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SASOG Confrence Papers: Sexual and Reproductive Health in Sub-Saharan Africa: An Overview

Iqbal H. Shah(1),


(1) UNDP/UNFPA/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction, World Health Organization, 20, Ave. Appia, 1211 Geneva 27,
Corresponding Author

Abstract


In spite of some decline in fertility and an increasing use of contraceptives, most countries in sub-Saharan Africa face major impediments to improving sexual and reproductive health. Much of the region is characterized by persistent high levels of fertility, maternal mortality, and unmet need for family planning and HIV/STD prevention. Concerted actions are urgently needed to tackle poor sexual and reproductive health. By identifying people’s needs and perspectives, research can greatly facilitate the development of appropriate services and policies, especially in settings with limited resources that strive to achieve results most cost-effectively. (Afr J Reprod Health 1998;2(2):98—1 07)

KEY WORDS: Reproductive health dimensions, sub-Saha ran Africa, levels, trends


References


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United Nations, forthcoming. Levels and trends of contraceptive use as assessed in 1994. New York: United Nations.

Westoff CF, Bankole A. Unmet Need: 1990—1994. DHS Comparative Studies No. 15. Calverton, Maryland: Macro International Inc., 1995.

World Health Organization. Abortion: A tabulation of available data on the frequency and mortality of unsafe abortion. 3rd Edition, Geneva: World Health Organization, 1998.

World Health Organization, United Nations Children’s Fund (UNICEF). Revised 1990 estimates of maternal mortality: a new approach by WHO and UNICEF, Geneva: World Health Organization, 1996.

UNAIDS. Global Report on AIDS. Geneva: UNAIDS, 1997.

Blanc AK, Way AA. Sexual behaviour and contraceptive knowledge and use among adolescents in developing countries. Stud Fam Plann 1998;29(2): 106—16.

Adetunji JA. Unintended childbearing in developing countries: Levels, trends, and determinants. DHS Analytical Reports No. 8. Calverton, Maryland: Macro International Inc., 1998.

United Nations. World Population Prospects: The 1994 Revision. New York: United Nations, 1995.

World Health Organization. Weekly Epidemiological Record l997;72(27):197—204.


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