{"id":"https://openalex.org/W7225580830","doi":"https://doi.org/10.64898/2026.11.06.26367415","title":"Knowledge and attitudes toward infertility and reproductive health among nursing and midwifery students from selected universities in Accra, Ghana","display_name":"Knowledge and attitudes toward infertility and reproductive health among nursing and midwifery students from selected universities in Accra, Ghana","publication_year":2026,"publication_date":"2026-11-08","ids":{"openalex":"https://openalex.org/W7225580830","doi":"https://doi.org/10.64898/2026.11.06.26367415"},"language":"en","primary_location":{"id":"doi:10.64898/2026.11.06.26367415","doi":"https://doi.org/10.64898/2026.11.06.26367415","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.06.26367415","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/08/2026.11.06.26367415.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/08/2026.11.06.26367415.full.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5018767504","display_name":"Ernestina Safoa Donkor","orcid":"https://orcid.org/0000-0002-8012-7321","observed_orcids":["https://orcid.org/0000-0002-8012-7321"]},"institutions":[{"id":"https://openalex.org/I263341422","display_name":"Heritage Christian University","ror":"https://ror.org/04arhmz60","country_code":"US","type":"education","lineage":["https://openalex.org/I263341422"]},{"id":"https://openalex.org/I4210128081","display_name":"Heritage Christian University","ror":"https://ror.org/035vjkd03","country_code":"GH","type":"education","lineage":["https://openalex.org/I4210128081"]}],"countries":["GH","US"],"is_corresponding":true,"raw_author_name":"Ernestina Safoa Donkor","raw_affiliation_strings":["Heritage Christian University College;"],"raw_orcid":"https://orcid.org/0000-0002-8012-7321","affiliations":[{"raw_affiliation_string":"Heritage Christian University College;","institution_ids":["https://openalex.org/I263341422","https://openalex.org/I4210128081"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5161295047","display_name":"Emmanuel Kojo Osafo","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Emmanuel Kojo Osafo","raw_affiliation_strings":["Last Mile Health"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Last Mile Health","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5002590121","display_name":"Ezekiel Oti-Boadi","orcid":"https://orcid.org/0009-0006-5840-1749","observed_orcids":["https://orcid.org/0009-0006-5840-1749"]},"institutions":[{"id":"https://openalex.org/I263341422","display_name":"Heritage Christian University","ror":"https://ror.org/04arhmz60","country_code":"US","type":"education","lineage":["https://openalex.org/I263341422"]},{"id":"https://openalex.org/I4210128081","display_name":"Heritage Christian University","ror":"https://ror.org/035vjkd03","country_code":"GH","type":"education","lineage":["https://openalex.org/I4210128081"]}],"countries":["GH","US"],"is_corresponding":false,"raw_author_name":"Ezekiel Oti-Boadi","raw_affiliation_strings":["Heritage Christian University College;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heritage Christian University College;","institution_ids":["https://openalex.org/I263341422","https://openalex.org/I4210128081"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5119665955","display_name":"Benedicta Twum-Dei","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I263341422","display_name":"Heritage Christian University","ror":"https://ror.org/04arhmz60","country_code":"US","type":"education","lineage":["https://openalex.org/I263341422"]},{"id":"https://openalex.org/I4210128081","display_name":"Heritage Christian University","ror":"https://ror.org/035vjkd03","country_code":"GH","type":"education","lineage":["https://openalex.org/I4210128081"]}],"countries":["GH","US"],"is_corresponding":false,"raw_author_name":"Benedicta Twum-Dei","raw_affiliation_strings":["Heritage Christian University College;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Heritage Christian University College;","institution_ids":["https://openalex.org/I263341422","https://openalex.org/I4210128081"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5018767504"],"corresponding_institution_ids":["https://openalex.org/I263341422","https://openalex.org/I4210128081"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11156","display_name":"Reproductive Health and Technologies","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11156","display_name":"Reproductive Health and Technologies","score":0.9961000084877014,"subfield":{"id":"https://openalex.org/subfields/2743","display_name":"Reproductive Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10600","display_name":"Reproductive Health and