International Childbirth Initiative: A new Paradigm in Maternal Health Care.
Authors: Lalonde A PMID: 32227734 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Brown-S équard, Father of Endocrinology.
Brown-Séquard, Father of Endocrinology. Afr J Reprod Health. 2019 Dec;23(4):16-18 Authors: Edouard L PMID: 32227735 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Closing the Gap: Ensuring Access to and Quality of Contraceptive Implant Removal Services is Essential to Rights-based Contraceptive Care.
Authors: Howett R, Gertz AM, Kgaswanyane T, Petro G, Mokganya L, Malima S, Maotwe T, Pleaner M, Morroni C Abstract The use of the subdermal contraceptive implant is increasing globally, and particularly so in lower- and middle-income countries in sub-Saharan Africa. For initiation or discontinuation of the implant, users need to have access to services for insertion and removal by healthcare providers. Providing access to safe and effective contraceptive implant removal services presents both clinical and programmatic challenges. The most challenging implant removal cases, termed -difficult removals‖, place addit...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Experiences of HIV-Infected Mothers Regarding Exclusive Breast-Feeding in the First Six Months of the Infant's Life in Mangaung, South Africa.
This study explored the experiences of HIV-infected mothers regarding exclusive breast-feeding in the first six months following an infant's birth. Qualitative data was collected through in-depth unstructured interviews at a community health centre among mothers aged 18 years and above, who opted for exclusive breast-feeding. Thematic data analysis was undertaken. The study results revealed that mothers had positive experiences, such as motivation, satisfaction and being well informed. Some mothers had negative experiences, such as anxiety, family pressure and guilt, leading to non-adherence to exclusive breast-feeding. Th...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Government Ownership and Adaptation in Scale-Up: Experiences from Community-Based Family Planning Programme in the Democratic Republic of the Congo.
Authors: Mai M, Hassen E, Ntabona AB, Bapura J, Sarathy M, Yodi R, Mujani Z Abstract A systematic approach to scale-up was applied to expand an integrated package of family planning and primary healthcare services from the Democratic Republic of the Congo's South Kivu province to health zones in Lomami, Lualaba, and Kasai Central provinces. This approach was based on recommendations from the ExpandNet/WHO guide Beginning with the end in mind. The approach emphasized application of three recommendations: engaging government stakeholders, ensuring the relevance of the intervention, and tailoring the innovation to the...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Sexual Practices among Senior Students in Private Secondary Schools in Uyo, Southern Nigeria.
The objective of this study was to assess the sexual practices among senior secondary students in private schools in Uyo, Nigeria. This was a descriptive crosssectional study. Data were collected using structured, self administered questionnaire and analyzed with SPSS version 23 software. Level of significance was set at 0.05. A total of 353 respondents participated in the study. The mean age was 14.84±1.10 years with a male to female ratio of 1:1.17. The prevalence of sexual intercourse was 14.2%. The mean age of sexual debut was 11.7±2.60 years, being significantly lower in males, (10.83 ±2.64 years)...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Assessment of Serological Markers of Genital Chlamydia trachomatis Infection Among the Gynaecology Patients attending Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.
This study was aimed at determining the serological markers (IgG, IgM and IgA) of Chlamydia trachomatis, evaluate the association between Chlamydia trachomatis infection and the sociodemographic characteristics and clinical diagnosis of the participants. This was a cross sectional hospital-based study in which blood samples from 145 consenting participants were tested for IgG, IgM and IgA antibodies against Chlamydia trachomatis using enzyme linked immunosorbent assay and their clinical diagnosis, retrieved from their case notes. The cumulative prevalence of seropositivity for Chlamydia trachomatis (IgG, IgM, IgA) was 112 ...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Qualitative Exploration of factors affecting Uptake and Demand for Contraception and other Family Planning Services in North-West Nigeria.
This study sought to explore specific factors that influence contraceptive uptake and demand in North-West Nigeria. Key Informant and In-depth Interviews were conducted using guides among stakeholders in two selected states in North-West Nigeria, Kebbi and Sokoto States. Interviewees were selected purposively to include Reproductive Health Focal Persons at the local government level, service providers, Women of Reproductive Age (WRA) and FP coordinators. Factors inhibiting contraceptive uptake included lack of health education, religion, fear of spousal rejection and side effects. Poor government funding and inadequate num...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Exploring Knowledge, Attitudes and Practices Regarding the Intrauterine Contraceptive Device (IUD) among Family Planning Acceptors in Windhoek, Khomas Region, Namibia.
