Abstract
This article presents data on what has happened in Africa since Cairo. On too many fronts, especially in the areas of ICPD promises, the countries and people of sub-Saharan Africa have moved backwards, or have stagnated and made no progress. The poorest African countries grew poorer, while the richest nations of the North got (much) richer; life expectancy fell; maternal mortality rates rose; skilled personnel attended fewer births; the rates of preventable and treatable communicable diseases rose; public expenditure on health stagnated; and ratios of physicians to population fell or remained the same in one-fourth of the countries. This reflected a serious brain drain. Family planning is the one service that grew in the decade since Cairo.
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