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Usability and Usefulness of SMS-Based Artificial Intelligence Intervention (Mwana) on Breastfeeding Outcomes in Lagos, Nigeria: Pilot App Development Study

Usability and Usefulness of SMS-Based Artificial Intelligence Intervention (Mwana) on Breastfeeding Outcomes in Lagos, Nigeria: Pilot App Development Study

Hausa is commonly spoken across Northern Nigeria and West Africa, while Swahili is prevalent in East Africa, including among communities within Nigeria [19]. To ensure linguistic accuracy and cultural appropriateness, the translation process was conducted in collaboration with local translators who had in-depth knowledge of both language nuances and cultural contexts.

Anisha Musti

JMIR Form Res 2025;9:e65157

Feasibility and Acceptability of a Digital Health Portal to Improve HIV Care Engagement Among Kenyan Youth: Mixed Methods Study

Feasibility and Acceptability of a Digital Health Portal to Improve HIV Care Engagement Among Kenyan Youth: Mixed Methods Study

The project received ethics approval from the AMREF Health Africa Ethics and Scientific Review Committee (ESRC), with final approval granted in April 2022 (Ref: ESRC P1164/2022). All procedures were carried out in accordance with institutional and national ethical standards, and conformed to the principles outlined in the Declaration of Helsinki. As this was a quality improvement initiative involving minimal risk, and consistent with ESRC guidance, a waiver of written informed consent was granted.

Eric Nturibi, Jared Mecha, Florence Kaara, Faith Musau, Christine Mwangi, Elizabeth Kubo, Albert Orwa

JMIR Form Res 2025;9:e59661

Enhancing Efficiency and User Experience of Digital Community Health Worker Payments in Zanzibar: Implementation Report

Enhancing Efficiency and User Experience of Digital Community Health Worker Payments in Zanzibar: Implementation Report

In Africa, 86% of CHWs are volunteers with little or no compensation [11]. The WHO’s 2018 CHW guidelines recommend remuneration commensurate with job demands, complexity, hours worked, and training [9]. Satisfaction with incentives is shown to improve performance while reducing attrition [12,13]. In contrast, inadequate, partial, or delayed payments reduce motivation and intervention coverage [13]. Significant challenges have been documented with cash payments for CHWs.

Lee Pyne-Mercier, Krishna Jafa, Susan Maigua, Jennifer Muli, Elijah Gichinga, Antony Khaemba, Nitusima Kataraia, Aisha Mohammed, Frank Kamangadazi Tembo, Imran Esmail, Giulia V R Besana, Heiko Hornung, Ali Makame Zubeir

JMIR Med Inform 2025;13:e65325

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