Category Archives: International Journal in Management Research and Social Science (IJMRSS)

Evidence-Based Management of Obstetric Emergencies Clinical Protocols, Systems Strengthening, Simulation Training and Outcome Optimisation

Author
Dr. Rashmi Saxena, Sudha Gautam, Dr. Arun Kumar
Keywords
Obstetric Emergencies; Emergency Obstetric Care (Emoc); Postpartum Haemorrhage; Eclampsia, Maternal Sepsis; Decision-To-Delivery Interval; Simulation-Based Training; Obstetric Safety Bundles; Interprofessional Collaboration; Quality Improvement; Early Warning Systems; Maternal Mortality Reduction
Abstract
Obstetric emergencies remain leading causes of maternal and neonatal morbidity and mortality globally, with the greatest burden in low-resource, high-volume settings. Effective modern management depends on rapid recognition, evidence-based response protocols, interdisciplinary coordination, and competency-based training programmes. This manuscript synthesises current evidence-based practices in management of major obstetric emergencies—postpartum haemorrhage, hypertensive crises with eclampsia, sepsis, obstructed labour, amniotic fluid embolism, and maternal cardiac arrest—incorporating findings from randomised controlled trials, systems research, simulation-based training studies, and implementation science. Methods of analysis include assessment of maternal stabilisation protocols, decision-to-delivery time optimisation, emergency obstetric care infrastructure, and team-based competency models. Evidence demonstrates that structured emergency response systems, strict implementation of clinical bundles, and simulation-based training dramatically reduce maternal complications and improve neonatal outcomes. Findings highlight the critical role of systems-level readiness, interprofessional teamwork, and data-driven quality improvement in strengthening obstetric safety. Achieving universal maternal health goals requires an integrated, evidence-based framework demanding sustained investment in research, policy, and obstetric education.
References
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[22] Rathi, R., Chadha, L., & Grover, A. (2025). Fostering Expertise: Assessing the Impact of a Competency-based Program on Obstetric Emergency Management among Staff Nurses. Bharati Vidyapeeth Medical Journal, 5(1), 44–50.
[23] To, W. W. (2011). Training in emergency obstetric skills: is it evidence-based? Hong Kong Medical Journal, 17(2), 141.
[24] Vettriselvan, R., & Anto, M. R. (2018). Pathetic health status and working condition of Zambian women. Indian Journal of Public Health Research & Development, 9(9), 259–264.
[25] Vettriselvan, R., Ramya, R., Selvalakshmi, V., Jyothi, P., & Velmurugan, P. R. (2026). Empowering Patients through Knowledge: Educational Strategies in Rehabilitation. In Holistic Approaches to Health Recovery (pp. 263–290). IGI Global.


Received : 29 January 2026
Accepted : 25 March 2026
Published : 31 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.1313

Emerging Trends in Gynecologic Oncology Care Precision Medicine, Technological Innovation, Health Equity and Workforce Transformation

Author
Dr. Mandvi Tarun, R. Jayapriya, Dr. Nidhi Tyagi
Keywords
Gynecologic Oncology; Precision Medicine; Targeted Therapy; Immunotherapy; Artificial Intelligence; Minimally Invasive Surgery; Surgical De-Escalation; Telemedicine; Health Equity; Workforce Sustainability; Value-Based Care; Cancer Disparities.
Abstract
Gynecologic oncology is undergoing transformative evolution driven by developments in molecular medicine, artificial intelligence integration, surgical innovation, telehealth expansion, and global health equity efforts. Advances in early detection models, biomarker-based targeted therapies, immunotherapy modalities, minimally invasive surgery, and surgical de-escalation have revolutionised the treatment paradigm for ovarian, cervical, and endometrial cancers. Simultaneously, demographic changes, workforce sustainability concerns, fundamental healthcare organisation challenges, and systemic inequalities are reshaping care delivery models. This paper synthesises emerging trends infiltrating gynecologic oncology in an evidence-based and holistic manner, incorporating diagnostic innovation, precision therapeutics, digital health, and surgical advances while addressing contemporary issues of workforce sustainability and global inequity. The analysis identifies precision oncology, AI-based diagnostics, telemedicine integration, multidisciplinary care, and equity-based systems as key pillars of contemporary gynecologic cancer care. Sustained interdisciplinary cooperation, policy innovation, and strategic infrastructure investment are identified as prerequisites for translating technological advances into equitable, sustainable, and patient-centric outcomes.
References
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[4] Devi, M., Manokaran, D., Sehgal, R. K., Shariff, S. A., & Vettriselvan, R. (2025). Precision Medicine, Personalized Treatment, and Network-Driven Innovations: Transforming Healthcare With AI. In AI for Large Scale Communication Networks (pp. 303–322). IGI Global.
[5] Di Fiore, R., Suleiman, S., Ellul, B., O’toole, S. A., Savona-Ventura, C., Felix, A., & Calleja-Agius, J. (2021). GYNOCARE update: modern strategies to improve diagnosis and treatment of rare gynecologic tumors. Cancers, 13(3), 493.
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Received : 29 January 2026
Accepted : 25 March 2026
Published : 31 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.1314

