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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: Announcing a New Editor, African Journal of Reproductive Health

    • Authors: Akhere A. Omonkhua
      Abstract: No Abstract.
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Editorial: African Journal of Reproductive Health at 20: Looking Back and
           Looking Forward

    • Authors: Friday Okonofua, Akhere Omonkhua
      Abstract: No Abstract.
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Culture Clash: Shona (Zimbabwean) Migrant Women’s Experiences with
           Communicating about Sexual Health and Wellbeing across Cultures and
           Generations

    • Authors: Tinashe Dune, Virginia Mapedzahama
      Abstract: This paper discusses the influence of cross-cultural modes of communication on perceptions of sexual health and wellbeing for Shona (Zimbabwean) women living in Australia and their children. Data was collected using focus groups in South  Australia with fourteen women, between the ages of 29 and 53. Transcripts were  analysed thematically. The women primarily constructed sexual health and  wellbeing  in customary Shona ways, which not only maintain secrecy about sexual health and wellbeing discourse, but also prohibit parents from talking to children about sexual health as such talk is reserved for particular kin and non-kin  relationships. These constructions however became more fluid the longer the women resided in Australia. For these women the notions of sexual health and wellbeing are a negotiation between Australian constructs and those from Shona culture,  especially when applied to their children. This research highlights the potential influence of various cultural world views on sexual health communication among African migrant women and their children and questions the appropriateness of sexual health and wellbeing campaigns and their responsiveness for cross-cultural youth. Keywords: Africa, cross-cultural, Australia, intergenerational, sexual health, intercultural communication
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Cost-Effectiveness Analysis of Family Planning Services Offered by Mobile
           Clinics versus Static Clinics in Assiut, Egypt

    • Authors: Ghada S.T. Al-Attar, David Bishai, Omaima El-Gibaly
      Abstract: Cost effectiveness studies of family planning (FP) services are very valuable in  providing evidence-based data for decision makers in Egypt. Cost data came from  record reviews for all 15 mobile clinics and a matched set of 15 static clinics and  interviews with staff members of the selected clinics at Assiut Governorate.  Effectiveness measures included couple years of protection (CYPs) and FP visits.  Incremental cost-effectiveness ratios (ICER) and sensitivity analyses were calculated. Mobile clinics cost more per facility, produced more CYPs but had fewer FP visits.  Sensitivity analysis was done using: total costs, CYP and FP visits of mobile and static clinics and showed that variations in CYP of mobile and static clinics altered the ICER for CYP from $2 -$6. Mobile clinics with their high emphasis on IUDs offer a reasonable cost effectiveness of $4.46 per additional CYP compared to static clinics. The ability of mobile clinics to reach more vulnerable women and to offer more long acting methods might affect a policy decision between these options. Static clinics should consider whether emphasizing IUDs may make their services more cost-effective.
      Keywords: Mobile clinics; Staic clinic; Family planning; Cost-effectiveness
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Effect of Volunteer Household Counseling in Improving Knowledge of Birth
           Preparedness and Complication Readiness of Pregnant Women in Northwest
           Nigeria

    • Authors: Gbenga Ishola, Funke Fayehun, Uche Isiugo-Abanihe, Tunde Segun, Samaila Yusuf, Bright Orji, Barbara Rawlins, Emmanuel Otolorin
      Abstract: Maternal and Child Health Integrated Program (MCHIP), a program by Jhpiego  global, implemented maternal and newborn health project between 2006 and 2010 in Kano and Zamfara States, Nigeria. This was evaluated with an objective to  characterize the effects of volunteer household counselors (VHCs) upon improving knowledge of birth preparedness and complication readiness (BPCR) among  pregnant women. VHCs were trained to educate women and their families at home about BPCR. Knowledge of BPCR was compared among 152 and 594 women who did and did not receive household counseling. Mothers‘ knowledge of BPCR among those who did and did not receive counseling was 32.2% and 11.2% respectively. Mothers who received counseling had better knowledge of BPCR compared to women who did not (Relative Risk [R.R.] 2.30, 95% [C.I.] 1.50, 3.51, P = 0.0001) in a multivariable logistic regression model adjusting for potential confounders. Mothers who received counseling had better odds of knowledge of danger signs during delivery (R.R. 1.48, 95% C.I. 1.05, 2.09, P = 0.02), and post-partum period (R.R. 1.69, 95% C.I. 1.22, 2.32, P = 0.001), but not during pregnancy (R.R. 1.26, 95% C.I. 0.97, 1.64, P = 0.08), compared with women who received no counseling. VHCs can substantially increase knowledge of BPCR and danger signs among women in Nigeria. (Afr J Reprod Health 2017; 21[1]: 39-48).
      Keywords: Birth preparedness, maternal, newborn, health, Nigeria, VHCs
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Contraceptives: Adolescents’ Knowledge, Attitudes and Practices. A Case
           Study of Rural Mhondoro-Ngezi District, Zimbabwe

