Fertility and Family Planning in Africa

1970 ◽  
Vol 8 (3) ◽  
pp. 445-457 ◽  
Author(s):  
Thomas E. Dow

As the result of recent demographic research, we now have a reasonable basis for estimating rates of birth, death, and population growth in subSaharan Africa. These findings suggest that fertility is higher, and mortality lower, than had previously been assumed. This combination of high fertility and declining mortality implies a high rate of population growth. The compatibility of such a growth rate with existing plans for social and economic development is doubtful. This article examines the findings and issues, and seeks to determine the feasibility of population control in sub-Saharan Africa.

Author(s):  
H. I. Eririogu ◽  
C. A. Okezie ◽  
E. S. Ebukiba

Aims: This study assessed the demographic transition in the past and projected five decades in Sub-Saharan Africa, 1967-2068: Empirical evidence from Nigeria. Study Design: Past and projected time series data (between 1967 and 2068) were used for the study. The 1967-2068 data sets were resorted to due to lack of complete national data. Place and Duration of Study: Past (between 1967 and 2017) and projected (between 2018 and 2068) five decades in Nigeria. Methodology: The time series data (1967 to 2068) obtained from the 1950-2099 Interpolated Demographic Data of the United Nations Population Division, Department of Economic and Social Affairs, on Births, Deaths and Population levels, were used for the study. The 1967-2068 data sets were resorted to due to lack of complete national data. Data collected were analyzed using birth and death rate indices, demographic transition index, growth rate equation and granger causality statistics. Unit root, co-integration and error correction tests were also carried out. Results: Results showed that in the past five decades (1967-2017), the mean crude birth and death rates per 1,000 populations were 43.9 and 18.0 respectively; while that of the projected five decades (2018-2068) was 28.9 and 7.9 respectively per 1000 populations. The demographic indices showed that in the past five decades (between 1967 and 2017), Nigeria was at the second stage (stage II) of demographic transition and expected to remain at this stage in the next five decades (between 2018 and 2068). Results also showed that the population growth rate in the past five decades was 2.584 percent, while the growth rate in the next five decades as projected was 2.098 percent. The population growth rate (2.098 percent) in the next five decades (between 2018 and 2068 as projected) is expected to decrease by an average of 0.486 percent. Results also showed that there is a mutual link between demographic transition and population growth. Conclusion: Nigeria is currently at the second stage of demographic transition and expected to remain at this stage (stage II) in the next five decades. Demographic transition increases the prediction of population growth and vice versa.


2000 ◽  
Vol 39 (4II) ◽  
pp. 1057-1073
Author(s):  
Abdul Hakem

Pakistan with an estimated population of around 142.5 million in mid 2001 is the seventh most populous country in the world and fourth in Asia and Pacific countries. The historical trends indicate a continuously increasing growth in population (Table 1). The population of the area now constituting Pakistan was 16.6 million in 1901. Since then the population has increased over eight-fold. Annual growth rates have risen from 1 percent in the first three decades of the century to around 2 percent in the next three decades and after peaking at little over 3 percent in the 1960s, has started showing a declining trend. Currently it is estimated that Pakistan’s population is growing at around 2.1 percent, still a very high rate of annual growth in population. Major contributing factor to the fast growth in population of Pakistan has been high fertility which has remained high for a very long period. It is evident that nearly 100 million population has been added to the population of Pakistan since 1961, that is, during the last four decades. Such rapid growth in population has several adverse implications for the socio-economic development of the country which has been offsetting the gains in social and economic development.


Author(s):  
Salwa A. Musa ◽  
Areej A. Ibrahim ◽  
Samar S. Hassan ◽  
Matthew B Johnson ◽  
Asmahan T. Basheer ◽  
...  

