African Journal Of Reproductive Health[JOURNAL]
Sun
200 papers
Advancing multidisciplinary research on abortion and unintended pregnancy in Nigeria.
Akinyemi A, Fatusi A, Agunbiade O … +5 more , Oyedun O, Ogunoye O, Stillman M, Owolabi O, Bankole A
Afr J Reprod Health · 2026 Feb · PMID 41733436 · Publisher ↗
Unintended pregnancy and abortion remain central yet persistently under-examined dimensions of sexual and reproductive health in Nigeria, shaped by intersecting socio-economic inequalities, restrictive legal and policy e...
Unintended pregnancy and abortion remain central yet persistently under-examined dimensions of sexual and reproductive health in Nigeria, shaped by intersecting socio-economic inequalities, restrictive legal and policy environments, health system constraints, and deeply rooted sociocultural norms1-3 Existing national and sub-national evidence demonstrates that limited access to contraception, uneven sexuality education, and inequities in service delivery continue to expose women and girls to unintended pregnancies and unsafe abortion, with disproportionate consequences for adolescents, young women, and those in socioeconomically marginalised settings.4,5 However, beyond estimates of incidence and method use, critical gaps remain in understanding the social processes, decision-making pathways, institutional responses, and lived experiences that shape abortion trajectories across diverse Nigerian contexts. As Nigeria continues to contend with high levels of unintended pregnancy and the public health burden of unsafe abortion, there is an urgent need for evidence that interrogates not only what happens, but how and why reproductive outcomes are produced within specific social, cultural, and health-system environments.
Household income, malnutrition, and mortality in China.
Geng B, Yang J, Sun C … +1 more , Wu D
Afr J Reprod Health · 2026 Feb · PMID 41700359 · Publisher ↗
The study investigated the relationship between household income, malnutrition, and mortality in China based on longitudinal data collected at five-year intervals from 1995 to 2020. Accordingly, trends in adult female, a...
The study investigated the relationship between household income, malnutrition, and mortality in China based on longitudinal data collected at five-year intervals from 1995 to 2020. Accordingly, trends in adult female, adult male, and infant mortality were examined together with changes in household income and undernourishment prevalence. The results show a steady decline in mortality in every group, whereas malnutrition fell precipitously, especially after 2010. Household income was rather volatile but generally increased in later years, matching the decline in mortality. Graphical evidence suggests that there are inverse relationships between mortality and income, as well as between mortality and malnutrition. This is reflected in the correlation matrix, with all co-movements strong because of common downward trends over time. Overall, improved household welfare, enhanced nutritional status, and health system strengthening all seemed to contribute to the better health status of the population in China. Based on these results, the study recommends continued investment in nutrition programs, expanded social welfare measures to support household income, and further strengthening of maternal and child healthcare services to sustain progress in reducing mortality.
Socio-economic status and fertility behaviour among households in Enugu State, Nigeria.
Ukwubile EE, Adeyi SB
Afr J Reprod Health · 2026 Feb · PMID 41700358 · Publisher ↗
Fertility patterns in Nigeria are strongly influenced by socioeconomic and cultural factors. This study examined the effects of income, educational attainment, occupational status, contraceptive use, and cultural beliefs...
Fertility patterns in Nigeria are strongly influenced by socioeconomic and cultural factors. This study examined the effects of income, educational attainment, occupational status, contraceptive use, and cultural beliefs on fertility behaviour among households in Enugu State. A descriptive cross-sectional design was employed, involving 422 adults selected through a multistage sampling technique from six purposively chosen communities. Data were collected using structured questionnaires and in-depth interviews. Quantitative data were analysed using descriptive statistics and chi-square tests in SPSS version 25, while qualitative data underwent thematic analysis.Findings revealed significant associations between low income and higher fertility (χ² = 54.87, p < 0.001), higher education and lower fertility (χ² = 41.32, p < 0.001), formal-sector employment and reduced fertility (χ² = 36.19, p < 0.001), and contraceptive use and smaller family size (χ² = 29.45, p < 0.001). Traditional sociocultural norms including male-child preference, perception of children as economic assets, and religious opposition to contraception were also significantly associated with higher fertility (χ² = 38.76, p < 0.001).These findings underscore the complex interplay of structural and cultural factors in shaping reproductive behaviour. Addressing fertility disparities in Enugu State requires integrated interventions that enhance economic opportunities, expand female education, and provide culturally sensitive reproductive health services.
