Women's Knowledge Research Articles

A Survey of Lithuanian Pregnant Women's Knowledge about Periodontal Disease, Its Prevalence and Possible Influence on Pregnancy Outcomes.

Background: This study aimed to subjectively assess the changes in the oral health status of pregnant women, to find out their attitudes and knowledge about possible changes in the oral cavity that occurred during pregnancy, and their influence on the outcomes of pregnancy. Methods: 112 pregnant women who visited the Republican Siauliai Hospital during their pregnancy participated in the study. An anonymous self-administered questionnaire was used to conduct the research, surveying their demographic characteristics, oral health changes and habits during pregnancy, and awareness of possible negative pregnancy outcomes. Results: The study involved 112 pregnant women, with 35 in the first trimester, 28 in the second, and 48 in the third trimester. The findings revealed that pregnant women do not take sufficient care of their oral health: more than half of the respondents did not visit an oral care specialist during pregnancy; 22.3% of women reported brushing their teeth only once a day or less; and 35.7% did not clean interdental surfaces at all. Statistically, significantly more urban women believed there is a relationship between maternal oral health and adverse pregnancy outcomes than women living in rural areas (p = 0.013). While significant oral health changes were not observed in the first trimester, more women in the second and third trimesters reported issues such as bleeding gums, swelling, plaque accumulation, tartar, and caries (p < 0.001). Conclusions: The attitude of women towards oral health during pregnancy and their understanding of the possible risks for unfavorable pregnancy outcomes are insufficient. Notably, oral health issues become more prominent in the second and third trimesters, necessitating appropriate oral care to reduce the incidence of oral and dental diseases during pregnancy. This underscores the importance of educational and preventive public health policies focused on oral care for pregnant women, aimed at increasing awareness and promoting practices that safeguard both maternal and fetal health.

Path analysis of COVID-19 cognition, social support, and mental health of pregnant women with interventional prenatal diagnosis during the COVID-19 pandemic based on structural equation modeling.

This study aims to investigate the relationship between Corona Virus Disease 2019 (COVID-19) cognition, social support, and mental health among pregnant women proposed for undergoing interventional prenatal diagnosis in Sichuan Province during the COVID-19 pandemic. A total of 2270 pregnant women (2232 valid) who were proposed to undergo interventional prenatal diagnosis at a tertiary hospital prenatal diagnosis center in Sichuan Province from January to December 2022 were selected by Convenience sampling and surveyed using a self-administered general information questionnaire, social support rating scale, mental health questionnaire (including: Self-Rating Anxiety Scale, Self-Rating Depression Scale), and self-administered COVID-19 cognition questionnaire. Structural equation modeling showed that social support negatively predicted anxiety (β = -0.34, t = -14.98, P < .001) and negatively predicted depressive status (β = -0.21, t = -9.57, P < .001); COVID-19 cognition negatively predicted anxiety (β = -0.76, t = -5.34, P < .001) and depression (β = -0.40, t = -2.99, P < .01); anxiety positively predicted anxiety (β = 0.73, t = 37.34, P < .001). The overall knowledge rate of COVID-19 cognition among 2232 pregnant women who were to undergo interventional prenatal diagnosis was 76.40%. The fit indices of the model were: CMIN/DF = 3.071, GFI = 0.999, AGFI = 0.993, CFI = 0.999, RMSEA = 0.030, NFI = 0.998, and TLI = 0.992, indicating that the model had a good fit and the model was scientifically valid. Pregnant women in Sichuan province who are to undergo prenatal interventional diagnosis have a medium level of COVID-19 awareness, and their level of COVID-19 awareness and social support will directly affect their anxiety and depression level, and their anxiety level will also affect their depression level. We should give more attention to pregnant women, especially those in particular situations such as advanced age, poor maternal history, family history of genetic disease, etc, they should be given adequate care and social support, and multiple channels and types of health education should be provided for the COVID-19 to improve the pregnant women's knowledge of COVID-19, which is important for improving the mental health of pregnant women.

