Category: Statistics

Afr J Reprod Health. 2022 Nov;26(11s):79-91. doi: 10.29063/ajrh2022/v26i11.8.

ABSTRACT

Malnutrition is the main cause of two-thirds of deaths among Egyptian under five children, which could be due to reduced rates of breastfeeding, as it is one of the contributing factors. Breastfeeding is the optimal solution for health promotion to mothers and their infants. It has various benefits not only for the mother and infant but also for society. Breastfeeding educational programs are essential for the enhancement of knowledge and self-efficacy of new mothers, and to ensure a longer duration of breastfeeding. Therefore, this study aims to evaluate the effects of an interactive digital-based educational program about breastfeeding on the knowledge, attitudes, and self-efficacy of primiparous women in Egypt. A quasi-experimental study design was adopted. The study was held in Itay El-baroud maternal and child health center, whereby 120 pregnant women were purposively selected. Then, they were randomly assigned to either a study group (60) or control group (60). The derived data were statistically analysed using SPSS version 20, Pearson correlation coefficient, chi-square test and independent sample t test were utilized. Four tools were utilized for data collection. A statistically significant mean difference was found concerning total breastfeeding knowledge scores after one month and three months. The total attitude and self-efficacy scores showed highly statistically significant differences after one month and three months from the start of the program. Moreover, breastfeeding self-efficacy was found to be positively correlated with knowledge and attitude. In conclusion, the interactive digital-based educational program about breastfeeding was suggested to be effective in enhancing the knowledge, attitude and self-efficacy of the primiparous women, in combination with other health education activities. Therefore, it is recommended that web-based educational sites are created for first-time mothers.

PMID:37585136 | DOI:10.29063/ajrh2022/v26i11.8

Afr J Reprod Health. 2022 Nov;26(11):56-66. doi: 10.29063/ajrh2022/v26i11.6.

ABSTRACT

Family is the microcosm of a larger society that provides care that shapes the behavior of children. However, the different levels of attention children receive from their parents may affect their behaviour and self-esteem, which can lead to them being more vulnerable to sexual harassment. An institutional-based cross-sectional survey was conducted from March – August 2021, to assess the relationship between family birth order and prevalence of sexual harassment. The multistage sampling procedure was used to draw 1070 participants. The data was analyzed using percentages, mean, and multivariate logistic regression statistics. The multivariate logistic regression was used to estimate adjusted odds ratios (AOR) along with 95% confidence intervals (CIs). The level of significance was set at P < 0.05. The findings revealed prevalence (73.6%) of sexual harassment, and the two forms such as verbal ( = 2.63) and non-verbal sexual harassment ( = 2.56) were high. The multivariate logistic regression odds ratios adjusted shows that the middle born were approximately 2 folds (AOR = 1.62; CI = 1.14 – 2.30; P = 0.008 0.05) more likely to predict sexual harassment. The study recommended amongst others that parents in South Eastern Nigeria should refrain from given special attention to a particular child as this may predispose the unfavoured child to sexual harassment.

PMID:37585134 | DOI:10.29063/ajrh2022/v26i11.6

Afr J Reprod Health. 2022 Nov;26(11):9-14. doi: 10.29063/ajrh2022/v26i11.1.

NO ABSTRACT

PMID:37585129 | DOI:10.29063/ajrh2022/v26i11.1

Afr J Reprod Health. 2022 Mar;26(3):114-123. doi: 10.29063/ajrh2022/v26i3.13.

