African journal of reproductive health最新文献

Maintaining quality of life and physical health in the elderly is crucial for their overall well-being. Hypertension, a prevalent condition among the elderly in Indonesia, requires targeted interventions to mitigate its impact. A quasi-experimental pre-post intervention study was conducted in Bandar Lor, Kediri City, Indonesia, involving 106 elderly participants. The Paguyuban Raga Paruh Baya Lansia Sejahtera (PURABAYA), a senior wellness group program aimed to improve hypertension management through educational sessions on physical activity, nutrition, and hypertension management exercises. The program significantly increased participants' knowledge of physical activity (median increase from 59.62 to 82.69) and nutrition (median increase from 80.51 to 95.38). Systolic blood pressure decreased markedly (median from 173.86 mmHg to 142.53 mmHg), indicating improved hypertension control. However, there was no significant change in diastolic blood pressure. The findings underscore the effectiveness of targeted educational interventions in enhancing health literacy and managing systolic blood pressure among the elderly. The PURABAYA program's success suggests its potential for scalability and adaptation to broader public health initiatives.

In 2019, anxiety disorders constituted a significant share of the disability adjusted life years (DALYs) lost as a result of mental disorders. This study sought to examine the gender and age-specific distribution pattern and the trends of DALYs in anxiety disorders. Using descriptive methods, the study examined the trends in the DALYs of anxiety disorders in Indonesia from 1990 to 2019. The initial step was to extract age-standardized DALYs rates (ASR) data from the Global Health Data Exchange (GHDx) covering the period from 1990 to 2019. Trend data analysis used the joinpoint regression analysis. The results indicate that DALYs rate due to anxiety were higher in women as compared to men. The highest anxiety rate in Indonesia in both 1990 and 2019 was between 25-49 years old. Anxiety rates are important to monitor for stakeholders, particularly for women and those in the reproductive age groups.

Unmet need for family planning is important to assess as an indicator for achieving universal access to sexual and reproductive health services. The objective of this study was to analyze the effect of gender relations on unmet need for family planning. We conducted a cross-sectional study with a randomly selected sample of 92 married women in Sumbersari District, Jember Regency, Indonesia. We collected data through structured interviews conducted between January and March 2023, and the data was analysed with univariate, bivariate and multiple logistic regression. The unmet need for family planning among the married women was 33.7%. Married women who had 3-4 children and low education were at greater risk of unmet need for family planning (OR 9.2; 95% CI 3.22-26.28 and OR 11.7; 95% CI 2.3-60, respectively). Married women who experience unequal gender relations with their husband were more at risk of unmet needs for family planning (OR 10.3; 95% CI 2.97-35.55) as well as women who agree with the husband's beating of his wife (OR 8; 95% CI 2.53-25.80). Gender inequality was a determinant of the unmet need for family planning among married women living in urban areas. Therefore, it is necessary to improve women's empowerment programs to reduce unmet need family planning among married women.

Microplastics are the result of degradation of plastic waste in nature and contain various toxicological effects. It is estimated that humans inhale around 100,000 fine particles of plastic every day. The aim of this research is to determine whether exposure to microplastics in the air has an impact on human lungs. Data search in this study used four electronic databases, namely Scopus, Web of Science, Science Direct, and PubMed. 15 articles were included for analysis in this systematic review following a screening process of titles, abstract, and full texts that was based on clearly defined inclusion and exclusion criteria. Risk assessment to reduce data bias using the JBI Critical Appraisal Tool. Our findings from this systematic review show that airborne microplastic contamination has a negative effect on human lungs. It is recommended that government policies should be formed regarding the use of plastics so as to reduce airborne contamination.

This study aims to investigate the impact of family support and family function on high-risk behavior among adolescents in Malang City, East Java, Indonesia using Cross-sectional study design. in Malang City, East Java, Indonesia using cross-sectional study design. The sample size consisted of 195 adolescents (aged 15 to 19) with various sociodemographic characteristics, as well as various types of risky behaviors, such as smoking, consuming alcohol, and so on. and so on. The results of the study indicate that perceptions of and family functions are significantly related to the level of adolescent involvement in high-risk behavior. Adolescents who perceive strong family support and cohesive family functioning are significantly less likely to engage in high-risk behavior. Significance test of the model, variable value of the Sig, which is 0.000, which means that the model has an independent variable that statistically significantly affects the dependent variable because the P-value <α; (0.000 <0.05). Family function is a variable that has a value of 0.000 so that it is related to the dependent variable and has a CI value of 95% (0.029-0.348) significantly less likely to engage in high-risk behavior. In addition, gender, age, and other sociodemographic factors also play a role in determining high-risk behavior. These findings underline the important role of the family in shaping adolescent behavior and emphasize the need for providing appropriate sexual information and education by parents. The implication of this research underscores the significance of parental involvement in providing emotional support, information, and supervision for their children. These parental roles can substantially reduce high-risk behaviors among adolescents.

