1,005 results match your criteria African Journal of Reproductive Health [Journal]


The Use of Soluble FMS-like Tyrosine Kinase 1/Placental Growth Factor Ratio in the Clinical Management of Pre-eclampsia.

Afr J Reprod Health 2018 Dec;22(4):135-143

Discipline of Optics and Imaging Centre, DDMRI, University of KwaZulu-Natal, Durban, South Africa.

Hypertensive disorders of pregnancy in particular the category preeclampsia (PE), remains a major cause of both maternal and fetal morbidity and mortality. Angiogenic growth factors (PlGF and VEGF) and their tyrosine kinase receptors -1 and 2 (Flt-1 and KDR) are involved in both fetal and placental development. Inadequate placentation and the consequent release of antiangiogenic soluble fms-like tyrosine kinase 1 (sFlt-1) is thus instrumental in the etiology of this disease. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i1.14DOI Listing
December 2018
7 Reads

A Gap Analysis of Mother, New-born, and Child Health in West Africa with Reference to the Sustainable Development Goals 2030.

Afr J Reprod Health 2018 Dec;22(4):123-134

Faculty of Health Sciences, University of Bielefeld, Germany.

The Economic Community of West African States (ECOWAS) comprises 15-member states with an estimated population of 350 million. This account relates the present status of maternal, neonatal, and under-five-mortality to the Sustainable Development Goals (SDG) targets set for 2030. For each SDG indicator, progress observed was compared with that needed to meet the target (assuming linear progression). Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.13DOI Listing
December 2018
4 Reads

Evaluating the Reasons for Partial and Non-immunization of Children in Wushishi Local Government Area, Niger State, Nigeria: Methodological Comparison.

Afr J Reprod Health 2018 Dec;22(4):113-122

Federal Medical Centre/Comprehensive Health Centre, Zungeru, Niger State, Nigeria.

Immunization of children against childhood preventable diseases has remained one of the most important cost effective and public health strategies to reduce childhood preventable morbidity and mortalities arising from infectious diseases. A recent report released by World Health Organization (WHO) stated that 1 in 10 infants did not receive vaccination in 2016. Also, a survey conducted in Bida Emirate Area of Niger State Nigeria in 2015 found that full routine immunization coverage in this area was less than 30%. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.12DOI Listing
December 2018
1 Read

Postpartum Sexual Abstinence and its Implications for Under-Five Health Outcome among Childbearing Women in South-east Nigeria.

Afr J Reprod Health 2018 Dec;22(4):102-112

Department of Sociology, Abia State University, Uturu, Abia State, Nigeria.

Abstinence from sexual intercourse after childbirth is a common practice deeply rooted in the cultures of different communities, including Nigeria with varying duration. Despite the high level of postpartum abstinence in the South-east compared to other neighbouring regions of Nigeria, under-five mortality is relatively higher in the South-east. This paper examined postpartum sexual abstinence as a predictive factor for under-five health outcome in Abia State with data from a sample of 609 childbearing women within 15-49 years. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.11DOI Listing
December 2018
1 Read

Differences in Cervical Cancer Screening Knowledge and Practices by HIV Status and Geographic Location: Implication for Program Implementation in Zambia.

Afr J Reprod Health 2018 Dec;22(4):92-101

Research Triangle Institute.

The knowledge and perceptions of cervical cancer among HIV negative and positive women, aged 25-49 years, from rural and urban locations in Zambia was systematically accessed in this study to determine any differences. Data were coded and analyzed using NVivo software. Compared to HIV negative women, HIV positive women had more accurate information about cervical cancer. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.10DOI Listing
December 2018
3 Reads

Experiences of Infant and Child Care of Mothers with Disabilities in Turkey: A Qualitative Study.

Afr J Reprod Health 2018 Dec;22(4):81-91

Department of Nursing, Faculty of Health Science, Izmir Katip Celebi University, Izmir, Turkey.

