Research Article | DOI: https://doi.org/10.31579/2578-8965/309
1Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
2Babcock University Teaching Hospital, Ilishan-Remo, Ogun State, Nigeria.
3Department of Obstetrics and Gynaecology, Rhema University Teaching Hospital, Aba, Abia Stete, Nigeria.
4Department of Biochemistry, Lead City University, Ibadan, Oyo State, Nigeria.
*Corresponding Author: Emmanuel M. Akwuruoha., Department of Obstetrics and Gynaecology, Abia State University Teaching Hospital, Aba, Nigeria.
Citation: Emmanuel M. Akwuruoha, David O. Akwuruoha, Chisara C. Umezurike and Augustine I. Airaodion, (2026), Attitudes, Perceptions, and Sociocultural Influences on the Use of Postinor as an Emergency Contraceptive, J. Obstetrics Gynecology and Reproductive Sciences, 10(4) DOI:10.31579/2578-8965/309
Copyright: © 2026, Emmanuel M. Akwuruoha. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 14 May 2026 | Accepted: 22 May 2026 | Published: 19 June 2026
Keywords: emergency contraception; postinor; sociocultural influences; stigma; reproductive health
Background: Emergency contraception remains an important strategy for preventing unintended pregnancies, yet its use is often shaped by complex social, cultural, and personal factors. In southeastern Nigeria, particularly in urban centers like Aba, perceptions surrounding Postinor extend beyond medical considerations to include moral, religious, and societal influences. Understanding these dynamics is essential for improving reproductive health interventions and promoting informed contraceptive choices.
Objective: This study assessed the attitudes, perceptions, and sociocultural influences affecting the use of Postinor as an emergency contraceptive among women of reproductive age in Abia State, Nigeria.
Methods: A descriptive cross-sectional survey was conducted among 375 women aged 18 years and above in Aba, selected through a multistage sampling technique. Data were collected using a structured, self-administered questionnaire covering socio-demographic characteristics, attitudes, safety perceptions, moral and religious concerns, social influences, stigma, and healthcare trust. Responses were measured using a 5-point Likert scale where applicable. The instrument demonstrated acceptable reliability (Cronbach’s alpha ≥ 0.70). Data were analyzed using SPSS version 25, employing descriptive statistics and inferential tests including chi-square, ANOVA, correlation, and logistic regression, with significance set at p < 0.05.
Results: The majority of respondents were aged 20–29 years (48.8%) and had at least secondary education (80.0%). Overall, attitudes toward Postinor were moderately positive, with 60.3% expressing acceptance and 57.1% willing to recommend its use. However, concerns about safety and side effects were notable, as 62.9% believed frequent use could be harmful. Sociocultural influences were significant; 40.6% reported religious discouragement, while 47.0% perceived the method as morally questionable. Stigma was prominent, with 61.6% acknowledging its existence and 65.9% indicating that users are often judged. Despite this, 65.6% had used Postinor, mostly obtained from pharmacies. Statistical analysis showed significant associations between Postinor use and age (p = 0.031), education (p = 0.010), marital status (p = 0.024), and religion (p = 0.015). Positive attitudes (AOR = 2.76, p < 0.001) and tertiary education (AOR = 2.14, p = 0.002) significantly increased the likelihood of use, while stigma reduced it (AOR = 0.61, p = 0.019).
Conclusion: While usage of Postinor is relatively high, its acceptance is influenced by persistent sociocultural barriers, including stigma, moral concerns, and religious beliefs. Addressing these factors through culturally sensitive education and community engagement is crucial for improving the uptake and appropriate use of emergency contraception.
Unintended pregnancy remains a significant public health concern globally, particularly in low- and middle-income countries where access to effective contraceptive methods is often limited or inconsistent [1]. Emergency contraception (EC), including levonorgestrel-based pills such as Postinor, provides a critical window of opportunity for preventing pregnancy after unprotected sexual intercourse or contraceptive failure. Its relevance is especially pronounced in settings like Nigeria, where the unmet need for family planning remains high and contraceptive prevalence rates are still relatively low compared to global targets [2]. Despite its clinical effectiveness, the utilization of emergency contraception is shaped not only by availability but also by individual attitudes, perceptions, and deeply rooted sociocultural norms.
Emergency contraception has been widely recognized as an essential reproductive health intervention that can significantly reduce the incidence of unintended pregnancies and unsafe abortions [3]. However, evidence from Nigeria suggests that awareness does not always translate into appropriate knowledge or correct usage. For instance, a recent study among antenatal women in southwestern Nigeria reported that over half of respondents had never received any information about emergency contraception, and only a small proportion had ever used it, despite Postinor being the most commonly recognized option [4]. Similarly, earlier findings among female undergraduates in southeastern Nigeria revealed relatively high awareness of Postinor-2, yet this awareness coexisted with poor attitudes and low levels of correct practice, including misconceptions about timing and mechanism of action [5]. These gaps highlight the complex interplay between knowledge and perception in determining contraceptive behavior.
Attitudes toward Postinor and other emergency contraceptives in Nigeria are influenced by a range of psychological, moral, and informational factors. While some women perceive emergency contraception as a convenient and necessary backup method, others associate it with health risks, moral concerns, or misuse. Misconceptions persist regarding its mechanism of action, with some individuals incorrectly believing that it induces abortion rather than preventing fertilization or implantation [6]. Such perceptions contribute to hesitation, fear, and, in some cases, outright rejection of its use. Moreover, concerns about side effects and long-term fertility implications further shape individual decision-making, often discouraging consistent or timely use.
Sociocultural influences play an even more profound role in shaping attitudes and perceptions toward Postinor use. Nigerian society is characterized by strong cultural, religious, and gender norms that influence reproductive health behaviors. Studies have consistently shown that religious beliefs significantly affect acceptance of emergency contraception, with many individuals viewing its use as morally inappropriate or contrary to faith-based teachings [5]. In addition, societal expectations regarding female sexuality often stigmatize contraceptive use, particularly among unmarried women. This stigma can limit open discussions about contraception and discourage women from seeking accurate information or purchasing emergency contraceptives openly.
Peer influence and informal information networks also contribute significantly to contraceptive decision-making. Research indicates that friends and peers are among the primary sources of information about emergency contraception, often surpassing healthcare providers [4]. While peer networks can facilitate awareness, they may also propagate misinformation, leading to inappropriate use or reliance on ineffective alternatives. Indeed, qualitative studies in Nigeria have documented the use of non-standard methods and local concoctions as substitutes for emergency contraception, reflecting both misinformation and sociocultural barriers to accessing formal healthcare services [7].
