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Background: Breast cancer accounts for 23% of all cancer cases among women in Kenya. Although breast cancer screening is important, we know little about the factors associated with women's breast cancer screening utilization in Kenya. Using the Andersen's behavioural model of health care utilization, we aim to address this void in the literature. Methods: We draw data on the Kenya Demographic and Health Survey and employ univariate, bivariate, and multivariate analyses. Results: We find that women's geographic location, specifically, living in a rural area (OR = 0.89; p < 0.001) and the North Eastern Province is associated with lower odds of women being screened for breast cancer. Moreover, compared to the more educated, richer and insured, women who are less educated, poorer, and uninsured (OR = 0.74; p < 0.001) are less likely to have been screened for breast cancer. Conclusion: Based on these findings, we recommend place and group-specific education and interventions on increasing breast cancer screening in Kenya.

This paper draws theoretical insights from political ecology to examine the environmental and livelihood impacts of smallholder agricultural mechanization in Ghana in the context of the ongoing pursuit of a new Green Revolution for Africa. Our findings highlight the complex linkages between agricultural development, environmental degradation, and rural livelihoods. Despite the associated increased returns‐to‐scale in agricultural productivity and enhanced speed in land preparation with tractor‐based mechanization, the clearing of major trees on farmlands as a precondition for obtaining ploughing services encourages land degradation, including the depletion of vital naturally growing tree species—shea (Vitellaria paradoxa) and dawadawa (Parkia biglobosa)—that have critical food provisioning, cultural, and socioeconomic value. The drive towards extensification has further produced competitive forces that fuel the appropriation of previously inalienable communal lands and weakening of longstanding norms that mediate environmental resource conservation and use. This situation is poised to alter customary land governance and the basis on which women assert their rights to land‐based resources including shea and dawadawa. Marginalized women are progressively shifting their livelihood strategies into environmentally unsustainable subsistence activities. This study demonstrates the adverse ecological, socioeconomic, and political impacts of agricultural mechanization when implemented in agrarian societies marked by widespread poverty and pervasive gender inequities. Given the growing centrality of tractors and trees to rural livelihoods, we recommend conservation agriculture for the simultaneous promotion of sustainable agriculture and environmental conservation. Relevant social policies must also be implemented to ameliorate the adverse livelihood impacts of these agrarian reforms.

Maternal mortality represents one of the widest gaps between developed and developing countries. Ninety-nine percent of maternal deaths occur in developing countries, with over half occurring in sub-Saharan Africa. This health indicator became a global priority when the United Nations' Sustainable Development Goal 3.1 set out to decrease the global maternal mortality rate