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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
Japheth M Nziok, Agnes J Korir, James H Ombaka, James O Ouma, Rosebella O Onyango
Despite strong evidence that skilled birth care (SBC) significantly reduces maternal deaths, one in four babies worldwide are delivered without SBC. This has kept maternal mortality rates (MMR) high in sub-Saharan Africa and Kenya in particular. Kenya adopted Community Health Strategy (CHS) with the aim of improving community health services. The aim of this study was to evaluate the effect of CHS on SBC in Mwingi west sub-county, Kenya. A quasi experimental study design was conducted with 1 pretest and 2 post-test household surveys done in intervention and control sites...
September 2018: African Journal of Reproductive Health
Patrick I Okonta, Richard Ajayi, Kehinde Bamgbopa, Rose Ogbeche, Chizara C Okeke, Kingsley Onwuzurigbo
The need to formulate practice guidelines and ethical framework to guide the practice of assisted conception in Nigeria has been highlighted severally. The Association for Fertility and Reproductive Health (AFRH) ethics committee is charged with the objective of producing ethical guidelines that would govern the practice of assisted conception in Nigeria. This study was a survey of attendees at the AFRH international conference that held in Abuja in September 2017. The aim of the study was to generate empirical data that would form the drafting of ethical practice guidelines in Nigeria...
September 2018: African Journal of Reproductive Health
Agness Farai Nhidza, Thajasvarie Naicker, Babill Stray-Pedersen, Felicity Gumbo, Tawanda Chisango, Edson Sibanda, Gwendoline Kandawasvika, Aziah Ismail, Tsitsi Bandason, Curtis Makaza, Kerina Duri, Takafira Mduluza
This study aimed at investigating the maternal characteristics that in turn influence the immunological status of infants in asymptomatic enteric pathogen carriers in mother baby pairs (MBPs) in a high HIV burdened population in Harare, Zimbabwe. BIOPLEX immunoassay was used to analyse serum samples from 39 MBPs for 27 cytokines and 6 immunoglobulins. The MBP were purposively selected based on HIV infection and Entamoeba histolytica carriage. Logistic regression was used to identify any link between maternal demographic and clinical data with infant cytokine and immunoglobulin levels...
September 2018: African Journal of Reproductive Health
Eyasu Mesfin Kassa, Eskinder Kebede
Waiting time-to-pregnancy (TTP) of couples is closely related to fecundability. Knowledge on TTP helps clinicians to individualize care for sub-fertility/infertility. Published studies on TTP are very limited in African setting. This cross-sectional study assessed TTP and associated factors among couples with natural planned conception in Addis Ababa, Ethiopia. Data was collected interviewing a representative sample of 1150 pregnant women. The mean and median TTPs were 6.4 (±9.4) and 3.0 months respectively...
September 2018: African Journal of Reproductive Health
Michael N Azu, Solina Richter, Patience Aniteye
The purpose of the study was to explore Ghanaian men's knowledge about sexually transmitted infections (STIs) and their treatment seeking behaviour. An exploratory descriptive design was used. The research site for this study was a STI clinic at a large government hospital in the Ashanti region in central Ghana. Purposive sampling was used to recruit men diagnosed with or previously infected with STI/HIV attending the clinic. Twelve participants were interviewed, and the data was thematically analysed. The findings were presented as themes: knowledge of STI, misconception, health seeking behaviour: visiting the hospital, buying drugs, using herbal treatment, visiting the traditional healer, and -shopping for health‖...
September 2018: African Journal of Reproductive Health
Aysel Karaca, Gül Ünsal, Elif Asik, Ilkay Keser, Handan Ankarali, Yeliz Doğan Merih
Infertile women feel more psychological stress and pressure than their husbands, and the prevalence of anxiety and depression among them are higher. This study aimed to develop a culture-specific measurement tool to identify the strategies of infertile women in dealing with infertility-related problems. This was a scale development study. This study was carried out in three different fertility centers in the three largest cities in Turkey. The data were collected using personal information form and through the application of a Coping Scale for Infertile Women (CSIW) protocol...
September 2018: African Journal of Reproductive Health
Lindsay Edouard
No abstract text is available yet for this article.
