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Reproductive Epidemiology, Health Status and Burden of Disability

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Contemporary Obstetrics and Gynecology for Developing Countries

Abstract

Approximately 15% of the global population (over a billion people) have a disability, and the prevalence is higher in developing countries. In patriarchal societies, which are the norms in the developing nations, women and girls are more likely to have a disability due to gender-based violence, limited access to health care, and poor working conditions. The impairment profoundly impacts the sexuality and quality of life of women and girls of all ages. Unfortunately, in Africa, because of limited information about disability, frontline clinicians and policymakers often ignore the plights of people with disabilities. This chapter discusses reproductive epidemiology, health status, and the burden of disability among African women. Despite the horrific health indicators in most African countries, including Nigeria, their government, unfortunately, still allocates less than 10% of their national budgets to health. Compared to other public health programmes, funding for maternal, newborn and child survival programmes is limited. To effectively address the myriad of reproductive health challenges in Africa and to achieve the United Nations’ Sustainable Development Goals to end poverty by the year 2030, African countries must recommit to their 2011 Abuja Declaration pledge to allocate at least 15% of their national budget to health care.

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References

  1. World Health Organization. Sexual and reproductive health https://www.who.int/reproductivehealth/en/ 2018. Accessed 28 May 2019.

  2. Nordqvist C. Health: what does good health really mean? https://www.medicalnewstoday.com/articles/150999.php. 2017. Accessed 28 May 2019.

  3. United Nations. Reproductive health in the African region. What has been done to improve the situation? UN Chronicle. 2007;XLIV(4)

    Google Scholar 

  4. https://unchronicle.un.org/article/reproductive-health-african-region-what-has-been-done-improve-situation. Accessed 28 May 2019.

  5. Reproductive Epidemiology (n.d.) https://www.omicsonline.org/scholarly/reproductive-epidemiology-journals-articles-ppts-list.php https://www.cdc.gov/reproductivehealth/global/rhepi.htm. Accessed 28 May 2019.

  6. World Health Organization. Disabilities – Africa https://www.afro.who.int/health-topics/sexual-and-reproductive-health 2017. Accessed 28 May 2019.

  7. WHO Reproductive Health (n.d). https://www.who.int/westernpacific/health-topics/reproductive-health. Accessed 28 May 2019.

  8. National Institute of Environmental Health Sciences (NIEHS). Reproductive health. https://www.niehs.nih.gov/health/topics/conditions/repro-health/index.cfm 2018. Accessed 28 May 2019.

  9. United Nations Foundation (n.d). https://unfoundation.org/blog/post/mdg-mondays-millennium-development-goals-4-5-6/. Accessed 28 May 2019.

  10. Nuamah MA, Browne JL, Öry AV, Damale N, Klipstein-Grobusch K, Rijken MJ. Prevalence of adhesions and associated postoperative complications after cesarean section in Ghana: a prospective cohort study. Reprod Health. 2017;14:143. https://www.docphin.com/research/article-detail/19251217/PubMedID-29096649/Prevalence-of-adhesions-and-associated-postoperative-complications-after-cesarean-section-in-Ghana-a-prospective-cohort-study. https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-017-0388-0. Accessed 28 May 2019.

    Article  Google Scholar 

  11. McLennan MT, Melick CF, Alten B, Young J, Hoehn MR. Patients’ knowledge of potential pelvic floor changes associated with pregnancy and delivery. Int Urogynecol J Pelvic Floor Dysfunct. 17(1):22–6. https://www.ncbi.nlm.nih.gov/pubmed/16003482 2006. Accessed 28 May 2019.

  12. Chu LW, Ritchey J, Devesa SS, Quraishi SM, Zhang H, Hsing AW. Prostate cancer incidence rates in Africa. Prostate Cancer, 947870. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3200287/ 2011. Accessed 28 May 2019.

  13. Stubblefield MD. The underutilisation of rehabilitation to treat physical impairments in breast cancer survivors. PMR. 2017;9(9S2):S317–23.

