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African Journal of Reproductive Health

Nalini Govender, Jagidesa Moodley, Thajasvarie Naicker
Hypertensive disorders of pregnancy in particular the category preeclampsia (PE), remains a major cause of both maternal and fetal morbidity and mortality. Angiogenic growth factors (PlGF and VEGF) and their tyrosine kinase receptors -1 and 2 (Flt-1 and KDR) are involved in both fetal and placental development. Inadequate placentation and the consequent release of antiangiogenic soluble fms-like tyrosine kinase 1 (sFlt-1) is thus instrumental in the etiology of this disease. sFlt-1 binds to both angiogenic growth factors and neutralizes their effect thereby creating an angiogenic imbalance...
December 2018: African Journal of Reproductive Health
Vesna Bjegovic-Mikanovic, Raphael Broniatowski, Stephen Byepu, Ulrich Laaser
The Economic Community of West African States (ECOWAS) comprises 15-member states with an estimated population of 350 million. This account relates the present status of maternal, neonatal, and under-five-mortality to the Sustainable Development Goals (SDG) targets set for 2030. For each SDG indicator, progress observed was compared with that needed to meet the target (assuming linear progression). The time gap was calculated as the difference between the time remaining to the target year (2030) and the estimated time needed to achieve the target...
December 2018: African Journal of Reproductive Health
Phillips E Obasohan, Mahmud A Mustapha, Audu Makada, Dorcas N Obasohan
Immunization of children against childhood preventable diseases has remained one of the most important cost effective and public health strategies to reduce childhood preventable morbidity and mortalities arising from infectious diseases. A recent report released by World Health Organization (WHO) stated that 1 in 10 infants did not receive vaccination in 2016. Also, a survey conducted in Bida Emirate Area of Niger State Nigeria in 2015 found that full routine immunization coverage in this area was less than 30%...
December 2018: African Journal of Reproductive Health
Chukwuechefulam K Imo, Ethelbert Okoronkwo, Vitalis Ukoji, Chidi Mbah
Abstinence from sexual intercourse after childbirth is a common practice deeply rooted in the cultures of different communities, including Nigeria with varying duration. Despite the high level of postpartum abstinence in the South-east compared to other neighbouring regions of Nigeria, under-five mortality is relatively higher in the South-east. This paper examined postpartum sexual abstinence as a predictive factor for under-five health outcome in Abia State with data from a sample of 609 childbearing women within 15-49 years...
December 2018: African Journal of Reproductive Health
Namakau Nyambe, Sonja Hoover, Leeya F Pinder, Carla J Chibwesha, Sharon Kapambwe, Groesbeck Parham, Sujha Subramanian
The knowledge and perceptions of cervical cancer among HIV negative and positive women, aged 25-49 years, from rural and urban locations in Zambia was systematically accessed in this study to determine any differences. Data were coded and analyzed using NVivo software. Compared to HIV negative women, HIV positive women had more accurate information about cervical cancer. They were more likely to cite male circumcision as the best approach to cervical cancer prevention. HPV infection was more commonly mentioned as a risk factor among HIV positive women...
December 2018: African Journal of Reproductive Health
Nuray Egelioglu Cetisli, Gulsen Isık, Esra Ardahan Akgul, Ekin Dila Topaloglu Oren, Beste Ozguven Oztornacı, Hatice Yıldırım Sarı
Mothers with disabilities have difficulties fulfilling their gender and motherhood roles. The purpose of this study was to determine the infant and child care-related experiences of mothers with disabilities in Turkey. A conventional content analysis was used in this qualitative design. Fourteen mothers with disabilities participated in semi-structured in-depth interviews consisting of open-ended questions about their infant and child care experiences. Three themes and eight subthemes emerged from the data analysis...
