Journal of Public Health in Africa最新文献

{"title":"Stakeholder perspectives on the feasibility and uptake of the cardiovascular polypill in South Africa.","authors":"Trudy D Leong, Bey-Marrie Schmidt, Liesel Zühlke, Robyn Curran, Jane Simmonds, Ntobeko A B Ntusi, Tamara Kredo, Lara Fairall","doi":"10.4102/jphia.v17i1.1745","DOIUrl":"10.4102/jphia.v17i1.1745","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular disease (CVD) is the leading cause of death globally, with a disproportionate burden in low- and middle-income countries (LMIC). Cardiovascular (CV) polypills, combining a statin with two or three antihypertensive agents, improve adherence, risk-factor control and outcomes, but uptake remains limited. In South Africa, they are unavailable in the public sector and rarely used privately.</p><p><strong>Aim: </strong>To explore stakeholder perspectives on the feasibility, acceptability and potential uptake of CV polypills in South African primary care.</p><p><strong>Setting: </strong>Primary healthcare and health-system contexts in South Africa.</p><p><strong>Methods: </strong>We conducted semi-structured interviews with 15 purposively sampled stakeholders from clinical, policy, regulatory, industry and advocacy sectors. Data were analysed thematically using ATLAS.ti, with reflexivity, peer debriefing and participant validation to enhance rigour.</p><p><strong>Results: </strong>Stakeholders viewed polypills as a promising strategy to simplify treatment, improve adherence and strengthen cardiovascular prevention. Barriers included formulation constraints, weak commercial incentives, regulatory complexity, inequitable access and limited local evidence. Pharmacological prevention was seen as complementary to risk screening and lifestyle interventions. Participants called for context-specific research, coordinated policy action, streamlined regulation, equitable procurement, advocacy-led demand generation and strong government leadership.</p><p><strong>Conclusion: </strong>Cardiovascular polypills could improve prevention and outcomes in South Africa and similar LMIC settings, but scale-up will require local evidence and coordinated multisectoral action to overcome regulatory, procurement, access and health-system barriers.</p><p><strong>Contribution: </strong>This study identifies clinical, behavioural and health system factors influencing CV polypill adoption in South Africa, offering actionable insights to inform research, policy and scalable CVD prevention strategies in LMICs.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1745"},"PeriodicalIF":1.3,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Delivery motorbike crash injuries in South Africa: A scoping review and call for policy reform.","authors":"Pududu A Rachuene, Falethu Sukati, Mthunzi Ngcelwane","doi":"10.4102/jphia.v17i1.1822","DOIUrl":"10.4102/jphia.v17i1.1822","url":null,"abstract":"<p><strong>Background: </strong>Road crashes continue to cause morbidity and mortality in South Africa, with motorbike accidents causing serious musculoskeletal injuries. The rapid growth of e-hailing delivery services has increased the number of motorbike drivers on congested urban roads, increasing their vulnerability to crashes.</p><p><strong>Aim: </strong>This scoping review examined South African motorbike delivery driver road traffic crashes, injury patterns, economic implications, and related regulatory gaps.</p><p><strong>Setting: </strong>South African public healthcare and trauma systems.</p><p><strong>Methods: </strong>A systematic search of PubMed, Scopus, and Web of Science was performed for studies published between 2020 and 2025. The search strategy combined Medical Subject Headings and Emtree terms pertaining to motorbikes, delivery services, and injury-related outcomes. Eligible English-language studies were included, with data extracted using a standardised collection sheet and synthesised descriptively.</p><p><strong>Result: </strong>The review comprised three studies with 133 participants with 161 orthopaedic injuries. The studies conducted in Cape Town, Tembisa, and Pretoria consistently reported that delivery motorbike crashes result in high-energy trauma predominantly affecting young, male riders. The predominant injuries consisted of severe long-bone fractures and polytrauma in patients. Across sites, most patients required surgical intervention, and intensive care unit (ICU) admissions were necessary in the most severe cases. The treatment of these patients incurred substantial costs. Expenses were predominantly influenced by surgical procedures, prolonged hospitalisation, ICU treatment, and implants.