This study did not only establish limited awareness of the IUD among FP acceptors but also inadequate knowledge on IUD characteristics, benefits, common-side effects, which woman can use an IUD and associated myths. Therefore, this study recommends to Ministry of Health and Social Services and its partners to sensitize and educate family planning users on the IUD in order to increase demand and utilization. PMID: 32227742 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Evaluation of the Krio Language Version of the London Measure of Unplanned Pregnancy in Western Area, Sierra Leone.
Authors: Brima N, Samba TT, Yamba A, Barrett G, Stephenson J, Hall J Abstract New ways of measuring pregnancy planning/intention such as the London Measure of Unplanned Pregnancy (LMUP), which recognise the complexity of the construct, are being adopted worldwide. The aim of this study was to evaluate the psychometric properties of the Krio version of the LMUP in Sierra Leone. An interviewer-administered version of the LMUP was translated into Krio and pre-tested with 12 pregnant women. Field testing involved 172 pregnant women aged 15-42, with 87 completing a re-test. Completion rates of LMUP items were 100%. LMUP...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Plants Used as Abortifacients and Contraceptives in Some Communities on the Fringes of Subri River Forest Reserve in Ghana.
Authors: Dali GLA, Pappoe ANM, Akotoye HK Abstract Ethnobotanical survey was undertaken in four communities located on the fringes of the Subri River Forest Reserve in the Mpohor Wassa East District of the Western Region, Ghana. Twelve informants, three each from the four communities were called upon to assist with collection of data. The informants who include community leaders, herbalists and traditional birth attendants assisted in field expeditions. They also provided relevant information to a structured questionnaire used to solicit information on the plants of abortifacient and contraceptive importance. In al...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Utilisation of Medical Services and Outcomes at Adult Rape Clinic at Parirenyatwa Group of Hospitals, Zimbabwe.
We described the clients' profile and the services offered at the clinic to identify gaps in service provision and areas of improvement. A retrospective record review of data was carried out from the ARC collected from February 2009 to December 2017. We analyzed 2343 affidavits that were available. Out of 2343 records analysed, (2190) 93.5% were female and 6.5 % (153) were male. The median age was 23years (Q1=21; Q3= 29) for males and 19 years (Q1= 17; Q2=25) for females. Among the clients, 2164 (92.4%) received a baseline HIV test, and 263 females and 6 males tested positive. From 2010 to 2017, six clients' seroconversion...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

A Review of the Conceptual Issues, Social Epidemiology, Prevention and Control Efforts Relating to Rape in Nigeria.
Authors: Ogunwale AO, Oshiname FO, Ajagunna FO Abstract Rape is an endemic criminal sexual behaviour in Nigeria and its perpetration not only violates survivors' dignity but also compromises their health and wellbeing. The rape-related data used in this traditional literature review are derived mainly from small-scale surveys conducted in Nigeria. The deviant behaviour could be perpetrated against both males and females of various socio-demographic characteristics; however, it is young females that are disproportionately more affected. The determinants of rape include factors that are associated with adverse social...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Case Report: Traumatic Incomplete Fracture of an Implanon NXT ® Contraceptive Implant.
Case Report: Traumatic Incomplete Fracture of an Implanon NXT® Contraceptive Implant. Afr J Reprod Health. 2019 Dec;23(4):124-128 Authors: Howett R, Gertz AM, Kgaswanyane T, Petro G, Morroni C Abstract The etonogestrel (ENG) subdermal contraceptive implant (Implanon NXT®) is a safe and highly effective method of contraception which is increasing in popularity globally. This case report describes a 26-year-old woman who requested removal of the Implanon NXT® contraceptive implant. She reported that her implant had bent following direct trauma. The implant was removed in accordance with her r...
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Advantages of Peritoneal Closure at the Time of Cesarean Section.
