Determinants of fertility and the unmet need for family planning in Indonesia

Indonesia's fertility has declined to an average of slightly more than 3 children/woman. The islands of Java and Bali have the lowest birth rates. Indonesia's family planning program has been a model of innovation, flexibility, and community involvement, and has been effective in reducing fertility, changing family preferences, and increasing contraceptive use. Fertility decline is also determined by factors other than contraceptive use, as provinces in Jakarta and East Java has low fertility and low contraceptive use. Recent research by Suyono and Palmore found that among cohorts of women in Jakarta lowest fertility rates were explained by greater nonexposure to pregnancy in an unmarried state or by a divorced or widowed status, and by infecundity. In East Java, fertility determinants were the same with the possible addition of lower coital frequency. The study estimated nonexposure due to marriage, infecundity, and contraceptive use. Policy considerations, however, are concerned with the exposed state of the percentage of time women are currently married, fecund, not using contraceptive, and sexually active. Suyono and Palmore also calculated the percentage of time spent in the exposed state by province. The estimates ranged from 12% in Yogyakarta to 25% in West Java and the Outer Islands. Exposed was further divided into groups with a manifest, latent, and no current need. Women with a manifest need for family planning are those who are aware of their contraceptive needs to stop or postpone childbearing and not using. Manifest need was highest in high fertility areas: 12% in Central Java, 13% in West Java, and 12% in the Outer Islands. Programs targeting these women should focus on wider availability of information and services. Women with latent needs are unaware of their need for family planning and are not using contraception. These women were also concentrated in high fertility areas. The percentage of years spent in the latent unmet need state was estimated at 23-24% in West Java and the Outer Islands. Program emphasis should be on education and motivation to show how family size can be controlled. Women with current need can be educated toward future acceptance.     

Has East Germany Overtaken West Germany? Recent Trends in Order‐Specific Fertility

Some 20 years after reunification, the contrast between East and West Germany offers a natural experiment for studying the degree of persistence of Communist-era family patterns, the effects of economic change, and fertility postponement. After reunification, period fertility rates plummeted in the former East Germany to record low levels. Since the mid-1990s, however, period fertility rates have been rising in East Germany, in contrast to the nearly constant rates seen in the West. By 2008, the TFR of East Germany had overtaken that of the West. We explore why fertility in East Germany is higher than in West Germany, despite unfavorable economic circumstances in the East. We address this and related questions by (a) presenting an account of the persisting East/West differences in attitudes toward and constraints on childbearing, (b) conducting an order-specific fertility analysis of recent fertility trends, and (c) projecting completed fertility for the recent East and west German cohorts. In addition to using the Human Fertility Database, perinatal statistics allow us to calculate a tempo-corrected TFR for East and West Germany.     

Regional fertility trends in Mozambique

This article increases our knowledge of Mozambique's demography by assessing the nature and magnitude of fertility decline, using the 1980 and 1997 censuses and the 1997 Demographic and Health Survey. Several robust methods, including P/F ratios from census and birth history data, the own-children procedure (census data), and estimates of censored parity progression ratios (adjusted for truncation bias) are used to identify fertility trends. Regional differences in fertility trends are discussed in the light of the proximate determinants of fertility. Fertility decline has started in Mozambique but the magnitude of the decline differs among the three administrative regions in the country. In Southern Region the fertility decline is well established, while in Northern and Central regions the decline is still incipient.     

Fertility in botswana: The recent decline and future prospects

Recent estimates of fertility in Botswana suggest a rapid decline of more than two births per woman between 1981 and 1988. This paper proposes that the baseline fertility was overestimated but that nonetheless fertility declined by about one birth per woman during the 1980s. The decline in fertility was linked to a deterioration in social and economic conditions caused by a major drought in the early 1980s and to the increased availability of family planning services in the same period. Fertility apparently began to rebound in the late 1980s in response to improved conditions, which came about as a result of a successful drought relief program. Future declines in fertility depend on the continued success of the family planning program, particularly in rural areas.     

Reply to the note by Frejka and Sardon on our paper ‘Patterns of low and lowest-low fertility in Europe’ and an erratum

The relation between socio-economic development and fertility is analysed for the Arab populations of Israel and the territories administered by Israel (i.e. the West Bank and the Gaza Strip). Retrospective survey statistics are used to reconstruct the fertility patterns of currently married Arab women, along with a variety of census information. Fertility responses to socio-economic changes are traced out in detail for the period of the British Mandate, the first 20 years of statehood 1948–67, and the contemporary post-1967 period. The figures show that both Christian and Moslem Arab populations experienced similar high levels of fertility up to the late 1920s. Subsequently, there has been a negative relation between socio-economic development and fertility. In terms of levels of development and fertility decline the sub-populations are ranked in the following order: Israeli urban Christians; Israeli urban Moslems; Israeli rural Christians; Israeli rural Moslems; Moslems in the Administered Territories. The analysis suggests that the timing and rate of fertility reduction are related to the character of specific demographic, economic, and political changes that generate conflicts at the family level.     

