1,343 results match your criteria facility-based surveillance

Facility-based surveillance for influenza and respiratory syncytial virus in rural Zambia.

BMC Infect Dis 2021 Sep 21;21(1):986. Epub 2021 Sep 21.

Department of Epidemiology, Johns Hopkins University Bloomberg School of Public Health, 615 N. Wolfe Street, Room E6535, Baltimore, MD, 21205, USA.

Background: While southern Africa experiences among the highest mortality rates from respiratory infections, the burden of influenza and respiratory syncytial virus (RSV) in rural areas is poorly understood.

Methods: We implemented facility-based surveillance in Macha, Zambia. Outpatients and inpatients presenting with influenza-like illness (ILI) underwent testing for influenza A, influenza B, and RSV and were prospectively followed for 3 to 5 weeks to assess clinical course. Read More

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September 2021

Effect of Isoniazid Preventive Therapy on the Incidence of Tuberculosis among Seropositive Children Attending HIV/AIDS Care in Two General Hospitals, Northwest Ethiopia, 2021.

J Trop Med 2021 25;2021:9996953. Epub 2021 Aug 25.

Department of Psychology College of Social Science, Injibara University, Injibara, Ethiopia.

The human immune deficiency virus (HIV) is the strongest risk factor for the incidence of tuberculosis (TB) by way of reactivation of latent or new infection. The provision of isoniazid preventive therapy (IPT) is one of the public health interventions for the prevention of TB. To date, there have been limited clinical data regarding the effectiveness of isoniazid preventive therapy (IPT) on TB incidence. Read More

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Scoping Review on the Impact of Outbreaks on Sexual and Reproductive Health Services: Proposed Frameworks for Pre-, Intra-, and Postoutbreak Situations.

Biomed Res Int 2021 8;2021:9989478. Epub 2021 Sep 8.

UNDP-UNFPA-UNICEF-WHO-World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Sexual and Reproductive Health and Research, World Health Organization, 20 Avenue Appia, 1211 Geneva, Switzerland.

Introduction: Recent experiences from global outbreaks have highlighted the severe disruptions in sexual and reproductive health services that expose women and girls to preventable health risks. Yet, to date, there is no review studying the possible impact of outbreaks on sexual and reproductive health (SRH). . Read More

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September 2021

Expanding access to HIV services during the COVID-19 pandemic-Nigeria, 2020.

AIDS Res Ther 2021 09 19;18(1):62. Epub 2021 Sep 19.

Centers for Disease Control and Prevention, Division of Global HIV and TB, Center for Global Health, 1600 Clifton Road NE, Atlanta, GA, 30329, USA.

Background: To accelerate progress toward the UNAIDS 90-90-90 targets, US Centers for Disease Control and Prevention Nigeria country office (CDC Nigeria) initiated an Antiretroviral Treatment (ART) Surge in 2019 to identify and link 340,000 people living with HIV/AIDS (PLHIV) to ART. Coronavirus disease 2019 (COVID-19) threatened to interrupt ART Surge progress following the detection of the first case in Nigeria in February 2020. To overcome this disruption, CDC Nigeria designed and implemented adapted ART Surge strategies during February-September 2020. Read More

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September 2021

Cervical cancer screening "see and treat approach": real-life uptake after invitation and associated factors at health facilities in Gondar, Northwest Ethiopia.

BMC Cancer 2021 Sep 16;21(1):1031. Epub 2021 Sep 16.

Department of Preventive medicine, Addis Ababa University, School of Public Health, Addis Ababa, Ethiopia.

Background: Although cervical cancer is a preventable disease, screening coverage in Ethiopia is far below the target. There is limited evidence on uptake among the general population in Ethiopia. Thus, this study was conducted to assess uptake and associated factors with the cervical cancer screening "see and treat approach" among eligible women in public health facilities in Gondar town, Northwest Ethiopia. Read More

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September 2021

Essential services provided and costs of facility-based maternity waiting homes in Ethiopia.

Pan Afr Med J 2021 7;39:109. Epub 2021 Jun 7.

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand.

Introduction: the objective was to describe establishment cost, essential services provided and operating costs of maternity waiting homes (MWH) in Ethiopia.

Methods: a cross-sectional study was carried out from December 2017 to June 2018 in eight health facilities with maternity waiting homes (MWH) in the Gurage Zone of Ethiopia. MWH users exit interviews and observational checklists were used to collect data on essential services provided. Read More

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Quality of inpatient care of small and sick newborns in Pakistan: perceptions of key stakeholders.

BMC Pediatr 2021 Sep 10;21(1):396. Epub 2021 Sep 10.

Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.

Background: In LMICs including Pakistan, neonatal health and survival is a critical challenge, and therefore improving the quality of facility-based newborn care services is instrumental in averting newborn mortality. This paper presents the perceptions of the key stakeholders in the public sector to explore factors influencing the care of small and sick newborns and young infants in inpatient care settings across Pakistan.

Methods: This exploratory study was part of a larger study assessing the situation of newborn and young infant in-patient care provided across all four provinces and administrative regions of Pakistan. Read More

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September 2021

Out-of-Facility Multimonth Dispensing of Antiretroviral Treatment: A Pooled Analysis using Individual Patient Data from Cluster-Randomized Trials in Southern Africa.

J Acquir Immune Defic Syndr 2021 Sep 9. Epub 2021 Sep 9.

Division of Epidemiology and Biostatistics, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa. Kheth'Impilo AIDS Free Living, Cape Town, South Africa. Elizabeth Glaser Pediatric AIDS Foundation, Washington DC, United States. Right to Care/EQUIP Health, Maseru, Lesotho. Ministry of Health and Child Care, Zimbabwe. Zimbabwe College of Public Health Physicians, Harare, Zimbabwe Right to Care/EQUIP Health, Centurion, South Africa. Elizabeth Glaser Pediatric AIDS Foundation, Maseru, Lesotho Department of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. Biostatistics Unit, South African Medical Research Council, Cape Town, South Africa.

Background: Out-of-facility multi-month dispensing (MMD) is a differentiated service delivery model which provides antiretroviral treatment (ART) at intervals of up to six monthly in the community. Limited randomized evidence investigating out-of-facility MMD is available. We evaluated participant outcomes and compared out-of-facility MMD models using data from cluster-randomized trials in Southern Africa. Read More

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September 2021

Geospatial analysis and impact of targeted development of breast cancer care in The Gambia: a cross-sectional study.

BMC Health Serv Res 2021 Sep 9;21(1):943. Epub 2021 Sep 9.

Center for Global Surgery, University of Utah School of Medicine, Salt Lake City, UT, USA.

Background: The Gambia has one of the lowest survival rates for breast cancer in Africa. Contributing factors are late presentation, delays within the healthcare system, and decreased availability of resources. We aimed to characterize the capacity and geographic location of healthcare facilities in the country and calculate the proportion of the population with access to breast cancer care. Read More

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September 2021

Saving babies' lives (SBL) - a programme to reduce neonatal mortality in rural Cambodia: study protocol for a stepped-wedge cluster-randomised trial.

BMC Pediatr 2021 09 7;21(1):390. Epub 2021 Sep 7.

Saving Babies' Lives Programme, Angkor Hospital for Children, Tep Vong (Achamean) Road & Oum Chhay Street, Svay Dangkum, Siem Reap, Cambodia.

Background: Neonatal mortality remains unacceptably high. Many studies successful at reducing neonatal mortality have failed to realise similar gains at scale. Effective implementation and scale-up of interventions designed to tackle neonatal mortality is a global health priority. Read More

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September 2021

Critical comparative analysis of data sources toward understanding referral during pregnancy and childbirth: three perspectives from Nigeria.

BMC Health Serv Res 2021 Sep 6;21(1):927. Epub 2021 Sep 6.

Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Background: The highest risk of maternal and perinatal deaths occurs during and shortly after childbirth and is preventable if functional referral systems enable women to reach appropriate health services when obstetric complications occur. Rising numbers of deliveries in health facilities, including in high mortality settings like Nigeria, require formalised coordination across the health system to ensure that women and newborns get to the right level of care, at the right time. This study describes and critically assesses the extent to which referral and its components can be captured using three different data sources from Nigeria, examining issues of data quality, validity, and usefulness for improving and monitoring obstetric care systems. Read More

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September 2021

Health care workers intention to accept COVID-19 vaccine and associated factors in southwestern Ethiopia, 2021.

PLoS One 2021 3;16(9):e0257109. Epub 2021 Sep 3.

Department of Nursing, Mizan-Tepi University, Mizan-Aman, Ethiopia.

Introduction: Health care workers are the most affected part of the world population due to the COVID-19 pandemic. Countries prioritize vaccinating health workers against COVID-19 because of their susceptibility to the virus. However, the acceptability of the vaccine varies across populations. Read More

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September 2021

Unintended pregnancy, induced abortion and abortion care-seeking experiences among adolescents in Kinshasa, Democratic Republic of Congo: a cross-sectional study.

BMJ Open 2021 09 2;11(9):e044682. Epub 2021 Sep 2.