Development and acceptability of mung beans and purple taro cookies as a supplementary food for pregnant women.
Munthe NB, Saputri IN, Sembiring IM … +2 more , Panjaitan R, Ginting H
Afr J Reprod Health · 2026 Feb · PMID 41700347 · Publisher ↗
Chronic Energy Deficiency (CED) in pregnancy remains a major public health problem associated with adverse maternal and neonatal outcomes. This Research and Development (R&D) study developed functional cookies using mung...
Chronic Energy Deficiency (CED) in pregnancy remains a major public health problem associated with adverse maternal and neonatal outcomes. This Research and Development (R&D) study developed functional cookies using mung bean and purple taro as locally available nutrient-dense ingredients. Conducted from June to August 2025, the study involved cookie formulation, proximate analysis, antioxidant testing, and organoleptic and acceptability assessment. This laboratory-based R&D study did not include clinical outcome measurements. Three formulations were evaluated. Sensory testing by 30 trained panelists showed significant differences across all parameters (p < 0.05), with flavor receiving the highest score. Acceptability testing among 30 pregnant women revealed that 76.7% "liked" or "liked very much" the product. Proximate results showed moisture (8.18%), ash (4.96%), protein (9.65%), fat (14.90%), and crude fiber (10.20%). These findings suggest that cookies formulated from mung bean and purple taro are acceptable, nutritionally promising, and potentially useful as a supplementary functional food to support maternal nutrition and reduce CED risk..
Designing and marketing maternal wellness tourism destinations: insights from user-generated content.
Yan L, Jiang S, Wang H
Afr J Reprod Health · 2026 Feb · PMID 41700333 · Publisher ↗
This study examines the design and marketing of maternal wellness tourism. We adopted a mixed-methods design integrating large-scale user-generated content (≈128,000 entries modeled with Latent Dirichlet Allocation) and...
This study examines the design and marketing of maternal wellness tourism. We adopted a mixed-methods design integrating large-scale user-generated content (≈128,000 entries modeled with Latent Dirichlet Allocation) and 47 semi-structured interviews with expectant mothers; grounded theory guided coding, triangulation, and theory building. We develop a conceptual framework identifying five core dimensions: prenatal safety, psychological restoration, physical comfort, sustainable environment, and informed decision-making. The findings reveal that maternal travel is not purely for leisure but involves complex, risk-averse, and socially influenced decisions. The resulting model integrates the affective, physical, and digital aspects of the travel experience for pregnant women. Practically, it offers marketing insights for destinations, such as building trust through medical partnerships and designing trimester-specific services. The study concludes by advocating for more inclusive and care-oriented tourism planning that aligns with maternal health priorities and sustainable development goals.
Determining the relationship between mothers' breastfeeding myths and breastfeeding attitudes and success in Türkiye.
Delibalta RT, Tuzcu K, Karakurt N
Afr J Reprod Health · 2026 Feb · PMID 41700313 · Publisher ↗
Breastfeeding myths are defined as culturally ingrained misconceptions about breastfeeding. These myths negatively affect the breastfeeding process. This descriptive and correlational study was conducted to examine the r...
