for Journals by Title or ISSN
for Articles by Keywords
help
Followed Journals
Journal you Follow: 0
 
Sign Up to follow journals, search in your chosen journals and, optionally, receive Email Alerts when new issues of your Followed Jurnals are published.
Already have an account? Sign In to see the journals you follow.
Journal Cover African Journal of Reproductive Health
   Journal TOC RSS feeds Export to Zotero [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  [230 journals]   [SJR: 0.24]   [H-I: 22]
  • Performance Needs Assessment of Maternal and Newborn Health Service
           Delivery in Urban and Rural areas of Osun State, South-West, Nigeria

    • Authors: OT Esan, AO Fatusi
      Abstract: The study aimed to determine performance and compare gaps in maternal and newborn health (MNH) services in urban and rural areas of Osun State, Nigeria, to inform decisions for improved services. This study involved 14 urban and 10 rural-based randomly selected PHC facilities. Using a  Performance Needs Assessment framework, desired performances were determined by key stakeholders and actual performances measured by conducting facility survey. Questionnaire interview of 143 health workers and 153 antenatal clients were done. Performance gaps were determined for the urban and rural areas and compared using Chi-square tests with SPSS version 17. PHC facilities and health workers in Osun State, Nigeria, were found to have significant gaps in MNH service performance and this was worse in the rural areas. Root cause of most of the performance gaps was poor political will of local government authorities. Improved  government commitment to MNH is needful to address most of the gaps. Afr J Reprod Health 2014; 18[2]: 105-116).
      Keywords: Performance, maternal health services, health systems
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Assessment of Peer-Based and Structural Strategies for Increasing Male
           Participation in an Antenatal Setting in Lilongwe, Malawi

    • Authors: SM Mphonda, NE Rosenberg, E Kamanga, I Mofolo, G Mwale, E Boa, M Mwale, F Martinson, I Hoffman, MC Hosseinipour
      Abstract: In sub-Saharan Africa, although male involvement in antenatal care is associated with positive outcomes for HIV-infected women and their  infants, men rarely accompany female partners. We implemented a project to increase the number of male partners attending an antenatal clinic at Bwaila Hospital in Lilongwe, Malawi. We evaluated changes in the  proportion of women who came with a partner over three periods. During period 1 (January 2007 – June 2008) there was didactic peer education. During period 2 (July 2008 – September 2009) a peer-led   male-involvement drama was introduced into patient waiting areas. During period 3 (October 2009 – December 2009) changes to clinical infrastructure were introduced to make the clinic more male-friendly. The proportion of women attending ANC with a male partner increased from 0.7% to 5.7% to 10.7% over the three periods. Peer education through drama and  male-friendly hospital infrastructure coincided with substantially greater male participation, although further gains are necessary. Afr J Reprod Health 2014; 18[2]: 97-104).
      Keywords: HIV, antenatal, male involvement, HIV counseling and testing, disclosure, prevention of mother to child transmission, couple
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Awareness and Use of Modern Contraceptives Among Physically Challenged
           In-School Adolescents In Osun State, Nigeria

    • Authors: FO Olajide, AG Omisore, OO Arije, OT Afolabi, AO Olajide
      Abstract: This study assessed awareness and use of modern contraceptives among physically challenged in-school adolescents in Osun State, Nigeria. A cross-sectional study was carried out among 215 adolescents in the special schools in the state. A pretested semi-structured questionnaire was administered by trained interviewers. Data analysis was done using SPSS 17 and statistical level of significance was set at p< 0.05. The mean age of the respondents was 15.5years and more than half of them (56%) were males. Only about two fifths of them (38%) had ever heard about modern contraceptives. More males, older adolescents and visually impaired respondents had significantly heard about modern contraceptives compared with females, younger ones and those with other challenges at p-values of 0.026, 0.001 and 0.003 respectively. Only 34% of sexually experienced respondents had used a modern contraceptive method. The male condom was the most commonly used method. Afr J Reprod Health 2014; 18[2]: 87-96).
      Keywords: Blind, Deaf, family planning, Adolescents, School
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Potential for Revitalisation of the Diaphragm for Family Planning in
           Uganda: A Rapid Assessment of the Feasibility of Introducing the SILCS
           Diaphragm