Effect of Booklet Education and Cadre Assistance on Iron Tablets Consumption among Anemic Pregnant Women in East Jakarta

Background: Anemia during pregnancy significantly increases maternal risk and poor pregnancy outcomes by 1.71-fold. Enhancing pregnant women's knowledge and adherence to health guidelines requires a comprehensive approach. Objectives: This study analyzed the effects of booklet education and cadre assistance on adherence to iron tablet consumption among anemic pregnant women in East Jakarta. Methods: This quasi-experimental study was conducted in 2019 on anemic pregnant women in Makasar Public Health Center, Jakarta. This study comprised three groups: iron-folic acid supplementation only (IF), iron-folic acid supplementation with booklet education (IFB), and iron-folic acid supplementation with booklet education and cadre assistance (IFBA), serving as control, intervention I, and intervention II, respectively. The interventions lasted for three months. Adherence to iron supplementation and knowledge, attitude, and behavior (KAB) regarding anemia were measured. The data were analyzed using ANOVA/Kruskall-Wallis test, Wilcoxon test, and Mc-Nemar test with a significance level of 0.05. Results: There was no difference in the increase of knowledge and behavior regarding anemia among the three groups (p &lt; 0.05) although the behavior score in the IFBA group was significantly higher than in the other two groups. In addition, there was no difference in the percentage of adherence to iron tablet consumption before and after the intervention in the IF, IFB, and IFBA groups (p &gt; 0.05). However, the IFBA group showed an increase of about 41% in adherence. Conclusions: There was no difference in the increase of knowledge and attitude regarding anemia among the three groups, except for behavior. However, the IFBA group showed a significant increase in knowledge, attitude, and behavior after the intervention.

Knowledge and Attitudes of Pregnant Women towards Bankjo Lamp Technology: Case Study of Choosing a Birth Place

Background: A high-risk pregnancy jeopardizes both maternal and fetal lives. Despite recommendations for hospital births, six out of ten high-risk expectant mothers in Kawedanan opt for PMB or Community Health Center Maternity. To identify high-risk pregnancies, Kawedanan Community Health Center employs the innovative Bankjo lamp. This study investigates how pregnant women's attitudes and knowledge about Bankjo lamps influence their maternity location choice. Methods: This type of research uses quantitative descriptive research. This observational analytical research involved 57 expectant mothers due to maternity in January, February, or March. Using a cross-sectional design, the study treated knowledge and attitudes about Bankjo lamps as independent variables, with maternity location preference as the dependent variable. Data collection methods included knowledge and attitude questionnaires and monthly midwife reports. The data was analyzed using the Chi-Square test and descriptive statistics in the form of frequency distribution with presentation. Results: Findings indicate that pregnant women generally possess adequate knowledge about suitable maternity locations, with some showing insufficient understanding. A significant correlation (p = 0.013) exists between knowledge levels and preferred birthplace. Despite the preference for hospital births among nearly all expectant mothers, a majority hold negative attitudes, strongly correlated (p = 0.000) with their birthplace choices. Interestingly, while most pregnant women understand the Bankjo lamp innovation well, they harbor negative attitudes toward it. Nevertheless, almost all opt for hospital births, prioritizing medical safety despite reservations about new technologies. Conclusions: The study underscores the need for government support in advancing maternal health initiatives, including innovative technologies like Bankjo lamps. Enhancing awareness and promoting positive attitudes among expectant mothers can foster safer childbirth practices. By disseminating knowledge and addressing misconceptions, healthcare providers can better support high-risk pregnancies, ensuring better outcomes for both mothers and babies.

Health beliefs and associated factors related to HPV and HPV vaccination in a sample of Turkish women: A cross-sectional study.

This study was conducted to determine women's health beliefs about HPV and HPV vaccination and factors associated with health beliefs. This cross-sectional study was conducted with 300 women aged 21-64 in Turkey. Data were collected using the human papillomavirus (HPV) knowledge scale (HPV-KS) and the health belief model scale for human papillomavirus and its vaccination (HBMS-HPVV). The mean age of the women who participated in the study was 35.16±9.52 years. Of them, 72.3% heard of the HPV test, 30.3% had an HPV test, 62% heard of HPV vaccination, and 9.7% had HPV vaccination. Educational level, hearing about the HPV vaccine, and HPV knowledge level were significant predictors of perceived benefit (p<.001). HPV knowledge level significantly predicted perceived susceptibility (p<.001). HPV knowledge level and hearing about HPV tests and vaccines were significant predictors of perceived severity (p<.001). A high level of education, a high level of HPV knowledge, and hearing about HPV tests and the HPV vaccine positively affect women's health beliefs. Health belief model-based education programs should be used to improve women's HPV knowledge and health beliefs about HPV and the HPV vaccine. In addition to women's health beliefs, cervical cancers can only be prevented by including the HPV vaccine in national immunization programs and increasing the coverage of HPV screening tests.

