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Journal ArticleDOI

The South African Fertility Decline

John C. Caldwell, +1 more
- 01 Jun 1993 - 
- Vol. 19, Iss: 2, pp 225-262
TLDR
A detailed discussion of early demand for fertility control among different racial groups and government intervention in its impact can be found in this paper, where the relevance of the South African experiences to other parts of Africa and the implications of democratization efforts and majority Black rule are discussed.
Abstract
There is some evidence to suggest that Black South African started to decline in 1960 which was earlier than anywhere else in Black Africa. The Black South African population is larger than any Black population in Africa with the exception of Nigeria Ethiopia and Zaire. The national population program was an Asian-type program distinguished by expenditures and services not evident elsewhere in Africa. Clinical family planning (FP) services were densely located to provide better coverage than is available anywhere in the world. Contraceptive prevalence was around 60% for women overall and 50% for Black women in the 1990s. The FP program difference was in its lack of ability to mobilize the whole community. A lengthy discussion is provided of the early (pre-1963) demand for fertility control among different racial groups government intervention in its impact the relevance of the South African experiences to other parts of Africa and the implications of democratization efforts and majority Black rule. The Black population lives in an urban industrialized economy with an income level among the highest of African countries. Primary schooling is universal and 60% attend secondary school. Fertility data on the Black population are available from the fertility survey in 1974 and 1987-88. From these and other studies it appears that the White population followed a pattern similar to the Western model. Africaner fertility was higher than White fertility until about the 1960s and then followed a similar pattern. Indian Colored and Black women had a constant fertility of 6-7. Colored fertility began to decline after 1960 Indian after 1940 and Blacks in the 1970s and 1980s to rapidly reach 4.6 in 1989. The exact level of Black fertility is still somewhat in doubt. Population policy is demarcated by periods before 1963. 1963-74 (government intervention) 1974-83 (National FP Program) and from 1984 (the Population Development Program). Experience indicates that once there is demand for fertility control a FP program can lead to a decline in fertility but a fragile demand limits even the best FP program. Sociocultural resistance is stronger than that encountered in Asia and democratization and the political position of the African National Congress will bring about a reduction in funding but a broader popular identification for the FP program. As socioeconomic opportunities for Blacks increase it is likely that fertility will continue to fall.

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How Gender Roles Influence Sexual and Reproductive Health Among South African Adolescents

TL;DR: Analysis of links between gender ideology or gender roles and the social impact of adolescent childbearing in the lives of rural and urban adolescents in KwaZulu/Natal, South Africa indicates gender ideals are grounded in traits that reinforce poor sexual negotiation dynamics and behavioral double standards and that place adolescents at risk for early pregnancy and other sexual and reproductive health complications.
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Blood Blockages and Scolding Nurses: Barriers to Adolescent Contraceptive Use in South Africa

TL;DR: Tools to enhance the accuracy and availability of knowledge in the clinic setting have a role, but need to be introduced along with initiatives to ensure that services are adolescent-friendly and do not stigmatise adolescent sexual activity.
Journal ArticleDOI

Adolescent Pregnancy and Parenthood in South Africa

TL;DR: Evidence from focus-group discussions conducted in urban and rural areas in South Africa with young black women and men, and with the parents of teenage mothers, is used to consider the experience of early parenthood, including the role of paternity, education, work opportunities, and subsequent fertility.
References
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Book

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TL;DR: In this article, the authors present a set of model life tables and stable populations with a variety of associated parameters including the age distributions of deaths, which are used for a wide range of demographic analysis and estimation of population statistics.
Journal ArticleDOI

The Cultural Context of High Fertility in Sub-Saharan Africa

TL;DR: In this paper, the authors predict that fertility decline should not be expected in sub-Saharan Africa during this century, in the absence of radical change in government attitudes toward family planning, the crude birth rate is not likely to fall from its present level of 47/1000 to much less than 45/1000 by the year 2000.
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The social context of AIDS in sub-Saharan Africa.

TL;DR: In this paper, the authors argue that sexual activity in sub-Saharan Africa has not been subject to the same moral and religious constraints as in the West, and that the lesser constraints on acceptable sexual activity have resulted in a high level of heterosexual networking which provides both a considerable risk of HIV transmission and a strong resistance to the control of AIDS through the enforcement of monogamy.
Journal ArticleDOI

Fertility Decline in Africa: A New Type of Transition?

TL;DR: A detailed account of the 1990 Ado-Ekiti Fertility Study in Ondo State in northeastern Nigeria is presented in terms of the contraceptive providers the population surveyed social changes occurring in the region the use of contraception among unmarried women and the demand for fertility control as mentioned in this paper.
Book

Twentieth-Century South Africa

TL;DR: In this article, the authors discuss the state without a nation and the rise of the new south-africa in the early 1990s, focusing on the state of South-east Africa.