    • Authors: IT Kyamwanga, E Turyakira, M Kilbourne-Brook, PS Coffey
      Abstract: This health systems assessment evaluated the feasibility of introducing a new contraceptive device, the SILCS single-size diaphragm, into the existing family planning method mix in Uganda. A total of 26 focus group discussions with 201 female and 77 male potential users and 98 key informant interviews with policymakers and providers were conducted between June and August 2010. Potential users, providers, and policymakers recognised that the SILCS Diaphragm could fill a gap in the method mix and expressed eagerness to make the SILCS Diaphragm available, particularly because it is nonhormonal and woman initiated. The diaphragm was viewed by all stakeholders as a method that would increase choice and could improve women’s reproductive health in Uganda. Like many countries, Uganda’s family planning programme is financially stretched, and clear support for the SILCS Diaphragm by end-users will need to be demonstrated before the product will be considered for public-sector introduction. Afr J Reprod Health 2014; 18[2]: 77-86).
      Keywords: Diaphragm, family planning, Uganda, SILCS, introduction
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Evaluation of a Reproductive Health Program to Support Married Adolescent
           Girls in Rural Ethiopia

    • Authors: A Erulkar, T Tamrat
      Abstract: Few reproductive health programs are targeted to married adolescent girls. This study measures changes associated with a program for married  adolescent girls and a parallel husbands’ program, in rural Ethiopia. The married girls’ program provided information on communication,  self-esteem, reproductive health and gender through girls’ groups. The husbands’ program focused on non-violence, support to families, and reproductive health. Population-based surveys were undertaken among married girls, at midterm and end line. Outcomes of interest were  husbands’ assistance with domestic work, accompaniment to the clinic,  family planning use, voluntary counseling and testing (VCT), and domestic violence. Overall, 1,010 married girls were interviewed. Participation in the girls’ groups was associated with improvements in help with domestic work, accompaniment to the clinic, family planning and VCT. Further  improvements were recorded when both partners participated. For example, participating girls were nearly 8 times more likely to receive VCT (OR 7.7) than nonparticipants, and more than 18 times more likely if both partners participated (OR 18.3). While these results are promising, there were  indications of selectivity bias that could have contributed to the positive  results. Programs engaging both wives and husbands can result in  incremental improvements to the health and well-being of girls married  early. Afr J Reprod Health 2014; 18[2]: 68-76).
      Keywords: Early marriage, male involvement, reproductive health, gender
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Factors Associated with Unmet Need for Modern Contraception in
           Post-Conflict Liberia

    • Authors: AP Pack, DR McCarraher, M Chen, CC Okigbo, LM Albert, S Wambugu
      Abstract: We examined the association between intimate partner violence and  unmet need for modern contraception in post-conflict Liberia. This is a secondary analysis of data collected using the Priorities for Local AIDS Control Efforts (PLACE) method. Data from 499 sexually experienced young women (aged 14-25) in Montserrado County, Liberia were examined.  Intimate partner violence (55.7%), unintended pregnancy (83.2%), and abortion (45.3%) were pervasive in the study population. An estimated 35.9% of respondents had an unmet need for modern contraception.  However, multivariate logistic regression results did not reveal an  association between intimate partner violence and unmet need (OR 1.11; 95% CI 0.70-1.75). Among covariates examined, only contraceptive use at sexual debut (26.1%) was significantly associated with unmet need (OR 0.27; 95% CI 0.14-0.52). Liberian youth need information about and access to modern contraceptive methods besides condoms. Interventions to identify and treat victims of violence are also needed. Afr J Reprod Health 2014; 18[2]: 58-67).
      Key words: Intimate partner violence, unintended pregnancy, abortion, unmet need for contraception, adolescents, Liberia
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Dating Violence and Self-Efficacy for Delayed Sex among Adolescents in
           Cape Town, South Africa

