Dissertations / Theses on the topic 'Family size Fertility'

In these papers I discuss the causal estimation of the effects of fertility and fertility planning developments on mother and child outcomes. A number of concerns are raised with existing identification techniques, and alternative methodologies to consistently estimate the effect of interest are proposed. These concerns and new techniques are illustrated using microdata on slightly more than 43,000,000 births ocurring between 1972 and 2013. In the first substantive chapter (written with Sonia Bhalotra), we discuss the validity of the use of twin births in fertility research. We demonstrate that twin births are not random. Successfully taking twins to term depends upon positive maternal health behaviours and investments in the periods preceding birth. We show that this is of considerable concern for estimation techniques which rely on twin births being (conditionally) randomly assigned to identify causal effects. To illustrate, we consider the estimation of the child quantity-quality (QQ) trade-off, and show that existing instrumental variable estimates are inconsistent in the contexts examined. Upon partially correcting for the fact that twin births are not random, a statistically significant QQ trade-off begins to emerge. We close by examining a number of partial identification techniques to bound the true effect of fertility on child outcomes. In the second substantive chapter, I examine the effect of fertility control policies on the fertility decisions and outcomes of women. I consider the case of the emergency contraceptive pill in Chile. The staggered arrival of this technology to Chile over the last decade has resulted in the availability of the first safe and legal post-coital birth control policies. In a context of high teenage pregnancy rates, difference-in-difference (DD) style estimates suggest that this policy has accounted for reductions in short-term teen childbearing by as much as 7%, an effect similar to the arrival of abortion in the USA. This policy is also shown to reduce fetal deaths reported in early gestation with no similar reduction in late gestation: suggestive evidence that an alternative fertility control policy may reduce costly and dangerous illegal abortions. Finally, I turn to the use of DD estimators as a policy-analysis tool. I discuss how such estimators perform in the case of reforms which may not be sharply demarcated to treatment and control clusters, but rather subject to local spillovers or externalities. I propose an extension of the typical DD estimator: a spillover-robust DD estimator. This methodology is applied to estimate the effect of two localised fertility control reforms in Mexico and Chile, where women close to treatment clusters who were not themselves subject to the reform may nonetheless travel to access treatment.

This study of Fertility Differentials in Bangladesh is based on a subset of data obtained from the 1983 Bangladesh Contraceptive Prevalence Survey. The focus of the study is to identify the variables that significantly affect the cumulative fertility of women in Bangladesh and to examine differentials in fertility.Path analysis has been used for analyzing the data of this thesis. Differentials in fertility are examined in terms of selected demographic and socio-economic characteristics of the ever married women and their husbands.The study shows that age of women has the highest effect on number of children ever born. Religion has positive and significant direct effects on fertility. Education of women has significant negative effects on fertility. Employment status of women effect fertility negatively in rural Bangladesh. The results of this study also suggest that high fertlity in Bangladesh will persist if immediate action is not taken to halt it.<br>Department of Mathematical Sciences

BACKGROUND: The long-term decline in cohort fertility in highly developed countries has been widely documented. However, no systematic analysis has investigated which parity contributed most to the fertility decline to low and very low levels. Objective: We examine how the contribution of changing parity progression ratios varied across cohorts, countries, and broader regions in Europe, North America, Australia, and East Asia. We pay special attention to countries that reached very low completed cohort fertility, below 1.75 children per woman. Methods: Using population censuses and large-scale surveys for 32 low fertility countries, we decompose the change in completed cohort fertility among women born between 1940 and 1970. The decomposition method takes into account the sequential nature of childbearing as a chain of transitions from lower to higher parities. Results: Among women born between 1940 and 1955, the fertility decline was mostly driven by reductions in the progression ratios to third and higher-order births. By contrast, among women born between 1955 and 1970, changes in fertility showed distinct regional patterns: In Central and Eastern Europe they were fuelled by falling second-birth rates, whereas in the German-speaking countries, Southern Europe, and East Asia decreases in first-birth rates played the major role. Conclusions: Pathways to low and very low fertility show distinct geographical patterns, which reflect the diversity of the cultural, socioeconomic, and institutional settings of low fertility countries. Contribution: Our study highlights the importance of analysing parity-specific components of fertility in order to understand fertility change and variation. We demonstrate that similar low levels of completed cohort fertility can result from different combinations of parity-specific fertility rates.