    • Authors: Stanzia Moyo, Oswell Rusinga
      Abstract: Adolescent reproductive health behaviour has become an emerging world concern as the age at menarche and sexual debut has plummeted globally. The primary objective of the paper is to understand the importance of reproductive health education to contraceptive use among adolescents in Mhondoro-Ngezi District. The paper also investigates knowledge, attitudes, beliefs and practices (KABP) pertaining to contraceptive use among adolescents. Factors underlying KABP are further explored. In addition, this paper investigates the availability, accessibility, acceptability and affordability of contraceptives to adolescents. These issues are assessed from the perspective of all duty bearers (mothers, fathers, healthcare providers, religious leaders and secondary school teachers). The paper is based on a cross-sectional study which was conducted in Mhondoro-Ngezi area. A total of 185 adolescents aged 15-19 years were sampled with a sex ratio of 67. The study triangulated both quantitative and qualitative methods of data collection. The results in this paper indicate that adolescents in Mhondoro-Ngezi engage in early sexual debut. Despite the fact that knowledge about modern contraceptives is universal (96%) among adolescents in Mhondoro-Ngezi, contraceptive use is very low, 21%. Limited contraceptive use among adolescents in the study area is a result of the interplay of demographic, policy, socio-cultural, religious and economic factors. The study has thus recommends that the government and other relevant stakeholders to formulate policies that promote reproductive education in order to foster the utilization of contraceptives by adolescents.
      Keywords: Reproductive health problems, Contraceptives, Sex, Sexuality, Culture
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Dual Protection and Contraceptive Method Use among Women in Heterosexual
           Relationships in Mahikeng, South Africa

    • Authors: Godswill N. Osuafor, Sonto M. Maputle
      Abstract: South African new reproductive health policies have given weight to dual protection as a public health intervention against unintended pregnancies and sexually  transmitted infections. However, studies of dual protection have remained scanty and under researched in South Africa. This situation has left the reproductive health policy makers clueless about salient strategies to promote dual contraceptive method use. A survey of 568 women in steady relationships aged 15-49 was conducted in Mahikeng Municipality. Using multivariate logistic regression  independent predictors of contraceptive method use were examined and presented as odds ratio and 95% confidence intervals. Sixteen percent of the women were currently protecting against both unintended pregnancies and infectious diseases while 40% were protecting against unintended pregnancies only. Age, occupation, ever discussed condom use with partner; home language and religion were the independent predictors of dual method use. Non-barrier method use was associated with age, home language, religion, and duration of union. The study concludes that educative and enlightening programs that emphasize women‘s employment and communication about condom use may be specifically helpful in promoting dual method use.
      Keywords: Dual protection, contraception, women, Mafikeng, condom, non-barrier method, sexually transmitted infections
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Covariates of Multiple Sexual Partnerships among Sexually Active Men in
           Lesotho

    • Authors: Karabo E. Mhele
      Abstract: Multiple sexual partnerships (MSP) have been identified as the main reason for the high rate of HIV prevalence in sub-Saharan Africa, including Lesotho. The aim of  this paper is to identify the social and economic variables associated with MSP  among men in Lesotho. The study used data from 2009 Lesotho Demographic and Health Survey. A sample of 2335 males in the age group 15–44 was used.  Participants qualified if they were sexually active during the past year before the survey. Binary logistic regression was used to analyse the data. Results indicated that 29% of the respondents had engaged in sexual intercourse with multiple  partners in the past year. Lower age at sexual debut, employment; having ever moved from home in the past year; believing that men have the right to have sex  with other women; believing that beating a woman is justified if she argues with  husband and having sex with casual partner were associated with an increased  likelihood of MSP. On the other hand, coming from household led by a woman  reduced the odds ratio. The study recommends that promotion of awareness  programmes on MSP coupled with economic empowerment of women should be  intensified in Lesotho.
      Key Words: Sexual Behaviour, men, HIV/AIDS, Southern Africa
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Making Abortion Safer in Rwanda: Operationalization of the Penal Code of
           2012 to Expand Legal Exemptions and Challenges

