Strengthening local capacity for abortion-related research in contexts with highly restrictive abortion laws: The case of STARS in Mali

Samba Sow, Chimaraoke Izugbara, Kounandji Diarra, Mahamane Djiteye, Adama M. Keita, Fadima C. Haidara, Heather Marlow, Erin Leasure, Owen Martell, Camilla Ducker

Abstract

Strong local abortion research capacity is missing in many African countries. We report on the Strengthening Abortion Research Capacity in sub-Saharan Africa (STARS) program, an ongoing initiative to strengthen local capacity for abortion research in Mali, West Africa. We highlight the background, context, and methodology of the initiative as well as its achievements, challenges, and emerging lessons. Within a short time, STARS has initiated some key studies on abortion in Mali and created a much-needed platform for nurturing the country’s next generation of abortion researchers, institutionalizing abortion research, increasing the quantity and quality of locally generated evidence on abortion, and facilitating evidence-informed abortion policy and programmatic action. The program’s learning-by-doing approach has boosted the skills of individual researchers while also enhancing institutionbased abortion and sexual and reproductive health and rights (SRHR) research expertise in Mali. Although STARS’ capacity to deliver its mandate over time is evident, ultimate results will depend on the sustained commitment of funders to the program in the full realization that capacity building requires long-term investment and support for it to fully bear fruits. (Afr J Reprod Health 2022; 26[12s]: 110-118).

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References

World Health Organization. Regional Office for the Western

Pacific. Sustainable development goals (SDGs) : Goal

Target 3.7 [Internet]. 2016; Manila. Available from:

http://iris.wpro.who.int/handle/10665.1/12879

Izugbara C, Wekesah FM, Sebany M, Echoka E, Amo-Adjei

J and Muga W. Availability, accessibility, and

utilization of post-abortion care in sub-Saharan

Africa: a systematic review. Health Care Women Int.

;41(7):732–60.

Bankole A, Remez L, Owolabi O, Philbin J and Williams P.

From unsafe to safe abortion in Sub-Saharan Africa:

Slow but steady progress. Guttmacher Institute, NY.;

Gebremedhin M, Semahegn A, Usmael T and Tesfaye G.

Unsafe abortion and associated factors among

reproductive aged women in Sub-Saharan Africa: a

protocol for a systematic review and meta-analysis.

Syst Rev. 2018;7(1):1–5.

Izugbara C, Sebany M, Wekesah F and Ushie B. “The SDGs

are not God”: Policy‐makers and the queering of the

Sustainable Development Goals in Africa. Dev Policy

Rev. 2022;40(2):e12558.

Naude CE, Zani B, Ongolo-Zogo P, Wiysonge CS, Dudley L,

Kredo T, Garner P and Young T. "Research evidence

and policy: qualitative study in selected provinces in

South Africa and Cameroon". Implement Sci.

;10(1):1–10.

Izugbara CO, Kabiru CW, Amendah D, Dimbuene ZT,

Donfouet HPP, Atake E, Ingabire M, Maluka S

Mumah J, Mwau M, Ndinya M, Ngure K, Sidze, EM,

Susa C, Soura A and Ezeh AC. “It takes more than a

fellowship program”: reflections on capacity

strengthening for health systems research in subSaharan Africa. BMC Health Serv Res. 2017;17(2):1–

Izugbara CO and Krassen C E. Research on women’s health

in Africa: issues, challenges, and opportunities.

Health Care Women Int. 2014;35(7–9):697–702.

Debarre A. Hard to reach: providing healthcare in armed

conflict. International Peace Institute.; 2018.

Fadima CH, Keita AM, Ducker C, Diarra K, Djiteye M,

Marlow H, Martell O, Izugbara C and Sow S.

Provision and uptake of sexual and reproductive

health services during the COVID-19 pandemic: the

case of Mali. Bamako and Washington, DC: CVD,

Mali and ICRW; 2021.

Cone D and Lamarche A. A Crisis of Care: Sexual and

Reproductive Health Competes for Attention Amid

Conflict and Displacement in Mali [Internet]. Refugee

International; 2021. Available from:

https://www.refugeesinternational.org/reports/2021/4

/13/a-crisis-of-care-sexual-and-reproductive-healthcompetes-for-attention-amid-conflict-anddisplacement-in-mali

World Health Organization. Trends in maternal mortality

to 2017: estimates by WHO, UNICEF, UNFPA,

World Bank Group and the United Nations Population

Division. 2019;

Sidibe AM, Kadetz PI and Hesketh T. Factors impacting

family planning use in Mali and Senegal. Int J Environ

Res Public Health. 2020;17(12):4399.

Track20, FP2020. Mali: FP2020 2019 Core Indicators 1-9

Country Fact Sheet [Internet]. Family Planning 2020

and Track20; 2019. Available from:

http://www.track20.org/download/pdf/2019%201-

%20Handouts/english/Mali%202019%201-

%20Handout.pdf

Martinez KH and Fontus M. Reproductive Rights of Young

Girls and Adolescents in Mali: A Shadow Report

[Internet]. The Center for Reproductive Law and

Policy, NY; 1999. Available from:

http://reproductiverights.org/sites/default/files/docum

ents/sr_mali_0999_eng.pdf

Dowd C and Raleigh C. The myth of global Islamic terrorism

and local conflict in Mali and the Sahel. Afr Aff.

;112(448):498–509.

Diarra M. Mali : Nouvelles réformes du système de santé :

Les soins de santé primaires, curatifs et préventifs désormais gratuits. Le Pays [Internet]. 2019;

Available from: https://lepays.ml/

International Center for Research on Women (ICRW).

ICRW: Our history and work [Internet].

https://www.icrw.org. 2022 [cited 2022 May 27].

Available from: https://www.icrw.org/icrw-ourhistory/

Etter GW and Collison H. Are Attacks Against Abortion

Providers Acts of Domestic Terrorism?: A Three-Box

Operational Sub-Theory of Merton’s Anomie. In:

Police Behavior, Hiring, and Crime Fighting.

Routledge; 2021. p. 253–69.

Jacobson M and Royer H. Aftershocks: The impact of clinic

violence on abortion services. Am Econ J Appl Econ.

;3(1):189–223.

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