Factors Affecting Contraceptive Use in Sub-Saharan Africa (1993) / Chapter Skim
Currently Skimming:
8 Conclusions
8 Conclusions
Pages 212-220
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 212... ...
However, in the vast majority of countries within Africa, the prevalence of use of modern methods of contraception is less than 6 percent, placing them squarely in the "emergent" category with regard to family planning programs (Destler et al., 1990~. In these countries, postpartum nonsusceptibility due to lactational amenorrhea and sexual abstinence is more dominant than modern contraception in restraining fertility.
|
From page 213... ...
did not, and all these were located in countries with weak family planning programs. Whereas much of the earlier demographic literature focused on the socioeconomic factors affecting fertility, there has been a growing awareness during the past decade of the important role of the family planning supply environment with respect to meeting the needs of couples motivated to delay or limit births.
|
From page 214... ...
Although impressive progress was made dunug the decade of the 1980s in terms of population policy and family planning program implementation, it is our view that the continued 2The majority of developing countries in Asia and Latin America with a contraceptive prevalence of at least 30 percent are not single-method countries (Rutenberg et al., 1991)
|
From page 215... ...
In view of economic difficulties in some African countries, donor support for family planning is likely to remain crucial in the coming years. Even where the political will exists, governments stretched thin with providing basic services to growing populations will find it difficult to implement effective family planning programs without continued donor support.
|
From page 216... ...
For example, there are indications of growing conjugal closeness and shared decision making, possibly resulting from changes in childrearing costs and educational aspirations. Land scarcity due to high population density and rising educational costs in some areas may increase the perceived benefits of fewer children.
|
From page 217... ...
But to date, none of the African DHS have employed this questionnaire, given their relatively low levels of prevalence. A more widespread use of these questions in African countries that have at least 15 to 20 percent prevalence of modern contraceptive methods would provide some needed information on discontinuation.
|
From page 218... ...
The theories underlying these competing positions are discussed in detail in Chapter 3, but there has been very little empirical work on the effects of economic downturns.3 Effects of Child Mortality and AIDS on Demand for Children and Attitudes Toward Family Planning It is generally accepted that high levels of child mortality tend to sustain the demand for a large number of children among parents seeking to insure themselves against possible future loss or compensation for deaths that have already occurred. The populations of countries ravaged by the AIDS epidemic are now painfully aware that children born to mothers infected with the human immunodef~ciency virus ~V)
|
From page 219... ...
Such varied responses will have a profound effect on the future fertility desires of different African populations. Quantification of Kinship Factors Given the importance of kinship in influencing the demand for children, it would be useful to devise means for integrating kinship factors into quan
|
From page 220... ...
Population Policies and Program ImplementationService Availability at the Regional Level Not only in Africa but also in other parts of the developing world, attempts to evaluate and quantify the family planning supply environment have been limited to date. Although some information is available on the national level, there is a need for subnational data that indicate not only the quantitative but also the qualitative aspects of service delivery.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.