Abstract Background Fanconi-Bickel syndrome (FBS) is a rare condition of carbohydrate metabolism, caused by a recessive defect in the facilitative glucose transporter GLUT2 encoded by the SLC2A2 gene and characterized by a wide spectrum of phenotypical features. There is a paucity of reported data on FBS from Sub-Saharan Africa. Here, we describe the clinical, biochemical and genetic characteristics of our patients with FBS from Sudan, a country with a high consanguinity rate. Patients & methods Eleven patients from ten unrelated Sudanese families were included. Clinical & biochemical data were documented and imaging studies done including bone survey and abdominal ultrasound. Liver biopsy was done to confirm the pathological diagnosis in 45% of cases and molecular genetics was performed through contribution with the Exeter genomics laboratory for ten patients. Results Reported consanguinity was 70% among our patients. Growth was significantly impaired at presentation with mean weights of (-5.3 ± 1.8) SD and heights (-5.4 ± 2.5) SD. Severe chest deformity was present in (27%) and all patients showed features of rickets at presentation. Three patients had neonatal diabetes requiring insulin therapy of which one has been reported before. Six families lost undiagnosed siblings with similar clinical presentations. We identified a total of four homozygous pathogenic SLC2A2 variants in our patients, one of whom had a novel mutation. Conclusions FBS is not uncommon in Sudan where there is a high rate of consanguinity. Many cases are likely missed because of variable presentation and lack of public and professionals’ awareness. This is the first series to describe this condition from Sub-Saharan Africa.


2020 ◽  
Vol 18 (1) ◽  
pp. 42-60
Author(s):  
Andrew McKinnon

AbstractThere is an emerging debate about the growth of Anglicanism in sub-Saharan Africa. With this debate in mind, this paper uses four statistically representative surveys of sub-Saharan Africa to estimate the relative and absolute number who identify as Anglican in five countries: Kenya, Nigeria, South Africa, Tanzania and Uganda. The results for Kenya, South Africa and Tanzania are broadly consistent with previous scholarly assessments. The findings on Nigeria and Uganda, the two largest provinces, are likely to be more controversial. The evidence from statistically representative surveys finds that the claims often made of the Church of Nigeria consisting of ‘over 18 million’ exceedingly unlikely; the best statistical estimate is that under 8 million Nigerians identify as Anglican. The evidence presented here shows that Uganda (rather than Nigeria) has the strongest claim to being the largest province in Africa in terms of those who identify as Anglican, and is larger than is usually assumed. Evidence from the Ugandan Census of Populations and Households, however, also suggests the proportion of Ugandans that identify as Anglican is in decline, even if absolute numbers have been growing, driven by population growth.


2017 ◽  
Vol 1 (4) ◽  
Author(s):  
Martin Brandt ◽  
Kjeld Rasmussen ◽  
Josep Peñuelas ◽  
Feng Tian ◽  
Guy Schurgers ◽  
...  

Author(s):  
Neha Thakur ◽  
Nahid Zia Khan ◽  
Narendra Rai

Background: Barabanki one of the most populous districts of Uttar Pradesh with population growth rate being much higher than the national population growth rate. The objective of this study was to gain the knowledge about awareness and contraceptive practices in married women residing in Barabanki. To identify socio-demographic factors associated with unmet needs for contraceptionand also to ascertain the participation of husband in family planning.Methods: A cross sectional study was conducted in outpatient department of Obstetrics Gynecology and Department of Pediatrics in Medical college hospital in Barabanki. 144 females were enrolled in the study during the study period of one year. They were interviewed on the basis of a pre-structured proforma. Data obtained was then analyzed.Results: A total 144 women in the age group 18-45 years participated in the study of which 53% had knowledge of contraception. More than two thirds were not using any form of contraception. The most common method of contraception was barrier method followed by Depot medroxy progesterone acetate. Copper T was least used mode of contraception. The most common source of knowledge regarding contraception was from electronic media followed by friends and family. The most common reason behind the absence of contraception was lack of knowledge of contraception and husband disapproval.Conclusions: Poor knowledge of contraception led to decreased usage of contraceptive measures. Husband participation is virtually absent in family planning leading to high fertility. In order to make our family planning programs successful we must incorporate media for wider coverage to increase awareness and husbands for better implementation.