We study the aggregate gap between intended and actual fertility in 19 European countries and the US based on a cohort approach. This complements prior research that had mainly used a period approach. We compare the mean intended number of children among young women aged 20 to 24 (born in the early 1970s), meas ured during the 1990s in the Fertility and Family Surveys, with data on completed fertility in the same cohorts around age 40. In a similar manner, we compare the share who state that they do not want a child with actual cohort childlessness. Our exploration is informed by the cognitive-social model of fertility intentions devel- oped by Bachrach and Morgan (Popul Dev Rev 39(3):459-485, 2013). In all coun- tries, women eventually had, on average, fewer children than the earlier expectations in their birth cohort, and more often than intended, they remained childless. The results reveal distinct regional patterns, which are most apparent for childlessness. The gap between intended and actual childlessness is widest in the Southern Euro- pean and the German-speaking countries and smallest in the Central and Eastern European countries. Additionally, we analyze the aggregate intentions-fertility gap among women with different levels of education. The gap is largest among highly educated women in most countries studied and the educational gradient varies by region, most distinctively for childlessness. Differences between countries suggest that contextual factors-norms about parenthood, work-family policies, unemployment-shape women's fertility goals, total family size, and the gap between them.

Because pronatalist sentiments may be an important aspect of Mexican-American ethnic heritage, this research focuses on cultural as well as socioeconomic factors which may contribute to higher Mexican-American fertility. Language use and nativity are used as indirect indicators of identification with an ethnic culture. Wives' characteristics are generally considered adequate to the study of couples' fertility, but in light of earlier research by the author indicating the importance of cultural factors to the fertility expectations of Mexican-American adolescent males, characteristics of husbands as well as wives are included in this analysis. For this reason, the sample, which is drawn from the 1980 Census data for Arizona, Texas, and New Mexico, is limited to Mexican-American and Anglo women who have been married only once and live with their husbands. Two complementary methods of analysis are used. Linear regression describes the significance of husband's and wife's language use, nativity, and socioeconomic characteristics to mean family size. Parity progression ratios are used to study the contribution of these variables to the likelihood of the addition of one more child at each stage of the family building process. While wife's characteristics are sufficient to account for most of the variation observed in Anglo fertility, husband's socioeconomic characteristics significantly contribute to variation observed in the fertility of Mexican-American couples. Husbands' identification with Mexican-American culture may be somewhat more important to couples' fertility than that of their wives. This is consistent with research which suggests that children are more central to male sex role expectations as they are expressed in the context of Mexican-American culture than in that of Anglos. The measures of ethnic identity used in this study are clearly associated with socioeconomic status. The differential fertility of Anglos and Mexican Americans could be attributed to these differences. The association of Spanish language use and fertility has been linked to the lower opportunity costs represented by additional children to women who do not speak English proficiently. However, the analysis of these data, which compares structural and cultural explanations of fertility differentials, provides evidence of cultural effects as well as the effects of socioeconomic status on fertility.

Masters of Science<br>The present study is an understanding of the relationship that exists between landholding and the reproductive behaviour of rural women in Kenya. Traditional women have rights to cultivate land as well as control income from the resulting crop production but rarely have rights to allocate or alienate land. Men are the rightful owners of the land. When the rightful owner person passes away, the eldest son of the family automatically takes ownership of the land and subsequent care of the family. This period of land ownership supported high fertility rates. However, in current spaces this practice has changed. Land is scarce and people are opting for other alternatives of limiting their family sizes. The aim of the study is to address the dissimilar changes of fertility behaviour among women in rural Kenya. Particularly, landholdings and low fertility behaviour, focusing on how this change happened. Data used is from the Kenya Demographic and Health Survey (KDHS) 2008/2009. We acquire a representative sample size of 6761 women age 15-49 from the data. A multiplicity of statistical parameters like chi-square test, p-value, logistic regression, and multivariate analysis are adopted. In this regard, the relationship that exists between fertility and landholdings leads to large family sizes. In addition, land decrease has lead to the search of alternatives such as education, employment, and increase in age at marriage. The introduction of these factors has promoted smaller family sizes. This study is immensely useful for the policy makers, planners and other interested stakeholders in population and development spheres in this juncture.

In 1979, the Chinese government introduced the One-child Policy for the purpose of controlling population growth. Thirty years later, the fertility rate in China has declined to a very low level and one-child families have become the norm. At the same time, the consequences of low fertility rates have emerged. In 2015, the government announced a new policy that encouraged couples to have two children in order to raise the total fertility rate. In this paper, I analyze the economic and legal implications of the Chinese family planning policies. By examining to what extent fertility decisions are affected by government policies, I evaluate the potential effects of the Two-child Policy. The findings suggest that the Two-child Policy might not be effective in increasing the total fertility rate.