Mothers with disabilities have difficulties fulfilling their gender and motherhood roles. The purpose of this study was to determine the infant and child care-related experiences of mothers with disabilities in Turkey. A conventional content analysis was used in this qualitative design. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.9DOI Listing
December 2018
5 Reads

Deterrents to Immediate Antiretroviral Therapy Initiation by Pregnant Women Living with HIV in Hhohho Region, Swaziland.

Afr J Reprod Health 2018 Dec;22(4):72-80

School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.

Despite robust evidence that immediate antiretroviral therapy (ART) initiation reduces transmission of HIV from mother to child, some pregnant women living with HIV in sub-Saharan Africa (SSA), and Swaziland in particular, continue to refuse ART. This study explored the reasons which deter pregnant women living with HIV from immediate ART initiation in the Hhohho region, Swaziland, using grounded theory design. In-depth interviews with ten purposively selected pregnant women who refused immediate ART initiation were carried out in three high volume health facilities. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.8DOI Listing
December 2018
4 Reads

The Impact of Healthcare spending on Life Expectancy: Evidence from Selected West African Countries.

Afr J Reprod Health 2018 Dec;22(4):64-71

Department of Accounting and Finance, Faculty of Economics and Administrative Sciences, Cyprus International University Lefkosa, North Cyprus, via Mersin 10, Turkey.

Increasing healthcare expenditure in West African countries cannot be over-emphasized. There is need for urgent improvement of healthcare, healthcare equipment and facilities, and human resources with qualified healthcare givers. It is important to have clarity on which healthcare sector to invest in, to maximize impact, effectiveness and efficiency. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.7DOI Listing
December 2018
1 Read

Sexual Dysfunction in Postpartum Turkish Women: It's Relationship with Depression and Some Risk Factors.

Afr J Reprod Health 2018 Dec;22(4):54-63

Kocaeli University, Faculty of Health Sciences, Department of Midwifery, Kocaeli, Turkey.

This study aimed to determine the prevalence of sexual dysfunction in postpartum Turkish women, and the relation between sexual dysfunction and depression, and some risk factors. This study was conducted with 530 postpartum women who had given birth during the previous 2-12 months. Data were collected with the Personal Information Form, Index of Female Sexual Function, and Edinburg Postnatal Depression Scale. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.6DOI Listing
December 2018
5 Reads

Fertility, Family Size Preference and Contraceptive Use in Sub-Saharan Africa: 1990-2014.

Afr J Reprod Health 2018 Dec;22(4):44-53

Demography and Population Studies, Schools of Social Sciences and Public Health, University of the Witwatersrand, Johannesburg, South Africa.

In view of an unusual transition in sub-Saharan Africa (SSA) fertility, periodic re-appraisal is necessary. Using an ecological design, data from Demographic and Health Surveys between 1990 and 2014 were analysed to investigate trends in completed family size (CFS), total fertility rate (TFR), family size preference (FSP), and contraceptive prevalence rate (CPR). The correlates of changes in fertility levels, FSP and CPR were explored. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.5DOI Listing
December 2018
1 Read

Factors Influencing Male Involvement in Family Planning in Ntchisi District, Malawi - A Qualitative Study.

Afr J Reprod Health 2018 Dec;22(4):35-43

Athena Institute, VU University Amsterdam, Netherlands.

Malawi is among countries with the highest maternal mortality ratio (MMR) and fertility rate (FR) in Africa, among others caused by an unmet need for family planning (FP). In Malawi, FP is seen as a women's domain and because of this, male involvement in FP remains lower than wanted. This study aimed to explore influencing factors of male involvement in FP. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.4DOI Listing
December 2018
1 Read

Married Adolescents and Family Planning in Rural Ethiopia: Understanding Barriers and Opportunities.

Afr J Reprod Health 2018 Dec;22(4):26-34

Population Council, Addis Ababa, Ethiopia.

