The Bangladesh fertility decline: an interpretation

The claim has been made, notably in a 1994 World Bank report, that the Bangladesh fertility decline shows that efficient national family planning programs can achieve major fertility declines even in countries that are very poor, and even if females have a low status and significant socioeconomic change has not occurred. This article challenges this claim on the grounds that Bangladesh did experience major social and economic change, real and perceived, over the last two decades. This proposition is supported by official data and by findings of the authors' 1997 field study in rural southeast Bangladesh. That study demonstrates that most Bangladeshis believe that conditions are very different from the situation a generation ago and that on balance there has been improvement. Most also believe that more decisions must now be made by individuals, and these include decisions to have fewer children. In helping to achieve these new fertility aims, however, the services provided by the family planning program constituted an important input.     

The decline of fertility: Innovation or adjustment process

Abstract In Western society the process of fertility decline is often regarded as an innovation process. The assumptions behind this approach seem rather questionable, and the diffusion lags or gradients of limited importance. Both Swedish and other European data are used as illustrations. It is suggested that the decline be treated within the wider sociological perspective of a time-consuming adjustment or change process, not necessarily starting from a position of completely uncontrolled fertility within marriage. The situation in to-day's high fertility populations is briefly discussed against this background.     

The western fertility decline: Reflections from a chronological perspective

The study of recent fertility trends in the West has been dominated by examinations of Europe. A better perspective on twentieth-century fertility movements can be gained by giving an equal emphasis to trends in the ‘Offshoots’ (USA, Canada, Australia and New Zealand). This paper focuses on the periods of rapid fertility decline and to a greater extent on the intervening periods of near-equilibrium. It is suggested that the ‘late twentieth century compromise’ is more stable than is suggested by reports on its internal strains, and that only massive government intervention could raise fertility.     

The determinants of early fertility decline in Texas

This study examines the determinants of fertility control in a frontier population made up largely of German-Americans during the years from 1850 to 1910. The analysis employs a complex register of population constructed from census enumerations, civil and ecclesiastical vital registration, and tax assessment rolls. The article begins with a series of bivariate analyses with cohort of mother’s birth, religion, ethnicity, and husband’s occupation determining marital fertility. The second half of the paper presents a multivariate model of the determinants of fertility using these and other demographic characteristics as independent variables. The conclusions emphasize the importance of the overall trend toward fertility decline in the United States, as well as the role of religion and of occupational differences, in determining changes in fertility behavior in the population of Gillespie County, Texas.     

Case study: fertility decline in Iran

Iran has experienced one of the most successful family planning programs in the developing world, with 64 percent decline in total fertility rate (TFR) between 1986 and 2000. This paper focuses on Iranians’ unique experience with implementation of a national family planning program. Recognition of sensitive moral and ethical aspects of population issues resulted in successful collaboration of technical experts and religious leaders. Involvement of local health workers, women health volunteers and rural midwives led to great community participation. Demographic and Health Survey (DHS) data in 2000 indicated a TFR of 2.0 births per women and 74 percent contraceptive use among married women. This case study will help policy makers and researchers in Moslem countries and other developing countries with high fertility rate to consider a successful family program as a realistic concept with positive impacts on nation’s health and human development.     

The delayed western fertility decline: an examination of English-speaking countries

Fertility decline began in English-speaking countries 80 years later than in France even though per capita incomes in the former were higher and children were probably a net economic burden, at least for the middle classes. Explanations have included ignorance of contraception and the desire to keep women out of the workforce. This essay suggests that the reasons are to be found in the works of the moral reformers rather than in those of the neo-Malthusians. The Victorian family was a construct made to meet the needs of industrializing countries. The marital relationship was believed to be in danger—and probably was in danger—from discussion of genital-related contraception. The low demand for contraception meant that contraceptives remained crude and could not be discussed in most marriages. The problem would ultimately be overcome through further economic development together with educational and other social change. Nevertheless, the legitimation of marital discussion of birth control was not achieved until the subject was written about in the press and subsequently in birth control manuals sold on a much larger scale than before. This, in turn, changed the packaging and accessibility of contraceptives, making their discussion, acquisition, and use easier and a fertility decline possible.     

