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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]
  • Experiences with universal health coverage of maternal health care in Ondo
           State, Nigeria, 2009-2017

    • Authors: Olusegun Mimiko
      Abstract: No
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Maternal education and diarrhea among children aged 0-24 months in Nigeria

    • Authors: Adeyimika T. Desmennu, Mojisola M. Oluwasanu, Yetunde O. John-Akinola, Opeyemi Oladunni, S. Ayo Adebowale
      Abstract: Childhood diarrhea remains a problem in countries like Nigeria where access to potable water, good hygiene and sanitation are lacking. Maternal education is an important determinant of health status of under-five children. Very few studies have investigated the relationship between maternal education and diarrhea in children in Nigeria. Therefore, this study was implemented to fill the gap. The study design was cross-sectional and 2013 National Survey was used. Children aged 0-24 months were investigated and the dependent variable was diarrhea status of the index child in the last two weeks prior the survey. The main independent variable was maternal education. Data were analyzed using Chi-square and Logistic regression models (α=0.05). Diarrhea prevalence was 13.7% and higher (15.5%) among children of women who have no formal education, and mothers living in the North East region of Nigeria experienced the highest prevalence (26.4%). Children whose mothers had no formal education were 2.69(CI= 1.800-4.015, p<0.001) more likely to have diarrhea as compared to those who had higher education. Maternal education is an important predictor of diarrhea among children aged 0-24 months in Nigeria. Policies to reduce diarrhea among children in Nigeria should target children of the illiterate, less educated mothers and those living in the North-West.Keywords: Maternal Education, Childhood diarrhea, Nigeria
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Strengthening youth friendly health services through expanding method
           choice to include long-acting reversible contraceptives for Ethiopian

    • Authors: Fariyal F. Fikree, Worknesh K. Abshiro, Murtala M. Mai, Kidest L. Hagos, Mengistu Asnake
      Abstract: Despite robust evidence regarding long-acting reversible contraceptive (LARC) low failure rates, immediate return to fertility and safety, LARC uptake among youth is low. We evaluated the effect on contraceptive uptake of training youth-friendly service providers to counsel and provide all contraceptive methods including LARCs in the same unit. A convenience purposive sampling technique was used to select 20 youth friendly health units; ten each in Amhara and Tigray regions, Ethiopia; randomly allocated to the intervention (five) and non-intervention (five) arms. Data were abstracted from the family planning registers over an eleven-month period: three months pre-intervention and eight months post-intervention. Analysis of contraceptive uptake and chi-square tests of association were conducted. The number of LARCs new acceptors in the intervention arm was 781 (pre-intervention=116; post intervention=665) as compared to 358 in the non-intervention arm (pre-intervention=95; post intervention=263). Odds of adopting LARCs at pre-intervention (0.70); rose to 1.30 for the post-intervention phase (p-value <0.0001); comparing intervention to non-intervention study arms. Training youth friendly service providers to counsel and provide all contraceptive methods including LARCs in one location resulted in higher LARCs uptake for all sexually active young women; including those planning on delaying their first pregnancy.Keywords: Youth, long-acting reversible contraceptives, expanded method choice, one-stop shop
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • HIV/AIDS knowledge, attitude and practice among Dilla University Students,

    • Authors: Tarekegn T. Gemeda, Abineh U. Gandile, Demisse S. Bikamo
      Abstract: The growing rate of educational institutions and student population at the tertiary level in Ethiopia is remarkable; this may lead to a corresponding increase to exposure to HIV/AIDS. Based on this orientation, this study estimated the level of knowledge, attitude and practice of HIV/AIDS among university students in Ethiopia. Four hundred forty one students were chosen through multi-stage probability sampling technique. Data was collected through five point measurement scale. One sample t-test and Structural Equation Modelling based on Confirmatory Factor Analysis (CFA) were employed for data analysis. It was found that the level of HIV/AIDS knowledge, attitude, and practice were 53%, 95%CI = -.03- .06, p = .55; 58 %, 95%CI = .01- .10, p<.05; and = 92 %, 95%CI = .37- .42, p<.001 respectively. Apart from knowledge, the observed value of attitude and practice were higher than their corresponding expected values with the effect size, d = 0.12 for attitude and d = 0.82 for practice. Implications were discussed to assist students develop comprehensive knowledge and desirable attitude towards self-protective skills against HIV infection.Keywords: Knowledge, attitude, practice, HIV/AIDS, Ethiopia, University students
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Barriers to antenatal care in an urban community in the Gambia: an
           in-depth qualitative interview study