In most developed countries, the fertility levels of parents and children are positively correlated. This article analyzes the strength of the intergenerational transmission of family size over the last century, including a focus on this reproduction in large and small families. Using the large-scale French Family Survey (2011), we show a weak but significant correlation of approximately 0.12-0.15, which is comparable with levels in other Western countries. It is stronger for women than men, with a gender convergence across cohorts. A decrease in intergenerational transmission is observed across birth cohorts regardless of whether socioeconomic factors are controlled, supporting the idea that the family of origin has lost implicit and explicit influence on fertility choices. As parents were adopting the two-child family norm, the number of siblings lost its importance for having two children, but it continues to explain lower parity and, above all, three-child families. This suggests that the third child has increasingly become an "extra child" (beyond the norm) favored by people from large families.

BACKGROUND: During the 20th century the Czech Republic went through profound changes in female employment, gender roles, population and family policies, and public childcare. The educational structure of the female population changed tremendously. At the same time, completed cohort fertility fluctuated between 1.8 and 2.2 children per woman. OBJECTIVE: This article analyses the changes in the level of completed cohort fertility by education, during educational expansion in the Czech population under the economic, cultural, and institutional background of the state socialist regime, and after its breakdown. METHODS: The changes in the level of completed cohort fertility by education are analysed by means of decomposition, complemented by the analysis of parity composition. RESULTS: uring the 20th century, education-specific completed cohort fertility increased, rather than declined. Fertility levels converged upwards, contributing to high uniformity within educational categories. The overall changes in fertility levels were driven by changes in the educational structure. These trends resulted in the dominance of the twochild family, while large families were disappearing and childlessness dropped to the biological minimum. CONCLUSIONS: An egalitarian economic system with traditional family-friendly policies, in combination with a family-unfriendly labour market, developed into a male breadwinner model of low gender equity. Future family policies should focus on the reconciliation of work and family. CONTRIBUTION: he study contributes to the discussion on links between education and fertility, adding a new picture to the mosaic of country-level analyses. The Czech Republic is an example of a country with high educational homogeneity of fertility behaviour where the education-specific levels of fertility converged upwards.

This thesis examines family formation in Scotland, with a focus on having a first birth. I argue that fertility behaviour must be researched as part of a process of family formation across the life course and informed by the conceptual framework of the Theory of Planned Behaviour. Starting from geographical patterns in fertility rates, housing and partnership, I establish relationships between shared social attitudes, partnership, housing, and family formation behaviour. I use cross-sectional and panel data from the Scottish Social Attitude Survey, the Scottish Census, the Scottish Longitudinal Study and the British Household Panel Study. The methodological contribution lies in the use of a Latent Class Analysis to identify shared social attitudes groups, which are then incorporated in more generic models predicting fertility intentions and first birth outcomes. The findings indicate that social attitudes and norms are important for family formation. While the Second Demographic Transition Theory argued that social norms are being replaced by more independent choices, more recent fertility literature has called for more attention to social norms. The current thesis thus supports these recent calls by showing how social norms might be (indirectly) measured in quantitative research. A key focus is on relationships between housing and family formation, especially normative ideas of 'proper' family housing. I demonstrate that family housing is a significant predictor of first births, at least for women. The gendered nature of family formation is also demonstrated by the different indicators found to predict men's and women's fertility intentions and realisations. I conclude that improved understanding of fertility behaviour requires longitudinal research that goes beyond the usual fertility indicators such as partnership and recognises the importance of gender differences, housing, shared social attitudes, and, above all, the continuing relevance of social norms in the family formation process.

Prevailing low fertility rates in several European states, such as Germany, have been studied widely in recent years. Findings include discrepancies between fertility preference and actual family size as well as between fertility intentions and fertility behavior; an ‘unmet need’ for children found on the individual and the societal level. Fertility preference is specified as the individual ideal number of children, and fertility intentions as the long- or short-term plans to have a child. Apart from investigating the rates of realization, these measures have been understudied. The objective of this study is to illuminate a new angle of low fertility rates in Germany by reviewing fertility measures previously considered to be stable predictors of fertility behavior. The aim is to investigate the stability of fertility preferences and of positive short-term fertility intentions of Germans in their reproductive age. According to the Theory of Planned Behavior and the life-course perspective, attitudes and experiences can influence fertility preferences and short-term fertility intentions. In this study, the suspected connection between unstable preferences and intentions and certain attitudes towards and experiences with the career, working life, and childcare situation is examined. These processes are expected to differ between men and women, and between childless individuals, parents with one child and parents with more than one child. Using data from seven survey waves of the German family panel pairfam, fixed-effects and random-effects regression models are run separately for women and men and for those of different parities. The results suggest that those with high career importance and those who expect or perceive a negative effect of children on the career are more likely to have unstable positive intentions. Although fertility preferences are shown to be somewhat unstable, no relevant relationships can be found. The differences between the findings on men and women regarding relevant determinants and direction of the relationships are unexpectedly small. Childless individuals are as likely to hold unstable preferences and intentions as parents.

