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Journal Cover African Journal of Reproductive Health
  [SJR: 0.325]   [H-I: 25]   [5 followers]  Follow
    
  This is an Open Access Journal Open Access journal
   ISSN (Print) 1118-4841 - ISSN (Online) 2141-3606
   Published by African Journals Online Homepage  [263 journals]
  • Knowledge, Perception and Level of Male Partner Involvement in Choice of
           Delivery Site among Couples at Coast Level Five Hospital, Mombasa County,
           Kenya

    • Abstract: Involvement of males in reproductive health is an important step in reducing maternal and newborn deaths. A number of pregnant women attending Coast Level Five Hospital report waiting for their male partner to discuss and choose the delivery site. Although some do this when already in labour , there are no records on how many practice this and the influence of the couple knowledge and perception on male partner involvement in choice of delivery site. This descriptive cross-sectional study aimed at establishing the level of male partner involvement and influence of couple knowledge and perception on male involvement in choice of delivery site among women who delivered at this facility. Systematic sampling was used to select the participants. A semi-structured questionnaire and focus group discussion guide were used to collect data. Chi-square and binary logistic regression were used for statistical analysis. 40.6% of male partners were involved in choice of delivery site, women knowledge (χ2-19.256; df-1; p<0.001), women (χ2-11.347; df-1; p=0.001) and male partners’ perception (χ2-10.909; df-1; p=0.001) influenced male partner involvement. However, women knowledge was the only predictor of male involvement (OR-3.843; 95% CI, 2.082-7.092; P<0.001). Male partner involvement was low, empowering women and encouraging positive perception among women and male partners will enhance male partner involvement in choice of delivery site. The health workers in Mombasa should come up with health education and communication strategies to improve public knowledge and perception towards male involvement and ultimately improve the level of male partner involvement in choice of delivery site. 
      Keywords: Coast Level Five Hospital, Male involvement, Choice of delivery site, Mombasa Kenya, Male partner, Knowledge and perception.
      Issue No: Vol. 20, No. 1
       
  • Perception of Risk of HIV among Adolescents’ Living in an Urban Slum
           in Ghana

    • Authors: Eugene K. M. Darteh, Akwasi Kumi-Kyereme, Kofi Awusabo-Asare
      Abstract: Due to a number of biological, social, developmental, and behavioural factors young people are disproportionately affected by STIs including HIV and AIDS. Using the Health Belief Model, the study investigated factors influencing perception of risk of HIV among adolescents living in an urban slum in Ghana. Data were obtained from 902 adolescents, aged 10-19 years living in Kwesimintsim Zongo, an urban slum in the Western region of Ghana. A multi-staged sampling technique was used to select the respondents and both bivariate and multivariate analyses were carried out to examine the factors influencing perception of risk of HIV among adolescents. Adolescents’ perception of risk of HIV was generally low and was predicted by age, ethnicity, membership of social groups and exposure to the print media. The low risk perception might cause adolescents to engage in behaviours, which are likely to endanger their health in general, and reproductive health in particular. Considering the effects of HIV and AIDS on young people, it is imperative to put in place campaigns that would help to increase their perceived risks of HIV. Factors that affect adolescents’ perception of risks should be taken into consideration in designing HIV and AIDS campaigns to ensure positive behavioural change. 
      Keywords: HIV; risk perception; adolescents; urban slum; Ghana.
      Issue No: Vol. 20, No. 1
       
  • Multi-level Correlates of Safer Conception Methods Awareness and Attitudes
           among Ugandan HIV Clients with Fertility Intentions

    • Authors: Glenn J. Wagner, Mahlet A. Woldetsadik, Jolly Beyeza-Kashesya, Kathy Goggin, Deborah Mindry, Sarah Finocchario-Kessler, Sarah Khanakwa, Rhoda K. Wanyenze
      Abstract: Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just over half knew that MSI (53%) and TUI (51%) reduced transmission risk during conception, and 15% knew of sperm washing and pre-exposure prophylaxis. In separate regression models for SCM awareness, motivation, and self-efficacy, nearly all independent correlates were related to the partner, including perceived willingness to use SCM, knowledge of respondent’s HIV status, HIV-seropositivity, marriage and equality in decision making within the relationship. These findings suggest the importance of partners in promoting SCM use and partner inclusion in safer conception counselling.
      Keywords: timed unprotected intercourse; manual self-insemination; self-efficacy.
      Issue No: Vol. 20, No. 1
       
