Breast ironing is a traditional ritual in which, by using heated and flat objects, a girl's growing breasts are pressed in order to suppress and reverse their development. 'Breast ironing has existed as long as Cameroon has existed,' says Sinou Tchana, Cameroonian gynaecologist and vice-president of the Cameroonian Association of Female Doctors. In the early nineties, when her association started touring the ten regions of Cameroon to find out what practices could have been affecting female sexuality, they were shocked by the prevalence of breast ironing in most parts of the country.

Pregnant women and girls in Sierra Leone continue to face serious challenges in accessing drugs and medical care that are crucial to ensure safe pregnancy and childbirth, says this Amnesty International report. 'Over the last two years the Government of Sierra Leone has introduced various initiatives to address these challenges, including some welcome steps to increase women's access to health services and reform of the health workforce. In April 2010 the government launched a major initiative to provide free care to pregnant women and girls. However, much remains to be done.'