contemporary perspectives on adolescent girls' sexual behaviours are largely missing hence this study. Thematic analysis of data collected through in-depth interviews with adolescent girls and community members as well as focus group discussions with adolescent boys identified several factors accounting for the changes in adolescent girls' sexual and reproductive behaviour. Read More
Afr J Reprod Health 2017 Jun;21(2):49-54
Ensign College of Public Health.
Maternal death audits are crucial to the reduction of maternal deaths. The aim of this study was to identity factors contributing to maternal deaths at Eastern Regional Hospital of Ghana. Quantitative and qualitative methods were used. Read More
Afr J Reprod Health 2017 Jun;21(2):35-48
Population Services International (PSI), Angola.
Husband's/partner's support for family planning may influence a women's modern contraceptive use. Socio-demographic factors, couple communication about family planning, and fertility preferences are known to play a role in contraceptive use. We conducted logistic regression analysis to investigate the relationship between perceived husband's/partner's approval and husband's/partner's encouragement of modern contraceptive use, adjusting for socio-demographic factors and recent couple communication about family planning. Read More
Afr J Reprod Health 2017 Jun;21(2):26-34
United Nations Population Fund, Beijing, China.
This study examined comprehensive knowledge of HIV (CKH) and its determinants among young people aged 15-24 years in Nigeria between 2003 and 2013. Secondary analysis was conducted on three rounds of NDHS 2003, 2008 and 2013 data. CKH increased significantly between 2003 and 2013, but the level reached in 2013 fell short of the global expectation for young people. Read More
Afr J Reprod Health 2017 Jun;21(2):18-25
Department Nursing Education, University of Witwatersrand, South Africa.
Breast cancer is the most common cancer in women particularly in developing countries like Nigeria, with high mortality, and economic costs. Worldwide, it is predicted that more than one million women are diagnosed with breast cancer, and more than 400,000 will die from the disease every year. A comparative integrative review of the literature from Nigeria and Canada showed that in Canada, there is positive association between wide spread education, early detection, the disease stage at diagnosis, and survival rates. Read More
Afr J Reprod Health 2017 Jun;21(2):9-17
Resident Representative, United Nations Population Fund, Beijing, China.
Afr J Reprod Health 2017 Sep;21(3):102-108
Rise Up at the Public Health Institute, 555 12th St, 10th Floor Oakland, CA 94607, USA.
Despite economic growth in Nigeria, maternal and infant mortality rates remain among the highest in the world. Civil society organisations (CSOs) play a critical role in ensuring governmental accountability to fulfil commitments that improve health outcomes for women, newborns, and children. This formative study was undertaken to identify: a) policy advocacy priorities b) advocacy challenges, and, c) opportunities for strategic advocacy. Read More
Afr J Reprod Health 2017 Sep;21(3):96-101
Department of Biomedical & Clinical Technology, M L Sultan Campus, Durban-4000, Republic of South Africa.
Vaginal lubricants are used to solve intercourse difficulties or as sexual enhancers, but recent reports raise questions about their safety in terms of fertility. In this study, twenty semen samples were tested against commercially available vaginal lubricants for progressive spermatozoa motility and vitality with varying exposure time intervals. Results showed that the vaginal lubricant which least affected progressive spermatozoa motility was the oil-based vaginal lubricant, which kept the mean percentage of progressive spermatozoa motility within the minimum normal range of 32%, following 60 minutes of exposure. Read More
Afr J Reprod Health 2017 Sep;21(3):89-95
Department of Community Health, University of Uyo Teaching Hospital/University of Uyo, Akwa Ibom State, Nigeria.
Family planning is a key strategy in the control of fertility among women. This study sought to determine various factors that influence modern family planning use in Nigeria. The study used data from Nigeria Demographic and Health Survey (NDHS) 2013. Read More
Afr J Reprod Health 2017 Sep;21(3):76-88
Department of Hospice and Palliative Medicine, University College Hospital, Ibadan.
In spite of the established roles and influence of men on women's uptake and utilization of reproductive health care interventions, the degree of involvement with intimate issues within the household which could help to understand male involvement and support remains an under-researched topic. The aim of this study was to investigate the degree of involvement at the family level of men within sub-urban communities of Ibadan in South-West Nigeria. A cross sectional survey design was conducted among 380 men selected from sub-urban communities in Ibadan, Oyo State using multi-stage sampling. Read More
Afr J Reprod Health 2017 Sep;21(3):70-75
Université Marien Ngouabi, Faculté des Sciences de la Santé, Département des Doctorats, Brazzaville.
Patient satisfaction is considered an indicator of quality of care. This study aimed to assess the degree of clients' satisfaction with family planning (FP) services in government health centers in Congo. A cross-sectional study was conducted. Read More
Afr J Reprod Health 2017 Sep;21(3):62-69
Department of Medical Education, Brighton and Sussex Medical School, Falmer, BN1 9PX, United Kingdom.
