Reproductive Health Issues Research Articles

Survivor Health Connection Project: Understanding Experiences of Accessing Health Care Among Those Affected by Intimate Partner Violence During the COVID-19 Pandemic.

Intimate partner violence (IPV) has short- and long-term health effects, including physical injuries and traumatic brain injury, as well as sexual, reproductive, and mental health issues. However, accessing necessary health care is often challenging for IPV survivors and became even more difficult during the COVID-19 pandemic. We examined access to health care among those affected by IPV during the COVID-19 pandemic to better connect survivors to health and social support services. The Health Resources and Services Administration's Office of Women's Health partnered with its Bureau of Primary Health Care, the Administration for Children and Families' Office of Family Violence Prevention and Services, and the National Domestic Violence Hotline (Hotline) on the 2-year Survivor Health Connection Project. The Hotline administered 2 surveys to its contacts: a 2-question postinteraction survey from March 29, 2021, through September 30, 2022, and a longer focused survey in 2021 and 2022 that measured barriers and restrictions to accessing health care, telehealth safety, and interactions with health care providers. Of 9918 respondents to the postinteraction survey, 6173 (62.2%) reported current health needs related to their abusive experience. Nearly half of 242 respondents to the 2021 survey (n = 106, 43.8%) indicated that the frequency or intensity of abuse increased during the COVID-19 pandemic, and 157 of 338 respondents to the 2022 survey (46.4%) reported that their partner had controlled and/or restricted their access to health care. Participants described barriers to accessing health care, including finances, health insurance coverage, and transportation. Findings illuminate opportunities to further support the health and social needs of those experiencing IPV, including continued coordination of efforts across health care and social service delivery partners.

Risky Reproductive Health Behavior and Information Access on Adolescents: Qualitative and Quantitative Analysis

Adolescence is a vital period of development marked by confusion, a range of emotions, and an understanding of adult behavior, the environment, enthusiasm, and an inclination to explore, particularly with drugs, alcohol, and sex. This study outlines adolescents' knowledge, attitude, access to information and risky behaviors related to reproductive health. This study employed a concurrent triangulation design, using mixed methodologies. The chi-square test was used to examine this form of quantitative study. The focus groups and in-depth interviews with teenagers in several agencies, along with the accompanying teachers and parents, provided qualitative information for this study. Adolescents had greater access to knowledge about reproductive health issues, but the majority were unable to make effective use of this information. Numerous risky habits, including drug use, also set off unsafe sexual behaviors. In contrast to their parents or professors, teenagers increasingly feel more at the ease of sharing stories with their friends. It is intended that parents and educators will act in a peer-like manner by imitating teenagers’ social cues. Quantitative analysis revealed relationships among information access, attitude, knowledge, and reproductive behavior. Teenagers typically have higher knowledge of their reproductive health. However, the majority of them struggle to put this knowledge into practice, and as a result, many engage in risky sexual behavior out of curiosity.

Analysis of parents’ needs regarding sexual and reproductive health issues of their children

Abstract Background Promoting sexual and reproductive health is a key intervention for young people’s health and well-being. Studies have shown that young people have a need to be supported by a strong network and that parents are considered an important source of information. The aim of our work was to understand the needs and critical issues parents face when raising the topic of sexual and reproductive health with their children in order to strengthen their skills and provide the best tools to support young people. Methods A qualitative focus group research methodology was used; a sexual psychologist facilitated the meetings. Parents of children attending secondary schools in Udine (Italy) in the 2022/2023 school year were invited to participate in the project. The meetings were recorded and transcribed verbatim by two independent researchers. Following an inductive method, recurring themes were extrapolated to represent the main categories and more specific subcategories. Results 46 parents participated in the focus group; 76% of them had no experience with sexual and affective education. Parents felt that sex education was useful in providing accurate information, preventing risks and promoting respect and relationships with others; however, there were concerns that the values taught were not consistent with those of the family. The topic was found to be difficult to discuss with children, both in terms of technical/scientific aspects and addressing issues such as gender identity and sexual orientation. Parents would like to understand what the right communication key is to discuss with their children in an atmosphere of trust. Conclusions Parents recognized the importance of the topic and saw the need to deepen some aspects, especially in terms of relationship and communication. The results of this work will be a useful starting point for the creation of ad hoc pathways aimed at parents to strengthen the relationship with their children. Key messages • Parents want to overcome difficulties by finding the right key to communicate with their children. • Supporting young people and their network to promote sexual and reproductive health is essential.

