Empowered Voices: Exploring Women's Autonomy And Fertility Intention In Indonesia
This study uses data from the 2017 Indonesia Demographic and Health Survey and an instrumental variable approach to examine how women's autonomy influences fertility intentions. Results show that increased autonomy significantly reduces fertility intentions, highlighting the importance of empowering women to participate in reproductive decision-making and exercise their reproductive rights.
This study explores the relationship between women's autonomy and fertility intentions in Indonesia, considering the socio-cultural and economic dynamics that shape reproductive decision-making. Utilizing couples’s data from the 2017 Indonesia Demographic and Health Survey (IDHS), the study employs an instrumental variable (IV) approach to address potential endogeneity in measuring women's autonomy. The findings reveal that higher levels of women's autonomy, defined through participation in household decision-making, significantly reduce women's fertility intentions. Women with autonomy have a stronger ability to negotiate reproductive decisions with their husbands, enabling them to align their reproductive choices with their personal aspirations. Having autonomy enables women to exercise their reproductive rights and make well-informed decisions about family planning. In contrast, limited autonomy restricts women’s participation in decision-making, reinforcing social norms that prioritize male authority in fertility-related matters. Closing this gap requires targeted interventions to enhance women’s role in reproductive health, ensuring they have an equal say in fertility-related decisions.
- Research Article
33
- 10.3389/fpubh.2022.882009
- May 10, 2022
- Frontiers in Public Health
BackgroundThe low fertility level has become a serious social problem in China. Previous research has argued the significant influence of media use and social trust on fertility intentions, but the interaction between the two variables and how they influence fertility intentions remain further investigation. This study explored the influence mechanism of media use on Chinese women's fertility intentions from the perspective of social trust.MethodsThis study collected data from the 2017 China General Social Survey, investigated the relationships between variables through bivariate correlation coefficients, and explored the differences in fertility intentions among women of reproductive age (20–49). Also, this paper examined the influence of media use and social trust by regression analysis and tested the mediating role of social trust between media use and fertility intentions with Bootstrap sampling.ResultsWomen with different media use preferences, education levels, and family incomes have significant differences (p < 0.01) in fertility intentions. New media use negatively influences women's fertility intentions, while traditional media use has no significant influence on women's fertility intentions. Social trust significantly influenced women's fertility intentions and partially mediated the impact of new media use on fertility intentions.ConclusionOnline communication influences fertility intentions among Chinese women of reproductive age. It tends to influence their social trust by amplifying negative social news, affecting their fertility intentions further. This paper suggests the importance of strengthening social trust and online agenda-setting to improve women's fertility intentions that strategic information communication can change their perceptions of social trust.
- Research Article
8
- 10.1111/padr.12561
- May 17, 2023
- Population and development review
Recognizing the prolonged, uneven, and evolving nature of the Covid-19 pandemic, this study provides one of the first dynamic, multilevel perspectives of women's fertility intentions in response to the pandemic and its multifaceted impacts. We examine how evolving individual- and community-level Covid-19 risk mechanisms and socioeconomic and life-course conditions are associated with continuity and change in women's fertility intentions. We combine individual-level panel data from a population-based sample of women aged 18-34 in Pernambuco, Brazil in 2020 and 2021 with corresponding administrative data from 94 municipalities. We use multinomial logit regressions to model continuity and change in fertility intentions across waves. We then estimate fixed effect models to highlight the time-varying determinants of changing fertility intentions while accounting for unobserved, time-invariant individual factors. We find that high and/or increasing individual and community-level Covid-19 exposure is associated with a greater likelihood of abandoning initial childbearing plans and a greater likelihood to maintain intentions to forego versus to intend having additional children. We advance the literature by highlighting how individual-level Covid-19 infection risk perceptions matter for fertility intentions, net of community-level exposure, and the necessity of dynamic perspectives for understanding how fertility intentions have changed (or not) in response to the pandemic.