This qualitative study investigated the barriers to obtaining access to antenatal care in a small, urban government-supported health centre in the Gambia. It thus addresses an important issue related to maternal health and the prevention of maternal deaths. In-depth interviews were conducted with 25 pregnant women, 13 healthcare workers and 9 male partners. Read More
Afr J Reprod Health 2017 Sep;21(3):49-61
Dilla University, Institute of Educational and Behavioural Sciences, Department of Psychology.
The growing rate of educational institutions and student population at the tertiary level in Ethiopia is remarkable; this may lead to a corresponding increase to exposure to HIV/AIDS. Based on this orientation, this study estimated the level of knowledge, attitude and practice of HIV/AIDS among university students in Ethiopia. Four hundred forty one students were chosen through multi-stage probability sampling technique. Read More
Afr J Reprod Health 2017 Sep;21(3):37-48
Despite robust evidence regarding long-acting reversible contraceptive (LARC) low failure rates, immediate return to fertility and safety, LARC uptake among youth is low. We evaluated the effect on contraceptive uptake of training youth-friendly service providers to counsel and provide all contraceptive methods including LARCs in the same unit. A convenience purposive sampling technique was used to select 20 youth friendly health units; ten each in Amhara and Tigray regions, Ethiopia; randomly allocated to the intervention (five) and non-intervention (five) arms. Read More
Afr J Reprod Health 2017 Sep;21(3):27-36
Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Ibadan, Nigeria.
Childhood diarrhea remains a problem in countries like Nigeria where access to potable water, good hygiene and sanitation are lacking. Maternal education is an important determinant of health status of under-five children. Very few studies have investigated the relationship between maternal education and diarrhea in children in Nigeria. Read More
Afr J Reprod Health 2017 Sep;21(3):9-26
Former Governor, Ondo State, Nigeria (2009-2017). 1, Mimiko Street, Ondo City, Ondo State, Nigeria.
Afr J Reprod Health 2017 Mar;21(1):122-125
Gynecology and Obstetrics Department, National Hospital of Pikine, Senegal.
We share our experience on reconstructive for surgery female genital mutilation. This is a retrospective study of all cases of female genital mutilation surgery performed in Pikine National Hospital. We have reviewed the various indications and surgical techniques used. Read More
Afr J Reprod Health 2017 Mar;21(1):114-121
Department of Community Medicine, College of Medicine, University of Ibadan, Nigeria.
The study was conducted in Ibadan, Southwest Nigeria to determine prevalence and predictors of contraceptive use, unwanted pregnancies and induced abortions among hairdressers. 1687 female hairdressers were surveyed using a cross sectional design and cluster sampling technique. Mean age was 27. Read More
Afr J Reprod Health 2017 Mar;21(1):104-113
Women and Child Health Research Centre, Institute of Tropical Medicine, Antwerp, Belgium.
The objective of this study was to document maternal and child health care workers' knowledge, attitudes and practices on service delivery before, during and after the 2014 EVD outbreak in rural Guinea. We conducted a descriptive cross-sectional study in ten health districts between October and December 2015, using a standardized self-administered questionnaire. Overall 299 CHWs (94% response rate) participated in the study, including nurses/health technicians (49%), midwives (23%), managers (16%) and physicians (12%). Read More
Afr J Reprod Health 2017 Mar;21(1):99-103
MSc in Midwifery, Department of Midwifery, Faculty of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
The aim of the study was to assess sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) of collector bag and its correlation with hemoglobin (Hb) and hematocrit (Ht) variations. This study, carried on 100 women referred for admission to labor ward of Shohada hospital in Orumeyeh City, Iran, from April to November, 2007. Serum Hb and Ht were measured after admission; a collecting bag placed under the pelvis just after birth and was weighted after delivery. Read More
Afr J Reprod Health 2017 Mar;21(1):93-98
Service de Santé Publique/Institut de Santé Et de Développement / Faculté de Médecine, de Pharmacie et d'Odontologie / Université Cheikh Anta Diop de Dakar.
This article presents the results of the literature review performed on the main conceptual models used in the measurement of the satisfaction of women during childbirth in health facilities and the main determinants of their satisfaction. The review focused on PubMed, Google scholar and Public Health data. Several conceptual models for measuring satisfaction were found through the literature. Read More
Afr J Reprod Health 2017 Mar;21(1):82-92
Rwanda Society of Obstetricians and Gynecologists.
Penal code was revised in Rwanda in 2012 allowing legal termination of pregnancy resulting from rape, incest, forced marriage, or on medical grounds. An evaluation was conducted to assess women's access to abortion services as part of an ongoing program to operationalize the new exemptions for legal abortion. Data was collected from eight district hospitals; seven gender-based violence (GBV) centers and six intermediate courts. Read More
Afr J Reprod Health 2017 Mar;21(1):73-81
North-West University, Mafikeng Campus, South Africa.
Multiple sexual partnerships (MSP) have been identified as the main reason for the high rate of HIV prevalence in sub-Saharan Africa, including Lesotho. The aim of this paper is to identify the social and economic variables associated with MSP among men in Lesotho. The study used data from 2009 Lesotho Demographic and Health Survey. Read More