Authors: Machungo F, Cascella S, Cavaliere E, Zanconato G PMID: 32227748 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - April 2, 2020 Category: African Health Tags: Afr J Reprod Health Source Type: research

Advocacy for Research Evidence in Academic Public Policy Development.
Authors: Balogun JA PMID: 31782627 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Reaching the Youngest Moms and Dads: A Socio-Ecological View of Actors and Factors Influencing First-time Young Parents' Use of Sexual and Reproductive Health Services in Madagascar.
Authors: Igras S, Yahner M, Ralaison H, Rakotovao JP, Favero R, Andriantsimietry S, Rasolofomanana JR Abstract Globally, few programs consider the needs of first-time young parents (FTYPs), who face disproportionate negative health consequences during pregnancy and childbirth. Scant evidence exists on FTYPs' broader health needs. Formative research in two regions of Madagascar used a socio-ecological lens to explore, via 44 interviews and 32 focus group discussions, the influences on FTYPs at the individual, couple, family, community, and system levels. We spoke with FTYPs who had, and who had not, used sexual and ...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Factors Associated with Postpartum Health Problems among Married Women of Reproductive Age in the Democratic Republic of the Congo: A Cross-sectional Study in Kenge City.
In conclusion, it is necessary to develop and promote health policies and educational programs focusing on PNC service within 24 hours, PNC services within 7 days, PCIME, hand washing, prevention of malaria. PMID: 31782629 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Outcome of Pregnancy in Saudi Women with Sickle Cell Disease Attending the Tertiary Care University Hospital in Eastern Province of Saudi Arabia.
This study was carried out to compare the fetomaternal outcome in patients with SCD with those without SCD. This was a retrospective cohort study done in the Eastern Province of Saudi Arabia in a tertiary care, teaching hospital, by retrieving the data through the code ICD-9 for SCD, the control group was also selected with comparable characteristics. A total of 302 SCD pregnant patients were included for comparison with 600 pregnant women without SCD as control, during the period of Jan 1, 2008 to December 31, 2018. After the data retrieval, percentages of complications were calculated between the study and control groups...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Knowledge of Sexually Transmitted Infections amongst Pregnant Women Attending Antenatal Clinics in West Coast Region of The Gambia.
This study assessed the knowledge of STIs and its associated factors amongst pregnant women attending antenatal clinics in West Coast region of The Gambia. A descriptive cross-sectional study design was used. Two hundred and eighty pregnant women attending antenatal care in Brikama District Hospital, Brikama, and Bandung Maternity and Child Health Hospital, Bandung, who gave their consent, participated in this study. The instrument for data collection was an interviewer administered questionnaire. Data was analyzed using IBM SPSS for Windows, version 21.0. Level of significance was set at p
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Scaling up Maternal and Child Healthcare Delivery among Mission Hospitals in Southeast Nigeria: An Empirical Application of Data Envelopment Analysis for Setting Benchmarks and Targets.
This study used nonparametric method to assess the effect of this public financing on the efficiency of the mission hospitals. Operational cost and number of hospital beds were used as the input variables, while antenatal registrations, number of immunization doses and hospital deliveries were the output variables. The hospitals were disaggregated into 15 hospital-years. The mean overall technical efficiency of the mission hospitals was 84.05 22.45%. The mean pure technical efficiency was 95.56±6.9% and the scale efficiency was 88.05±22.20%. About 46.67% of all the hospital-years were technically and scale ef...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Challenges and Successes of Distributing Birth Kits with Misoprostol to Reduce Maternal Mortality in Rural Tanzania.
Authors: Webber GC, Chirangi BM, Magatti NJ Abstract The Saving Mothers Project was conducted from September 2015 to March 2017 in Bunda and Tarime Districts, Mara Region, Tanzania. The purpose of this project was to train community health workers (CHWs) to use mobile phones applications to register and educate pregnant women about safe deliveries and encourage them to access skilled health care providers for antenatal care and delivery, and to provide nurses and CHWs with clean birth kits with misoprostol to distribute to women. The birth kits were for use in case women could not access the health facility, or if ...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Pregnancy Planning among Female Sex Workers in Uganda: Evaluation of the Psychometric Properties of the London Measure of Unplanned Pregnancy.