Another important sociocultural dimension is the influence of gender dynamics and societal expectations regarding fertility. In many Nigerian communities, fertility is highly valued, and childbearing is often linked to social status, marital stability, and economic security. As a result, contraceptive use, including emergency methods, may be perceived as conflicting with these expectations. Additionally, decision-making regarding reproductive health is not always autonomous, as male partners, family members, and community norms may significantly influence women’s choices. Adolescents and young women, in particular, face heightened challenges due to parental control, fear of judgment, and limited access to youth-friendly reproductive health services [8].
In the context of Abia State, these issues are particularly relevant given its sociocultural diversity and the coexistence of urban and rural populations with varying levels of education, access to healthcare, and cultural beliefs. Although southeastern Nigeria generally demonstrates relatively higher levels of educational attainment compared to some other regions, cultural and religious influences remain strong determinants of reproductive health behavior. The presence of institutions such as Abia State University Teaching Hospital also suggests a mix of formal healthcare access and informal community-based health practices, which may further shape patterns of Postinor use.
Despite the growing body of research on emergency contraception in Nigeria, there remains a need for context-specific studies that examine not only awareness and utilization but also the underlying attitudes, perceptions, and sociocultural drivers of behavior. Understanding these factors in Abia State is essential for designing targeted interventions that address misconceptions, reduce stigma, and promote informed decision-making. Such insights are vital for improving reproductive health outcomes, reducing unintended pregnancies, and enhancing the overall effectiveness of family planning programs.
Study Design
A descriptive cross-sectional survey design was adopted for this study. This approach allowed for the systematic collection of data on participants’ attitudes, perceptions, and sociocultural influences related to Postinor use at a single point in time. The design was appropriate for identifying patterns, associations, and prevailing beliefs within the study population without manipulating any variables.
Study Area
This study was conducted in Aba, a densely populated commercial hub in southeastern Nigeria. Aba is known for its vibrant markets, diverse population, and active informal and formal economic sectors. The city’s heterogeneous sociocultural composition, including varying religious affiliations, educational levels, and occupational groups, makes it a suitable setting for examining attitudes and sociocultural dynamics surrounding the use of emergency contraception such as Postinor.
Study Population
The study population comprised women of reproductive age residing in Aba, Abia State. Eligible participants were females aged 18 years and above who were sexually active or had the potential to use emergency contraception. Individuals who were unable to provide informed consent or who declined participation were excluded.
Sample Size Determination
The sample size was determined using Cochran's formula for estimating population proportions, as outlined by Akwuruoha et al. [9]:
n = 
The formula components are defined as follows:
n represents the minimum required sample size.
Z is set at 1.96, corresponding to a 95% confidence level.
P denotes the estimated proportion of awareness of emergency contraception in Nigeria.
e signifies the allowable margin of error, fixed at 5% (0.05).
q = 1 - p
A recent study conducted by Adewale et al. [10] reported the estimated proportion of awareness of emergency contraception in Nigeria as 33.3%
P = 33.3% = 0.333
q = 1 – 0.333
= 0.667
n = 
n = 
n = 
= 341.30
The minimum sample size was 341, but it was adjusted to 375 to account for a 10% non-response rate.
Sampling Technique
A multistage sampling technique was employed. Initially, Aba was stratified into its major administrative areas (Aba North and Aba South). Within each stratum, communities and clusters such as markets, schools, residential areas, and healthcare facilities were randomly selected. Systematic random sampling was then used to recruit eligible participants within these clusters. This approach ensured a representative sample across different socioeconomic and cultural backgrounds.
Instrument for Data Collection
Data were collected using a structured, self-administered questionnaire titled “Attitudes, Perceptions, and Sociocultural Influences on Postinor Use.” The instrument was developed based on existing literature and tailored to the local sociocultural context.
The questionnaire comprised eight sections:
Items in Sections B–G were measured on a 5-point Likert scale ranging from 1 (Strongly Disagree) to 5 (Strongly Agree). The questionnaire was written in English, with on-the-spot clarification provided in local dialects where necessary.
Validity of the Instrument
Content and face validity were established through expert review by professionals in public health, reproductive health, and social sciences. The questionnaire was assessed for clarity, cultural relevance, and comprehensiveness. Necessary modifications were made based on feedback to ensure that the instrument accurately captured the constructs under study.
Reliability of the Instrument
A pilot study was conducted among 30 women in a nearby community outside the study area. Internal consistency of the questionnaire was assessed using Cronbach’s alpha. The overall reliability coefficient was ≥0.70, indicating acceptable internal consistency across the different domains.
Data Collection Procedure
Data collection was carried out over a period of 4–6 weeks by trained research assistants. Participants were approached in selected locations and provided with information about the study. After obtaining informed consent, questionnaires were administered and completed either independently or with assistance where necessary. Privacy and confidentiality were strictly maintained throughout the process.
Variables and Measurement
Independent variables: Socio-demographic characteristics (age, education, marital status, religion, occupation, ethnicity)
Dependent variables: Attitudes, perceptions, sociocultural influences, stigma, and trust in healthcare providers regarding Postinor use
Domain scores were computed by summing responses within each section:
Negatively worded items were reverse-scored prior to analysis to ensure consistency.
Data Analysis
Data were entered and analyzed using the Statistical Package for Social Sciences (SPSS) version 25. Descriptive statistics such as frequencies, percentages, means, and standard deviations were used to summarize the data. Inferential statistics, including chi-square tests, independent t-tests, and analysis of variance (ANOVA), were used to assess associations between variables. Logistic regression analysis was conducted to identify predictors of Postinor use and related attitudes. Statistical significance was set at p < 0.05.
Ethical Considerations
Participation was voluntary, and informed consent was obtained from all respondents. Participants were assured of confidentiality and anonymity, and no identifying information was collected. They were also informed of their right to withdraw from the study at any stage without any consequences.
Limitations of the Method
As a cross-sectional study relying on self-reported data, there is a possibility of recall bias and social desirability bias, especially given the sensitive nature of contraceptive use. However, anonymity and confidentiality measures were emphasized to minimize these effects.
The socio-demographic profile of respondents shows a relatively young population, with the largest proportion aged 25–29 years (25.9%), followed by 20–24 years (22.9%) as presented in Table 1. Most respondents were single (44.8%) or married (39.7%), and a substantial proportion had attained tertiary education (42.1%), with students (29.9%) and self-employed individuals (22.9%) forming the largest occupational groups. Christianity was the dominant religion (71.5%) (Table 1).
Attitudes toward Postinor use were generally positive (Table 2). A majority agreed or strongly agreed that Postinor is acceptable (60.3%), felt comfortable using it (57.1%), and would recommend it to a friend (61.6%). Similarly, 57.6% considered its use as responsible behavior, although preference over other contraceptive methods was less pronounced, with 46.4% expressing agreement.
