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Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

Mono-Professional Simulation-Based Obstetric Training in a Low-Resource Setting: Stepped-Wedge Cluster Randomized Trial

To address these challenges, simulation-based training for emergency obstetric care has evolved as a promising approach in sub-Saharan Africa. Growing evidence suggests that this type of training improves health care providers’ knowledge and skills, while also leading to positive changes in their behavior [3-5].

Anne A C van Tetering, Ella L de Vries, Peter Ntuyo, E R van den Heuvel, Annemarie F Fransen, M Beatrijs van der Hout-van der Jagt, Imelda Namagembe, Josaphat Byamugisha, S Guid Oei

JMIR Med Educ 2025;11:e54911

SEARCH Study: Text Messages and Automated Phone Reminders for HPV Vaccination in Uganda: Randomized Controlled Trial

SEARCH Study: Text Messages and Automated Phone Reminders for HPV Vaccination in Uganda: Randomized Controlled Trial

Sub Saharan Africa overall, has the highest cervical cancer incidence and mortality rates in the world [4]. Cervical cancer is the leading cancer among women in Uganda [4]. Up to 72% of women are diagnosed with late-stage disease [5], and 80% die within 5 years of diagnosis [6]. The age-standardized cervical cancer incidence rate in Uganda is more than 4 times the global average, and the age-standardized mortality rate is nearly 6 times higher [4].

Sabrina B Kitaka, Joseph Rujumba, Sarah K Zalwango, Betsy Pfeffer, Lubega Kizza, Juliane P Nattimba, Ashley B Stephens, Nicolette Nabukeera-Barungi, Chelsea S Wynn, Juliet N Babirye, John Mukisa, Ezekiel Mupere, Melissa S Stockwell

JMIR Mhealth Uhealth 2025;13:e63527

Analyzing Satellite Imagery to Target Tuberculosis Control Interventions in Densely Urbanized Areas of Kigali, Rwanda: Cross-Sectional Pilot Study

Analyzing Satellite Imagery to Target Tuberculosis Control Interventions in Densely Urbanized Areas of Kigali, Rwanda: Cross-Sectional Pilot Study

Africa accounted for a quarter of all new TB cases worldwide in 2022 and has been at the center of many efforts to eradicate TB [1]. Since 1990, the continent has seen rapid urbanization, with 0.5 billion more people now living in urban areas [9]. While population density is generally associated with easier geographical access to health services, rapid urbanization is also intrinsically associated with socioeconomic disparities, including the development of crowded townships [10].

Mauro Faccin, Caspar Geenen, Michiel Happaerts, Sien Ombelet, Patrick Migambi, Emmanuel André

JMIR Public Health Surveill 2025;11:e68355

Primary Tumors of the Brain and Central Nervous System in Adults and Children in Sub-Saharan Africa: Protocol for a Scoping Review

Primary Tumors of the Brain and Central Nervous System in Adults and Children in Sub-Saharan Africa: Protocol for a Scoping Review

Since over 18% of the estimated 2022 global population was in Africa [12], this suggests either a truly lower incidence or conspicuous underreporting. Childhood brain/CNS tumors were more commonly reported in Africa, with 14.2% incidence rates (IRs) of new global brain/CNS tumor cases and 16.9% of deaths reported in 2022 for children aged 0-18 years old [11,12]. An additional source of underreporting of brain and CNS tumors in Africa is the scarcity of well-established tumor registries [9,10].

Alhasan Ahmed Badeea Al-Fikri, Mesk Alhammadi, Chiedozie Arum, Mahima Kaur, Kayla Del Biondo, Ibrahim Bani, Victor Mudenda, Sten H Vermund

JMIR Res Protoc 2025;14:e66978

COVID-19 Perceptions Among Communities Living on Ground Crossings of Somali Region of Ethiopia: Community Cross-Sectional Survey Study

COVID-19 Perceptions Among Communities Living on Ground Crossings of Somali Region of Ethiopia: Community Cross-Sectional Survey Study

Cross-border movement has been identified as an important factor in COVID-19 transmission in Eastern and Southern Africa, and most countries in the region have restricted entry to reduce virus importation. However, the region’s economy and social fabric are dependent on the cross-border movement of goods and people, and it was anticipated that border closures would have the same, if not greater, impact than COVID-19 [1,2].