  • Female Migration, Local Context and Contraception Use in Urban Mozambique

    • Authors: Boaventura M. Cau
      Abstract: Although there are studies of the influence of rural-urban migration on contraceptive use in Africa, one question poorly explored is how the urban destination context shapes rural-urban migrants’ use of contraceptives. Using data from the 2003 Mozambique Demographic and Health Survey, we examine the effect of community context in urban areas on recent female migrants’ use of modern contraceptives. We find that recent female migrants, particularly newer migrants, have disadvantages in using modern contraceptives. We also find that the context of migrants’ receiving areas in urban areas shapes migrants’ use of contraceptives. Living in a community with high percentage of women who discussed family planning with others, in a community with high level of female education or in a wealthy community has a positive effect on using modern contraceptives. While residing in a community with major transport problems has a negative effect. The study finds, however, that it is the persisting high level of strong fertility desires which is a major barrier to contraceptive use in urban communities. 
      Keywords: Female migration, contraception, urban areas, Mozambique.
      Issue No: Vol. 20, No. 1
       
  • Editorial

    • Authors: Friday Okonofua, Sanni Yaya, Toyin Owolabi, Michael Ekholuenetale, Bernard Kadio
      Abstract: Unlocking the Benefits of Emergency Obstetric Care in Africa
      Issue No: Vol. 20, No. 1
       
  • Review of Sexuality Studies in Africa: Setting a New Post-2015 Research
           Agenda

    • Authors: Joshua O. Akinyemi, Nicole De Wet, Clifford O. Odimegwu
      Abstract: At the nexus between reproductive health, population and development is the subject of sexuality which has generated extensive discourse in the past two decades. In this paper, we review Africa sexuality studies published between 1994 and 2015 with the aim of synthesizing the available evidence and suggesting a new research agenda for post-2015. Review findings showed that previous studies covered the five components of sexuality – practices, partners, pleasure/pressure/pain, procreation and power to different extents. Risky sexual behaviour was prevalent from adolescence till older ages. Literature on pleasure, pain, procreation and power reflect the complex diversity driven by traditional norms, gender roles and attitudes across the continent. Knowledge gaps were highlighted and new agenda suggested for sexuality research.
      Keywords: sexual behaviour, sexual violence, sexual pleasure/satisfaction, gender roles, socio-cultural norms, sub-Saharan Africa.
      Issue No: Vol. 20, No. 1
       
  • Intimate Partner Violence Victimization and Associated Factors among Male
           and Female University Students in 22 Countries in Africa, Asia and the
           Americas

    • Authors: Supa Pengpid, Karl Peltzer
      Abstract: The study aimed at investigating the prevalence of intimate partner violence (IPV) and its associated factors among male and female university students in 22 countries in Africa, the Americas and Asia. In a cross-sectional questionnaire survey, data were collected from 16979 undergraduate university students, 49.3% male and 50.7% female, with an overall mean age of 21.8 years (SD=3.4). Of 7032 (41.9%) students who had been sexually active in the past 12 months, 16.3 % reported ever having experienced physical or sexual IPV, 15.4% among men and 17.2% among women, physical IPV was 11.3% among men and 10.4% among women, and the proportion of ever having experienced sexual IPV was 9.3% among men and 11.3% among women. In multivariate logistic regression analyses, among both men and women, sociodemographic factors (senior study year, living in a low or lower middle income country) and risk factors (history of childhood physical and sexual abuse, made someone pregnant or had been pregnant, having had two or more sexual partners in the past 12 months, current tobacco use and having PTSD symptoms) were associated with physical and/or sexual violence victimization. High burden of IPV was found and several factors identified that may help guide intervention efforts. 
      Keywords: partner violence, undergraduate students, sociodemographic factors, risk factors, protective factors, multi-country.
      Issue No: Vol. 20, No. 1
       
  • Intraligamentary Extrauterine Pregnancy Delivered at Term: A Case Report
           and Review of Literature

    • Authors: Idowu P Ade-Ojo, Akinyemi A Akintayo, Jide M Afolayan, Olusola P Aduloju, Biodun N Olagbuji
      Abstract: Intraligamentary pregnancy is extremely rare. Preoperative diagnosis is often difficult. We report a case of a 33 year old female who had an ectopic pregnancy in the right broad ligament. The pregnancy remained viable till term, but unfortunately resulted in a perinatal death prior delivery. Diagnosis was not made until laparotomy and a well formed still born was delivered. A high index of suspicion and prompt therapeutic intervention are necessary to prevent adverse fetal and or maternal outcome. 
      Keywords: Intraligamentary pregnancy, Full term fetus, Nigeria.
      Issue No: Vol. 20, No. 1
       
