Background People living with HIV (PLHIV) are experiencing increased life expectancy mostly due to the success of anti-retroviral therapy. Consequently, they face the threat of chronic diseases attributed to ageing including hypertension. The risk of hypertension among PLHIV requires research attention particularly in South Africa where the prevalence of HIV is highest in Africa. We therefore examined the prevalence and factors associated with hypertension among older people living with HIV in South Africa. Methods We analysed cross-sectional data on 514 older PLHIV. Data were extracted from the WHO SAGE Well-Being of Older People Study (WOPS) (2011–2013). The outcome variable was hypertension status. Data was analysed using STATA Version 14. Chi-square and binary logistic regression were performed. The results were presented in odds ratio with its corresponding confidence interval. Results The prevalence of hypertension among PLHIV was 50.1%. Compared to PLHIV aged 50–59, those aged 60–69 [OR = 2.2; CI = 1.30,3.84], 70–79 years [OR = 2.8; CI = 1.37,5.82], and 80 + [OR = 4.9; CI = 1.68,14.05] had higher risk of hypertension. Females were more likely [OR = 5.5; CI = 2.67,11.12] than males to have hypertension. Persons ever diagnosed with stroke were more likely [OR = 3.3; CI = 1.04,10.65] to have hypertension when compared to their counterparts who have never been diagnosed with stroke. Compared to PLHIV who had no clinic visits, those who visited the clinic three to six times [OR = 5.3; CI = 1.35,21.01], or more than six times [OR = 5.5; CI = 1.41,21.41] were more likely to have hypertension. Conclusion More than half of South African older PLHIV are hypertensive. The factors associated with hypertension among older PLHIV are age, sex, ever diagnosed with stroke and number of times visited the clinic. Integration of hypertension management and advocacy in HIV care is urgently needed in South Africa in order to accelerate reductions in the prevalence of hypertension among older PLHIV, as well as enhance South Africa’s capacity to attain the Sustainable Development Goal target 3.3.

Background Cervical cancer significantly affects women in Sub-Saharan Africa (SSA). However, limited studies have concentrated on cervical screening behaviour among women in SSA. This study aimed to assess the interplay of distance to health facilities and socio-demographic factors with cervical screening behaviour among women in five SSA countries. Methods The study was based on pooled data of 40,555 women included in Demographic and Health Surveys (DHS) conducted between 2013 to 2021. Proportions and logistic regression models were used in assessing the interplay of distance to health facilities and socio-demographic factors with cervical screening behaviour. Results Approximately, 7.9% of women that saw the distance to a health facility as a big problem, tested for cervical cancer compared to 13.5% who indicated that distance to a health facility is not a big problem. More women in urban areas, with a higher level of education, of richest wealth index, aged 40–44 years and using contraceptives who also indicated that distance to a health facility was a big problem tested for cervical cancer compared to those in rural areas with no education, of poorest wealth index, aged 15–19 years and not using contraceptives. Education, age, contraceptive use, frequent exposure to mass media and Sexual Transmitted Infections (STI) had a significant relationship with testing for cervical cancer. Conclusion The prevalence of cervical cancer screening was low in the five SSA countries largely due to distance barriers and was also significantly influenced by education, age, contraceptive use, frequent exposure to mass media, and STI status. To improve the screening for cervical cancer and its associated benefits in the five SSA countries, there is a need for policymakers, clinicians and public health workers to channel more commitment and efforts to addressing the barriers identified in this study.

The rising rate of single-mother families has gained scholarly and policy attention. Understanding the dynamics in the socio-economic and demographic transformations that have led to the relatively high single-mother families in Ghana is important to advance policy and intervention to mitigate adverse effects of single motherhood. The study sought to examine the trends and predictors of single motherhood in Ghana from 1993 to 2014. This paper was based on data from the last five waves of the Ghana Demographic and Health Survey. Descriptive statistics of proportions with Chi-square test and binary logistic regression were used to assess individual and contextual factors associated with single motherhood in Ghana. The proportion of single motherhood increased significantly over the period from 14.1% in 1993 to 19.5% in 2014. Premarital birth emerged as the major pathway to single motherhood. Among individual factors, the likelihood of single motherhood declines as age at first sex [OR = 0.58; 95% CI = 0.48,0.70] and first birth [OR = 0.43; CI = 0.32,0.59] were 25 years and above. Also, Contraceptive users were less likely to be single mothers than non-users. Contextually, women who profess Islam [OR = 0.58; 95% CI = 0.46, 0.74] were less likely to be single mothers than women who had no religious affiliation. We observed that, after accounting some important factors, women with higher economic status—richer [OR = 0.76; 95% CI = 0.59,0.96] and richest [OR = 0.57; 95% CI = 0.31,0.56] were less likely to be single mothers than poorest women. The findings give an impression of single mothers being over-represented among economically poor women. Policies and programmes meant to mitigate adverse effects of single motherhood should also focus on empowering single mothers and their children as a way of alleviating poverty and improve the well-being of children in this family type, as well as enhance Ghana’s capacity to attain the Sustainable Development Goal 1, particularly target 1.2.

