African journal of reproductive health最新文献

Program-based education has emerged as a crucial strategy in preventing diabetic foot ulcers (DFUs) and related complications. This scoping review aims to assess the program-based education interventions in preventing DFUs in patients with diabetes. A comprehensive search was conducted across major electronic databases, including PubMed, ProQuest, Scopus, and CINAHL. The primary outcome measure was foot self-care behaviors, while secondary outcomes included foot-related knowledge, self-efficacy, and quality of life. The studies encompassed diverse educational programs, such as structured foot care education, and multidisciplinary interventions. In total, 135 articles regarding Program-based education to prevent Diabetic Foot Ulcer on patient with diabetes were found in the literature. However, 18 articles that met the study criteria were reviewed. The results highlight the effectiveness of combining education with follow-up sessions to enhance self-care behavior, self-efficacy, knowledge, self-management, and quality of life in patients with diabetes mellitus (DM).

Early marriage often occurs in the low and middle income countries because of thetradition and cultural belief that girls must be married off immediately. The data was obtained from the Aceh Regional Office of the Ministry of Religion, from a population of all married women under the age of 19 years, totaling 507 respondents. The study used a total sampling technique. Data analysis consisted of the use of collinearity tests, chi-square, and multiple logistic regression analysis. The results showed that parental and economic factors have significant relationships to early marriage. The poorest women are 2.23 times more likely to experience early marriages than the richest women. Poor women are 1.68 times more vulnerable to early marriage than the richest women.Women who have parents with a very strong role have a risk of early marriage of 10.34 times compared to women whose parents do not play much of a role, namely 9.10 times. We conclude that parental factors play dominant in the incidence of early marriage in Aceh Province in Indonesia.

In the implementation of stunting prevention, the lack of cooperation between stunting cadres, no direct communication media and no one who facilitates the cooperation of stunting cadres to carry out data collection tasks as indicators of stunting achievement and for stunting prevention. This can result in repeated data collection, unequal data, and irrelevant data accuracy. Stunting cadres, who are community health workers selected and trained to monitor and prevent stunting at the village level, play a crucial role in these efforts. If stunting cadres collaborate, the performance of both will be more effective and efficient. This study aims to find out the factors related to the collaboration of stunting cadres in stunting prevention efforts. A quantitative research method with a cross-sectional study design was employed. The research sample consisted of 63 stunting cadres. Data analysis was conducted using univariate and bivariate analysis. The results showed that variables such as trust (p-value 0.032), communication (p-value 0.021), agreement (p-value 0.002) and added public value (p-value 0.001) were significantly related to the collaboration of stunting cadres. The conclusion of this study is that stunting cadre collaboration is important in stunting prevention efforts and has an impact on optimizing stunting prevention programs.

The research was conducted to evaluate the correlation between health literacy and family planning attitude of puerperal women. In this cross-sectional study, was carried out with 258 puerperal women in a public hospital in the Mediterranean region of Turkey. The data were collected using the Mother Introductory Information Form, Postpartum Family Planning Attitude Scale, and Health Literacy Scale. The data were evaluated using Independent Groups t-test, ANOVA and Sperman's correlation analysis. In the study, the puerperal women who had high level of educational status, worked in an income-generating job, had used contraceptives before pregnancy were found to obtained high average scores from the Family Planning Scale. The health literacy levels of those who were employed, had social security and had cesarean delivery were also high. The research shows that there is a positive correlation between health literacy and family planning attitudes of puerperal women.

The "SusCatinTing" application is a digital health intervention designed to enhance the knowledge, attitudes, and practices (KAP) of brides-to-be regarding stunting prevention during the critical first 1000 days of life. This study aimed to evaluate the effectiveness of this application in improving stunting prevention efforts among brides-to-be in Bengkulu Province, Indonesia. The application provides educational content on healthy pregnancy, maternal nutrition, and stunting prevention strategies, incorporating both text and audio explanations to ensure accessibility for illiterate and visually impaired users. A quantitative research design was employed, utilizing a single-group pretest-posttest approach involving 50 pairs of brides-to-be with internet-connected Android smartphones. Data collection was conducted through structured questionnaires administered by trained enumerators, focusing on KAP related to stunting prevention. The results indicated a significant improvement in KAP scores post-intervention (knowledge score increase: 42.59, p < 0.001). The application's unique features, including interactive quizzes and a certification process for marriage registration at the Office of Religious Affairs, contributed to its effectiveness. The study concludes that the "SusCatinTing" application is a promising tool for enhancing health education and promoting preventive behaviors among brides-to-be. Further research is recommended to explore the long-term impact of such digital interventions on stunting rates and maternal-child health outcomes.