ABSTRACT

Early marriage and adolescent pregnancies are prevailing phenomena in Mozambique, with 48% and 40% of girls aged 20-24 marrying and getting pregnant before the age of 18. Using a cross-sectional survey in Maganja da Costa and Morrumbala districts, Zambézia Province, and descriptive and inferential statistics for data analysis, the study revealed that around 65% of adolescent became pregnant at the age of 15-17. Among these adolescent, 18.8% had their first baby before turning 15 and 99.2% before their 18th birthday. Of the respondents, 23% experienced health complications after birth. A further 71.5% said they did not, and 5.5% were ‘not applicable’. Referring to their education, 55.9% of adolescents finished primary education, 39.9% completed secondary education, and 2.9% achieved some higher education qualification. When asked if they were going to school while initially pregnant, 58.7% responded “yes”, 39.7% responded “no,” and 1.6% answered “not applicable” as they had never gone to school. After delivery, 31.6% returned to school, and 66.8% did not. This supports the assumption that early marriage and adolescent pregnancies are potential drivers for school dropout, low education and adverse pregnancy and birth health outcomes. Girls’ education can act as a protective factor in delaying early marriage and adolescent pregnancy. School retention of girls should be monitored, therefore contributing towards gender parity in education.

PMID:37585118 | DOI:10.29063/ajrh2022/v26i3.13

Afr J Reprod Health. 2022 Mar;26(3):63-73. doi: 10.29063/ajrh2022/v26i3.8.

ABSTRACT

Infertility, an obstacle to healthy living, makes its victims patronize traditional methods of infertility treatment (TMIT) in spite of associated complications. They turn to hospitals when this method fails. This is actually a serious issue because the presence of contaminated herbal products and the relationship between the use of TMIT and noncompliance with biomedical treatment regimens constitutes a major concern in medical practice. And the use of traditional methods of infertility treatment has been correlated with severe and fatal consequences. Therefore, the study assessed prevalence/determinants of TMIT use among patients visiting the gynaecology clinic at Alex Ekwueme Federal University Teaching Hospital Abakaliki (AE-FUTHA). Descriptive cross-sectional design was adopted for the research. Only 263 women took part in the study. The research instrument was questionnaire. Data were analyzed using descriptive statistics. Findings revealed that 95.4% of these women have used traditional methods for infertility treatment and factors influencing infertile women’s use of TMIT are demographic characteristics, infertility duration, husbands’ relatives’ pressure and cheap cost of traditional medical treatment. Again, inability of infertile women to disclose TMIT use to healthcare providers makes effective treatment difficult. Therefore, these impediments expose infertile women to use TMIT. The result is a guide to healthcare providers who are expected to know the extent of their parents’ use of TMIT.

PMID:37585113 | DOI:10.29063/ajrh2022/v26i3.8

Afr J Reprod Health. 2022 Mar;26(3):46-53. doi: 10.29063/ajrh2022/v26i3.6.

ABSTRACT

Vaginal Candidiasis and associated epidemiological risk factors prevalent among a cross section of pregnant women attending tertiary hospital in Trinidad and Tobago was evaluated. Standardized questionnaire was used to survey 492 pregnant women over a period of 10 months in 2019. Vaginal swab was collected and processed using standard microbiological laboratory methods for phenotypic identification. Data were analyzed using SPSS to identify potential risk factors. Chi-squared (ꭓ2) test and logistic regression tests examined associations and odds ratios with corresponding 95% confidence intervals. Prevalence of vulvovaginal candidiasis was 44.9% with Candida albicans as predominant species identified (62%, N=492). Vaginal candidiasis was statistically significant for several risk factors, including second trimester (p = 0.03), age group 26 – 34 years (p=003), history of masturbation especially during the last 48hours prior to the swabbing (p=0.05), and wearing of pants as opposed to skirt clothes (p=0.04). In conclusion, several epidemiological risk factors are associated vaginal candidiasis among cross section of pregnant women in the country. Patient education, microbiological investigations and appropriate treatment will improve antenatal healthcare delivery in the country.

PMID:37585111 | DOI:10.29063/ajrh2022/v26i3.6

Afr J Reprod Health. 2022 Mar;26(3):9-12. doi: 10.29063/ajrh2022/v26i3.1.

NO ABSTRACT

PMID:37585106 | DOI:10.29063/ajrh2022/v26i3.1

Afr J Reprod Health. 2022 May;26(5):90-95. doi: 10.29063/ajrh2022/v26i5.10.