Breastfeeding myths are defined as culturally ingrained misconceptions about breastfeeding. These myths negatively affect the breastfeeding process. This descriptive and correlational study was conducted to examine the relationship between breastfeeding myths and mothers' breastfeeding attitudes and success during the first six months of breastfeeding. The research was conducted with 384 mothers with babies at Kars Harakani State Hospital in Türkiye. In the study, an introductory information form, the Breastfeeding Myths Scale, the Breastfeeding Attitudes Assessment Scale, and the LATCH Breastfeeding Charting System and Assessment Tool were used. The study data were analyzed using means, standard deviations, independent groups t-test, one-way analysis of variance (ANOVA), and Pearson correlation analysis. Study results showed that mothers with lower levels of education and those living in extended families were more likely to hold breastfeeding myths. The study revealed that levels of breastfeeding myths decrease as breastfeeding attitudes and successes of mothers increase. We conclude that nurses need to provide targeted breastfeeding education to mothers to improve breastfeeding attitudes and success while reducing the prevalence of breastfeeding myths. This will increase mothers' breastfeeding attitudes and success and reduce the myth levels of mothers who hold breastfeeding myths. Thus, maternal and infant health, will be protected.
Music performance for stress regulation and psychosomatic well-being among female Chinese students.
Wang Y, Pan S
Afr J Reprod Health · 2026 Feb · PMID 41697157 · Publisher ↗
This study addressed stress and mental health challenges among female Chinese university students, stemming from academic pressures, societal expectations, and impacts on reproductive health. It investigated music perfor...
This study addressed stress and mental health challenges among female Chinese university students, stemming from academic pressures, societal expectations, and impacts on reproductive health. It investigated music performance as a non-pharmacological intervention to improve psychological well-being and reproductive health. Guided by the Biopsychosocial and Transactional Model of Stress, a mixed-methods design was employed, including a quasi-experiment, a survey (n=900), and interviews (n=40). An 8-week music program was implemented. Data analysis (t-tests, ANOVA, SEM) showed a significant reduction in stress and improved health outcomes. Stress reduction was a key pathway, while SEM revealed a complementary pathway involving social bonding and emotional expression. Demographic factors like income were moderators. Qualitative data emphasized music's role in emotional release and self-care. We conclude that music is a potent, sustainable, and culturally relevant intervention for student well-being.
Understanding the determinants of cervical cancer screening uptake in Hoima District, Uganda.
Kibonire RA, Mphuthi DD
Afr J Reprod Health · 2026 Feb · PMID 41697132 · Publisher ↗
Cervical cancer poses a significant global health challenge, particularly in low-resource settings such as Hoima district, Uganda. Early detection through screening is crucial for reducing morbidity and mortality associa...
Cervical cancer poses a significant global health challenge, particularly in low-resource settings such as Hoima district, Uganda. Early detection through screening is crucial for reducing morbidity and mortality associated with the disease. This study aimed to investigate the socio-demographic, client-related, and institutional factors influencing the uptake of cervical cancer screening among women aged 20 to 60 years in Hoima district. A cross-sectional study involving 400 women and 95 health workers as key informants was conducted across 20 selected health centres in Hoima district. Data collection employed interviewer-administered semi-structured questionnaires. Socio-demographic factors including age, marital status, and occupation were found to significantly influence cervical cancer screening uptake. Among client-related factors, awareness about the importance of screening emerged as a key determinant. Institutional barriers such as limited availability of screening services were identified as significant obstacles to uptake, with only one health facility offering services. The study underscores the urgent need for targeted interventions to improve cervical cancer screening uptake in Hoima district. Recommendations include implementing health promotion campaigns and expanding screening services to all health centres, accompanied by training for health workers and provision of necessary resources.
Correlation of sperm DNA fragmentation index with routine semen parameters and its predictive value for clinical outcomes of in vitro fertilization.
Bi S, Jiang Q, Yang X … +6 more , Zhao L, Wang Q, Chen X, Ji K, Zhao W, He L
Afr J Reprod Health · 2026 Feb · PMID 41697131 · Publisher ↗
Infertility refers to a couple's inability to conceive after a period of normal, unprotected sexual activity or to carry a pregnancy to full term. This study investigated the correlation between sperm DNA fragmentation i...