Perceptions of safety and side effects varied (Table 3). While 51.8% agreed that Postinor is safe, a higher proportion believed that frequent use is harmful (62.9%). Concerns about long-term effects (51.7%) and general side effects (62.4%) were also notable. However, trust in healthcare information was relatively high, with 68.8% expressing agreement.
Moral and religious concerns showed mixed responses (Table 4). Although a considerable proportion disagreed that religion discourages use (42.7%) or that it is morally wrong (46.1%), some respondents still expressed agreement with these views. Feelings of guilt and cultural influence were also reported, with about one-third of respondents agreeing with these concerns. Additionally, 47.8?lieved that Postinor use could encourage promiscuity.
Regarding partner and peer influence (Table 5), most respondents reported no partner influence (65.6%), yet over half indicated willingness to use Postinor if suggested by a partner (57.1%). Peer-related factors were also evident, with 44.5?knowledging friends’ influence and 37.6% reporting peer pressure, while 52.8% were open to discussing Postinor with friends.
Stigma associated with Postinor use was prominent (Table 6). A majority reported that stigma exists (61.6%) and that users are judged (65.9%). Over half felt embarrassed (50.4%) or would hide usage (54.1%), while 46.9% indicated that stigma could prevent use.
In terms of healthcare engagement (Table 7), most respondents preferred consulting healthcare providers (60.8%) and expressed trust in pharmacists (68.3%). However, 39.7% still preferred self-medication, and 31.5% trusted friends more than professionals, while 63.2% were comfortable discussing Postinor use with healthcare professionals.
Experience with Postinor use was relatively high (Table 8), with 65.6% reporting prior use. Among users, the most common frequency was 2–3 times (37.4%), and pharmacies were the primary source (46.1%), followed by patent medicine stores (29.9%).
Chi-square analysis revealed statistically significant associations between age and Postinor use, education and attitude, marital status and usage, and religion and moral concerns (Table 9). However, occupation was not significantly associated with self-medication.
Correlation analysis indicated a moderate positive relationship between attitude and usage (r = 0.48), and a positive relationship with safety perception (r = 0.36) (Table 10). In contrast, moral concerns (r = -0.42) and stigma (r = -0.39) showed negative correlations with usage, while partner influence (r = 0.29) and trust in healthcare (r = 0.33) demonstrated positive relationships.
Logistic regression analysis identified age (20–29 years), tertiary education, positive attitude, and partner influence as significant predictors of Postinor use, while high stigma reduced the likelihood of use (Table 11).
| Variable | Frequency (n = 375) | Percentage (%) |
| Age Group | ||
| 15–19 years | 42 | 11.2 |
| 20–24 years | 86 | 22.9 |
| 25–29 years | 97 | 25.9 |
| 30–34 years | 63 | 16.8 |
| 35–39 years | 41 | 10.9 |
| 40–44 years | 28 | 7.5 |
| 45–49 years | 18 | 4.8 |
| Marital Status | ||
| Single | 168 | 44.8 |
| Married | 149 | 39.7 |
| Cohabiting | 29 | 7.7 |
| Divorced/Separated | 17 | 4.5 |
| Widowed | 12 | 3.2 |
| Educational Level | ||
| No formal education | 21 | 5.6 |
| Primary | 54 | 14.4 |
| Secondary | 142 | 37.9 |
| Tertiary | 158 | 42.1 |
| Occupation | ||
| Student | 112 | 29.9 |
| Unemployed | 47 | 12.5 |
| Self-employed | 86 | 22.9 |
| Civil servant | 51 | 13.6 |
| Private sector | 62 | 16.5 |
| Other | 17 | 4.5 |
| Religion | ||
| Christianity | 268 | 71.5 |
| Islam | 89 | 23.7 |
| Traditional | 11 | 2.9 |
| Other | 7 | 1.9 |
Table 1: Socio-Demographic Characteristics of Respondents (n = 375)
| Variable | Frequency (n) | Percentage (%) |
| Postinor is acceptable | ||
| Strongly Disagree | 36 | 9.6 |
| Disagree | 52 | 13.9 |
| Neutral | 61 | 16.3 |
| Agree | 124 | 33.1 |
| Strongly Agree | 102 | 27.2 |
| Comfortable using Postinor | ||
| Strongly Disagree | 41 | 10.9 |
| Disagree | 57 | 15.2 |
| Neutral | 63 | 16.8 |
| Agree | 118 | 31.5 |
| Strongly Agree | 96 | 25.6 |
| Would recommend to a friend | ||
| Strongly Disagree | 29 | 7.7 |
| Disagree | 48 | 12.8 |
| Neutral | 67 | 17.9 |
| Agree | 131 | 34.9 |
| Strongly Agree | 100 | 26.7 |
| Represents responsible behavior | ||
| Strongly Disagree | 33 | 8.8 |
| Disagree | 54 | 14.4 |
| Neutral | 72 | 19.2 |
| Agree | 119 | 31.7 |
| Strongly Agree | 97 | 25.9 |
| Preference over other methods | ||
| Strongly Disagree | 58 | 15.5 |
| Disagree | 74 | 19.7 |
| Neutral | 69 | 18.4 |
| Agree | 104 | 27.7 |
| Strongly Agree | 70 | 18.7 |
Table 2: Attitudes Toward Postinor Use
| Variable | Frequency (n) | Percentage (%) |
| Postinor is safe | ||
| Strongly Disagree | 44 | 11.7 |
| Disagree | 66 | 17.6 |
| Neutral | 71 | 18.9 |
| Agree | 112 | 29.9 |
| Strongly Agree | 82 | 21.9 |
| Frequent use is harmful | ||
| Strongly Disagree | 28 | 7.5 |
| Disagree | 49 | 13.1 |
| Neutral | 62 | 16.5 |
| Agree | 134 | 35.7 |
| Strongly Agree | 102 | 27.2 |
| Causes long-term effects | ||
| Strongly Disagree | 35 | 9.3 |
| Disagree | 58 | 15.5 |
| Neutral | 88 | 23.5 |
| Agree | 117 | 31.2 |
| Strongly Agree | 77 | 20.5 |
| Concern about side effects | ||
| Strongly Disagree | 26 | 6.9 |
| Disagree | 51 | 13.6 |
| Neutral | 64 | 17.1 |
| Agree | 138 | 36.8 |
| Strongly Agree | 96 | 25.6 |
| Trust healthcare information | ||
| Strongly Disagree | 21 | 5.6 |
| Disagree | 39 | 10.4 |
| Neutral | 57 | 15.2 |
| Agree | 142 | 37.9 |
| Strongly Agree | 116 | 30.9 |
Table 3: Perceived Safety and Side Effects
| Variable | Frequency (n) | Percentage (%) |
| Religion discourages use | ||
| Strongly Disagree | 72 | 19.2 |
| Disagree | 88 | 23.5 |
| Neutral | 63 | 16.8 |
| Agree | 94 | 25.1 |
| Strongly Agree | 58 | 15.5 |
| Morally wrong | ||
| Strongly Disagree | 81 | 21.6 |
| Disagree | 92 | 24.5 |
| Neutral | 66 | 17.6 |
| Agree | 82 | 21.9 |
| Strongly Agree | 54 | 14.4 |
| Feeling of guilt | ||
| Strongly Disagree | 76 | 20.3 |