    • Authors: IM Boafo, EA Dagbanu, KO Asante
      Abstract: In South Africa, dating violence is known to be widespread among  adolescents, and is therefore a major public health issue because of its association with sexual risk behaviours. The objective of the study was to examine the relationship between dating violence and self-efficacy for  delayed sex among school-going adolescents in Cape Town, South Africa. The study is based on analyses of data from a school-based health  education programme targeting sexual and reproductive health issues.The study involved 3,655 school-going adolescents aged between 12 and 17 in Cape Town, South Africa. The data was collected by means of a  self-administered questionnaire composed of 153 items on sexual and reproductive health, dating violence as well as socio-demographic  characteristics. The results indicated that males showed a higher  percentage of both dating violence victimization and perpetration, as  compared to females. It was also found that adolescents from lower socio-economic backgrounds were more likely to be the victims of dating violence as compared to those from a higher socio-economic background. Female learners showed higher levels of self-efficacy for delayed sex than their male counterparts. Although the result revealed that there was a significant association between self-efficacy for delayed sex and socio-economic  status, this link decreased with age. It is concluded that educational  programmes aimed solely at improving self-efficacy for delayed sex is insufficient. Such programmes must also aim at preventing dating violence  and equipping adolescents with the skills to negotiate their way out of dating violence. Afr J Reprod Health 2014; 18[2]: 46-57).

      Keywords: STI, HIV, Sexual Risk Behavior, Sexual Debut, Coerced Sex
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • “I don’t know anything about their Culture”: The
           Disconnect between Allopathic and Traditional Maternity Care Providers in
           Rural Northern Ghana

    • Authors: E Hill, R Hess, R Aborigo, P Adongo, A Hodgson, C Engmann, CA Moyer
      Abstract: The provision of maternal and neonatal health care in rural northern Ghana is pluralistic, consisting of traditional and allopathic providers. Although  women often use these providers interchangeably, important differences exist. This study explored the differences in approaches to maternal and neonatal care provision by these two different types of providers. This  research was part of the Stillbirth and Neonatal Death Study (SANDS),  conducted in northern Ghana in 2010. Trained field staff of the Navrongo Health Research Centre conducted in-depth interviews with 13 allopathic and 8 traditional providers. Interviews were audio-recorded, transcribed, and analyzed using in vivo coding and discussion amongst the research team. Three overarching themes resulted: 1) many allopathic providers were isolated from the culture of the communities in which they practiced, while traditional providers were much more aware of the local cultural  beliefs and practices. 2) Allopathic and traditional healthcare providers have different frameworks for understanding health and disease, with  allopathic providers relying heavily on their biomedical knowledge, and traditional providers drawing on their knowledge of natural remedies. 3) All providers agreed that education directed at pregnant women, providers (both allopathic and traditional), and the community at large is needed to improve maternal and neonatal outcomes. Our findings suggest that, among other things, programmatic efforts need to be placed on the cultural education of allopathic providers. (Afr J Reprod Health 2014; 18[2]: 36-45).
      Keywords: Allopathic medicine, traditional medicine, maternal health, delivery care, culture
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Reflections on Female Circumcision Discourse in Hargeysa, Somaliland:
           Purified or Mutilated'

    • Authors: E Vestbøstad, A Blystad
      Abstract: In communities where female circumcision is carried out, increasingly large segments of the population have been exposed to strong arguments against the practice. This study aimed to explore diverse discourses on female circumcision and the relationship between discourses and practice among informants who have been exposed both to local and global discourses on female circumcision. A qualitative study was carried out in 2009/10 in Hargeysa, Somaliland, employing interviews and informal discussion. The main categories of informants were nurses, nursing students, returned exile Somalis and development workers. The study findings suggest that substantial change has taken place about perceptions and practice related to female circumcision; the topic is today openly discussed, albeit more in the public than in the private arena. An important transformation moreover seems to be taking place primarily from the severe forms (pharaoni) to the less extensive forms (Sunna). (Afr J Reprod Health 2014; 18[2]: 22-35).Keywords: pharaoni, sunna, FGM, infibulation,
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Family Planning Needs of Women Experiencing Severe Maternal Morbidity in
           Accra, Ghana: Another Missed Opportunity'

    • Authors: Ö Tunçalp, K Adu-Bonsaffoh, RM Adanu, MJ Hindin
      Abstract: Women with severe maternal morbidity represent an important group to target for increasing contraceptive uptake. Our objective was to explore the future fertility intentions, use of family planning including methods and reasons for not wanting to use contraception among a group of women who had traumatic delivery experience at a tertiary teaching hospital in Accra, Ghana. Our results show that despite higher educational attainment, longer hospital stays and intention to limit or stop childbearing among women, there is a missed opportunity for family planning among women with  severe maternal morbidity in this urban African hospital setting. Integrating postpartum family planning consultations by linking available services such as reproductive health clinics at the facilities rather than including  additional tasks for the midwives and the doctors in the wards could be a sustainable solution in such urban, high-volume settings.
      Keywords: near miss, maternal morbidity, family planning, postpartum contraception, Africa, integration, facility delivery
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • EDITORIAL: Revamping the Reproductive Health Agenda in Africa After 2014