Assessment of Pregnant Women Knowledge about Climate Change and its Effect on their Pregnancy

Assessment of Pregnant Women Knowledge about Climate Change and its Effect on their Pregnancy

Women's Knowledge, Attitudes and Practices Regarding Cervical Cancer Prevention at the Reference Health Centre in Bamako (Mali)

The aim was to assess women's knowledge, attitudes and practices regarding cervical cancer screening. Materials and methods: We conducted a descriptive and analytical study at the Reference Health Center of Commune V of the District of Bamako. Result: The average age of women was 30 years. They were mostly married (81.79%), primigestes (50.17%), nulliparous (58.76%), uneducated (53.61%) and living in urban areas (62.80%). Most of the women had already heard of cervical cancer (79.90%). Only (8.59%) of women recognized STIs as a risk factor for cervical cancer and 44.70% knew that cervical cancer was preventable. Of the women surveyed, none had already been vaccinated and about 60% had never been tested. 15.46% of women wanted to get the vaccine soon, compared to only 8.59% now. 41.20% of women had already been screened, 36.40% of them wanted to do it now against 70.80% soon.78% of women said they wanted to recommend screening to a relative. Conclusion: Most women have knowledge of its existence but their knowledge of risk factors and means of prevention is low. Their attitudes and practices are also weak.

Assessment of Navy Provider Knowledge of Women's Mental Health Services, Treatment Practices, and Training.

As female active duty populations increase in all military environments, it is critical that women's health be addressed in a comprehensive manner. The study's results will be utilized to assist Navy health care leaders in addressing female force readiness policies, treatment gaps, and training specific to women's mental health. In total, 212 active duty participants were recruited from the Navy's mental health specialties. The survey was hosted on the U.S. Government's MAX.gov survey website and received Institutional Review Board and Survey Review Board approval per Navy and Defense Health Agency requirements. Participants recorded their experiences with various patient presentations using Likert scale assessments, indicated their comfort in prescribing medication to patients with 11 distinct presenting concerns, and responded to six questions regarding their training and clinical experience in the field of women's mental health. Differences were noted for provider gender, treatment setting, patient sex, provider rank, and years of independent practice. Female providers were more likely than males to report that their female patients presented with 15 of the 21 measured issues. Providers located at MTFs were significantly more likely than providers in operational billets to report female patients presenting with certain conditions and reported being more comfortable prescribing medication. Eighty percent of respondents authorized to prescribe medicine rated themselves as very or extremely comfortable prescribing medications to their patients for all specified conditions except two: women who are breastfeeding and women who are pregnant. Senior officers reported the most comfort prescribing medication to women who are planning to become pregnant and women who have experienced perinatal loss. Only a minority of providers (20%, female; 33%, males) reported receiving women's mental health education during their training. Of those who did receive training, it was limited to post-partum and pregnancy. Most participants (93%) agreed that women's mental health should be incorporated into training programs for military providers. This exploratory study highlights that provider variables impact assessment and treatment of and for patients. The study highlights the interplay of gender, treatment setting, experiences, and level of comfort are associated with provider assessment of presenting concerns. The authors hope this study will help in prioritizing women's mental health practices, mental health training, and research, and in informing policy and decision-making.

Pregnant women's knowledge, attitude, and practice toward physical exercise during pregnancy and its associated factors at Dessie town health institutions, Ethiopia