Authors: Bukenya JN, Nalwadda CK, Neema S, Kyambadde P, Wanyenze RK, Barrett G Abstract The aim of the study was to evaluate the psychometric properties of the London Measure of Unplanned Pregnancy (LMUP) among female sex workers (FSWs) in Uganda. The LMUP was translated into Luganda and adapted for use with FSWs and underwent cognitive testing and two field tests. From the final Luganda LMUP, three other language versions were created (Acholi, Lugisu and Runyakole), and preliminary field test data were collected. Final data were collected from 819 FSWs attending the 'Most at Risk Population Initiative' clinics. Th...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Trends in Contraceptive Prevalence in Sub-Saharan Africa: The Roles of Family Planning Programs and Education.
This study aims to shed light on the causes of these different trends which remain controversial. We assess the role of family planning programs vs. socioeconomic development (especially, women's educational attainment). Estimates of the effects of different explanatory factors are obtained by country level regressions in which the prevalence of modern contraception is the dependent variable and women's educational attainment, Gross National Income (GNI) per capita, percent urban and child mortality as well as the family planning program score are the independent variables. The statistical analysis finds no significant eff...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Community and Provider Perspectives on Addressing Unmet Need for Contraception: Key Findings from a Formative Phase Research in Kenya, South Africa and Zambia (2015-2016).
Authors: Cordero JP, Steyn PS, Gichangi P, Kriel Y, Milford C, Munakampe M, Njau I, Nkole T, Silumbwe A, Smit J, Kiarie J Abstract Unmet need for contraception remains a challenge especially in low and middle-income countries. Community participation or the -active involvement of affected populations in all stages of decision-making and implementation of policies, programs, and services‖ is a precondition for attaining the highest standard of health. Participation as a key component of rights and quality of care frameworks could increase met needs. However, it has been inadequately addressed in contraceptive prog...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Child's Risk Attributes at Birth and Infant Mortality Disparities in Nigeria.
Authors: Ibrahim EA, Adedini SA, OOyedokun AO, Akinyemi AI, Titilayo A Abstract Births in avoidable high-risk contexts defined by the interplay of sub-optimal childbearing age, short spacing, and first and high birth order incur elevated risks of childhood death. However, the extent of disparities in risks of dying in infancy vis-à-vis the continuum of non-high-risk and (un)avoidable high-risk attributes at birth as determined by mother's age at childbirth, child spacing, and birth order characteristics is yet to be adequately explored in Nigeria as elsewhere. To fill this gap, chi-square association test an...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Challenges of Including Sex Education in the Life Orientation Programme Offered by Schools: The Case of Mahikeng, North West Province, South Africa.
Authors: Mturi AJ, Bechuke AL Abstract Teenage pregnancy and the prevalence of HIV among school girls are very high in South Africa, despite the introduction of sexuality education in schools since 2002. A qualitative approach of inquiry was used to investigate challenges faced by schools offering sexuality education in Mahikeng, South Africa. Four school principals, seven teachers and 39 learners were interviewed. The curriculum on sexuality education indicates that sexual matters are introduced to learners only when they reach Grade 8, whereas pregnancy is already common among girls as early as Grade 3. Participa...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Barriers and Enablers to Task Shifting for Caesarean Sections in sub-Saharan Africa: A Scoping Review.
Authors: Matinhure S, Chimbari MJ Abstract Task shifting of Caesarean-sections to non-physician clinicians (NPCs) has raised concerns over NPCs' competences and rationale of using them in facilities where medical doctors (MDs) are scarce to provide mentorship. We conducted a scoping review to provide an update on NPCs' contribution to C-sections including barriers and enablers to task shifting. Using the PRISMA Flow Diagram, we identified 15 eligible articles from Google Scholar, PubMed and Africa Index Medicus using specific search terms and a pre-established inclusion criterion. All 15 studies characterised NPCs:...
Source: African Journal of Reproductive Health - November 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Communicating Research Outcomes Sensitively Through Consistent Use of People-First Language.
Authors: Balogun JA PMID: 31433589 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

An Integrating Model for Rapid Reduction of Maternal Mortality Due to Primary Postpartum Haemorrhage - Novel Use of the Catalyst Approach to Public Health.
