scholarly journals Socialized Healthcare and Women’s Fertility Decisions

2021 ◽  
pp. 0419-10155R3
Author(s):  
Resul Cesur ◽  
Pinar Mine Gunes ◽  
Erdal Tekin ◽  
Aydogan Ulker
Keyword(s):  
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lucy Nyundo ◽  
Maxine Whittaker ◽  
Lynne Eagle ◽  
David R. Low

Abstract Background The significant contribution of community-based distribution (CBD) of family planning services and contraceptives to the uptake of contraceptives in hard-to-reach communities has resulted in the scaling-up of this approach in many Sub-Saharan countries. However, contextual factors need to be taken into consideration. For example, social network influence (e.g. spouse/partner, in-laws, and parents) on fertility decisions in many African and Asian societies is inevitable because of the social organisational structures. Hence the need to adapt CBD strategies to the social network context of a given society. Methods Data collection involved structured interviews from August 2018 to March 2019. Randomly selected respondents (n = 149) were recruited from four purposively selected health facilities in Lusaka district, Zambia. Respondents were screened for age (> 15 yrs.) and marital status. A mix of categorical and qualitative data was generated. The Statistical Package for Social Sciences (SPSS®24) was used to carry out descriptive analysis and tests of association (Fisher’s exact) while Nvivo®12 was used to analyse the qualitative data using a deductive thematic approach. Results The results indicate that pre-marriage counselling (pre-MC) influences key elements of the husband-wife relationship (p > 0.005), namely; sexual relationship, inter-personal communication, assignation of roles and responsibilities, leadership and authority. These elements of the husband-wife relationship also affect how spouses/partners interact when making fertility decisions. More importantly, the majority (86%) of the respondents indicated having a continuing relationship with their marriage counsellors because of the need to consult them on marital issues. Conclusion Marriage counsellors, though hardly reported in fertility studies, are important ‘constituents’ of the social network in the Zambian society. This is because marriage counsellors are trusted sources of information about marital issues and often consulted about family planning but perceived not to have the correct information about modern contraceptives. In this context, pre-MC offers a readily available, sustainable and culturally appropriate platform for disseminating accurate information about modern contraceptives provided in a private and personal manner. Therefore, the CBD strategy in Zambia can harness marriage counsellors by recruiting and training them as community agents.


Demography ◽  
2001 ◽  
Vol 38 (1) ◽  
pp. 43 ◽  
Author(s):  
Hans-Peter Kohler ◽  
Jere R. Behrman ◽  
Susan C. Watkins

2010 ◽  
Vol 22 (2) ◽  
pp. 171-195
Author(s):  
Gerardo Meil

The aim of this paper is to analyse, differentiated by gender, the effects that high geographical job mobility has on parenthood decisions. In particular, in a first part we will examine whether job mobility fosters childlessness and/or postponement of childbearing and if mobility implies a lower family size. In a second part we will analyse how the specific working conditions of mobile people and their resources for balancing working and private lives affect childlessness and postponement of parenthood. The analysis will be based on a representative survey of people aged 25 to 54, performed in six European countries (Germany, France, Spain, Poland, Switzerland and Belgium) in 2007, oversampling mobile people in order to get enough cases to analyse. Results show that the impact of high job mobility on the timing and quantum of parenthood is important, both for men and women, but stronger for the latter. Besides gender, the strength of the impact depends on the duration of job mobility and when it takes place in the lifecycle. Resources for promoting a better balance of working and private lives such as flexitime and teleworking have no clear impact on parenthood decisions, but having a supportive employer facilitates family development of mobile employees. A greater involvement of men in unpaid work does not seem to facilitate fertility decisions of mobile women. Zusammenfassung In diesem Beitrag wird der Frage nachgegangen, inwieweit hohe berufsbedingte räumliche Mobilität negative Folgen auf die Familienentwicklung hat. Im ersten Teil des Aufsatzes wird getrennt nach Geschlecht analysiert, ob Mobilität Kinderlosigkeit fördert, eine Verschiebung des Geburtenkalenders verursacht und ob sie eine Reduktion der Familiengröße zur Folge hat. Darüber hinaus wird in dem zweiten Teil analysiert, welchen Einfluss bestimmte Arbeitsbedingungen sowie die Ressourcen, die Familien zur Verfügung stehen, um Familie und Beruf zu vereinbaren, auf die Entscheidungen bezüglich Elternschaft ausüben. Die Analyse stützt sich auf eine repräsentative Umfrage in sechs europäischen Ländern (Deutschland, Frankreich, Spanien, Polen, Schweiz und Belgien) mit Personen im Alter zwischen 25 und 54 Jahren. Die Daten wurden in 2007 erhoben. Mobile Erwerbstätige wurden überproportional erhoben, um eine ausreichende Fallzahl zu gewährleisten. Die Ergebnisse zeigen, dass die Auswirkung der Mobilität auf die Familienentwicklung von Bedeutung ist, wobei sich Mobilität von Frauen stärker auswirkt. Darüber hinaus ist von Bedeutung, wann im Lebenslauf Mobilität und Elternschaft stattfinden und wie lange die Phase der mobilen Arbeit andauert. Flexible Arbeitszeiten oder die Möglichkeit, einen Teil der Arbeit zu Hause zu leisten, haben keinen eindeutigen Einfluss auf die Entscheidungen zur Elternschaft von mobilen Erwerbstätigen, wohl aber die Unterstützung durch den Arbeitgeber. Unterstützung seitens des Partners scheint die Entscheidung mobiler Frauen für Kinder nicht zu fördern.


