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In sub-Saharan Africa, older people make up a relatively small fraction of the total population and are supported primarily by family and other kinship networks. They have traditionally been viewed as repositories of information and wisdom, and are critical pillars of the community but as the HIV/AIDS pandemic destroys family systems, the elderly increasingly have to deal with the loss of their own support while absorbing the additional responsibilities of caring for their orphaned grandchildren. Aging in Sub-Saharan Africa explores ways to promote U.S. research interests and to augment the sub-Saharan governments' capacity to address the many challenges posed by population aging. Five major themes are explored in the book such as the need for a basic definition of "older person," the need for national governments to invest more in basic research and the coordination of data collection across countries, and the need for improved dialogue between local researchers and policy makers. This book makes three major recommendations: 1) the development of a research agenda 2) enhancing research opportunity and implementation and 3) the translation of research findings.
This book examines the promises as well as the challenges the demographic dividend brings to sub-Saharan Africa as fertility rates in the region fall and the labor force grows. It offers a detailed analysis of what conditions must be met in order for the region to take full economic advantage of ongoing population dynamics. As the book makes clear, the region will need to accelerate reforms to cope with its demographic transition, in particular the decline of fertility. The continent will need to foster human capital formation through renewed efforts in the areas of education, health and employment. This will entail a true vision and determination on the part of African leaders and their development partners. The book will help readers to gain solid knowledge of the demographic trends and provide insights into socioeconomic policies that eventually might lead sub-Saharan Africa into a successful future.
"The heated Malthusian-Bosrupian debates still rage over consequences of high population growth, rapid urbanization, dense rural populations and young age structures in the face of drought, poverty, food insecurity, environmental degradation, climate change, instability and the global economic crisis. However, while facile generalizations about the lack of demographic change and lack of progress in meeting the MDGs in sub-Saharan Africa are commonplace, they are often misleading and belie the socio-cultural change that is occurring among a vanguard of more educated youth. Even within Ethiopia, the second largest country at the Crossroads of Africa and the Middle East, different narratives emerge from analysis of longitudinal, micro-level analysis as to how demographic change and responses are occurring, some more rapidly than others. The book compares Ethiopia with other Africa countries, and demonstrates the uniqueness of an African-type demographic transition: a combination of poverty-related negative factors (unemployment, disease, food insecurity) along with positive education, health and higher age-of-marriage trends that are pushing this ruggedly rural and land-locked population to accelerate the demographic transition and stay on track to meet most of the MDGs. This book takes great care with the challenges of inadequate data and weak analytical capacity to research this incipient transition, trying to unravel some of the complexities in this vulnerable Horn of Africa country: A slowly declining population growth rates with rapidly declining child mortality, very high chronic under-nutrition, already low urban fertility but still very high rural fertility; and high population-resource pressure along with rapidly growing small urban places”
This volume documents the levels, trends, and differentials in various demographic phenomena, such as population, age, sex, fertility, nuptiality, migration (internal and external), population distribution and urbanization, population health, and gender. It provides a contextual understanding of South African demography through in-depth socio-economic analysis of the trends, combining social and technical demography to underscore the usefulness of demographic data in the national development agenda.
This book is a comprehensive analysis of the structure, determinants and consequences of changes in sub-Saharan African families, thereby representing an Afrocentric description of the emerging trends. It documents various themes in the sub-disciplines of family demography. The first section of the book focuses on philosophical understanding of African family, its theoretical perspectives, and comparative analysis of family in the 20th and 21st centuries. The second section covers family formation, union dissolution, emerging trend in single parenthood, and adolescents in the family. The following section describes types, determinants and consequences of African family changes: health, childbearing, youth development, teen pregnancy and family violence and the last chapter provides systematic evidence on existing laws and policies governing African family structure and dynamics. As such it illustrates the importance of family demography in African demographic discourse and will be an interesting read to scholars and students in the field of demography, social workers, policy makers, departments of Social Development in countries in Africa and relevant international agencies and all those interested in understanding the African family trajectory.
Current data and trends in morbidity and mortality for the sub-Saharan Region as presented in this new edition reflect the heavy toll that HIV/AIDS has had on health indicators, leading to either a stalling or reversal of the gains made, not just for communicable disorders, but for cancers, as well as mental and neurological disorders.
This book offers an in-depth African perspective to the major issues in demographic discourse in sub-Saharan Africa. It provides comprehensive analysis of sub-Saharan African censuses, profiling demographic changes, trends, patterns and consequences in the region. Interdisciplinary, comprehensive, accessible, simple and topical, this volume is perfectly suited to researchers, students and lecturers who are interested in understanding sub-Saharan African population dynamics and issues.
In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.
This handbook provides an authoritative and comprehensive overview of African population dynamics, variations, causes and consequences, demonstrating the real-world applications of research in policies and programmes. African demography has come of age. Over 50 years, the discipline has grown exponentially in the number of training and research institutions, specialist experts and academic output, all with an aim of addressing the enormous demographic challenges faced by the continent. The book draws on old and emerging analytical tools to explore the relationships between population dynamics and social, economic, cultural and political environments from African perspectives. Key topics include fertility, sexual behaviours, healthcare, ageing, mortality, migration, displacement, the causes and consequences of demographic changes and teaching and research developments in African demography. The Routledge Handbook of African Demography will be an essential resource for students and researchers of African demography, sociology, development and cultural studies.
Africa is poised on the edge of a potential takeoff to sustained economic growth. This takeoff can be abetted by a demographic dividend from the changes in population age structure. Declines in child mortality, followed by declines in fertility, produce a 'bulge' generation and a large number of working age people, giving a boost to the economy. In the short run lower fertility leads to lower youth dependency rates and greater female labor force participation outside the home. Smaller family sizes also mean more resources to invest in the health and education per child boosting worker productivity. In the long run increased life spans from health improvements mean that this large, high-earning cohort will also want to save for retirement, creating higher savings and investments, leading to further productivity gains. Two things are required for the demographic dividend to generate an African economic takeoff. The first is to speed up the fertility decline that is currently slow or stalled in many countries. The second is economic policies that take advantage of the opportunity offered by demography. While demographic change can produce more, and high quality, workers, this potential workforce needs to be productively employed if Africa is to reap the dividend. However, once underway, the relationship between demographic change and human development works in both directions, creating a virtuous cycle that can accelerate fertility decline, social development, and economic growth. Empirical evidence points to three key factors for speeding the fertility transition: child health, female education, and women's empowerment, particularly through access to family planning. Harnessing the dividend requires job creation for the large youth cohorts entering working age, and encouraging foreign investment until domestic savings and investment increase. The appropriate mix of policies in each country depends on their stage of the demographic transition.