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

An Exploratory Study of Stigma and Discrimination among People Living with HIV/ AIDS in Abuja Municipal Area Council, Nigeria.
This study examined the magnitude of HIV/AIDS stigma and discrimination among people living with HIV/AIDS (PLWHA) in Abuja Municipal Area Council (AMAC). A descriptive cross-sectional study was conducted using both qualitative and quantitative methods to survey 100 PLWHA resident in AMAC-FCT. Participants were selected through a combination of two- stage and systematic random sampling technique using a table of random numbers. A 40-item structured questionnaire adapted from the HIV Stigma Scale and a semi-structured focus group discussion (FGD) guide were used to collect data. Quantitative data were coded and entered SPSS ...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Evaluation of the ELIMIKA Pilot Project: Improving ART Adherence among HIV Positive Youth Using an eHealth Intervention in Mombasa, Kenya.
This study provides valuable information on feasibility, evaluation and challenges of eHealth intervention in Kenya that supports further research in this area. PMID: 31034176 [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

Infertility in Gabon: A Survey to Determine Diagnostic and Medical Support to Patients.
Authors: Moungala LW, Boyd LS, Huyser C Abstract A survey among gynaecologists practising in Libreville was conducted to ascertain the level of infertility assistance available, and the feasibility of establishing an intrauterine insemination programme in Gabon. This descriptive study invited gynaecologists (n=20) in both private and public hospitals, who are members at the Gabonese Society of Obstetricians Gynaecologists and Reproduction, to participate in the survey. Seventeen (85%) surveys were completed. The information obtained indicated that each gynaecologist consulted with more than fifty patients monthly, ...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

The Quality of Life and Dyadic Adjustment of Couples Receiving Infertility Treatment.
This study was conducted as a descriptive and cross-sectional study with 209 males and 213 females. The study data was collected using an introductory information form about socio-demographic characteristics, the Dyadic Adjustment Scale and the FertiQol Scale. The main findings of the study were that gender and marital status influenced dyadic adjustment and quality of life (p
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

"I have no choice": Influences on Contraceptive Use and Abortion among Women in the Democratic Republic of the Congo.
This study explored influences on contraceptive use and abortion in the DRC. Qualitative in-depth interviews were conducted with 32 women and 10 healthcare providers in four provinces. Participants were recruited at health centers and households in the study communities. Thematic analysis was used and identified that Congolese women's contraceptive decision-making was shaped by a range of external influences rather than their own independent decisions. Non- autonomous decisions and strict abortion laws influenced the methods used to abort a pregnancy, exposing risks of infection, complication, and fatality. These findings ...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