| Disagree | 95 | 25.3 |
| Neutral | 61 | 16.3 |
| Agree | 89 | 23.7 |
| Strongly Agree | 54 | 14.4 |
| Cultural influence | ||
| Strongly Disagree | 61 | 16.3 |
| Disagree | 79 | 21.1 |
| Neutral | 68 | 18.1 |
| Agree | 110 | 29.3 |
| Strongly Agree | 57 | 15.2 |
| Encourages promiscuity | ||
| Strongly Disagree | 52 | 13.9 |
| Disagree | 73 | 19.5 |
| Neutral | 71 | 18.9 |
| Agree | 112 | 29.9 |
| Strongly Agree | 67 | 17.9 |
Table 4: Moral and Religious Concerns
| Variable | Frequency (n) | Percentage (%) |
| Partner influence | 129 | 34.4 |
| No partner influence | 246 | 65.6 |
| Would use if partner suggests | 214 | 57.1 |
| Friends influence views | 167 | 44.5 |
| Peer pressure present | 141 | 37.6 |
| Open discussion with friends | 198 | 52.8 |
Table 5: Partner Influence and Peer Pressure
| Variable | Frequency (n) | Percentage (%) |
| Stigma exists | 231 | 61.6 |
| Feel embarrassed | 189 | 50.4 |
| Users are judged | 247 | 65.9 |
| Would hide usage | 203 | 54.1 |
| Stigma prevents use | 176 | 46.9 |
Table 6: Stigma Associated with Postinor Use (n = 375)
| Variable | Frequency (n) | Percentage (%) |
| Prefer consulting healthcare provider | 228 | 60.8 |
| Trust pharmacists | 256 | 68.3 |
| Prefer self-medication | 149 | 39.7 |
| Trust friends more than professionals | 118 | 31.5 |
| Comfortable discussing with professionals | 237 | 63.2 |
Table 7: Trust in Healthcare vs Self-Medication (n = 375)
| Variable | Frequency (n) | Percentage (%) |
| Ever used Postinor | ||
| Yes | 246 | 65.6 |
| No | 129 | 34.4 |
| Frequency of use (n = 246) | ||
| Once | 74 | 30.1 |
| 2–3 times | 92 | 37.4 |
| 4–5 times | 51 | 20.7 |
| >5 times | 29 | 11.8 |
| Source of Postinor | ||
| Pharmacy | 173 | 46.1 |
| Patent medicine store | 112 | 29.9 |
| Hospital/Clinic | 54 | 14.4 |
| Friends | 21 | 5.6 |
| Others | 15 | 4.0 |
Table 8: Experience with Postinor Use (n = 375)
| Variables Compared | χ² Value | df | p-value | Interpretation |
| Age vs Postinor use | 13.84 | 6 | 0.031 | Significant |
| Education vs Attitude | 21.57 | 9 | 0.010 | Significant |
| Marital status vs Usage | 11.26 | 4 | 0.024 | Significant |
| Religion vs Moral concerns | 18.92 | 8 | 0.015 | Significant |
| Occupation vs Self-medication | 9.77 | 5 | 0.082 | Not significant |
Table 9: Chi-Square Analysis of Key Associations
| Variables | r-value | p-value | Interpretation |
| Attitude vs Usage | 0.48 | <0.001 | Moderate positive |
| Safety perception vs Usage | 0.36 | <0.001 | Positive |
| Moral concerns vs Usage | -0.42 | <0.001 | Moderate negative |
| Stigma vs Usage | -0.39 | <0.001 | Negative |
| Partner influence vs Usage | 0.29 | 0.002 | Weak positive |
| Trust in healthcare vs Usage | 0.33 | <0.001 | Positive |
Table 10: Correlation Analysis of Key Variables
| Variable | AOR | 95% CI | p-value | Interpretation |
| Age (20–29) | 1.82 | 1.15–2.89 | 0.011 | Significant predictor |
| Tertiary education | 2.14 | 1.33–3.45 | 0.002 | Strong predictor |
| Positive attitude | 2.76 | 1.84–4.12 | <0.001 | Highly significant |
| High stigma | 0.61 | 0.40–0.92 | 0.019 | Reduces likelihood |
| Partner influence | 1.57 | 1.02–2.41 | 0.041 | Significant |
Table 11: Logistic Regression Analysis (Predictors of Postinor Use)
Emergency contraception remains a critical component of reproductive health, yet its uptake is often shaped by complex social, cultural, and personal beliefs. Postinor is widely used in Nigeria, but attitudes toward its use are still influenced by stigma, moral concerns, and misinformation. Understanding these dynamics is essential for improving access and informed decision-making among women of reproductive age. This study examined the attitudes, perceptions, and sociocultural influences affecting the use of Postinor among women in Aba, Abia State, Nigeria.
The findings from this study provide a nuanced and contextually grounded understanding of how women in Abia State perceive and use Postinor as an emergency contraceptive. What emerges is a complex interaction between knowledge, personal attitudes, sociocultural expectations, and structural factors such as access to healthcare and information. When situated within the broader body of evidence from Nigeria and sub-Saharan Africa, these results both reinforce existing patterns and offer deeper insight into evolving reproductive health behaviors.
The socio-demographic profile of respondents shows that the majority were within the 20–29-year age group and had at least secondary or tertiary education. This aligns with earlier Nigerian studies where young, educated women constitute the primary users and potential users of emergency contraception. For instance, research among female undergraduates in Eastern Nigeria reported relatively high awareness but lower actual use of emergency contraception, especially among younger women [11]. Similarly, a scoping review across sub-Saharan Africa noted that awareness tends to be higher among educated and urban populations, although this does not always translate into consistent utilization [12]. The current study’s higher usage rate (65.6%) compared to earlier reports suggests a gradual shift toward increased acceptance and access, possibly reflecting improved availability of Postinor in pharmacies and patent medicine stores.
Attitudinal findings in this study indicate that a substantial proportion of respondents consider Postinor acceptable, feel comfortable using it, and would recommend it to others. This generally positive disposition is consistent with findings from the Niger Delta region, where adolescents demonstrated favorable attitudes toward emergency contraceptive pills despite low utilization rates [8]. However, the presence of a considerable neutral and negative response segment in the current study suggests that ambivalence still exists. Earlier studies have attributed such ambivalence to misinformation, fear of side effects, and moral hesitation [11]. The moderate positive correlation between attitude and usage (r = 0.48) further reinforces the central role of perception in shaping contraceptive behavior.