    • Authors: F Okonofua
      Abstract: No Abstract.
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Physical Activity and Energy Expenditure: Findings from the Ibadan
           Pregnant Women’s Survey

    • Authors: AF Adeniyi, OO Ogwumike, CI Osinike
      Abstract: Physical activity, if there are no medical caveats, is beneficial to all people including pregnant women. This study examined the level of physical  activity in a group of pregnant Nigerian women. Pregnancy Physical Activity Questionnaire was used to assess the physical activity of 453 pregnant  women. The mean age of participants was 30.89}4.44 years, 222 (49.0%) were sedentary, and only 46 (10.2%) presented with moderate activity  level. The highest amount of energy (75.9 MET-hEwk-1) was expended on household activities. Women in the third trimester of pregnancy had more than three times the risk of being sedentary (OR=3.26, 95% CI = 2.11-4.56) but the risk reduced by 58% in gravid .5 women. Most of the pregnant women recorded physical activity that was lower than the  recommended level, which could lead to unfavourable health outcomes for mother and child. Efforts to promote physical activity in pregnant women in this environment are desirable. Afr J Reprod Health 2014; 18[2]: 117-126).
      Keywords: Physical activity, Energy expenditure, Pregnancy, Maternal health promotion Sfil n'y a pas de mises en garde medicales, l'activite physique est  benefique pour toutes les personnes y compris les femmes enceintes. Cette etude a examine le niveau d'activite physique dans un groupe de femmes nigerianes enceintes. Un questionnaire base sur lfactivite  physique a ete utilise pour evaluer l'activite physique de 453 femmes  enceintes. L'age moyen des participants etait de 30,89 } 4,44 ans, 222 (49,0%) etaient sedentaire, et seulement 46 (10,2%) ont presente avec le niveau d'activite physique modere. Le montant le plus eleve de l'energie (75,9 MET-h. sem - 1) ont ete consacres aux activites menageres. Les  femmes dans le troisieme trimestre de la grossesse courent plus de trois fois le risque d'etre sedentaire (OR = 3,26, IC 95% 2,11 a 4,56 =) mais le risque se reduit de 58% en gravides . 5 femmes. La plupart des femmes enceintes ont enregistre l'activite physique qui etait inferieur au niveau  recommande, ce qui pourrait conduire a des resultats defavorables sur la sante de la mere et de l'enfant. il est souhaitable dfavoir des efforts pour promouvoir l'activite physique chez les femmes enceintes dans cet environnement. Afr J Reprod Health 2014; 18[2]: 117-126).
      Mots-cles: activite physique, depenses d'energie, grossesse, promotion de la sante maternelle
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • In-vitro Fertilization, Gamete Donation and Surrogacy: Perceptions of
           Women Attending an Infertility Clinic in Ibadan, Nigeria

    • Authors: FA Bello, OR Akinajo, O Olayemi
      Abstract: Infertility affects 20% of couples in Nigeria. Assisted reproductive  techniques (ART) offered in Nigeria include in-vitro fertilization (IVF), gamete donation and surrogacy. This cross-sectional questionnaire study aimed at assessing the acceptability of ART to women seeking infertility treatment at the University College Hospital, Ibadan, Nigeria. Of the 307 respondents, 58.3% were aware of IVF and 59.3% would accept it as  treatment; 35.2% would accept donor eggs and 24.7% would accept donor sperms—a smaller proportion anticipated acceptability by their husbands. Thirty five percent were aware of surrogacy, 37.8% would accept it as  treatment; most preferring a stranger as a surrogate. Most felt surrogates should not be paid. Acceptance of ART was associated with older age, longer duration of infertility, previous failed treatment and women without other children. As chances of successful pregnancy are improved in younger individuals, counselling towards overcome barriers to accepting gamete donation and surrogacy should be instituted early. Afr J Reprod Health 2014; 18[2]: 127-133).
      Keywords: infertility, IVF, gamete donation, surrogacy, Nigeria
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Unmet Need for Contraception among Clients of FP/HIV Integrated Services
           in Nigeria: The Role of Partner Opposition