- Research Article
52
- 10.4054/demres.2017.36.7
- Jan 12, 2017
- Demographic Research
<b>Background</b>: Recent theories of low fertility emphasize the increasing importance of support for the family in changing gender roles toward egalitarianism. In a context of weak institutional support for families and low levels of gender equity, do family policies influence individual fertility? Moreover, might support from other sources, such as men's involvement in the family or grandparental childcare assistance, positively influence fertility intentions and behavior? <b>Objective</b>: I examine the influence of three sources of a supportive environment for families - the state, husbands, and parents or in-laws - on women's fertility intentions and behavior regarding second children. <b>Methods</b>: Using data from three waves of the Korean Longitudinal Survey for Women and Families, I measured supportive environments by knowledge of family policy, men's involvement in housework and childcare, and grandparental childcare assistance. I then studied these factors with binary logistic regression analysis. <b>Results</b>: The findings suggest that supportive environments for the family have a stronger effect on fertility behavior than on fertility intentions. Women who are knowledgeable about childcare leave reserved for use by fathers are more likely to have a second child than women who do not know about it. Support from husbands for housework and childcare and intensive childcare assistance from coresiding parents or in-laws increase the likelihood of a second birth. <b>Contribution</b>: These findings contribute to our theoretical understanding of the interplay between the welfare state and the family in studies of fertility. Moreover, the findings have unique implications for very low fertility in countries with limited and fragmented state support of families.
- Research Article
9
- 10.29063/ajrh2023/v27i2.8
- Feb 1, 2023
- African journal of reproductive health
Social norms influence many dimensions of women's lives and women's assumptions about male partners' pronatalism can have important associations with fertility behaviours. Using data on married/cohabiting women from the 2018/19 Ghana Socioeconomic Panel Survey and a series of robust descriptive analyses and logistic regression models, the links between women's internalization of patriarchal norms, presumed male partner pronatalism and fertility intentions are explored. The characteristics of conservative and liberal women are also examined. Logistic regressions show that greater internalization of patriarchal norms is associated with higher odds of women wanting more children- male children, particularly. Additionally, women's perceptions of their partners' fertility preferences were important- women who assumed that their male partners wanted more children tended to have stronger immediate pronatalist intentions themselves. Descriptive analyses show that conservative women, with greater internalized patriarchal norms, are more pronatalist, less educated, resident in rural parts of the country and more likely to be from poorer households, compared to their more liberal counterparts. Findings encourage the tailoring and targeting of family planning messages along cultural lines, to influence women's fertility intentions. Additionally, the importance of effective spousal communication is highlighted. Findings also emphasise the importance of involving men in the implementation of family planning programs.
- Research Article
- 10.54097/8qeyne69
- May 28, 2024
- Journal of Education, Humanities and Social Sciences
With the rapid development of China's social economy, people's living standards continue to improve. However, the willingness to have children has shown a downward trend, and the fertility rate has also declined. This phenomenon has attracted widespread attention from all sectors of society. This study aims to conduct an in-depth analysis of the influencing factors of women's fertility intentions under policy guidance. A questionnaire survey was conducted to investigate and analyze the current influencing factors of women's fertility intentions. Research has shown that policy orientation significantly affects women's reproductive decisions. Individual factors such as age, education level, and occupation, as well as family factors such as family income and place of residence, are closely related to fertility intentions. The dissemination channels of the fertility policy affect women's understanding of the policy, which in turn affects fertility decision-making. Obstacles in career development also affect women's consideration of childbirth. The social environment, especially family support, has a significant impact on women's reproductive decisions. Meanwhile, the balance between family and career is also an important factor affecting women's willingness to have children. Based on this, this article suggests further optimization and adjustment of the current fertility policy, such as improving maternity leave benefits, introducing flexible work arrangements, providing career development support, supporting fertility assistance services, and breaking workplace discrimination, to better meet the diverse fertility needs of women and promote sustainable social development.
- Research Article
- 10.62051/ijgem.v5n2.14
- Dec 5, 2024
- International Journal of Global Economics and Management
In recent years, in order to alleviate the pressure of population aging, China has actively promoted the policy of encouraging childbirth, but China is still in a period of low fertility. In this context, this paper uses the data of the 2020 China Family Longitudinal Survey (CFPS) to explore the impact of children's social care on women's fertility intention. The results show that participation in social care does not increase women's fertility intentions, but further discourages women from having children, and this situation affects women living in rural areas more obviously. Accordingly, it is particularly important to strengthen the construction of the social care system for children, reduce the pressure on women's families, and enable women of childbearing age to release more reproductive potential.