Department of Population Sciences and Development, University of Kinshasa, Kinshasa, Congo (the Democratic Republic of the).

Objectives: To estimate age-specific abortion incidence and unintended pregnancy in Kinshasa, Democratic Republic of Congo and compare care experiences between adolescents (15-19 years) and older women (20-49 years).

Design: We used the age-specific variant of the Abortion Incidence Complications Method to estimate abortion and unintended pregnancy, with data from three primary sources: Health Facility Survey (n=361) provided postabortion care (PAC) caseloads; Prospective Morbidity Survey (n=1031) provided the age distribution and characteristics of women presenting for PAC and Health Professional Survey (n=115) provided an estimate of the proportion of abortions resulting in facility-based treatment of complications. Bivariate (χ, t-test) and multivariable (binary logistic regression, Cox proportional hazard) analyses were used to compare abortion care experiences. Read More

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September 2021

Early postnatal discharge during COVID-19: A cross-sectional study.

Womens Health (Lond) 2021 Jan-Dec;17:17455065211042177

Departement of Population and Family Health, Jimma University, Jimma, Ethiopia.

Introduction: Postnatal hospital stay is decreased by 30% during COVID-19 in developed countries. However, there is paucity of data in developing countries. Hence, this study aims to assess the prevalence of early postnatal discharge during COVID-19 in Jimma Health Centers. Read More

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September 2021

Perinatal outcomes of high dose versus low dose oxytocin regimen used for labor induction and factors associated with adverse perinatal outcome in four hospitals of Ethiopia: a multicenter comparative study.

BMC Pregnancy Childbirth 2021 Aug 28;21(1):588. Epub 2021 Aug 28.

Department of Epidemiology, Jimma university Institute of health, Jimma, Ethiopia.

Background: There is limited evidence on effect of high and low dose oxytocin used for labor induction on perinatal outcomes. We compared perinatal outcomes among pregnant mothers who received the two different oxytocin regimens and identified risk factors associated with adverse perinatal outcomes.

Methods: Facility based comparative cross-sectional study was conducted in four hospitals of Ethiopia over eight month's period during 2017/2018 year with 216 pregnant women who received high and low dose oxytocin for labor induction. Read More

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Clinical cholera surveillance sensitivity in Bangladesh and implications for large-scale disease control.

J Infect Dis 2021 Aug 28. Epub 2021 Aug 28.

Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Introduction: A surveillance system that is sensitive to detecting high burden areas is critical for achieving widespread disease control. In 2014, Bangladesh established a nationwide, facility-based cholera surveillance system for Vibrio cholerae infection. We sought to measure the sensitivity of this surveillance system to detect cases to assess whether cholera elimination targets outlined by the Bangladesh national control plan can be adequately measured. Read More

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The effects of maternal alcohol consumption during pregnancy on adverse fetal outcomes among pregnant women attending antenatal care at public health facilities in Gondar town, Northwest Ethiopia: a prospective cohort study.

Subst Abuse Treat Prev Policy 2021 Aug 26;16(1):64. Epub 2021 Aug 26.

Department of Health Systems and Policy, College of Medicine and Health Sciences, Institute of Public Health, University of Gondar, Gondar, Ethiopia.

Background: The teratogenic effect of fetal alcohol exposure may lead to actual and potential problems, instantly after birth, at infancy; or even later, and mental impairment in life. This study aimed to investigate the effects of maternal alcohol consumption during pregnancy on adverse fetal outcomes at Gondar town public health facilities, Northwest Ethiopia.

Methods: A facility-based prospective cohort study was performed among 1778 pregnant women who were booked for antenatal care in selected public health facilities from 29 October 2019 to 7 May 2020 in Gondar town. Read More

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A Review of the Design and Implementation of a Hybrid Cardiac Rehabilitation Program: AN EXPANDING OPPORTUNITY FOR OPTIMIZING CARDIOVASCULAR CARE.

J Cardiopulm Rehabil Prev 2021 Aug 24. Epub 2021 Aug 24.

Division of Cardiovascular Medicine, Henry Ford Health System, Detroit, Michigan (Dr Keteyian); University of Vermont Larner College of Medicine, Burlington (Dr Ades); Department of Epidemiology and Biostatistics and Division of Cardiology, University of California San Francisco, San Francisco (Dr Beatty), Northwest Community Healthcare, Arlington Heights, Illinois (Ms Gavic-Ott); Abt Associates, Rockville, Maryland (Dr Hines); GRQ Consulting, Alexandria, Virginia (Ms Lui); Division of Cardiovascular Sciences, National Heart, Lung, and Blood Institute, Bethesda, Maryland (Dr Schopfer); Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota (Dr Thomas); and Center for Heart Disease Prevention, Emory University School of Medicine, Atlanta, Georgia (Dr Sperling).