Knowledge and use of emergency contraceptive methods and associated factors among female youth college students in Gondar city, Northwest Ethiopia, 2023

BackgroundProper use of emergency contraception can reduce unintended pregnancy and the risk of abortion. Despite this fact, there is a high rate of unwanted pregnancies among adolescents in Ethiopia. Therefore, determining the level of knowledge and use of Emergency contraceptives (EC) among female youth is important.ObjectiveTo assess Knowledge and use of EC methods and their associated factors among female college students in Gondar City, Northwest Ethiopia, 2023.MethodsInstitution-based cross-sectional study was employed among 814 female college students in Gondar City from April 15 to 28, 2023. A multi-stage sampling technique was applied to select the study participants. A self-administered questionnaire was used to collect the data. Epi-data version 4.6 and STATA Version 16, respectively, were used for data entry and analysis. A logistic regression model was fitted to identify factors associated with the outcome variables. Statistical significance was defined at a p-value < 0.05 and a corresponding 95% confidence interval.ResultIn this study, 46.2% [95% CI (42.78, 49.63%)] of the participants had adequate knowledge about EC and 26.1% [95% CI (22.82–29.74%)] of sexually active participants used EC. Muslim religion [AOR = 1.82: 95% CI (1.07, 3.09)], being single [AOR = 0.34: 95% CI (0.19, 0.63)], no discussion about reproductive health issues with their husband/partner [AOR = 0.43: 95% CI (0.27, 0.69)], year of study; second year [AOR = 1.63: 95% CI (1.03, 2.58)], third year [AOR = 1.80: 95% CI (1.11, 2.94)], and fourth-year students [AOR = 2.91: 95% CI (1.43, 5.96)] were significantly associated with knowledge about EC. While no discussion about reproductive health with their husband/partner [AOR = 0.09: 95% CI (0.04, 0.20)], monthly allowance [AOR = 3.03: 95% CI (1.54, 5.95)], perceive use emergency contraceptives as not a sin [AOR = 2.59: 95% CI (1.20, 5.60], knowledge about EC [AOR = 2.32: 95% CI (1.253, 4.29)] were associated with the use of EC.ConclusionsParticipants’ knowledge and of use EC in the study area was low. Religion, years of study, marital status, monthly allowance, perception and knowledge, and having discussion were associated with the use of EC. School-based health education, and behavioral change communication interventions should be established and/or strengthened to address students in need of EC services.

SEXUALITY EDUCATION AND ITS IMPACT ON ADOLESCENT REPRODUCTIVE HEALTH KNOWLEDGE IN MANCAR VILLAGE

Adolescence is a critical period of transition marked by biological, psychological, and social changes. This community service program aimed to educate adolescents on reproductive health through sexuality education at the Youth Posyandu in Mancar Village, Jombang. Conducted on June 26, 2024, the program involved 15 adolescent participants. It addressed the lack of knowledge about reproductive health and sought to improve adolescents' understanding and attitudes toward their reproductive well-being. A series of activities, including seminars, discussions, and demonstrations, were held to provide comprehensive information on reproductive health. The results showed a significant increase in the participants' knowledge, with 100% of the adolescents demonstrating a good understanding of reproductive health by the end of the program. This initiative highlighted the importance of open access to reproductive health education for adolescents and encouraged parental involvement in discussing reproductive health topics. The program concluded successfully, with participants actively engaging in the learning process and demonstrating increased awareness of reproductive health issues.

Trusted networks: a study of communication flow and access to abortion information in Argentina.