Perceptions of safety and side effects in this study reveal a mixed picture. While a fair proportion of respondents believe that Postinor is safe, there is also widespread concern about frequent use and potential long-term effects. This mirrors findings from previous Nigerian studies where fear of infertility, hormonal imbalance, and long-term reproductive harm significantly limited the uptake of emergency contraception [11]. Qualitative evidence has also shown that misconceptions about modern contraceptives often drive individuals toward ineffective or unsafe alternatives, including unverified concoctions [7]. The current study’s findings therefore highlight that, although trust in healthcare information is relatively high, persistent myths about safety continue to shape behavior.
Moral and religious concerns remain an important dimension of contraceptive decision-making. In this study, a notable proportion of respondents indicated that religion discourages the use of Postinor, and some viewed it as morally wrong or associated with guilt. This is consistent with broader evidence across sub-Saharan Africa, where cultural and religious beliefs significantly influence reproductive health choices [12]. The significant association between religion and moral concerns in this study further supports this link. At the same time, the fact that a larger proportion of respondents disagreed with these moral objections suggests a gradual shift toward more pragmatic attitudes, especially among younger and more educated women.
The role of interpersonal dynamics is also evident. Although most respondents reported no direct partner influence, more than half indicated willingness to use Postinor if suggested by a partner, and a considerable proportion acknowledged peer influence. This reflects findings from earlier studies where peer networks were major sources of information and behavioral influence regarding contraceptive use [11]. The weak but significant positive correlation between partner influence and usage (r = 0.29) in this study suggests that while individual autonomy is increasing, social relationships still play a meaningful role in decision-making.
Stigma emerges as a critical barrier in this study. A majority of respondents acknowledged the existence of stigma, with many indicating embarrassment, fear of judgment, and a tendency to conceal use. This aligns strongly with prior research in Nigeria, where stigma surrounding sexual activity and contraceptive use, especially among unmarried women, has been consistently reported as a major deterrent [8]. The negative correlation between stigma and usage (r = -0.39) and its significant effect in reducing likelihood of use in the regression model reinforce the idea that social judgment remains a powerful constraint, even in the presence of adequate knowledge and availability.
The findings on healthcare trust and self-medication provide additional insight into health-seeking behavior. While most respondents preferred consulting healthcare providers and expressed trust in pharmacists, a substantial proportion still engaged in self-medication. This dual pattern reflects earlier observations that pharmacies and informal drug outlets are often the primary sources of emergency contraception in Nigeria due to accessibility and perceived confidentiality [12]. The significant positive correlation between trust in healthcare and usage suggests that strengthening professional guidance could further improve safe and appropriate use.
Experience with Postinor use in this study shows relatively high prevalence, with most users reporting repeated use. This contrasts with earlier studies where utilization rates were considerably lower despite high awareness [11]. The dominant role of pharmacies and patent medicine stores as sources of the drug is also consistent with previous findings, reflecting the over-the-counter availability of Postinor and the preference for discreet access [7]. However, repeated use raises concerns about potential misuse and reinforces the need for better education on appropriate use and alternative contraceptive methods.
The inferential analysis further strengthens the study’s conclusions. Significant associations between age, education, marital status, and Postinor use are in line with existing literature that identifies these variables as key determinants of contraceptive behavior. The logistic regression results, particularly the strong predictive effect of positive attitude and tertiary education, are consistent with broader evidence that education enhances both awareness and autonomy in reproductive health decisions [12]. Conversely, the negative impact of stigma highlights the persistent influence of sociocultural barriers.
The findings from this study suggest that while awareness and acceptance of Postinor are improving in Abia State, utilization is still shaped by a delicate balance of knowledge, personal beliefs, social influences, and structural factors. Compared to earlier studies in Nigeria, there is clear evidence of progress, particularly in terms of increased use and more favorable attitudes. However, persistent misconceptions, stigma, and moral concerns continue to limit optimal use. Addressing these challenges will require culturally sensitive health education, strengthened healthcare engagement, and community-level interventions that normalize informed and responsible contraceptive use.
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Dear Grace Pierce, Editorial Coordinator of Journal of Clinical Research and Reports, Thank you for the speedy and efficient peer review process. I appreciate the fact that your peer reviewers do not take months to respond like with some other journals. I would also like to thank the editorial office for responding quickly to my questions. It is an excellent journal. I plan to submit more manuscripts in the future. Best wishes from, Robert W. McGee
Dear Grace Pierce, Editorial Coordinator of Journal of Clinical Research and Reports, Working with you and your team on our recent publication in JCRR has been a truly wonderful and enjoyable experience. The responses were prompt, and the reviewers were patient, constructive, and highly professional. One reviewer in particular gave me the feeling that a professor was carefully reading and commenting on my coursework, which was deeply touching. The entire process was straightforward and hassle‑free, with no tedious online forms to complete. I highly recommend this journal. Best wishes from, DR Aibing Rao, Head of R&D
I Appreciate the Opportunity to Share my Experience with the Journal of Clinical Research and Reports. The peer review process was timely and constructive, and the feedback provided helped improve the quality of our manuscript. The editorial office was professional, responsive, and supportive throughout the process, ensuring smooth communication and efficient handling of the submission. Overall, it was a positive experience collaborating with your team.
Dear Mercy Grace, Editorial Coordinator of Obstetrics Gynecology and Reproductive Sciences, We would like to express our gratitude for your help at all stages of publishing and editing the article. The editors of the magazine answer all the necessary questions and help at every stage. We will definitely continue to cooperate and publish other works in the Obstetrics Gynecology and Reproductive Sciences! Best wishes from, Alla Konstantinovna Politova,
Dear Maria Emerson, Editorial Coordinator of International Journal of Clinical Case Reports and Reviews, What distinguishes International Journal of Clinical Case Report and Review is not only the scientific rigor of its publications, but the intellectual climate in which research is evaluated. The submission process is refreshingly free of unnecessary formal barriers and bureaucratic rituals that often complicate academic publishing without adding real value. The peer-review system is demanding yet constructive, guided by genuine scientific dialogue rather than hierarchical or authoritarian attitudes. Reviewers act as collaborators in improving the manuscript, not as gatekeepers imposing arbitrary standards. This journal offers a rare balance: high methodological standards combined with a respectful, transparent, and supportive editorial approach. In an era where publishing can feel more burdensome than research itself, this platform restores the original purpose of peer review — to refine ideas, not to obstruct them Prof. Perlat Kapisyzi, FCCP PULMONOLOGIST AND THORACIC IMAGING.
