Family solidarities remain strong in African societies. In Ouagadougou, transfers within extended family networks provide an omnipresent means for coping with life's difficulties, and the desired number of children remains relatively high. The role of family networks in maintaining high fertility is rarely studied however for lack of data in conventional demographic surveys. This study uses original retrospective data and logistic regression methods to explore the role of the extended family's social capital in shaping women's desire for children in Ouagadougou. Results show that women belong to three types of family networks: (1) women who belong to large family networks on both her own and her husband's side and who maintain a moderate number of close relations with their own relatives; (2) women who also belong to large family networks on both their and their husband's sides but who maintain a greater number of close relations with their own blood relatives; (3) unmarried women with relatives only on their side and numerous close relations with their family. Support for children's schooling comes more often from women's relatives in networks type 2 and 3, and from husbands' relatives in network type 1. Support for children's schooling increases with the level of economic resources in family networks (proxied by the presence of a public employee), in all network types. Women in type 2 networks (centered on women's relatives) are more likely to want additional children compared to women in type 1 networks (centered on their husband's relatives), after controlling for economic resources in networks. This result suggests that practical support provided by family members could play a role, on top of economic support, in encouraging high fertility in Ouagadougou.

Urban sub-Saharan Africa is in a nutrition transition shifting towards consumption of energy-dense nutrient-poor diets and decreasing physical activity. Determinants of nutrition transition in sub-Saharan Africa are presently not well understood. The objective of this review was to synthesise available data on determinants of dietary and physical activity behaviours among women of reproductive age in urban sub-Saharan Africa according to the socio-ecological framework. We searched MEDLINE, Embase, Scopus, Web of Science and bibliographies of included articles for qualitative, observational and randomised controlled studies published in English from January 2000 to September 2018. Studies conducted within general populations of women aged 18–49 years were included. Searches were according to a predefined protocol published on PROSPERO (ID = CRD42018108532). Two reviewers independently screened identified studies. From a total of 9853 unique references, twenty-three studies were retained and were mainly from South and West Africa. No rigorous designed quantitative study was identified. Hence, data synthesis was narrative. Notable determinants of dietary behaviour included: convenience, finances, social network, food skills and knowledge gaps, food deserts and culture. Cultural beliefs include strong relationship between high social status and weight gain, energy-dense confectionery, salt or fat-rich foods. Physical activity is influenced by the fast-changing transport environment and cultural beliefs which instigate unfavourable gender stereotypes. Studies with rigorous qualitative and quantitative designs are required to validate and develop the proposed frameworks further, especially within East Africa. Nevertheless, available insights suggest a need for comprehensive skill-based interventions focusing on socio-cultural misconceptions and financial limitations.