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A myriad of demand-side factors hamper childbearing women from utilizing needed skilled birth care in low and lower-middle-income countries. The objective of this scoping review is to explore the extent of evidence available on the subject matter and identify knowledge gaps in the reviewed literature. We used the Arksey and O’Malley scoping review framework as a guide for this review and conducted searches on four electronic databases: PubMed, Embase, PsycInfo and Google Scholar. Eligible studies were those published in English and French languages between 2013 and 2022 that discussed demand-side barriers to access and utilization of skilled birth care in low and lower-middle-income countries. Five themes emerged as major types of barriers influencing the utilization of skilled birth care in low and lower-middle-income countries. These were socio-economic and socio-demographic status of women; lack of access to healthcare facilities; cost of healthcare services; ineffective healthcare systems and socio-cultural/religious factors. The identified gap in the literature was the lack of studies on the influence of women’s behaviour and psychological traits as barriers to the use of skilled birth care among reviewed publications. To design effective interventions, it is important to consider all influential factors that determine the utilization of skilled birth care by women in low-resource settings.

Assessing the Impact of Sexuality and HIV/AIDS Education in AfricaEvaluer l’impact de l’éducation sexuelle et du VIH/SIDA en Afrique

Putting Women and the Girl Child at the Centre of Africa’s DevelopmentMettre les femmes et les jeunes filles au centre du développement de l’Afrique

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Nigeria has one of the highest maternal mortality ratios in the world, and most deaths occur in the northern part of the country. Concerns about the persistence of the problem prompted some Nigerian academics to partner with their American colleagues to establish a postgraduate fellowship programme that builds the capacity of Nigerian scholars across disciplines to conduct community-based research in maternal and reproductive health, as a strategy to fast-track the pursuit of the MDGs in northern Nigeria. As part of this unique, hands-on training program, several landmark operations research initiatives have been undertaken with the potential to transform the region. As a final output of the training process, the programme‘s fellows have unveiled the findings of their community-based research in this special journal edition that reflects the current state of maternal and reproductive health in rural northern Nigeria. (Afr. J. Reprod. Health 2010; 14[3]: 15-18).Key words: Reproductive Health, Millennium Development Goals, Rural, Community-based Research, Training

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Female Genital Mutilation (FGM) or the more value neutral term, Female Genital Cutting (FGC) is widely practised in northern Sudan, where around 90% of women undergo the most extensive form of FGC, infibulation. One new approach to combating FGC in Sudan is to acknowledge the previously hidden form of FGC, reinfibulation (RI) after delivery, when the woman is sewn back so much as to mimic virginity. Based on a qualitative study in Khartoum State, this article explores Sudanese women\'s and men\'s perceptions and experiences of FGC with emphasis on RI after delivery. The results showed that both genders blame each other for the continuation of the practices, and the comprehensive understanding of the perceptions and experiences was that both the women and the men in this study were victims of the consequences of FGC and RI. The female narratives could be understood in the three categories: viewing oneself as being “normal” in having undergone FGC and RI; being caught between different perspectives; and having limited influence on the practices of FGC and RI. The male narratives could be understood in the three categories: suffering from the consequences of FGC and RI, trying to counterbalance the negative sexual effects of FGC and striving in vain to change female traditions. The results indicate that the complexity of the persistence of FGC and RI goes far beyond being explained by subconscious patriarchal and maternalistic actions, related to socially constructed concepts of normality, female identity, tradition and religion in a “silent” culture between men and women. African Journal of Reproductive Health Vol. 10 (2) 2006: pp. 10-12

Along with governments from around the world, African leaders agreed at the International Conference on Population and Development (ICPD) in 1994 to address unsafe abortion as a major public health problem. At the five-year review of the ICPD, they decided further that health systems should make safe abortion services accessible for legal indications. Based on this mandate, the World Health Organization (WHO) developed norms and standards for quality abortion services, Safe Abortion: Technical and Policy Guidance for Health Systems, released in 2003. While abortion-related maternal mortality and morbidity remains very high in many African countries, stakeholders are increasingly using WHO recommendations in conjunction with other global and regional policy frameworks, including the African Union Protocol on the Rights of Women in Africa, to spur new action to address this persistent problem. Efforts include: reforming national laws and policies; preparing service-delivery guidelines and regulations; strengthening training programs; and expanding community outreach programs. This paper reviews progress and lessons learned while drawing attention to the fragility of the progress made thus far and the key challenges that remain in ensuring access to safe abortion care for all African women. African Journal of Reproductive Health Vol. 10 (2) 2006: pp. 7-12

No Abstract.African Journal of Reproductive Health Vol. 10 (1) 2006: pp. 7-9