Family planning improves child survival and reduces maternal deaths. But the uptake of family planning in Africa is only 33%, nearly half the world average of 64%. The contraceptive prevalence rate in African countries is considerably low despite an increase in demand.
Niger has one of the highest fertility rates globally. Women of reproductive age have, on average, eight children. Niger has a maternal mortality ratio of 553 per 100,000 live births and an under-five mortality rate of 104 per 1000 live births. Mauritius has the lowest child mortality rate in Africa at 12 per 1,000 live births.
In Niger, 13% of children under five years die from various illnesses. The country is one of the top five that account for half of these deaths in the world.
The low provision of family planning across sub-Saharan Africa is cited as one of the main reasons for the region’s high maternal mortality rates. A lack of family planning leads to unintended pregnancies and often means that women deliver their babies with very low skilled assistance. This, in turn, pushes up the rate of newborn deaths.
Access to family planning services, particularly in developing countries, should be improved.
Globally, there’s a general decline in the number of women who die from pregnancy or childbirth complications. However in Kenya, it remains high at 488
deaths per 100,000 live births. Maternal mortality is a health indicator of the wide gaps
between rich and poor, urban and rural areas within countries.
Caesarean sections have been lifesaving procedures for hundreds of thousands of women across the world who experience complications during labour.
Globally, it’s estimated that just under 20% of births take place via caesarean section – a percentage that’s gone up over the last three decades. This has raised concerns, particularly in high-income countries where generally too many caesarean sections are performed.
But in many African countries women who are medically required to have caesarean sections are not able to access them. This is due to several reasons, the most prominent being weak health systems and a lack of resources.
This needs to be fixed as women in sub-Saharan African suffer from the highest maternal mortality ratio in the world. Close to 550 women die for every 100 000 children that are born. This amounts to 200 000 maternal deaths a year – or two-thirds of all maternal deaths per year worldwide.