In December 2020, Argentina approved a new abortion law following decades of feminist and social advocacy. This paper presents qualitative findings from interviews and focus group discussions with people in local communities focusing on how individuals of reproductive age access and communicate sexual and reproductive health information, particularly regarding abortion. Sixteen in-depth interviews were conducted with key informants working in the field of SRHR and four focus group discussions took place with cisgender women and girls, transmasculine people and non-binary people of reproductive age. We found that information exchange and communication about sexual and reproductive health issues, particularly abortion, took place mainly through informal social networks engaging with activists and feminist grass-root organisations. These informal social networks were built on trust as a collective affect that enabled open communication about abortion. Information sharing through word of mouth, in person and via digital means using different social media platforms, is an important means of information sharing and communication in Argentina. Monitoring the implementation of abortion policies in this country should include investigating the impact of people accessing abortion through informal social networks in terms of abortion pathways and intersections with the formal health system.

TET1 overexpression affects cell proliferation and apoptosis in aging ovaries.

Along with the progress of society, human life expectancy has been increasing, and late marriage and late childbearing are the current trend. Since reproductive aging affects fertility, ovarian aging in women has become a major reproductive health issue in the current society. During ovarian aging, DNA methylation levels may change. The ten-eleven translocation (TET) protein family proteins TET1, TET2, and TET3 are important DNA demethylation enzymes, and differential expression of TET1, TET2, and TET3 may affect the proliferation and apoptosis of aging ovarian cells. The aim of this study was to investigate the role of TET1 in the regulation of ovarian aging. The expression of 5-methylcytosine (5mC) and 5-hydroxymethylcytosine (5hmC) was analyzed by immunofluorescence (IF) in young and aging ovaries of six 6-8-week-old female mice and six 6-8-month-old female mice. Then, the expression pattern of the TET protein family in young and aging ovaries of mice was investigated. To determine the impact of TET1 on ovarian development, the aging of IOSE-80, KGN, and SKOV-3 cells was induced with D-galactosidase (D-gal). Cells were then transfected using the TET1 overexpression vector or si-TET1. We assessed the proliferation and apoptosis of aging cells after transfection and analyzed the regulatory effect of TET1 expression on aging cells. Additionally, we verified the Tet1 expression in Tet1-KO mice. The 5mC to 5hmC transition, oocyte maturation, and blastocyst rate were reduced in aging mice compared to young mice. In aging mice ovaries, the expression levels of Tet1, Tet2, and Tet3 were reduced significantly, with Tet1 being particularly pronounced. The overexpression of TET1 promoted proliferation and inhibited apoptosis in aging human ovarian cells. Furthermore, Tet1 expression was very low in Tet1-KO C57BL/6J mice ovaries. This study demonstrates that the expression levels of TET family proteins are low in aging ovaries, and the overexpression of TET1 can promote proliferation and inhibit apoptosis in aging ovarian cells.

Медико-социальные аспекты развития технологий регулирования репродуктивного поведения населения.

Technologies for correcting reproductive behavior of the population are based on an integrated approach, taking into account medical, economic, psychological and social aspects. Today, of particular interest are the ethnocultural features of reproductive behavior in interaction with issues of reproductive health, legal support for the health care system, taking into account migration processes, the implementation of treatment and prevention of reproductive health disorders of women and men, the formation of reproductive well-being among the younger generation, which will be successfully implemented in the future. For the successful implementation of technologies for the protection of reproductive health, regular state and institutional collection and monitoring of data on pregnancy, fertility, perinatal health trends, risk factors, including screening, early diagnosis, treatment and prevention of disorders is necessary, expanding the scope of prevention to childhood and adolescence. Today, such medical and social technologies as patronage of pregnant women in difficult life situations are defined as socially in demand; identification of risk factors for successful conception and pregnancy outcome; medical and psychological assistance to women and families based on a personalized approach; consultations on legal and social protection of women wishing to terminate an unwanted pregnancy, support during pregnancy or after an abortion; socio-psychological assistance to vulnerable groups of the population, disabled women, adolescents and young people, especially from low social strata; prevention of domestic violence and assistance to women victims of violence, including sexual violence. In order to correct the reproductive attitudes of the population, technologies are effective that reflect the significant role of society’s value priorities, including strengthening civic responsibility, understanding the national importance of the successful birth of children, and the formation of the social prestige of a large family.