    • Authors: Susan P. Laing, Smruti V. Sinmyee, Khizar Rafique, Helen E. Smith, Max J. Cooper
      Abstract: This qualitative study investigated the barriers to obtaining access to antenatal care in a small, urban government-supported health centre in the Gambia. It thus addresses an important issue related to maternal health and the prevention of maternal deaths. In-depth interviews were conducted with 25 pregnant women, 13 healthcare workers and 9 male partners. Three areas were identified for study: recognition and acknowledgment of pregnancy, recognition of the need for care and practical barriers to attendance. Intentional concealment of early pregnancy was common to avoid adverse social consequences or for fear that malign interventions would cause a miscarriage. In the absence of symptoms many women considered it unnecessary to attend the antenatal clinic until well into the second trimester. Practical barriers to attendance included conflicting domestic demands and the attitude of some healthcare workers. Access to antenatal care in the Gambia throughout pregnancy should be considered in a stepwise fashion and barriers to care were identified at each stage. Interviews with male partners and health workers highlighted their key role.Keywords: Access, antenatal care, health services, qualitative, Gambia, Africa
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • User satisfaction with family planning services in government health
           centres in the Congo

    • Authors: Gilbert Ndziessi, Gickelle Bintsene-Mpika, Richard Bileckot
      Abstract: Patient satisfaction is considered an indicator of quality of care. This study aimed to assess the degree of clients‘ satisfaction with family planning (FP) services in government health centers in Congo. A cross-sectional study was conducted. A total of 635 clients nested in 27 health facilities were included in the analysis. Satisfaction was defined as "having a good perception of provider technical skills, being satisfied with the service organization and having a general positive appreciation of FP services. Statistical analyses were performed using SPSS v15. Among 635 clients, 57% perceived lack of technical competence in providers, 88% perceived good organization in FP services and 77% declared having general positive appreciation of FP services. Global level of client satisfaction was 42%. In conclusion client satisfaction with FP service was low and strengthening health workers technical competence is crucial. But, as the quality is multidimensional, other aspects especially significant funding investment and quality-assurance interventions must be taken into account.Keywords: family planning, services, user satisfaction, Congo
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Influence of knowledge of spousal fertility cycles on male reproductive
           health participation in Ibadan Metropolis, Nigeria

    • Authors: Taiwo A. Obembe, Kehinde O. Odebunmi, Kayode O. Osungbade, Babatunde O. Adedokun
      Abstract: Despite the established roles and influence of men on women‟s uptake and utilization of reproductive health care interventions, the degree of involvement with intimate issues within the household which could help to understand male involvement and support remains an under-researched topic. The aim of this study was to investigate the degree of involvement at the family level of men within sub-urban communities of Ibadan in South-West Nigeria. A cross sectional survey design was conducted among 380 men selected from sub-urban communities in Ibadan, Oyo State using multi-stage sampling. Data was obtained using pre-tested, semi-structured, interviewer administered questionnaires. Data were analysed using descriptive statistics, bivariate analysis and logistic regression with level of significance set at 5%. Mean age of respondents was 41.1 ± 7.6 years. Men who were knowledgeable of spouse‟s menstrual cycles and ovulation dates were significantly more likely to have supported some form of public health intervention before (p<0.001). Age over 30, above secondary education, and men aware of menstrual dates of spouse were significant predictors of reproductive health interventions. Men who were aware of menstrual cycles of spouse were 96.6% more likely to be supportive or involved in reproductive health matters compared to those who were not (OR =0.034; 95% CI = 0.02 - 0.07; p<0.001). Involvement of men at family level as demonstrated in this study serves to influence and explain the level of involvement with reproductive health. Further research investigating other proximal factors that influence male participation is recommended.Keywords: reproductive health, health disparities, male involvement, menstrual cycle, ovulatory cycles, fertility
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Determinants of modern contraceptive uptake among Nigerian women: evidence
           from the National Demographic and Health Survey