December 2018: African Journal of Reproductive Health
Harriet T Mamba, Khumbulani W Hlongwana
Despite robust evidence that immediate antiretroviral therapy (ART) initiation reduces transmission of HIV from mother to child, some pregnant women living with HIV in sub-Saharan Africa (SSA), and Swaziland in particular, continue to refuse ART. This study explored the reasons which deter pregnant women living with HIV from immediate ART initiation in the Hhohho region, Swaziland, using grounded theory design. In-depth interviews with ten purposively selected pregnant women who refused immediate ART initiation were carried out in three high volume health facilities...
December 2018: African Journal of Reproductive Health
Elizabeth Yinka Sango-Coke, Murad A Bein
Increasing healthcare expenditure in West African countries cannot be over-emphasized. There is need for urgent improvement of healthcare, healthcare equipment and facilities, and human resources with qualified healthcare givers. It is important to have clarity on which healthcare sector to invest in, to maximize impact, effectiveness and efficiency. This study investigated the private, public, and public-private healthcare sectors of West Africa. Data was obtained from World Bank Indicators within the period of 16 years (from 1999 - 2014)...
December 2018: African Journal of Reproductive Health
Figen Alp Yilmaz, Dilek Avci, Yilda Arzu Aba, Resmiye Ozdilek, Nafiye Dutucu
This study aimed to determine the prevalence of sexual dysfunction in postpartum Turkish women, and the relation between sexual dysfunction and depression, and some risk factors. This study was conducted with 530 postpartum women who had given birth during the previous 2-12 months. Data were collected with the Personal Information Form, Index of Female Sexual Function, and Edinburg Postnatal Depression Scale. For the data analysis, descriptive statistics, the Chi-square test, and Pearson correlation analysis were conducted using SPSS version 16...
December 2018: African Journal of Reproductive Health
Clifford O Odimegwu, Joshua O Akinyemi, Olufunmilayo O Banjo, Emmanuel Olamijuwon, Emmanuel O Amoo
In view of an unusual transition in sub-Saharan Africa (SSA) fertility, periodic re-appraisal is necessary. Using an ecological design, data from Demographic and Health Surveys between 1990 and 2014 were analysed to investigate trends in completed family size (CFS), total fertility rate (TFR), family size preference (FSP), and contraceptive prevalence rate (CPR). The correlates of changes in fertility levels, FSP and CPR were explored. Results showed that CFS declined and was lowest in Southern and Western Africa...
December 2018: African Journal of Reproductive Health
Astrid A Dral, Madalitso R Tolani, Eefje Smet, Anna van Luijn
Malawi is among countries with the highest maternal mortality ratio (MMR) and fertility rate (FR) in Africa, among others caused by an unmet need for family planning (FP). In Malawi, FP is seen as a women's domain and because of this, male involvement in FP remains lower than wanted. This study aimed to explore influencing factors of male involvement in FP. In this qualitative study, 23 semi-structured interviews were held with 14 men, 5 women and 4 health surveillance assistants (HSAs) in Ntchisi District, Malawi...
December 2018: African Journal of Reproductive Health
Helen Ketema, Annabel Erulkar
Large numbers of girls in the developing world are married before age 18, an estimated 100 million girls in the next decade. It is assumed that newly married girls are under pressure to have children early in marriage. However, there is increasing evidence that married adolescent girls have significant levels of unmet need for family planning (FP). This qualitative study explores married girls' knowledge and demand for FP, as well as barriers and support. Qualitative data was obtained from girls who married as children in rural Ethiopia...
December 2018: African Journal of Reproductive Health
Bienvenu S Camara, Alexandre Delamou, Sidikiba Sidibé, Abdoul H Béavogui, Patrice Bouedouno, Malick M Sylla, Onadja Yentema, Seni Kouanda
In Guinea, family planning (FP) uptake remains low. The objective of this study was to compare the impact of two types of antenatal counseling on modern FP uptake in the postpartum in rural Guinea. This was a two-group non-equivalent study comparing the impact of a reinforced antenatal counseling (intervention) to the routine antenatal counseling (control). The study included 404 pregnant women at five rural health centres in Forécariah district, Western Guinea. Each woman was followed up until the ninth month postpartum...