Contraception","score":0.002099999925121665,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10209","display_name":"Global Maternal and Child Health","score":0.0003000000142492354,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/infertility","display_name":"infertility","score":0.8790000081062317},{"id":"https://openalex.org/keywords/reproductive-health","display_name":"reproductive health","score":0.7350000143051147},{"id":"https://openalex.org/keywords/nursing-students","display_name":"nursing students","score":0.9660000205039978},{"id":"https://openalex.org/keywords/midwifery-students","display_name":"midwifery students","score":1.0},{"id":"https://openalex.org/keywords/knowledge-attitudes-and-practices","display_name":"knowledge, attitudes and practices","score":0.8289999961853027},{"id":"https://openalex.org/keywords/infertility-knowledge","display_name":"infertility knowledge","score":0.625},{"id":"https://openalex.org/keywords/attitudes-toward-infertility","display_name":"attitudes toward infertility","score":0.9890000224113464},{"id":"https://openalex.org/keywords/nursing-and-midwifery-education","display_name":"nursing and midwifery education","score":0.7639999985694885},{"id":"https://openalex.org/keywords/curriculum-content","display_name":"curriculum content","score":0.6809999942779541},{"id":"https://openalex.org/keywords/gender-differences","display_name":"gender differences","score":0.7459999918937683},{"id":"https://openalex.org/keywords/infertility-stigma","display_name":"infertility stigma","score":0.5799999833106995},{"id":"https://openalex.org/keywords/accra-ghana","display_name":"Accra, Ghana","score":0.8100000023841858}],"concepts":[{"id":"https://openalex.org/C2777688143","wikidata":"https://www.wikidata.org/wiki/Q179399","display_name":"Infertility","level":3,"score":0.8058000206947327},{"id":"https://openalex.org/C150966472","wikidata":"https://www.wikidata.org/wiki/Q3410145","display_name":"Psychosocial","level":2,"score":0.6934000253677368},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.6080999970436096},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.5271999835968018},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5231000185012817},{"id":"https://openalex.org/C121752807","wikidata":"https://www.wikidata.org/wiki/Q1981388","display_name":"Reproductive health","level":3,"score":0.5127999782562256},{"id":"https://openalex.org/C3019512768","wikidata":"https://www.wikidata.org/wiki/Q3399675","display_name":"Positive attitude","level":2,"score":0.47929999232292175},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.438400000333786},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.37599998712539673},{"id":"https://openalex.org/C142546437","wikidata":"https://www.wikidata.org/wiki/Q2661195","display_name":"Descriptive research","level":2,"score":0.3668000102043152},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.35749998688697815},{"id":"https://openalex.org/C2986115478","wikidata":"https://www.wikidata.org/wiki/Q186290","display_name":"Positive correlation","level":2,"score":0.3517000079154968},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.3328999876976013},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.33090001344680786},{"id":"https://openalex.org/C65409693","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Statistical significance","level":2,"score":0.30169999599456787},{"id":"https://openalex.org/C2776210078","wikidata":"https://www.wikidata.org/wiki/Q351870","display_name":"Reproductive medicine","level":3,"score":0.2989000082015991},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.2851000130176544},{"id":"https://openalex.org/C198531522","wikidata":"https://www.wikidata.org/wiki/Q485146","display_name":"Sample (material)","level":2,"score":0.2678000032901764},{"id":"https://openalex.org/C2988405389","wikidata":"https://www.wikidata.org/wiki/Q6987247","display_name":"Negative correlation","level":2,"score":0.26589998602867126},{"id":"https://openalex.org/C2779647306","wikidata":"https://www.wikidata.org/wiki/Q648065","display_name":"Female infertility","level":4,"score":0.259799987077713},{"id":"https://openalex.org/C2993797112","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing practice","level":2,"score":0.25679999589920044}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.64898/2026.11.06.26367415","doi":"https://doi.org/10.64898/2026.11.06.26367415","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.06.26367415","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/08/2026.11.06.26367415.