Infertility refers to a couple's inability to conceive after a period of normal, unprotected sexual activity or to carry a pregnancy to full term. This study investigated the correlation between sperm DNA fragmentation index (DFI) and routine semen parameters, as well as its predictive value for in vitro fertilization (IVF) outcomes. A total of 158 infertile patients undergoing IVF-embryo transfer (ET) from September 2021 to February 2023 were enrolled. Based on DFI levels, patients were divided into a low-DFI group (DFI ≤ 25%, n=94) and a high-DFI group (DFI > 25%, n=64). Routine semen parameters were analyzed and correlated with DFI levels. DFI showed significant negative correlations with sperm motility, progressive motility (PR), and non-progressive motility (NP), and a positive correlation with immotility (IM) (P<0.05).Receiver operating characteristic (ROC) analysis revealed that combined semen parameters had the highest diagnostic value for assessing DFI (AUC = 0.998). Additionally, significant differences were observed between groups in human chorionic gonadotropin (hCG) positivity and clinical pregnancy rates (P<0.05). We conclude that sperm DFI is negatively associated with sperm motility parameters and positively associated with immotility. .It has a predictive value for clinical IVF outcomes and may serve as a useful indicator in infertility assessment.
The impact of Knowledge, attitudes and practices (KAP) of dietary diversity on maternal and child malnutrition among pregnant and lactating women in Ngozi province, Burundi.
Irakoze L, Niyongabo A, Nzigamasabo A … +1 more , Lupindu AM
Afr J Reprod Health · 2026 Feb · PMID 41697113 · Publisher ↗
This study explored nutritional awareness, perceptions and feeding behaviors among pregnant and lactating women in Ngozi province, Burundi, and identified determinants influencing these outcomes. A community-based cross-...
This study explored nutritional awareness, perceptions and feeding behaviors among pregnant and lactating women in Ngozi province, Burundi, and identified determinants influencing these outcomes. A community-based cross-sectional survey of 1,620 women was conducted using a structured questionnaire adapted from FAO guidelines. Data analysis involved descriptive statistics and logistic regression to determine associations between KAP and socio-demographics. Results showed that less than half of participants had good knowledge on infant feeding (44.6%), with even lower knowledge for young child feeding (30.2%) and malnutrition (28.5%). Positive attitudes toward dietary diversity were noted in 63.7% of respondents, but only 57% practiced adequate dietary diversity. Significant predictors of better knowledge and attitudes included economic engagement, education levels, marital status, and age. The study highlights the need for integrated interventions addressing education, economic empowerment, and food access to improve dietary diversity and reduce maternal and child malnutrition in this setting.
Empowering maternal health through digital platforms in China: Pregnant women's online reproductive health product consumption.
Chen H, Jiang S, Gao J … +2 more , Shi M, Pengfei Z
Afr J Reprod Health · 2026 Feb · PMID 41697110 · Publisher ↗
This study examines the digital consumption of reproductive health products by women, linking it to sustainable development goals. The main objective was to develop and test an online purchase decision-making model for p...
This study examines the digital consumption of reproductive health products by women, linking it to sustainable development goals. The main objective was to develop and test an online purchase decision-making model for pregnant Chinese women on social media platforms. Data were collected through an online survey of 728 pregnant women with online shopping experience and was analysed using structural equation modelling. The findings revealed that factors such as perceived usefulness, perceived ease of use, and influencer attractiveness directly enhance online purchase intention. Furthermore, influencer attractiveness serves as an affective mechanism mediating the relationship between technological perceptions and purchase intention. Another key finding indicated that para-social relationships positively strengthen the link between attractiveness and purchase intention. We conclude that by extending the Technology Acceptance Model through integrating affective and relational components, this study provides practical insights for stakeholders to collaborate effectively with influencers and support pregnant women in making informed and responsible choices in reproductive health.
Intrauterine adhesions on second-look hysteroscopy after myomectomy with endometrial cavity breach: incidence and risk factors in a population in Kinshasa.
Muanda-Mbaki E, Kusuman A, Odimba JM … +3 more , Ndesanzim CO, Mamanisini DK, Nzau-Ngoma E
Afr J Reprod Health · 2026 Feb · PMID 41697094 · Publisher ↗
Intrauterine adhesions are defined as abnormal attachment of the uterine cavity walls and are one of the main causes of infertility worldwide. Myomectomy can cause endometrial cavity breach and lead to postoperative intr...