Comprehensive Sexuality Education, Teenage Pregnancy, and Digital Health Promotion: Evidence from Secondary Schools in Luampa District, Zambia

Author
Kunda Kelvin, Dr.Sumathi K. Sripathi
Keywords
Comprehensive Sexuality Education; Teenage Pregnancy; Adolescent Health; Zambia; Digital Health Promotion; Sexual Health Literacy.
Abstract
Teenage pregnancy remains one of the most significant obstacles to girls’ educational participation and completion in sub-Saharan Africa, with Zambia recording among the highest adolescent fertility rates in the region. Comprehensive Sexuality Education (CSE) has been identified globally as an evidence-based intervention for reducing teenage pregnancy rates, delaying sexual debut, and increasing contraceptive knowledge and use among adolescents. This article examines the effectiveness of CSE programmes in two secondary schools in Luampa District, Zambia, situating local findings within global scholarship on digital health promotion, AI-driven health literacy platforms, and adolescent reproductive health. Findings reveal that CSE, where effectively implemented, significantly improves adolescent sexual health knowledge, attitudes, and decision-making; however, implementation is constrained by teacher embarrassment, parental resistance, inadequate training, and limited integration of digital health resources. The study argues that AI-powered digital health literacy platforms, mobile-based peer education tools, and blockchain-enabled health record management offer promising complements to conventional CSE delivery. Policy recommendations are offered.
References
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Received : 29 January 2026
Accepted : 25 March 2026
Published : 31 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.1316

Lifespan Approaches to Women’s Health Integrating Biological Transitions, Social Determinants and Precision Care Across the Life Course

Author
Dr. Venu Gupta, Anita Rani, Dr. Rashmi Sharma
Keywords
Lifespan Women’s Health; Life Course Epidemiology; Preventive Healthcare; Reproductive Transitions; Menopause; Healthy Ageing; Social Determinants Of Health; Precision Medicine; Digital Health Integration; Gender Equity; Chronic Disease Prevention; Women’s Health Policy.
Abstract
A lifespan approach to women’s health redefines clinical and public health practice, repositioning care from episodic, reproductive-centred models toward longitudinal, equity-based, prevention-oriented frameworks. Biological transitions including puberty, reproductive maturation, pregnancy, menopause, and ageing combine with cumulative psychosocial, environmental, occupational, and structural exposures to shape long-term health trajectories. This paper synthesises current evidence of women’s health from early development through older adulthood, drawing on life-course epidemiology, sex and gender-specific biomedical research, pharmacotherapeutic evidence, and social determinants models. Key domains examined include reproductive health, mental health, bone and cardiometabolic health, chronic disease prevention, nutrition, occupational health, digital transformation, and longevity science. Key findings demonstrate how early-life exposures relate to mid and later-life functioning, how structural inequalities compound health risks over decades, and how well-timed interventions at key developmental stages can maximise lifelong wellbeing. The paper concludes that interdisciplinary integration, precision medicine, digital engagement strategies, and equity-based policy reform are essential for comprehensive women’s healthcare optimisation throughout life.
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Received : 29 January 2026
Accepted : 25 March 2026
Published : 31 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.1315

Subject Specialisation in Lower Primary Grades: Academic Outcomes, Teacher Competence, and Digital Learning in Senanga District, Zambia

