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African journal of reproductive health最新文献

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Whither the specialist hospital? 专科医院在哪里？
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-28 DOI: 10.29063/ajrh2026/v30i8.1
Lindsay Edouard
{"title":"Whither the specialist hospital?","authors":"Lindsay Edouard","doi":"10.29063/ajrh2026/v30i8.1","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i8.1","url":null,"abstract":"<p><p>Clinical developments during the nineteenth century having convinced the public of the value of medical specialisation, the concept of the specialist hospital became so popular as to unduly influence the delivery of health care. However, scientific progress after World War II led to an emphasis on a multidisciplinary approach with a major reversal in policy-formulation pertaining to capital building for medical services. Mega hospitals now encompass a comprehensive range of specialties thereby facilitating clinical referrals and research besides community care. As a result, the value of the stand-alone specialist hospital should be reviewed in the context of health service planning.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 8","pages":"9-14"},"PeriodicalIF":1.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Urbanization, contraceptive uptake and childbearing patterns in selected African countries. 某些非洲国家的城市化、避孕和生育模式。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-28 DOI: 10.29063/ajrh2026/v30i8.6
Anqi Lei, Caoyuan Yang, Qi Li, Li Yang
{"title":"Urbanization, contraceptive uptake and childbearing patterns in selected African countries.","authors":"Anqi Lei, Caoyuan Yang, Qi Li, Li Yang","doi":"10.29063/ajrh2026/v30i8.6","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i8.6","url":null,"abstract":"<p><p>Using a qualitative interpretive descriptive-analytical approach, this study analysed harmonised secondary data from the World Bank World Development Indicators covering six countries between 2000 and 2024. Longitudinal trend assessment and crosscountry comparisons were employed to examine urban population, modern contraceptive prevalence, and total fertility rates. The findings indicate sustained urban expansion across all countries, accompanied by gradual increases in contraceptive uptake and fertility decline. However, these patterns remain uneven across national contexts. Ghana and Sierra Leone combine relatively high urbanisation with stronger improvements in contraceptive prevalence and faster fertility decline. In contrast, Nigeria and Guinea maintain comparatively high fertility levels despite substantial urban growth and weaker contraceptive uptake. The Gambia and Liberia display intermediate trajectories characterised by moderate urbanisation, rising contraceptive use, and gradual fertility reduction. The results indicate that urbanisation alone does not generate uniform reproductive outcomes; rather, fertility transitions are mediated by contraceptive access and the effectiveness of urban health service. The study recommends integrating family planning into urban development strategies and strengthening reproductive health service delivery in rapidly expanding urban and peri-urban settlements to reduce persistent reproductive health inequalities.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 8","pages":"53-65"},"PeriodicalIF":1.0,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147759830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From evidence to action: Investment cases for strengthening sexual and reproductive health and rights financing in West and Central Africa. 从证据到行动：在西非和中非加强性健康和生殖健康及权利融资的投资案例。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.1
Matthew Cummins
{"title":"From evidence to action: Investment cases for strengthening sexual and reproductive health and rights financing in West and Central Africa.","authors":"Matthew Cummins","doi":"10.29063/ajrh2026/v30i7s.1","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i7s.1","url":null,"abstract":"<p><p>This article provides an overview of UNFPA's investment case approach in West and Central Africa, drawing on national and subnational analyses from Chad, Ebonyi State (Nigeria), Gabon, Ghana, Guinea, Nigeria (federal level), and Sierra Leone. Across these settings, the investment cases quantify the costs, benefits, financing gaps, and fiscal space opportunities associated with scaling priority sexual and reproductive health and rights (SRHR) services. The evidence demonstrates consistently high economic returns and substantial long-term losses associated with inaction. It also highlights early policy traction through evidence-informed advocacy, including the creation of new budget lines, increased domestic allocations, and stronger stakeholder engagement around SRHR financing. Together, the findings provide a roadmap for integrating SRHR investment into national planning and public financial management systems, offering governments and development partners actionable strategies to advance sustainable and domestically financed SRHR programmes across West and Central Africa.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"9-19"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Expanding family planning services in Sierra Leone: A transformative, smart investment. 扩大塞拉利昂的计划生育服务：一项变革性的明智投资。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.7
Jacob Novignon, Gamachis G Shogo, Matthew Cummins