    • Authors: Nuriye Nalan Sahin Hodoglugil, Fidele Ngabo, Joanna Ortega, Laetitia Nyirazinyoye, Eugene Ngoga, Evangeline Dushimeyezu, Eugene Kanyamanza, Ndola Prata
      Abstract: Penal code was revised in Rwanda in 2012 allowing legal termination of pregnancy resulting from rape, incest, forced marriage, or on medical grounds. An evaluation was conducted to assess women‘s access to abortion services as part of an ongoing program to operationalize the new exemptions for legal abortion. Data was collected from eight district hospitals; seven gender-based violence (GBV) centers and six intermediate courts. Three focus group discussions and 22 in-depth interviews were conducted with key informants. At hospitals, of the 2,644 uterine evacuation records (July 2012-June 2014), and 312 monitoring cases (August-December 2014), majority of all uterine evacuations (97% and 85% respectively, for the two periods) were for obstetric conditions, and induced abortion on medical grounds accounted for 2% vs. 15% respectively. Medical abortion was the prominent method of uterine evacuation. At the GBV centers, 3,763 records were identified retrospectively; 273 women were pregnant. Since the legal reform there was only one abortion for a pregnancy resulting from rape. Abortion stigma and court order requirement are major barriers to access services. The operationalization program has made significant contributions to make abortion safer in Rwanda but this evaluation demonstrates that further work is required to reach the goal of providing safe abortion services to all eligible women. Addressing abortion stigma at the community, organizational and structural levels; further strengthening of service provision; and streamlining legal requirements to protect particularly young women from sexual violence and making abortion a realistic option for GBV victims are some of the important next steps. Keywords: Rwanda, abortion, law, rape, gender-based violence, stigma
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Satisfaction Determinants of Women during Childbirth in Health Facilities
           in Senegal: Literature Review

    • Authors: Thierno Souleymane Ball Anne, Massamba Diouf, Ibrahima Seck, Anta Tal Dia
      Abstract: This article presents the results of the literature review performed on the main  conceptual models used in the measurement of the satisfaction of women during  childbirth in health facilities and the main determinants of their satisfaction. The review  focused on PubMed, Google scholar and Public Health data. Several conceptual models for measuring satisfaction were found through the literature. It is clear from this review that a multitude of determinants are associated with women's satisfaction such as  health care provider‘s attitude, the environment as well as the socio-demographic,  economic and even psychological characteristics of the patient herself. These results were used to develop a conceptual framework for measuring the satisfaction of women who gave birth in Senegal health facilities.
      Keywords: satisfaction, childbirth, satisfaction levels, satisfaction determinants
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • The Effectiveness of a Collector Bag for Measurement of Post-partum
           Hemorrhage

    • Authors: Zahra Abbaspoor, Leila Vaziri
      Abstract: The aim of the study was to assess sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) of collector bag and its correlation with hemoglobin (Hb) and hematocrit (Ht) variations. This study, carried on 100 women referred for admission to labor ward of Shohada hospital in Orumeyeh City, Iran, from April to November, 2007. Serum Hb and Ht were measured after admission; a collecting bag placed under the pelvis just after birth and was weighted after delivery. Hb and Ht were again assessed at 8 hr after delivery. PPH was defined as blood loss ˃500 ml following vaginal delivery. Each 500 ml blood loss accounts for approximately a 3% change in the Ht level or a falling in Hb of 1 g/dl. With this cut off our noted  Sensitivity=80%, Specificity=95. 7%, PPV= 88.9% and NPV= 91.8%. The collector bag is a rapid and precise instrument to diagnose of postpartum hemorrhage in the delivery room. It also enables a visual, quantitative and objective estimation of blood loss.
      Key words: Collector bag, Estimating, Laboratory Test, Postpartum Hemorrhage
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Maternal and Child Health Services in the Context of the Ebola Virus
           Disease: Health Care Workers’ Knowledge, Attitudes and Practices in
           Rural Guinea