Author
Kwalombota Mulima, Dr. Siyumbwa Costa
Keywords
Subject Specialisation; Primary Education; Lower Grades; Zambia, Senanga District; AI In Education; Digital Curriculum; Instructional Quality.
Abstract
Subject specialisation the assignment of primary school teachers to specific subject areas rather than the conventional generalist class teaching approach has attracted growing scholarly and policy attention as a potential lever for improving instructional quality and learner outcomes in primary education. This article examines the effects of subject specialisation in lower primary grades (Grades 1–4) in four selected primary schools in Senanga District, Zambia, contextualising local findings within global scholarship on AI-powered personalised learning, digital curriculum design, and instructional specialisation. Evidence from a mixed-methods descriptive survey reveals that subject specialisation improves teacher subject knowledge confidence and instructional depth, but raises concerns about relationship continuity, transition management, and equity of subject attention in resource-constrained settings. The study argues that AI-driven adaptive curriculum platforms offer a complementary technological pathway for achieving personalised, subject-specific instruction without sacrificing the relational continuity that young primary learners require. Policy implications and recommendations are offered
References
[1] Akila, V., Prabhu, G., Akila, R., & Swadhi, R. (2025). Performance metrics in blockchain-enabled AIML for cognitive IoT in large-scale networks. In AI for large scale communication networks (pp. 265–288). IGI Global Scientific Publishing.
[2] Arockia, V. J., Vettriselvan, R., Rajesh, D., Velmurugan, P. R. R., & Cheelo, C. (2025). Leveraging AI and learning analytics for enhanced distance learning. In AI and learning analytics in distance learning (pp. 179–206). IGI Global Scientific Publishing.
[3] Ashifa, K. M. (2019). Developmental initiatives for persons with disabilities. Indian Journal of Public Health Research & Development, 10(12), 1257–1261.
[4] Ashifa, K. M. (2022). A situation analysis of the social well-being of elderly during the COVID-19 pandemic. International Journal of Health Sciences, 6(3), 10156–10163.
[5] Devi, M., Manokaran, D., Sehgal, R. K., Shariff, S. A., & Vettriselvan, R. (2025). Precision medicine, personalized treatment, and network-driven innovations. In AI for large scale communication networks (pp. 303–322). IGI Global.
[6] Elkin, N., Mohammed, A. K., Kılınçel, Ş., Soydan, A. M., Tanrıver, S. Ç., Çelik, Ş., & Ranganathan, M. (2025). Mental health literacy and happiness among university students. Frontiers in Psychiatry, 16, 1541316.
[7] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025a). Striking a balance: Mental health challenges and work-life integration among women faculty in Indian B-Schools. Texila International Journal of Public Health, 13(2).
[8] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025b). Strategic role of human resource management in enhancing occupational health and safety practices. Texila International Journal of Public Health, 13(2).
[9] Kariveliparambil, A., Rasi, R. A., Ahmad, M. S., Öztaş, N., & Ayan, F. S. (2026a). Evolving social capital in indigenous communities. Journal of Social Service Research, 52(1), 147–166.
[10] Kariveliparambil, A., R A, R., Ahmad, M. S., Ramesh, S., & Kuriakose, A. (2026b). Invisible burdens of platform work. International Journal of Qualitative Studies on Health and Well-Being, 21(1).
[11] Kombo, D. K., & Tromp, D. L. A. (2014). Proposal and thesis writing: An introduction. Paulines Publications Africa.
[12] Mohanbabu, S., & Vettriselvan, R. (2025a). Focusing supply chain and container terminal challenges. International Journal of Procurement Management, 24(1), 92–114.
[13] Mohanbabu, S., & Vettriselvan, R. (2025b). Will machine learning resolve the issues in container management. International Journal of Process Management and Benchmarking, 20(4), 559–575.
[14] Orodho, J. A., & Kombo, D. K. (2012). Research methods. Kenyatta University Press.
[15] Rajeswari, M., Rohini, V., Sathya Aarthi, R., Rameshkumaar, V. P., & Arul Krishnan, S. (2026). Blockchain 2.0 for secure, transparent, and autonomous logistics systems. In R. Vettriselvan & N. Suresh (Eds.), Intelligent motion control for human-centered systems (pp. 233–258). IGI Global Scientific Publishing.