What is the Link between Malaria Prevention in Pregnancy and Neonatal Survival in Nigeria?
This study investigated association between the malaria prevention in pregnancy and neonatal survival using a nationally representative data - Nigeria Demographic Health Survey 2013. Child recode data was used and the outcome variable was neonatal death. The main independent variables were the use of at least 2 doses of intermittent preventive treatment in pregnancy with sulfadoxine-pyrimethamine (IPT-SP) and proportion of pregnant women who reported Insecticide Treated Net (ITN) use the night before the survey. Data were analyzed using Pearson Chi-square (x 2 ) test of association and survival analysis techniques. Total n...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Enterocutaneous Fistula Coexisting with Enterovesical Fistula: A Rare Complication of Ovarian Cystectomy.
We present a patient with enterovesical fistula coexisting with enterocutaneous fistula following ovarian cystectomy. She is a 24- year-old lady with background immunosupression who presented to the National Obstetric Fistula Centre, Abakaliki South-East Nigeria with a history fecaluria, pneumaturia and passage of feculent fluid through the skin following ovarian cystectomy. Fistulogram was in keeping with rectovesical fistula. She was repaired in a single stage and made an uneventful recovery. Enterovesical fistula and enterocutaneus fistula are uncommon but possible complications of ovarian cystectomy. PMID: 31034181...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Clinical, Sexual and Psychopathological Changes after Clitoral Reconstruction in a Type II Female Genital Mutilation/Cutting: A Case Report.
Authors: Mestre-Bach G, Tolosa-Sola I, Barri-Soldevila P, Jiménez-Bonora M, Lasheras G, Farré JM Abstract Female genital mutilation/cutting (FGM/C) is a health issue associated with serious negative psychological and health consequences. However, there is little literature on the impact of FGM/C on female sexuality, mental health and genital self- image after clitoral reconstructive surgery. Our aim was to assess sexual function, psychopathology and genital self-image in a type II FGM/C patient. The patient was assessed prior to FGM/C reconstructive surgery and at a 6-month follow-up. At follow- up, s...
Source: African Journal of Reproductive Health - April 30, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Addressing Gaps in Maternal, Neonatal, and Child Health for Achieving SDG 2030 in West Africa.
Authors: Baber Wallis A PMID: 30632717 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Impact of an Antenatal Counseling on Use of Modern Family Planning Methods in the Postpartum in Rural Guinea.
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). The study included 404 pregnant women at five rural health centres in Forécariah district, Western Guinea. Each woman was followed up until the ninth month postpartum. The study was conducted from October 12, 2013 to December 30, 2014. Findings showed that at the ninth month postpartum, use of modern FP was signif...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Married Adolescents and Family Planning in Rural Ethiopia: Understanding Barriers and Opportunities.
Authors: Ketema H, Erulkar A Abstract 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). This qualitative study explores married girls' knowledge and demand for FP, as well as barriers and support. Qualitative data was obtained from girls who married as children in rural Ethiopia. Respondents demonstrated a high interest...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Factors Influencing Male Involvement in Family Planning in Ntchisi District, Malawi - A Qualitative Study.
This study aimed to explore influencing factors of male involvement in FP. In this qualitative study, 23 semi-structured interviews were held with 14 men, 5 women and 4 health surveillance assistants (HSAs) in Ntchisi District, Malawi. Transcribed data was analyzed through inductive content-analysis and generated five domains influencing male involvement: health behaviour motivation, gender relations, health behavioural skills, health behaviour information, socio-economic factors. Male involvement in FP could assist in reducing shame about going to the FP clinic, ignorance among men and in increasing understanding of the i...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Fertility, Family Size Preference and Contraceptive Use in Sub-Saharan Africa: 1990-2014.
Authors: Odimegwu CO, Akinyemi JO, Banjo OO, Olamijuwon E, Amoo EO Abstract 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. Results showed that CFS declined and was lowest in Southern and Western Africa. However, average CFS for C...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Sexual Dysfunction in Postpartum Turkish Women: It's Relationship with Depression and Some Risk Factors.
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. For the data analysis, descriptive statistics, the Chi-square test, and Pearson correlation analysis were conducted using SPSS version 16. In the study, 74.3% of the postpartum women experienced sexual dysfunction. Se...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

The Impact of Healthcare spending on Life Expectancy: Evidence from Selected West African Countries.
This study investigated the private, public, and public-private healthcare sectors of West Africa. Data was obtained from World Bank Indicators within the period of 16 years (from 1999 - 2014). Using pooled regression and pairwise correlation, empirical results were obtained. Female population lived longer than the male population and a positive relationship was obtained between the variables of healthcare spending and life expectancy for the public healthcare sector. The results showed a negative relationship between these variables for the private healthcare sector. The government, policy and decision-makers are recommen...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Deterrents to Immediate Antiretroviral Therapy Initiation by Pregnant Women Living with HIV in Hhohho Region, Swaziland.
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. The thematic analysis revealed key reasons that deterred women from immediate ART initiation. These were shock and perceived stigma, participants' conceptualisation of health and ART and the fear of ART and its side effects. The study offers qualitative evidence from Swaziland that might help illuminat...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Experiences of Infant and Child Care of Mothers with Disabilities in Turkey: A Qualitative Study.
Authors: Cetisli NE, Isık G, Akgul EA, Topaloglu Oren ED, Oztornacı BO, Sarı HY Abstract 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. Fourteen mothers with disabilities participated in semi-structured in-depth interviews consisting of open-ended questions about their infant and child care experiences. Three themes and eight subthemes emerged from the data analysis. The them...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Differences in Cervical Cancer Screening Knowledge and Practices by HIV Status and Geographic Location: Implication for Program Implementation in Zambia.
Authors: Nyambe N, Hoover S, Pinder LF, Chibwesha CJ, Kapambwe S, Parham G, Subramanian S Abstract 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. They were more likely to cite male circumcision as the best approach to cervical cancer prevention. HPV infection was more commonly mentioned as a ri...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Postpartum Sexual Abstinence and its Implications for Under-Five Health Outcome among Childbearing Women in South-east Nigeria.
Authors: Imo CK, Okoronkwo E, Ukoji V, Mbah C Abstract 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. The mean duration of postpartum a...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Evaluating the Reasons for Partial and Non-immunization of Children in Wushishi Local Government Area, Niger State, Nigeria: Methodological Comparison.
Authors: Obasohan PE, Mustapha MA, Makada A, Obasohan DN Abstract 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%. The aim of this study was to establis...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

