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Perhaps no region matches sub-Saharan Africa in its social and cultural diversity. In this collection of micro-demographic studies, the authors examine how the diversity of this region influences reproductive behavior. The empirical studies, distributed throughout the continent, are localized, in-depth studies that give special attention to contextual effects of social structure and social organization. A diverse range of topics is addressed including, adolescent sexuality and the effects of early childbearing on later fertility, the impact of development programs on fertility and the association between social organization, social diffusion, and reproductive regime. Highly revealing of the determinants of reproduction in Africa, these studies serve as a model for a new mode of demographic research. The chapters are arranged by geographical regions of the continent, with an introductory chapter outlining the editors' vision of a micro-demographic enterprise and a concluding chapter placing the African fertility transition in the context of the global fertility transition. This volume inspires fresh thinking and theorizing about demographic change, not only in sub-Saharan Africa, but also in all low-income settings.
This examination of changes in adolescent fertility emphasizes the changing social context within which adolescent childbearing takes place.
Unlike most Asian and Latin American countries, sub-Saharan Africa has seen both an increase in population growth rates and a weakening of traditional patterns of child-spacing since the 1960s. It is tempting to conclude that sub-Saharan countries have simply not reached adequate levels of income, education, and urbanization for a fertility decline to occur. This book argues, however, that such a socioeconomic threshold hypothesis will not provide an adequate basis for comparison. These authors take the view that any reproductive regime is also anchored to a broader pattern of social organization, including the prevailing modes of production, rules of exchange, patterns of religious systems, kinship structure, division of labor, and gender roles. They link the characteristic features of the African reproductive regime with regard to nuptiality, polygyny, breastfeeding, postpartum abstinence, sterility, and child-fostering to other specifically African characteristics of social organization and culture. Substantial attention is paid to the heterogeneity that prevails among sub-Saharan societies and considerable use is made, therefore, of interethnic comparisons. As a result the book goes considerably beyond mere demographic description and builds bridges between demography and anthropology or sociology. This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1989.
This book provides a clear and detailed examination of why it is so difficult to secure comprehensive political engagement and actionable, effective policy on sexual and reproductive health rights in sub-Saharan Africa. In an engaging analysis, Nana Poku employs expert knowledge to examine the prospects for large-scale improvements. He explores not only the full range of normative sensitivities, but also conceptual misunderstandings, legal difficulties and complex challenges of securing and maintaining adequate funding while AIDS remains a pandemic in the region. Up-to-date, succinct yet highly detailed, lucid and compelling in its diagnoses of highly complex issues, this book is a valuable, accessible study of a topic that is regional in focus but with clear global implications.
In this multidisciplinary study of human sexuality, an international team of scholars looks at the influences of nature and nurture, biology and culture, and sex and gender in the sexual experiences of humans and other primates. Using as its center the idea that sexual pleasure is the primary motivational force behind human sexuality and that reproduction is simply a byproduct of the pleasurability of sex, this book examines sexuality at the individual, societal, and cultural levels. Beginning with a look at the evolution of sexuality in humans and other primates, the essays in the first section examine the sexual ingenuity of primates, the dominant theories of sexual behavior, the differences in male and female sexual interest and behavior, and the role of physical attractiveness in mate selection. The focus then shifts to biological approaches to sexuality, especially the genetic and hormonal origins of sexual orientation, gender, and pleasure. The essays go on to look at the role of pleasure in different cultures. Included are essays on love among the tribespeople of the Brazilian rain forest and the regulation of adolescent sexuality in India. Finally, several contributors look at the methodological issues in the study of human sexuality, paying particular attention to the problems with research that relies on people's memories of their sexual experiences. The contributors are Angela Pattatucci, Dean Hamer, David Greenberg, Frans de Waal, Mary McDonald Pavelka, Kim Wallen, Donald Symons, Heino Meyer-Bahlburg, Jean D. Wilson, Donald Tuzin, Lawrence Cohen, Thomas Gregor, Lenore Manderson, Robert C. Bailey, Alice Schlegel, Edward H. Kaplan, Richard Berk, Paul R. Abramson, Paul Okami, and Stephen D. Pinkerton. Spanning the chasm of the nature versus nurture debate, Sexual Nature/Sexual Culture is a look at human sexuality as a complex interaction of genetic potentials and cultural influences. This book will be of interest to a wide range of readers—from scholars and students in psychology, anthropology, sociology, and history to clinicians, researchers, and others seeking to understand the many dimensions of sexuality. "If we ever expect to solve the sexually based problems that modern societies face, we must encourage investigations of human sexual behavior. Moreover, those investigations should employ a broad range of disciplines—looking at sex from all angles, which is precisely what Sexual Nature, Sexual Culture does."