Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Review Article Volume 2 Issue 1

Reproductive Health Standards in Sub-Saharan Africa: A Critical Overview of Policy and Administrative Gaps by Acheoah Ofeh Augustine, International Relations Analyst, University of Lagos, Nigeria

Acheoah Ofeh Augustine*

Department of Political Science, University of Lagos, Nigeria

*Corresponding Author: Acheoah Ofeh Augustine, Department of Political Science, University of Lagos, Nigeria.

Received: November 04, 2019; Published: December 27, 2019

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Abstract

  This paper attempts a discursive perspective on reproductive health challenges in Sub-Saharan Africa, particularly on how it affects Maternal Mortality Prevalence (MMP), the availability of safe contraceptive medications, the prevailing trends on forced and under-age marriages as well as how poverty and low income economic statuses of many households serve to endanger the lives of thousands of expectant mothers as well as infants in their first five years after birth. The paper concludes that there are non-medical and non-scientific perspectives to the challenges to accessing quality reproductive health by millions of women in Sub-Saharan Africa. Among these extra-medical factors are cultural, religious and social climates (Wars and Armed conflicts) manifestly in sexual violence, forceful pregnancy, genital mutilation and abuse, unconsented marriages among many. The paper concludes that while inter- governmental partnership is required to address the challenges of poor reproductive health, International non-governmental Organizations and NGOs should be concerted to forge a unified focus on the campaign for effective reproductive health care delivery in sub-Saharan Africa.

  More than 300 million of Africa’s 730 million ‘projected births through 2030 will not be attended by skilled health personnel. 65 per cent of women with an unintended pregnancy were as a result of non-use of contraceptive or reliance on traditional methods (Such as withdrawal or Calendar-based method)-(WHO 2019). About 3,192 000 children who survive their first month of life after birth die before their fifth birthday accounting for half of global maternal and child death (13000 deaths per year). Furthermore, Faith-based Organizations and Traditional Institutions that are the repositories of traditional and cultural values of most African societies should be co-opted in the campaign against cultural practices and religious beliefs that endanger the reproductive health of today’s African women and girls. On the national fronts, the governments of African states should increase budgetary allocations to health sector for healthy citizens make up healthy nations.

Keywords: Maternal Mortality Prevalence; Reproductive Health; Budgetary Allocations; Faith-based Organizations; Sub-Saharan Africa; INGOs; NGOs; Extra-Medical Factors; Repositories

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References

  1. Africa Progress Report. “From Agenda to Action: Turning Resources into Results for the People” (2010).
  2. Bizuneh G, Shiferaw S, and Melkamu Y. Unmet Need and Evaluation of Program Options to Meet Unmet Need for Contraception in Ethiopia, 2000-2005: Further Analysis of the 2000 and 2005.
  3. Bryce J and Reguejo JH. “Tracking Progress in Maternal and Child Survival”. New York UNICEF (2010).
  4. Clara Pons Duran, IS Global , Andrew Dabalem and Ambar Marayan, Poverty and Equality Global Practice, (2018).
  5. DHS Analytical Studies No. 48. Rockville, Maryland, USA: ICF International. 
  6. Emhart P and Humuza J. Community-Based Distribution of Injectable Contraceptives in Rwanda: An Intervention to Reverse Rural Disadvantage. Washington, DC: Futures Group, Health Policy Initiative Task Order 1 (2010).
  7. Ethiopia Demographic and Health Surveys: Calverton, Maryland: Macro International Inc., (2008).
  8. Gwathin DR., et al. Socio-Economic Differences in Health, Nutrition, and Population within Developing Countries. Washington World Bank (2007).
  9. http://www.measuredhs.com/pubs/pdf/AS25/AS25[12June2012].pdf
  10. http://www.unfpa.org/public/home/publications/pid/
  11. https://dhsprogram.com/pubs/pdf/AS48/AS48.pd
  12. https://www.google.com/search?q=WHO+REPORT+on+Repriductive+health+survey+in+Sub--Sahara+Africa&aqs=chrome..69i57.45263j1j4&sourceid=chrome&ie=UTF-8
  13. https://www.google.com/search?q=WHO+REPORT+on+Repriductive+health+survey+in+Sub
  14. Mekonnen Y, Bradley S, Malkin M, and WHO, World Malaria Report 2015 (2015). 
  15. https://www.mondaqr.com/Nigeria/x/714318/fiscal+Monetary+policy/Highlighs+of+Nigeria+208+Approaved+Budget
  16. Nyirongo M and Akhter H. “Management Sciences for Health. Malawi: A Scale-up Case Study for Community-Based Access to Injectable Contraceptives, Presentation”. International Conference on Family Planning, 2011, Dakar, Senegal, Abstract (2010).
  17. Rapid Assessment of Adolescent Sexual Reproductive Health Programs, Services, and Policy Issues in Rwanda, Kigali, Rwanda: Ministry of Health (2012).
  18. Religion and Reproductive Behavior in Sub-Saharan Africa DHS. Analytical Studies No. 48 by Charles F. West off, Office of Population Research, Princeton University, Princeton (2015).
  19. Republic of Malawi National Sexual and Reproductive Health and Rights (SRHR) Policy, Ministry of Health. August (2009).              
  20. Rwanda Community Health Desk, Department of Maternal and Child Health, Ministry of Health, “Introducing Community-Based Provision of Family Planning Services in Rwanda: A Process Evaluation of the First Six Months of Implementation” Kigali, Rwanda: Ministry of Health (2012).
  21. Solo J. Family Planning in Rwanda: How a Taboo Topic Became Priority Number One. Chapel Hill, UNFPA, Girlhood, not motherhood preventing adolescent pregnancy (2015).
  22. UNICEF State of the World’s Children 2010. New York; UNICEF (2010).
  23. United Nations. “Goal 3”, Sustainable Development”, Knowledge Platform (2016).
  24. United Nations. “The Global Strategy for Women’s, Children’s and Adolescents’ Health”. (2016-2030). Survive thrive transform (2015).
  25. United Nations. Transforming our world: the 2030 agenda for sustainable development (2015).
  26. Westoff Charles F and Kristin Bietsch. “Religion and Reproductive Behaviors in Sub-Saharan Africa” (2015).
  27. WHO, UNICEF and UNFPA. “Maternal Mortality in 1995: estimates developed, by WHO UNICEF and UNFPA, Geneva: World Health Organization (2004).
  28. WHO. Universal health coverage, (UHC). Fact sheet N°395 (2016).
  29. WHO. WHO policy brief for the implementation of intermittent preventive treatment of malaria in pregnancy April 2013 (revised January 2014). WHO Department for Maternal, Newborn, Child Adolescent Health (2014).
  30. WHO. Intermittent preventive treatment in pregnancy (IPTp) (2015).
  31. World Bank Group, UNFPA, World Health Organization, UN Population Division…Trends in Maternal Mortality: 1990 to 2015: 32.
  32. World Health Department of Health Statistics and Information System, State of Inequality, Reproductive, Maternal, Newborns and Child Health (2015).
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Citation

Citation: Acheoah Ofeh Augustine. “Reproductive Health Standards in Sub-Saharan Africa: A Critical Overview of Policy and Administrative Gaps by Acheoah Ofeh Augustine, International Relations Analyst, University of Lagos, Nigeria”. Acta Scientific Women's Health 2.1 (2020): 29-36.




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