Sub-Saharan Africa: population pressures on development

The population of sub-Saharan Africa, estimated at 434 million in 1984, is expected to reach 1.4 billion by 2025. The birth rate, currently 48/1000 population, continues to increase, and the death rate, 17/1000, is declining. Rapid population growth has curtailed government efforts to provide adequate nutrition, preserve the land base essential for future development, meet the demand for jobs, education, and health services, and address overcrowding in urban areas. Low education, rural residence, and low incomes are key contributors to the area's high fertility. Other factors include women's restricted roles, early age at marriage, a need for children as a source of security and support in old age, and limited knowledge of and access to modern methods of contraception. Average desired family size, which is higher than actual family size in most countries, is 6-9 children. Although government leaders have expressed ambivalence toward development of population policies and family planning programs as a result of the identification of such programs with Western aid donors, the policy climat is gradually changing. By mid-1984, at least 13 of the 42 countries in the region had indicated that they consider current fertility rates too high and support government and/or private family planning programs to reduce fertility. In addition, 26 countries in the region provide some government family planning services, usually integrated with maternal and child health programs. However, 10 countries in the region do not support family planning services for any reason. Unfortunately, sub-Saharan Africa has not yet produced a family planning program with a measurable effect on fertility that could serve as a model for other countries in the region. Social and economic change is central to any hope of fertility reduction in sub-Saharan Africa. Lower infant and child mortality rates, rising incomes, higher education, greater economic and social opportunities for women, and increased security would provide a climate more conducive to fertility decline. Given the limited demand, great sensitivity must be shown in implementing family planning programs.     

Youth Migration Decisions in Sub-Saharan Africa: Satellite-Based Empirical Evidence from Nigeria

This article examines the implications of urban growth on youth migration decisions in Nigeria. We use night light intensity data combined with Living Standards Measurement Study-Integrated Surveys on Agriculture data, as an indicator of urban growth and associated economic opportunities. Employing alternative econometric approaches that exploit the spatial and temporal differences in urban growth as proxied by night light intensity, we find that urban growth in potential migrant destinations encourages youth migration. We also find heterogeneous responses to urban growth among various groups of youth as well as varying responses to different types of migration. Broadly, women and those youth with more education are more likely to migrate, while those in households with livestock are less likely to migrate. Often, however, the effects are complex and varied. For example, land and physical asset ownership encourage temporary migration; but greater land ownership discourages permanent migration, while physical assets have insignificant effects. Our results from Nigeria show that policy makers concerned about rural–urban youth exodus should adopt a differentiated, in terms of targets, and multidimensional policy approach to reap the benefits of urbanization while avoiding its negative consequences.     

Maternity health care: The experiences of Sub-Saharan African women in Sub-Saharan Africa and Australia

Background

Increasing global migration is resulting in a culturally diverse population in the receiving countries. In Australia, it is estimated that at least four thousand Sub-Saharan African women give birth each year. To respond appropriately to the needs of these women, it is important to understand their experiences of maternity care.

The Impact of Colonial Heritage on Development in Sub-Saharan Africa

The study explores the hypothesis of a relationshipbetween colonial heritage and development insub-Saharan Africa. Seventeen countries thatexperienced indirect colonial rule and an equal numberwith a history of direct rule in the region areexamined. Development is defined first, in terms ofhuman development [as per UNDPs Human DevelopmentIndex (HDI)], and then, as the ability of a country totranslate economic gains into improved livingconditions (defined as the difference between acountrys real GDP per capita ranking minus its HDIranking). A relationship is found between colonialheritage and human development but not betweencolonial heritage and the ability to translateeconomic gains into improved conditions. It isconcluded that the difference in human conditions ismore a function of inter-country variabilities inindividual and local autonomy than by state actionsspecifically aimed at improving these conditions.     

