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African Journal of Reproductive Health

Glenn J Wagner, Mahlet A Woldetsadik, Jolly Beyeza-Kashesya, Kathy Goggin, Deborah Mindry, Sarah Finocchario-Kessler, Sarah Khanakwa, Rhoda K Wanyenze
Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just over half knew that MSI (53%) and TUI (51%) reduced transmission risk during conception, and 15% knew of sperm washing and pre-exposure prophylaxis...
March 2016: African Journal of Reproductive Health
Waheed A Ibraheem, Anifat B Ibraheem, Aramide M Tjani, Samuel Oladejo, Susan Adepoju, Bukola Folohunso
Pregnancy related ocular changes are diverse with varied clinical outcome. In a cross-sectional, descriptive case control study, we evaluated tear film functions and intraocular pressure during pregnancy and compared the results with non-pregnant women. A total of 270 participants including 165 healthy pregnant women and 105 non-pregnant who were free from systemic and pre-pregnancy eye diseases were investigated. Snellen's chart, fluorescein dye, No 41 Whatman filter paper, Perkin's tonometer were employed to assess visual acuity, tear break up time (TBUT), Schirmer's test (ST), intraocular pressure (IOP) on all subjects...
December 2015: African Journal of Reproductive Health
Bernadine N Ekpenyong, Nwakuso A Aruotu, Ebele B Uzodike, Chimela G Njoku
Pregnancy also presents with ocular changes, just as it affects other non-reproductive systems of the female. It has been reported to be associated with development of new health conditions or can exacerbate pre- existing health conditions. This paper reviews the management of Mrs AA, a 41 year old pregnant woman (primigravida) with refractive changes from myopia in the first trimester, to hyperopia in the second and third trimesters of her pregnancy. A comprehensive ocular examination was performed including fundus photograph and Optical Coherent Tomography...
December 2015: African Journal of Reproductive Health
Patrick K Akakpo, Leonard Derkyi-Kwarteng, Richard K Gyasi, Solomon E Quayson, Jehoram T Anim
To determine the histopathological types, age distribution, presenting signs and symptoms of ovarian cancers diagnosed at the Korle-Bu Teaching Hospital, Ghana. All histopathology slides and request cards of ovarian cancers diagnosed over a ten-year period (2001 to 2010) were reviewed and the cancers classified according to the World Health Organization 1999 classification. Biographical and clinical data of the patients were collected and results entered into Epi-info to determine the frequency, age distribution and clinical presentation of the various types of ovarian cancer...
December 2015: African Journal of Reproductive Health
Güliz Onat, Yilda Arzu Aba
This study investigated effects of a healthy lifestyle and anxiety levels on in vitro fertilization (IVF) outcomes. This follow-up study on 102 infertile women and 66 infertile men (total: 168) was carried out at a infertility clinic in university hospital in Instanbul, Turkey. Health-Promoting-Lifestyle-Profile-II (HPLP II) and State-Trait Anxiety Inventory (STAI) instruments were used. Female participants were called following their IVF treatment to determine whether they were pregnant or not. The mean age for female respondents was 31...
December 2015: African Journal of Reproductive Health
Elie Nkwabong, Madye A N Dingom
This cross-sectional descriptive study, aimed at identifying the sociodemographic characteristics of women diagnosed with acute pelvic inflammatory disease (PID), as well as the microorganisms isolated, was carried out between October 1st, 2013 and March 31st, 2014 in two major hospitals in Yaoundé, Cameroon. Seventy women diagnosed with acute PID were recruited. The main variables recorded were maternal age, occupation, marital status, number of current sexual partners, the clinical presentation at admission and the microorganisms identified...