{"title":"Expanding family planning services in Sierra Leone: A transformative, smart investment.","authors":"Jacob Novignon, Gamachis G Shogo, Matthew Cummins","doi":"10.29063/ajrh2026/v30i7s.7","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i7s.7","url":null,"abstract":"<p><p>Sierra Leone continues to face significant constraints in financing family planning, marked by limited fiscal space, declining government allocations, and high dependence on external partners. This study models the financial needs, expected health outcomes, and economic returns under alternative coverage scenarios. Achieving a modern contraceptive prevalence rate of 50% by 2030 would require an additional USD 65 million and is projected to avert more than 3.1 million unintended pregnancies and 10,000 maternal deaths. These improvements would generate approximately USD 640 million in socioeconomic benefits, representing nearly a ten-fold return on investment. In contrast, failure to scale up family planning services could result in economic losses exceeding 0.8% of gross domestic product (GDP). Closing the financing gap will require strengthened domestic revenue mobilisation, greater efficiency in public spending, and fulfilment of national health financing commitments. Overall, the evidence shows that family planning is a highly cost-effective investment that improves health outcomes, promotes gender equality, and accelerates economic growth, making it one of Sierra Leone's most powerful strategies for achieving sustainable development.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"73-82"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Financing reproductive health in Ebonyi State, Nigeria: An investment case for equity and economic growth. 尼日利亚埃邦伊州的生殖健康融资：公平和经济增长的投资案例。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.3
Andrew Kirima, Gifty Addico, Koessan Kuawu, Anslem Okoro
{"title":"Financing reproductive health in Ebonyi State, Nigeria: An investment case for equity and economic growth.","authors":"Andrew Kirima, Gifty Addico, Koessan Kuawu, Anslem Okoro","doi":"10.29063/ajrh2026/v30i7s.3","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i7s.3","url":null,"abstract":"<p><p>This article presents the findings from the Ebonyi State Reproductive Health Investment Case. Drawing on situation analysis, budget analysis, costing, cost-benefit analysis, and fiscal space analysis, the study estimates the resources required to achieve universal access to reproductive health services across the state. The results show that health sector allocations averaged less than 8% of the total state budget, with only 1.4% directed specifically to reproductive health. Achieving full-scale provision of services would require ₦20 billion (USD 13.3 million) by 2030. This investment is projected to avert 130,000 unintended pregnancies and prevent 1,300 maternal deaths, translating into ₦1,624 billion (USD 1.1 billion) in social and economic benefits-a benefit-cost ratio of 19:1. Equity analyses reveal particularly strong gains for rural and low-income households. Overall, increasing investment in reproductive health is a highly cost-effective and equitable strategy for improving health outcomes and advancing sustainable development in Ebonyi State.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"29-38"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
An investment case for reducing unmet need for family planning and improving maternal health outcomes in Gabon 在加蓬减少未满足的计划生育需求和改善产妇保健结果的投资案例。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.4
Elise Smith, Sergio Torres Rueda, Loveness L Kekana, Dennis Aliga, Yacine Bio Tchan, Matthew Cummins, Leila Joudane, Patricia Keba
{"title":"An investment case for reducing unmet need for family planning and improving maternal health outcomes in Gabon","authors":"Elise Smith, Sergio Torres Rueda, Loveness L Kekana, Dennis Aliga, Yacine Bio Tchan, Matthew Cummins, Leila Joudane, Patricia Keba","doi":"10.29063/ajrh2026/v30i7s.4","DOIUrl":"10.29063/ajrh2026/v30i7s.4","url":null,"abstract":"<p><p>This study presents an investment case for reducing unmet need for family planning and improving maternal health outcomes in Gabon between 2025 and 2030. Using the Spectrum software suite and a bottom-up costing approach, four scenarios were modelled to estimate financial requirements, health impacts, and socioeconomic returns from scaling up family planning, periconceptual, and maternal health interventions. Results show that scaling up services generates substantial health and economic gains while reducing overall system costs through lower demand for emergency obstetric care. Under the most ambitious scenario, scale-up could avert more than 15,000 unintended pregnancies, over 340 maternal deaths, and more than 2,100 child deaths, generating USD 793 million in socioeconomic benefits and a benefit-cost ratio of 63:1. Failure to scale up could result in losses of up to USD 780 million. Although short-term financing gaps remain, domestic revenue mobilisation, efficiency gains, and innovative financing mechanisms could support sustainable implementation and strengthen long-term human capital development.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"39-51"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unlocking fiscal space for reproductive health in Nigeria: A rapid assessment. 释放尼日利亚生殖健康财政空间：快速评估。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.8
Matthew Cummins
{"title":"Unlocking fiscal space for reproductive health in Nigeria: A rapid assessment.","authors":"Matthew Cummins","doi":"10.29063/ajrh2026/v30i7s.8","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i7s.8","url":null,"abstract":"<p><p>Nigeria continues to face a persistent reproductive health (RH) financing gap despite decades of policy commitments. This rapid fiscal space analysis evaluates how the country can expand investment in RH services while maintaining macro-fiscal stability. Six domains were examined at the federal level: budget reprioritization, improvements in health sector efficiency, revenue enhancement, official development assistance, debt restructuring, and innovative financing mechanisms. The findings indicate that reallocating public expenditures, reducing inefficiencies, and introducing modest tax reforms could mobilise significant additional resources for RH by 2030. Strategic borrowing and blended finance instruments could further complement domestic funding. Realising these opportunities will depend on sustained political leadership, transparent and accountable budget execution, and stronger coordination across government and development partners. Implemented collectively, these measures provide a credible pathway to closing Nigeria's RH financing gap and advancing the country's demographic dividend.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"83-93"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Informing reproductive, maternal, neonatal, child, and adolescent health and nutrition priority-setting and financing in Guinea: Findings from a national investment case study. 为几内亚生殖、孕产妇、新生儿、儿童和青少年健康和营养优先事项的确定和筹资提供信息：一项国家投资案例研究的结果。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.6