    • Authors: Ofonime E. Johnson
      Abstract: Family planning is a key strategy in the control of fertility among women. This study sought to determine various factors that influence modern family planning use in Nigeria. The study used data from Nigeria Demographic and Health Survey (NDHS) 2013. Analysis was carried out using Stata version 12.1. Multivariate logistic regression was used to determine association between various factors and use of modern family planning methods. A total of 119,386 women aged 15-49 years participated in the study. The mean age of respondents was 35.9 ± 8.1 years. Overall, contraceptive prevalence rate of modern methods was 10.3%. The highest proportion of use was 26.7% in the South West, while the lowest was 2.7% in the North West. Predictors of modern family planning use were higher education (OR=4.49, 95% CI: 4.10-4.92), richest wealth quintile (OR=3.71 CI: 3.29-4.19), being from South West (OR=3.42, 95% CI: 3.15-3.70), age 25-49 years (OR=1.55, 95% CI: 1.42-1.69) and urban residence (OR=1.08, 95% CI: 1.03-1.13) (p<0.001). The highest predictors of modern contraceptive use were education and wealth index. These indices were poorest in North Western Nigeria. Measures should be taken to improve female literacy and employment as these will most likely improve uptake of modern contraceptives among women in Nigeria.Keywords: Modern contraceptive use, determinants, NDHS, Nigeria
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Effects of vaginal lubricants on in-vitro progressive
           spermatozoa motility

    • Authors: Stacey L. Wilson, Jamila K. Adam, Suresh Babu Naidu Krishna
      Abstract: Vaginal lubricants are used to solve intercourse difficulties or as sexual enhancers, but recent reports raise questions about their safety in terms of fertility. In this study, twenty semen samples were tested against commercially available vaginal lubricants for progressive spermatozoa motility and vitality with varying exposure time intervals. Results showed that the vaginal lubricant which least affected progressive spermatozoa motility was the oil-based vaginal lubricant, which kept the mean percentage of progressive spermatozoa motility within the minimum normal range of 32%, following 60 minutes of exposure. The silicone-based vaginal lubricant produced similar results to the oil-based vaginal lubricant, however the progressive spermatozoa motility dropped below the minimum normal range within 60 minutes of exposure. The fertility lubricant did not produce mean progressive motilities that were within the normal minimum range at any of the three time intervals, producing poor results overall. The vaginal lubricant which produced the poorest results was the water-based, which immobilized all of the spermatozoa within 5 minutes of exposure and killed on average 95.23% within 60 minutes. Although further assessment is required, these results highlight potential fertility issues related to the formulation of commercially available vaginal lubricants.Keywords: Dyspareunia, Fertility, Sperm motility, Sperm function, vaginal lubricants
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
  • Saving the lives of women, newborns, and children: a formative study
           examining opportunities to improve reproductive, maternal, neonatal, and
           child health outcomes in Nigeria

    • Authors: Ejiro J. Otive-Igbuzor, Theresa Kaka Effa, Emily Teitsworth, Rufaro Kangai, Chantal Hildebrand, Diana Lara, Denise Dunning
      Abstract: Despite economic growth in Nigeria, maternal and infant mortality rates remain among the highest in the world. Civil society organisations (CSOs) play a critical role in ensuring governmental accountability to fulfil commitments that improve health outcomes for women, newborns, and children. This formative study was undertaken to identify: a) policy advocacy priorities b) advocacy challenges, and, c) opportunities for strategic advocacy. Methods consisted of a desk review of key reproductive, maternal, neonatal, child and adolescent health (RMNCAH) policies, surveys with CSOs working on RMNCAH, and key informants from non-governmental organisations (NGOs), and United Nations agencies. Participants identified the need for improved funding for RMNCAH policy implementation, increased civil society input in policy creation, and greater accountability. Increased investment in advocacy capacity building and accountability play an important role in improving health outcomes in Nigeria.Keywords: Maternal health, Reproductive health, Infant mortality, Advocacy, Accountability, Civil Society
      PubDate: 2017-12-05
      Issue No: Vol. 21, No. 3 (2017)
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
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Fax: +00 44 (0)131 4513327
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