</p><p><strong>Conclusion: </strong>Motorbike delivery drivers in South Africa face disproportionate health risks and financial insecurity because of traffic-related injuries.</p><p><strong>Contribution: </strong>This review highlights important policy and legislative gaps and supports reforms aimed at improving occupational protection and road safety for delivery drivers.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1822"},"PeriodicalIF":1.3,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543224/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing HIV commodity reporting using real-time antiretrovirals stock status monitoring tool in an HIV-accredited regional referral hospital, Kampala, March 2024 - August 2024.","authors":"Tracy Maureen Rutogire, Samuel Gidudu, Gloria Bahizi, Jackson Were, Irene B Kyamwine, Lilian Bulage, Alex Riolexus Ario","doi":"10.4102/jphia.v17i1.1666","DOIUrl":"10.4102/jphia.v17i1.1666","url":null,"abstract":"<p><strong>Background: </strong>Timely reporting of human immunodeficiency virus (HIV) commodity stock status is critical for effective supply chain management. However, only four (12%) of 31 HIV-accredited sites in the region submitted all weekly reports in quarter one 2024 using the Real-time Antiretrovirals (ARV) Stock Status Monitoring (RASS) tool.</p><p><strong>Aim: </strong>To improve weekly reporting from 0% to 100% by August 2024 at a non-reporting HIV-accredited regional referral hospital using a continuous quality improvement (CQI) approach.</p><p><strong>Setting: </strong>The project was conducted at a regional referral hospital in Kampala, Uganda, an HIV-accredited facility serving approximately 1354 HIV patients as of March 2024.</p><p><strong>Methods: </strong>A CQI team conducted a baseline assessment in March 2024 using RASS dashboard data and identified non-reporting causes using fishbone and 5 Whys techniques. Interventions, implemented from April 2024 to July 2024, included orienting new staff and introducing WhatsApp reminders. Progress was monitored weekly using the <i>Plan-Do-Check-Act (PDCA)</i> cycle, with data analysed monthly to assess trends.</p><p><strong>Results: </strong>Baseline reporting was 0% in March 2024 because of a lack of staff orientation. Orientation of two RASS users in April 2024 increased reporting to 80% by May 2024, and with WhatsApp reminders in June 2024, it reached 100% and was sustained through August 2024.</p><p><strong>Conclusion: </strong>Staff orientation and WhatsApp reminders were associated with improved HIV commodity reporting at the study site. While these interventions appear promising, further evaluation across multiple sites and under controlled conditions is needed to confirm their effectiveness. Institutionalising such low-cost strategies may offer potential benefits for strengthening HIV commodity stock management.</p><p><strong>Contribution: </strong>These low-cost, scalable interventions can enhance HIV commodity management across HIV-accredited sites, thus supporting 95-95-95 HIV targets.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1666"},"PeriodicalIF":1.3,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Uganda - Democratic Republic of the Congo cross-border collaboration for Bundibugyo Ebola response: A new model for African health security, sovereignty and solidarity.","authors":"Henry K Bosa, Pierre Z Akilimali, Ingrid Ampeire, Atek Kagirita, Charles Olaro, Dieudonné Mwamba, Diana Atwine, Kasonde Mwinga, Christian Ngandu, Wessam Mankoula, Catherine A H Smallwood, Nebiyu Dereje, Marie-Roseline Belizaire, Yap Boum, Mohamed Y Janabi, Jean Kaseya, Chris Baryomunsi, Samuel R Kamba","doi":"10.4102/jphia.v17i1.2180","DOIUrl":"10.4102/jphia.v17i1.2180","url":null,"abstract":"","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"2180"},"PeriodicalIF":1.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13444005/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148685980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mpox research coordination to effectively support response efforts in Africa: Lessons learned, challenges, and way forward.","authors":"Mosoka P Fallah, Olayinka S Ilesanmi, Abigael A Mesfin, Shahd Osman, Oluwatoyosi Olawande, Tamrat Shaweno, Yap Boum, Nebiyu Dereje, Ngashi Ngongo, Jean Kaseya","doi":"10.4102/jphia.v17i1.1867","DOIUrl":"10.4102/jphia.v17i1.1867","url":null,"abstract":"<p><p>Mpox, caused by the mpox virus, has evolved from isolated cases in endemic regions to widespread outbreaks affecting multiple countries in Africa. The Research and Innovation pillar of the Continental Incident Management Support Team (IMST) was established to generate evidence that supports response efforts, including analysing the efficiency and effectiveness of clinical trials and health research on mpox across Africa. This article describes the achievements, challenges faced and lessons learned from mpox research efforts. The contributions of research to the mpox response by the Africa Centres for Disease Control and Prevention (Africa CDC) are crucial to managing infectious disease outbreaks across the continent. Multiple research initiatives were coordinated across Member States, including socio-behavioural, epidemiological, diagnostic, vaccine and therapeutic studies. Key achievements included the establishment of a coordinated continental research platform, initiation of multi-country studies and mapping of ongoing mpox research activities across Africa. Challenges included bureaucratic procedures, delays in funding disbursement, ethical approval bottlenecks, coordination complexities and surveillance gaps that affected timely research implementation. Addressing these gaps has the potential to enhance evidence-based decision-making and provide valuable lessons for improving future epidemic preparedness and response in Africa.</p><p><strong>Contribution: </strong>The mpox research demonstrated the vitality of collaborative research efforts, the need for continuous, systematic monitoring of its progress and the need for real-time dissemination of research findings to inform practices that ensure an effective response to mpox. Real-time dissemination of research findings, starting with early community engagement, is critical to ensure that research findings are translated into action.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1867"},"PeriodicalIF":1.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443523/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators experienced by people with neurological disabilities: A South African health systems perspective.","authors":"Prisha Alakram-Khelawon, Sonti Pilusa, Natalie Benjamin-Damons","doi":"10.4102/jphia.v17i1.1768","DOIUrl":"10.4102/jphia.v17i1.1768","url":null,"abstract":"<p><strong>Background: </strong>Globally, there has been an increase in neurological disorders such as stroke and spinal cord impairments, which often result in permanent disability and require long-term care. However, there is limited evidence on factors influencing the continued care journey for people with neurological disabilities.</p><p><strong>Aim: </strong>This study aimed to explore the barriers and facilitators experienced by people with neurological disabilities throughout their care journey.</p><p><strong>Setting: </strong>This study was conducted in a specialised rehabilitation hospital.</p><p><strong>Methods: </strong>An explorative qualitative design was used. Semi-structured interviews were conducted with 26 patients with neurological disabilities and 15 health professionals. MAXQDA (2024) software was utilised for thematic data analysis.</p><p><strong>Results: </strong>Key environmental barriers influencing the care journey included limited or delayed access to care, inaccessible infrastructure and transport, a lack of health resources, financial and employment challenges, and poor support and attitudes. Personal factors were identified as the impact of limitations or restrictions on physical function, the patient's own beliefs, and self-motivation.</p><p><strong>Conclusion: </strong>People with neurological disabilities experience numerous barriers that suggest gaps in the health system. Throughout the care journey, there is a need to improve health system responsiveness, service accessibility, treatment quality, and health system governance.</p><p><strong>Contribution: </strong>Specialised health services and system improvements are recommended for people with neurological disabilities, particularly in rehabilitation care and community integration.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1768"},"PeriodicalIF":1.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors associated with dropouts along the continuum of maternal care among adolescent girls in sub-Saharan Africa: A multilevel analysis of Demographic and Health Surveys from 15 countries.","authors":"Denise Kpebo, Tieba Millogo, Adama Baguiya, Eunice Chomi, Siaka Lougue, Seni Kouanda","doi":"10.4102/jphia.v17i1.1579","DOIUrl":"10.4102/jphia.v17i1.1579","url":null,"abstract":"<p><strong>Background: </strong>Adolescent girls in sub-Saharan Africa (SSA) are at higher risk of maternal death as they tend to underuse maternal health services during pregnancy.