Dear Reader: We have published several articles in the Auctores Publishing, LLC, journal, Clinical Medical Reviews and Reports in recent years (CMRR). This is an ‘open access’ journal and the following are our observations. From the initial invitation to submit an article, to the final edits of galley proofs, we have found CMRR personnel to be professional, responsive, rapid and thorough. This entire process begins with Catherine Mitchell, Editorial Coordinator. She is simply outstanding, and, I believe, unparalleled in her capacity. I cannot imagine a more responsive and dedicated Editorial Coordinator. As I read the dates and timing of her correspondence with us, it seems that she never sleeps. I hope Auctores Publishing, LLC, appreciates her efforts as much as these authors do. Thank you to Auctores Publishing, LLC, to the Editorial Staff/Board, and to Catherine Mitchell from a grateful author(s).
Dear Maria Emerson, Editorial Coordinator of - Journal of Clinical Research and Reports. ''I am pleased to provide this testimonial following the publication of our recent case report in this journal. The peer review process was rigorous, constructive, thorough, and conducted in a timely manner. The reviewers’ comments were thoughtful, detailed, and highly constructive, contributing substantially to the refinement, clarity, and scientific robustness of our manuscript. The process was conducted with professionalism and academic integrity throughout. The support provided by the editorial office was exemplary. Communication was consistently prompt, clear, and courteous at all stages of the submission and publication process. The editorial team demonstrated a high level of organization and responsiveness, ensuring that all queries were addressed efficiently and that the process remained transparent and well-coordinated. The overall quality of the journal is reflected in its strong editorial standards, commitment to scientific excellence, and dedication to publishing clinically meaningful research. It has been a privilege to publish our work in this journal, and we would welcome the opportunity to contribute further in the future.'' Best wishes from, Dr. Efstratios Trogkanis, Cardiologist.
Dear Grace Pierce, Editorial Coordinator of the journal IJCCR, I had a very positive experience with Auctores - Journal throughout the publication process. The Editorial Team was highly responsive, professional, and supportive at every stage. I would like to extend my sincere thanks to the Editor: Grace Pierce, for her guidance and assistance. The peer-review process was smooth and constructive, helping improve the quality of my work. I would gladly recommend Auctores Journal to fellow researchers and authors. Dr. SABITA SINHA, Medical Oncologist, MD (Electro Homeopathy).
Dear Mayra Duenas, Editorial Coordinator of the journal IJCCR, I write here a little on my experience as an author submitting to the International Journal of Clinical Case Reports and Reviews (IJCCR). This was my first submission to IJCCR and my manuscript was inherently an outsider’s effort. It attempted to broadly identify and then make some sense of life’s under-appreciated mysteries. I initially had responded to a request for possible submissions. I then contacted IJCCR with a tentative topic for a manuscript. They quickly got back with an approval for the submission, but with a particular requirement that it be medically relevant. I then put together a manuscript and submitted it. After the usual back-and-forth over forms and formality, the manuscript was sent off for reviews. Within 2 weeks I got back 4 reviews which were both helpful and also surprising. Surprising in that the topic was somewhat foreign to medical literature. My subsequent updates in response to the reviewer comments went smoothly and in short order I had a series of proofs to evaluate. All in all, the whole publication process seemed outstanding. It was both helpful in terms of the paper’s content and also in terms of its efficient and friendly communications. Thank you all very much. Sincerely, Ted Christopher, Rochester, NY.
International Journal of Clinical Case Reports and Reviews is a high quality journal that has a clear and concise submission process. The peer review process was comprehensive and constructive. Support from the editorial office was excellent, since the administrative staff were responsive. The journal provides a fast and timely publication timeline.
Dear Cecilia Lilly, Editorial Coordinator, Endocrinology and Disorders, Thank you so much for your quick response regarding reviewing and all process till publishing our manuscript entitled: Prevalence of Pre-Diabetes and its Associated Risk Factors Among Nile College Students, Sudan. Best regards, Dr Mamoun Magzoub.
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. I am really grateful for the peers review; their feedback gave me the opportunity to reflect on the message and impact of my work and to ameliorate the article. The editors did a great job in addition by encouraging me to continue with the process of publishing.
Dear Mayra Duenas, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews Herewith I confirm an optimal peer review process and a great support of the editorial office of the present journal
Dear Maria Emerson, Editorial Coordinator of ‘International Journal of Clinical Case Reports and Reviews’, I appreciate the opportunity to publish my article with your journal. The editorial office provided clear communication during the submission and review process, and I found the overall experience professional and constructive. Best regards, Elena Salvatore.
Dear Editorial Team, Journal-Clinical Cardiology and Cardiovascular Interventions, “Publishing my article with Clinical Cardiology and Cardiovascular Interventions has been a highly positive experience. The peer-review process was rigorous yet supportive, offering valuable feedback that strengthened my work. The editorial team demonstrated exceptional professionalism, prompt communication, and a genuine commitment to maintaining the highest scientific standards. I am very pleased with the publication quality and proud to be associated with such a reputable journal.” Warm regards, Dr. Mahmoud Kamal Moustafa Ahmed
Dear Editorial Team, Clinical Cardiology and Cardiovascular Interventions. It was truly a rewarding experience to work with the journal “Clinical Cardiology and Cardiovascular Interventions”. The peer review process was insightful and encouraging, helping us refine our work to a higher standard. The editorial office offered exceptional support with prompt and thoughtful communication. I highly value the journal’s role in promoting scientific advancement and am honored to be part of it. Best regards, Meng-Jou Lee, MD, Department of Anesthesiology, National Taiwan University Hospital.
Dear Maria Emerson, Editorial Coordinator, Journal of Clinical Research and Reports. Thank you for publishing our case report: "Clinical Case of Effective Fetal Stem Cells Treatment in a Patient with Autism Spectrum Disorder" within the "Journal of Clinical Research and Reports" being submitted by the team of EmCell doctors from Kyiv, Ukraine. We much appreciate a professional and transparent peer-review process from Auctores. All research Doctors are so grateful to your Editorial Office and Auctores Publishing support! I amiably wish our article publication maintained a top quality of your International Scientific Journal. My best wishes for a prosperity of the Journal of Clinical Research and Reports. Hope our scientific relationship and cooperation will remain long lasting. Thank you very much indeed. Kind regards, Dr. Andriy Sinelnyk Cell Therapy Center EmCell
I recommend without hesitation submitting relevant papers on medical decision making to the International Journal of Clinical Case Reports and Reviews. I am very grateful to the editorial staff. Maria Emerson was a pleasure to communicate with. The time from submission to publication was an extremely short 3 weeks. The editorial staff submitted the paper to three reviewers. Two of the reviewers commented positively on the value of publishing the paper. The editorial staff quickly recognized the third reviewer’s comments as an unjust attempt to reject the paper. I revised the paper as recommended by the first two reviewers.