Purpose: This review describes the considerations for the design and implementation of a hybrid cardiac rehabilitation (HYCR) program, a patient-individualized combination of facility-based cardiac rehabilitation (FBCR) with virtual cardiac rehabilitation (CR) and/or remote CR.

Review Methods: To help meet the goal of the Millions Hearts Initiative to increase CR participation to 70% by 2022, a targeted review of the literature was conducted to identify studies pertinent to the practical design and implementation of an HYCR program. Areas focused upon included the current use of HYCR, exercise programming considerations (eligibility and safety, exercise prescription, and patient monitoring), program assessments and outcomes, patient education, step-by-step instructions for billing and insurance reimbursement, patient and provider engagement strategies, and special considerations. Read More

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A Bayesian approach for estimating typhoid fever incidence from large-scale facility-based passive surveillance data.

Stat Med 2021 Aug 24. Epub 2021 Aug 24.

Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, Connecticut, USA.

Decisions about typhoid fever prevention and control are based on estimates of typhoid incidence and their uncertainty. Lack of specific clinical diagnostic criteria, poorly sensitive diagnostic tests, and scarcity of accurate and complete datasets contribute to difficulties in calculating age-specific population-level typhoid incidence. Using data from the Strategic Typhoid Alliance across Africa and Asia program, we integrated demographic censuses, healthcare utilization surveys, facility-based surveillance, and serological surveillance from Malawi, Nepal, and Bangladesh to account for under-detection of cases. Read More

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Improved kala-azar case management through implementation of health facility-based sentinel sites surveillance system in Bihar, India.

PLoS Negl Trop Dis 2021 Aug 24;15(8):e0009598. Epub 2021 Aug 24.

ICMR-Rajendra Memorial Research Institute of Medical Sciences, Patna, India.

Background: Visceral leishmaniasis (VL), also known as kala-azar (KA), is a neglected vector-borne disease, targeted for elimination, but several affected blocks of Bihar are posing challenges with the high incidence of cases, and moreover, the disease is spreading in newer areas. High-quality kala-azar surveillance in India, always pose great concern. The complete and accurate patient level data is critical for the current kala-azar management information system (KMIS). Read More

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Implementation of HIV Self-Testing to Reach Men in Rural uMkhanyakude, KwaZulu-Natal, South Africa. a DO-ART Trial Sub Study.

Front Public Health 2021 3;9:652887. Epub 2021 Aug 3.

Department of Global Health, University of Washington, Seattle, WA, United States.

KwaZulu-Natal, South Africa has one of the highest HIV prevalence rates globally. Persons <35 years and men have lower rates of HIV testing. HIV self-testing (HIVST) may overcome many barriers of facility-based HIV testing in order to identify HIV positive young persons and men and link them to care. Read More

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September 2021

Methicillin and Vancomycin Resistant and Associated Factors from Surgical Ward Inpatients at Debre Markos Referral Hospital, Northwest Ethiopia.

Infect Drug Resist 2021 10;14:3053-3062. Epub 2021 Aug 10.

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

Introduction: is a well-known superbug and leading causes of wound infections. The clinical epidemiology of methicillin resistant (MRSA) and vancomycin resistant (VRSA) is not well documented in Ethiopia. The aim of this study was to determine the proportion of MRSA, VRSA and associated factors from surgical inpatients in Debre Markos Referral Hospital (DMRH), Northwest Ethiopia. Read More

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"We have a lot of home deliveries" A qualitative study on the impact of COVID-19 on access to and utilization of reproductive, maternal, newborn and child health care among refugee women in urban Eastleigh, Kenya.

J Migr Health 2020 9;1-2:100025. Epub 2020 Dec 9.

Department of Population Health, Medical College, Aga Khan University, Kenya.

Background: Little is known about how pregnant refugee women, and the frontline health care workers who serve them, are affected by the COVID-19 pandemic in terms of health, and health service access. Women refugees are classified as a vulnerable group with regard to pregnancy outcomes and access to maternal care, and may be disproportionally at risk for COVID-19 infection as they are likely to face unique barriers to information and access to reproductive health services during the pandemic. Few studies identify gaps that could inform potential interventions to improve service uptake for refugee women, particularly in the context of COVID-19. Read More

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December 2020

Nosocomial sepsis and drug susceptibility pattern among patients admitted to adult intensive care unit of Ayder Comprehensive Specialized Hospital, Northern Ethiopia.

BMC Infect Dis 2021 Aug 17;21(1):824. Epub 2021 Aug 17.