The Effect of Mesenchymal Stem Cell Administration on the Expression of Nuclear Factor Kappa Beta, Neural Growth Factor Expression, and Prostaglandin E2 Concentration as Determinants of Pain in a Mouse Model of Endometriosis

Endometriosis is a significant reproductive health issue with pain being the primaru symptom. The complex pain in endometriosis involves the activation of macrophages, inflammatory activators such as NF-kB, neural growth factors (NGF), cytokines, adhesive molecules (ICAM-1), and mediators (PGE2) which they are stimulate sensory nerve fibers and produce nociceptive signals. This study is aim for investigate the effect of Mesenchymal Stem Cell (MSC) administration on the expression of NF-kB, NGF, and PGE2 concentration in a mouse model of endometriosis. Thirty-three mices were randomly divided into 3 groups consist non-endometriosis (P0), endometriosis without treatment (P1), and endometriosis with MSC administration (P2). The results showed MSC administration significantly reduced the expression of NF-kB by found scoring 2 groups (P1: 6.96 ± 0.13 and P2: 4.446 ± 0.228) and NGF (P1: 7.118 ± 0.629 and P2: 4.927 ± 1.187) also PGE2 (P1:1005.862 ± 176.656 and P2: 891.218 ± 54.031. In onclusion, this study demonstrates that MSC administration can able reduce the expression of NF-kB and NGF, but not to PGE2. The suggestion we can said is the MSC have potential therapeutic value in managing endometriosis-asssosciated pain by modulating inflammatory and neurotrophic factors. HIGHLIGHTS Pain in endometriosis, which is driven by inflammatory factors like NF-kB, NGF, cytokines, and PGE2, stimulating sensory nerve fibers and producing nociceptive signals. Investigate the effects of mesenchymal stem cell (MSC) administration on the expression of NF-kB, NGF, and PGE2 in a mouse model of endometriosis. Mesenchymal stem cell (MSC) administration was shown to reduce the expression of key inflammatory and neurotrophic factors—NF-kB and NGF—in a mouse model of endometriosis. Limited effect on reducing PGE2 concentration. These findings suggest that MSCs may have therapeutic potential for managing pain associated with endometriosis by modulating inflammatory and neurotrophic pathways. GRAPHICAL ABSTRACT

Experience of sexual and reproductive health service utilization among Jimma University students: a qualitative study

BackgroundAmong the limits of the university spirit are potential sexual and reproductive health issues. Sexual and reproductive health services are essential for assisting students in overcoming such challenges. However, according to many facility reports and research, students prefer private services and do not use them. Despite the difficulties, a few studies have been conducted on the experiences of Ethiopian University students. Thus, this study explored the experiences of Jimma University students who used sexual and reproductive health services.MethodsA qualitative phenomenological approach was conducted from January 22nd to March 2nd, 2019, among Jimma university students. In-depth interviews were carried out to explore the lived experiences of sexual and reproductive health service use. Students were chosen by a purposive sampling method and recruited using gatekeepers until the needed sample size was obtained and the data was theoretically saturated. Key informants required to present decent information for study objectives were selected purposefully. The data were analyzed using the thematic analysis approach with the help of the ATLAS ti software package.ResultsEleven In-depth interviews and four key informant interviews were conducted. The study revealed seven overarching themes: sexual and reproductive health awareness and perception, problems, service delivery point preferences and practices, availability and accessibility, barriers to service utilization, handling mechanisms, and suggestions.ConclusionsOur study recognized positive and negative experiences of sexual health service use among Jimma University students. These findings suggested planning a comprehensive intervention that addresses the identified challenges and problems to improve students’ sexual and reproductive health services.

Does insulin-like growth factor-I level associate with pregnancy outcomes in primary and secondary infertile women undergoing in vitro fertilization? A prospective cohort study.

Infertility, which affects 8%-12% of couples worldwide and 21.9% of couples in Pakistan in particular, is a major reproductive health issue. In vitro fertilization (IVF) has emerged as a prevalent therapeutic intervention. Recent studies have identified insulin-like growth factor-I (IGF-I) as a promising biomarker for assessing embryo viability and predicting implantation outcomes in IVF procedures.

