Despite significant advances in preventing maternal and child mortality, the adolescent birth rate in sub-Saharan Africa is more than double the global average. The high pregnancy rate in adolescent girls is exacerbated by a lack of education and family planning resources and a low demand for and use of contraceptives. Women also often lack decision-making power in matters related to reproductive health.

The health and well-being of women and adolescent girls are affected by gender inequality, social norms, traditional practices and taboos regarding sexuality. Sexual and reproductive health and rights interventions are significantly needed in Ethiopia, Malawi, Mozambique, and Zambia.

Canada also faces significant challenges around reproductive health services and sexual education. The availability of these services varies depending on where a person lives, and some people experience obstacles in accessing abortion and contraceptive care. Comprehensive sexuality education is not uniform across the country and does not always meet international standards.