    • Authors: CC Okigbo, DR McCarraher, M Chen, U Gwarzo, G Vance, O Chabikuli
      Abstract: While women are aware of family planning (FP) methods in Nigeria, the unmet need for modern contraception remains high. We assessed the association between male partner opposition to FP and unmet need for modern contraception among women seeking anti-retroviral therapy (ART), HIV counseling and testing (HCT) and prevention-of-mother-to-child-transmission of HIV (PMTCT) services in Cross-River State, Nigeria. This secondary analysis used data from a facility-based FP/HIV integration study. Logistic regression was used to model the association of interest. Unmet need for modern contraception was high among all clients . ART (49%), HCT (75%), and PMTCT (32%). Perceived partner opposition to FP was widespread (.70%); however, multivariate analysis showed no significant association with unmet need for modern contraception. Significant covariates were womanfs age, marital status, parity, and previous use of modern contraception. Efforts to improve modern contraceptive use among women at risk of HIV infection in Nigeria should contemplate involving their male partners. Afr J Reprod Health 2014; 18[2]: 134-143).
      Keywords: Partner opposition, contraceptive use, HIV/FP service integration, NigeriaMalgre la bonne connaissance des methodes de la planification familiale (PF) au Nigeria, le besoin non satisfait de la contraception moderne reste eleve. Nous avons evalue l'association entre lfopposition du partenaire masculin a la PF et le besoin non satisfait de la contraception moderne chez les femmes qui recherchent un traitement anti- retroviral ( TAR), le conseil et le depistage du VIH CDV) et des services de la prevention de la transmission du VIH de la mere a lfenfant (PTME) dans lfetat de Cross River, Nigeria. Cette analyse secondaire a utilise des donnees provenant d'une etude d'integration PF / VIH basee sur un etablissement. La regression logistique a ete utilisee pour modeliser l'association d'interet. Le besoin non satisfait de la contraception moderne etait eleve parmi tous les clients - TAR (49 %), CDV (75 %) et la PTME (32 %). La perception de l'opposition du partenaire a la PF etait generalisee (. 70 %) ; cependant, l'analyse multivariee nfa montre aucune association significative avec le besoin non satisfait de la contraception moderne. Les covariables significatives etaient l'age de la femme, l'etat civil, la parite et l'utilisation anterieure de la contraception moderne. Les initiatives destinees a ameliorer l'utilisation de la contraception moderne chez les femmes a risque d'infection du VIH au Nigeria devraient envisager a mobiliser leurs partenaires masculins. Afr J Reprod Health 2014; 18[2]: 134-143).
      Mots-cles: Lfopposition de la part du partenaire, utilisation des  contraceptifs, integration des services du VIH / FP, Nigeria 
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Tubal Ectopic Gestation Associated with Genital Schistosomiasis: A Case
           Report

    • Authors: MB Aminu, K Abdullahi, LM Dattijo
      Abstract: Schistosoma are trematode blood flukes of the family Schistosomidae affecting the urinary and gastro-intestinal tracts. Riverine areas of the world such as in Africa, Eastern Mediterranean, Central American and East Asia are endemic for the disease, with S. haematobium accounting for most of the symptomatic genital infection. A case of a 25-year-old woman with 8 weeks amenorrhoea, lower abdominal pain and per vaginal bleeding was managed for ruptured ectopic pregnancy and discovered to have tubal infection by Schistosoma on histological examination is presented. Afr J Reprod Health 2014; 18[2]: 144-146).Keywords: Ectopic Gestation, Genital Schistosomiasis Les schistosomes sont des douves sanguines de la famille Schistosomiase affectent les voies urinaires et gastro-intestinaux. Les zones riveraines du monde comme l'Afrique, la Méditerranée Orientale, l'Amérique Centrale et l’Asie de l'Est sont endémiques de la maladie, la S. hématobie étant responsable de la plupart des infections génitales symptomatiques. Un cas d'une femme de 25 ans qui présentaient des 8 semaines d'aménorrhée, des douleurs abdominales basses et par des saignements vaginaux a été géré pour la grossesse extra-utérine rompue et l’examen histologique a découvert une infection des trompes par le schistosome. Afr J Reprod Health 2014; 18[2]: 144-146).
      Mots clés: gestation extra-utérine, schistosomiase génitale
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Do Abnormal Findings on Hystero-Salphingographic Examination Correlate
           with Intensity of Procedure Associated Pain'