  • A Case Study of Sexual Abuse of a Minor

    • Authors: Tijani I. A. Oseni, Osagie E. Lawani, Aderemi I. Oyedeji
      Abstract: Child Sexual Abuse (CSA) is a crime against children. It is largely underreported and commonly goes unpunished in our society as it is commonly perpetrated by close ones including family relations. Victims are left with the adverse sequelae associated with it sometimes for life. This report highlights the management of a case of PID in a child as a result of incest perpetrated by her father. It also brings to fore the problems and challenges of child sexual abuse in Nigeria. The patient was a 17 year old 100 level university student who lost her mother at the age of 14 and was living with her father alone. The father sexually abused her repeatedly for two years. She became pregnant and had the pregnancy illegally terminated at seven weeks gestation via dilatation and curettage. The procedure was complicated by Pelvic Inflammatory Disease (PID) which necessitated her presentation at the clinic where she was treated. The case brings to the fore the problem of child sexual abuse in Nigeria and its attendant sequelae. The health care providers should have a high index of suspicion for CSA when attending to minors and address sexual problems including CSA where present. 
      Keywords: Tear break-up time, Schirmer’s test, Intraocular Pressure, Pregnancy, Child, Crime, Incest, PID
      Issue No: Vol. 20, No. 1
       
  • Sexual Health of Prison Inmates: A Case Study of Kano Central Prison,
           North Western Nigeria

    • Authors: Umar M. Lawan, Gboluwaga T. Amole, Muhammad J. Shuaib
      Abstract: Sexual and reproductive health of prison inmates suffers from serious neglect in Nigeria. This mixed method study examined prison officials and 160 inmates on prison law and administration, and sexual health of inmates. Most of the inmates examined (82.5%) reported having frequent sexual desire. Wet dreams (46.2%) and watching others' nakedness (25.0%) were the common means by which inmates manifest sexual desire. Majority relieve sexual desire through anal sex (72.0%) and masturbation (69.7%). Common forms of sexual violence observed include forceful fondling with genitalia (47.4%) and forceful insertion of finger/object in the anus (21.0%) in males and rape (15.8%) in females. All victims were younger inmates (18 – 34 years). There is a need for legislation on sexual violence and exploring the practice of conjugal visits or furloughs as practiced in some countries. 
      Keywords: Sexual Health, Sexual Violence, Prison Inmates, Kano Central Prison, Nigeria.
      Issue No: Vol. 20, No. 1
       
  • Determinants of Male Circumcision for HIV/AIDS Prevention in East Central
           Uganda

    • Authors: Brian Kironde, Robert Wamala, Betty Kwagala
      Abstract: Safe Male Circumcision (SMC) is one the effective strategies for reducing HIV transmission. The paper examines factors associated with SMC for HIV prevention, based on 4,979 males from East Central Uganda. Data were analysed using chi-squared tests and multinomial logistic regression. Older males aged 31 years and above (p < 0.001), from predominantly non-circumcising districts (Buyende - p < 0.001, Kaliro p < 0.01, and Kamuli - p < 0.01); who had neither used condoms (p = 0.03) nor tested for HIV (p < 0.001) were less likely to circumcise for HIV prevention. Males who were assessed in 2012 (p < 0.001) three years after program implementation were more likely to circumcise for HIV for HIV prevention. Males that did not take measures to prevent HIV infection were less likely to undertake SMC and are therefore highly vulnerable to infection. These (together with older males, and males from non-circumcising districts) should be targeted for promotion of SMC alongside other HIV preventive measures. For better results, the benefits SMC for children as well as adults require emphasis. Wider coverage of SMC services should entail adequate equipping of public and where feasible, private facilities and appropriate training of health personnel countrywide. 
      Keywords: Male circumcision, HIV/AIDS prevention, Uganda.
      Issue No: Vol. 20, No. 1
       
  • Assessment of Emergency Obstetric Care Services in Ibadan- Ibarapa Health
           Zone, Oyo State, Nigeria

    • Authors: Eniola A. Bamgboye, Akindele O. Adebiyi, Akin A. Fatiregun
      Abstract: Nigeria’s high maternal mortality has been attributed to poor utilization of obstetric care services to handle complications of pregnancy and childbirth. But how available are standard emergency obstetric care services' This facility based cross sectional study assessed the availability and accessibility of emergency obstetric care services in Oyo State, Nigeria. Using a multi-stage sampling technique, 61 primary and 10 secondary health care facilities were selected. Data was collected using a structured questionnaire from the heads of the maternity units. Spatial mapping of the facilities was also produced. Results showed availability of comprehensive emergency obstetric care (CEmOC) facilities (0-3.9/500,000 population) was adequate, however a gross lack of basic emergency obstetric care (BEmOC) facilities (0-5.4/500,000 population) was observed, where available, they were clustered in the urban settlements. Prompt action needs to be taken to upgrade basic emergency obstetric care facilities accessible to the larger rural population dwellers to improve maternal health indices. 
      Keywords: Maternal Mortality, Comprehensive, Basic, Emergency obstetric care
      Issue No: Vol. 20, No. 1
       
 
 
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