Author(s):  
Nicolò Cavalli

Using digital traces to investigate demographic behaviours, I leverage in this paper aggregated web search data to develop a Future Orientation Index for 200 countries and territories across the world. This index is expressed as the ratio of Google search volumes for ‘next year’ (e.g., 2021) to search volumes for ‘current year’ (e.g., 2020), adjusted for country-level internet penetration rates. I show that countries with lower levels of future orientation also have higher levels of fertility. Fertility rates decrease quickly as future orientation levels increase; but at the highest levels of future orientation, this correlation flattens out. Theoretically, I reconstruct the role that varying degrees of future orientation might play in fertility decisions by incorporating advances in behavioural economics into a traditional quantity-quality framework à la Becker.


2017 ◽  
Vol 44 (3) ◽  
pp. 414-444 ◽  
Author(s):  
Qurra-tul-ain Ali Sheikh ◽  
Mahpara Sadaqat ◽  
Muhammad Meraj

Purpose The purpose of this paper is to obtain empirical evidence on the impacts of socio-economic and demographic factors on the fertility decisions taken by a common family in developing countries like Pakistan. Also, this study contravenes the conventional orthodoxy of childbirth decisions of a family by enlarging the canvas and conjectures the fundamental nexus amongst female’s education, fertility and contraceptive use. Design/methodology/approach The study is based on micro-level data, obtained from the Pakistan Demographic and Health Survey (2012-2013) which is the third survey carried out in Pakistan. Demographic and socio-economic profiles of 13,558 ever-married women, aged 15-49 years, were randomly selected from Gilgit Baltistan and the four provinces of Pakistan. Three dependent variables are used in empirical analysis i.e. current use of contraceptives, total fertility and cumulative fertility. In order to estimate the probability of contraceptive use maximum likelihood, Probit technique is employed with ordinary least squares on reduced form specifications of total fertility and cumulative fertility models. Findings The empirical results proved the hypotheses that educated females practice more family planning through modern contraceptives which leads to a decrease in total fertility rates. Some significant links among females’ education, contraceptive use and fertility define the quantity – quality trade-off and opportunity cost of time. Evidently, female education provides maturity and awareness of family size which is necessary to take crucial economic decisions. Research limitations/implications The empirical evidence suggests that maximum efforts should be made toward women’s education. The current standard of education in Pakistan is not enough to overcome the long-standing problem of excessive child birth. This could be done with the help of public – private partnership as the measures taken by the government alone are insufficient. The government should initiate some adequate measures such as education and awareness about contraceptive usage at the secondary school level that could be a vivacious step to support fertility reduction. Practical implications The framework used in this study provides a broader intra-household income–expenditure approach. With a smaller family size, the household’s income would be shared among fewer individuals. It is highly probable that parents would be more attentive if they need to look after a few children. That is the best way to progress their children with limited resources. Social implications From the socioeconomic perspectives, educated parents plan the ideal family size which allows them to spend more on their children’s upbringing. Originality/value This study captures the magnitude of fertility decisions with the relevance of the wife’s education because the present practice in Pakistan does not allow higher education for married women. This is why this study could be used as a benchmark for further study in the same area.


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