[16] Ranganathan, M., Jacob, A., Ashifa, K. M., Kumar, G. J., Anthony, M., Vijay, M., & Kumari, R. B. (2024). An investigation of the effects of chronic stress on attention in parents of children with neurodevelopmental disorders. Universal Journal of Public Health, 12(1), 37–50.
[17] Swadhi, R., Gayathri, K., Suresh, N. V., Catherine, S., & Velmurugan, P. R. (2025a). Leveraging machine learning for enhanced patient engagement and outcomes. In Impact of digital transformation on business growth and performance (pp. 313–340). IGI Global Scientific Publishing.
[18] Swadhi, R., Velmurugan, P. R., Gayathri, K., & Catherine, S. (2025b). Evolving critical themes in advanced human resource management. In Critical aspects in advanced human resource management (pp. 75–102). IGI Global Scientific Publishing.
[19] Vasantha, S., Swadhi, R., Gayathri, K., Selvalakshmi, V., & UmaDevi, A. (2025). Fostering personalized learning and achieving equity in education. In Transforming education with AI-powered personalized learning (pp. 201–236). IGI Global Scientific Publishing.
[20] Venice, J. A., Arivazhagan, D., Suman, N., Shanthi, H. J., & Swadhi, R. (2025a). Recommendation systems and content personalization. In AI for large scale communication networks (pp. 323–348). IGI Global Scientific Publishing.
[21] Venice, J. A., Vettriselvan, R., Jain, S., Madusudanan, K., & Aarthy, C. C. J. (2025b). Performance evaluation and metrics in blockchain powered AI/ML. In Transforming education with AI-powered personalized learning (pp. 143–178). IGI Global Scientific Publishing.
[22] Venice, J. A., Vettriselvan, R., Rajesh, D., Suresh, N. V., & Abirami, P. (2025c). Enabling personalized learning and adaptive systems through strategic management. In Bridging academia and industry through cloud integration in education (pp. 49–72). IGI Global Scientific Publishing.
[23] Venice, J. A., Vettriselvan, R., Rajesh, D., Xavier, P., & Shanthi, H. J. (2025d). Optimizing performance metrics in blockchain-enabled AI/ML data analytics. In Enhancing automated decision-making through AI (pp. 97–122). IGI Global.
[24] Venice, J. A. A., Muthuraman, M., Kant, S., & Mittal, S. (2026). Community engagement effect on school leadership through digital volunteerism. In Strengthening community engagement and school leadership through digital volunteerism (pp. 85–114). IGI Global Scientific Publishing.
[25] Vettriselvan, R. (2025). Harnessing innovation and digital marketing in the era of industry 5.0. In The future of small business in industry 5.0 (pp. 163–186). IGI Global.
[26] Vettriselvan, R., & Anto, M. R. (2018). Pathetic health status and working condition of Zambian women. Indian Journal of Public Health Research & Development, 9(9), 259–264.
[27] Vettriselvan, R., & Rajan FSA, A. J. (2019). Occupational health issues faced by women in spinners. Indian Journal of Public Health Research & Development, 10(1).
[28] Vettriselvan, R., Deepan, A., Jaiswani, G., Balakrishnan, A., & Sakthivel, R. (2025a). Health consequences of early marriage. In Social, political, and health implications of early marriage (pp. 189–212). IGI Global.
[29] Vettriselvan, R., Velmurugan, P. R., Varshney, K. R., EP, J., & Deepika, R. (2025b). Health impacts of smartphone and internet addictions across age groups. In Impacts of digital technologies across generations (pp. 187–210). IGI Global.
[30] Vettriselvan, R., Velmurugan, P. R., Suresh, N. V., & Catherine, S. (2025c). Strategies, best practices, and pitfalls in the era of digital transformation. In Impact of digital transformation on business growth and performance (pp. 67–98). IGI Global Scientific Publishing.
[31] Vettriselvan, R., Ramya, R., Selvalakshmi, V., Jyothi, P., & Velmurugan, P. R. (2026a). Empowering patients through knowledge: Educational strategies in rehabilitation. In Holistic approaches to health recovery (pp. 263–290). IGI Global Scientific Publishing.
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[33] Zahoor, H., Mustafa, N., Ashifa, K. M., Safaei, M., & El Gamil, R. (2025). Unlocking resilience: Emotional intelligence and self-leadership shape stress perception among health students. International Journal of Innovation and Learning, 38(4), 395–419.