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"}],"best_oa_location":{"id":"doi:10.64898/2026.11.06.26367415","doi":"https://doi.org/10.64898/2026.11.06.26367415","is_oa":true,"landing_page_url":"https://doi.org/10.64898/2026.11.06.26367415","pdf_url":"https://www.medrxiv.org/content/medrxiv/early/2026/11/08/2026.11.06.26367415.full.pdf","source":{"id":"https://openalex.org/S3005729997","display_name":"medRxiv","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":["https://openalex.org/P4310315909"],"host_organization_lineage_names":["Cold Spring Harbor Laboratory Press"],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"medRxiv","raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.6164000034332275,"id":"https://metadata.un.org/sdg/4","display_name":"Quality education"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225580830.pdf","grobid_xml":"https://content.openalex.org/works/W7225580830.grobid-xml"},"referenced_works_count":5,"referenced_works":["https://openalex.org/W2101698503","https://openalex.org/W2517416432","https://openalex.org/W3033188112","https://openalex.org/W4386953594","https://openalex.org/W4406331647"],"related_works":["https://openalex.org/W7141361881","https://openalex.org/W3197089618","https://openalex.org/W4402769141","https://openalex.org/W6925922005","https://openalex.org/W7110836662","https://openalex.org/W4403146183","https://openalex.org/W3173403474","https://openalex.org/W3007332374","https://openalex.org/W1990711214","https://openalex.org/W7204869070"],"abstract_inverted_index":{"Introduction":[0],"In":[1],"sub-Saharan":[2],"Africa,":[3],"where":[4],"high":[5,15,132],"societal":[6],"value":[7],"is":[8,14],"placed":[9],"on":[10,169],"childbearing,":[11],"infertility":[12,70,117,136,149,252],"prevalence":[13],"and":[16,21,25,48,56,67,73,82,99,120,123,178,213,222,263,269,290,296],"often":[17],"leads":[18],"to":[19,35],"stigma":[20],"psychosocial":[22],"distress.":[23],"Nurses":[24],"midwives,":[26],"as":[27],"frontline":[28],"reproductive":[29],"health":[30],"providers,":[31],"need":[32],"adequate":[33],"preparation":[34],"support":[36],"infertile":[37],"couples,":[38],"yet":[39],"a":[40,91,112,131],"literature":[41],"gap":[42],"exists":[43],"regarding":[44,69],"how":[45],"well":[46],"nursing":[47,72,98,295],"midwifery":[49,74,100,297],"trainees":[50],"are":[51],"equipped":[52],"with":[53],"the":[54,65,77,226,255,266],"knowledge":[55,66,137,139,171,192,212,223,262,277],"attitudes":[57,68,147],"needed":[58],"for":[59],"this":[60],"role.":[61],"This":[62],"study":[63],"investigated":[64],"among":[71,90],"students,":[75],"applying":[76],"Knowledge-Attitude-Practice":[78],"(KAP)":[79],"model.":[80],"Materials":[81],"methods":[83],"A":[84,203],"descriptive":[85],"cross-sectional":[86],"survey":[87],"was":[88,209,225],"conducted":[89],"stratified":[92],"sample":[93],"of":[94,135,230,247,275],"263":[95],"final-year":[96],"BSc":[97,186,194],"students":[101,188,196],"at":[102],"four":[103],"universities":[104],"in":[105,232,254,294],"Accra,":[106],"Ghana.":[107],"Data":[108],"were":[109,124,150],"collected":[110],"via":[111],"structured":[113],"questionnaire":[114],"covering":[115],"demographics,":[116],"knowledge,":[118],"attitudes,":[119],"practice":[121,293],"intentions;":[122],"analysed":[125],"using":[126],"SPSS.":[127],"Results":[128],"Respondents":[129],"demonstrated":[130,189],"overall":[133],"level":[134],"(composite":[138,153],"score:":[140,155],"M":[141,156],"=":[142,145,157,160,173,176,181,184,198,201,217,236,242],"18.25/23,":[143],"SD":[144,159],"3.17;":[146],"toward":[148],"largely":[151],"favourable":[152],"attitude":[154,179,214,231,264],"3.812/5,":[158],"0.654;":[161],"female":[162],"respondents":[163,248],"scored":[164],"significantly":[165,190],"higher":[166,191],"than":[167,193],"males":[168],"both":[170],"(U":[172,180,197],"2800.5,":[174],"p":[175,183,200,219,238],".044)":[177],"2777.0,":[182],".040).":[185],"Midwifery":[187],"Nursing":[195],"2868.0,":[199],".002).":[202],"statistically":[204],"significant":[205,228,259],"moderate":[206],"positive":[207],"correlation":[208],"found":[210],"between":[211,261],"scores":[215],"(r":[216],".400,":[218],"<":[220,239],".001),":[221],"score":[224],"sole":[227],"predictor":[229],"multiple":[233],"regression":[234],"(B":[235],"0.080,":[237],".001,":[240],"R\u00b2":[241],".178).":[243],"The":[244,258,284],"large":[245],"majority":[246],"(86.3%)":[249],"supported":[250],"expanded":[251],"content":[253],"curriculum.":[256],"Conclusion":[257],"association":[260],"supports":[265],"KAP":[267],"framework":[268],"suggests":[270],"that":[271],"targeted":[272],"curricular":[273],"reinforcement":[274],"weak":[276],"areas":[278],"may":[279],"further":[280],"strengthen":[281],"students\u2019":[282],"attitudes.":[283],"findings":[285],"will":[286],"inform":[287],"curriculum":[288],"improvements":[289],"promote":[291],"evidence-based":[292],"education.":[298]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-09T00:00:00"}