Large numbers of girls in the developing world are married before age 18, an estimated 100 million girls in the next decade. It is assumed that newly married girls are under pressure to have children early in marriage. However, there is increasing evidence that married adolescent girls have significant levels of unmet need for family planning (FP). Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.3DOI Listing
December 2018
1 Read

Impact of an Antenatal Counseling on Use of Modern Family Planning Methods in the Postpartum in Rural Guinea.

Afr J Reprod Health 2018 Dec;22(4):16-25

African Institute of Public Health, Ouagadougou, Burkina Faso.

In Guinea, family planning (FP) uptake remains low. The objective of this study was to compare the impact of two types of antenatal counseling on modern FP uptake in the postpartum in rural Guinea. This was a two-group non-equivalent study comparing the impact of a reinforced antenatal counseling (intervention) to the routine antenatal counseling (control). Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i4.2DOI Listing
December 2018
1 Read

Addressing Gaps in Maternal, Neonatal, and Child Health for Achieving SDG 2030 in West Africa.

Afr J Reprod Health 2018 Dec;22(4):9-15

Department of Epidemiology and Population Health, School of Public Health and Information Systems, University of Louisville, Louisville, KY, USA.

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http://dx.doi.org/10.29063/ajrh2018/v22i4.1DOI Listing
December 2018
4 Reads

Association of Brucellosis with Abortion Prevalence in Humans and Animals in Africa: A Review.

Afr J Reprod Health 2018 Sep;22(3):120-136

Sokoine University of Agriculture, College of Veterinary and Biomedical Sciences, Department of Veterinary Medicine and Public Health, Morogoro, Tanzania.

Brucellosis is a worldwide zoonotic disease suspected to be the cause of abortions which remain largely undiagnosed in both humans and animals. A review of literature was performed to elucidate the contribution of brucellosis to abortions in humans, livestock and wildlife in Africa. A total number of 18 published articles associated brucellosis to abortions observed in humans and livestock in some parts of Africa. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.13DOI Listing
September 2018
8 Reads

Knowledge and Attitudes of Women towards Human Papilloma Virus and HPV Vaccine in Thulamela Municipality of Vhembe District in Limpopo Province, South Africa.

Afr J Reprod Health 2018 Sep;22(3):111-119

Vhembe District, Primary Health Care Service, Limpopo Province.

Human papillomavirus (HPV) is the most common sexually transmitted viral infection. HPV can cause cervical cancer and other cancers of the genitals, neck and throat. Two HPV vaccines are available, Cervarix and Gardasil, which are the first vaccines directed at the prevention of cervical cancer. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.12DOI Listing
September 2018
2 Reads

Addressing Family Planning Access Barriers Using an Integrated Population Health Environment Approach in Rural Uganda.

Afr J Reprod Health 2018 Sep;22(3):100-110

Pathfinder International, Watertown, Massachusetts, USA.

Recent studies recommend FP initiatives in rural sub-Saharan Africa operate in more context-specific ways to reduce inequities. In 2011 such a project, HoPE-LVB, was implemented by Pathfinder International and local partners among Ugandan Lake Victoria fishing communities using a Population, Health and Environment approach. Among other objectives, the project aimed to increase support for FP and women's involvement in decision-making by linking FP benefits to community needs including income generation from nature-based livelihoods. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.11DOI Listing
September 2018
1 Read

The Effect of Peer Education in Dispelling Myths and Misconceptions about Long-Acting Reversible Contraception among Ethiopian Youth.

Afr J Reprod Health 2018 Sep;22(3):90-99

Pathfinder International, Ethiopia.

Robust evidence, including systematic reviews and recommendations from the 2016 Lancet Commission on Adolescent Health and Wellbeing, does not wholly support the unambiguous endorsement of peer-led community-based interventions. This study evaluated the effectiveness of an intensive three-day training for peer educators (PE) on dispelling myths and misconceptions about long-acting reversible contraceptives (LARCs) among Ethiopian youth. Post-training, PEs conducted demand-generation activities with their peers to encourage LARCs referrals. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.10DOI Listing
September 2018
2 Reads

Relationship between Physical Activity and Health Related Quality of Life among Pregnant Women.