Family planning and fertility decline: a global overview

Family planning and development policy concerns are not incompatible. The emphasis on development policies at the 1974 World Population Conference at Bucharest did not mean that world governments had lost interest in the population and family planning issue. Although worldwide attitudes toward family planning have become more and more favorable, this has not yet meant great impact on world demographic trends. The "inertia factor," i.e., the effects of high birthrates in the previous generation, will camouflage declining birthrates for some time to come. The trend of fertility reduction which was perceptible only among small populations a few years ago is also becoming manifest in larger Third World countries. Mortality rate declines have slowed down but there is no rising mortality due to starvation in any country. At present, food demand exceeds availability for 80% of the Third World population. It is predicted that the food deficit will increase 70% by the year 2000.     

Recent fertility decline in Ceylon

Abstract The crude birth rate for Ceylon has been falling steadily between 1960 and 1970, except for a slight interruption in 1968. The fall between 1953 and 1963 has been documented elsewhere and this paper will therefore deal with the period 1963-69.     

The decline of non-marital fertility in Europe, 1880-1940

Abstract Between 1880 and 1940, to take approximate dates, illegitimate fertility rates in Europe dropped precipitously, falling in most countries by 50% or more. The rates used throughout this paper relate extra-marital births to the number of unmarried (i.e. single, widowed and divorced) women; we use a standardized index, I ({ih}) to be discussed later. In Fig. 1 we present most of the European series of I ( h )'s that can be computed from existing census and vital registration data. Although there are interesting exceptions the general picture is clear: a decline in illegitimate fertility commenced in most countries in the last quarter of the nineteenth century, and was arrested in the 1920's and 1930's. Once it had begun in a country, the downward course was swift and uninterrupted, until non-marital fertility had been cut in half.     

Temporal and spatial analysis of fertility decline in Taiwan

Abstract The conventional mode of evaluating the success of family planning programmes has frequently emphasized the activities of the programmes, rather than their ultimate effects. This paper examines the role of family planning programmes in inducing fertility decline in Taiwan. First it presents the secular trends of Taiwanese fertility changes, pointing out that family planning programmes began only after the birth rate had already shown a substantial decline. Secondly, it specifically evaluates the impact of family planning programmes in the Taichung areas, since its success has been widely proclaimed. Finally, it is stipulated that the dynamics of Taiwanese fertility changes may be related to declining infant mortality and accelerating educational development, and that these institutional effects, rather than the family planning programmes, should be credited with changes in fertility.     

New survey finds fertility decline in India

A brief indication was provided of demography, fertility, and contraceptive usage and knowledge based on the recent 1992/93 Indian National Family Health Survey. The sample included 88,562 households and 89,777 ever married women aged 13-49 years in 24 states and the National Capital Territory of Delhi. About 38% of household members were aged under 15 years. The sex ratio was 944 females to 100 males. 54% aged over 5 years were currently married; 10% were widowed, divorced, or separated. 43% were literate and 9% had secondary or higher education: 67% for females in cities and 34% in rural areas. Female literacy was 82% in Kerala but under 30% in Rajasthan, Bihar, Uttar Pradesh, and Madhya Pradesh. During 1990-92, the crude birth rate was 28.9 per 1000 population. Total fertility was 3.4 for women aged 15-49 years: 3.7 in rural and 2.7 in urban areas. 31% of parents had been sterilized. 26% desired no more children. Only 6% of women with four or more children desired another child. 99% of urban and 95% of rural respondents had knowledge of at least one modern or traditional method. Female and male sterilization were the most well-known modern methods. 47% of women had ever used contraception: 42% with a modern method and 12% with a traditional method. 41% were current users of family planning: 36% with a modern and 4% with a traditional method (45% in urban and 33% in rural areas with a modern method). The highest contraceptive use was in Kerala, Himachal Pradesh, Maharashtra, and Punjab states and Delhi (over 50%). The two most populous states, Uttar Pradesh and Bihar, had the lowest rates, which were under 25%; other low usage was in Assam and several small northeastern states. 75% of all female modern contraceptive use was female sterilization. 12% in urban and 3% in rural areas used a modern spacing method. Use increased with increased educational level. Rural sources of supply emphasized public facilities: sterilization and IUDs.     

