From Fertility Preferences to Reproductive Outcomes in the Developing World

Bongaarts, John; Casterline, John B.

doi:10.1111/padr.12197

Cited by 50 publications

(52 citation statements)

References 31 publications

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“…Note that our estimates of TPR also include reported ST. This will make them higher than alternative estimates only including IA and live-births [5]. On the other hand, those estimates combine DHS estimates of fertility with higher estimates of IA produced by the Guttmacher Institute [3].…”

Section: Resultsmentioning

confidence: 99%

“…Note that TPR should conceptually include pregnancies ending in ST as in our case. Other investigators have used an estimate of TPR only including pregnancies resulting in birth or IA [5].…”

Section: Methodsmentioning

confidence: 99%

“…In particular, Demographic and Health Surveys (DHS) are, since 1985, a significant source of information regarding fertility and its proximate determinants like union formation, contraceptive use, and sterility. However, they are rarely used for the estimation of IA or ST [2–5]. There are several reasons for this.…”

Section: Introductionmentioning

confidence: 99%

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Reported patterns of pregnancy termination from Demographic and Health Surveys

Sánchez-Páez

Ortega

2019

PLoS ONE

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Introduction Demographic and Health Surveys, widely used for estimation of fertility and reproductive health indicators in developing countries, remain underutilized for the study of pregnancy termination. This is partly due to most surveys not reporting the type of pregnancy termination, whether spontaneous or induced. Reproductive calendar data makes it possible to examine termination patterns according to contraceptive use at the time of pregnancy. Contraceptive failure is expected to increase the likelihood of induced abortion helping in the interpretation of reported termination patterns. Materials and methods We use individual-level calendar data regarding 623,966 pregnancies to analyze levels and differentials in reported patterns of pregnancy termination by age, union status, and contraceptive use in 107 DHS surveys from 50 countries. From the estimates of the probability of pregnancy termination, we compute derived reproductive health indicators providing an assessment of what is driving the differences by comparison to the few surveys reporting the type of pregnancy termination. Results From our estimates, 10.9% of pregnancies do not end in live-birth and 63.7% of them are spontaneous terminations. Reported pregnancy termination is higher among women using contraceptives, consistent with expectations. Very low levels of reported PT in some countries, particularly in sub-Saharan Africa, suggests possible underreporting. Differential patterns emerging from cluster analysis and regional rates indicate high rates of pregnancy termination driven by induced abortion in countries from the Former Soviet Union and Asian countries with liberal laws. Most countries with restrictive abortion laws have low levels of reported termination. While the probabilities of pregnancy termination are higher at older ages, termination rates generally peak at younger ages due to higher conception rates. Discussion This is the first large comparative study of the patterns of reported pregnancy termination in DHS surveys. While we have explored the extent to which differences arise from spontaneous terminations or induced abortion, more research is needed regarding the determinants of reported pregnancy termination.

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Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Reported patterns of pregnancy termination from Demographic and Health Surveys

Sánchez-Páez

Ortega

2019

PLoS ONE

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“…JPFHS 2012 estimated that the national average mDFPS in 2012 was 58%, which was not high compared with that of other Middle Eastern countries, including 80% in Egypt, 73% in Morocco and 56% in Turkey [6]. Moreover, Bongaarts and Casterline [10] recently classified Jordan as a pre-fertility-transition country, one of a few such countries outside of Sub-Saharan Africa, and predicted that the country's high unplanned pregnancy rate and contraceptive failure rate would continue until the mean number of desired children decreased to 3.0 per woman. This study measured the mDFPS based on field data in rural Jordan and identified factors associated with mDFPS.…”

Section: Introductionmentioning

confidence: 99%

Demand for family planning satisfied with modern methods and its associated factors among married women of reproductive age in rural Jordan: A cross-sectional study

et al. 2020

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Background A novel indicator, 'percentage of women of reproductive age who are sexually active and who have their demands for FP satisfied with modern contraceptive methods (mDFPS)', was developed in 2012 to accelerate the reduction of unmet needs of family planning (FP). In Jordan, unmet needs for modern contraception remain high. To address this situation, this study measured the mDFPS and identified its associated factors in rural Jordan. Methods This cross-sectional study included married women of reproductive age (15-49 years) from ten villages in Irbid Governorate, Jordan, where advanced health facilities are difficult to reach. A two-stage stratified sampling with random sampling at the household stage was used for this field survey which was conducted between September and October 2016. Univariate analysis was used to assess the differences between mDFPS and unmet mDFPS groups. Logistic regression analysis was performed to identify the correlates of mDFPS. Results Of 1019 participants, 762 were identified as needing modern contraception. mDFPS coverage accounted for 54.7%. The most significant factors associated with mDFPS were the husband's agreement on FP (adjusted odds ratio [AOR]: 15.43, 95% confidence interval [CI]: 5.26-45.25), knowledge of modern contraceptives (AOR: 8.76, 95% CI: 5.72-13.40), and lack of awareness of the high risk of conception in the postpartum period (AOR: 2.21, 95% CI: 1.41-3.47). Duration of current residence, receipt of FP counselling at health centres and number of living children were also correlated. In addition, 95.3% of local women

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“…Furthermore, the rate of unwanted births typically rises over the course of the fertility transition because of increased unmet needs for modern means of contraception (Bongaarts and Casterline 2018). Our trends in cohort parity progression ratios thus result from the inter-cohort differences in both, fertility desires (i.e.…”

Section: Discussionmentioning

confidence: 97%

The emergence and diffusion of birth limitation in urban areas of developing countries

Lerch¹

2020

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From Fertility Preferences to Reproductive Outcomes in the Developing World

Cited by 50 publications

References 31 publications

Reported patterns of pregnancy termination from Demographic and Health Surveys

Reported patterns of pregnancy termination from Demographic and Health Surveys

Demand for family planning satisfied with modern methods and its associated factors among married women of reproductive age in rural Jordan: A cross-sectional study

The emergence and diffusion of birth limitation in urban areas of developing countries

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