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation. “The peer review process was efficient and constructive, and the editorial office provided excellent communication and support throughout. The journal ensures scientific rigor and high editorial standards, while also offering a smooth and timely publication process. We sincerely appreciate the work of the editorial team in facilitating the dissemination of innovative approaches such as the Bonori Method.” Best regards, Dr. Matteo Bonori.
Dear Maria Emerson, Editorial Coordinator, we have deeply appreciated the professionalism demonstrated by the International Journal of Clinical Case Reports and Reviews. The reviewers have extensive knowledge of our field and have been very efficient and fast in supporting the process. I am really looking forward to further collaboration. Thanks. Best regards, Dr. Claudio Ligresti
Dear Ms. Mayra Duenas, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. “The International Journal of Clinical Case Reports and Reviews represented the “ideal house” to share with the research community a first experience with the use of the Simeox device for speech rehabilitation. High scientific reputation and attractive website communication were first determinants for the selection of this Journal, and the following submission process exceeded expectations: fast but highly professional peer review, great support by the editorial office, elegant graphic layout. Exactly what a dynamic research team - also composed by allied professionals - needs!" From, Chiara Beccaluva, PT - Italy.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, Auctores Publishing LLC, USA Office: +1-(302)-520-2644. I would like to express my sincere appreciation for the efficient and professional handling of my case report by the ‘Journal of Clinical Case Reports and Studies’. The peer review process was not only fast but also highly constructive—the reviewers’ comments were clear, relevant, and greatly helped me improve the quality and clarity of my manuscript. I also received excellent support from the editorial office throughout the process. Communication was smooth and timely, and I felt well guided at every stage, from submission to publication. The overall quality and rigor of the journal are truly commendable. I am pleased to have published my work with Journal of Clinical Case Reports and Studies, and I look forward to future opportunities for collaboration. Sincerely, Aline Tollet, UCLouvain.
Dear Chrystine Mejia, Editorial Coordinator, Journal of Neurodegeneration and Neurorehabilitation, Auctores Publishing LLC, We would like to thank the editorial team for the smooth and high-quality communication leading up to the publication of our article in the Journal of Neurodegeneration and Neurorehabilitation. The reviewers have extensive knowledge in the field, and their relevant questions helped to add value to our publication. Kind regards, Dr. Ravi Shrivastava.
Dear Clarissa Eric, Editorial Coordinator, Journal of Clinical Case Reports and Studies, I would like to express my deep admiration for the exceptional professionalism demonstrated by your journal. I am thoroughly impressed by the speed of the editorial process, the substantive and insightful reviews, and the meticulous preparation of the manuscript for publication. Additionally, I greatly appreciate the courteous and immediate responses from your editorial office to all my inquiries. Best Regards, Dariusz Ziora
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. Thank you for publishing our article, Exploring Clozapine's Efficacy in Managing Aggression: A Multiple Single-Case Study in Forensic Psychiatry in the international journal of clinical case reports and reviews. We found the peer review process very professional and efficient. The comments were constructive, and the whole process was efficient. On behalf of the co-authors, I would like to thank you for publishing this article. With regards, Dr. Jelle R. Lettinga.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. The peer review process of the journal of Clinical Cardiology and Cardiovascular Interventions was excellent and fast, as was the support of the editorial office and the quality of the journal. Kind regards Walter F. Riesen Prof. Dr. Dr. h.c. Walter F. Riesen.
Dear Erin Aust, Editorial Coordinator, Journal of General Medicine and Clinical Practice. We are pleased to share our experience with the “Journal of General Medicine and Clinical Practice”, following the successful publication of our article. The peer review process was thorough and constructive, helping to improve the clarity and quality of the manuscript. We are especially thankful to Ms. Erin Aust, the Editorial Coordinator, for her prompt communication and continuous support throughout the process. Her professionalism ensured a smooth and efficient publication experience. The journal upholds high editorial standards, and we highly recommend it to fellow researchers seeking a credible platform for their work. Best wishes By, Dr. Rakhi Mishra.
Dr Hala Al Shaikh This is to acknowledge that the peer review process for the article ’ A Novel Gnrh1 Gene Mutation in Four Omani Male Siblings, Presentation and Management ’ sent to the International Journal of Clinical Case Reports and Reviews was quick and smooth. The editorial office was prompt with easy communication.
Dear Agrippa Hilda, Editorial Coordinator, Journal of Neuroscience and Neurological Surgery. The entire process including article submission, review, revision, and publication was extremely easy. The journal editor was prompt and helpful, and the reviewers contributed to the quality of the paper. Thank you so much! Eric Nussbaum, MD
Dear Ashley Rosa, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews. Many thanks for publishing this manuscript after I lost confidence the editors were most helpful, more than other journals Best wishes from, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Maria Emerson, Editorial Coordinator, International Journal of Clinical Case Reports and Reviews, Auctores Publishing LLC. I am delighted to have published our manuscript, "Acute Colonic Pseudo-Obstruction (ACPO): A rare but serious complication following caesarean section." I want to thank the editorial team, especially Maria Emerson, for their prompt review of the manuscript, quick responses to queries, and overall support. Yours sincerely Dr. Victor Olagundoye.
Dear Jessica Magne, Editorial Coordinator, Clinical Cardiology and Cardiovascular Interventions, Auctores Publishing LLC. I appreciate the journal (JCCI) editorial office support, the entire team leads were always ready to help, not only on technical front but also on thorough process. Also, I should thank dear reviewers’ attention to detail and creative approach to teach me and bring new insights by their comments. Surely, more discussions and introduction of other hemodynamic devices would provide better prevention and management of shock states. Your efforts and dedication in presenting educational materials in this journal are commendable. Best wishes from, Farahnaz Fallahian.
Dear Ashley Rosa, Editorial Coordinator of the journal - Psychology and Mental Health Care. " The process of obtaining publication of my article in the Psychology and Mental Health Journal was positive in all areas. The peer review process resulted in a number of valuable comments, the editorial process was collaborative and timely, and the quality of this journal has been quickly noticed, resulting in alternative journals contacting me to publish with them." Warm regards, Susan Anne Smith, PhD. Australian Breastfeeding Association.
Dear Jessica, and the super professional team of the ‘Clinical Cardiology and Cardiovascular Interventions’ I am sincerely grateful to the coordinated work of the journal team for the no problem with the submission of my manuscript: “Cardiometabolic Disorders in A Pregnant Woman with Severe Preeclampsia on the Background of Morbid Obesity (Case Report).” The review process by 5 experts was fast, and the comments were professional, which made it more specific and academic, and the process of publication and presentation of the article was excellent. I recommend that my colleagues publish articles in this journal, and I am interested in further scientific cooperation. Sincerely and best wishes, Dr. Oleg Golyanovskiy.
