{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,7]],"date-time":"2025-11-07T09:47:47Z","timestamp":1762508867510,"version":"build-2065373602"},"reference-count":31,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,16]],"date-time":"2022-11-16T00:00:00Z","timestamp":1668556800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"German Ministry for Education and Research (BMBF)","award":["01KA1613"],"award-info":[{"award-number":["01KA1613"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Tuberculosis (TB) is a major reason of maternal mortality in low-income countries, and it increases the probability of adverse sexual and reproductive health (SRH) outcomes, including ectopic pregnancy and perinatal mortality. The data presented here is from the TB Sequel observational cohort conducted in four African countries. For this sub-study, we selected only female participants, who were diagnosed with drug susceptible TB and followed-up until the end of anti-TB treatment. The data collection included questionnaires, clinical examination and laboratory tests at TB diagnosis, day 14, month 2, 4 and 6. A total of 486 women, with 88.3% being 18\u201349 years old, were included in the analysis. Around 54.7% were HIV positive. Most of the participants (416\/486; 85.6%) in our cohort were considered cured at month 6. Only 40.4% of non-pregnant women of reproductive age used contraception at TB diagnosis. A total of 31 out of 486 women experienced pregnancy during TB treatment. Pregnancy outcomes varied between live birth (16\/31; 51.6%), induced abortion (6\/31; 19.4%), miscarriage (4\/31; 12.9%) and stillbirth (3\/31; 9.6%). Integration and linking of SRH services with TB programmes are vital to increase contraception use and protect women from obstetric risks associated with pregnancy during TB treatment.<\/jats:p>","DOI":"10.3390\/ijerph192215103","type":"journal-article","created":{"date-parts":[[2022,11,17]],"date-time":"2022-11-17T03:12:20Z","timestamp":1668654740000},"page":"15103","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Tuberculosis and Sexual and Reproductive Health of Women in Four African Countries"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7014-2635","authenticated-orcid":false,"given":"Rayan","family":"Korri","sequence":"first","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), 80802 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5123-1974","authenticated-orcid":false,"given":"Abhishek","family":"Bakuli","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), 80802 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olumuyiwa A.","family":"Owolabi","sequence":"additional","affiliation":[{"name":"Medical Research Council Unit, The Gambia at the London School of Hygiene and Tropical Medicine, Banjul P.O. Box 273, The Gambia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julieth","family":"Lalashowi","sequence":"additional","affiliation":[{"name":"National Institute for Medical Research (NIMR), Mbeya Medical Research Centre, Mbeya P.O. Box 2410, Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e2ndido","family":"Azize","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Sa\u00fade (INS), Marracuene 3943, Mozambique"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Rassool","sequence":"additional","affiliation":[{"name":"Clinical HIV Research Unit, Department of Internal Medicine, School of Clinical Medicine, Faculty of Health Sciences, University of Witwatersrand, Johannesburg 2092, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzana","family":"Sathar","sequence":"additional","affiliation":[{"name":"The Aurum Institute, Johannesburg 2194, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Rachow","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), 80802 Munich, Germany"},{"name":"German Center for Infection Research (DZIF), Partner Site Munich, 80802 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8276-7891","authenticated-orcid":false,"given":"Olena","family":"Ivanova","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases and Tropical Medicine, Medical Centre of the University of Munich (LMU), 80802 Munich, Germany"},{"name":"German Center for Infection Research (DZIF), Partner Site Munich, 80802 Munich, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1016\/S2213-2600(19)30418-7","article-title":"WHO global progress report on tuberculosis elimination","volume":"8","author":"Harding","year":"2020","journal-title":"Lancet Respir. 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