    Article  Google Scholar 

  14. Madise N. Reproductive health in Africa: major challenges and opportunities. https://www.gov.uk/dfid-research-outputs/reproductive-health-in-africa-major-challenges-and-opportunities 2007. Accessed 28 May 2019.

  15. Obeng S, Baffour G, Takyib K, Addaic I. Challenges to the reproductive-health needs of African women: On religion and maternal health utilisation in Ghana. Soc Sci Med. 2006;62(12):2930–44. https://www.sciencedirect.com/science/article/abs/pii/S0277953605006295. Accessed 28 May 2019.

    Article  Google Scholar 

  16. Therithal info, Chennai Health. Alma Ata Declaration and the goal of “Health for all.” BrainKart.com. https://www.brainkart.com/subject/Sociology-of-Health_289/ 2018. Accessed 28 May 2019.

  17. Lowrie MB (n.d.). Neurological disorders and their main causes. http://www.icsmsu.com/exec/wp-content/uploads/2011/12/ABS-Neuroscience.pdf. Accessed 28 May 2019.

  18. Nagarajan C. The abilities of women with disabilities. https://thisisafrica.me/abilities-women-disabilities/ 2016. Accessed 28 May 2019.

  19. Lime A. Disability in Africa: I’m no longer ashamed of my disabled daughter. https://www.bbc.co.uk/news/amp/world-africa-45220690. 2018. Accessed 28 May 2019.

  20. Africa Educational Trust (n.d). Our work with people living with disabilities. https://africaeducationaltrust.org/disability. Accessed 28 May 2019.

  21. Brookings Institution, USA. Oil-rich Nigeria outstrips India as a country with most people in poverty. https://www.theguardian.com/global-development/2018/jul/16/oil-rich-nigeria-outstrips-india-most-people-in-poverty. 2017. Accessed 28 May 2019.

  22. Lukale N. Adolescent reproductive health concerns in Sub-Saharan Africa. https://www.girlsglobe.org/2015/12/15/adolescent-reproductive-health-concerns-in-sub-saharan-africa/ 2015. Aeccessed: May 28, 2019.

  23. Erhabor O, Adias TC and Akani CI. Reproductive health challenges of living with HIV-infection in Sub Saharan Africa, In: Current Perspectives in HIV Infection, Shailendra K. Saxena. 2013.

    Google Scholar 

  24. Ibis (n.d). Reproductive health in sub-Saharan Africa. https://ibisreproductivehealth.org/where-we-work/sub-saharan-africa. Accessed 28 May 2019.

  25. Gribble J, Haffey J. PRB – Reproductive health in sub-Saharan Africa. https://www.prb.org/reproductivehealthafrica/. 2018. Accessed 28 May 2019.

  26. United Nations Population Fund (n.d.). Sexual and reproductive health. https://www.unfpa.org/sexual-reproductive-health. Accessed 28 May 2019.

  27. Arroyo C, Thampoe E. Africa: children and women with disabilities, more likely to face discrimination. https://allafrica.com/stories/201808160405.html. 2017. Accessed 28 May 2019.

  28. DIWA. Disabled women in Africa curbs violence against women and girls with disabilities. http://www.diwa.ws/?p=101. 2017. Accessed 28 May 2019.

  29. Disability Rights Funds (n.d.). Disabled women in Africa http://disabilityrightsfund.org/grantees/disabled-women-in-africa/. Accessed 28 May 2019.

  30. Quint EH. Menstrual and reproductive issues in adolescents with physical and developmental disabilities. Obstet Gynecol. 2004;124(2):367–75.

    Article  Google Scholar 

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Correspondence to Joseph A. Balogun .

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Balogun, J.A. (2021). Reproductive Epidemiology, Health Status and Burden of Disability. In: Okonofua, F., Balogun, J.A., Odunsi, K., Chilaka, V.N. (eds) Contemporary Obstetrics and Gynecology for Developing Countries . Springer, Cham. https://doi.org/10.1007/978-3-030-75385-6_7

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  • DOI: https://doi.org/10.1007/978-3-030-75385-6_7

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