A Gap Analysis of Mother, New-born, and Child Health in West Africa with Reference to the Sustainable Development Goals 2030.
Authors: Bjegovic-Mikanovic V, Broniatowski R, Byepu S, Laaser U Abstract 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). The time gap was calculated as the difference between the time remaining to the target year (2030) and the estimated time needed to achieve the ta...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

The Use of Soluble FMS-like Tyrosine Kinase 1/Placental Growth Factor Ratio in the Clinical Management of Pre-eclampsia.
Authors: Govender N, Moodley J, Naicker T Abstract 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. sFlt-1 binds to both angiogenic growth factors and neutralizes their effect thereby creatin...
Source: African Journal of Reproductive Health - January 12, 2019 Category: African Health Tags: Afr J Reprod Health Source Type: research

Sexual Health Comes of Age.
Authors: Edouard L PMID: 30381927 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - November 2, 2018 Category: African Health Tags: Afr J Reprod Health Source Type: research

Development and Assessment of a Coping Scale for Infertile Women in Turkey.
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. This study was carried out in three different fertility centers in the three largest cities in Turkey. The data were collected using personal information form and through the application of a Coping Scale for Infertile Women (CSIW) protocol. Ways of Coping with Stress Inventory. Cronbach's alpha, Intraclass Correlation Coefficient and Spearman's Rank correlation analyses were used to determine the reliability of the scale. The results...
Source: African Journal of Reproductive Health - November 2, 2018 Category: African Health Tags: Afr J Reprod Health Source Type: research

Ghanaian Men Living with Sexual Transmitted Infections: Knowledge and Impact on Treatment Seeking Behaviour- A Qualitative Study.
Authors: Azu MN, Richter S, Aniteye P Abstract 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. Purposive sampling was used to recruit men diagnosed with or previously infected with STI/HIV attending the clinic. Twelve participants were interviewed, and the data was thematically analysed. The findings were presented as themes: knowledge of STI, misconcept...
Source: African Journal of Reproductive Health - November 2, 2018 Category: African Health Tags: Afr J Reprod Health Source Type: research

Time-to-Pregnancy and Associated Factors among Couples with Natural Planned Conception in Addis Ababa, Ethiopia.
This study did not consider amount, duration and frequency of khat chewing, hence its dose dependent effect on fecundability/TTP needs further investigation. PMID: 30381930 [PubMed - in process] (Source: African Journal of Reproductive Health)
Source: African Journal of Reproductive Health - November 2, 2018 Category: African Health Tags: Afr J Reprod Health Source Type: research

Influence of Maternal Characteristics during Pregnancy on the Infant Early Life Immune Responses in a High HIV Burdened Setting in Harare, Zimbabwe.
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. Logistic regression was used to identify any link between maternal demographic and clinical data with infant cytokine and immunoglobulin levels. Maternal E. histolytica carriers were ...
Source: African Journal of Reproductive Health - November 2, 2018 Category: African Health Tags: Afr J Reprod Health Source Type: research

Ethical Issues in the Practice of Assisted Reproductive Technologies in Nigeria: Empirical Data from Fertility Practitioners.
This study was a survey of attendees at the AFRH international conference that held in Abuja in September 2017. The aim of the study was to generate empirical data that would form the drafting of ethical practice guidelines in Nigeria. Ninety-seven (50%) of the respondents were of the view that performing IVF for unmarried couples was ethical while about 70 (36%) were of the contrary opinion. Respondents were equally divided (45.26% versus 44.21%) on the ethical standing of performing IVF for single ladies. About 128 (70.33%) of respondents agree that egg donors should be paid more in compensation besides reimbursement for...
Source: African Journal of Reproductive Health - November 2, 2018 Category: African Health Tags: Afr J Reprod Health Source Type: research