A caesarean can be life-saving for both mother and baby. But when it’s performed for no good medical reason it can endanger the health of both. For the baby, the complications could include effects on brain development, organ immaturity and a compromised immune system. Priya Soma-Pillay and Andre van Niekerk, specialists in obstetrics and paediatrics, argue that too many caesarian sections are being performed unnecessarily in South Africa.

In the dynamic world of global trade, a milestone approaches: Agoa - a preferential trade agreement between the US and select sub-Saharan African countries - turns 25 next year. It’s also the year that the deal is set to expire and a bill is currently before the US Senate seeking to extend it by a record 16 years. Bedassa Tadesse, who has studied the impact of Agoa in Africa, unpacks the effects of the agreement.

For many people on the continent, especially those living in rural areas, it takes a lot of time and money to get to a health clinic. As the world commemorates health day today, we’re sharing this piece from our archives which shows how one programme in Sierra Leone delivered vaccines to the farthest reaches of the country.

Nadine Dreyer

Health & Medicine Editor

Caesarean births: South Africa’s rates are too high – they can be dangerous for mothers and babies

Priya Soma-Pillay, University of Pretoria; Andre Van Niekerk, University of Pretoria

Caesarean section births are often thought to be safer. In fact they disrupt the natural bond between mother and baby and can interrupt brain development.

US-Africa trade deal turns 25 next year: Agoa’s winners, losers and what should come next

Bedassa Tadesse, University of Minnesota Duluth

A review of scholarly articles shows Agoa benefits are uneven across sub-Saharan Africa.

Kenya’s public universities: financing model overhaul fails to address biggest challenge – funding

Ishmael Munene, Northern Arizona University

Kenya’s university reforms are silent on government funding, which is the major source of their current financial challenges.

South African elections: research explores how disillusioned ANC supporters might use their vote

Michael Braun, University of the Witwatersrand

The 2024 elections may be the tipping point that enables opposition parties to portray themselves as viable contenders in forming a national coalition government.

How to get vaccines to remote areas? In Sierra Leone they’re delivered by foot, boat or motorbike

Niccolo Francesco Meriggi, University of Oxford

For villagers in remote areas in Sierra Leone it takes a lot of time and money to get to a clinic. So the COVID-19 vaccine came to the people.

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