Birth Preparedness and Complication Readiness (BPCR) is a comprehensive strategy to ensure a safer pregnancy. The BPCR shared responsibilities matrix describes the roles of policymakers, facility managers, health care providers, communities, families, and women in ensuring that women and newborns receive skilled and timely maternal and newborn care that can positively improve health outcomes for mothers and their babies. The objective of the study was to describe a shared responsibility on roles to improve childbirth readiness practices and readiness in the face of complications. The literature was systematically obtained from online journal databases namely PubMed, Google Scholar, ScienceDirect, and other related sources, from 2018 to 2023. Sixteen articles on BPCR Interventions were described. Existing literature identifies the value of health care providers, communities, families, and women in shared responsibilities that can improve BPCR practices. We conclude that this review indicates that the value of pregnant women, facility managers, and policy makers in BPCR is still limited.

Dengue is a global health problem. Community participation plays a crucial role in the prevention and control of dengue. This systematic review aims to examine the benefits and barriers of community participation in controlling dengue fever. Searching several journal databases including PubMed, ScienceDirect, Scopus, ProQuest, and Web of Science from 2013 to 2023. Various activities involving community participation in controlling dengue fever have proven to be beneficial, such as reducing vector density and increasing knowledge, attitudes and behavior regarding dengue fever control in the community. Various barriers in increasing community participation in dengue control include individual factors, community factors and Societal factors. It is important to develop programs that consistently involve the community in the prevention and control of dengue fever, as well as overcome barriers that may influence community involvement in the prevention and control of dengue fever.

The Editor in Chief of the African Journal of Reproductive Health (AJRH) has been elected into the United States National Academy of Medicine (NAM), The announcement was made on October 21, 2024 by the Academy. He was one of 10 international members elected from outside the United States, and one of two scholars from Africa so elected.

Unsafe pregnancy termination contributes to morbidity and mortality among women globally. Despite Botswana's restrictive abortion laws, women continue to use unsafe abortion methods. This study aimed to explore factors that contributes to unsafe termination of pregnancies in Ngami sub-district, Botswana. A qualitative descriptive and exploratory research approach, using a phenomenological design, was applied. Semi-structured in-depth interviews were conducted with women admitted to the gynecological ward from June to August 2021. Data saturation was reached with the 12th participant. Data was analyzed thematically. The study revealed two major themes: factors contributing to unsafe abortions, and interventions to reduce unsafe abortions. The study underscores the global issue of unsafe abortion that leads to high morbidity and mortality, and long-term complications. An overall recommendation is for Botswana to reconsider its abortion law and aim to prevent unsafe abortions and reduce healthcare cost.

This was a retrospective study, mainly explored the mediating role of vaginal microenvironment and the influence of vitamin D addition on human papillomavirus (HPV) infection. Five hundred and twelve participants were chosen in this study, followed by dividing into HPV positive (212 cases) and negative groups (300 cases) based on HPV 23 typing results. The high-risk human papillomavirus (HR-HPV) positive group showed higher abnormal rates of lactobacillus, catalase, cleanliness, sialidosidase, and proline aminopeptidase than the HPV negative group. No significant differences were found in pH value, leukocyte esterase, and Acetylglucosaminidase abnormality between 2 groups. The HR-HPV positive group presented a higher percentage of patients with cleanliness III and IV. Relative to low-grade squamous intraepithelial lesion (LSIL) group, HSIL group presented a higher HPV positive infection rate. Mould infection, Gardnerella infection, and catalase were identified as independent risk elements for HR-HPV infection. Vitamin D supplementation was found to potentially reduce HR-HPV infection persistence post-Loop Electrosurgical Excision Procedure (LEEP), improve nutritional health, reduce insulin, insulin resistance (HOMA-IR) and triglyceride levels, as well as reduce high-sensitivity C-reactive protein (hs-CRP) along with malondialdehyde (MDA) levels. Our results indicate that HR-HPV infection is intimately associated with the condition of the vaginal microenvironment, and vitamin D addition potentially reduces the persistence of HR-HPV infection post-LEEP, improves nutritional and metabolic health, reduces inflammation, and be well-tolerated.