Intrauterine adhesions are defined as abnormal attachment of the uterine cavity walls and are one of the main causes of infertility worldwide. Myomectomy can cause endometrial cavity breach and lead to postoperative intrauterine adhesions. The aim of this retrospective study was to determine the incidence and risk factors of intrauterine adhesions after myomectomy with endometrial cavity breach, including all patients that underwent myomectomy with endometrial cavity breach and second-look hysteroscopy, from January 2020 to December 2024. The incidence of intrauterine adhesions was 12.7%. History of abortion (p=0.015; aOR=6.9) and involvement of both uterine walls (p=0.000; aOR=27.3) emerged as risk factors. In conclusion, history of abortion or involvement of both the anterior and posterior uterine walls in patients undergoing myomectomy are risk factors for intra-uterine adhesions. Attention should then be paid to absolutely prevent this condition when dealing with these patients.
Influence of gemcitabine combined with lobaplatin interventional embolization on vaginal flora and biofilm formation in patients with advanced cervical cancer.
Li D
Afr J Reprod Health · 2026 Feb · PMID 41697076 · Publisher ↗
This study aimed to evaluate the therapeutic effect of Gemcitabine (GEM) combined with Lobaplatin (LOB) interventional embolization in patients with locally advanced cervical cancer. Sixty patients were randomly assigned...
This study aimed to evaluate the therapeutic effect of Gemcitabine (GEM) combined with Lobaplatin (LOB) interventional embolization in patients with locally advanced cervical cancer. Sixty patients were randomly assigned to a therapy group (30 cases) treated with GEM+LOB interventional embolization and a control group (30 cases) treated with GEM+LOB intravenous drip. The curative effect and changes in vaginal flora and biofilm formation were assessed using bioinformatics methods and ultraviolet spectrophotometry. The therapy group showed significantly better outcomes (P <0.05), with substantial changes in vaginal flora. The proportion of Gardnerella vaginalis (Gv) in the therapy group decreased from 43.51% before treatment to 13.54% after treatment, and the rate of Gv's cell membrane formation was significantly shortened. However, no significant differences were found in colony content or cell membrane formation delay between the two groups. GEM+LOB interventional embolization not only improved treatment efficacy and survival prognosis in patients with locally advanced cervical cancer but also modulated vaginal microbiota imbalance and inhibited biofilm formation of Gv. These findings provide a new theoretical basis for optimizing clinical treatment strategies for cervical cancer and exploring the relationship between cancer therapy and vaginal microecological balance.
Investigating the association of menstrual symptoms and work productivity with the mediating role of emotional well-being.
Chattopadhyay D, Chandran SP, Bandyopadhyay SN
Afr J Reprod Health · 2026 Feb · PMID 41697075 · Publisher ↗
Menstrual symptoms can have profound effects on the emotional health and professional lives of women. This study aims to explore the impact of menstrual symptoms on emotional engagement, self-regulation, negative affecti...
Menstrual symptoms can have profound effects on the emotional health and professional lives of women. This study aims to explore the impact of menstrual symptoms on emotional engagement, self-regulation, negative affectivity, and cognitive functioning and to acknowledge the mediating role of emotional well-being on work productivity. A cross-sectional survey was conducted among 384 working, menstruating women using validated psychological and occupational health scales. Principal Component Analysis (PCA) and Structural Equation Modelling (SEM) were applied to test the hypothesized pathways. The findings revealed that emotional engagement, self-regulation and cognitive functioning were reduced by menstrual symptoms while negative affectivity increased. Emotional well-being significantly mediated the relationship between menstrual symptoms and work productivity (β = 0.79, p < 0.001). More than half of the participants (52.9%) reported their performance was interrupted by menstrual symptoms. These results emphasize the need for workplace interventions that address both the physical and emotional challenges of menstruation. Policies such as flexible leave, counselling services, and stronger peer support systems can enhance productivity and overall employee well-being.
Women's economic empowerment through chamas: Evidence from a maternal health program in Kenya.