    • Authors: OM Atalabi, BB Osinaike
      Abstract: The aim of this study is to determine if the intensity and nature of pain during Hystero-Salphingography could give a clue to the presence of abnormal finding/s. Eighty-two patients were recruited over a six-month period. Procedural pain was assessed using the numeric rating scale. Mean age was 33.2 ± 4.9 years. The median pain score in patients with normal findings was 6.0 but7.0, 8.0, and 8.5 in those with right tubal blockade, uterine fibroids and left tubal blockade respectively. No statistical difference in the absolute pain score between patients with normal and abnormal findings. Pain scores in patients with 1 and 2 abnormalities were 7.0 and 7.5, and the number of abnormalities did not affect pain score (P = 0.3). The presence or absence of pain during HSG may not be a suitable way of determining the presence or absence of abnormal HSG finding/s. .Afr J Reprod Health 2014; 18[2]: 147-151).
      Keywords: Hystero-salphingography; abnormal findings; Pain.

       Le but de cette étude est de déterminer si l'intensité et la nature de la douleur pendant l’hystérosalpingographie pourraient donner une indication de la présence des constatation(s) anormale(s). Quatre-vingt deux patients ont été recrutés au cours d’une période de six mois. La douleur de la procédure a été évaluée en utilisant l'échelle d'évaluation numérique. L'âge moyen était de 33,2 ± 4,9 ans. Le score de douleur médiane chez les patients qui présentaient des résultats normaux était de 6,0 but7.0, 8,0, et 8,5 chez ceux qui présentaient des blocages des trompes droites, les fibromes utérins et des blocages des trompes gauches respectivement. Il n’y avait aucune différence statistique du score de douleur absolue entre les patients avec des résultats normaux et anormaux. Les scores de douleur chez les patients avec 1 et 2 anomalies étaient de 7,0 et 7,5, respectivement et le nombre d'anomalies n'ont pas de conséquence sur le score de douleur (p = 0,3). La présence ou l'absence de douleur pendant la HSG peut ne pas être un moyen approprié de déterminer la présence ou l'absence des constatations anormales de la HSG. Afr J Reprod Health 2014; 18[2]: 147-151).
      Mots-clés : hystérosalpingographie, résultats anormaux, douleur.
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Factors Associated with Alcohol Consumption: A Survey of Women
           Childbearing at a National Referral Hospital in Accra, Ghana

    • Authors: G Adeyiga, EA Udofia, AE Yawson
      Abstract: A hospital based cross-sectional study was conducted to identify the factors associated with alcohol consumption in Ghanaian women of childbearing age. The sample consisted of 394 women of reproductive age, of which 234 were pregnant. Systematic random sampling was used to select respondents from the clinics of the Department of Obstetrics and Gynecology outpatient at the Korle Bu Teaching Hospital in Accra, Ghana. Data were collected using structured questionnaires and analyzed using SPSS for Windows version 17.0. In the three months preceding the survey, 37.6% imbibed alcoholic drinks, while 24.4% had ever imbibed an alcoholic herbal brew. Non-Islamic religion, not being in marital union, consuming an alcoholic herbal brew and considering alcohol was beneficial to health were strong predictors of alcohol consumption. We conclude that the prevalence of alcohol consumption is high among this cohort of Ghanaian women. Women should be screened for alcohol consumption and informed about the dangers of heavy alcohol consumption during pregnancy. Afr J Reprod Health 2014; 18[2]: 152-165).
      Keywords: alcohol, herbal brew, women, pregnancy Une étude transversale en milieu hospitalier a été menée afin d'identifier les facteurs associés à la consommation d'alcool chez les femmes ghanéennes en âge de procréer. L'échantillon était composé de 394 femmes en âge de procrée, dont 234 étaient enceintes. L’échantillonnage aléatoire systématique a été utilisé pour sélectionner les interviewées auprès des cliniques du Département d'Obstétrique et de Gynécologie ambulatoire hospitalier Universitaire de Korle Bu, à Accra, au Ghana. Les données ont été recueillies au moyen de questionnaires structurés et analysés à l’aide du logiciel SPSS pour Windows la version 17.0. Au cours des trois mois précédant l'enquête, 37,6 % ont imbibé des boissons alcoolisées, tandis que 24,4 % avaient déjà bu un breuvage à base de plantes alcooliques. La religion non islamique, n’étant pas dans l'union conjugale, la consommation d'un breuvage à base de plantes alcooliques et la considération de l'alcool comme étant bon pour la santé ont été de bons indices de la consommation d'alcool. Nous concluons que la prévalence de la consommation d'alcool est élevée dans cette cohorte de femmes ghanéennes. Les femmes devraient être examinés pour la consommation d'alcool et informés sur les dangers de la consommation d'alcool pendant la grossesse. Afr J Reprod Health 2014; 18[2]: 152-165).
      Mots-clés: alcool, bière à base de plantes, femmes, grossesse
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
  • Community-level Distribution of Misoprostol to Prevent Postpartum
           Hemorrhage at Home Births in Northern Nigeria