Physical exercise consists of planned, repetitive, and intentional movements that reduce the risk of pregnancy-related complications. Worldwide, there is a high rate of physical inactivity during pregnancy, including in Ethiopia, which has detrimental effects on both pregnant women and their developing fetus. This study aimed to assess pregnant women's knowledge, attitude, and practice toward physical exercise during pregnancy and its associated factors among antenatal care attendants at health institutions in Dessie, South Wollo Zone, Amhara Region, Ethiopia, in 2023. An institutional-based cross-sectional study was conducted among 614 pregnant women receiving antenatal care between January 18, 2023, and February 25, 2023. The study participants were selected using systematic random sampling technique. Data were collected using a pretested, face-to-face interviewer-administered, and semistructured questionnaire. The data were cleaned, coded, and entered into EpiData (version 4.6; www.epidata.dk) and analyzed using SPSS (version 25; SPSS Inc, Chicago, IL). Bivariate and multivariate binary logistic regression analyses were performed to identify factors associated with knowledge, attitude, and practice toward physical exercise during pregnancy. Variables with a P value of <.2 in the bivariate analysis were transferred to the multivariate analysis. Finally, the adjusted odds ratio and 95% confidence interval with a P value of <.05 in the multivariate analysis were considered statistically significant. The study found that 56.3% of participants had good knowledge, 51.5% of participants had a favorable attitude, and 32.2% of participants practiced physical exercise during pregnancy. Age, educational level, and heard about physical exercise during pregnancy were positively associated with pregnant women's knowledge and attitude. In addition, age, antenatal care follow-up, no history of abortion, ever done physical exercise before becoming pregnant, and good knowledge were positively associated with pregnant women's practice of physical exercise during pregnancy. Our findings indicate that approximately half of the participants had good knowledge and a favorable attitude. However, almost one-third of the participants practiced physical exercise during their pregnancy. It is recommended that antenatal care providers advise pregnant women to strengthen their antenatal care follow-up and offer health education and counseling about the benefits of physical exercise during pregnancy.

The Effect of WhatsApp Videos on Pregnant Women's Knowledge About Dental Clinic Visits at Bangkalan, Madura

In everyday life, it is very important to maintain health, one of which is regarding dental and oral health. The problem in this research is the influence of Whatsapp videos on pregnant women's knowledge about visits to the dental clinic at the Kwanyar Health Center, Bangkalan Regency, Madura. The aim of the research was to determine the effect of Whatsapp videos on pregnant women's knowledge about visiting the dental clinic at the Kwanyar Health Center, Bangkalan Regency, Madura. The research method is this research approach is a Quantitative approach, the research method used is the Quasi Experimental method with a Pretest-Posttest Control Group Design research design, the research population is pregnant women in the working area of ​​the Kwanyar Health Center, Bangkalan Regency, Madura. The sample was taken in the form of accidental sampling, namely pregnant women who visited the Kwanyar Health Center Dental Clinic, totaling 30 respondents within a period of one week. Data collection uses a questionnaire via Google Forms. Meanwhile, the data analysis technique is in the form of the Wilcoxon Statistical Test. Research results based on the Wilcoxon Statistical Test showed a ρ value (0.01) &lt; 0.05, it can be concluded that there is an influence of the use of WhatsApp videos on pregnant women's knowledge about visits to the Dental Clinic at the Kwanyar Health Center, Bangkalan Regency, Madura.

On Joy and War: Black Feminism/Intersectionality

Black feminist theorizing developed outside the formal academy to meet the needs of Black women but did not end there. This review offers entrée to some current “wars” and debates on politics of knowledge about Black feminist theories, concepts, and praxis that have deepened within sociology and increasingly extend into live conference panels, online debates, and legislatures. Shared characteristics within Black feminism include persistent and critical attention to Black women's knowledge production, power, and social change—but there is much more. Drawing on sociology and other disciplines, this review of Black feminism/intersectionality covers families of Black feminisms, disciplinary citation trends, methodological considerations, and tensions around embodiment in claims to Black feminism and intersectionality. In the conclusions, we propose directions to untether conflicts, unsettle wars, and move toward joy and liberation as the struggle continues.A Spanish translation is available online at https://doi.org/10.1146/annurev-soc-030424-062839

The Relationship Between Multiparous Pregnant Women's Knowledge of Effleurage Massage and Back Pain in Pregnant Women in the Third Trimester at the Polyclinic RS. Bhayangkara Indramayu

The Relationship Between Multiparous Pregnant Women's Knowledge of Effleurage Massage and Back Pain in Pregnant Women in the Third Trimester at the Polyclinic RS. Bhayangkara Indramayu

Antifungal susceptibility pattern of Candida species isolated from pregnant women.