September 2018: African Journal of Reproductive Health
Rakotobe Andriamaro Andriantsirombaka, Graziella Badull, Ramarolahy Rija, Marcienne Aimée, Leonardo Formigli
Our In-Vitro Fertilisation Centre is situated in a large developing country, Madagascar, with very bad roads and low income patients. Therefore we try to find ways to reduce as much as possible the number of attempts to obtain a pregnancy. Poor or no response to ovarian stimulation in In Vitro Fertilization (IVF) cycles is a great challenge. Here we describe a method whereby we shift from IVF to Oocyte Donation (OD) during the same cycle for patients whose ovaries do not respond properly to ovulation stimulation...
June 2018: African Journal of Reproductive Health
Sameer Hamadeh, Bishr Addas, Nasreen Hamadeh, Jessica Rahman
Cervical polyp is very rare in pregnancy, usually asymptomatic and small. There are several reports of different sizes of cervical polyp in pregnancy but, huge cervical polyp causing funnelling and shortening of cervical length was first reported in 2014. It was managed by polypectomy causing cervical length to return to normal value. We present the second case report in literature of a huge endocervical polyp in pregnancy that caused funnelling and shortening of cervical length. Unlike the earlier report this patient presented with preterm contractions and antepartum haemorrhage (APH)...
June 2018: African Journal of Reproductive Health
Ikenna D Ebuenyi, Uzoechi E Chikezie, Gerald O Dariah
Child sexual abuse (CSA) is common globally but underreported. It has far-reaching physical, social, and mental health effects and often the victims suffer in silence because of the shame and stigma associated with the experience. Despite international and country specific legislation to protect children and punish offenders, CSA thrives and sometimes leads to the death of victims. We report two cases of children aged 7 and 8 who presented at Niger Delta University Teaching Hospital Bayelsa, Nigeria. In both cases, the offender was known to the victim's parents who did not only refuse to report the cases to law enforcement agents but also discontinued medical follow-up for the children...
June 2018: African Journal of Reproductive Health
Klara Doherty, Kaitlin Arena, Adriane Wynn, Ogechukwu Agatha Offorjebe, Neo Moshashane, Ontiretse Sickboy, Doreen Ramogola-Masire, Jeffrey D Klausner, Chelsea Morroni
Rates of unintended pregnancy in sub-Saharan Africa range from 20-40%. Unintended pregnancy leads to increased maternal and infant mortality, and higher rates of abortions. Potentially high levels of unintended pregnancy in Botswana, against the backdrop of the popularity of short-acting, less-effective contraception, could suggest that the methods available to women are not meeting their contraceptive needs. Little data exists on unintended pregnancy in Botswana. We assessed levels of unintended pregnancy and contraceptive use among 231 pregnant women presenting to the antenatal clinic at the largest hospital in Botswana...
June 2018: African Journal of Reproductive Health
Salisu M Ishaku, Nafissatou Diop, Babacar Mané, Wilson Liambila, Saumya RamaRao, Heather Clark, Harriet Birungi, Godwin Unumeri, Francis Obare
The progesterone vaginal ring (PVR) is a ring-shaped device designed for use by women in the postpartum period to regulate fertility by complementing and extending the contraceptive effectiveness of lactational amenorrhea to suppress ovulation.1 It is available in eight Latin American countries for use by breastfeeding women who want more effective modern contraceptives in addition to contraceptive benefits provided by lactational amenorrhea alone.1 The PVR is a method that can be suitable to women in sub-Saharan Africa, given the near-universal practice of breastfeeding and the current level of unmet need for contraception in the postpartum period...
June 2018: African Journal of Reproductive Health
Courage S Mthombeni, Maria S Maputle, Lunic B Khoza
Student midwives should always provide cultural sensitive care and respect the rights of every woman when choosing health care providers during pregnancy and childbirth. The aim of this study was to describe and explore the perceptions of postpartum mothers towards the care provided by male student midwives during their midwifery practice. A qualitative explorative, descriptive, and contextual research design was used. A non-probability, convenience sampling method was used to sample 42 postpartum mothers who received care from male student midwives at the five district hospitals in Limpopo province, South Africa...
June 2018: African Journal of Reproductive Health
Malvern Chiweshe, Catriona Macleod
Political discussions on abortion in Africa take place in the context of most countries having restrictive abortion legislation and high levels of unsafe abortion. In this paper two major political positions regarding abortion in Africa: a de-colonisation approach based on a homogenized view of "culture", and a liberal approach based on "choice" and rights are outlined. Using the Questions and Answers sessions of a United Nations event on maternal health in Africa as an exemplar of these positions, the paper argues that neither approach is emancipatory in the African context...
June 2018: African Journal of Reproductive Health
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