ArticlePloS one2018
Inequality in total fertility rates and the proximate determinants of fertility in 21 sub-Saharan African countries.
Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 44 citations in OpenAlex.
- Scars of birth: caesarean delivery and fertility intentions among women of reproductive age in sub-Saharan Africa.Reproductive health · 2026Article
- Inequalities in total fertility rate in Sierra Leone, 2008-2019.BMC public health · 2025Article
- The application of machine learning approaches to classify and predict fertility rate in Ethiopia.Scientific reports · 2025Article
- Number of children ever-born and its associated factors among currently married Ethiopian women: evidence from the 2019 EMDHS using negative binomial regression.BMC women's health · 2024Article
- Estimating carbon and water footprints associated with commercial milk formula production and use: development and implications of the Green Feeding Climate Action Tool.Frontiers in nutrition · 2024Review
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- The Impact of Sociodemographic, Macroeconomic, and Health Status and Resources on Infant Mortality Rates in Oman: Evidence from 1980 to 2022.European journal of investigation in health, psychology and education · 2023Article
- Spatial distribution and multilevel analysis of factors associated with long-acting reversible contraceptive use among sexually active women of reproductive age in Nigeria.Archives of public health = Archives belges de sante publique · 2023Article
- High Social Mobility Leads to Delayed Reproduction.Archives of sexual behavior · 2023Article
- Breastfeeding and infant care as 'sexed' care work: reconsideration of the three Rs to enable women's rights, economic empowerment, nutrition and health.Frontiers in public health · 2023Review
- Heterogeneous effects of socio-economic and cultural factors on fertility differentials in Burundi and Morocco during their fertility transition periods: a retrospective, cross-sectional and comparative study.The Pan African medical journal · 2023Article
- Trends in total fertility rate in Ghana by different inequality dimensions from 1993 to 2014.BMC women's health · 2022Article
- Experiences and attitudes related to newborn feeding in central Uganda: A qualitative study.PloS one · 2022Article
- Article
- Economic Inequality and Divergence in Family Formation in sub-Saharan Africa.Population and development review · 2021Article
- Socioeconomic development predicts a weaker contraceptive effect of breastfeeding.Proceedings of the National Academy of Sciences of the United States of America · 2021Article
- Geographical distribution of fertility rates in 70 low-income, lower-middle-income, and upper-middle-income countries, 2010-16: a subnational analysis of cross-sectional surveys.The Lancet. Global health · 2021Article
- Determinants of fertility differentials in Burundi: evidence from the 2016-17 Burundi demographic and health survey.The Pan African medical journal · 2021Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
In this paper, we examine the inequality in the dynamics of the total fertility rate within 21 sub-Saharan African countries by wealth quintiles. We also examine the associated inequality within each country in the proximate determinants of fertility-marriage, contraception, and breastfeeding. Applying Bongaarts' proximate determinants of fertility framework, for 14/21 countries we analyze, we find that those in the richest wealth quintiles have had a more rapid decline in fertility rates than those in the poorest wealth quintiles. The rapid decline for those in the richest wealth quintiles is attributable to delayed marriage and modest increases in contraceptive use. Although the poorest lag in fertility decline, postpartum abstinence and breastfeeding are the most important factors for them for fertility regulation. Further encouraging maternal health programs that focus on natural methods of fertility regulation will work in favor of the poorest in sub-Saharan Africa in moving through the demographic transition.
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