Candidaspecies, opportunistic yeast, are the second most common cause of female vulvovaginal candidiasis. This study aimed to evaluate the antifungal susceptibility profile of the isolatedCandidaspecies in pregnant women in Hajjah governorate, Yemen. A hospital-based cross-sectional study was conducted among 396 pregnant women attending Authority AL-Gumhorri Hospital Hajjah between February and July 2023. Vaginal swabs were collected, andCandidaspecies were isolated and identified based on the standard laboratory method. Furthermore, the antifungal drug susceptibility ofCandidaspecies was determined by the Kirby-Bauer technique. The prevalence of vaginal Candida infection among pregnant women was 61.4%. Candida albicanswas the most predominant species (59.26%), followed by Candida krusei(13.58%), Candida Tropicalis (11.12%), Candida Grabata (9.87%), and Candida dubliniensis (6.17%). The highest rate ofCandidainfections was among women aged 24-30 years (71.9%) who finished primary school (77.8%), with the third trimester (80%), multigravida (66.1%), and recurrent infection (67.7%) showing significant differences (P< 0.05). The Candida albicans isolates were resistant to clotrimazole and itraconazole at 34.7% and 23.6%, respectively.In addition, the resistance of Candida krusei, Candida tropicalis, Candida glabrata, and Candida dublinensis isolates to fluconazole, voriconazole, voriconazole, and nystatin was 57.6%, 63%, 43.8%, and 60%, respectively. Additionally, approximately 46.2% of isolated Candida albicans exhibited one kind of antifungal drug resistance, whereas 38.7% of isolated non-albicans exhibited resistance to three different antifungal agents. According to the above findings, Candida infection is highly prevalent in Yemen and quite widespread. Interventions in health education are advised to increase women's knowledge of vaginitis and its prevention. The antifungal susceptibility test may also be helpful in determining the best medication for each patient.

The sexual and reproductive health knowledge of women in Australia: A scoping review.

Sexual and reproductive health (SRH) knowledge influences health literacy and promotes positive health behaviours. This scoping review explores the SRH knowledge of women in Australia and reports on knowledge assessment, ways of learning, enablers and barriers, and interventions to improve knowledge. Seven databases were searched for eligible articles published in English between 2012 and 2022. Eighty-five sources were included for analysis. Data were mapped by knowledge topic and population group and charted against four review objectives. Assessment of knowledge was the primary focus in 59% of sources. Two sources used a validated knowledge assessment tool. Knowledge was assessed using self-assessment, a measurement of correctness, or both. Women learnt about SRH through a range of sources, including healthcare providers, peers, family, internet, and school. Enablers and barriers spanned information content, delivery, timing, accessibility, interactions with those providing information, cultural and gendered norms, pre-migration experiences, and functional health literacy. Nine sources reported on interventions to facilitate SRH knowledge. This review identified topics, population groups, and gaps in assessment of SRH knowledge of women in Australia. Overall, the measurement of women's SRH knowledge is largely conducted using unvalidated tools focusing on specific topics. SO WHAT?: It is recommended a validated tool be developed to comprehensively assess the SRH knowledge of women in Australia allowing for intersectional population analysis and exploration of knowledge conceptualisation. This would enable assessment of interventions aiming to improve SRH knowledge thereby facilitating improved health literacy and outcomes.

Development and validation of the Knowledge and Attitude on the effect of COVID-19 Infection on Pregnancy (KACIP) questionnaire among pregnant women in Malaysia

IntroductionAssessing and understanding pregnant women's knowledge and perceptions of COVID-19 infection and its implications for pregnancy is critical for meeting their specific needs. However, currently, there is a lack of validated questionnaires to assess this issue. This study aims to determine the validity and reliability of the Knowledge and Attitude on the effect of COVID-19 Infection on Pregnancy (KACIP) Questionnaire Among pregnant women in Malaysia. Materials and methodsKACIP was developed using the Health Belief Model (HBM), extensive literature review and expert judgement. The questionnaire underwent a sequential validation process, content validation, face validation, Exploratory Factor Analysis (EFA) and internal consistency reliability-based Cronbach's alpha statistic. For the construct validation, a cross-sectional study was conducted among 200 pregnant women attending the antenatal clinic at Universiti Sains Malaysia Hospital. ResultsThe final KACIP consisted of two sections; Knowledge and Attitude on COVID-19 infection effect on pregnancy. The Knowledge section comprises three domains (13 items) and the Attitude section has two domains (9 items). Preliminary KACIP demonstrated a high item Content Validity Index and Face Validity Index. The Kaiser-Meyer-Olkin values for the Knowledge and Attitude sections were 0.785 and 0.783 respectively and had a significant p-value of <0.001 for Bartlett's test of sphericity. Factor analysis showed that KACIP had adequate psychometric properties with acceptable factor loadings and Cronbach alpha values. ConclusionsThis validation and reliability study showed that KACIP is a valid and reliable questionnaire to assess the Knowledge and attitude towards the impact of the COVID-19 infection on pregnancy among pregnant women in Malaysia.