</p><p><strong>Aim: </strong>This study aimed to identify the factors associated with dropouts along the continuum of maternal care (CoC) among adolescent girls.</p><p><strong>Setting: </strong>The analysis included 15 countries in SSA with high maternal mortality.</p><p><strong>Methods: </strong>We conducted a secondary data analysis using Demographic and Health Surveys data from 15 countries across SSA. All adolescent girls aged 15-19 years who reported a live birth in the 5 years preceding data each collection were included in the study. A multilevel logistic regression models were fitted to the data to identify the factors associated with dropouts.</p><p><strong>Results: </strong>Only 27.3% received all components of the CoC. Dropouts were highest between one and four antenatal care (ANC) visits (42.0%) and between childbirth and 48-h postnatal care (PNC) (37.4%). The odds of dropout between ANC1 and ANC4 visits were higher for adolescents living in rural areas, without formal education, from poor households and with poor ANC content (adjusted odds ratio: 1.68; 95% confidence interval: 1.51-1.86). Regarding 48-h PNC, the distance between home and health facility, the educational attainment and the content of ANC were associated with dropouts.</p><p><strong>Conclusion: </strong>Beside well-known socio-demographic factors, the study shows that poor quality of ANC services was a key driver of dropouts.</p><p><strong>Contribution: </strong>This study, which strengthens the body of evidence on maternal health among adolescent girls in SSA, could help in designing more efficient interventions.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1579"},"PeriodicalIF":1.3,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443870/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate variability, poverty and substance use disorders: Exploring maladaptive coping mechanisms in climate-stressed communities of Northwest Nigeria.","authors":"Abdullahi Y Abdulwahab, Summayyah B Muhammad, Audu I Aveka, Abdulkadir Surajudeen, Sani Khalid, Muhammad Aliyu, Abusufyan Attahiru, Fahad S Abubakar, Bashir A Yakasai","doi":"10.4102/jphia.v17i1.1665","DOIUrl":"10.4102/jphia.v17i1.1665","url":null,"abstract":"<p><strong>Background: </strong>Northwest Nigeria is highly vulnerable to climate variability and heavily dependent on rain-fed agriculture, which exacerbates existing socioeconomic vulnerabilities.</p><p><strong>Aim: </strong>This study aimed to explore the link among climate-induced stress, poverty, and mental health outcomes, particularly substance use as a maladaptive coping mechanism, in this region.</p><p><strong>Setting: </strong>The study was conducted in Kano, Kaduna, and Katsina in Northwest Nigeria.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 20 000 adults aged ≥ 18 years from 40 randomly selected communities. Data were collected using validated instruments: The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), the Kessler Psychological Distress Scale (K10), the Coping Strategies Inventory-Short Form (CSI-SF), and a Multidimensional Poverty Index Questionnaire. Robust statistical analyses, including multivariable logistic regression with cluster-robust standard errors, were employed.</p><p><strong>Results: </strong>The prevalence of high-risk substance use (ASSIST ≥ 27) was 18.5% (<i>n</i> = 3700). Cannabis was the most commonly misused substance (12.4%, <i>n</i> = 2480), followed by prescription opioids (9.1%, <i>n</i> = 1820) and alcohol (7.8%, <i>n</i> = 1560). High psychological distress (K10 ≥ 20) was identified in 45.2% (<i>n</i> = 9040). Over 85% (<i>n</i> = 17 000) were multidimensionally poor. Maladaptive coping strategies were strongly correlated with both poverty (odds ratio [OR]: 3.12, 95% confidence interval [CI]: 2.85-3.42) and high psychological distress (OR: 4.85, 95% CI: 4.48-5.25).</p><p><strong>Conclusion: </strong>This study reveals a concerning syndemic of climate-related stress, profound poverty, poor mental health, and substance use in Northwest Nigeria. Associations suggest substance use may function as a maladaptive coping mechanism in the context of climate-induced economic hardship, though causal inference is limited by the cross-sectional design.</p><p><strong>Contribution: </strong>Findings underscore the critical need for integrated public health interventions that address mental health and substance use disorders within the context of climate adaptation and poverty reduction strategies.