Population aging in Sub-Saharan Africa: The effects of development on the elderly

This paper describes the demographic trends in the elderly population in Sub-Saharan Africa from 1960 to 2020 using United Nations data and projections. The largest increases in the number of elderly in the 1980 to 2000 period will occur in South Asia and Africa. Each area is expected to increase approximately 87% in the number of persons aged 60 and over. During this period, Sub-Saharan Africa's elderly population will increase 82%, and is expected to increase 93% between 2000 and 2020, surpassing the total population increase during the latter period.Following the four perspectives Treas and Logue (1986) identified that may influence development policies and programs in developing countries, the Sub-Saharan African situation was analyzed in regard to social security, pension schemes, government policy, and institutional changes in the economy, education, health, and the family. Implications are discussed.I would like to extend my appreciation to the following organizations for providing financial support, substantive assistance, and/or administrative cooperation: The Department of Sociology, Kansas State University; The Rockefeller Foundation; The School of Social Work, University of Zimbabwe; and, the Zimbabwe Association of Pension Funds. However, the author takes full responsibility for any errors or misinterpretations.     

Caregiver Decision-Making: Household Response to Child Illness in Sub-Saharan Africa

We draw upon a framework outlining household recognition and response to child illness proposed by Colvin et al. (Soc Sci Med 86:66–78, 2013) to examine factors predictive of treatment sought for a recent child illness. In particular, we model whether no treatment, middle layer treatment (traditional healer, pharmacy, community health worker, etc.), or biomedical treatment was sought for recent episodes of diarrhea, fever, or cough. Based on multinomial, multi-level analyses of Demographic and Health Surveys from 19 countries in sub-Saharan Africa, we determine that if women have no say in their own healthcare, they are unlikely to seek treatment in response to child illness. We find that women in sub-Saharan Africa need healthcare knowledge, the ability to make healthcare decisions, as well as resources to negotiate cost and travel, in order to access biomedical treatment. Past experience with medical services such as prenatal care and a skilled birth attendant also increases the odds that biomedical treatment for child illness is sought. We conclude that caregiver decision-making in response to child illness within households is critical to reducing child morbidity and mortality in sub-Saharan Africa.     

The Differential Mortality of Undesired Infants in Sub-Saharan Africa

With high rates of infant mortality in sub-Saharan Africa, investments in infant health are subject to tough prioritizations within the household, in which maternal preferences may play a part. How these preferences will affect infant mortality as African women have ever-lower fertility is still uncertain, as increased female empowerment and increased difficulty in achieving a desired gender composition within a smaller family pull in potentially different directions. I study how being born at a parity or of a gender undesired by the mother relates to infant mortality in sub-Saharan Africa and how such differential mortality varies between women at different stages of the demographic transition. Using data from 79 Demographic and Health Surveys, I find that a child being undesired according to the mother is associated with a differential mortality that is not due to constant maternal factors, family composition, or factors that are correlated with maternal preferences and vary continuously across siblings. As a share of overall infant mortality, the excess mortality of undesired children amounts to 3.3 % of male and 4 % of female infant mortality. Undesiredness can explain a larger share of infant mortality among mothers with lower fertility desires and a larger share of female than male infant mortality for children of women who desire 1–3 children. Undesired gender composition is more important for infant mortality than undesired childbearing and may also lead couples to increase family size beyond the maternal desire, in which case infants of the surplus gender are particularly vulnerable.     

Long-term effects of childbearing on mortality: evidence from pre-industrial Sweden

This paper presents an analysis of the impact of childbearing history on later-life mortality for ever-married men and women using historical micro-level data of high quality for southern Sweden. The analysis uses a Cox proportional hazards model, estimating the effects on old-age mortality of number of births and timing of first and last births. By studying the effects of previous childbearing on mortality by sex and social status, we also gain important insights into the mechanisms relating childbearing to mortality in old age. The results show that number of children ever born had a statistically significant negative impact on longevity after age 50 for females but not for males. Analysis by social group shows that only landless women experienced higher mortality from having more children, which seems to indicate that the main explanations are to be found in social or economic conditions specific to females, rather than in the strictly biological or physiological effects of childbearing.     

