Factors Affecting Contraceptive Use In Sub Saharan Africa

This book discusses current trends in contraceptive use, socioeconomic and program variables that affect the demand for and supply of children, and the relationship of increased contraceptive use to recent fertility declines.

Fertility rates and population growth influence economic development. The marked declines in fertility seen in some developing nations have been accompanied by slowing population growth, which in turn provided a window of opportunity for rapid economic growth. For many sub-Saharan African nations, this window has not yet opened because fertility rates have not declined as rapidly there as elsewhere. Fertility rates in many sub-Saharan African countries are high: the total rate for the region is estimated to be 5.1 births per woman, and rates that had begun to decline in many countries in the region have stalled. High rates of fertility in these countries are likely to contribute to continued rapid population growth: the United Nations projects that the region's population will increase by 1.2 billion by 2050, the highest growth among the regions for which there are projections. In June 2015, the Committee on Population organized a workshop to explore fertility trends and the factors that have influenced them. The workshop committee was asked to explore history and trends related to fertility, proximate determinants and other influences, the status and impact of family planning programs, and prospects for further reducing fertility rates. This study will help donors, researchers, and policy makers better understand the factors that may explain the slow pace of fertility decline in this region, and develop methods to improve family planning in sub-Saharan Africa.

World Bank Technical Paper No. 272. Public examinations in developing countries play a critical role in the selection of students for participation in the educational system. The exams dictate what is taught, how it is taught, and what is and is not learned. They are academic, have little reference to the everyday lives of the students, are limited to pencil-and-paper tests, and are biased toward high-achievers. Thus, students who leave school at an early stage are provided with inadequate opportunities for acquiring relevant knowledge and skills. This study identifies practices associated with examinations that may create inequities for some students. These include scoring procedures, the use of culturally inappropriate questions, fee requirements, private tutoring, exams in a language unfamiliar to the student, and a variety of malpractices. Quota systems that deal with differences in performance associated with location, ethnicity, or language group membership also creates inequities for some students. The report concludes that the limited available evidence does not indicate that examinations create inequities between genders and that ranking schools on the basis of students' examination performance may not provide a fair assessment of the work of schools.

Living Standards Measurement Study Working Paper No. 111. This study looks at the socioeconomic background of individual women and draws a correlation between them and the characteristics of their nearest source of family planning. The study assesses the importance of the socioeconomic background and the availability, price, and quality of services on contraceptive use and fertility. In 1969, Ghana was among the first Sub-Saharan African countries to adopt a population policy. Today, the average distance to a source of family planning is still about three miles. Population and fertility growth rates are high, and contraceptive use is low. The results suggest that raising levels of female schooling will also raise contraceptive use and lower female fertility, particularly in rural areas. However, the distances between facilities and related service centers remain a binding constraint on contraceptive use among those in the sample. The study also found no consistent effect on the demand for contraception or on fertility when measuring the quality of services.

This examination of changes in adolescent fertility emphasizes the changing social context within which adolescent childbearing takes place.

This book adds significantly to the discourse surrounding the progress made in empowering women in Africa over the last decade, providing strong research evidence on diverse and timely gender issues in varied African countries. Topics covered include climate change and environmental degradation, agriculture and land rights, access to – and quality of – education, maternal and reproductive health, unpaid care and women’s labor market participation, financial inclusion and women’s political participation. Cross cutting issues such as migration, masculinities and social norms are also addressed in this volume, which is aimed at policy makers, academics, and indeed anyone else interested in the UN Sustainable Development Goal of the empowerment of women and girls.

This data booklet highlights estimates of the prevalence of individual contraceptive methods based on the World Contraceptive Use 2019 (which draws from 1,247 surveys for 195 countries or areas of the world) and additional tabulations obtained from microdata sets and survey reports. The estimates are presented for female and male sterilisation, intrauterine device (IUD), implant, injectable, pill, male condom, withdrawal, rhythm and other methods combined.