The objective of the thesis is to compare planned and realized fertility of a small sample of Czech women with finished fertility. A questionnaire was used to determine both planned and actual number of children, their gender, birth order and spacing and the age of woman at her first birth and her marital status. The realization of these events was compared and the reasons for failure were identified. A sample of 47 respondents anonymously completed the two-page questionnaire comprising of four parts -- plan, reality, personal characteristics and additional questions. Additional questions were related to contraception, abortions, religion, etc. The survey showed average number of 2.34 child per woman, whereas planned average number was 2.28. Further, on average 53 % of women fulfilled their plans regarding number of children, gender and order, spacing, age at the first birth and age at the first marriage. Finally, the correlation between observed number of children and planned number of children was analysed based on gathered data. The resulting model showed that the planned number of children one corresponds with realized number of children 1.47.

Thesis (DPhil)--Stellenbosch University, 2002.<br>ENGLISH ABSTRACT: The study describes and analyses changes in women's reproductive behaviour ID developing communities. These changes took more than hundred years to occur ID Western communities but only two to three decades in developing communities such as Taiwan and Barbados. The population of Victoria East district of the Eastern Cape province of South Afiica was chosen as a case study of these changes. Changes in the reproductive behaviour of women are described over a period of twenty-two years. The base year for the study is 1978 and data were collected up to 2001. Changes increased in particular since 1988. Statistical descriptive analyses were undertaken with regard to patterns of changes in variables such as age at the onset of births, child spacing, the mean number of births per woman, fertility regulation, and the number of children ever bom. Variations in patterns were analysed according to age cohorts, occupation and marital status. Information regarding these variables was collected from records at hospitals and clinics. Focus group interviews were held to reflect women's own descriptions and experiences regarding these variables. The research design thus combines the quantitative and qualitative approaches. The findings confirm a pattern of fertility decline that Caldwell described as the African pattern, which is different from that seen in Europe and Asia. It is characterized by a progressive delay in onset of childbearing and reductions in the mean number of childbirths that occur across all age cohorts and are associated with contraceptive accessibility. The high incidence of non-marital childbearing in the Victoria East district however sets the population studied apart from the polygamous Afiican societies on which Caldwell based the African transition. In this respect the population considered resembles the scenarios seen in Latin America, the Caribbean, Botswana and in recent years Europe. The study population shows a divergence in the patterns of marital and non-marital childbearing, with marital childbearing following the African pattem. Because of its high incidence, non-marital childbearing is dominant and the major contributor to the fertility decline that is afoot. The implications of this pattern needs much more in-depth study before comparisons with the above-mentioned communities can be made.<br>AFRIKAANSE OPSOMMING: Die studie beskryf en ontleed veranderinge in vroue se reproduktiewe gedrag in ontwikkelende gemeenskappe. Hierdie veranderinge het in Westerse gemeenskappe meer as honderd jaar geneem om plaas te vind maar slegs twee tot drie dekades in ontwikkelende gemeenskappe soos Taiwan en Barbados. Die bevolking van die landelike Victoria-Oosdistrik: in die Oos-Kaapprovinsie is gekies as 'n gevalstudie daarvan in Suid- Afrika. Veranderinge in die reproduktiewe gedrag van vroue in hierdie gemeenskap word oor 'n periode van twee-en-twintigjaar beskryf Die basisjaar van die studie is 1978 en data is ingesamel tot en met 2001. Veranderinge het veral toegeneem vanaf 1988. Statistiese-beskrywende ontleding is gedoen ten opsigte van patrone van verandering in veranderlikes soos die ouderdom by die skenk van geboorte, geboorte-spasiëring, die gemiddelde aantal geboortes per vrou, fertiliteitsregulering en die aantal kinders ooit gebore. Variasies in patrone is ook na aanleiding van huwelikstaat en beroep bepaal. Inligting aangaande hierdie veranderlikes is verky vanaf rekords wat by hospitale en klinieke gehou word. Fokusgroeponderhoude is ook onderneem waarvolgens vroue se eie beskrywings en ervarings aangaande die genoemde veranderlikes verkry is. Groepe is saamgestel volgens verskeie ouderdomskohorte en huwelikstaat. Die navorsingsmetodologie behels dus 'n kombinasie van kwantitatiewe en kwalitatiewe benaderings. Die bevindings bevestig 'n patroon van fertiliteitsafhame wat deur Caldwell as die Afrikapatroon beskryf word en afwyk van die Europese en Asiatiese patroon. Dit word gekenmerk deur 'n progressiewe vertraging in die aanvang van geboorte-skenk, afhame in die gemiddelde aantal geboortes oor al die ouderdomskohorte en word geassosieer met kontraseptiewe toegankliheid. Die hoë voorkoms van buite-egtelike geboortes in die Victoria-Oosdistrik onderskei egter die bestudeerde bevolking van die poligame Afrika gemeenskappe waarop Caldwell die Afrika-oorgangstipe gebaseer het. In hierdie opsig vertoon die bevolking eerder ooreenkomste met ontwikkelende gemeenskappe m Suid-Amerika, die Karibbiese Eilande, Botswana en die meer onlangse Europa. Die bestudeerde bevolking vertoon uiteenlopende patrone van binne-egtelike en buite-egtelike geboortes met die binneegtelike patroon meer in ooreenstemming met die Afrika-patroon. Die hoë voorkoms van buite-egtelike geboortes domineer egter die algehele patroon en kan beskou work as die hoof bydraende faktor in the afhemende fertiliteit wat waargeneem is. Die implikasies hiervan moet egter veel dieper studie ondergaan alvorens verdere vergelykings met die bogenoemde gemeenskappe gemaak kan word.