To Dear Erin Aust – Editorial Coordinator of Journal of General Medicine and Clinical Practice! I declare that I am absolutely satisfied with your work carried out with great competence in following the manuscript during the various stages from its receipt, during the revision process to the final acceptance for publication. Thank Prof. Elvira Farina
My article, titled 'No Way Out of the Smartphone Epidemic Without Considering the Insights of Brain Research,' has been republished in the International Journal of Clinical Case Reports and Reviews. The review process was seamless and professional, with the editors being both friendly and supportive. I am deeply grateful for their efforts.
We found the peer review process quick and positive in its input. The support from the editorial officer has been very agile, always with the intention of improving the article and taking into account our subsequent corrections.
Dear Jessica Magne, with gratitude for the joint work. Fast process of receiving and processing the submitted scientific materials in “Clinical Cardiology and Cardiovascular Interventions”. High level of competence of the editors with clear and correct recommendations and ideas for enriching the article.
I thank the ‘Journal of Clinical Research and Reports’ for accepting this article for publication. This is a rigorously peer reviewed journal which is on all major global scientific data bases. I note the review process was prompt, thorough and professionally critical. It gave us an insight into a number of important scientific/statistical issues. The review prompted us to review the relevant literature again and look at the limitations of the study. The peer reviewers were open, clear in the instructions and the editorial team was very prompt in their communication. This journal certainly publishes quality research articles. I would recommend the journal for any future publications.
"I am grateful for the opportunity of contributing to [International Journal of Clinical Case Reports and Reviews] and for the rigorous review process that enhances the quality of research published in your esteemed journal. I sincerely appreciate the time and effort of your team who have dedicatedly helped me in improvising changes and modifying my manuscript. The insightful comments and constructive feedback provided have been invaluable in refining and strengthening my work".
To Dear Erin Aust, I would like to express my heartfelt appreciation for the opportunity to have my work published in this esteemed journal. The entire publication process was smooth and well-organized, and I am extremely satisfied with the final result. The Editorial Team demonstrated the utmost professionalism, providing prompt and insightful feedback throughout the review process. Their clear communication and constructive suggestions were invaluable in enhancing my manuscript, and their meticulous attention to detail and dedication to quality are truly commendable. Additionally, the support from the Editorial Office was exceptional. From the initial submission to the final publication, I was guided through every step of the process with great care and professionalism. The team's responsiveness and assistance made the entire experience both easy and stress-free. I am also deeply impressed by the quality and reputation of the journal. It is an honor to have my research featured in such a respected publication, and I am confident that it will make a meaningful contribution to the field.
I would like to express my sincere gratitude for the support and efficiency provided by the editorial office throughout the publication process of my article, “Delayed Vulvar Metastases from Rectal Carcinoma: A Case Report.” I greatly appreciate the assistance and guidance I received from your team, which made the entire process smooth and efficient. The peer review process was thorough and constructive, contributing to the overall quality of the final article. I am very grateful for the high level of professionalism and commitment shown by the editorial staff, and I look forward to maintaining a long-term collaboration with the International Journal of Clinical Case Reports and Reviews.
Dear Agrippa Hilda- Editorial Coordinator of Journal of Neuroscience and Neurological Surgery, "The peer review process was very quick and of high quality, which can also be seen in the articles in the journal. The collaboration with the editorial office was very good."
I would like to offer my testimony in the support. I have received through the peer review process and support the editorial office where they are to support young authors like me, encourage them to publish their work in your esteemed journals, and globalize and share knowledge globally. I really appreciate your journal, peer review, and editorial office.
My experience publishing in International Journal of Clinical Case Reports and Reviews was exceptional. I Come forth to Provide a Testimonial Covering the Peer Review Process and the editorial office for the Professional and Impartial Evaluation of the Manuscript.
My experience publishing in Psychology and Mental Health Care was exceptional. The peer review process was rigorous and constructive, with reviewers providing valuable insights that helped enhance the quality of our work. The editorial team was highly supportive and responsive, making the submission process smooth and efficient. The journal's commitment to high standards and academic rigor makes it a respected platform for quality research. I am grateful for the opportunity to publish in such a reputable journal.
My Testimonial Covering as fellowing: Lin-Show Chin. The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews.
Dealing with The Journal of Neurology and Neurological Surgery was very smooth and comprehensive. The office staff took time to address my needs and the response from editors and the office was prompt and fair. I certainly hope to publish with this journal again.Their professionalism is apparent and more than satisfactory. Susan Weiner
Dear Editorial Coordinator of the Journal of Nutrition and Food Processing! "I would like to thank the Journal of Nutrition and Food Processing for including and publishing my article. The peer review process was very quick, movement and precise. The Editorial Board has done an extremely conscientious job with much help, valuable comments and advices. I find the journal very valuable from a professional point of view, thank you very much for allowing me to be part of it and I would like to participate in the future!”
Dear Monica Gissare, - Editorial Coordinator of Nutrition and Food Processing. ¨My testimony with you is truly professional, with a positive response regarding the follow-up of the article and its review, you took into account my qualities and the importance of the topic¨.
Dear Dr. Jessica Magne, Editorial Coordinator 0f Clinical Cardiology and Cardiovascular Interventions, I hope this message finds you well. I want to express my utmost gratitude for your excellent work and for the dedication and speed in the publication process of my article titled "Navigating Innovation: Qualitative Insights on Using Technology for Health Education in Acute Coronary Syndrome Patients." I am very satisfied with the peer review process, the support from the editorial office, and the quality of the journal. I hope we can maintain our scientific relationship in the long term.
Clinical Cardiology and Cardiovascular Interventions, I would like to express my sincerest gratitude for the trust placed in our team for the publication in your journal. It has been a true pleasure to collaborate with you on this project. I am pleased to inform you that both the peer review process and the attention from the editorial coordination have been excellent. Your team has worked with dedication and professionalism to ensure that your publication meets the highest standards of quality. We are confident that this collaboration will result in mutual success, and we are eager to see the fruits of this shared effort.
The peer reviewers process is quick and effective, the supports from editorial office is excellent, the quality of journal is high. I would like to collabroate with Internatioanl journal of Clinical Case Reports and Reviews journal clinically in the future time.
Clinical Cardiology and Cardiovascular Interventions, we deeply appreciate the interest shown in our work and its publication. It has been a true pleasure to collaborate with you. The peer review process, as well as the support provided by the editorial office, have been exceptional, and the quality of the journal is very high, which was a determining factor in our decision to publish with you.
Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.
Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.
“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.
Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.
I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.
I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.
I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.
We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.
I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.
"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".
I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!
Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.
Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.
International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.
Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.
As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.
Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.
This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.
Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.
Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.
Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.
Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.
Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.
The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.
We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.
Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.
Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.
Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.
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