Fertility in Kenya and Uganda: A comparative study of trends and determinants

Between 1980 and 2000 total fertility in Kenya fell by about 40 per cent, from some eight births per woman to around five. During the same period, fertility in Uganda declined by less than 10 per cent. An analysis of the proximate determinants shows that the difference was due primarily to greater contraceptive use in Kenya, though in Uganda there was also a reduction in pathological sterility. The Demographic and Health Surveys show that women in Kenya wanted fewer children than those in Uganda, but that in Uganda there was also a greater unmet need for contraception. We suggest that these differences may be attributed, in part at least, first, to the divergent paths of economic development followed by the two countries after Independence; and, second, to the Kenya Government's active promotion of family planning through the health services, which the Uganda Government did not promote until 1995.     

Polygynists and Their Wives in Sub-Saharan Africa: An Analysis of Five Demographic and Health Surveys

Differential polygyny in Ghana, Kenya, Senegal, Uganda, and Zambia is investigated using individual-level Demographic and Health Surveys data. As well as contrasting polygynists' first wives with women in monogamous unions, the analysis distinguishes higher-order wives from first wives. This permits study of the determinants of the prevalence and intensity of polygyny respectively. Polygyny and other aspects of marriage interlock in very similar ways in all five countries. Individuals' experience of polygyny tends to reflect their luck in the marriage market rather than their socio-economic characteristics. While polygyny is less prevalent in urban areas, other socio-economic factors are important only in Kenya and Zambia, the two countries where less than 25 per cent of married women are in polygynous unions. The prevalence and intensity of polygyny are negatively associated. Thus, any drop in the prevalence of polygyny in Africa may be accompanied by a rise in the number of wives per polygynist.     

Recent trends in Tanzanian fertility

This paper provides an assessment of the nature and magnitude of Tanzania's recent fertility decline, using robust methods for the identification of fertility trends. A decline in Tanzanian fertility began some time in the late 1970s or early 1980s. The pattern of decline exhibits similarities to patterns identified some years ago in Zimbabwe and Kenya. The decline has been especially marked in urban areas. It has been accompanied by a rapid rise in contraceptive prevalence from the very low levels before 1990 to just under 20 per cent of currently married women of reproductive age. Although falling marital fertility associated with a rise in contraceptive use is the main contributor to the decline in fertility, a rise in the average age at marriage has also made a (smaller) contribution, as has the AIDS epidemic. The fact that fertility is declining in Tanzania raises questions about the social and economic requirements for fertility transitions to begin in sub-Saharan Africa.     

The fertility of the asian community of East Africa

Summary Fertility indices of one sort or another can be calculated for the Asian populations of Uganda and Kenya back to 1931. These indices suggest that fertility has fallen sharply during the 1950s and 1960s. Considerable problems are experienced in trying to determine the actual level of fertility, however, since all the techniques developed to deal with defective data are so affected by the falling fertility and migratory movements of the population, as to be virtually useless. An analysis of the causes of the fertility decline suggests that both changes in marriage patterns and changes in fertility within marriage have contributed to the fall, and that these changes have come about as a result of the better education and economic opportunities available to the Asian community.     

Kenya Enters the Fertility Transition

Contraceptive prevalence is rising and fertility is falling in Kenya, and the speed with which these changes are occurring suggests that Kenya has passed a turning point and entered a transition. In this paper the author explores these recent trends with data from the 1989 Kenya Demographic Health Survey and several other small-scale surveys and qualitative research studies. Underlying the changed contraceptive – fertility behaviour, there appears to have been a major shift in attitudes regarding desired family size. In the second part of the paper the earlier almost universally pessimistic predictions regarding fertility in Kenya, which now appear to have been wrong are considered. Since Kenya has emerged as a bellwether among sub-saharan African states, these earlier predictions are re-examined with a view to learning from their mistakes. It is concluded that incorrect theoretical paradigms and assumptions led to the erroneous results, rather more than incorrect data, or analysis.     