In 1969, Indonesia established a national family planning programme and total fertility has declined rapidly since but there is little consensus over the relative contribution of family planning to the observed decline. The first chapter constructs a new measure of family planning exposure to examine the role of family planning in reducing fertility. The causal effects of infant mortality is also examined based on a new instrumental variable, water supply and sanitation programme exposure, and that of schooling using father's schooling as an instrument. The findings strongly indicate that family planning contributes to lower fertility together with reductions in infant deaths and improvements in women's schooling, and that the effects of family planning and decreases in infant mortality are larger than that of schooling. In 2002, nearly one-in-ten men and more than one-in-five women in Indonesia were overweight and noncommunicable diseases had become the main cause of death but there exists no evidence on the causal effect of schooling on BMI for developing countries. The second chapter assesses whether more schooling causes healthier BMI in Indonesia by using two instrumental variables to capture exogenous variation in schooling. The first instrument takes advantage of the primary school construction programme (SD INPRES) in the 1970s; the second instrument is father's schooling. Two results stand out: more schooling causes higher BMI for men and there is no causal effect of schooling on BMI for women. This chapter also provides some very preliminary evidence that the shift from blue collar to white collar and service sector occupations is one contributing factor to why more schooling increases BMI for men. The third chapter also uses the SD INPRES programme but to examine the effect of increased school supply on schooling attainment: overall, by gender, and by socioeconomic background. It also constructs a new SD INPRES programme exposure variable as an instrument for schooling to assess the causal effect of schooling on wages. The results strongly suggest that the SD INPRES programme increased schooling for men and women but that women benefited more as did individuals from less advantageous socioeconomic backgrounds. More schooling also causes higher wages and there appears to be an added positive effect for women through the additional schooling induced by the SD INPRES programme.

The objective of this study was to explore women's perceptions of family size and to investigate factors that influence women's decisions on family size. An exploratory research design was used. Fifty women who had completed their families, fifty women who had not started with their families and twenty five males who had not started with their families all residing at Sebokeng, were interviewed. The results showed that the women's perceptions of family size were changing towards a small family norm. A small family was defined in terms of a family that one can afford to maintain financially and educate. Men support the idea of smaller families. Decisions on family size are influenced by external factors and experience in growing up in big families. Rearing a lot of children also influences women to prefer smaller families either for themselves or for their children.<br>Social Work<br>M.A. (Social Science (Social Work))

This thesis was written against the backdrop of Australia’s low fertility rate to investigate perceptions at the individual level, and within the social context, of influences on fertility and family size. The thesis aligns itself with cultural, ideational and institutional theories of fertility change. It seeks to augment contemporary debate and policy, which centre around work-family compatibility and the financial costs of children, by also investigating the influence of individuals’ expectations and experiences of conception, pregnancy, birth and early parenthood. For several decades the geographical, medical and sociological literature has shown these reproductive events to heavily impact on the physical and mental well-being of parents in developed societies, but it is only recently that some demographers have suggested that they warrant renewed investigation in low fertility research. These aspects are all the more salient as postmodern values associated with concern about personal well-being have risen to prominence and have become associated with the transition to below replacement fertility. The primary research in the thesis comprises 62 in-depth interviews with parents from across metropolitan South Australia, and a small survey of 45 individuals intending to start a family within two years. The thesis intentionally includes the views of men and of parents with larger families. Analysis of 1996 Census data establishes fertility patterns at the macro level as a basis for exploring the qualitative data. The thesis findings contribute new knowledge by showing that in South Australia cultural and family influences shape images of family life and family size despite the rhetoric of modern reproductive “choice”. They also demonstrate how lower fertility can result from individuals with postmodern preferences finding their experiences of parenthood clashing with their preferences for autonomy, rationality, personal achievement and quality of life. The thesis argues that such experiences can diffuse socially to negatively influence the images and anticipated impacts of parenthood, and hence the fertility desires, of others. In identifying gender differences in the impacts, the thesis concludes that low fertility theory and policy must diversify to better reflect the concerns of women as mothers, and to consider the embodied and social aspects of reproductive behaviour.<br>http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1249112<br>Thesis (Ph.D.) -- University of Adelaide, School of Social Sciences, 2006

