Improving the quality of sexual and reproductive health and rights (SRHR) through pre-service training, research, and evidence-based clinical care delivery in Sub-Saharan Africa

Background: Globally, the sexual and reproductive health needs of adolescents remain largely unmet. Over 20 million female adolescents in need of a modern contraceptive method are not using any. In Uganda, the utilisation of modern contraceptives among female adolescents is 9.4%, being the lowest in the region. We assessed the prevalence, predictors and barriers to modern contraceptive uptake...

Background
Vasectomy is a reliable and cost-effective male contraceptive method, yet it remains underused in sub-Saharan Africa. Despite being a simple, effective, and permanent male contraceptive method, vasectomy remains virtually unused in Cameroon, with reported prevalence of less than 0.1% according to the 2018 Cameroon Demographic and Health Survey. This low uptake is driven by a...

Background: Adolescents represent a vulnerable and critical group in the global effort to improve sexual and reproductive health outcomes. Globally, around 16 million adolescent girls give birth each year, with a large proportion of these occurring in low- and middle-income countries, where access to contraceptive information and services remains limited. In sub-Saharan Africa, early sexual...

Background
In Zambia, 22% of women still have unmet contraceptive needs, with rural women and married adolescents experiencing the greatest disparities. Women with disabilities encounter additional barriers, including inaccessible facilities, stigma, and misinformation. The limited access to long-acting methods and lack of disability-inclusive services deepen inequalities. However, there...

Background: Globally over 800 million people have chronic kidney disease (CKD). While this number reflects individuals across all demographics, it has a notably significant impact on women of reproductive age. These women face distinct challenges related to fertility, contraception, adverse pregnancy outcomes, and the progression of CKD. Existing practices frequently fall short in meeting the...

Introduction:
Family planning knowledge and access to quality family planning services hold a central position in the lives of all women of reproductive age. However, women with mental illness and epilepsy, who face a high risk of sexual violence, unwanted pregnancies, poor obstetric outcomes, and drug interactions, need these services the most. Understanding their family planning knowledge...