Jim P Bilivogui, Loveness Kekana, Almamy A Toure, Ndiouga Diallo, Sergio Torres-Rueda, Dieney F Kaba
{"title":"Informing reproductive, maternal, neonatal, child, and adolescent health and nutrition priority-setting and financing in Guinea: Findings from a national investment case study.","authors":"Jim P Bilivogui, Loveness Kekana, Almamy A Toure, Ndiouga Diallo, Sergio Torres-Rueda, Dieney F Kaba","doi":"10.29063/ajrh2026/v30i7s.6","DOIUrl":"10.29063/ajrh2026/v30i7s.6","url":null,"abstract":"<p><p>Guinea faces high maternal and child mortality, low coverage of essential reproductive, maternal, neonatal, child and adolescent health and nutrition (RMNCAH+N) services, and major financing constraints. This study developed a national investment case for 2026-2030 to estimate the costs, health gains, economic returns, and fiscal feasibility of scaling up priority interventions. The analysis integrated situational, budget, costing, cost-benefit, cost of inaction, and fiscal space assessments, and modelled four scenarios. Despite broad service availability, major gaps persist in quality, continuity, and effective coverage. Health expenditure reached USD 776 million in 2022 but remained heavily reliant on household spending. Scale-up would require an additional USD 200-447 million above the baseline, could avert about 334,000 disability-adjusted life years (DALYs) by 2030, and would generate benefit-cost ratios ranging from 6.7 by 2030 to more than 110 by 2050. By contrast, the cost of inaction would reach USD 1.6-2.8 billion by 2030. These findings indicate that scaling high-impact interventions is economically justified and fiscally feasible.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"62-72"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A family planning investment case for Chad: Evidence, costs, and pathways to sustainable financing. 乍得计划生育投资案例：证据、成本和可持续融资途径。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.2
Roger Laly, Lucia Corball, Atieno Odenyo, Ren Maina, Matthew Cummins
{"title":"A family planning investment case for Chad: Evidence, costs, and pathways to sustainable financing.","authors":"Roger Laly, Lucia Corball, Atieno Odenyo, Ren Maina, Matthew Cummins","doi":"10.29063/ajrh2026/v30i7s.2","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i7s.2","url":null,"abstract":"<p><p>Chad faces some of the world's highest fertility and maternal mortality rates, alongside persistently low contraceptive use, especially among adolescents. To address these challenges, the Government of Chad and the UNFPA developed a family planning investment case to assess financing gaps and model the health and economic impacts of scaling up services. Using demographic projections, costing tools, and cost-benefit analyses across multiple contraceptive uptake scenarios, the study finds that expanded family planning could avert approximately 186,000 maternal deaths, prevent 23 million cases of stunting, and generate up to CFA 100 trillion (USD 180 billion) in health savings and productivity gains by 2050. Each dollar invested is projected to return more than 300 dollars, reflecting exceptional economic value. In contrast, inaction would lead to massive health losses and long-term economic costs amounting to as much as 25% of GDP. Family planning therefore emerges as both a public health imperative and a strategic investment for sustainable development in Chad.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":" 7s","pages":""},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Investing more and better: The case for ending maternal deaths and meeting family planning needs in Ghana. 投资更多、更好：加纳终止孕产妇死亡和满足计划生育需求的理由。
IF 1 4区 医学
African journal of reproductive health Pub Date : 2026-04-17 DOI: 10.29063/ajrh2026/v30i7s.5
Jacob Novignon, Wilfred Ochan, Emmily Naphambo, Dela Bright Gle, Vitus Atanga
{"title":"Investing more and better: The case for ending maternal deaths and meeting family planning needs in Ghana.","authors":"Jacob Novignon, Wilfred Ochan, Emmily Naphambo, Dela Bright Gle, Vitus Atanga","doi":"10.29063/ajrh2026/v30i7s.5","DOIUrl":"https://doi.org/10.29063/ajrh2026/v30i7s.5","url":null,"abstract":"<p><p>This article presents an investment case for advancing Ghana's reproductive health agenda, using nationally representative data and cost-benefit modelling to estimate the investments required and the expected health and economic returns from 2024 to 2030. The analysis identifies a substantial financing gap of USD 430 million under the ambitious scenario, while demonstrating the potential gains from scaling up evidence-based interventions. Expanded access to reproductive health services is projected to avert about 8 million unintended pregnancies and prevent 8,000 maternal deaths, yielding benefit-cost ratios of roughly 23:1 for family planning and 7:1 for maternal health. These returns represent an estimated twenty-fold gain on investment. Conversely, failure to invest risks forfeiting up to 1.6% of GDP in lost productivity. Overall, the findings show that investing in reproductive health is both a moral imperative and a sound economic strategy for sustainable development and gender equity in Ghana.</p>","PeriodicalId":7551,"journal":{"name":"African journal of reproductive health","volume":"30 7s","pages":"52-61"},"PeriodicalIF":1.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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