Marital Fertility and its Determinants in Rural and in Urban Spain, 1887–1930

Based primarily on census data between 1887 and 1920, the present article explores the basic structure of the social and economic factors that influenced marital fertility levels during the early part of the fertility transition in Spain. Multiple regression analysis is applied to ecological models based on separate rural and urban data. While some of the conclusions from the Princeton European Fertility Project have been corroborated, a number of the results have been quite noteworthy. Not the least of these are the sharply differing structures of causality in rural and urban areas, and the surprising and consistent role played by literacy as a stimulant of marital fertility. In the discussion of the results, we have insisted on the importance of interpreting different demographic, economic, and cultural indicators within concrete historical contexts.     

Demographic Changes in East Malaysia and their Relationship with those in the Peninsula 1960–80

Hardly anything is known about the demography of East Malaysia, that is of the lesser developed regions of Sabah and Sarawak, because of the wide range of deficiencies in the available data. This paper uses a range of indirect methods to construct a demographic profile of Sabah and Sarawak over the period 1960 to 1980. Comparisons are made between these areas and Peninsular Malaysia and some overall Malaysian estimates are given. The study suggests that between 1965 and 1980 there were large gains in life expectancy among the indigenous communities in Sabah and Sarawak, although their life expectancies are still shorter than those of the Chinese. Differentials in life chances between these regions and Peninsular Malaysia narrowed appreciably during the 1970s. Over the same period there were falls in levels of fertility. These were most spectacular among the Chinese communities and the groups living in and around the urban areas in Sarawak. There has been some decline in fertility among the indigenous groups in Sabah but current levels remain higher than among the indigenous groups in Sarawak and the Malays in the Peninsula.     

Fertility adaptation by rural-urban migrants in developing countries: The case of Korea

Summary The purpose of this study is to develop and test a model to assess the influence of rural-urban migration on fertility in less developed countries. Two major reasons may account for lower fertility levels observed among such migrants than among women who remained in rural areas: a selection effect, and adaptation to constraints in the area of destination. Results of previous studies have only rarely suggested that the effect of adaptation was significant. We use the detailed personal migration and pregnancy histories recorded in the Korean World Fertility Survey of 1974 and an autoregressive model to control for unobservable variations in personal preferences for different family sizes between migrants and non-migrants. Our study provides evidence that adaptation following rural-urban migration is a significant factor which explains the lower fertility of rural-urban migrants compared with that of rural stayers.     

Latin American Households in Comparative Perspective

Comparative family sociology has had little to say about the Latin American family or household despite it links to a European colonial culture mixed with a distinct set of indigenous and historical circumstances. In this paper tentative judgements are put forward about the similarities and differences between the Western and Latin American household by examining four of its dimensions: the household's relative complexity, the separate residence of conjugal units, the incidence of households headed by women, and the incidence of household members being unrelated to the head. Data come from the World Fertility Survey household files gathered during the middle 1970s in six countries: Mexico, Costa Rica, Panama, the Dominican Republic, Colombia and Peru. We find that household complexity in the six countries is intermediate between that of the West and East. Many of the households are extended laterally instead of vertically, because conjugal couples tend to reside in separate households, but often live with unmarried relatives as well. In addition, a high level of marital instability results in a significant proportion of households headed by women, many of them containing members of the extended family. Finally, whereas the circulation of young unmarried people of both sexes was common in rural areas in the West, being an unrelated individual in another's household is most common in urban areas among females between 15 and 19 years old.     

Exploring the influence of precipitation on fertility timing in rural Mexico

The influence of environmental conditions on fertility decision-making is becoming increasingly important in the context of contemporary climate change. Deforestation, land availability, and environmental quality may shape decisions regarding family size, particularly in regions with high levels of natural resource dependence. This research examines the relationship between fertility timing and precipitation in rural Mexico by linking household event-history data to municipal-level precipitation measures. Even after controlling for other factors that impact fertility, in historically dry areas, households are more likely to have a child following above average precipitation, using both 1-year and 2-year prior precipitation measures. Conversely, the relationship between precipitation and fertility timing in humid areas of rural Mexico is not statistically significant. Overall, the findings reveal that the fertility-environment connection is highly context-specific and differs across climate zones in Mexico, but that fertility timing is associated with recent rainfall patterns for households in dry areas of rural Mexico.     