Adeniyi A, Ikemeri JE, Chelagat S … +9 more , Kasaya GA, Jumah A, Maldonado LY, Bone JN, Scanlon ML, Masibo S, Ruhl LJ, Christoffersen-Deb A, Songok JJ
Afr J Reprod Health · 2026 Feb · PMID 41697064 · Publisher ↗
The Chamas for Change (Chamas) program in western Kenya combines health education, peer support, and microfinance to address both maternal health and economic barriers. We conducted a secondary analysis of a cluster rand...
The Chamas for Change (Chamas) program in western Kenya combines health education, peer support, and microfinance to address both maternal health and economic barriers. We conducted a secondary analysis of a cluster randomized controlled trial (N=1550) to examine Chamas' effect on women's economic empowerment and its relationship with maternal health outcomes. Using an adapted Women's Empowerment Scale, Chamas participants (n=822) showed higher overall empowerment than controls (n=728) (adjusted risk ratio=1.28, 95% CI=1.03-1.58), with greater cash savings (aRR=1.36) and income-generating activities (aRR=1.56). Participants were also 32% less likely to face restrictions on working outside the home. Although women's empowerment improved, these economic gains did not explain the maternal health benefits previously reported. The health improvements were likely primarily driven by Chamas' health education and peer-support components. The Chamas model illustrates how community-based platforms can simultaneously strengthen women's empowerment and health outcomes, offering practical lessons for integrated interventions in resource-limited African settings.
Access alone is not enough: Rethinking maternal health in sub-Saharan Africa.
Aikpitanyi J
Afr J Reprod Health · 2026 Feb · PMID 41697032 · Publisher ↗
For more than two decades, maternal health policy in sub-Saharan Africa has been guided by a powerful and intuitive idea: if women can physically reach a health facility, maternal deaths will fall. This logic has driven...
For more than two decades, maternal health policy in sub-Saharan Africa has been guided by a powerful and intuitive idea: if women can physically reach a health facility, maternal deaths will fall. This logic has driven billions of dollars in investment toward building clinics, training health workers, subsidising care, and expanding coverage. On paper, the strategy has worked. Skilled birth attendance in sub-Saharan Africa rose from just 38% in 2000 to approximately 74% by 2023.1 Facility density has increased; user fees have been reduced or abolished in many countries; and maternal health has remained central to global development agendas. Yet maternal mortality remains catastrophically high. Sub-Saharan Africa still accounts for nearly 70% of all maternal deaths globally, with an estimated 182,000 maternal deaths recorded in 2023 alone.2 The region's maternal mortality ratio, 454 deaths per 100,000 live births, is more than 150 times higher than that of high-income countries.
Influence of mobile learning app on secondary school students' mathematics motivation and engagement in Pakistan.
Rao MS, Niazi K, Wijayanti D … +1 more , Alam F
Afr J Reprod Health · 2026 Jan · PMID 41586747 · Publisher ↗
Mathematics education faces significant challenges, with students frequently experiencing anxiety and poor learning outcomes, particularly in developing countries like Pakistan. Mobile learning apps are promising tools f...
Mathematics education faces significant challenges, with students frequently experiencing anxiety and poor learning outcomes, particularly in developing countries like Pakistan. Mobile learning apps are promising tools for enhancing student engagement and motivation through interactive, personalized learning experiences. This study examines the influence of mobile learning app usage on the mathematics motivation and engagement of secondary school students in Pakistan and investigates how perceived barriers moderate these relationships. Using convenience sampling, 343 students were selected from 15 secondary schools in Sahiwal district. The study employed Partial Least Squares Structural Equation Modeling (PLS-SEM) to analyze the data. Results indicate that mobile learning app usage significantly influences students' mathematics motivation (β = 0.557, p < 0.001) and engagement (β = 0.283, p < 0.001), while mathematics motivation also significantly influences engagement (β = 0.525, p < 0.001). The model explained substantial variance (R² = 0.460 for motivation; R² = 0.616 for engagement). Moreover, barriers negatively moderated these relationships (motivation: β = -0.125, p < 0.01; engagement: β = -0.052, p < 0.05). These findings guide policymakers and app developers in developing contexts. By boosting students' motivation and engagement, mobile learning can reduce mathematics anxiety, build confidence, and support wellbeing and success.