Afr J Reprod Health 2018 Sep;22(3):80-89

Department of Medical Rehabilitation (Physiotherapy), University of Maiduguri, Nigeria.

The study aimed to investigate the association between health-related quality of life (HQoL) and physical activity (PA) among pregnant women. Sample of pregnant women (N= 398; mean age=27.86±5. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.9DOI Listing
September 2018
2 Reads

Knowledge and Attitude of Pregnant Women in Rural Tanzania on Prevention of Anaemia.

Afr J Reprod Health 2018 Sep;22(3):71-79

Department of Veterinary Medicine and Public Health, College of Veterinary and Medical Sciences, Sokoine University of Agriculture, P.O. Box 3021, Morogoro, Tanzania.

Anaemia during pregnancy is the leading cause of morbidity and mortality and poor birth outcomes worldwide. Despite control programmes, anaemia is far beyond the target of the fifth Millennium Development Goal. This study aimed at assessing the trend in anaemia and knowledge and attitude of pregnant women towards control measures in low income rural settings. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.8DOI Listing
September 2018
3 Reads

Effect of A Community Health Worker led Intervention on Skilled Birth Care in Rural Mwingi West Sub-County, Kenya: A Quasi Experimental Study.

Afr J Reprod Health 2018 Sep;22(3):59-70

Department of Public Health, Maseno University, Kisumu, Kenya.

Despite strong evidence that skilled birth care (SBC) significantly reduces maternal deaths, one in four babies worldwide are delivered without SBC. This has kept maternal mortality rates (MMR) high in sub-Saharan Africa and Kenya in particular. Kenya adopted Community Health Strategy (CHS) with the aim of improving community health services. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.7DOI Listing
September 2018
1 Read

Ethical Issues in the Practice of Assisted Reproductive Technologies in Nigeria: Empirical Data from Fertility Practitioners.

Afr J Reprod Health 2018 Sep;22(3):51-58

Ethics Committee, Association for Fertility and Reproductive Health, Nigeria.

The need to formulate practice guidelines and ethical framework to guide the practice of assisted conception in Nigeria has been highlighted severally. The Association for Fertility and Reproductive Health (AFRH) ethics committee is charged with the objective of producing ethical guidelines that would govern the practice of assisted conception in Nigeria. This study was a survey of attendees at the AFRH international conference that held in Abuja in September 2017. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.6DOI Listing
September 2018
7 Reads

Influence of Maternal Characteristics during Pregnancy on the Infant Early Life Immune Responses in a High HIV Burdened Setting in Harare, Zimbabwe.

Afr J Reprod Health 2018 Sep;22(3):43-50

School of Laboratory Medicine and Medical Sciences, College of Health Sciences, University of KwaZulu-Natal; KwaZulu-Natal South Africa.

This study aimed at investigating the maternal characteristics that in turn influence the immunological status of infants in asymptomatic enteric pathogen carriers in mother baby pairs (MBPs) in a high HIV burdened population in Harare, Zimbabwe. BIOPLEX immunoassay was used to analyse serum samples from 39 MBPs for 27 cytokines and 6 immunoglobulins. The MBP were purposively selected based on HIV infection and Entamoeba histolytica carriage. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.5DOI Listing
September 2018
2 Reads

Time-to-Pregnancy and Associated Factors among Couples with Natural Planned Conception in Addis Ababa, Ethiopia.

Afr J Reprod Health 2018 Sep;22(3):33-42

Department of Obstetrics and Gynecology, School of Medicine, CHS, Addis Ababa University, Addis Ababa, Ethiopia.