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1665"},"PeriodicalIF":1.3,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Snakebite-associated audiological sequelae: Rethinking care pathways in African health systems.","authors":"Suvishka Barath, Ntandoyenkosi L Msomi, Andrew J Ross","doi":"10.4102/jphia.v17i1.1919","DOIUrl":"10.4102/jphia.v17i1.1919","url":null,"abstract":"<p><p>Snakebite envenomation remains one of the most neglected tropical diseases (NTDs), with clinical management primarily focused on survival and acute complications. While mortality and limb-related disability have been well documented, potential auditory and vestibular sequelae remain underexplored, particularly within African health systems. Emerging evidence, primarily from non-African settings, suggests that snakebite survivors may experience hearing loss and vestibular dysfunction; however, these outcomes are not routinely recognised or integrated into rehabilitation pathways. This article provides a conceptual public health perspective informed by existing literature and implementation considerations for hearing healthcare in snakebite management. It examines potential mechanisms of snakebite-associated audiological dysfunction and identifies gaps in surveillance, research and post-acute care within sub-Saharan Africa. We propose the integration of task-shifted and technology-supported audiological screening, referral pathways and rehabilitation services into snakebite care frameworks. Strengthening surveillance and incorporating functional outcomes into national NTD strategies may improve post-snakebite disability prevention and rehabilitation outcomes across African health systems.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1919"},"PeriodicalIF":1.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family planning services financing in the West African Economic and Monetary Union countries: Trend analysis from 2013 to 2021.","authors":"Danielle Yugbaré Belemsaga, Simon T Nassa, Yann Tapsoba, Kadari Cissé, Désiré L Dahourou, Henri G Ouedraogo, Seni Kouanda","doi":"10.4102/jphia.v17i1.1690","DOIUrl":"10.4102/jphia.v17i1.1690","url":null,"abstract":"<p><strong>Background: </strong>Access to high-quality family planning (FP) services is crucial for addressing unintended pregnancies and maternal mortality. There is uncertainty about health expenditures, especially FP services, by financing sources.</p><p><strong>Aim: </strong>The study aims to conduct key analyses on health and reproductive health expenditures in the West African Economic and Monetary Union (WAEMU).</p><p><strong>Setting: </strong>This analysis was performed across the eight WAEMU countries (Benin, Burkina Faso, Côte d'Ivoire, Guinea-Bissau, Mali, Niger, Senegal and Togo) from 2013 to 2021.</p><p><strong>Methods: </strong>We conducted a secondary data analysis using the Global Health Expenditures Database. The variables were the current health expenditures, reproductive health expenditures, and FP expenditures by funding source (National General Government, External Funding Sources, and National Private Sector). We performed a trend and funding-source analysis in purchasing power parity in United States dollars.</p><p><strong>Results: </strong>Current expenditures allocated to health, reproductive, and FP services increased in recent years, growing by 4.6%, 5.9%, and 2.7% per year, respectively, in the region. The evidence is strong that countries have commitments to improving health and strengthening access to reproductive health services, especially modern contraceptives. However, FP funding is still dependent on external resources. In most countries, including Benin, Burkina Faso, Guinea- Bissau, Mali, and Senegal, more than half of FP expenditures are funded by external resources, whereas Côte d'Ivoire and Niger rely heavily on government resources. In Togo, the main FP funding sources are the domestic private resources.</p><p><strong>Conclusion: </strong>The significant dependence of Public Finance management systems on external funding, with the government's low contribution, may undermine the sustainability of FP programmes in these countries.</p><p><strong>Contribution: </strong>The evidence suggests increasing domestic resource mobilisation for FP through integrated co-financing mechanisms and advocacy for FP reprioritisation within governments' health budgets, and ensuring efficient and equitable allocation of existing resources through resource reprogramming based on the country background, national priorities, and high-impact interventions.</p>","PeriodicalId":44723,"journal":{"name":"Journal of Public Health in Africa","volume":"17 1","pages":"1690"},"PeriodicalIF":1.3,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13443444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}