Census-derived estimates of fertility by duration since first marriage in the Republic of Korea

This paper estimates ever-married birth rates by age and duration since first marriage and ever-married total fertility rates for the Republic of Korea, derived by applying an extension of the own-children method of fertility estimation to the 1975 and 1980 censuses. Since each census provides annual estimates for the 15-year period previous to enumeration, there is a ten-year period of overlapping estimates that facilitates checks for consistency and accuracy. Comparisons are also made with estimates derived from the 1974 Korea National Fertility Survey, which was part of the World Fertility Survey. The method works well, except in its application to the 1975 Census where the evidence suggests considerable misreporting of age at first marriage because of the way the question was asked and coded. Results confirm that ever-married fertility fell substantially in Korea between 1961 and 1980, with a temporary resurgence in the late 1960s and early 1970s. Ever-married fertility rose at younger ages and shorter durations and fell at older ages and longer durations. Ever-married fertility differentials by urban-rural residence and by education were usually in the expected direction, with urban fertility generally lower than rural fertility and the fertility of those with more education usually lower than the fertility of those with less education. Differential ever-married fertility by urban-rural residence and education declined over the estimation period.     

Bridewealth and Birth Control: Low Fertility in the Indonesian Archipelago, 1500–1900

Before the onset of the present demographic transition, population growth in Indonesia had reached unprecedentedly high levels. This article demonstrates that such high levels were a recent phenomenon. Prior to 1900 rates of natural population increase were low to very low in most areas in Indonesia. This runs counter to expectations based on Hajnal's “Eastern marriage pattern,” which could imply high growth levels in extended family areas, such as most Indonesian regions outside Java in the past. Usually, the low population growth rates in Southeast Asia are attributed to high mortality owing to high levels of violent conflict. It is argued that other factors contributing to such high levels of mortality should receive more attention. In this article it is also argued that low fertility rates, too, played a role in generating low rates of natural increase. The article discusses the influence of marriage patterns, household structure, methods of birth control, adoption, and slavery on fertility.     

Policies for fertility reduction: focus on Asia

Fertility can be affected by many factors. Over the long run, socioeconomic development has a decisive effect on reducing fertility. But in the short run, its effects are mixed. Providing greater educational opportunities, particularly for women, typically leads to lower fertility. Urban fertility tends to be much lower than rural fertility since urban residents have better access to information and health care. To the degree that governments are able to extend the reach of the modern sector to rural areas, they may be able to reduce fertility without encouraging urban growth. The effects of income on fertility are mixed: given sufficient time, higher incomes lead to lower fertility; but rising incomes in developing countries can, in the short run, increase fertility. Socioeconomic development factors, however, have less effect on fertility than do fertility dynamics at the individual level. Age at marriage, duration of breastfeeding, and use of contraceptives have important implications for fertility reduction policies. The contribution of of these factors to fertility control have been analyzed for a number of Asian and Pacific countries. Breastfeeding plays a key role in controlling fertility in Pakistan, Nepal, Bangladesh, and Indonesia. Later marriages compensate for lower breastfeeding levels in controlling fertility in other Asian and Pacific countries. The contribution of contraception to fertility control varies from 2% in Nepal to as much as 28% in Thailand. A low total fertility rate is almost always the result of relatively widespread use of contraceptives. Fertility rate reduction in India, Thailand, Indonesia, and Korea in he 1970s can largely be explained by increases in contraceptive usage.     

An evaluation of the population and development program in Egypt

Previous rural surveys analyzing the impact of the Egyptian Population and Development Program on KAP variables (knowledge, attitudes, and practices of contraception) have produced mixed results. In 1982 a survey specifically designed to measure program impact contained refinements in questionnaire measurement, sampling, and analysis. Each refinement intensified the apparent program impact. Fertility itself still appears unresponsive, and attitudes toward family size have changed little, but marked differences between program and nonprogram areas in contraceptive knowledge, attitudes, and practice suggest imminent fertility declines in program areas.     

The sources of error in Brass's method for estimating child survival: the case of Bangladesh

Abstract Brass's method for estimating child mortality is based on an ingeniously simplified model. However, it frequently leads to values of q(x) that are not consistent with each other. This is most obvious for estimates of q(1). This paper examines the extent to which such inconsistencies are caused by simplifications in the model. Three assumptions are relaxed by adjusting for differences in infant mortality by birth order, taking account of annual fluctuations in mortality, and using a different age pattern of fertility for each cohort. These adjustments are applied to data from the 1974 Bangladesh Retrospective Survey of Fertility and Mortality and the 1975 Bangladesh Fertility Survey in which additional data from the Cholera Research Laboratory are used. The resulting estimates are more consistent both internally and with estimates from other surveys and by other procedures.     