College of Health Sciences, Mekelle University, Mekele, Ethiopia.

Objective: Developing nosocomial sepsis within intensive care unit (ICU) is associated with increased mortality, morbidity, and length of hospital stay. But information is scarce regarding nosocomial sepsis in intensive care units of Northern Ethiopia. Hence, this study aims to determine the incidence of nosocomial sepsis, associated factors, bacteriological profile, drug susceptibility pattern, and outcome among patients admitted to the adult ICU of Ayder Comprehensive Specialized Hospital (ACSH), which is the largest tertiary hospital in Northern Ethiopia. Read More

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A Systematic Review and Network Meta-analyses to Assess the Effectiveness of Human Immunodeficiency Virus (HIV) Self-testing Distribution Strategies.

Clin Infect Dis 2021 08;73(4):e1018-e1028

Washington University School of Medicine, St Louis, Missouri, USA.

Background: We conducted a systematic review and network meta-analysis to identify which human immunodeficiency virus (HIV) self-testing (HIVST) distribution strategies are most effective.

Methods: We abstracted data from randomized controlled trials and observational studies published between 4 June 2006 and 4 June 2019.

Results: We included 33 studies, yielding 6 HIVST distribution strategies. Read More

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Level and Timing of Implanon Discontinuation and Associated Factors among Women Who Used Implanon in Andabet District, Public Health Facilities, North-West Ethiopia.

Biomed Res Int 2021 6;2021:6647660. Epub 2021 Aug 6.

Department of Biostatistics and Epidemiology, School of Public Health, College of and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.

Background: Implanon discontinuation is unacceptably high in developing countries, including Ethiopia. Furthermore, there is an observed problem of high unintended pregnancy after method discontinuation that strides to program failure. Therefore, the purpose of this study was to assess the level and determinants of Implanon discontinuation among women who used Implanon in Andabet district, public health facilities, North-West Ethiopia, 2017. Read More

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Low and unequal use of outpatient health services in public primary health care facilities in southern Ethiopia: a facility-based cross-sectional study.

BMC Health Serv Res 2021 Aug 6;21(1):776. Epub 2021 Aug 6.

School of Public Health, College of Medicine and Health Sciences, Hawassa University, P.O.BOX: 1560, Hawassa, Ethiopia.

Background: Outpatient department visits per individual for each year are one of the core indicators of healthcare delivery to assess accessibility or quality of services. In addition, this study aimed to assess health service utilisation and disease patterns in southern Ethiopia, by including the health authorities' suggestions to improve the services. No study has assessed this in Ethiopia previously. Read More

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Mortality and associated factors among adult patients on tuberculosis treatment in Tanzania: A retrospective cohort study.

J Clin Tuberc Other Mycobact Dis 2021 Aug 18;24:100263. Epub 2021 Jul 18.

Department of Epidemiology and Biostatistics, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Tanzania.

Introduction: Tuberculosis (TB) is the global leading cause of death from an infectious agent. Tanzania is among the 30 high TB burden countries with a mortality rate of 47 per 100,000 population and a case fatality of 4%. This study assessed mortality rate, survival probabilities, and factors associated with death among adult TB patients on TB treatment in Tanzania. Read More

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Intimate partner violence among pregnant women attending antenatal care services in the rural Gambia.

PLoS One 2021 5;16(8):e0255723. Epub 2021 Aug 5.

Institute of Life and Earth Science (Including Health and Agriculture), Pan African University, Ibadan, Nigeria.

Background: Intimate partner violence (IPV) refers to any behavior by either a current or ex-intimate partner or would-be rejected lover that causes physical, sexual, or psychological harm. It is the most common form of violence in women's lives. According to a World Health Organization report, about 1 in 3 women worldwide experience at least one form of IPV from an intimate partner at some point in her life. Read More

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Effect of COVID-19 pandemic on provision of sexual and reproductive health services in primary health facilities in Nigeria: a cross-sectional study.

Reprod Health 2021 Aug 4;18(1):166. Epub 2021 Aug 4.

Women's Health and Action Research Centre (WHARC), Km 11 Benin-Lagos Expressway, Igue-Iheya, Benin City, Edo, Nigeria.

Background: Nigeria, like many other countries, has been severely affected by the COVID-19 pandemic. While efforts have been devoted to curtailing the disease, a major concern has been its potential effects on the delivery and utilization of reproductive health care services in the country. The objective of the study was to investigate the extent to which the COVID-19 pandemic and related lockdowns had affected the provision of essential reproductive, maternal, child, and adolescent health (RMCAH) services in primary health care facilities across the Nigerian States. Read More

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