Waiting time-to-pregnancy (TTP) of couples is closely related to fecundability. Knowledge on TTP helps clinicians to individualize care for sub-fertility/infertility. Published studies on TTP are very limited in African setting. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.4DOI Listing
September 2018
1 Read

Ghanaian Men Living with Sexual Transmitted Infections: Knowledge and Impact on Treatment Seeking Behaviour- A Qualitative Study.

Afr J Reprod Health 2018 Sep;22(3):24-32

School of Nursing and Midwifery University of Ghana, Legon, Ghana.

The purpose of the study was to explore Ghanaian men's knowledge about sexually transmitted infections (STIs) and their treatment seeking behaviour. An exploratory descriptive design was used. The research site for this study was a STI clinic at a large government hospital in the Ashanti region in central Ghana. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.3DOI Listing
September 2018
2 Reads

Development and Assessment of a Coping Scale for Infertile Women in Turkey.

Afr J Reprod Health 2018 Sep;22(3):13-23

Zeynep Kamil Women's and Children's Disease Training and Research Hospital, Quality Department Nurse, İstanbul, Turkey.

Infertile women feel more psychological stress and pressure than their husbands, and the prevalence of anxiety and depression among them are higher. This study aimed to develop a culture-specific measurement tool to identify the strategies of infertile women in dealing with infertility-related problems. This was a scale development study. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i3.2DOI Listing
September 2018
2 Reads

Sexual Health Comes of Age.

Authors:
Lindsay Edouard

Afr J Reprod Health 2018 Sep;22(3):9-12

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

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http://dx.doi.org/10.29063/ajrh2018/v22i3.1DOI Listing
September 2018
3 Reads

Same Cycle Shift from IVF with Own Oocytes to Oocyte Donation in No or Poor Response Cycles.

Afr J Reprod Health 2018 Jun;22(2):91-95

CEFERMAD (Centre de Fertilité de Madagascar), Antananarivo.

Our In-Vitro Fertilisation Centre is situated in a large developing country, Madagascar, with very bad roads and low income patients. Therefore we try to find ways to reduce as much as possible the number of attempts to obtain a pregnancy. Poor or no response to ovarian stimulation in In Vitro Fertilization (IVF) cycles is a great challenge. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.11DOI Listing
June 2018
3 Reads

Conservative Management of Huge Symptomatic Endocervical Polyp in Pregnancy: A Case Report.

Afr J Reprod Health 2018 Jun;22(2):88-90

Department of Obstetrics & Gynaecology, King Fahd Hospital of the University, Alkhobar- KSA.

Cervical polyp is very rare in pregnancy, usually asymptomatic and small. There are several reports of different sizes of cervical polyp in pregnancy but, huge cervical polyp causing funnelling and shortening of cervical length was first reported in 2014. It was managed by polypectomy causing cervical length to return to normal value. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.10DOI Listing
June 2018
2 Reads

Implications of Silence in the Face of Child Sexual Abuse: Observations from Yenagoa, Nigeria.

Afr J Reprod Health 2018 Jun;22(2):83-87

Department of Mental Health, Niger Delta University Teaching Hospital, Okolobiri Bayelsa State, Nigeria.

Child sexual abuse (CSA) is common globally but underreported. It has far-reaching physical, social, and mental health effects and often the victims suffer in silence because of the shame and stigma associated with the experience. Despite international and country specific legislation to protect children and punish offenders, CSA thrives and sometimes leads to the death of victims. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.9DOI Listing
June 2018
2 Reads

Unintended Pregnancy in Gaborone, Botswana: A Cross-Sectional Study.

Afr J Reprod Health 2018 Jun;22(2):76-82

Botswana UPenn Partnership, Unit 244G Botswana University Main Campus, Gaborone, Botswana (Postal Address PO Box AC 157 ACH).