Received : 29 January 2026
Accepted : 25 March 2026
Published : 31 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.1317

Barriers to Inclusive Education for Pupils with Disabilities in Zambia: Digital Transformation, Assistive Technology and the Path to Equitable Access

Author
Kalimukwa Masiyaleti Ruth, Dr. Siyumbwa Costa
Keywords
Inclusive Education; Pupils with Disabilities; Zambia; Assistive Technology; Digital Transformation; Educational Equity; Special Need.
Abstract
Inclusive education the principle that all learners, regardless of disability or special educational need, should be educated in mainstream school settings with appropriate support represents a globally endorsed but unevenly implemented educational ideal. In Zambia, inclusive schools in Mongu District, Western Province, face significant challenges in providing equitable access for pupils with disabilities, ranging from physical infrastructure barriers and attitudinal discrimination to teacher capacity deficits and inadequate assistive technology provision. This article examines these challenges through a descriptive survey of three selected inclusive schools, situating local findings within global scholarship on digital transformation, AI-powered assistive technologies, and disability-inclusive education policy. The study argues that strategic deployment of digital assistive technologies, inclusive AI-powered learning platforms, and community-based disability support systems offers promising pathways for advancing educational equity for pupils with disabilities in resource-constrained Zambian contexts. Policy and practice recommendations are offered.
References
[1] Akila, V., Prabhu, G., Akila, R., & Swadhi, R. (2025). Performance metrics in blockchain-enabled AIML for cognitive IoT in large-scale networks. In AI for large scale communication networks (pp. 265–288). IGI Global Scientific Publishing.
[2] Arockia, V. J., Vettriselvan, R., Rajesh, D., Velmurugan, P. R. R., & Cheelo, C. (2025). Leveraging AI and learning analytics for enhanced distance learning. In AI and learning analytics in distance learning (pp. 179–206). IGI Global Scientific Publishing.
[3] Ashifa, K. M. (2019). Developmental initiatives for persons with disabilities. Indian Journal of Public Health Research & Development, 10(12), 1257–1261.
[4] Ashifa, K. M. (2021a). Analysis on the determinants of health status among tribal communities. Journal of Cardiovascular Disease Research, 12(3), 531–534.
[5] Ashifa, K. M. (2021b). Health status of primitive tribal women in India. Journal of Cardiovascular Disease Research, 12(5), 772.
[6] Devi, M., Manokaran, D., Sehgal, R. K., Shariff, S. A., & Vettriselvan, R. (2025). Precision medicine, personalized treatment, and network-driven innovations. In AI for large scale communication networks (pp. 303–322). IGI Global.
[7] Elkin, N., Mohammed, A. K., Kılınçel, Ş., Soydan, A. M., Tanrıver, S. Ç., Çelik, Ş., & Ranganathan, M. (2025). Mental health literacy and happiness among university students. Frontiers in Psychiatry, 16, 1541316.
[8] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025a). Striking a balance: Mental health challenges and work-life integration among women faculty in Indian B-Schools. Texila International Journal of Public Health, 13(2).
[9] Gayathri, R. K., Vettriselvan, R., Rajesh, D., Balakrishnan, R., Kumar, R., & Kavitha, J. (2025b). Strategic role of human resource management in enhancing occupational health and safety practices. Texila International Journal of Public Health, 13(2).
[10] Kariveliparambil, A., Rasi, R. A., Ahmad, M. S., Öztaş, N., & Ayan, F. S. (2026a). Evolving social capital in indigenous communities. Journal of Social Service Research, 52(1), 147–166.
[11] Kariveliparambil, A., R A, R., Ahmad, M. S., Ramesh, S., & Kuriakose, A. (2026b). Invisible burdens of platform work. International Journal of Qualitative Studies on Health and Well-Being, 21(1).
[12] Kombo, D. K., & Tromp, D. L. A. (2014). Proposal and thesis writing: An introduction. Paulines Publications Africa.
[13] Meena, G., Vettriselvan, R., Rajesh, D., & Velmurugan, P. R. (2025). Diversity and inclusion: Harnessing the power of inclusivity for business success. In Security and strategy models for key-solving institutional frameworks (pp. 203–234). IGI Global Scientific Publishing.
[14] Mohanbabu, S., & Vettriselvan, R. (2025a). Focusing supply chain and container terminal challenges. International Journal of Procurement Management, 24(1), 92–114.
[15] Orodho, J. A., & Kombo, D. K. (2012). Research methods. Kenyatta University Press.