December 2015: African Journal of Reproductive Health
Asrat Demise, Yirgu Gebrehiwot, Bogale Worku, Jonathan M Spector
Mortality audits are being used with increasing frequency to improve health outcomes by pinpointing precisely where deficiencies in clinical care exist. We conducted a prospective audit of stillbirths and early neonatal deaths at Tikur Anbessa Hospital in Addis Ababa, Ethiopia, as part of a broader initiative to reduce perinatal mortality in the labor room and neonatal intensive care unit. Out of 1,225 deliveries that took place during the six-month study period, there were 30 stillbirths and 31 early neonatal deaths (PMR 50/1,000)...
December 2015: African Journal of Reproductive Health
Hana H AlSumri
Contraceptive use is vital in protecting the health of women and the survival of their children. This study aims to test whether women's autonomy influences their use of modern contraception methods and to determine the mediating effect of education and employment. A cross sectional study using Egypt's 2008 demographic and health survey was carried out including a sample of 13,734 married women aged 15-49 years. Women's decision-making autonomy score was obtained from 5 questions on who has the final say on various household decisions...
December 2015: African Journal of Reproductive Health
Blami Dao, Fidele Ngabo, Jeremie Zoungrana, Barbara Rawlins, Beata Mukarugwiro, Pascal Musoni, Rachel Favero, Juliet MacDowell, Kanyamanza Eugene
To assess coverage, acceptability, and feasibility of a program to prevent postpartum hemorrhage (PPH) at community and facility levels, a study was conducted in 60 health facilities and their catchment areas in four districts in Rwanda. A total of 220 skilled birth attendants at these facilities were trained to provide active management of the third stage of labor and 1994 community health workers (ASMs) were trained to distribute misoprostol at home births. A total of 4,074 pregnant women were enrolled in the program (20...
December 2015: African Journal of Reproductive Health
Amy G Bryant, Gloria Hamela, Ann Gotter, Gretchen S Stuart, Gift Kamanga
The copper intrauterine device (IUD) is a safe, long-acting, and effective method of contraception that is under-utilized in many countries, including Malawi. A unique cohort of women who had enrolled in a trial of postpartum IUD use one year earlier gave insights into reasons for using, discontinuing, or not using the IUD. We conducted in-depth interviews with 18 women one year after they participated in a pilot study of a randomized controlled trial of postpartum IUD insertion, and 10 of their male partners...
December 2015: African Journal of Reproductive Health
Lindsay M Briggs, Kathleen R Gilbert, Michael D Reece, Brian M Dodge, Samuel G Obeng
Many people hold stereotypes and assumptions about religious communities in regards to their feelings and beliefs about sex and the impact it has on the lived experiences of religious people. However, stereotypes and assumptions are not often grounded in reality, and many people are hesitant to address the issue head on. This qualitative ethnographically informed preliminary grounded theory study aimed to engage an Evangelical Pentecostal community in Southern Nigeria with the ultimate goal of understanding how communities conceptualize and discuss sexuality topics, the factors influencing sexual decision making amongst youth and young adults, and to identify research needs that will better inform innovative and efficacious research utilizing religious communities in sexuality research...
December 2015: African Journal of Reproductive Health
Hilary M Schwandt, Joanna Skinner, Luciana E Hebert, Abdulmumin Saad
Research shows that side effects are often the most common reason for contraceptive non-use in Nigeria; however, research to date has not explored the underlying factors that influence risk and benefit perceptions associated with specific contraceptive methods in Nigeria. A qualitative study design using focus group discussions was used to explore social attitudes and beliefs about family planning methods in Ibadan and Kaduna, Nigeria. A total of 26 focus group discussions were held in 2010 with men and women of reproductive age, disaggregated by city, sex, age, marital status, neighborhood socioeconomic status, and--for women only--family planning experience...
December 2015: African Journal of Reproductive Health
Jitihada Baraka, Asinath Rusibamayila, Admirabilis Kalolella, Colin Baynes
Provider perspectives have been overlooked in efforts to address the challenges of unmet need for family planning (FP). This qualitative study was undertaken in Tanzania, using 22 key informant interviews and 4 focus group discussions. The research documents perceptions of healthcare managers and providers in a rural district on the barriers to meeting latent demand for contraception. Social-ecological theory is used to interpret the findings, illustrating how service capability is determined by the social, structural and organizational environment...
