Updated February 2009
The context of this study is marked by at least the following three major factors:
- The demographic transition which induces the transformation of reproductive standards and behaviours;
- The structural economic crisis which the country has been undergoing for the last few decades and its corollary poverty;
- The mediocrity of public health policies.
These three major factors, which finally seem to stimulate sexual and reproductive behaviours, constitute a base for the analysis of the determinants of reproductive health. However, if the recent Demographic and Health Survey conducted in 2005 provides quantified data on aspects related to reproductive health, one can note the absence of a detailed study likely to inform opinion on the principal explanatory factors of the current situation and the level of contribution of each factor to its deterioration and the optimal strategy likely to improve the situation. The recent report developed on the basis of the Demographic and health survey does not address reproductive health problems and remains primarily descriptive.
This is why, within the framework of this research project, we intend to answer the following questions: What is the incidence of poverty on reproductive health? What is the effectiveness of the strategies aiming at the reduction of maternal morbidity and mortality, in particular those related to emergency obstetric healthcare? The analysis of all the results of this study makes it possible to bring out a certain number of lessons on the relation between poverty and reproductive health. In particular, it has emerged in this study that the multidimensional character of poverty explains the fact that several factors negatively or positively affect reproductive health. Also the political responses as regards reproductive health necessitate the implementation of a range of measures likely to have a positive effect on the multiple welfare dimensions. However, the effectiveness of such measures also depends on the quality of the supply of the health services available for pregnant women.
Bethuel Makosso, email@example.com
, Centre for Study and Research on Economic Analyses and Policies (CERAPE)