[16] Rajeswari, M., Rohini, V., Sathya Aarthi, R., Rameshkumaar, V. P., & Arul Krishnan, S. (2026). Blockchain 2.0 for secure, transparent, and autonomous logistics systems. In R. Vettriselvan & N. Suresh (Eds.), Intelligent motion control for human-centered systems (pp. 233–258). IGI Global Scientific Publishing.
[17] Ranganathan, M., Jacob, A., Ashifa, K. M., Kumar, G. J., Anthony, M., Vijay, M., & Kumari, R. B. (2024). An investigation of the effects of chronic stress on attention in parents of children with neurodevelopmental disorders. Universal Journal of Public Health, 12(1), 37–50.
[18] Rasi, R. A., & Ashifa, K. M. (2019). Role of community-based programmes for active ageing. Indian Journal of Public Health Research & Development, 10(12).
[19] Swadhi, R., Gayathri, K., Suresh, N. V., Catherine, S., & Velmurugan, P. R. (2025a). Leveraging machine learning for enhanced patient engagement and outcomes. In Impact of digital transformation on business growth and performance (pp. 313–340). IGI Global Scientific Publishing.
[20] Vasantha, S., Swadhi, R., Gayathri, K., Selvalakshmi, V., & UmaDevi, A. (2025). Fostering personalized learning and achieving equity in education. In Transforming education with AI-powered personalized learning (pp. 201–236). IGI Global Scientific Publishing.
[21] Venice, J. A., Arivazhagan, D., Suman, N., Shanthi, H. J., & Swadhi, R. (2025a). Recommendation systems and content personalization. In AI for large scale communication networks (pp. 323–348). IGI Global Scientific Publishing.
[22] Venice, J. A., Vettriselvan, R., Jain, S., Madusudanan, K., & Aarthy, C. C. J. (2025b). Performance evaluation and metrics in blockchain powered AI/ML. In Transforming education with AI-powered personalized learning (pp. 143–178). IGI Global Scientific Publishing.
[23] Venice, J. A., Vettriselvan, R., Rajesh, D., Suresh, N. V., & Abirami, P. (2025c). Enabling personalized learning and adaptive systems through strategic management. In Bridging academia and industry through cloud integration in education (pp. 49–72). IGI Global Scientific Publishing.
[24] Venice, J. A., Vettriselvan, R., Rajesh, D., Xavier, P., & Shanthi, H. J. (2025d). Optimizing performance metrics in blockchain-enabled AI/ML data analytics. In Enhancing automated decision-making through AI (pp. 97–122). IGI Global.
[25] Venice, J. A. A., Muthuraman, M., Kant, S., & Mittal, S. (2026). Community engagement effect on school leadership through digital volunteerism. In Strengthening community engagement and school leadership through digital volunteerism (pp. 85–114). IGI Global Scientific Publishing.
[26] Vettriselvan, R. (2025). Harnessing innovation and digital marketing in the era of industry 5.0. In The future of small business in industry 5.0 (pp. 163–186). IGI Global.
[27] Vettriselvan, R., & Anto, M. R. (2018). Pathetic health status and working condition of Zambian women. Indian Journal of Public Health Research & Development, 9(9), 259–264.
[28] Vettriselvan, R., & Rajan FSA, A. J. (2019). Occupational health issues faced by women in spinners. Indian Journal of Public Health Research & Development, 10(1).
[29] Vettriselvan, R., Deepan, A., Jaiswani, G., Balakrishnan, A., & Sakthivel, R. (2025a). Health consequences of early marriage. In Social, political, and health implications of early marriage (pp. 189–212). IGI Global.
[30] Vettriselvan, R., Velmurugan, P. R., Varshney, K. R., EP, J., & Deepika, R. (2025b). Health impacts of smartphone and internet addictions across age groups. In Impacts of digital technologies across generations (pp. 187–210). IGI Global.
[31] Vettriselvan, R., Velmurugan, P. R., Suresh, N. V., & Catherine, S. (2025c). Strategies, best practices, and pitfalls in the era of digital transformation. In Impact of digital transformation on business growth and performance (pp. 67–98). IGI Global Scientific Publishing.
[32] Vettriselvan, R., Selvi, K., Kumar, A. S., Ranjani, R. D., & Varshney, K. R. (2025d). Ranking methodologies: Criteria and controversies in global higher education. In Global university ranking systems: Methodologies, impact, and repercussions (pp. 109–140). IGI Global Scientific Publishing.
[33] Vettriselvan, R., Ramya, R., Selvalakshmi, V., Jyothi, P., & Velmurugan, P. R. (2026a). Empowering patients through knowledge: Educational strategies in rehabilitation. In Holistic approaches to health recovery (pp. 263–290). IGI Global Scientific Publishing.
[34] Zahoor, H., Mustafa, N., Ashifa, K. M., Safaei, M., & El Gamil, R. (2025). Unlocking resilience: Emotional intelligence and self-leadership shape stress perception among health students. International Journal of Innovation and Learning, 38(4), 395–419.


