The fact that most of the sub-Saharan African countries were represented at the seventh International Women and Health Meeting in Uganda in 1993 gave participants the opportunity to assess the women's health movement in one of the most underdeveloped regions of the world. The theme of the message from the African women was that they see themselves as agents of change and that their health cannot be separated from their status in societies undergoing tremendous transformation. The African women expressed concern about how reproductive health issues could be addressed in their context, about the influence of culture and religion on women's health, about women's work load, about the effect of socioeconomic factors on women's health, and about their limited ability to prevent HIV/AIDS. While nongovernmental organizations have been working on issues such as preventing female genital mutilation and promoting family planning and reproductive health, one participant expressed the view that the first women's health priority in Africa is to improve socioeconomic conditions by reallocating resources from the few who live in extreme luxury to the many who live in misery. African women insist on incorporating men in their efforts to improve their lives rather than attempting to improve women's understanding of their situation in isolation from men, but they are making the same demands for adoption of a gender perspective in development programs that are being heard in other areas of the world.