—Mike May, American Scientist "...This timely and relevant book reminds us that we cannot rely on simple solutions to complex problems. It represents a transdiciplinary approach integrating knowledge from diverse fields and provides the reader with a challenging and rewarding experience. Especially for those who are involved in teaching human sexuality to medical students and other health care professionals, this book is highly recommended."—Gerald Wiviortt, M.D., Journal of Nervous and Mental Disease "In short, this volume contains much to stimulate, inform, and amuse, in varying proportions. What more can one ask?"—Pierre L. van den Berghe, Journal of the History of Sexuality "...the book succeeds in bring together some of the sharpest thinkers in the field of human sexuality, and goes a long way toward clarifying the diverse perspectives that currently exist."—David M. Buss and Todd K. Shackelford, Quarterly Review of Biology
Sexually transmitted diseases, unintended pregnancies, infertility, and other reproductive problems are a growing concern around the world, especially in developing countries. Reproductive Health in Developing Countries describes the magnitude of these problems and what is known about the effectiveness of interventions in the following areas: Infection-free sex. Immediate priorities for combating sexually transmitted and reproductive tract diseases are identified. Intended pregnancies and births. The panel reports on the state of family planning and ways to provide services. Healthy pregnancy and delivery. The book explores the myths and substantive socio-economic problems that underlie maternal deaths. Healthy sexuality. Such issues as sexual violence and the practice of female genital mutilation are discussed in terms of the cultural contexts in which they occur. Addressing the design and delivery of reproductive health services, this volume presents lessons learned from past programs and offers principles for deciding how to spend limited available funds. Reproductive Health in Developing Countries will be of special interest to policymakers, health care professionals, and researchers working on reproductive issues in the developing world.
This book focuses on reproductive health rights and assisted reproductive technologies (ART) in sub-Saharan Africa. Each chapter is connected to the other by focusing on different aspects of ART as a means of achieving conception. Topics such as regulation of ART practices, surrogacy and specific aspects of ART, which are gradually becoming acceptable but largely unregulated in Africa, promises to be of interest to scholars, researchers and fertility practitioners. Research in the book take a rights based approach and ethical analysis of ART practice in sub-Saharan Africa by authors from diverse backgrounds bringing together law and society perspectives. Readers stand to gain new knowledge on the societal, legal, medical and psychological requirements, effects and challenges of reproductive health rights and ART in the African context. The book is also relevant to UN Sustainable Development Goal 3: Good Health and Well-being, given that it promotes and advocates for access to reproductive healthcare for persons who have difficulty or are unable to conceive without medical assistance.
The increasing gap between developed and developing world will be one of the most important themes of the 21st century. The contributions contained in this volume take a multidisciplinary approach to the problem, offering a comprehensive review of the theoretical issues and empirical findings that relate to the complex and multidirectional link between poverty and demographic behaviours and outcomes in the contemporary developing world. The starting point of the volume is an exact definition of poverty. The contributors go on to analyse in the detail its causes and effects, both at the micro and macro level, concentrating on those factors and consequences which relate more directly to the demographic sphere. Population growth, household structure and labour, fertility, AIDS, urbanization, migration, and mortality are amongst the areas covered, with the major themes discussed and elaborated in an introductory overview chapter.
Reproductive tract infections (RTis) have become a silent epidemic that is devastating women's lives. Each year, thousands of women die needlessly from the consequences of these infections, including cervical cancer, ectopic pregnancy, acute and chronic infections of the uterus and the fallopian tubes, and puerperal infections. For many women, this happens because they receive medical attention too late, if at all. The terrible irony of this tragedy is that early diagnosis of and treatment for many RTis do not require high-technology health care. For the hundreds of millions of women with chronic RTis acquired from their sexual partners, life can become a living hell. Infection is a major cause of infertility, and it leads to scorn and rejection in many countries. These women may experience constant pain, have festering lesions of the genital tract, be at enhanced risk of second ary diseases, and endure social ostracism. The problems associated with RT!s have grown even greater in the past decade with the emergence of human immunodeficiency virus (HIV) and AIDS. Preexisting sexually transmitted disease, particularly when associated with genital tract ulcers, raises women's vulnerability to the transmission of HIV 3-5 fold.