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Addressing infertility as an overlooked priority in the reproductive health agenda in Africa
Friday Okonofua1,2, Lorretta Ntoimo3,4, Zainab Kwaru Muhammad-Idris5,6
1Editor-in-Chief, African Journal of Reproductive Health.
Abstract:
Infertility is one of the great paradoxes of reproductive health in Africa. The continent has some of the world's highest fertility rate1, yet it also carries a disproportionately high burden of infertility2. Despite this, infertility remains one of the least prioritised components of sexual and reproductive health and rights (SRHR) on the continent, receiving far less attention than contraception, maternal health, HIV, sexually transmitted infections (STIs), abortion. and adolescent pregnancy.In 2026, 32 years after the 1994 International Conference on Population and Development (ICPD) included infertility as one of its platforms of action3, this neglect is no longer defensible.
Abstract:
L'infertilité constitue l'un des grands paradoxes de la santé reproductive en Afrique. Le continent affiche certains des taux de fécondité les plus élevés au monde1, tout en supportant un fardeau disproportionné lié à l'infertilité2. Malgré cela, l'infertilité demeure l'un des aspects les moins prioritaires de la santé et des droits en matière de sexualité et de reproduction (SDSR) sur le continent, recevant bien moins d'attention que la contraception, la santé maternelle, le VIH, les infections sexuellement transmissibles (IST), l'avortement et les grossesses chez les adolescentes. En 2026, soit 32 ans après que la Conférence internationale sur la population et le développement (CIPD) de 1994 a inscrit l'infertilité dans son programme d'action3, cette négligence n'est plus justifiable.
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