- Research Article
32
- 10.4314/ajrh.v18i3
- Sep 1, 2014
- African Journal of Reproductive Health
This study describes the fertility intentions and discusses the potential reproductive health needs of post-natal HIV-infected Ugandan women. HIV-infected mothers attending post-natal services in Kampala, Uganda participated in this cross-sectional study using structured interviewer administered questionnaires. Descriptive statistics and logistic regression models were used to identify predictors of desire for more children. Among 403 participants, 35% desired more children. Of these, 25% wanted another child within 2 years and 75% within 3 years or more. In multivariable analyses, believing that one's partners wanted more children (OR = 2.44; 95% CI = 1.30, 4.59) was associated with the desire for future children while having more living children was negatively associated with the desire for future children (OR = 0.08; 95% CI = 0.02, 0.39). A minority of women desired future pregnancies, and most wanted to delay pregnancy for 3 years. These women are in need of family planning (FP) methods to meet stated desires to delay or end future pregnancies. Perceived partner desire for children also impacts on women's fertility intentions, highlighting the importance of engaging men during the post-natal period.67-77)
- Research Article
1
- 10.1002/psp.70093
- Aug 1, 2025
- Population, Space and Place
ABSTRACTChina's population development faces low birth rates, prompting the introduction of a three‐child policy that impacts the fertility intentions of the childbearing‐age population. However, research on fertility intention is predominantly concentrated in the developed eastern regions, with limited studies focusing on the socioeconomic dynamics in the less‐represented northwest, such as Gansu Province. This region, with its unique socioeconomic challenges, presents a critical case for understanding fertility intentions in China's current policy context. Based on cross‐sectional data from the 2022 fertility intention survey of 79270 childbearing‐age individuals in Gansu Province, the fertility intention and influencing factors of the childbearing‐age population are analyzed. The study found that the fertility intention of people of childbearing‐age is influenced by a combination of economic, social and demographic factors, among which economic factors are the most critical. Middle‐income groups exhibit stronger fertility intentions, while both high‐ and low‐income groups show reduced procreative preferences due to career priorities and economic constraints, respectively. Improved education levels and enhanced social security lead childbearing‐age populations to prioritize personal development; however, women's fertility intentions are constrained by unemployment risks. Contrary to previous studies, this study reveals that fertility intentions increase with age, suggesting that middle‐aged individuals with stable careers and incomes may represent a key target for policy interventions. Additionally, factors such as gender, education level, workplace, and marital status significantly influence fertility intentions.
- Research Article
236
- 10.1111/j.1728-4457.2005.00081.x
- Sep 1, 2005
- Population and Development Review
Cross‐nationally, observed fertility is well below mean levels of reported ideal family size and also usually well below survey respondents' fertility desires and intentions. The United States is an exception. In this article we: (1) discuss the importance of fertility ideals and intentions for understanding observed fertility levels, (2) propose a model that can account for variable attitude‐behavior consistency, and (3) use this model as a framework to examine trends in American women's fertility ideals, intentions, and actual fertility. Our study uses data from the General Social Surveys and the Current Population Surveys. We ask whether preferences and intentions for moderate family sizes have eroded with time. The answer is remarkably clear: the dominant American ideals and intentions are for two or three children, and these preferences have persisted across the last three decades. The unusual aggregate correspondence between fertility intentions and behavior in the United States is explained by an apparent offsetting of factors that increase/decrease fertility relative to intentions.
- Research Article
10
- 10.1002/psp.2563
- Mar 23, 2022
- Population, Space and Place
How trade liberalization affects a country's fertility has been verified by some studies, but little is known about how export trade liberalization impacts individual fertility intention. Using China Health and Nutrition Survey data from 1997 to 2011 and regression analysis, this study finds that a decline in the average external tariff significantly improves the fertility intentions of married women. This conclusion remains robust after overcoming endogeneity problems using an alternative external proxy variable, adopting different average tariff calculation methods, adding other control variables, and considering the son preference. The mechanism test shows that export trade liberalization can affect married women's fertility intentions by affecting family income; moreover, the income effect dominates the substitution and intra‐marital income gap effects. This study provides a new perspective for understanding changes in fertility intention in developing countries. This perspective can promote academic research progress in this field and be of great significance in formulating effective policies to improve fertility intention.
- Research Article
- 10.1017/s1744133126100449
- Mar 31, 2026
- Health economics, policy, and law
China's recent expansion of Home- and Community-Based Services (HCBS) may influence fertility intentions among women of childbearing age. Using data from the China Labor-force Dynamics Survey (CLDS, 2014-2018) and a multi-period difference-in-differences (DID) design, we examine the effect of HCBS reforms on women's fertility expectations and explore the channels through which these reforms operate. Our results show that HCBS expansion significantly reduces fertility intentions, with an average decline of approximately 0.12 children per woman. The effect is stronger among women with siblings, those who already have children, rural residents, and women in their prime childbearing years (aged 25-34 years). Mechanism analysis indicates that this reduction is mediated by increased perceived community safety, greater participation in pension insurance, and higher economic satisfaction. These findings suggest that elderly care policies can shape reproductive decisions, highlighting the need for integrated strategies that address both ageing and fertility concerns in China.