There is a belief that economic resources are growing at a slow pace such that they fail to meet the demands made by an increase in population. Because of the critical contribution fertility makes to the high growth rates of a nation it is important to understand factors behind its change. This study seeks to contribute to such an understanding by providing an assessment of fertility and its proximate determinants in Lesotho. It utilises data from the 2001 Lesotho Demographic Survey and the 2002 Lesotho Demographic Survey Supplementary Enquiry. The study reveals a moderate decline in fertility between 1977 and 2002 (from 5.8 to 4.5). This decline in fertility is attributable to a rise in contraceptive prevalence and an increase in non-marriage. The index of marriage declined by 27.5 percent between 1977 and 2002, from 0.69 to 0.50 and the singulate mean at marriage increased from 20 years to 24 years among females. Thus making non-marriage the greatest fertility- reducing factor in 2002. While, the index of contraception decline by 30.1 percent from 0.93 to 0.65 and the national CPR increased from 23.2 percent in 1991/92 to 43.9 percent in 2002. As a result contraception became the second greatest inhibitor of fertility. Though the actual effect of postpartum infecundability could not be determined due to non-availability of data, the study shows that in 1977 and 1991/92 the index of postpartum infecundability had the highest fertility-reducing effect in Lesotho. Moreover, the effect of sterility and abortion on fertility decline in Lesotho was found to be small. However, further research needs to address these factors as their effect could be masked by non-availability of data. It seems that further decline in fertility in Lesotho will be a result of an increase in contraceptive use and age at marriage. To promote these two the government should: 1) show a strong commitment both politically and financially, to limiting population growth through family planning 2) expand women's educational and economic opportunities.<br>Thesis (M.A.)-University of Natal, Durban, 2003.

Background: Despite the adverse demographic and health impact of early marriage, it still occurs in many developing nations including Nigeria. One of the outcomes of early marriage is increase in population size due to the number of years of exposure to the risk of pregnancy of women who marry early. Most of the research on early marriage has been carried out in the Northern and Western zones of the country. The objective of this study was to identify the relationship between early marriage and the outcomes of Number of Children Ever Born (NCEB) and Total Fertility Rate (TFR) in the South East Zone (SEZ) of the country. Methods: Univariate, bivariate and multivariate analysis were carried out on data obtained from 2008 Nigeria Demographic and Health Survey (NDHS) to determine the relationship between NCEB and age at first marriage as well as other independent variables such as woman’s level of education, wealth status, place of abode, husband’s educational level and marital status for ever married women aged 45-49 years. TFR was estimated for all ever married women in the South East Zone as well as those who married at <18 years and those who married at >=18 years of age. A sample size of 2175 comprising all ever married women in the SEZ was used for the study. Results: The findings indicate that there is a significant relationship between NCEB and Age at first marriage as well as woman’s level of education only. The TFR for women who married at <18 years and 18+ was 7.8 and 7.7 respectively. Conclusions: The study has shown that early marriage contributes in some measure to the number of children born in South Eastern Nigeria. However the level of significance is low. The seeming contradiction suggests that there are other influencing factors such as prevailing customs and traditions and shared experiences of the Igbos (the dominant tribe in the study area). Areas of further research are highlighted and recommendations for policy and program implementation are made.

"January 2006"<br>Bibliography: leaves 336-375.<br>xv, 375 leaves : ill., tables ; 30 cm.<br>Title page, contents and abstract only. The complete thesis in print form is available from the University Library.<br>Thesis (Ph.D.)--University of Adelaide, School of Social Sciences, Discipline of Geographical and Environmental Studies and Discipline of Gender and Labour Studies, 2006