Rates of unintended pregnancy in sub-Saharan Africa range from 20-40%. Unintended pregnancy leads to increased maternal and infant mortality, and higher rates of abortions. Potentially high levels of unintended pregnancy in Botswana, against the backdrop of the popularity of short-acting, less-effective contraception, could suggest that the methods available to women are not meeting their contraceptive needs. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.8DOI Listing
June 2018
7 Reads

Introducing the Progesterone Vaginal Ring (PVR) as a New Option for Postpartum Family Planning in Sub-Saharan Africa: Insights from Engagements with Stakeholders.

Afr J Reprod Health 2018 Jun;22(2):68-75

Population Council-Kenya.

The progesterone vaginal ring (PVR) is a ring-shaped device designed for use by women in the postpartum period to regulate fertility by complementing and extending the contraceptive effectiveness of lactational amenorrhea to suppress ovulation.1 It is available in eight Latin American countries for use by breastfeeding women who want more effective modern contraceptives in addition to contraceptive benefits provided by lactational amenorrhea alone.1 The PVR is a method that can be suitable to women in sub-Saharan Africa, given the near-universal practice of breastfeeding and the current level of unmet need for contraception in the postpartum period. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.7DOI Listing
June 2018
2 Reads

Perceptions of Postpartum Mothers towards the Care Provided by Male Student Midwives at Labour Units in Limpopo Province, South Africa.

Afr J Reprod Health 2018 Jun;22(2):60-67

Department of Advanced Nursing, University of Venda South Africa. Private BagX5050, Thohoyandou 0950.

Student midwives should always provide cultural sensitive care and respect the rights of every woman when choosing health care providers during pregnancy and childbirth. The aim of this study was to describe and explore the perceptions of postpartum mothers towards the care provided by male student midwives during their midwifery practice. A qualitative explorative, descriptive, and contextual research design was used. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.6DOI Listing
June 2018
22 Reads

Cultural De-colonization versus Liberal Approaches to Abortion in Africa: The Politics of Representation and Voice.

Afr J Reprod Health 2018 Jun;22(2):49-59

Distinguished Professor of Psychology and SARChI chair of the Critical Studies in Sexualities and Reproduction Research Programme at Rhodes University, Grahamstown, South Africa.

Political discussions on abortion in Africa take place in the context of most countries having restrictive abortion legislation and high levels of unsafe abortion. In this paper two major political positions regarding abortion in Africa: a de-colonisation approach based on a homogenized view of "culture", and a liberal approach based on "choice" and rights are outlined. Using the Questions and Answers sessions of a United Nations event on maternal health in Africa as an exemplar of these positions, the paper argues that neither approach is emancipatory in the African context. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.5DOI Listing
June 2018
11 Reads

Complementary and Alternative Medicine Used by Infertile Women in Turkey.

Afr J Reprod Health 2018 Jun;22(2):40-48

Zeynep Kamil Women and Children's Hospital Training and Research Hospital, Istanbul, Turkey.

This study was carried out to determine the use of complementary and alternative medicine (CAM) methods by women diagnosed with infertility who had undergone assisted reproduction methods to conceive a child. The study was descriptive and cross-sectional in design. The study was composed of 310 women admitted to the infertility clinic of a Women's and Children's Hospital in Istanbul, Turkey. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.4DOI Listing
June 2018
12 Reads

Professional Pragmatism and Abortion Stigma: Assessing the Performance of the Stigmatizing Attitudes, Beliefs and Actions Scale (SABAS) among Ethiopian Midwives.

Afr J Reprod Health 2018 Jun;22(2):26-39

UNFPA, Addis Ababa, Ethiopia.

This study assessed the applicability to medical professionals in Ethiopia of an abortion stigma assessment tool developed for community members, and examined the relationship between stigma and willingness to provide safe abortion care (SAC). The Stigmatizing Attitudes, Beliefs and Actions Scale (SABAS) was fielded to a convenience sample of 397 Ethiopian midwives. Scale reliability and validity were assessed, and associations were examined using multivariate linear and logistic regression. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.3DOI Listing
June 2018
5 Reads

Legal and Ethical Considerations during Maternal Death Surveillance and Response.

