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Journal Cover African Journal of Reproductive Health
  [SJR: 0.561]   [H-I: 29]   [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  [266 journals]
  • Editorial: Scientific knowledge dissemination and reproductive health
           promotion in Africa: the case of AJRH

    • Authors: Babatunde Ahonsi
      Abstract: No Abstract
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Editorial: The value of learned journals for health professionals

    • Authors: Lindsay Edouard
      Abstract: No Abstract
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Promoting early detection of breast cancer and care strategies for Nigeria

    • Authors: Agatha Ogunkorode, Lorraine Holtslander, June Anonson, Johanna Maree
      Abstract: Breast cancer is the most common cancer in women particularly in developing countries like Nigeria, with high mortality, and economic costs. Worldwide, it is predicted that more than one million women are diagnosed with breast cancer, and more than 400,000 will die from the disease every year. A comparative integrative review of the literature from Nigeria and Canada showed that in Canada, there is positive association between wide spread education, early detection, the disease stage at diagnosis, and survival rates. In Nigeria, presentation with the advanced stage of the disease makes survival very low. The primary factors responsible for the late presentations are lack of awareness, misconceptions about breast cancer causes, and treatment outcomes. It is recommended that guidelines and policies about breast cancer early detection, care strategies, and ongoing management pathways be produced, disseminated, and adopted. The guidelines will assist practitioners and patients in making informed decisions and choices about the most appropriate health care for their specific clinical situations. The implementation of evidence-based guidelines will most likely help to improve care processes, the quality of clinical decisions and patient treatment outcome.Keywords: Breast cancer, awareness, early detection of cancer, cancer care, Nigeria, Canada
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Trends and determinants of comprehensive knowledge of HIV among
           adolescents and young adults in Nigeria: 2003 - 2013

    • Authors: Ayodeji B. Oginni, Sylvia B. Adebajo, Babatunde A. Ahonsi
      Abstract: This study examined comprehensive knowledge of HIV (CKH) and its determinants among young people aged 15-24 years in Nigeria between 2003 and 2013. Secondary analysis was conducted on three rounds of NDHS 2003, 2008 and 2013 data. CKH increased significantly between 2003 and 2013, but the level reached in 2013 fell short of the global expectation for young people. Its significant determinants included gender, age, educational attainment, place and region of residence, household wealth status and uptake of HIV test. There is need to sustain all on-going effective youth-focused interventions and programmes to meet the comprehensive knowledge needs for all young people in Nigeria.Keywords: Young people, HIV and AIDS, Comprehensive knowledge, Nigeria, Determinants
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Partner support for family planning and modern contraceptive use in
           Luanda, Angola

    • Authors: Ndola Prata, Suzanne Bell, Ashley Fraser, Adelaide Carvalho, Isilda Neves, Benjamin Nieto-Andrade
      Abstract: Husband‘s/partner‘s support for family planning may influence a women‘s modern contraceptive use. Socio-demographic factors, couple communication about family planning, and fertility preferences are known to play a role in contraceptive use. We conducted logistic regression analysis to investigate the relationship between perceived husband‘s/partner‘s approval and husband‘s/partner‘s encouragement of modern contraceptive use, adjusting for socio-demographic factors and recent couple communication about family planning. We also examined mediating roles potentially played by perceived contraceptive accessibility and contraceptive self-efficacy (using index created by principal component analysis). Perceived husband‘s/partner‘s approval was associated with triple the odds of women‘s modern contraceptive use and remained significantly associated with 1.6 times the odds, after controlling for contraceptive accessibility and contraceptive self-efficacy. Husband‘s/partner‘s encouragement, while initially significantly associated with contraceptive use, became non-significant after adjustments for socio-demographic factors and couple communication. Perceived husband‘s/partner‘s approval, separate from a woman‘s sense of self-efficacy and perceived accessibility of contraceptives, appears strongly and positively associated with current modern contraceptive use. Increased couple communication may help women identify their husband‘s/partner‘s approval. Difference between the meaning of approval and encouragement should be explored. Interventions involving information education and communication campaigns geared to men and promoting male involvement in family planning could increase contraceptive prevalence.Keywords: Contraception, male involvement, approval, encouragement, sub-Saharan Africa
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Associated factors and quality of care received among maternal deaths at a
           regional hospital in Ghana: maternal death audit review

