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This overview includes chapters on child mortality, adult mortality, fertility, proximate determinants, marriage, internal migration, international migration, and the demographic impact of AIDS.
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 volume, the last in the series Population Dynamics of Sub-Saharan Africa, examines key demographic changes in Senegal over the past several decades. It analyzes the changes in fertility and their causes, with comparisons to other sub-Saharan countries. It also analyzes the causes and patterns of declines in mortality, focusing particularly on rural and urban differences.
This examination of changes in adolescent fertility emphasizes the changing social context within which adolescent childbearing takes place.
Focuses on substantive problems and summarizes research regarding the determinants of fertility differentials and fertility change in developing countries.
This volume assesses the evidence, and possible mechanisms, for the associations between women's education, fertility preferences, and fertility in developing countries, and how these associations vary across regions. It discusses the implications of these associations for policies in the population, health, and education sectors, including implications for research.
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.
With the emergence of fertility declines in the greater part of the developing world, study of the phenomenon has increased profoundly over the last three decades, and a voluminous amount of literature has emerged. Yet our knowledge of the decline is scattered in numerous publications, making sources difficult to find. This bibliography provides a guide to the literature on fertility decline in Latin America, Asia, and Sub-Saharan Africa. It will be an invaluable asset for population experts and students wishing to do research on fertility decline. Covering the literature from 1960 to 1997, the book draws on extensive sources including books, articles in leading population journals, research papers, and dissertations. The opening chapter covers the literature on theories and concepts underlying fertility decline. The next three chapters are devoted to the major geographical areas—Latin America, Asia, and Sub-Saharan Africa—and the final chapter looks at general literature on fertility declines in developing countries.
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.