Authors: Seim AR, Alassoum Z, Lalonde AB, Souley I Abstract On average 16%-53% of maternal deaths are from postpartum haemorrhage (PPH), with confidence intervals for Eastern Asia reaching beyond 60%. Success in preventing PPH mortality across many large low-resource populations has been fairly limited. Niger's government and an international non-governmental organization (NGO) have developed a model aiming to rapidly reduce primary postpartum haemorrhage mortality, combining relatively new technologies, misoprostol, condom tamponade, and non- inflatable anti-shock garment, with systematic measurement of blood loss...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Is Prolonged Labor Managed Adequately in Rural Rwandan Hospitals?
Authors: Kalisa R, Rulisa S, van den Akker T, van Roosmalen J Abstract Unnecessary interventions to manage prolonged labor may cause considerable maternal and perinatal ill-health. We explored how prolonged labor was managed in three rural Rwandan hospitals using a partograph. A retrospective chart review was done to assess whether (A) the action line on the partograph was reached or crossed, (B) artificial rupture of membranes (ARM) performed, (C) oxytocin augmentation instituted, and (D) vacuum extraction (VE) considered when in second stage of labor. Adequate management of prolonged labor was considered if three...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Factors Influencing the Use of Anemia Preventing Measures among Antenatal Clinic Attendees in the Kintampo North Municipality, Ghana.
This study was designed to determine the factors influencing the use of anaemia preventing measures among antenatal clinic attendees in the Kintampo North Municipality, Ghana. A cross sectional study was conducted among pregnant women attending the clinics after 36 weeks of pregnancy. Demographic data and information on use of all interventions were obtained using a structured questionnaire. The factors associated with the use of the interventions were identified using multiple logistic regression. The use of all anemia preventing interventions among pregnant women was found to be 30%. The study identified that use of all ...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

The Prevalence of Obsessive-Compulsive Disorder Symptoms and their Psychological Correlates amongst Pregnant Clinic Attendees in the Capricorn District, South Africa.
This study investigated the prevalence of Obsessive-Compulsive Disorder (OCD) symptoms and their relationship with pregnancy- related anxiety, perinatal depression and clinical anger among pregnant black African women in South Africa. The sample consisted of 206 women attending their antenatal check-ups at the Mankweng, Nobody, and Rethabile Clinics, and the Mankweng hospital in the Capricorn District, Limpopo Province. Quantitative data was collected from a convenience sample, within a cross-sectional survey design. First, the prevalence of OCD among the women was established. Then Pearson's correlation analysis was used ...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Socio-Demographic and Structural Predictors of Involvement of the Male Partner in Maternal Health Care in Hohoe, Volta Region, Ghana.
This study determined the socio-demographic and structural predictors of male partner involvement in maternal health in Hohoe, Ghana. A descriptive, cross-sectional design was adopted, collecting data through self-administered questionnaires from a multistage sample of 193 respondents and analysing using Stata version 14 at the 0.05 level. Age groups 31-40 years and 41-51 years were 6 times [AOR=6.28, p=0.04] and 4 times [AOR=4.32 (95%, p=0.08] respectively more likely to get involved in maternal health issues compared to age group 20-30 years. Married men were 63% less likely to be involved in maternal issues compared to ...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

The Proximate Determinants of Fertility in Eswatini.
Authors: Chemhaka GB, Odimegwu CO Abstract Accelerating downwards the fertility rate remains a priority issue for developmental planning of any country. Fertility transition for most African countries has been slow since attaining their independence. In a period of almost four decades Eswatini experienced high fertility above replacement level fertility of 2.1; total fertility rate has declined from 6 to 4 children per woman from 1968 to 2007. This paper examines the impact of each proximate factor (contraception, postpartum infecundability, abortion and sexual activity) on fertility. Using the cross-sectional data...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Managing Psychological Trauma of Infertility.
This article described the development and delivery of an intervention designed to manage the psychological trauma that patients experience while dealing with infertility in resource poor settings. The Fertility Life Counselling Aid (FELICIA) has been developed to manage the psychological morbidity associated with infertility using cognitive behavioural therapy (CBT) based strategies. FELICIA provides a structured step by step guide to infertility counselling and is designed to be used by general community or hospital health workers rather than specialist psychologists or psychiatrists. This should make it a cost-effective...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Does Female Autonomy Affect Contraceptive Use among Women in Northern Nigeria?