    • Authors: Akosua Owusu-Sarpong, Kwame A. Boamah, Frank Baiden
      Abstract: Maternal death audits are crucial to the reduction of maternal deaths. The aim of this study was to identity factors contributing to maternal deaths at Eastern Regional Hospital of Ghana. Quantitative and qualitative methods were used. Quantitative data on all the maternal deaths from January to December 2012 was extracted from completed audit forms and patients records using a standardized questionnaire. The data were analyzed in Epi-info. Qualitative data was collected through in-depth interviews and focus group discussions with health staff to assess care received and factors leading to death. A total of 43 maternal deaths occurred out of which 37 (86%) were audited. Major causes of deaths were pregnancy induced hypertension (27%) and abortion (21%). Late referrals, poor supervision of junior staff, inadequate numbers of senior clinicians, lack of intensive care facility as well as unavailability and insufficient blood and blood products were the main contributory factors to the deaths. Tertiary health institutions should be adequately equipped, staffed, and funded to address these causes of maternal death.Keywords: Maternal, Death, Audit, Ghana, Africa
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Exploring the causes of change in adolescent girls’ sexual behaviour
           in Begoro, Ghana

    • Authors: Sylvia E. Gyan
      Abstract: There is a changing trend in adolescent girls‘ sexual and reproductive behaviour in Ghana. However, contemporary perspectives on adolescent girls‘ sexual behaviours are largely missing hence this study. Thematic analysis of data collected through in-depth interviews with adolescent girls and community members as well as focus group discussions with adolescent boys identified several factors accounting for the changes in adolescent girls‘ sexual and reproductive behaviour. These factors include changes in girls‘ attitudes to traditional practices, diversity in the agents of socialization as well as the age at menarche. This has resulted in a clash of value system between girls‘ sexual behaviours and that of the elderly. Thus, the social context in which girls are experiencing sexual and reproductive life in Ghana is changing and this must be taken into consideration when designing any intervention to help adolescent girls become resilient in their sexual and reproductive lives.Keywords: adolescent girls, sexual behaviour, social change, Ghana
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • High rates of unintended pregnancies among young women sex workers in
           conflict-affected northern Uganda: the social contexts of brothels/lodges
           and substance use

    • Authors: Putu Duff, Godfrey Muzaaya, Katherine Muldoon, Sabina Dobrer, Monika Akello, Josephine Birungi, Kate Shannon
      Abstract: This study aimed to examine the correlates of unintended pregnancies among young women sex workers in conflict-affected northern Uganda. Data were drawn from the Gulu Sexual Health Study, a cross-sectional study of young women engaged in sex work. Bivariable and multivariable logistic regression was used to examine the correlates of ever having an unintended pregnancy. Among 400 sex workers (median age=20 years; IQR 19-25), 175 (43.8%) reported at least one unintended pregnancy. In multivariable analysis, primarily servicing clients in lodges/brothels [Adjusted Odds Ratio (AOR= 2.24; 95% Confidence Interval: 1.03-4.84)], hormonal contraceptive usage [AOR=1.68; 95%CI 1.11-2.59] and drug/alcohol use while working [AOR= 1.64; 95%CI 1.04-2.60] were positively correlated with previous unintended pregnancy. Given that unintended pregnancy is an indicator of unmet reproductive health need, these findings highlight a need for improved access to integrated reproductive health and HIV services, catered to sex workers‘ needs. Sex work-led strategies (e.g., peer outreach) should be considered, alongside structural strategies and education targeting brothel/lodge owners and managers.Keywords: sex work, reproductive health, HIV, Uganda, post-conflict
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Integrating family planning and HIV services at the community level:
           formative assessment with village health teams in Uganda

    • Authors: Aurélie Brunie, Patricia N.W. Mucheri, Angela Akol, Mario Chen, Sarah J. Mercer, Tricia Petruney
      Abstract: Little is known on integrating HIV and family planning (FP) services in community settings. Using a cluster randomized controlled design, we conducted a formative assessment in two districts in Uganda where community health workers, called VHTs, already offered FP. Thirty-six trained VHTs also provided HIV testing and counseling (HTC) during the intervention. We surveyed all 36 VHTs and 256 FP clients, and reviewed service statistics. In the intervention group, VHTs tested 80% of surveyed clients for HIV, including 76% they already saw for FP and 22% who first came to them for HTC before receiving FP. Comparing clients‘ experiences in the intervention and control groups, adding HTC does not appear to have negatively affected FP service quality. VHTs reported more monthly clients, but rated their workload as easy to manage. This integrated model seems feasible and beneficial for both VHTs and clients, while not resulting in any negative effects. This study was registered with ClinicalTrials.gov, number [NCT02244398].Keywords: family planning, HIV, community health workers, integration, Uganda
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Context-specific factors and contraceptive use: a mixed method study among
           women, men and health providers in a rural Ghanaian district