    • Authors: C Ejembi, O Shittu, M Moran, F Adiri, O Oguntunde, B Saadatu, I Hadiza, L Aku-Akai, MA Abdul, V Ajayi, N Williams, N Prat
      Abstract: In Nigeria, most deaths due to postpartum hemorrhage (PPH) occur in the absence of skilled birth attendants. A study using community mobilization and the training of community drug keepers to increase access to  misoprostol for PPH prevention was conducted in five communities around Zaria in Kaduna State, Nigeria. Community-oriented resource persons (CORPs) and traditional birth attendants (TBAs) recruited and counseled pregnant women on bleeding after delivery, the importance of delivery at a health facility, and the role of misoprostol. Drug keepers stored and dispensed misoprostol during a woman’s third trimester of pregnancy. TBAs and CORPs enrolled 1,875 women from January through December 2009. These results are based on 1,577 completed postpartum interviews. Almost all women delivered at home (95%) and skilled attendance at delivery was low (7%). The availability of misoprostol protected 83% of women who delivered at home against PPH who otherwise would not have been protected. Policymakers working in similar contexts should consider utilizing commuity-level distribution models to reach women with this life-saving intervention. Afr J Reprod Health 2014; 18[2]: 166-175).
      Keywords: misoprostol, community-level distribution, Nigeria, maternal mortality Au Nigeria, la plupart des décès dus à une hémorragie du post-partum (HPP) se produisent en l'absence d'accoucheuses qualifiées. Une étude à travers la mobilisation communautaire et la formation des gardiens de drogues dans la communauté pour améliorer l'accès à misoprostol pour la prévention de l'HPP a été menée dans cinq communautés à l’alentour de Zaria dans l'État de Kaduna, au Nigeria. Les experts orientés vers les communautés (EOVC) et les accoucheuses traditionnelles (AT) ont été recrutés et ont conseillés aux femmes enceintes sur les saignements après l'accouchement, l'importance de l’accouchement dans un établissement de santé, et le rôle de misoprostol. Les gardiens de médicaments ont stocké et distribué misoprostol au cours du troisième trimestre de la grossesse de la femme. Les et les accoucheuses traditionnelles et les EOVC ont inscrit 1875 femmes de janvier à décembre 2009. Ces résultats sont basés sur 1 577 entrevues post-partum déjà terminées. Presque toutes les femmes ont accouché à domicile (95%) et l'assistance à l’accouchement par le personnel qualifié était faible (7%). La disponibilité de misoprostol a protégé 83% des femmes qui ont accouché à domicile contre l’HPP qui, autrement, n'auraient pas été protégées. Les décideurs qui travaillent dans des contextes similaires devraient envisager d'utiliser des modèles de distribution au niveau de la communauté pour atteindre les femmes à travers cette intervention de sauvetage. Afr J Reprod Health 2014; 18[2]: 166-175).
      Mots clés: misoprostol, distribution au niveau de la communauté, Nigeria, mortalité maternelle 
      PubDate: 2014-06-18
      Issue No: Vol. 18, No. 2 (2014)
       
 
 
JournalTOCs
School of Mathematical and Computer Sciences
Heriot-Watt University
Edinburgh, EH14 4AS, UK
Email: journaltocs@hw.ac.uk
Tel: +00 44 (0)131 4513762
Fax: +00 44 (0)131 4513327
 
About JournalTOCs
API
Help
News (blog, publications)
JournalTOCs on Twitter   JournalTOCs on Facebook

JournalTOCs © 2009-2014