Women's preferences for children in Shifang County,Sichuan, China

Fertility preference being related to government policy in China, women generally understate their desired family size when questioned directly. A binomial probit model is, therefore, presented to estimate the probability that family-size preferences in Shifang County, Sichuan, China, are understated. The model provides estimates on the percentage of respondent understatement along with the number of children, women of different ages and social characteristics truly desire. Women's preferences for sons versus daughters are also examined. The study found that women desire on average 1/2 more children than that which they state. Understating was in greatest evidence among urban, educated, and younger women more sensitive to the government's 1-child policy. Preference for sons was found to be weaker than expected, yet strong nonetheless in rural areas among women desiring only 1 child. Sons are considered to cause more worry for parents in China due to an aggressive, risk-taking nature. Possible explanations for the decline of son preference include increasing familial costs for sons' betrothment and marriage, changing household structures, and increasing status of and job opportunities for women in Chinese society. In closing, the paper highlights that couples restrict marital fertility out of interest for national prosperity and the welfare of future generations, not personal preference for small families. Were government policy to relax, fertility would rise to preferred levels.     

Fertility change in rural China, 1949–1982

In the present study, the technique of life table analysis is used to examine fertility change by birth order in rural China, particularly in the rural portion of Anhui province. The study mainly focuses on the relationship between fertility change by birth order and planned socioeconomic changes. Change in fertility by birth order in the last few decades in rural China and Anhui is used as an indicator of the effects of planned socioeconomic changes on the process of family building. Some light is shed on the extent to which fertility changes affected women at different stages of their reproductive career. The data are from the 1/1000 Fertility Survey of China, conducted by the Family Planning Commission in 1982.     

Developing strategies for deriving small population fertility rates

Many agencies require population estimates and projections by ethnic group. These projections need ethnic-specific, age-specific fertility rates (ASFRs) but their inclusion is challenging since ethnicity is not recorded at birth registration. In this paper maternity data are used in a case study of electoral wards in Bradford, West Yorkshire, to develop fertility rates for small populations for a 1991 based projection. The challenge is to capture local variations in fertility by ethnic group when data are sparse. Small areas were grouped together using cluster analysis to define combinations with similar sociodemographic and fertility experiences so that sparse data could be aggregated to estimate reliable ethnic-specific fertility rates. For comparison, the data were aggregated into the 1991 Office for National Statistics area type classification. Fertility rates by single year of age for all area types were smoothed using the Hadwiger function. For the White ethnic group there were sufficient births to create ethnic-specific, ward-level ASFRs. For other ethnicities grouping of areas was necessary. The accuracy of the ASFRs in predicting births was assessed using mean absolute percentage error. Results show that for some minority groups district-level ethnic-specific fertility rates produced the most accurate birth estimates even though they were based on a larger area. This implies that rates created may be informative about the local area for White ethnic type but not in the same way for smaller ethnic groups. In terms of grouping strategies we recommend that existing classifications are assessed to determine how well variations in rates are stratified before embarking on a custom scheme. Where population sub-groups are small in some areas, it may be more reliable to use rates derived for larger areas and apply these to local populations. Inevitably, the rates used in a projection are a compromise but hopefully will still capture important dimensions of population change.     

2000-2010年中国育龄妇女生育完成度变化分析

新中国成立以来,妇女不论在社会活动领域还是家庭领域的地位都有了质的变化。妇女可以参与各种政治、经济、文化娱乐等活动,有的妇女在家庭领域的地位甚至超过了丈夫。尽管妇女受教育程度提高了,但与男性相比还有一定的差距。有研究表明:受教育程度和生育水平呈负相关,尤其是母亲的受教育水平影响更显著。由于教育的影响,妇女的生育水平和生育时间都发生了很大的变化。文章利用最近两次中国人口普查数据来研究育龄妇女的生育年龄的完成度变化情况,并对中国目前TFR很低的现象做了解释,据此推断中国在未来几年的时间,总和生育率会在一定程度上呈上升的变化趋势,但不可能在短期内回升到更替水平。     

Fertility decline in Scotland, England and Wales, and Ireland: comparisons from the 1911 census of fertility

Data on family size by year of marriage, age at marriage, and duration of marriage, from the 1911 Fertility Census, are compared between Scotland, England and Wales, Irish county boroughs, and the rest of Ireland. While means show significant inter-country differences, from the 1880s marked similarities are found across all the countries in the pattern of fertility decline, strongly suggesting significant fertility limitation in rural Ireland well before 1911. Noting the implications for the use of rural Ireland as a natural fertility population, the data are instead compared with the Coale-Trussell and Hinde-Woods schedules. The former provides more plausible results, which imply strong period rather than cohort effects in the fertility decline. Except in rural Ireland, little evidence is found for significant fertility limitation early in marriage among younger marrying couples, but many older marrying couples appear to have stopped childbearing at very low parities from an early date.