December 2015: African Journal of Reproductive Health
Abimbola Phillips, Adesegun O Fatusi, Akanni Akinyemi, Bamidele Bello
The quality of spousal relationship may influence the acceptance of the status of pregnancies and the decision to procure abortion; however, this relationship has largely been unexplored. The objective of this paper is to assess the influence of specific dimensions of relationship quality on abortion procurement. Data from the 2010 Family Health and Wealth Survey site were used to assess the association between relationship quality and induced abortion among 763 ever-pregnant married or cohabiting women in Ipetumodu, South-west Nigeria...
December 2015: African Journal of Reproductive Health
Friday Okonofua
No abstract text is available yet for this article.
December 2015: African Journal of Reproductive Health
Ernest T Maya, Kennedy A Buntugu, Lovelace Aki, Emmanuel K Srofenyoh
Postpartum haemorrhage is one of the major causes of maternal mortality worldwide. The leading cause of primary postpartum haemorrhage is uterine atony and active management of the third stage of labour with oxytocin is recommended for preventing primary postpartum haemorrhage. Parenteral oxytocin is also the drug of choice for medical management of postpartum haemorrhage secondary to uterine atony. Condom uterine balloon tamponade is .a low cost technique that can be used as a second-line option for treatment...
September 2015: African Journal of Reproductive Health
Chava Kahn, Moses Iraguha, Michael Baganizi, Giselle E Kolenic, Gerald A Paccione, Nergesh Tejani
The World Health Organization recommends four antenatal visits for pregnant women in developing countries. Cash transfers have been used to incentivize participation in health services. We examined whether modest cash transfers for participation in antenatal care would increase antenatal care attendance and delivery in a health facility in Kisoro, Uganda. Twenty-three villages were randomized into four groups: 1) no cash; 2) 0.20 United States Dollars (USD) for each of four visits; 3) 0.40 USD for a single first trimester visit only; 4) 0...
September 2015: African Journal of Reproductive Health
Binyerem C Ukaire, Chris O Agboghoroma, Korede W Durojaiye
Rapid HIV test in labour provide an opportunity for the identification of HIV positive pregnant women who should benefit from interventions to reduce the risk of mother-to-child transmission (MTCT) of HIV. Between November 2013 and June 2014 we conducted rapid HIV testing of pregnant women in labour at the National Hospital Abuja to determine the HIV seroconversion rate in pregnancy and the prevalence of HIV in pregnant women in labour with previously unknown status. HIV testing and counseling (HTC) was acceptable to 224 (99...
September 2015: African Journal of Reproductive Health
Jolien van der Geugten, Berno van Meijel, Marion H G den Uyl, Nanne K de Vries
Evaluation research concerning the impact of sexual and reproductive health (SRH) education in sub-Saharan Africa is scarce. This study obtained more insight into the knowledge, attitudes and behavioural intentions of students concerning SRH in Bolgatanga municipality in northern Ghana, and studied the effects of an SRH programme for this group. This quasi-experimental study used a pre-post-intervention design, with an SRH programme as intervention. A questionnaire was filled in by 312 students before, and by 272 students after the SRH programme...
September 2015: African Journal of Reproductive Health
Ekechi Okereke, Jamilu Tukur, Ayodeji Babatunde Oginni, Benson Obonyo
Clinical mentoring is work-based training for the capacity building of health care workers. This study determined if there were benefits and increases in knowledge levels for 33 selected health workers across 5 health facilities in Jigawa State following the introduction of clinical mentoring. Questionnaires were used to determine biodata and knowledge scores of mentored health workers and also key departmental activities before and after a 6 months period of introduction of clinical mentoring. Data was analyzed with SPSS version 20...
September 2015: African Journal of Reproductive Health
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