Recent studies on marriage patterns in South Africa have revealed a clear trend towards decreasing proportions of married women and an increase in age at first marriage (Udjo, 2001; Budlender et al., 2004). Despite marriage being one of the most important proximate determinants of fertility, the role of these nuptiality changes on the country’s decreasing fertility levels has not been adequately explored. Using data from the 1998 South African Demographic Survey, this paper fills this research gap by examining the marriage and fertility trends among African women in South Africa. The decision to focus on African women hinged on two basic factors; (1) available evidence shows that changes in marriage patterns are most notable in this racial group, and (2) African women have the highest fertility level relative to other racial groups. The results show that marriage patterns have been changing over time. The proportions married are low and late among African and rural women. There is an increase in the proportion of women who are cohabiting and never-married. Fertility levels are different for marital status, with the married and widowed women having the highest mean number of children ever born and the least number of children ever born is among the never-married women. Furthermore, the mean number of children ever born is among the highest in the older ages for all women. Kaplan-Meier estimates indicate that half of the divorced and widowed women have their first birth as early as age 18 years, compared to age 20 for the never-married and the cohabiting women, and age 22 for the married women. The mean age at first birth for African women is 19.7 years compared to 21.2 years for non-African women. Overall, socio-economic and demographic factors such as educational attainment, place of residence, marital status, race, and age have a significant effect on the age of a woman at first birth.<br>Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2009.

This article examines the relationship between women's education and fertility in KwaZulu Natal based on data from the 1993 Project for Statistics on Living Standards and Development survey (PSLSD) and the 1998 KwaZulu Natal Income Dynamics Study (KIDS). This study shows that fertility has declined between 1993 and 1998. Additionally, fertility declines as the level of education increases. However, women with lower levels of education have higher fertility than those with no schooling and women with tertiary education have higher fertility than those with secondary education. Moreover, education has a stronger effect on fertility in 1998.<br>Thesis (M.Sc.U.R.P.)-University of Natal, 2000.

La baisse de la fécondité permet aux couples d'investir davantage dans la scolarité de chacun de leurs enfants (évidence dans les pays occidentaux, d’Asie et d’Amérique latine). Ce postulat est l’un des arguments clés des politiques de planification familiale en Afrique subsaharienne. Pourtant, la plupart des études sur l'Afrique ont trouvé une corrélation nulle ou même une relation positive entre le nombre d'enfants dans un ménage et leur niveau de scolarité. Ces résultats mitigés sont généralement expliqués par des solidarités familiales et des transferts de ressources qui pourraient réduire la pression occasionnée par une descendance nombreuse sur les ressources du ménage, et des problèmes méthodologiques inhérents à plusieurs recherches sur la région. L’objectif principal de cette thèse était d’apporter une contribution à une meilleure compréhension des aspects méthodologiques et substantiels relatifs aux liens entre fécondité et scolarisation. Spécifiquement, la thèse visait à évaluer 1) le rôle des réseaux familiaux dans la scolarisation des enfants, 2) la simultanéité des décisions portant sur le nombre d’enfants et leur scolarisation, 3) l’impact causal du nombre d’enfants sur leur scolarisation, et 4) à comprendre les perceptions des parents sur l’école et les coûts et bénéfices de l’éducation des enfants, et dans quelle mesure ces perceptions sont prises en compte dans leurs stratégies reproductives. Quatre articles ont été rédigés en utilisant quatre sources de données complémentaires : l’Observatoire de population de Ouagadougou (OPO), l’enquête Demtrend, l’enquête santé de base et une enquête qualitative, toutes adossées à l’OPO. Dans le premier article, il est ressorti que les familles de grande taille bénéficient d’un appui plus fréquent des réseaux familiaux pour la scolarisation. De plus, les réseaux familiaux seraient en mesure de compenser l’effet négatif d’un nombre élevé d’enfants sur la scolarisation, mais seulement pour une partie de la population qui exclut les plus pauvres. Ainsi, les solidarités familiales de soutien à la scolarisation des enfants sont loin d’être généralisées. Le deuxième article a montré que les enfants dont les mères ont intentionnellement limité leur fécondité avaient de meilleures chances de scolarisation que ceux dont les mères ont connu des problèmes d’infécondité secondaire et n’ont pas atteint leur nombre d’enfants désiré. Par conséquent, les aspirations scolaires ne sont pas indépendantes des décisions de fécondité et l’hypothèse de fécondité naturelle n’est plus tenable dans ce contexte. Le troisième article a révélé, contrairement à la plupart des études antérieures sur l’Afrique subsaharienne, un effet négatif net de la taille de la fratrie sur le niveau d’éducation atteint des enfants, effet qui se renforce d’ailleurs au fur et à mesure que l’on avance dans le système éducatif. Dans le quatrième article, le discours des participants à l’enquête qualitative a indiqué que l’émergence de cette relation négative entre le nombre d’enfants et leur scolarisation dans les quartiers périphériques de Ouagadougou est intimement liée aux changements dans les coûts et bénéfices de l’éducation des enfants qui font reposer dorénavant de façon presque exclusive les dépenses scolaires sur les parents biologiques.<br>Lower fertility allows couples to invest more in each of their children’s schooling, a phenomenon that has been observed in Western rich countries, Asia and Latin America. This postulate is a key rationale of family planning policies in sub-Saharan Africa. Yet most studies on Africa have found no correlation or even a positive relationship between the number of children in a family and their educational attainment. These mixed results are usually explained by African family solidarity and resource transfers that might reduce pressures on household resources occasioned by many births, and methodological problems that have afflicted much research on the region. The main objective of this thesis was to contribute to a better understanding of the methodological and substantive aspects relating the links between fertility and schooling. Specifically, the thesis has assessed 1) the role of family networks in the schooling of children, 2) simultaneous decisions on the number of children and their education, 3) the causal impact of the number of children on their schooling and 4) parents' perceptions on the school and the costs and benefits of child schooling and how these perceptions are taken into account in their reproductive strategies. Four articles were written from four complementary sources of data: the Ouagadougou population Observatory (OPO), the Demtrend survey, the Baseline Health Survey and a qualitative survey; all of these surveys are based on the OPO study population. In the first article, the results show that large families receive more support of family networks for schooling than small families. In addition, family networks would be able to offset the negative effect of a high number of children on schooling, but only for a part of the population that excludes the poorest. Thus, the family solidarity for the schooling is far from universal. The results of the second article show that children whose mothers intentionally limited their fertility have better schooling than those with subfecund mothers who could not attain their desired family size. Therefore, fertility is not independent to schooling aspirations; the assumption of natural fertility is not tenable in this context. The third article show, in contrast to most prior studies on sub-Saharan Africa, a net negative effect of sibship size on the level of schooling achieved by children, one that grows stronger as they progress through the educational system. In the fourth article, the discourse of respondents collected by a qualitative survey indicate that the emergence of this negative relationship between the number of children and their schooling in the outskirts of Ouagadougou is closely linked to perceived changes in the costs and benefits of children's schooling. In present day Ouagadougou, school expenses appear to fall almost exclusively to biological parents.

