Preference for large families continues to be a major factor determining levels of fertility in Sub-Saharan Africa. Recent data from DHS demonstrate reasons why men and women prefer and choose to have large families. Though factors influencing women’s decisions are complex and vary from one society to another, there are also similarities.
Let me begin by saying how deeply sorry I am that I couldn't make it today. As you know, Mental Health is a cause very close to my heart and it would have meant so much to me to be here in person.
I personally felt mental health’s deep-rooted importance when I returned home to Rwanda in 1996, just after my people were traumatized by the 1994 Tutsi genocide. At a time when we needed mental health services the most, there was only one psychiatrist in the entire country.
In 2000, one in three Peruvian children under 5-years-old suffered from chronic malnutrition. Several years later despite high economic growth and hundreds of millions of dollars spent in nutrition programs, the stunting rate barely inched down. Then, something happened.
Figure 1. Stunting Rate, Peru 2000-2015 (% of under-5 children)
In Analamanga, Madagascar, young women stand with their babies at a Programme National de la Nutrition Communautaire (PNNC) center, one of Madagascar’s community nutrition sites. A nutrition worker cross-checks the weight and age of a six-month-old girl, diligently recording the figures. For many new mothers, the weight of their baby is the most important indicator of their child’s health. But in fact, height is the key metric for understanding their future health and development.
Why are mental disorders and substance use disorders treated so much differently than other health conditions? This is just one of the many questions that the World Bank Group, World Health Organization and other international partners will pose at their upcoming event -- Out of the Shadows: Making Mental Health a Global Development Priority -- on April 13th -14th , as part of the 2016 WBG/IMF Spring Meetings.