HIV knowledge, attitudes, and sexual characteristics of university male students who have sex with men: A cross-sectional survey.
Gong X, Huang D, Liu Y … +2 more , Chen J, Wang H
Afr J Reprod Health · 2026 Jan · PMID 41586738 · Publisher ↗
To explore the knowledge, attitudes, and sexual behaviors regarding HIV among university men who have sex with men (MSM) , we conducted a questionnaire survey with 462 students from 15 universities in 11city of Jiangxi P...
To explore the knowledge, attitudes, and sexual behaviors regarding HIV among university men who have sex with men (MSM) , we conducted a questionnaire survey with 462 students from 15 universities in 11city of Jiangxi Province. The HIV awareness rate was 69.1%..The reported rate of engaging in sexting was 65.2%. The overall attitude towards sex was relatively open, with 85.9% having engaged in high-risk sexual behaviors. Regression results indicated that factors influencing high-risk sexual behaviors included academic major, awareness of HIV knowledge, attitudes towards multiple sexual partners, attitudes towards premarital sex, and attitudes towards homosexual marriage. Although MSM university students have some knowledge of HIV, their attitudes and high-risk behaviors are a matter of concern. Targeted sexual health education and interventions are needed to reduce high-risk behaviors and HIV infection risks.
The effect of integrating transtheoretical model in contraceptive methods training on university students: A randomized controlled trial.
Niciza J, Yilmaz ÜD
Afr J Reprod Health · 2026 Jan · PMID 41586723 · Publisher ↗
This study was conducted to measure the effect of a Transtheoretical Model (TTM)-based contraceptive training program on university students' contraceptive knowledge, attitude, and behavior. The study is a Randomized Cli...
This study was conducted to measure the effect of a Transtheoretical Model (TTM)-based contraceptive training program on university students' contraceptive knowledge, attitude, and behavior. The study is a Randomized Clinical Trial where the experiment was targeting 68 international nursing students (intervention group: 34, control group: 34). Students in the intervention group received a training designed to boost their knowledge, attitude and behavior. The control group received no specific program. The data was analyzed using SPSS 27.0 version software. The results revealed a significant difference between the groups at post-test (Z = -7.003, p = .000, r = 0.85), (Z = -6.859, p < .001, r = 0.83) and (Z = -6.579, p < .001, r = 0.80), respectively to all variables contraceptive knowledge, attitude and behavior compared to the control group respectively. The study findings indicate evidence that a TTM-based intervention can significantly improve contraceptive knowledge, attitudes, and behaviors.
Increasing awareness of stunting risks and self-efficacy in children among stunting resilient families in Indonesia: a quasi-experimental study.
Sulisnadewi NLK, Gama K, Sipahutar IE … +1 more , Suardana IW
Afr J Reprod Health · 2026 Jan · PMID 41586485 · Publisher ↗
Stunting poses an urgent public health challenge with long-term consequences for child development. Despite various national initiatives in Indonesia, stunting persists due to limited awareness and low caregiving efficac...
Stunting poses an urgent public health challenge with long-term consequences for child development. Despite various national initiatives in Indonesia, stunting persists due to limited awareness and low caregiving efficacy at the household level. This study evaluates the "Stunt Resilient Family" intervention model, designed to enhance family awareness of stunting risks and improve caregiving efficacy for stunted children. Employing a one-group pre-test/post-test design, data were collected from 77 families in the Nusa Penida 1 Community Health Center area. Statistically significant improvements were found in family awareness across key demographics-adolescents, pregnant women, toddlers-as well as in caregiving efficacy (p < 0.05). Family efficacy, defined as the confidence and capability of caregivers to provide adequate care for stunted children, improved notably. These results suggest that community-based, family-centered education can effectively address stunting and may be adapted for broader implementation across similar contexts in low- and middle-income countries (LMICs).
About
- Frequency
- Sun
- Papers found
- 200
- RSS feed
- Subscribe