    • Authors: Martin Amogre Ayanore, Milena Pavlova, Wim Groot
      Abstract: Suitable options for improving women‘s access to effective, safe and context-specific contraceptive methods must be explored to curtail rising unmet needs for contraceptive use in rural Ghana. The study aimed to outline context-specific factors associated with contraceptive use, access on demand and future use intentions among women in one district of Ghana. Using mixed method approach, quantitative data (n=720) was collected among women aged 18-28. Focus group discussions and in-depth interviews were also conducted among women (n=30) aged 18-49 and men (n=10) respectively. IDIs were conducted among 3 midwives. Women who received focused counseling on contraceptive use were twice likely to have ever used (OR=2 95% CI 1.163-3.467) or be current users (OR=2, 95% CI 1.146-4.010) of contraceptives. Male partner support can drive cultural sensitivities towards accepting use of contraception (OR=34.5, CI% 19.01-64.22). Covert use is still preferred by most in the study. Services delivered on good provider-relational grounds and convenient clinic hours encourage contraceptive use among women. Male targeting for improving contraceptive service use must first identify context-specific preferences of the woman, since covert use is highly valued. Ascertaining the prevalence of covert use and how community systems can address this for improved contraceptive uptake is further recommended.Keywords: context-specific factors, contraceptive use, access on demand, future contraceptive use, rural Ghana
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • Demand for women’s health services in northern Nigeria: a review of
           the literature

    • Authors: Irit Sinai, Jennifer Anyanti, Mohsin Khan, Ramatu Daroda, Olugbenga Oguntunde
      Abstract: Demand for and utilization of women‘s health services in northern Nigeria are consistently low and health indicators in the region are among the poorest in the world. This literature review focuses on social and cultural barriers to contraceptive use, antenatal care, and facility births in northern Nigeria, and influencers of young women‘s health-seeking behavior. A thorough search of peer reviewed and grey literature yielded 41 publications that were synthesized and analyzed. The region‘s population is predominantly Muslim, practicing Islam as a complete way of life. While northern Nigerian society is slowly changing, most women still lack formal education, with a significant proportion married in their teens, and the majority neither socially nor economically empowered. The husband largely makes most household decisions, including utilization of healthcare services by members of his household. These practices directly impact women‘s health-seeking behaviors for themselves and for their children. Programs seeking to improve women‘s health outcomes in northern Nigeria should involve women‘s influencers to affect behavior change, including husbands, religious leaders, and others. More research is needed to identify pathways of information that can be utilized by programs designed to increase demand for health services.Keywords: Maternal health, family planning, demand-side, Northern Nigeria, literature review
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
  • The threat of aerobic vaginitis to pregnancy and neonatal morbidity

    • Authors: Eveline Kaambo, Charlene W.J. Africa
      Abstract: Aerobic vaginitis (AV) is an endogenous opportunistic infection brought about by the disruption of the normal vaginal microbiota. Its early diagnosis and treatment during pregnancy may reduce the risk of negative pregnancy outcomes. The aim of this review was to report on the aerobic bacteria most prevalent in AV and to provide evidence of the threat of untreated AV on pregnancy outcomes. More than 300 papers on preterm delivery were extracted from several research domains and filtered to include only AV-associated bacteria such as Staphylococcus aureus, Enterococcus faecalis, Escherichia coli and Group B streptococci and their association with adverse pregnancy outcomes. Due to the diverse sample groups, study techniques and outcomes, a meta-analysis was not conducted. The review revealed that the association of AV with adverse pregnancy outcomes has not been as widely researched as bacterial vaginosis (BV) and needs further investigation. Furthermore, the frequent misdiagnosis of AV coupled with the emerging antimicrobial resistance associated with bacteria implicated in AV and neonatal nosocomial infections pose a problem for prophylaxis and treatment to reduce the risk of maternal and neonatal morbidity and mortality.Keywords: Aerobic vaginitis; pregnancy risks; antimicrobial resistance
      PubDate: 2017-08-31
      Issue No: Vol. 21, No. 2 (2017)
       
 
 
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