The South African fertility decline: Evidence from two censuses and a Demographic and Health Survey

Inadequate data and apartheid policies have meant that, until recently, most demographers have not had the opportunity to investigate the level of, and trend in, the fertility of South African women. The 1996 South Africa Census and the 1998 Demographic and Health Survey provide the first widely available and nationally representative demographic data on South Africa since 1970. Using these data, this paper describes the South African fertility decline from 1955 to 1996. Having identified and adjusted for several errors in the 1996 Census data, the paper argues that total fertility at that time was 3.2 children per woman nationally, and 3.5 children per woman for African South Africans. These levels are lower than in any other sub-Saharan African country. We show also that fertility in South Africa has been falling since the 1960s. Thus, fertility transition predates the establishment of a family planning programme in the country in 1974.     

Is aboriginal fertility on the decline?

This paper examines if there has been sustained Aboriginal fertility decline since the mid-1980s, as expected in previous studies (Gray 1983, 1990; Jain 1989), by analysing fertility information obtained from the 1994 National Aboriginal and Torres Strait Islander Survey, birth registrations and midwives’ collections data by states. Although two studies (Gray and Tesfaghiorghis 1993:87–90; Dugbaza 1994) refuted this expectation, the results are questionable because of the unreliability of the data on which the estimates were based and the lack of fertility information. This study has produced more reliable age patterns of fertility at the national and state levels. The paper also examines the definition of Aboriginality and associated measurement problems, which are central to an understanding of Aboriginal demography.     

Economic development and fertility decline: lessons from Asia's newly industrialized countries

The general thesis that economic development and fertility decline are interrelated is substantiated in literature that discusses the successes of the newly industrialized countries of Hong Kong, Korea, Singapore, and Taiwan. When countries are developing rapidly, family planning accelerates the rate of fertility change, particularly among the poor uneducated rural population. Relying on economic and social development is not enough. National policy in Hong Kong, Singapore, Korea, and Taiwan recognized that population growth drains resources and the family planning programs operating since the 1960s contributed to a drop from 5 children/woman to 2 by 1988, and 70% of married couples used contraception. Coupled with this, age at marriage rose, contraception became more available, and educational and employment opportunities increased. Economically, the growth rate in the 1980's was 6-10% annually, with growth in the manufacturing and service sectors and export trade. Close economic ties evolved between governments and private sectors. Social development programs had been fully funded and gains evident in education, living standards, health care and nutrition, and life expectancy. The success of family planning is attributed to encouraging contraceptive awareness and use. Fertility reduction may occur with social and economic development, but no developing countries have reduced fertility without family planning. The relative importance of family planning may change over time, and reducing the cost through government sponsored family planning programs and encouraging the acceptability of contraceptive usage.     

Social and economic factors in Hong Kong's fertility decline

Abstract In both developed and underdeveloped areas, many attempts have been made to alter the course of fertility through family planning intervention. Doubtless the availability of such services facilitates birth control for those who already desire to use it. Whether or not such exogenous interventions have any independent effect upon the operation of endogenous forces in the economy and society is, however, more problematical. Where fertility declines have been observed, family planning services have often been made widely available only after the decline in fertility had already set in. Nonetheless, observers have often attempted to attribute some fraction of the continuing decline in fertility to the operation of family planning activities. One especially notable case is that of Hong Kong, which provides some of the more persuasive evidence about the independent effects of family planning intervention.     

Women's lives and rapid fertility decline: Some lessons from Bangladesh and Egypt

The recent experiences of Bangladesh and Egypt show thatfertility can sustain impressive declines even when women's lives remain severely constrained.Since the late 1970s, rural and urban areas in both countries have experienced steadydeclines in fertility, with recent declines in rural Bangladesh similar to those in ruralEgypt, despite lower levels of development and higher rates of poverty. This paperprovides an in-depth exploration of the demographic transition in these two societies andaddresses three basic questions: (1) have measurable improvements in economic opportunities forwomen been a factor in the fertility decline?; (2) can preexisting differences in gender systemsexplain the more rapid fertility decline in Bangladesh, despite the more modest economicachievements?; (3) can the development strategies adopted by the governments ofBangladesh and Egypt, be seen as additional factors in explaining the similar rural fertilitydeclines despite dissimilar economic circumstances? The paper concludes that neither gender systemsnor changes in women's opportunities appear to have contributed to declining fertility.Indeed, low levels of women's autonomy have posed no barrier to fertility decline in eithercountry. However, there is a case to be made that Bangladesh's distinct approach to development,with considerable emphasis on reaching the rural poor and women and a strong reliance onnongovernmental institutions, may have played a part in accelerating the transition in thatenvironment and in helping women to become more immediate beneficiaries of that process.