Volume 37 - Article 21 | Pages 669–708  

Women’s education, infant and child mortality, and fertility decline in urban and rural sub-Saharan Africa

By David Shapiro, Michel Tenikue

Abstract

Background: This paper provides estimates of the contributions of increased women’s education and reduced infant and child mortality to fertility declines in urban and rural areas of countries in Sub-Saharan Africa, using individual-level data.

Objective: The principal question that the paper addresses is: How much have increased women’s schooling and reduced mortality contributed to fertility declines in urban and rural places in each of 30 countries in sub-Saharan Africa? A secondary question is: What have been the changes in women’s schooling and mortality in urban and rural areas in these countries?

Methods: Data from the first and last Demographic and Health Surveys for each country is used, along with a decomposition technique that allows us to quantify how much of the observed fertility decline is attributable to increased education and how much is due to reduced mortality.

Results: In urban places, on average, increased women’s schooling accounts for 54% of observed fertility decline while reduced mortality contributes 30%. In rural areas with fertility decline, increased women’s education accounts for an average of 30% of the decline while reduced mortality accounts for an average of 35%. Results vary substantially by country and place of residence.

Conclusions: Accelerating increases in women’s schooling and decreases in infant and child mortality have the potential to accelerate fertility decline in sub-Saharan Africa.

Contribution: The paper uses individual-level data to provide quantitative estimates of the importance of increased women’s schooling and reduced mortality in contributing to fertility decline in sub-Saharan Africa.

Author’s Affiliation

• David Shapiro - Pennsylvania State University, United States of America EMAIL
• Michel Tenikue - Luxembourg Institute of Socio-Economic Research (LISER), Luxembourg EMAIL

Other articles by the same author/authors in Demographic Research

Mortality convergence of twins and singletons in sub-Saharan Africa
Volume 41 - Article 36

On the pace of fertility decline in sub-Saharan Africa
Volume 37 - Article 40

Most recent similar articles in Demographic Research

Children under 5 in polygynous households in sub-Saharan Africa, 2000 to 2020
Volume 51 - Article 32    | Keywords: children, Demographic and Health Surveys (DHS), family demography, polygyny, sub-Saharan Africa

Using Respondent-Driven Sampling to measure abortion safety in restrictive contexts: Results from Kaya (Burkina Faso) and Nairobi (Kenya)
Volume 50 - Article 47    | Keywords: induced abortion, respondents-driven samples, social networks, sub-Saharan Africa

Predictive utility of key family planning indicators on dynamic contraceptive outcomes: Results from longitudinal surveys in Burkina Faso, Kenya, Uganda, and Côte d'Ivoire
Volume 50 - Article 45    | Keywords: contraception, contraceptive adoption, contraceptive discontinuation, contraceptive use, family planning, longitudinal data, methods, panel data, Performance and Monitoring for Action (PMA) surveys, sub-Saharan Africa

The dynamic role of household structure on under-5 mortality in southern and eastern sub-Saharan Africa
Volume 49 - Article 11    | Keywords: child mortality, Health and Demographic Surveillance System, household structure, sub-Saharan Africa

Comparative evidence of years lived with reproductive-age morbidity in sub-Saharan Africa (2010‒2019)
Volume 49 - Article 6    | Keywords: life expectancy, maternal morbidities, reproductive age, sub-Saharan Africa