ABSTRACT

Descriptive cross-sectional, hospital-based study carried out at the Maternal and Childbirth Hospital, Najran, Saudi Arabia, from May 2020 to May 2021 Using Ultrasonography. This study assessed the causes of female infertility by evaluating 100 women with infertility who attended the hospital. The mean age of the women with infertility was 34.8 ± years, with most between 35 -44 years 49%, 31% between 25-34 years old, 11% between 15 – 24 years old and 19% were ≥45were. Of the sample, 65% had primary infertility, while 35% had secondary infertility. A statistical significant association was found between age and the type of infertility (p < 0.05) with polycystic ovary disease being the most common cause of infertility 56%, followed by fibroids 22%, Endometrial polyps 9%, Adenomyosis 5%, Hydrosalpinx 4%, Congenital abnormality 2% and other causes was 1%. Our findings demonstrate the usefulness of ultrasound in diagnosing and evaluating female infertility. The cause of female infertility are polycystic ovary disease, fibroids, Endometrial polyps, Adenomyosis, Hydrosalpinx and congenital anomalies.

PMID:37585101 | DOI:10.29063/ajrh2022/v26i5.10

Afr J Reprod Health. 2022 May;26(5):28-40. doi: 10.29063/ajrh2022/v26i5.3.

ABSTRACT

Postabortion care services provide lifesaving treatment for abortion-related complications and addresses women’s needs by offering family planning (FP) counseling and voluntary access to contraception. Between 2016 and 2020, the Government of Tanzania sought to strengthen its PAC program by enhancing FP counseling and clients’ access to a wide range of contraceptive options. The project team conducted a pre-post evaluation in 17 public sector healthcare facilities in mainland Tanzania and 8 in Zanzibar. It comprised structured client exit interviews (CEIs), completed first in 2016 (n=412) and again in 2020 (n=484). These data complemented an evaluation that used routine service statistics to demonstrate the intervention’s effects on client-reported outcomes. Primary outcomes of the CEIs reflected client experience and satisfaction with services, and researchers compared pre-post differences using chi-square tests. There were improvements in numerous indicators, including client waiting times, recall of emergency procedure counseling, contraceptive uptake, and satisfaction with the quality of overall counseling and FP information and services; however, triangulation of CEI data with service statistics indicated that some outcomes, though still improved since baseline, attenuated. Strengthening the FP component of PAC is feasible in Tanzania and Zanzibar, but strategies to sustain quality improvements over time are needed.

PMID:37585094 | DOI:10.29063/ajrh2022/v26i5.3

Afr J Reprod Health. 2022 Dec;26(12):90-96. doi: 10.29063/ajrh2022/v26i12.10.

ABSTRACT

Intrauterine adhesions (IUA) are rare. A retrospective comparative study was conducted between January 1, 2015, and December 31, 2018. Group A comprised 117 women who developed IUAs after open myomectomy, while Group B comprised 113 women who developed IUAs following uterine trauma caused by uterine instrumentation after a termination of pregnancy (TOP) or spontaneous miscarriage. The IUA grade and pregnancy rates and outcomes were compared using the March classification system. All patients underwent hysteroscopic adhesiolysis. The adhesions tended to be more severe (45/117, 38.5%) in Group A than in Group B (29/113, 25.7%); however, this difference was not statistically significant (Chi-Suare 5.047; p = .080). The period of observation was 24 months from the last hysteroscopy. The pregnancy rate in Group A (26, 22.2%) was significantly lower than in Group B (46, 40.7%) (OR: 2.403, 95% CI: 1.352-4.271; p = .003). Open myomectomy was the preceding aetiological factor in a greater proportion of women with IUA in our study. In cases where pregnancy is desired after open myomectomy, especially where the endometrial cavity is breached, postoperative hysteroscopy to exclude IUAs is recommended.

PMID:37585089 | DOI:10.29063/ajrh2022/v26i12.10