- Research Article
14
- 10.1080/13668803.2020.1779032
- Jun 17, 2020
- Community, Work & Family
In 2017, South Korea’s total fertility rate was 1.26 live births per woman, the sixth-lowest in the world. Employment is significantly negatively associated with second births in Korea. To increase fertility rates and help working women better balance work and family lives, a series of government family-supportive workplace policies and employer-provided occupational benefits have been implemented and expanded. The present study examined the effects of family-supportive workplace policies and benefits on boosting working women's fertility intentions in Korea by the current number of children (i.e. parity). Using the 2007–2012 Korean Longitudinal Survey of Women and Families (N = 3,405 working women), the study examined seven family policies and benefits. Results revealed that childcare leave was significantly associated with increasing working women’s first birth intentions. Also, women’s second birth intentions increased significantly when they had more family-supportive provisions at their workplaces. Despite these results, a majority of women perceived the family provisions to be unavailable at their workplaces. The present study underscores that women's fertility decisions differ significantly by parity and informs policymakers in their efforts to develop family provisions that address these differences and make family provisions more readily available.
- Research Article
9
- 10.12688/gatesopenres.12956.1
- Apr 29, 2019
- Gates open research
Background: Reproductive choice is one of the rights of any woman, but women are often ambivalent towards fertility desires and choice of contraception. Our study explores how the change in fertility desires influence the change in use of modern contraception over time in six cities of Uttar Pradesh, India. Methods : Data for this study comes from the Measurement, Learning and Evaluation (MLE) Project for Urban Health Initiative in six cities of Uttar Pradesh. Our study sample consists of 8735 women (weighted n=8655) who were fertile, non-sterilized and non-pregnant at the time of baseline survey. Potential bias due to lost to follow up was addressed using inverse probability weighing and then generalized estimating equations were applied to get odds for change in use of modern contraceptives. Results: Contraceptive use increased by different magnitudes from baseline to endline across all six cities. At baseline and endline, women who desired no more children reported a higher use of modern contraception than those who desired more children over time. Women from all cities who desired no more children at baseline had higher odds of modern contraceptive use than that of women who desired more children. The tempo of change in use of modern contraception over time among women with different fertility desires differed across the considered cities. Conclusion : Although there were city-wise differences observed, women's fertility intentions have an impact on their use of modern contraceptives over the time period between baseline to endline. To obtain greater insight into city-level differences, mixed method studies will be more effective.
- Research Article
20
- 10.1111/1475-4932.12561
- Jul 20, 2020
- Economic Record
Paid parental leave is an important part of family policy in OECD countries. Australia's Paid Parental Leave scheme was introduced in 2011 and provides 18 weeks of leave paid at the full‐time minimum wage for the primary carer of a child. We estimate the effect of access to paid parental leave on women's fertility intentions by exploiting the differential impact of the scheme for women working in the public and private sectors. We find that the scheme's announcement had no impact on fertility intentions at the extensive margin but that, conditional on intending to have at least one (more) child, the number of children intended increases by 0.34, a 16 per cent increase. This effect is concentrated among highly educated women. As it has been shown that fertility intentions predict fertility outcomes, these results suggest that even modest paid parental leave programs can increase the fertility of working women and so moderate the declines in fertility rates seen in many developed countries.
- Research Article
3010
- 10.1086/260166
- Mar 1, 1973
- Journal of Political Economy
Students of human fertility have been aware for a long time that there may be some special relation between the number (quantity) of children ever born to a family and the "quality" of their children as perceived by others if not by the parents. One need only cite the negative correlation between quantity and quality of children per family so often observed in both cross-section and time-series data. One of us (Becker 1960) more than a decade ago stressed the importance for understanding fertility (quantity) of the interaction between quantity and quality, and we are pleased to note that this interaction is emphasized in most of the papers in this Supplement, especially those by De Tray and Willis. Some economists have argued that the negative relation between quantity and quality often observed is a consequence of a low substitution elasticity in a family's utility function between parents' consumption or level of living and that of their children (see, e.g., Duesenberry 1960; Willis 1969). The approach followed by De Tray in this volume is different, but it makes equally special assumptions about the substitution between quantity and quality in the utility function and in household production.