December 2018: African Journal of Reproductive Health
Anne Baber Wallis
No abstract text is available yet for this article.
December 2018: African Journal of Reproductive Health
Jean-Bosco Ntirandekura, Lucas Eliaimringi Matemba, Sharadhuli Iddi Kimera, John Bwalya Muma, Esron Daniel Karimuribo
Brucellosis is a worldwide zoonotic disease suspected to be the cause of abortions which remain largely undiagnosed in both humans and animals. A review of literature was performed to elucidate the contribution of brucellosis to abortions in humans, livestock and wildlife in Africa. A total number of 18 published articles associated brucellosis to abortions observed in humans and livestock in some parts of Africa. The contribution of brucellosis to abortions in humans was less reported in the literature compared to livestock; and no report was done in wildlife in Africa...
September 2018: African Journal of Reproductive Health
Dorah U Ramathuba, Doris Ngambi
Human papillomavirus (HPV) is the most common sexually transmitted viral infection. HPV can cause cervical cancer and other cancers of the genitals, neck and throat. Two HPV vaccines are available, Cervarix and Gardasil, which are the first vaccines directed at the prevention of cervical cancer. The purpose of the study was to assess the knowledge of human papilloma virus and HPV vaccine among rural women in Vhembe district in Limpopo Province. A quantitative descriptive approach was adopted. The quantitative design enabled the discovery of more information by means of direct questioning of a sample of women 30years and older...
September 2018: African Journal of Reproductive Health
Lynne Gaffikin, Sono Aibe
Recent studies recommend FP initiatives in rural sub-Saharan Africa operate in more context-specific ways to reduce inequities. In 2011 such a project, HoPE-LVB, was implemented by Pathfinder International and local partners among Ugandan Lake Victoria fishing communities using a Population, Health and Environment approach. Among other objectives, the project aimed to increase support for FP and women's involvement in decision-making by linking FP benefits to community needs including income generation from nature-based livelihoods...
September 2018: African Journal of Reproductive Health
Fariyal F Fikree, Worknesh K Abshiro, Murtala M Mai, Kidest L Hagos, Mengistu Asnake
Robust evidence, including systematic reviews and recommendations from the 2016 Lancet Commission on Adolescent Health and Wellbeing, does not wholly support the unambiguous endorsement of peer-led community-based interventions. This study evaluated the effectiveness of an intensive three-day training for peer educators (PE) on dispelling myths and misconceptions about long-acting reversible contraceptives (LARCs) among Ethiopian youth. Post-training, PEs conducted demand-generation activities with their peers to encourage LARCs referrals...
September 2018: African Journal of Reproductive Health
Aliyu Lawan, Adedapo W Awotidebe, Adewale L Oyeyemi, Adamu A Rufa'i, Adetoyeje Y Oyeyemi
The study aimed to investigate the association between health-related quality of life (HQoL) and physical activity (PA) among pregnant women. Sample of pregnant women (N= 398; mean age=27.86±5.15 years) were surveyed using the Pregnancy Physical Activity and Health Related Quality of Life (SF 12) Questionnaires. Spearman correlation coefficient and logistic regression analyses were used to determine the bivariate relationship and association between HQoL and PA intensities and domain respectively. Overall, sedentary behaviour was positively albeit tenuously related to HQoL (r=0...
September 2018: African Journal of Reproductive Health
Justina A Margwe, Athumani M Lupindu
Anaemia during pregnancy is the leading cause of morbidity and mortality and poor birth outcomes worldwide. Despite control programmes, anaemia is far beyond the target of the fifth Millennium Development Goal. This study aimed at assessing the trend in anaemia and knowledge and attitude of pregnant women towards control measures in low income rural settings. A crosssectional study involving 354 pregnant women was conducted in Mbulu District, Tanzania. Socio-demographic and anaemia related information was gathered, and anaemia status determined...
September 2018: African Journal of Reproductive Health
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