Multidimensional Measurement of Poverty Among Women in Sub-Saharan Africa

Since the seminal work of Sen, poverty has been recognized as a multidimensional phenomenon. The recent availability of relevant databases renewed the interest in this approach. This paper estimates multidimensional poverty among women in fourteen Sub-Saharan African countries using the Alkire and Foster multidimensional poverty measures, whose identification method is based on a counting approach. Four dimensions are considered: assets, health, schooling and empowerment. The results show important differences in poverty among the countries of the sample. The multidimensional poverty estimates are compared with some alternative measures such as the Human Development Index, income poverty, asset poverty and the Gender-related Development Index. It is found that including additional dimensions into the analysis leads to country rankings different from those obtained with the mentioned four measures. Decompositions by geographical area and dimension indicate that rural areas are significantly poorer than urban ones and that a lack of schooling is, in general, the highest contributor to poverty. The paper also conducts robustness and sensitivity analyses of the multidimensional estimates with respect to the number of dimensions in which deprivation is required in order to be considered poor, as well as to the poverty lines within each dimension. Several cases of dominance between countries are found in the first robustness test.     

The spread of primary schooling in Sub-Saharan Africa: implications for fertility change

In 1980 Caldwell hypothesized that the time of the onset of the fertility transition in developing countries would be linked with the achievement of “mass formal schooling.” This article applies Demographic and Health Survey data to assess schooling patterns and trends for 23 sub‐Saharan African countries, using the percentage of 15–19‐year olds who have completed at least four years of schooling as an indicator of progress in education. As background to that assessment, the article includes a review of the sparse literature on the links between children's schooling and fertility decline. The analysis strongly supports Caldwell's hypothesis with empirical evidence of the much stronger negative relationship between fertility decline and grade 4 attainment in those countries that have attained mass‐schooling levels than in those that have not yet achieved such levels.     

HIV and fertility in Africa: first evidence from population-based surveys

The historical pattern of the demographic transition suggests that fertility declines follow mortality declines, followed by a rise in human capital accumulation and economic growth. The HIV/AIDS epidemic threatens to reverse this path. We utilize recent rounds of the demographic and health surveys that link an individual woman’s fertility outcomes to her HIV status based on testing. The data allow us to distinguish the effect of own positive HIV status on fertility (which may be due to lower fecundity and other physiological reasons) from the behavioral response to higher mortality risk, as measured by the local community HIV prevalence. We show that although HIV-infected women have significantly lower fertility, local community HIV prevalence has no significant effect on noninfected women’s fertility.     

Single Motherhood and Child Mortality in Sub-Saharan Africa: A Life Course Perspective

Single motherhood in sub-Saharan Africa has received surprisingly little attention, although it is widespread and has critical implications for children’s well-being. Using survival analysis techniques, we estimate the probability of becoming a single mother over women’s life course and investigate the relationship between single motherhood and child mortality in 11 countries in sub-Saharan Africa. Although a mere 5 % of women in Ethiopia have a premarital birth, one in three women in Liberia will become mothers before first marriage. Compared with children whose parents were married, children born to never-married single mothers were significantly more likely to die before age 5 in six countries (odds ratios range from 1.36 in Nigeria to 2.61 in Zimbabwe). In addition, up to 50 % of women will become single mothers as a consequence of divorce or widowhood. In nine countries, having a formerly married mother was associated with a significantly higher risk of dying (odds ratios range from 1.29 in Zambia to 1.75 in Kenya) relative to having married parents. Children of divorced women typically had the poorest outcomes. These results highlight the vulnerability of children with single mothers and suggest that policies aimed at supporting single mothers could help to further reduce child mortality in sub-Saharan Africa.     

Poverty in Sub-Saharan Africa: The Role of Business Regulations,Policies and Institutions

Social Indicators Research - The study investigates the impact of business regulations, policies and institutions on welfare in Sub-Saharan Africa. The HDI and GDP per capita are used as measures...     

Uncovering the impact of the HIV epidemic on fertility in Sub-Saharan Africa: the case of Malawi

We evaluate the impact of the HIV/AIDS epidemic on the reproductive behaviour for all women in Malawi, HIV-negative and HIV-positive alike, allowing for heterogeneous response depending on age and prior number of births. HIV/AIDS increases the probability that a young woman gives birth to her first child, while it decreases the probability to give birth of older women and of women who have already given birth. The resulting change in the distribution of fertility across age groups is likely to be more demographically and economically important than changes in the total number of children a woman gives birth to.     