Continence App® Impact on Puerperal Women's Knowledge, Attitude and Practice: Randomized Clinical Trial.

Enhancing women's knowledge, attitude, and practice (KAP) concerning urinary incontinence (UI) through diverse educational strategies has been a focal point for professionals in recent years. This study was aimed at assessing the impact of the educational application Continence App® on the KAP of postpartum women experiencing UI. We hypothesized that access to the app would lead to improved KAP among these women. Postpartum women who had undergone vaginal birth, aged 18years or above, literate, admitted in a maternity ward, delivered a full-term or large-for-gestational-age infant, and possessed a smartphone or compatible device for app usage were included. Changes in KAP were evaluated using a survey specifically designed for this purpose. The Mann-Whitney U test was employed to compare KAP scores between control and intervention groups, as well as between baseline and post-intervention assessments. Among the 542 women screened for eligibility, 349 were enrolled in the study, with 138 completing post-intervention assessments. The mean (standard deviation [SD]) age of participants was 25.9 (5.8) years. Post-intervention scores for knowledge and practice demonstrated a decline among non-app users, whereas a significant increase was observed among those in the intervention group. Attitudinal changes remained insignificant. The findings highlight the effectiveness of an app-based educational intervention in enhancing the knowledge and practice related to UI among postpartum women.

Empowering Expecting Mothers: The Impact of Antenatal Classes on Child Birth Experience.

Introduction Antenatal education is one of the ways to increase a woman's knowledge about pregnancy and childbirth, which could improve self-efficacy during labor, making the expecting mothers well-prepared for labor and nursing. One of the ways for its delivery could be via well-structured antenatal classes. Such classes are part of many countries' healthcare systems and have proven to decline maternal anxiety, shorten labor, increase partner involvement, and overall improve labor experience. However, at the same time, such classes can augment more interventions in labor, induction of labor, and epidural usage. Despite the heterogeneous results of their effect, the high demands of antenatal education amongpregnant women can justify its incorporation into antenatal care. By allowing the women to identify labor correctly and preventing admission in false labor, shortening the labor, and teaching women non-pharmacologic ways to manage labor pains, it can reduce the patient and fiscal burden on the already overwhelmed maternity units of Pakistan, hence proving to be an inexpensive health promotion tool. Methods This cross-sectional study was conducted in the Department of Obstetrics and Gynecologyof Aga Khan University Hospital Karachi, Pakistan, between December 2020 and June 2021. All pregnant women, aged 18 to 45 years, between gestational ages of 37 to 42 weeks, with singleton, cephalic pregnancy, booked during the first or second trimester, and who attended at least one antenatal class, were invited to participate. Women who had any contraindication to vaginal delivery, whose labor was induced, or who suffered from medical, psychological, or obstetric comorbidities were excused. The participants were observed for labor outcomes in terms of stage of labor on arrival, use of epidural analgesia, mode of delivery, and childbirth experience, using a validated research tool, known as the Questionnaire for Assessing the Childbirth Experience (QACE)to identify women with a positive or negative childbirth experience. A higher score representing on the questionnaire represented a more negative birth experience. A score of less than 19 was considereda positive birth experience. Data was analyzed using IBMStatistical Package for Social Sciences (SPSS) Statistics for Windows, Version 19. Results The mean QACE score was reported as 18.2±3.00, reflecting that on average the mothers had a positive childbirth experience. Modes of delivery revealed 57.6% of the women delivering spontaneously, with 60.4% of them arriving in the labor room in active labor. Demand for labor analgesia in the form of epidural was 64%. Majorly the participants attended only one antenatal class, with 66.91% of women reporting a positive childbirth experience. Conclusion Antenatal education classes are a low-input, high-yielding resourcethat can be used to empower mothers with pertinent information and support for a pleasant childbirth experience while simultaneously taking the edge off the overburdened maternity wards of low resources, in densely populated countries like Pakistan. Hence it is the need of the hour to devise plans to invest in these classes to make them available to the masses.

