IntroductionThere are concerns about the impact of the COVID-19 pandemic on the continuation of essential health services in sub-Saharan Africa. Through the Countdown to 2030 for Women’s, Children’s and Adolescents’ Health country collaborations, analysts from country and global public health institutions and ministries of health assessed the trends in selected services for maternal, newborn and child health, general service utilisation.MethodsMonthly routine health facility data by district for the period 2017–2020 were compiled by 12 country teams and adjusted after extensive quality assessments. Mixed effects linear regressions were used to estimate the size of any change in service utilisation for each month from March to December 2020 and for the whole COVID-19 period in 2020.ResultsThe completeness of reporting of health facilities was high in 2020 (median of 12 countries, 96% national and 91% of districts ≥90%), higher than in the preceding years and extreme outliers were few. The country median reduction in utilisation of nine health services for the whole period March–December 2020 was 3.9% (range: −8.2 to 2.4). The greatest reductions were observed for inpatient admissions (median=−17.0%) and outpatient admissions (median=−7.1%), while antenatal, delivery care and immunisation services generally had smaller reductions (median from −2% to −6%). Eastern African countries had greater reductions than those in West Africa, and rural districts were slightly more affected than urban districts. The greatest drop in services was observed for March–June 2020 for general services, when the response was strongest as measured by a stringency index.ConclusionThe district health facility reports provide a solid basis for trend assessment after extensive data quality assessment and adjustment. Even the modest negative impact on service utilisation observed in most countries will require major efforts, supported by the international partners, to maintain progress towards the SDG health targets by 2030.

Entrepreneurial interest among the youth population is a panacea for unemployment especially due to high turnout of educated individuals in the labour force. This paper provides findings on the factors that determine entrepreneurship interest among the youth population in Nigeria using the University of Ibadan as a case study. Empirical results on whether engagement in entrepreneurial activities interferes with academic performance; extent of involvement and gender differences are also presented. The logit and multinomial logit models were used to examine the factors that influence entrepreneurship interest and interference with academic performance, respectively. Descriptive statistics and the T test were employed in examining the extent of involvement and whether there is a statistically significant difference across gender. The results showed that subjective norm, perceived behavioural control and family business background significantly predicts students' interest in entrepreneurship. Engagement in entrepreneurial activity has no significant effect on students' academic performance. Findings suggest relatively low entrepreneurial engagement among students with significant differences across gender.

Changes in age structure that results from demographic transition have economic consequences. This paper identifies the period of potential window of opportunity or demographic dividends created by

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