Early Marriage Age Trends in Magetan Regency, Indonesia: A Review of 2021-2023

Background: Early marriage is a significant women's reproductive health issue, especially because of its association with the risk of abortion, stunting, malnutrition and infection in infants. The aim of the study was to describe the age trend of early marriage in Magetan Regency from 2021 to 2023. Methods: This type of research is descriptive quantitative with the population of all couples who married in Magetan Regency during the period. The sample of this study included all married individuals with a total of 12,772 people. The main variable was age at marriage. Data were collected through a documentation study of age of marriage reports recorded at the PPKBPP and PA Office of Magetan Regency using a data recapitulation table. Data analysis was conducted with descriptive statistics, in the form of frequency distribution and percentage. Results: The results showed an increasing trend of early marriage in most sub-districts, with a predicted prevalence that tends to increase until the end of 2024. Between 2021 and 2023, the trend of early marriage age in Magetan Regency showed a varied pattern, with some years increasing and others decreasing. The main factors influencing this trend include economic factors, education, and local policies. The impacts of early marriage include challenges in health and education, which require continued attention in mitigation and response efforts. Conclusion: The conclusion of this study is that there is a need for serious attention to this problem, including prevention efforts through education, counseling, and improving the quality of education and policies to prevent early marriage from the government and related institutions.

Between personal and social matters: identifying public perceptions of childfree decisions in Indonesia

The decision of couples or individuals to not have any children or to be childfree has recently stirred up heated controversy in Indonesia, especially after some prominent social media influencers endorsed views regarding the benefits of choosing to be childfree. This endorsement led to various debates as to whether childfree is considered an appropriate decision, specifically in a society such as Indonesia. We conducted this study to explore Indonesians’ perceptions in general towards childfree decisions through qualitative research. We collected responses from 53 participants aged 20-59 recruited online through various social media platforms. We limited our participants to a minimum age of 19, which was considered mature enough to have well-informed opinions regarding marriage and reproductive health issues. Findings were developed through thematic analysis and examined childfree decision making dynamics with a focus on knowledge, personal opinions, attitudes towards being childfree, stigma towards childfree people, and comparisons by gender. Implications and areas for future research are discussed.

Impact of Organochlorine Pesticides Exposure on Histone Modification H3K9ac: Implications for Unexplained Recurrent Miscarriage.

Epigenetic alterations, changes in gene expression without DNA sequence modifications, are associated with various health disorders, including reproductive health issues. These alterations can be influenced by environmental factors such as pesticides. This study aimed to explore the relationship between exposure to Organochlorine Pesticides (OClPs) and the histone modification mark H3K9ac in the placenta and fetal tissue, in the context of unexplained recurrent miscarriage (URM). In the case-control study, serum samples from 73 women with URM and 30 healthy women were examined for the presence of OClPs, which include 2,4-DDT, 2,4-DDE, 4,4-DDT, 4,4-DDE, α-HCH, β-HCH, and γ-HCH, using gas chromatography. Western blot analysis was used to assess H3K9ac expression in placental and fetal tissues. In the URM group, significant increases were observed in the values of α-HCH, β-HCH, 2,4-DDE, and 4,4-DDE, as well as in the concentration of total OClPs (Ʃ3HCH, Ʃ2DDE, Ʃ2DDT, and Ʃ7OClP), compared to controls. While H3K9ac levels in fetal tissue showed no significant difference, a notable decrease was found in the placental tissue of the URM. In the placenta tissue of URM, logistic regression analysis also revealed a significant inverse correlation between the toxins α-HCH, 2,4-DDE, 4,4-DDE, 4,4-DDT, total OClPs, and reduced H3K9ac expression. Our findings suggest that OClPs exposure may contribute to URM by reducing H3K9ac expression in the placenta, potentially affecting placental growth and immune tolerance. This underscores the need for further investigation into the involved mechanisms and potential therapeutic interventions, and the importance of OClPs regulation for reproductive health protection.

BASHH standards for the management of sexual health in UK prisons.

People in prison often experience risk factors that can lead to poor sexual health which is compounded by social deprivation. In response, the British Association for Sexual Health and HIV (BASHH) has published the first national standards in the management of UK prisons, providing recommendations for commissioners, service providers, health care providers and people in prison. Nine standards have been devised which cover aspects of sexual health diagnosis and management, public health measures, and some reproductive health issues. The aim of these standards is to drive improvements in sexual health provision in prisons to ensure access to high quality care that is equitable to that which is provided to the general population.