    • Authors: Alexandre Delamou, Sidikiba Sidibé, Alison Marie El Ayadi, Bienvenu Salim Camara, Thérèse Delvaux, Bettina Utz, Abdoulaye II Toure, Sah D. Sandouno, Alioune Camara, Abdoul Habib Beavogui, Asm Shahabuddin, Karen Van der Veken, Bouchra Assarag, Junko Okumura, Vincent De Brouwere
      Abstract: The objective of this study was to document maternal and child health care workers‘ knowledge, attitudes and practices on service delivery before, during and after the 2014 EVD outbreak in rural Guinea. We conducted a descriptive cross-sectional study in ten health districts between October and December 2015, using a standardized self-administered questionnaire. Overall 299 CHWs (94% response rate) participated in the study, including nurses/health technicians (49%), midwives (23%), managers (16%) and physicians (12%). Prior to the EVD outbreak, 87% of CHWs directly engaged in managing febrile cases within the facility, while the majority (89% and 63%) referred such cases to another facility and/or EVD treatment centre during and after the EVD outbreak, respectively. Compared to the period before the EVD outbreak when approximately half of CHWs (49%) reported systematically measuring body temperature prior to providing any care to patients, most CHWs reported doing so during (98%) and after the EVD outbreak (88%). The main challenges encountered were the lack of capacity to screen for EVD cases within the facility (39%) and the lack of relevant equipment (10%). The majority (91%) of HCWs reported a decrease in the use of services during the EVD outbreak while an increase was reported by 72% of respondents in the period following the EVD outbreak. Infection prevention and control measures established during the EVD outbreak have substantially improved self-reported provider practices for maternal and child health services in rural Guinea. However, more efforts are needed to maintain and sustain the gain achieved.
      Key words: Maternal and child health, practices, Ebola, Guinea
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Contraceptive Use, Unwanted Pregnancies and Abortions among Hairdressers
           in Ibadan, Southwest Nigeria

    • Authors: Folashade O. Omokhodion, Mary O. Balogun
      Abstract: The study was conducted in Ibadan, Southwest Nigeria to determine prevalence and predictors of contraceptive use, unwanted pregnancies and induced abortions among hairdressers. 1687 female hairdressers were surveyed using a cross sectional design and cluster sampling technique. Mean age was 27.0±8.1 years, 851 (50.4%) were single and 1005 (59.6%) qualified hairdressers. 817 (56.8%) of sexually active were currently using contraception. Attainment of secondary school education was a predictor of contraceptive use; OR=1.4, 95% CI (1.1-1.8). 429 (29.8%) ever had an unwanted pregnancy; 26.5 % among singles, 32.3 % among married. Predictors of unwanted pregnancies were age >30years; OR=1.9, 95% CI (1.4-2.5) and being a qualified hairdresser; OR=1.6, 95% CI (1.2-2.2). 347 (24.1%) ever had an induced abortion; 21.5.0 % of singles, 26% of married. Being married; OR=5.2, 95% CI (2.2-11.9) was the only predictor of induced abortion. Prevalence of unwanted pregnancies and abortions were high especially among married hairdressers
      Keywords: contraception, female hairdressers, apprentices, induced abortion
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
  • Surgical Treatment of Complication of Female Genital Mutilation in Pikine
           Hospital, Senegal

    • Authors: Abdoul A Diouf, Moussa Diallo, Aissatou Mbodj, Omar Gassama, Mamour Guèye, Jean C Moreau, Alassane Diouf
      Abstract: We share our experience on reconstructive for surgery female genital mutilation. This is a retrospective study of all cases of female genital mutilation surgery performed in Pikine National Hospital. We have reviewed the various indications and surgical techniques used. We collected 8 cases of clitoral cyst and 6 cases of closed vaginal opening. The surgery of clitoral cysts was to perform cystectomy followed by  nymphoplasty. The closing of the vaginal opening required defibulation together with clitoroplasty according to the wishes of the patient. The anatomical and functional outcomes were satisfactory. Female genital mutilation surgery requires a good knowledge of vulvar anatomy. The various surgical indications must meet the  expectations of patients to guarantee their satisfaction.
      Keywords: Female Genital Mutilation, Complications, Defibulation, Clitoroplasty, Cystectomy
      PubDate: 2017-05-23
      Issue No: Vol. 21, No. 1 (2017)
       
 
 
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