Received : 29 January 2026
Accepted : 24 March 2026
Published : 29 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.13109

Minimally Invasive Gynecologic Surgery: Outcomes and Safety- A Multicenter Analytical Evaluation of Perioperative Performance, Oncologic Integrity, and System-Level Determinants

Author
Dr. Anjali Gupta, Mohini Dhabhai, Dr. Nitin Kumar
Keywords
Minimally Invasive Gynecologic Surgery: Laparoscopy: Robotic Surgery: Gynecologic Oncolog: Enhanced Recovery; Surgical Safety; Morcellation; Perioperative Outcomes; Subspecialty Training; Quality Metrics.
Abstract
Minimally invasive gynecologic surgery (MIGS) has transformed the management of benign and malignant gynecologic conditions by reducing perioperative morbidity, shortening hospital stay, and improving recovery profiles. However, safety concerns, oncologic integrity, surgical dissemination risks, and training variability continue to generate debate. This study evaluates clinical outcomes, perioperative safety, and structural determinants influencing MIGS effectiveness using a retrospective multicenter cohort of 1,120 patients undergoing laparoscopic, robotic, single-port, or minilaparoscopic procedures. Primary endpoints included complication rate, conversion to laparotomy, length of stay (LOS), 30-day readmission, and oncologic recurrence. Logistic regression modelling identified high surgical volume (β=−0.42, p<0.001), subspecialty training (β=−0.37, p<0.001), and enhanced recovery pathway implementation (β=−0.29, p<0.01) as significant protective factors against adverse outcomes. Robotic approaches demonstrated lower conversion rates (4.8%) compared to conventional laparoscopy (7.6%, p<0.05). Morcellation-related concerns were significantly associated with unexpected malignancy dissemination risk (β=0.41, p<0.01). The final model explained 86% of variance in composite surgical outcomes (R²=0.86). Findings reinforce that MIGS offers superior perioperative safety when implemented within structured training, quality monitoring, and enhanced recovery systems.
References
[1] Abel, M. K., Kho, K. A., Walter, A., & Zaritsky, E. (2019). Measuring quality in minimally invasive gynecologic surgery: what, how, and why? Journal of Minimally Invasive Gynecology, 26(2), 321–326.
[2] Ayoub, N. L., Shin, R., Tseng, J., & Francoeur, A. A. (2025). Minimally invasive surgery in gynecologic oncology: a narrative review of controversies and clinical implications. Gynecology and Pelvic Medicine, 8.
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[5] Chapman, J. S., Roddy, E., Ueda, S., Brooks, R., Chen, L. L., & Chen, L. M. (2016). Enhanced recovery pathways for improving outcomes after minimally invasive gynecologic oncology surgery. Obstetrics & Gynecology, 128(1), 138–144.
[6] Conrad, L. B., Ramirez, P. T., Burke, W., Naumann, R. W., Ring, K. L., Munsell, M. F., & Frumovitz, M. (2015). Role of minimally invasive surgery in gynecologic oncology: an updated survey. International Journal of Gynecological Cancer, 25(6), 1121–1127.
[7] Devi, M., Manokaran, D., Sehgal, R. K., Shariff, S. A., & Vettriselvan, R. (2025). Precision Medicine, Personalized Treatment, and Network-Driven Innovations: Transforming Healthcare With AI. In AI for Large Scale Communication Networks (pp. 303–322). IGI Global.
[8] Driessen, S. R., Sandberg, E. M., Rodrigues, S. P., van Zwet, E. W., & Jansen, F. W. (2017). Identification of risk factors in minimally invasive surgery: a prospective multicenter study. Surgical Endoscopy, 31(6), 2467–2473.
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[15] Meyer, R., Schneyer, R. J., Hamilton, K. M., Levin, G., Truong, M. D., Siedhoff, M. T., & Wright, K. N. (2025). The Impact of Minimally Invasive Gynecologic Surgery Subspecialty Training on Outcomes of Benign Laparoscopic Hysterectomy: A Retrospective Cohort Study. Journal of Minimally Invasive Gynecology, 32(2), 143–150.
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[19] Shanthi, H. J., Gokulakrishnan, A., Sharma, S., Deepika, R., & Swadhi, R. (2025). Leveraging Artificial Intelligence for Enhancing Urban Health: Applications, Challenges, and Innovations. In Nexus of AI, Climatology, and Urbanism for Smart Cities (pp. 275–306). IGI Global.
[20] Stewart, K. I., & Fader, A. N. (2017). New developments in minimally invasive gynecologic oncology surgery. Clinical Obstetrics and Gynecology, 60(2), 330–348.