Parent-adolescent communication on sexual and reproductive health issues and associated factors among secondary public-school students in Gondar town, northwest Ethiopia: an institution based cross-sectional study.

Effective communication between adolescents and their parents is crucial for reducing sexual health problems. This open dialogue can help address misconceptions, provide accurate information, and foster a supportive environment where adolescents feel comfortable seeking guidance and discussing sensitive issues related to their sexual health. In Ethiopia, with its diverse ethnic and cultural background, effective communication between parents and adolescents about sexual and reproductive health (SRH) is crucial in reducing the likelihood of adolescents engaging in risky sexual behaviors. Despite the importance of such communications, there were no data showing the level of parent-adolescent communication (PAC) in secondary public schools in Gondar town. Therefore, this study aimed to determine the level of parent-adolescent communication on sexual and reproductive health issues along with its influencing factors, among secondary students in Gondar town, northwest Ethiopia. We employed an institution-based cross-sectional study design. A total of 424 students were recruited using a systematic random sampling technique, with a 100% response rate. We developed a structured questionnaire from the related literature to collect data from the participants of the study. The data were entered using EpiData version 4.6, and analyzed using SPSS version 25. A binary logistic regression model was fitted to identify associated factors. The proportion of adolescents who had communicated with their parents was 37.7% (95% CI: 34.65-44.76). In a multivariable analysis at a 95% confidence interval (CI), variables such as being female (adjusted odds ratio (AOR) = 2.23; 95% CI: 1.09-7.45), belonging to grades 11-12 (AOR = 1.25; 95% CI: 1.19-6.98), living with parents/caregivers (AOR = 1.26; 95% CI: 1.07-5.66), having a positive attitude toward sexual health (AOR = 2.4; 95% CI: 1.34-7.82), having poor knowledge about SRH issues (AOR = 1.23; 95% CI: 1.04-7.81), and having good knowledge about the puberty period (AOR=1.23; 95% CI:1.04-7.89) were statistically associated with parent-adolescent communication. This study found a low level of communication between parents and adolescents regarding sexual and reproductive health (SRH) issues. To address this challenge, it is crucial to implement evidence-based education on SRH topics, such as consent, healthy relationships, communication skills, STDs, contraception, and interpersonal dynamics. Enhancing parent-adolescent dialogue on SRH can be achieved by implementing peer education among senior students and training teachers in effective communication techniques. The study also recommended conducting qualitative research to explore the specific barriers affecting parent-adolescent communication.

Gender Inequities in the Impact of Climate Change on Health: A Scoping Review.

In the 21st century, climate change has emerged as a critical global public health challenge. Women experience the most severe impacts of climate change, intensifying pre-existing gender inequalities. This scoping review aims to explore the intersection of climate change, health, and gender, considering the social determinants of health. The methods for this review follow the Arksey and O'Malley framework for a scoping review and the PRISMA-ScR checklist. The review, covering January 2019 to February 2024, included PubMed, LILACS, and SciELO databases. We identified 71 studies with 19 meeting the inclusion criteria. The results revealed the differential effects of climate change on health according to gender in areas such as mental health, reproductive health, gender-based violence, occupational health, and health issues associated with heat and air pollution. Our findings also elucidated how socio-economic and gender inequities intersect, exacerbating the risk of experiencing these effects. In conclusion, the study highlights a clear need for gender-sensitive climate policies and interventions to address these disparities and protect vulnerable populations from the health impacts of climate change.

Prevalence and risk factors of reproductive health problems in dairy cows in Southern Ethiopia

