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INTRODUCTION Transactional sex is casual sex between two people to receive material incentives in exchange for sexual favors Transactional sex is associated with negative consequences which increase the risk of sexually transmitted diseases including HIV AIDS unintended pregnancy unsafe abortion and physiological trauma In Sub Saharan Africa several primary studies have been conducted in various countries to examine the prevalence and associated factors of transactional sex among women These studies had great discrepancies and inconsistent results Hence this systematic review and meta analysis aimed to synthesize the pooled prevalence of the practice of transactional sex among women and its associated factors in Sub Saharan Africa METHOD Data source PubMed Google Scholar HINARI the Cochrane Library and grey literature were searched from March 6 to April 24 2022 and included studies conducted from 2000 to 2022 The pooled prevalence of transactional sex and associated factors was estimated using Random Effect Model Stata version 16 0 was used to analyze the data The I squared statistic a funnel plot and Egger s test were used to check for heterogeneity and publication bias respectively A subgroup analysis was done based on the study years source of data sample sizes and geographical location RESULTS The pooled prevalence of transactional sex among women in Sub Saharan Africa was 12 55 9 59 15 52 Early sexual debut OR 2 58 95 CI 1 56 4 27 substance abuse OR 4 62 95 CI 2 62 8 08 history of sexual experience OR 4 87 95 CI 2 37 10 02 physical violence abuse OR 6 70 95 CI 3 32 13 53 orphanhood OR 2 10 95 CI 1 27 3 47 and sexual violence abuse OR 3 76 95 CI 1 08 13 05 were significantly associated with transactional sex CONCLUSION The prevalence of transactional sex among women in sub Saharan Africa was high Alcohol consumption substance abuse early sex debuts having a history of sexual experiences physical violence and sexual violence increased the practice of transactiona

Introduction. Preconception folic acid supplementation is the provision of folate for reproductive age group women who have a plan to be pregnant. According to different studies, in African countries, there is poor utilization of preconception folic supplementation. So this study aimed at assessing women's awareness on preconception care and its associated factors in Adet, Northwestern Ethiopia. Methods. A community-based cross-sectional study was conducted from March 1 to April 1, 2016, among 422 reproductive age group women. Systematic random sampling was used to get the study unit, and the data were collected using pretested structured questionnaire via face-to-face interview. The collected data were entered, cleaned, checked using EpiData version 3.1, and finally analyzed using SPSS version 20. Descriptive summary of the data was presented in terms of percentage and frequency. Binary and multiple logistic regressions were used in order to identify predictors using odds ratio at 95% confidence interval. Result. In this study, a total of 422 reproductive age group women participated with a response rate of 100%. Of a total of 422 participants, 67 (15.9%) of the women had good awareness on preconception folic acid supplementation. Women's awareness on preconception folic acid supplementation was affected by having a chronic health problem, monthly household income, educational status, and a history of family planning use. Women who were educated (AOR 4.77, CI 1.85-6.98), had a history of family planning use (AOR 3.89, CI 1.77-8.55), had a chronic health problem (AOR 3.47, CI 2.68-5.98), and had a better monthly income (AOR 2.6, CI 2.05-6.76) had good awareness than their counterparts. Conclusion and Recommendation. This study concluded that women's awareness on preconception folic acid supplementation was low. This finding suggests that there is a need to give emphasis and deliver health education about preconception folic acid supplementation for women.