Projecting future utilization of medically assisted fertility treatments

This study estimates the future utilization of medically assisted fertility treatments in Australia, focusing on assisted reproductive technologies (ARTs), intrauterine insemination (IUI), and ovulation induction. A multistate cohort component population projection model is used to determine future fertility rates from 2016 to 2026 by age and education level. These are combined with information on recent trends in use and success rates to indirectly estimate future age-specific probabilities of fertility treatment utilization. The number of ART cycles is expected to increase by 61 per cent between 2016 and 2026 if treatment success rates remain at 2015 levels, or by 34 per cent if recent improvements in ART success rates continue. The model also predicts that numbers of IUI cycles and ovulation induction cycles will decrease by 17 and 3 per cent, respectively. This research confirms the importance of including both technological improvements and socio-demographic changes when predicting future fertility treatment utilization.     

The effects of child-related benefits and pensions on fertility by birth order: A test on Hungarian data

Using aggregate time-series data from post-war Hungary, we investigated the effect of child-related benefits and pensions on overall fertility and fertility by birth order. The results indicate moderate effects that are robust across a wide range of specifications. According to our estimates, a 1-per-cent increase in child-related benefits would increase total fertility by 0.2 per cent, while the same increase in pensions would decrease fertility by 0.2 per cent. The magnitude of both effects increases by birth order; this is more robust for child-related benefits.     

Prospects for fertility reduction and projections for future population growth in Kenya

In 1979 Kenya's annual rate of natural population growth was 3.8%. Data from the1989 Kenya Demographic and Health Survey indicate that significant decreases in fertility levels were experienced during the 1980s. Factors associated with conditions supportive of high fertility in Kenya are discussed, and progress toward attaining significant fertility reduction thresholds during the 1980s is assessed. Findings from recent fertility surveys are presented, and 1969–1989 national level family planning data are evaluated. Four population projections for 1985–2025 are presented and analyzed. One projection is based on official government growth targets; two are based on estimates provided by the United Nations and the Population Reference Bureau, and a fourth projection is based on the assumption that Kenya will attain an annual natural population growth rate of less than 1% by the year 2025. Each projection assumes that fertility declines will be experienced. Kenya's prospects for reducing the annual population growth rate to 1% within the next sixty years and a cost-sharing development policy are addressed briefly in the concluding section. Recent data suggest that Kenya will probably not complete the demographic transition before the year 2050, but Kenya should continue to move through the transition stage.     

Migration and fertility in Puerto Rico

Abstract In an investigation based on special tabulations of the 25 per cent sample from the 1960 Census of Population for Puerto Rico, it is found that migration experience tends to be associated with fertility for various marital statuses, including consensual unions, and for rural, urban and metropolitan residence. The findings cannot be attributed to variations in age composition among the various categories as age standardization and age-specificcomparisons yield similar results. However, it is also found that rural-urban and consensually-legally mated differentials in fertility cannot be accounted for by variations in the migration variables that are examined. Thus, consistently higher fertility is found for non-migrants than for migrants; for consensually mated than for legally married and for rural than for urban or metropolitan residents. With a single exception, women in consensual unions, fertility is lower for women in the San Juan metropolitan area than in the other urban areas.     

Aboriginal fertility: Trends and prospects

Estimates of Aboriginal fertility compiled from an analysis of 1981 and 1986 Census data on children ever borne by Aboriginal women reveal age-specific fertility rates slightly higher than those of other Australian women at ages above 25, but very much higher rates for younger women. The result is a total fertility ratio more than 50 per cent higher than in the total Australian population, with no more than slight variation between States and Territories. A differential analysis using standardized indices shows considerable differences in levels of fertility of categories of young Aboriginal women classified by education, labour force status and income, and also differences between urban and rural areas. Analysis of prospects for Aboriginal fertility levels confirms the likelihood of continuation in the downward drift in levels of fertility that has been established during the past decade. Comparison of the estimates with another recent set of estimates obtained using the own-children method shows broad conformity in levels of total fertility ratios over time, except in the most recent period, the mid-1980s. Nevertheless, the own-children estimates distort the recent trend and also the age distribution of Aboriginal fertility.     