Africa ◽  
1996 ◽  
Vol 66 (3) ◽  
pp. 411-436 ◽  
Author(s):  
Neil Price

Within demography, high fertility in sub-Saharan Africa was considered until recently to reflect a demand for children firmly rooted in indigenous social institutions, which were resistant to external forces of change. On the basis of findings from recent Demographic and Health Surveys, Caldwell et al. (1992) suggest that many of the institutional supports for high fertility in sub-Saharan Africa—such as lineage-based descent systems, polygyny, bridewealth, extended kinship structures, child fostering, and communal land tenure—are being eroded. This article considers changes in the value of children among the Kikuyu of Central Province, Kenya, and the extent to which the social institutions which have traditionally supported high fertility have persisted. Fieldwork undertaken in two ethnically homogenous communities, one rural and one peri-urban, reveals significant variation in the fertility motives and value of children in the two communities. In the rural community many of the indigenous social supports for high fertility, although modified, cohere. In the context of economic insecurity and lack of access to land (especially for women without sons), manipulation of customary kinship and marriage practices (supported by the persistence of many indigenous religious beliefs and ideologies about fertility) has become strategically important for realising fertility desires. There is, however, unmet demand for modern contraception, due largely to lack of access to and the poor quality of family planning services. In contrast, in the peri-urban community, where access to family planning services is relatively good, there has been effective legitimation of fertility regulation and the use of modern contraception is widespread. There is markedly less economic insecurity: wage labour opportunities are available, and some women have successfully challenged male control over land. Consequently, there is reduced demand for children, although a number of the indigenous cultural supports for high : fertility retain residual importance.


Author(s):  
Vincent Sebastian Pande ◽  
Neema Penance Kumburu

Development efforts in several countries in Sub-Saharan Africa (SSA) are harmed by a combination of many factors, high rates of population growth being among of them. Despite the strong links between population and sustainable development, these issues were not a priority in broader development policies and strategies in SSA. Population and sustainable development had been often addressed separately at policy and programme levels. Despite the fact that decision makers in these countries recognize the importance of population issues for sustainable development, these issues are rarely worked on together, limiting the payoff that could result from integrating the two. This chapter, therefore, re-examines and relates these two concepts to see their compatibility and provides a more realistic approach in converting population growth into economic gains for future development of SSA countries and Africa in general.


2019 ◽  
Vol 38 (1) ◽  
pp. 3-17 ◽  
Author(s):  
Simplice A Asongu ◽  
Nicholas M Odhiambo

This study investigates how increasing economic development affects the green economy in terms of CO2 emissions, using data from 44 countries in the sub-Saharan Africa for the period 2000–2012. The Generalized Method of Moments is used for the empirical analysis. The following main findings are established. First, relative to CO2 emissions, enhancing economic growth and population growth engenders a U-shaped pattern whereas increasing inclusive human development shows a Kuznets curve. Second, increasing gross domestic product growth beyond 25% of annual growth is unfavorable for a green economy. Third, a population growth rate of above 3.089% (i.e. annual %) has a positive effect of CO2 emissions. Fourth, an inequality-adjusted human development index of above 0.4969 is beneficial for a green economy because it is associated with a reduction in CO2 emissions. The established critical masses have policy relevance because they are situated within the policy ranges of adopted economic development dynamics.


Parasite ◽  
2018 ◽  
Vol 25 ◽  
pp. 24 ◽  
Author(s):  
Manel Ouji ◽  
Jean-Michel Augereau ◽  
Lucie Paloque ◽  
Françoise Benoit-Vical

The use of artemisinin-based combination therapies (ACTs), which combine an artemisinin derivative with a partner drug, in the treatment of uncomplicated malaria has largely been responsible for the significant reduction in malaria-related mortality in tropical and subtropical regions. ACTs have also played a significant role in the 18% decline in the incidence of malaria cases from 2010 to 2016. However, this progress is seriously threatened by the reduced clinical efficacy of artemisinins, which is characterised by delayed parasitic clearance and a high rate of recrudescence, as reported in 2008 in Western Cambodia. Resistance to artemisinins has already spread to several countries in Southeast Asia. Furthermore, resistance to partner drugs has been shown in some instances to be facilitated by pre-existing decreased susceptibility to the artemisinin component of the ACT. A major concern is not only the spread of these multidrug-resistant parasites to the rest of Asia but also their possible appearance in Sub-Saharan Africa, the continent most affected by malaria, as has been the case in the past with parasite resistance to other antimalarial treatments. It is therefore essential to understand the acquisition of resistance to artemisinins by Plasmodium falciparum to adapt malaria treatment policies and to propose new therapeutic solutions.


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