African Fertility Symbol In Ghana, a pregnant woman carries an Akuaba doll, the symbol of fertility, productiveness, and fruitfulness, in hopes that her expected child will attain the qualities of the doll. The flat, oval head of the Akuaba doll, with stylized eyes and nose, symbolizes holiness, innocence, and beauty. A barren woman may also carry an Akuaba doll in hope that she may become fertil.

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