Fertility transition in selected sub-Saharan African countries: the role of family planning programs

Abstract

Background: Change in fertility rate across societies is a complex process that involves changes in the demand for children, the diffusion of new attitudes about family planning and greater accessibility to contraception. Scholars have concentrated on a range of factors associated with fertility majorly at the national scale. However, considerably less attention has been paid to fertility preference - a pathway through which various variables act on fertility. It is understood that women have inherent fertility preferences which each they seek to achieve over her reproductive cycle. However, the service delivery enhancement levels and capacity across countries as integral pathways to this goal accomplishment stand on their way towards eventual outcomes. Precisely, the Sub-Saharan African countries’ disparities amid similarities in their population policies is a cause of concern. Methods: Using Bongaarts reformulation of Easterlin conceptual scheme of 1985 on DHS data, the understanding of the current fertility transition in general would provide explanations to the observed fertility dynamics. This study therefore is an attempt to explain the current fertility transition through women’s fertility preference. Results: Results reveal that fertility transition is diverse across sub-Saharan Africa; generally, on a decline course in most of the countries. The huge disparities in fertility preferences among women of reproductive age and its non-significant change in the implementation indices points at the service delivery performance underneath regarding the proportion of demand to family planning commodities satisfied. Service delivery indicators are integral to fertility preference achievement within households as well as a country’s overall positioning regarding fertility transition at the macroscale. Conclusions: It is therefore plausible to conclude that the improvement of service delivery in general; precisely touching on the availability and the uptake of quality birth control technologies is one of the most feasible means through which countries can fast track their fertility transitions.