7 of the top 10 countries with the highest unmet need for contraception are African

On #WorldContraceptionDay, it's vital to highlight that in 2023, many women and girls aged 15 to 49 globally still have unmet contraceptive needs.

Samoa (28%), Angola (27%), and Liberia (25%) are among the top 10 countries.

Notably, seven of the top 10 are African, underscoring the urgent need for better reproductive health services.

Source:

Focus 2030

Period:

2023
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Only 4 African countries meet WHO’s recommended nurse-to-population ratio
  • Only four African countries, Seychelles, South Africa, Namibia, and Ghana, meet or exceed the WHO’s recommended minimum of 44.5 nursing and midwifery personnel per 10,000 people.
  • Seychelles leads the continent with 73 personnel per 10,000, followed by South Africa (64), Namibia (54), and Ghana (45).
  • The lowest number within the top 20 is 16, shared by Nigeria, Comoros, and Mauritania.
  • The dataset includes 47 African countries, and no country outside the top 20 has more than 16 nursing and midwifery personnel per 10,000 people.
Females show a higher monthly usage of health/fitness websites/apps across all age groups globally, averaging at 24.45%
  • Females lead in monthly usage of health/fitness websites/apps globally across all age groups.
  • Average female usage is 24.45%, consistently higher than male usage in each age bracket.
  • Women aged 35–44 are the most engaged, with 28.6% using health or fitness platforms monthly.
  • Male usage peaks early, at 22.1% (ages 25–34), then steadily declines with age.
  • Engagement among women aged 45–64 remains strong, pointing to long-term wellness interest beyond just youth fitness trends.
The top ten states received 39% of the total National Primary Health Care Development Agency (NPHCDA) funds in 2024
Key takeaways:
  • Kano State received the highest allocation at ₦1.23 billion, accounting for 5.7% of the total NPHCDA Gateway fund.
  • Katsina followed closely with an allocation of nearly 4%.
  • Five of the top ten recipient states are from Southern Nigeria, while the other five are from the Northern part of Nigeria.
  • Southern states (Osun, Oyo, Anambra, Akwa Ibom, and Imo) featured prominently, together receiving approximately 19% of the total disbursement.
  • The top ten states collectively received ₦8.30 billion, representing 38.6% of the total fund.
  • In total, ₦21.51 billion was disbursed to all states under the NPHCDA Gateway in 2024.
The largest share of NHIA funds in 2024, approximately 30%, was allocated to the North-Western states of Nigeria
Key takeaways:
  • Kano State received the highest individual allocation, totalling ₦1.43 billion, which accounts for 6% of the overall disbursement.
  • The North-West region received the largest regional share, with ₦7.16 billion of the total NHIA Gateway Fund.
  • The South-West received the smallest regional allocation, amounting to nearly 10% of the total.
  • The top ten recipient states collectively received ₦10.07 billion, representing 42.1% of the entire fund.
  • The Southern regions collectively received 42% of total disbursement.
  • The total NHIA Gateway Fund disbursed in 2024 amounted to ₦23.92 billion.
Approximately 60% of the Basic Health Care Provision Fund (BHCPF) in 2024 was allocated to the northern states
Key takeaways:
  • Kano State received the highest allocation, totalling ₦2.67 billion, which accounts for 5.9% of the entire fund.
  • Nine out of the top ten recipient states are located in Northern Nigeria.
  • Enugu is the sole Southern state to appear among the top ten beneficiaries.
  • The top ten states collectively received ₦16.94 billion, representing 37.3% of the total fund disbursed.
  • In total, ₦45.43 billion was disbursed to all 36 states and the FCT in 2024.
Nigeria has led global maternal mortality since 2021, with 993 deaths per 100,000 in 2023
  • Nigeria’s MMR dropped by just 13% in 23 years — from 1,136 to 993
  • The country never left the global top 10 between 2000 and 2023
  • Nigeria became number one by 2021 and still leads
  • Sierra Leone dropped by 78%, from 1,603 to 354
  • South Sudan dropped by 58%, despite conflict
  • Africa dominated the list, with nearly all top 10 countries coming from the region
  • Nigeria accounted for 29% of global maternal deaths in 2023
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