Alinoor Mohamed Farah, Abdifatah Abdulahi, Abdulahi Hussein, Ahmed Abdikadir Hussein, Abdi Osman, Mohamed Mohamud, Hasan Mowlid, Girum Hailu, Fathia Alwan, Ermiyas Abebe Bizuneh, Ahmed Mohammed Ibrahim, Elyas Abdulahi

JMIR Form Res 2025;9:e66751

Experiences of Birth Attendants on Upward Obstetric Emergency Referrals in Low- and Middle-Income Countries: Protocol for a Scoping Review

Experiences of Birth Attendants on Upward Obstetric Emergency Referrals in Low- and Middle-Income Countries: Protocol for a Scoping Review

The main objective of this review is to examine available evidence regarding birth attendants’ experiences with upward referral systems in emergency obstetric care in sub-Saharan Africa (SSA) since the inception of the SDGs. Based on the objective of this review, the following research questions have been developed: What are the publication characteristics of evidence on upward obstetric referrals? What are the experiences of birth attendants regarding upward obstetric emergency referrals in LMICs?

Final Z Juqu, Olivia B Baloyi, Esther L Mbobnda Kapche, Wilma ten Ham-Baloyi, Geldine Chironda, Zamadonda Nokuthula Xulu-Kasaba

JMIR Res Protoc 2025;14:e64886

User-Centered Design of an Electronic Dashboard for Monitoring Facility-Level Basic Emergency Obstetric Care Readiness in Amhara, Ethiopia: Mixed Methods Study

User-Centered Design of an Electronic Dashboard for Monitoring Facility-Level Basic Emergency Obstetric Care Readiness in Amhara, Ethiopia: Mixed Methods Study

Maternal mortality is a critical public health issue, particularly in low-resource settings like sub-Saharan Africa, which accounts for over three-fourths of global maternal deaths [1]. Despite progress in reducing adverse maternal outcomes in countries like Ethiopia, high maternal mortality ratios persist, largely due to gaps and stockouts of essential supplies for managing obstetric emergencies [2,3]. Inadequate supplies for basic emergency obstetric care (BEm OC) can lead to delayed or suboptimal care.

Kylie Dougherty, Yihenew Tesfaye, Heran Biza, Mulusew Belew, Natalie Benda, Abebe Gebremariam Gobezayehu, John Cranmer, Suzanne Bakken

JMIR Hum Factors 2025;12:e64131

Natural Language Processing Technologies for Public Health in Africa: Scoping Review

Natural Language Processing Technologies for Public Health in Africa: Scoping Review

In practice, NLP-driven tools have already shown promise in Africa. For instance, during the COVID-19 pandemic, Whats App chatbots in South Africa, Rwanda, and Senegal were used to disseminate reliable information and facilitate rapid COVID-19 testing, while a Telegram-based chatbot in Ghana was developed to combat misinformation and provide accurate data to the public [18].

Songbo Hu, Abigail Oppong, Ebele Mogo, Charlotte Collins, Giulia Occhini, Anna Barford, Anna Korhonen

J Med Internet Res 2025;27:e68720

Impact of a Mobile Money–Based Conditional Cash Transfer Intervention on Health Care Utilization in Southern Madagascar: Mixed-Methods Study

Impact of a Mobile Money–Based Conditional Cash Transfer Intervention on Health Care Utilization in Southern Madagascar: Mixed-Methods Study

Over the past decade, Sub-Saharan Africa (SSA) has seen a substantial rise in the number of people with access to digital technologies. Digital transformation has made a stark difference for previously disenfranchised communities, especially in the field of financial services [1]. One technology that stands out is mobile money, which allows the creation of bank accounts and enables financial transactions using unstructured supplementary service data codes without requiring an internet connection [1].

Mara Anna Franke, Anne Neumann, Kim Nordmann, Daniela Suleymanova, Onja Gabrielle Ravololohanitra, Julius Valentin Emmrich, Samuel Knauss

JMIR Mhealth Uhealth 2025;13:e60811

Exploring the Use of Digital Educational Tools for Sexual and Reproductive Health in Sub-Saharan Africa: Systematic Review

Exploring the Use of Digital Educational Tools for Sexual and Reproductive Health in Sub-Saharan Africa: Systematic Review

For example, over 80% of all adolescents living with HIV are in Sub-Saharan Africa [4], which also has the highest prevalence of adolescent pregnancy globally [5]. Melesse et al [6] conducted a review of demographic and health survey data from 33 African countries and reported that despite improvements in SRH among adolescents in Sub-Saharan Africa, young people in this part of the world continue to have disproportionately high rates of unwanted pregnancies and STIs (including HIV/AIDS).

Ramatu Hajia Abdul Hamid Alhassan, Catherine L Haggerty, Abimbola Fapohunda, Nabeeha Jabir Affan, Martina Anto-Ocrah

JMIR Public Health Surveill 2025;11:e63309