Authors: Alabi O, Odimegwu CO, De-Wet N, Akinyemi JO Abstract Literature identified female empowerment as a predictor of positive health behaviour. However, in the context of conservative and traditional society, this is yet to be explored. This paper explores the role of female autonomy in contraceptive use among currently married women in northern Nigeria. Nationally representative Nigeria Demographic and Health Survey (NDHS, 2013) data for 18,534 currently married women in northern Nigeria was analysed. Complimentary log-logistic regression (cloglog) was used to analyse the data. Current use of modern contracept...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Modern Contraceptive Use and Associated Factors among Women with Disabilities in Gondar City, Amhara Region, North West Ethiopia: A Cross Sectional Study.
The objective of this study was to assess modern contraceptive use and associated factors among women with disabilities in Gondar city, Ethiopia. A community-based cross- sectional study was employed, from 25 June to 05 August 2013. All 280 reproductive age women with disabilities who were found in the town during study period were included. Data were coded, entered and cleaned using EPI INFO statistical software version 3.5.2, and analysed by Software Statistical Packages for Social Sciences version 16. About 18% of participants had ever used modern contraceptive and the contraceptive prevalence rate among study participa...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Assessment of the Implementation of Comprehensive Sexuality Education in Kenya.
This study sought to establish the awareness, perception and implementation of comprehensive sexuality education (CSE), by 170 teachers in 11 secondary schools in Kisumu central sub-county, Kenya. Purposive and simple random sampling techniques were used. Quantitative data was collected using a self- administered questionnaire and an observation checklist, while qualitative data was collected through key informant interviews using a semi-structured interview guide. Quantitative data was analyzed using SPSS version 21. Qualitative data was analyzed using a thematic approach. The study found low awareness in key topics such ...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Child Marriages, Child Protection and Sustainable Development in Kenya: Is Legislation Sufficient?
Authors: Warria A Abstract Globally, 15 million girls are married before the age of 18, with Kenya having one of the highest child marriages prevalence in the world, estimated at 25-30%. Child marriages in Kenya are rampant in rural areas. Child marriages are part of customary practices in communities where they are prevalent. Child marriages have also been used as a survival strategy by families. Child marriages compromise a child's development and threaten the achievement of Sustainable Development Goals. This paper highlights international conventions and analyses Kenyan legislative framework that have been put ...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Views of Service Providers and Adolescents on Use of Sexual and Reproductive Health Services by Adolescents: A Systematic Review.
Authors: Onukwugha FI, Hayter M, Magadi MA Abstract This review examines the literature on adolescents' and providers' views on access and use of Sexual and Reproductive Health (SRH) information and services. The SRH services referred to in this study were predominantly family planning services, STI treatment including HIV testing and counselling services. The study design was a systematic review of empirical studies. Twenty-five databases were searched using a well-defined search strategy and Boolean operators. A total of 45 studies were included in the review, and the findings were reported thematically under fou...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

The Benefits of a Guideline on Safe Termination of Pregnancy for Legal Indications: An Illustrative Case Report of a Hydranencephaly.
This report presents and discusses an illustrative case of a hydranencephaly that benefited from it. A 43-year old multipara was informed during routine ultrasonography at booking for antenatal care, at 16 weeks of gestation, of a major defect in her baby and advised to meet her physician. Following a repeat high- resolution ultrasonography and discussions between the Obstetricians, Neurosurgeon, and Ultrasonologist, the woman was counseled on the diagnosis. At her insistence and provision of written consent, medical abortion with Mifepristone and Misoprostol was successfully instituted. PMID: 31433602 [PubMed - in pro...
Source: African Journal of Reproductive Health - August 23, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Transitioning the AJRH to the Next Level of Excellence.
Authors: Balogun JA PMID: 31034167 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Attitudes Toward Violence Against Women and the Factors That Affect Them in Kutahya, Turkey.