Background The World Health Organisation recommends that all mothers seek postnatal care (PNC) within the first two months after childbirth. This study examined PNC utilisation for babies within the first two months after childbirth. Methods We used data from the most recent Demographic and Health Surveys (DHS) (2018–2020) of eleven countries in SSA. Descriptive and a multivariate analysis were carried out, and presented in adjusted odds ratios. The explanatory variables included: age, place of residence, level of formal education, wealth quintile, antenatal care visits, marital status, frequency of watching TV, listening to radio and reading newspaper, getting permission to go medical help for self, getting money needed for treatment, and distance to facility. Results PNC utilisation was 37.5% and 33% in urban and rural residences, respectively. Higher level of education (Urban: AOR = 1.39, CI = 1.25, 1.56; Rural: AOR = 1.31, CI = 1.10, 1.58), 4 or more ANC visits (Urban: AOR = 1.32, CI = 1.23, 1.40; Rural: AOR = 1.49, CI = 1.43, 1.56 0.86), requiring permission to go to the health facility (Urban: AOR = 0.67, CI = 0.61, 0.74; Rural: AOR = 0.86, CI = 0.81, 0.91), listening to the radio at least once a week (Urban: AOR = 1.32, CI = 1.23, 1.41; Rural: AOR = 0.86, CI = 0.77, 0.95), and watching television at least once a week (Urban: AOR = 1.11, CI = 1.03, 1.21; Rural: AOR = 1.15, CI = 1.07, 1.24) were significantly associated with PNC service utilisation in both rural and urban areas. However, belonging to a richer wealth status (AOR = 1.11, CI = 1.02, 1.20) and having a problem with distance (AOR = 1.13, CI = 1.07, 1.18) were significant in only rural areas, while having a problem with money for treatment was significant only in urban areas (AOR = 1.15, CI = 1.08, 1.23). Conclusion In this study, we conclude that the PNC service utilisation within the first 2 months after delivery was low across rural and urban residences. There is, therefore, a need for SSA countries to develop population tailored interventions such as advocacy and health education targeted at women with no formal education in both rural and urban areas. Our study also suggests that SSA countries must intensify radio programs and advertisements on the health benefits of PNC to improve maternal and child health.

Background: There has been growing interest about how ethnic ties predict health outcomes and health-seeking behaviour. The study sought to examine the influence of women’s ethnic identity on CS delivery. Methods: We analysed data from Ghana's 2017 Maternal Health Survey with the help of Stata (version 17). Descriptive analysis was used to estimate the prevalence of CS deliveries. Multivariate analysis was then used to determine the links between ethnicity and other explanatory variables, and CS delivery, using logistic regression. The results were presented in an adjusted odds ratio with its corresponding confidence interval. Results: The overall prevalence of delivery by CS was 12.4%. Gruma women had a lower likelihood of delivery by CS than Akan women. The odds of delivery by CS were 10.18 times higher for women aged 45 – 49 years than those aged 15 – 19 years old. Women with higher education were more likely to opt for CS delivery than those with no education. CS utilization was 2.54 times higher in women with the richest wealth status than those with the poorest wealth status. Also, women who read newspapers at least once a week had higher odds of CS delivery than those who do not read the newspaper or magazine at all. Conclusion: We conclude that researchers need to consider the cultural influences that could confound women’s decisions on CS uptake in places where ethnicity is salient in everyday discourse. In policy-wise, we recommend that in developing intervention programmes to enhance optimum utilization of delivery by CS in Ghana, policymakers need to take a critical look at the cultural milieu of these interventions if they want to achieve the intended purposes, as well as enhance our capacity to achieve SDG 3.2.