The Decline of Fertility in Los Angeles,California, 1880–1900

Data from the 1900 U.S. Census of Population show that fertility in Los Angeles California, declined by more than 50 per cent between 1880 and 1900. Women's mean age at first marriage, which rose by approximately three years, contributed to the decline, but change in marital fertility was more important than change in nuptiality. Although the fertility of in-migrating U.S.-born women was lower than that of California-born women, the decline was not explained by in-migration. The emergence of a class differential in fertility, with couples of higher status having fewer children than those of lower status, and the simultaneous weakening of class differentials in secondary-school attendance, together suggest that the rise of universal secondary schooling probably did not account for the marital fertility decline experienced in middle- and upper-status families.     

Translation Formulae for Non-repeatable Events

China's one-per-hundred population survey, conducted in mid-1987, provides the first nation-level data with which to study recent fertility change in China. Using a recently developed extension of the ‘own-children’ method of fertility estimation, period parity progression ratios are computed from the survey data. Comparison with similar statistics computed from the 1982 one-per-thousand fertility survey provides a rigorous check on the quality of the results. The level of fertility so measured rose by 13 per cent between 1985 and 1987, compared with an increase of eight per cent in conventional total fertility ratios. Nearly 90 per cent of the increase was due to rising levels of progression from first to second birth. There can be little doubt that this, in turn, was due to a relaxation in the one-child family policy. Overall levels of progression to births of higher orders have been declining since 1982, but the evidence suggests that this is so only because of stringent government efforts to control births of third and higher orders.     

Relative Income,Race, and Fertility

If a white husband's income is higher than expected for men of his age, race, education, job characteristics, and region, economic theory predicts higher complete fertility for his wife. In the present study one per cent public use samples from the 1970 Census for California and Hawaii were used to examine the effect of relative income on Japanese, Chinese, and black fertility. Relative income was defined in two ways: (1) with regard to earnings of husbands of the same race, education, employment, and state; (2) with regard to earnings of white husbands of the same education, employment, and state. High relative incomes defined in each way were associated with increased completed fertility of Japanese and Chinese in Hawaii, where Orientals form a majority. Neither definition of high relative income was associated with the completed fertility of Japanese, Chinese, or blacks in California, where non-whites form a minority. The results suggest that the effect of relative income on fertility for a racial group will be positive only where there are few racial barriers to their attainment of high incomes.     

Estimating unmet need for contraception by district within Ghana: an application of small-area estimation techniques

The importance of meeting the unmet need for contraception is nowhere more urgent than in the countries of sub-Saharan Africa, where the fertility decline is stalling and total unmet need exceeds 30 per cent among married women. In Ghana, where fertility levels vary considerably, demographic information at sub-national level is essential for building effective family planning programmes. We used small-area estimation techniques, linking data from the 2003 Ghana Demographic and Health Survey to the 2000 Ghana Population and Housing Census, to derive district-level estimates of contraceptive use and unmet need for contraception. The results show considerable variation between districts in contraceptive use and unmet need. The prevalence of contraceptive use varies from 4.1 to 41.7 per cent, while that of the use of modern methods varies from 4.0 to 34.8 per cent. The findings identify districts where family planning programmes need to be strengthened.     

Economic structure and fertility: A comparative analysis

This study empirically investigates the relationship between the economic structure of populations and their level of fertility, using data from censuses recently conducted in some 50 nations. Findings show that high rates of female labor force participation outside the home and low rates of economic activity of children depress a society’s fertility level, as measured by the crude birth rate or the child-woman ratio. It is also hypothesized, but not confirmed, that the per cent of unpaid family workers in a society is positively related to its fertility level. A model is presented that treats these three components of economic structure as intervening variables through which the exogenous variables, urbanization, industrialization, and education, operate in influencing the fertility level of a society.     

Vital rates in India 1961-71 estimated from 1971 census data

Abstract In the last decade the increase in the population of India, while, of course, very large, was smaller than predicted by official forecasts. With the use of recent census and sample registration data - in the absence of age-specific rates and adequate vital statistics - this paper provides estimates of fertility and mortality through the reverse-survival and forward-projection methods. Birth rates are estimated as 40·5-42, death rates as 18-20, and life expectancy at birth as 45-46 years. Mortality decline had been smaller than forecast but more than during any comparable period in the past, even though current mortality levels, particularly infant mortality, are still high. Males continue to have a longer life expectation than females, with a difference that has widened in the past decade. The decline of between seven and ten per cent in the crude birth rate is largely due to changes in marital fertility and to some extent to changes in age and marital composition. Because of greater decline in death rates than birth rates, the 1961-71 decade shows a higher rate of population growth than previous periods.     