Reproductive disorders are the leading cause of economic loss in the cattle industry, as they reduce the reproductive efficiency and lifetime productivity of cows. In Ethiopian dairy, without proper preventive measures, these disorders can have a severe impact on productivity. Therefore, it is crucial to identify the extent of these issues and the factors contributing to them in order to improve the health and productivity of dairy cows. This study aimed to assess the prevalence, type, and potential risk factors for reproductive health problems in dairy farms in Hawassa city and Wolaita Sodo town. We observed 391 pregnant and postpartum cows for reproductive disorders and used a logistic regression model to identify risk factors. The study found that 165 cows (41.6%; 95% CI: 36.8-46.5%) had at least one reproductive issue. The most common disorders included retained fetal membrane (11.6%), dystocia (10.5%), metritis (7.2%), abortion (5.6%), stillbirth (2.6%), uterine/vaginal prolapse (2.3%), endometritis (2.1%), and pyometra (0.5%). The risk of dystocia significantly increased with male calf deliveries (OR=2.9; p=0.004) and larger farm sizes (OR=2.1; p=0.039). Cows experiencing dystocia were 5.3 times more likely to have retained fetal membrane (p&lt;0.001). Heifers were significantly more likely to develop metritis (OR=5.1; p=0.001), as were cows with retained fetal membrane (OR=11.6; p&lt;0.001). The incidence of abortion was significantly elevated in cows from semi-intensive farms (OR= 5.3; p&lt;0.001). The study concludes that these reproductive health issues can significantly impact future uterine health, resulting in prolonged uterine involution. It is crucial to raise awareness among dairy farmers about effective herd health management practices to minimize losses.

Telehealth Intervention for Social Behavioral Change Communication Toward Enhanced Partner Conversations on Family Planning Among Men: A Qualitative Analysis of a Pilot Project in Uganda.

Background: Lack of credible sexual partner dialog and support regarding family planning (FP) and other sexual reproductive health issues is a major impediment to contraception service uptake and utilization. This study examined the feasibility and acceptability of attitudes toward using telehealth for remote education of couples through behavioral, motivational, and informational messaging on FP methods and its eventual impact on partner conversations around FP. Methods: The study was conducted in Kampala, Uganda, and involved recruiting 450 men from diverse settings. These men received regular SMS content on FP and sexual and reproductive health for a duration of 6 months. The content aimed to provide information and motivation while serving as a resource for discussions with their spouses. Following the main quantitative study, a qualitative follow-up study was conducted with a subset of 15 randomly selected men. In-depth interviews were conducted with these men to gain deeper insights into their experiences and perspectives. Results: The study revealed positive outcomes where men reported improved knowledge of FP methods such as child spacing, and types of contraception. The messaging prompted discussions with spouses on family size and spousal support. Couples reported a shift toward viewing FP as a joint responsibility, with some couples even taking concrete actions. The findings suggested that telehealth interventions can promote social and behavioral change and can improve couple communication and male involvement in FP decisions in Uganda. Conclusion: The study found that using telehealth messaging to educate men about FP in Uganda successfully improved communication between couples on the topic.

Individual and relational dynamics perceived to influence the sexual behaviour of adolescents in Ethiopia: a qualitative study.

There are 1.2 billion adolescents in the world today, more than ever before, making up 16% of the world's population and nearly one-fourth of the total population in Sub-Saharan Africa. Adolescents are facing life-threatening health challenges attributed to sexual and reproductive health issues such as unwanted pregnancies, unsafe abortions, and sexually transmitted infections, including the human immunodeficiency virus, and acquired immunodeficiency syndrome. The aim of this research is to explore the individual and relational levels of factors that drive adolescents to engage in risky sexual behaviour. A qualitative phenomenological study design was used from February to June 2020. Adolescents and health professionals were selected purposefully. A total of 12 individual in-depth interviews, five focus group discussions with adolescents, and eight key informant interviews with health professionals were conducted using a semi-structured guide. Data analysis was performed using thematic analysis with ATLAS Ti version 7 software. Credibility, dependability, transferability, and confirmability were used to ensure the trustworthiness of the data. In this study, two themes were identified; individual level factors such as sexual desire and emotion driven sex, limited knowledge of sexual and reproductive health, and a permissive attitude towards sexual activities drive adolescents to engage in risky sexual behaviour; and relational level factors such as, limited family support and involvement, negative peer pressure and influence, male partner dominance during the partnership, and pressuring females to engage in sexual intercourse were perceived factors influencing adolescents to engage in risky sexual behaviour. Various individual-level and relational-level factors are influencing adolescents to engage in risky sexual behaviour. Socially and culturally acceptable, comprehensive sexual education should be provided for in-school and out-school adolescents to enhance their knowledge, attitude, and skill about sexual and reproductive health. Interventions at the peer and partner level should be considered to enhance the life skills that enable them to resist pressure from peers and their partners. Child-parent communication on sexual and reproductive health matters should be promoted.