Received : 29 January 2026
Accepted : 24 March 2026
Published : 29 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.13110

Postpartum Mental Health Disorders Clinical and Preventive Perspectives in a Biopsychosocial and Public Health Framework

Author
Dr. Surabhi Katyal, Dr. R. Manohari Shivakumar, Dr. Shiv Kumar Gupta
Keywords
Postpartum Mental Health; Postpartum Depression; Perinatal Psychiatry; Bipolar Relapse; Social Support; Socioeconomic Vulnerability; Sleep Disruption; Maternal Mental Health Screening; Preventive Psychiatry; Biopsychosocial Framework.
Abstract
Postpartum mental health disorders (PMHDs) represent a significant and often underdiagnosed category of birth complications whose implications extend to offspring development, family stability, and long-term health. Neuroendocrine fluctuations, immune modulation, psychosocial stress, and chronic sleep deprivation collectively increase psychiatric susceptibility in the postpartum period. This study examines the epidemiology, risk factors, clinical progression, and preventive measures of postpartum depression, anxiety disorders, bipolar relapse, and postpartum psychosis using a retrospective multicentre cohort of 1,040 women evaluated within the first twelve weeks postpartum. Multivariate logistic regression identified prior psychiatric history (β=0.64, OR=3.52, p<0.001), low social support (β=0.56, OR=3.01, p<0.001), socioeconomic vulnerability (β=0.47, OR=2.59, p<0.01), obstetric complications (β=0.41, OR=2.03, p<0.01), and severe sleep disruption (β=0.38, OR=1.95, p<0.01) as key independent predictors of postpartum psychiatric morbidity (R²=0.90). Universal paediatric-integrated screening reduced untreated cases by 39% compared to obstetric-visit-only screening (p<0.001). Results reinforce that PMHDs are complex biopsychosocial disorders requiring structured early identification, interdisciplinary treatment, and policy-level reform.
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Received : 29 January 2026
Accepted : 24 March 2026
Published : 29 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.13111

Reproductive Health Challenges Across Socioeconomic Settings A Multilevel Analytical Examination of Structural Inequalities, Service Barriers, and Emerging Health System Innovations

Author
Dr. Neelima Agarwal, Ghanshyam Singh, Manish Samyal
Keywords
Reproductive Health; Socioeconomic Inequality; Adolescent Reproductive Health; Contraception Access; Rural Health Disparities; Gender Inequity; Structural Determinants; Digital Health Innovation; Reproductive Justice; Integrated Health Systems.
Abstract
Reproductive health outcomes remain profoundly shaped by socioeconomic disparities across global contexts. Despite international commitments to universal sexual and reproductive health coverage, inequalities persist in access to contraception, maternal care, adolescent reproductive services, and gynaecological care. This analytical study examines reproductive health challenges across diverse socioeconomic settings using a retrospective cross-sectional dataset of 780 women aged 15–49 years from urban, peri-urban, and rural regions. Logistic regression analysis revealed that low socioeconomic status (β=0.58, p<0.001), rural residence (β=0.44, p<0.001), and low educational attainment (β=0.49, p<0.001) significantly predicted limited reproductive healthcare utilisation. Urban inequality clusters demonstrated significant disparities in contraceptive access (β=0.36, p<0.01). Integrated service exposure reduced unmet need by 32% (p<0.01). The final model explained 84% of variance in reproductive health outcomes (R²=0.84, χ²=412.7, p<0.001). Findings underscore that reproductive health disparities are structurally embedded within socioeconomic systems, requiring multisectoral integration, digital innovation, community-based outreach, and structural reform.
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Received : 29 January 2026
Accepted : 21 March 2026
Published : 29 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.13107

Climate Change, Agricultural Disruption, and Household Welfare in Zambia: AI, Digital Innovation and Pathways to Resilience in Western Province

Author
Jwau Pelekelo, Dr.Sumathi K. Sripathi
Keywords
Climate Change; Agriculture; Household Welfare; Zambia; Western Province; Artificial Intelligence; Digital Transformation; Climate Resilience.
Abstract
Climate change poses an existential challenge to agricultural productivity and household welfare in sub-Saharan Africa, with Zambia’s Western Province including Mongu District particularly vulnerable to recurrent droughts, flooding, and erratic rainfall patterns that devastate subsistence farming livelihoods. This article examines the impact of climate change on agricultural systems and household welfare in Western Province, Zambia, contextualising local realities within global scholarship on artificial intelligence, digital transformation, and data-driven climate resilience. The study argues that AI-powered climate analytics, precision agriculture technologies, blockchain-enabled supply chain management, and community-based digital early warning systems offer promising pathways for building climate resilience in vulnerable rural communities. Evidence is drawn from a descriptive survey of households in Mongu District, supplemented by global scholarly literature. Findings confirm that climate variability significantly reduces crop yields, food security, and household income, while identifying digital technology adoption, diversified livelihoods, and social capital as key resilience resources. Policy implications for government, civil society, and international partners are discussed.
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Received : 29 January 2026
Accepted : 24 March 2026
Published : 29 March 2026
DOI: 10.30726/ijmrss/v13.i1.2026.13108