A Systematic Review of Women's Knowledge and Practices Regarding Breast Self-Examination

Globally, breast cancer is the primary cause of death. Non-pharmacological therapy involving knowledge and practice of breast self-examination (BSE) is a straightforward, incredibly affordable, non-invasive initial diagnostic technique for early breast cancer diagnosis. The objective of this study is to examine women's knowledge and practices about breast self-examination. The method is a systematic review using PRISMA. Data sourced from searches in PubMed, ScienceDirect, and Google Scholar were conducted to identify relevant published studies. The data was restricted to English-language articles on women's knowledge and practice of breast self-examination published during the previous five years. The results show 15 articles that explain the knowledge and practice of breast self-examination carried out by women. The majority of women have heard of BSE but do not fail to carry out BSE regularly every month. The majority of evaluated studies demonstrated a notable correlation between participants' knowledge of breast cancer and their age, marital status, and level of education. The conclusion is that women's knowledge and practice of breast self-examination are still lacking. Hence, it is imperative to develop techniques that might enhance the awareness and adoption of breast self-examination. Although breast self-examination is generally part of a prevention and monitoring strategy, it does not replace medical or pharmacological care. The contribution of this study is to provide information that breast self-examination has several important contributions in the context of breast health and early detection of breast cancer.

Determinants of comprehensive knowledge of HIV transmission and prevention among women of reproductive age 15-49 years in Nigeria.

Comprehensive knowledge of HIV transmission and prevention has been reported as a necessary factor for ending the HIV epidemic. Women of reproductive age identified as a vulnerable group to HIV infection require this knowledge to prevent contracting HIV infection. Therefore, this study aimed to identify those factors that impact these women's comprehensive knowledge of HIV transmission and prevention. This study used secondary data from the 2018 Nigerian Demographic and Health Survey. A weighted sample of women of reproductive age with complete data on the determinants and comprehensive knowledge of HIV was included in each analysis. The Chi-square test of Independence was used to determine the association between the determinants and the dependent variable. Bivariable and multivariable logistic regression analysis was done to predict the effects of the determinants on the comprehensive knowledge of women of reproductive age. Variables with a p-value of ≤ .01 were considered statistically significant determinants of comprehensive knowledge of HIV transmission and prevention. The findings showed that women of reproductive age with no or lower level of education, living in rural areas, poor wealth index, do not listen or listen less frequently to radio, and watch television less frequently were more likely to have comprehensive knowledge of HIV transmission and prevention at Alpha = .01. The number of women with comprehensive knowledge of HIV was low compared with those with no comprehensive knowledge. This is a concern that needs to be addressed. Further studies using primary data to validate the findings of this study that individuals with no or lower level of education, living in rural areas, poorer or middle wealth index, do not listen or listen less frequently to radio and do not watch or watch less frequently television were more likely to have comprehensive knowledge of HIV transmission and prevention are recommended.

Knowledge, Attitudes, and Cultural Beliefs of Afghan Refugee Women Toward Gynecological Cancer: A Qualitative Study.

Gynecological cancers constitute an important global health problem with increasing incidence and prevalence. The aim of this study was to explain gynecologic cancer knowledge, attitudes, and cultural beliefs of Afghan refugee women living in Türkiye. This research was carried out as a descriptive phenomenological design for qualitative research. The study was conducted at the Refugee Support Center Association in Eskişehir, Türkiye, and data were collected between January and April 2023, guided by a semi-structured interview guide. Nineteen Afghan refugee women were interviewed. A purposive sampling method was used to recruit participants. Content analysis method was used for data analysis. Four overarching themes that described Afghan women's gynecologic cancer knowledge, attitudes, and cultural beliefs were identified: (a) limited awareness and knowledge of gynecological cancer among women, (b) women's attitudes toward gynecological cancers, (c) women's cultural beliefs regarding gynecological cancer, and (d) healthcare system factors. In line with the main themes, subthemes were created for each main theme. Afghan refugee women, who were in the double risk group as both women and refugees, had insufficient knowledge of gynecological cancers, and their cultural beliefs and attitudes played an essential role in their access to gynecological cancer-related preventive healthcare services. It is recommended that training be planned to increase the awareness and knowledge of Afghan women on gynecological cancers, considering their cultural characteristics.