Authors: Basar F, Demırcı N, Cıcek S, Yesıldere Saglam H Abstract This cross-sectional descriptive study was conducted to determine the attitudes of women and men living in Kutahya, Turkey towards violence against women, and the factors that affect them. The data were collected using an Information Form for Women, an Information Form for Men, and the Attitude towards Violence Scale. The study was completed with 2959 participants; 1481 women and 1478 men. In the study, 41.3% of the women and 22.6% of the men reported being subject to violence. The mean score of the attitude towards violence scale was 41.57&plusm...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Awareness of Danger Signs during Pregnancy and Post-Delivery Period among Women of Reproductive Age in Unguja Island, Zanzibar: A Qualitative Study.
This study explored awareness of danger signs among women of reproductive age in Unguja Island, Zanzibar. A community-based qualitative study using focus group discussions among women of reproductive age was conducted to explore awareness of danger signs between March and April 2016. Data was analyzed using thematic analysis. The study found that women were aware of danger signs during pregnancy but not during the post-delivery period. The mentioned danger signs during pregnancy included vaginal bleeding, fits, swelling of the legs and leaking of vagina fluid. Some women still believed that danger signs during pregnancy an...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Feasibility of a Ketamine Anesthesia Package in Support of Obstetric and Gynecologic Procedures in Kenya When No Anesthetist is Available.
The objective was to assess the feasibility and safety of the ̳Every Second Matters for Emergency and Essential Surgery - Ketamine' (ESM-Ketamine) package in support of obstetric and gynecologic emergency and essential surgery when no anesthetist is available. A consecutive case series was conducted in twelve hospitals across five severely resource-limited counties in Kenya. 530 women underwent obstetric or gynecological operative procedures supported by non-anesthetist clinicians using the ESM-Ketamine package between November 1, 2013 and September 30, 2017. Main outcomes included reasons for ESM-Ketamine activations and...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Coping with the Supply-Side Effects of Free Maternal Healthcare Policies in Seven sub-Saharan African Countries: A Systematic Review.
Authors: Dugle G, Rutherford S Abstract Free maternal healthcare policies (FMHP) result in enormous supply-side effects on care delivery in sub-Saharan Africa (SSA). This review synthesises the mechanisms adopted by supply-side actors to cope with the effects of FMHP and the results of coping mechanisms on policy objectives in seven SSA countries. We searched bibliographic databases for articles published in English for research that reported supply-side effects of FMHP, coping mechanisms, and effects of various coping mechanisms on attainment of reform objectives. Out of 215 studies identified, nine qualified for ...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Engaging Students to Improve Sexual and Reproductive Health: A Report of the University Leadership for Change Initiative in Niger.
This report presents results from the Evidence-to- Action Project's University Leadership for Change Initiative in Niger which had the goal to begin filling this gap. The Initiative used an innovative behavior change methodology with students at Abdou Moumouni University in Niamey, Niger and subsequently expanded it to three additional universities by applying ExpandNet scale-up approaches. 200 students trained as peer leaders reached almost 8,000 youths with SRH information and counseling, student leaders and university clinic staff distributed nearly 80,000 condoms and the project achieved national policy change through ...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Sexual and Reproductive Health among High School Adolescents in West Shoa zone, Oromia Region in Ethiopia.
Authors: Furry DB, Mashalla Y, Tshweneagae GT Abstract Adolescent's sexual and reproductive health is a challenge in many low and middle-income countries. We assessed the knowledge and attitude towards sexual and reproductive health among adolescents in West Shoa zone, Oromia region, Ethiopia. The study was cross-sectional using simple multi-stage random sampling and a structured questionnaire was used to collect data among adolescents aged 15 - 19 years. Frequency distribution of dependent and independent variables were computed and Odds ratios were calculated to determine association between variables. Most parti...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Prevalence and Risk Factors of Repeat Pregnancy among South African Adolescent Females.
Authors: Govender D, Naidoo S, Taylor M Abstract In the era of HIV/AIDS, repeat pregnancies among adolescents indicate the growing problem of high-risk sexual behavior and the status of reproductive health services. A cross sectional survey was conducted to establish the prevalence and risk factors of repeat pregnancies among South African adolescents. A total of 326 adolescents participated in this study at a district hospital in, KwaZulu-Natal, South Africa from June 2017 to November 2017. Data was analysed using R Software. Out of the 326 adolescents, 19.9% had experienced a repeat pregnancy. The risk factors as...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research