Text in English<br>INTRODUCTION: Late in HIV epidemic while HIV program is maturing studies in rich and resource limited setting have shown controversial results with regard to whether childbearing desire and intention are changed after the expansion of ART and PMTCT services. There are few studies in Ethiopia which tried to find out fertility preferences after the decentralized ART and PMTCT services. PURPOSE: The objective of the study is to determine the prevalence of fertility desire, intention and associated factors among HIV positive males and females at health facilities in Hawassa city with chronic HIV care. METHOD: The study used quantitative, observational, analytic and cross-sectional study design. It was structured on Trait-Desire-Intention-Behaviour theoretical frame work. A gender based stratification followed by random sampling method was applied. An interviewer-administered structured data collection approach using the pre-tested questionnaire was applied in the study. The Microsoft Office Excel 2007 and Epi-Info version 3.5.3 were utilized for data analysis. In addition to descriptive statistics, both bivariate and multivariable logistic regressions were used to analyse the data. RESULT: With a respondent rate of 93%, a total of 460 PLHIV participated in the study with equal number of males and females. The majority of the participants were from urban (85%), in relationship (70.9%), and on ART (80%). The reported fertility desire, 43.9% (45.2% in males; 42.6% in females), and fertility intention, 44.9% (46.4% in males; 43.4% in females), were high. The median number of intended children was 2. About 54% of PLHIV were using at least one of the contraceptives with 32.4% of unmet need of family planning. Participants with overall experinece of 2 births or less (AOR: 2.4 95% CI 1.32-4.32; p-value=0.0042), without birth experience after HIV diagnosis (AOR:0.52 95% CI 0.28-0.98; p-value=0.0424) and whose partner also desired for childbearing (AOR: 19.73 95%CI 10.81-35.99; p-value=0.0000) were more likely to intend for a/another child.They wished and planned to get birth because; they did not have a/children before or fear of childless stigma (25.3%), ART could help to have negative child (21.8%), importance of parenthood (17.8%) and the desire of once partner (16.8%). The study participants had consulted health care workers (34.2%), approached their partner or their partner had already approached them (27.6%), tried to get a partner or married (17.6%) and stop using family planning (6%) to get pregnant. CONCLUSION: This study highlights high fertility desire and intention in the background of high unmet need for family planning among PLHIV. A development of comprehensive male partner-involved couple counseling protocol, improving the communication HCWs have with PLHIV to emphasize safer conception methods and strengthening all the components of PMCT integrating with other SRH services at chronic HIV clinic are critical.<br>Health Studies<br>M.A. (Public Health)

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga).<br>Health Studies<br>M.A. (Health Studies)