Pregnancy complications can basically be detected through an Integrated Antenatal Care (ANC). In Indonesia, the Integrated ANC is conducted comprehensively and with quality, targeting all pregnant women. This research employed a systematic review by deriving articles from three databases between 2013 and 2023 using a single keyword: "Antenatal Care" and "Pregnant Women" in Indonesia. Several inclusion and exclusion criteria were applied to determine the articles that can advance to data analysis. Initially, the three databases produced 25,582 studies. After completing the review and excluding duplicated articles, 15 met the criteria. These articles described the ANC behaviour of pregnant women in six major regions in Indonesia. The results presented factors that most influenced ANC behaviour among pregnant women in Indonesia. These factors were divided into three major groups: personal factors, external factor, and social support. In particular, the factors influencing participants' ANC visits were knowledge, education, economic status, husband's support, family support, occupation, parity, and economic status.

The objective of this study was to analyse the effectiveness of moringa biscuits and snakehead fish in improving the nutritional status of pregnant women with chronic energy deficiency (CED). The study was a randomized control trial carried out in two stages. The first stage was carried out in 2020, while the second stage was implemented in 2021 in Sigi Regency, Central Sulawesi Province, Indonesia. Thirty pregnant women with CED were divided into two groups. Five pieces of biscuits (60g) were given every day for three months to women in the intervention group while the control group were given biscuits without moringa and snakehead fish. The analysis consisted of paired t-test statistics. The results showed that giving biscuits significantly improved the nutritional status of pregnant women with CED, with the mean body mass index Centre (BMI) having a value of (P 0.000). In contrast, the upper arm circumference did not differ between the intervention and control groups. (P 0.247). We conclude that the consumption of moringa and snakehead fish biscuits provides a higher average contribution of energy and nutrients in pregnant women with CED.

The objective of the study was to compare the clinical efficacy and pregnancy outcomes of methimazole and propylthiouracil in managing hyperthyroidism during pregnancy. This retrospective analysis included 100 pregnant women with hyperthyroidism, who were divided into two groups: the methimazole group (Group A) and the propylthiouracil group (Group B). Indicators such as thyroid function, liver function, pregnancy outcomes, and newborn health were closely monitored. The results revealed that both groups experienced a reduction in thyroid function indicators, with Group B showing a more modest decrease. Group B exhibited a higher incidence of liver injury but also achieved more full-term pregnancies. There were no significant differences in adverse reactions, miscarriage rates, or cesarean rates between the two groups. Apgar scores were higher in Group B, while neonatal weights were comparable. We conclude that propylthiouracil improved thyroid function more substantially than methimazole although it was associated with a higher risk of liver injury.

Team-based learning is an alternative to passive learning. Its defining characteristics are small-group collaboration and active student participation. This study evaluated students' accountability, performance, and satisfaction with the team-based learning strategy, as well as the impact of gender and cumulative grade point average. It was a quasi-experimental one-group post-test study conducted at the College of Nursing and Health Sciences, Jazan University, Saudi Arabia. A team-based learning session with 214 students was conducted. Descriptive statistics, chi-square, and multilevel regression were used to analyze students' accountability, preference, and satisfaction with team-based learning using an online survey. Students were accountable; 85% used pre-class materials to prepare. The majority of students expressed satisfaction with their session engagement. Most believe that team-based learning motivated them to engage and recommend it for nursing courses. Male students' scores on the team readiness assessment test improved by 30.73%. The multilevel regression analysis revealed a substantial gender effect on gain increases (P-value < 0.0001). Students expressed great satisfaction with their team-based learning experience. This study demonstrated that team-based learning improved student involvement, performance, and accountability and recommends its application in the nursing program; however, further research is needed to improve the transferability of results.