Afr J Reprod Health 2018 Jun;22(2):17-25

United Nations Population Fund (UNFPA), Abuja, Nigeria.

Maternal death surveillance and response (MDSR) is a promising strategy, to identify record and track key drivers of maternal deaths. Despite its potential in reducing maternal mortality, ethical and legal challenges need to be properly ascertained and acted upon, to guarantee its acceptability, sustainability, and effectiveness. This paper proposes a legal and ethical framework to guide practitioners and researchers through the MDSR process. Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.2DOI Listing
June 2018
4 Reads

A Success Story: The Burden of Maternal, Neonatal and Childhood Mortality in Rwanda - Critical Appraisal of Interventions and Recommendations for the Future.

Afr J Reprod Health 2018 Jun;22(2):9-16

Department of Health, Northern Territory Government of Australia.

Globally, the burden of maternal, neonatal and childhood mortality is disproportionately shared between the least developed nations and the developed nations. While the global maternal mortality has been almost halved since 1990, 99% of maternal deaths occur in developing regions. This invariably highlights the impact of poverty and, to combat poverty in its different elements, the United Nations (UN) established eight Millennium Development Goals (MDGs), including improving maternal health (MDG 5) and reducing child mortality (MDG 4). Read More

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http://dx.doi.org/10.29063/ajrh2018/v22i2.1DOI Listing
June 2018
2 Reads

Reasons for Discontinuation of Implanon among Users in Buffalo City Metropolitan Municipality, South Africa: A Cross-Sectional Study.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.11DOI Listing
March 2018
9 Reads

Correlates of Postpartum Sexual Activity and Contraceptive Use in Kano, Northern Nigeria.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.10DOI Listing
March 2018
11 Reads

Traditional Practices of Mothers in the Postpartum Period: Evidence from Turkey.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.9DOI Listing
March 2018
8 Reads

"Childbirth is not a Sickness; A Woman Should Struggle to Give Birth": Exploring Continuing Popularity of Home Births in Western Kenya.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.8DOI Listing
March 2018
5 Reads

Closing the Gap between People and Programs: Lessons from Implementation of Social Accountability for Family Planning and Reproductive Health in Uganda.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.7DOI Listing
March 2018
8 Reads

Infertility, Psychological Distress, and Coping Strategies among Women in Mali, West Africa: A Mixed-Methods Study.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.6DOI Listing
March 2018
3 Reads

Reaching Urban Female Adolescents at Key Points of Sexual and Reproductive Health Transitions: Evidence from a Longitudinal Study from Kenya.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.5DOI Listing
March 2018
7 Reads

Social Norms and Adolescents' Sexual Health: An Introduction for Practitioners Working in Low and Mid-income African countries.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.4DOI Listing
March 2018
3 Reads

Factors Associated with Parental Intent not to Circumcise Daughters in Enugu State of Nigeria: An Application of the Theory of Planned Behavior.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.3DOI Listing
March 2018
12 Reads

Religious Perceptions and Attitudes of Men towards Discontinuation of Female Genital Cutting in Nigeria: Evidence from the 2013 Nigeria Demographic and Health Survey.

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

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http://dx.doi.org/10.29063/ajrh2018/v22i1.2DOI Listing
March 2018
3 Reads

Overcoming Family Planning Challenges in Africa: Toward Meeting Unmet Need and Scaling Up Service Delivery.

Afr J Reprod Health 2018 Mar;22(1):9-19

Department of Health Care Organization & Policy, University of Alabama at Birmingham (UAB), USA.

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http://dx.doi.org/10.29063/ajrh2018/v22i1.1DOI Listing
March 2018
3 Reads

Gender-Based Violence among Married Women in Debre Tabor Town, Northwest Ethiopia: A Qualitative Study.

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

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https://ajrh.info/index.php/ajrh/article/view/1288
Publisher Site
http://dx.doi.org/10.29063/ajrh2017/v21i4.11DOI Listing
December 2017
9 Reads