Gender inequalities and demographic behavior

A summary was provided of the central findings about gender inequalities in Egypt, India, Ghana, and Kenya published by the Population Council in 1994. These countries exhibited gender inequalities in different ways: the legal, economic, and educational systems; family planning and reproductive health services; and the health care system. All countries had in common a high incidence of widowhood. Widowhood was linked with high levels of insecurity, which were linked with high fertility. Children thus became insurance in old age. In Ghana, women's insecurity was threatened through high levels of marital instability and polygyny. In Egypt, insecurity was translated into economic vulnerability because of legal discrimination against women when family systems were disrupted. In India and all four countries, insecurity was reflective of limited access to education, an impediment to economic autonomy. In all four countries, women's status was inferior due to limited control over reproductive decision making about childbearing limits and contraception. In India, the cultural devaluation of girls contributed to higher fertility to satisfy the desire for sons. In India and Egypt, family planning programs were dominated by male-run organizations that were more concerned about demographic objectives than reproductive health. The universal inequality was the burden women carry for contraception. Family planning programs have ignored the local realities of reproductive behavior, family structures, and gender relations. The assumption that husbands and wives have similar fertility goals or that fathers fully share the costs of children is mistaken in countries such as Ghana. Consequently, fertility has declined less than 13% in Ghana, but fertility has declined by over 30% in Kenya. Family planning programs must be aware of gender issues.     

Modelling period fertility: Schooling and intervals following a birth in Eastern Africa

We describe a regression-based approach to the modelling of age-, order-, and duration-specific period fertility, using retrospective survey data. The approach produces results that are free of selection biases and can be used to study differential fertility. It is applied to Demographic and Health Survey data for Ethiopia, Kenya, Tanzania, and Zimbabwe to investigate differential trends in fertility by education. Parity progression fell and the intervals following each birth lengthened between the 1970s and 2000s in all four countries. Fertility fell most among women with secondary education. In contrast to other world regions, postponement of successive births for extended periods accounted for much of the initial drop in fertility in these African countries. However, family size limitation by women with secondary education in Ethiopia and Kenya and longer birth spacing in Zimbabwe also played significant roles. Thus, birth control is being adopted in Eastern Africa in response to diverse changes in fertility preferences.     

Worldwide fertility declines do not rely on stopping at ideal parities

A key demographic hypothesis has been that fertility declines rely on stopping at target parities, but emerging evidence suggests that women frequently reduce fertility without specific numeric targets. To assess the relative importance of these two paths to fertility decline, we develop a novel mixture model to estimate: (1) the proportion of women who stop at a target parity; and (2) mean completed fertility among those who do not. Applied to Demographic and Health Survey data from women aged 45–49 in 84 low- and middle-income countries, and to United States Census cohorts, the model shows considerable variation in the proportion stopping at specific parities (1–84?per cent). The estimates also show that declines in completed fertility are largely attributable to women who do not stop at target parities, suggesting that stopping at ideal parities may be less important than parity-independent decisions for a wide range of fertility transitions.     

The use of traditional and modern methods of fertility control in Kinshasa, Zaire

Abstract The practice of post-partum abstinence has been a long-standing tradition in many societies of tropical Africa, yet recent research suggests an erosion of the taboo on post-partum sexual relations as a means of fertility control. The current study among women in the lower income groups in Kinshasa, Zaire, provides evidence of this. There is strong motivation toward child-spacing, as shown by 80 per cent of the women who reported to be currently practising some means of fertility control: 73 per cent with traditional methods, only 7 per cent with modern contraceptives. There appears to be some carry-over of traditional practice, in that abstinence is related to the age and nursing status of the last born child. However, the most widely practised method is withdrawal. This suggests a desire on the part of this population for alternatives to abstinence, an issue with important implications for future family planning programs in Zaire.