The impact of parental death on school outcomes: Longitudinal evidence from South Africa

We analyze longitudinal data from a demographic surveillance area (DSA) in KwaZulu-Natal to examine the impact of parental death on children's outcomes. The results show significant differences in the impact of mothers' and fathers' deaths. The loss of a child's mother is a strong predictor of poor schooling outcomes. Maternal orphans are significantly less likely to be enrolled in school and have completed significantly fewer years of schooling, conditional on age, than children whose mothers are alive. Less money is spent on maternal orphans' educations, on average, conditional on enrollment. Moreover, children whose mothers have died appear to be at an educational disadvantage when compared with non-orphaned children with whom they live. We use the timing of mothers' deaths relative to children's educational shortfalls to argue that mothers' deaths have a causal effect on children's educations. The loss of a child's father is a significant correlate of poor household socioeconomic status. However, the death of a father between waves of the survey has no significant effect on subsequent asset ownership. Evidence from the South African 2001 Census suggests that the estimated effects of maternal deaths on children's outcomes in the Africa Centre DSA reflect the reality for orphans throughout South Africa.     

Family size and maternal health: evidence from the One-Child policy in China

In this paper, we examine the impact of family size on maternal health outcomes by exploiting the tremendous change in family size under the One-Child policy in China. Using data from the China Health and Nutrition Survey 1993–2006, we find that mothers with fewer children have a higher calorie intake and a lower probability of being underweight and having low blood pressure; meanwhile, they have a higher probability of being overweight. This would occur if a smaller family size increases the food consumption of mothers, leading underweight women to attain a normal weight and normal weight women becoming overweight. Robust tests are performed to provide evidence on the hypothesis that the tradeoff between children’s quantity and mother’s “quality” is through a budget constraint mechanism, that is, having more children decreases the resource allocated to mothers and affects their health outcomes.     

Long-term mortality patterns in Chinese history: evidence from a recorded clan population

Human populations have lived on the earth for millions of years, yet the study of population history only began to be established in the mid-twentieth century. In spite of the considerable progress in the study of historical demography which has since been made, there have been hardly any detailed studies of fertility and mortality before the sixteenth century. This study, by analysing a set of Chinese genealogies, examines long-term mortality patterns in a selected clan population over a period of more than 1000 years. The result shows that, in this selected population, mortality fluctuated around a relatively high level and showed no secular change over the very long period studied. The study also provides a comparison between the mortality patterns found in the selected population and those observed in a much larger Chinese lineage population, as well as those recorded among the British elites born between the sixteenth and the early nineteenth century. Based on the findings of this research, the paper presents some tentative suggestions about long-term mortality changes in Chinese history.     

The influence of perceived control on subjective wellbeing in later life

It has been proposed that a sense of control (primary control) is critical to maintaining positive and stable subjective wellbeing (SWB). As people age and control capacity presumably declines (due to physical and cognitive deterioration and increased sociocultural challenges), it is argued that the influence of secondary perceived control (or acceptance) increases to help maintain normative levels of SWB. While previous studies have typically investigated the relationship between perceived control and global estimates of satisfaction (i.e., overall life satisfaction), the present study evaluated the link between perceived control and seven key domains of satisfaction in order to obtain a more comprehensive understanding of the control-satisfaction relationship. A community-based sample of 1,317 individuals (age range: 17–92 years) was utilised to examine potential age-related differences in perceived control (primary and secondary) and satisfaction. Findings revealed that primary and secondary perceived control both increased across age, with secondary perceived control increasing at a higher rate. Primary perceived control had predictive primacy for satisfaction over secondary perceived control (consistent with theory). A moderated mediation effect was also found, suggesting that, in later life, secondary perceived control influences primary perceived control and, in turn, influences satisfaction with various domains. Therefore, while primary control is important to wellbeing, it should be acknowledged that secondary perceived control may have unique significance to the wellbeing of older adults.     

Subjective well-being in later life: Issues concerning measurement and prediction

This paper reviews the research on the measurement and prediction of subjective well-being in later life. Psychometric data on several gerontological scales are presented in detail. Structural analyses of a variety of measures of subjective well-being are discussed and evidence for a one factor structural solution to subjective well-being is presented. Objective predictors of subjective well-being are discussed with respect to the strength of their relationships to subjective well-being. It is concluded that subjective well-being is the best predictor of itself. Evidence of temporal stability and corss-situational consistency, combined with the evidence of a one factor structural solution, suggests that subjective well-being has trait-like characteristics. Suggestions for future research are presented.