Fertility is below replacement in Harar Health and Demographic Surveillance System (Harar HDSS), Harar town, Eastern Ethiopia
Tóm tắt
Population growth is determined by fertility, mortality and migration rates. Fertility is the prime determinant of population growth, which is highly associated with family planning, literacy, urbanization, and expansion of health system. In many part of Africa, its level is more than twice the replacement level. In Ethiopia, a significant decline in fertility mainly in the urban setting has been reported over the past decade, yet there is a paucity of information on the level of the decline. Therefore, this analysis aims to assess the level of fertility in Harar Health and Demographic Surveillance System (Harar HDSS) Eastern Ethiopia. Harar HDSS is an urban HDSS located in the city of Harar, eastern Ethiopia. It was established in 2011. All the population under surveillance are followed regularly and updated every six month for any change in the population demographic characteristics. Data were collected on a face-to-face interview to record demographic and socio-economic characteristics. Data were entered into customized HRS-2 software used for capturing longitudinal data and exported to computational software for analysis. For this analysis fertility data of the year 2013 were used. Fertility levels were analyzed using descriptive statistics. The total population of Harar HDSS in 2013 was 30,055. Of these, 15,701 (52.2 %) were females and 14, 354 (47.8 %) were males. The crude birth rate and general fertility rate for the year 2013 were 20.3 and 64 births per 1000, respectively. In 2013, the Total Fertility Rate (TFR) was 1.9 births per women of reproductive age. The 25 to 29 age group has the highest age-specific fertility rates (128.1 births per 1000 women), followed by the 20 to 24 year old women (89.3 births per 1000 women). Total fertility rate was relatively low. However, there were a significant number of births among adolescent women. Improving and sustaining access for reproductive health care for young women is highly recommended.
Tài liệu tham khảo
Bongaarts J, Casterline J. Fertility transition: is sub-saharan africa different? Popul Dev Rev. 2013;38:153–68.
Kalipeni E. The fertility transition in Africa. Geogr Rev. 1995;85(3):286.
Lutz W, Qiang R. Determinants of human population growth. Population growth rate: determining factors and role in population regulation. Phil Trans Biol Sci. 2002;357(1425):1197–210.
Bongaarts J. Human population growth and the demographic transition. The impact of population growth on tomorrow’s world. Phil Trans Biol Sci. 2009;364(1532):2985–90.
UNICEF. Levels & Trends in Child Mortality. In: Estimates Developed by the UN Inter-agency Group for Child Mortality Estimation. New York: United Nations Children’s Fund; 2013.
Blue L, Espenshade T. Population momentum across the demographic transition. Popul Dev Rev. 2011;37(4):721–47.
CSA. Ethiopia demographic and health survey 2011. Addis Ababa, Ethiopia and Calverton, MD, USA: Central Statistical Agency [Ethiopia] & ICF International; 2012.
Assefa N, Oljira L, Baraki N, Demena M, Zelalem D, Ashenafi W, Dedefo M. Profile of Kersa HDSS: the Kersa Health and Demographic Surveillance System. Int J Epidemiol 2015;(Health & Demographic Surveillance System Profile):1-8.
Ezeh A, Mberu B, Emina J. Stall in fertility decline in eastern african countries: Regional analysis of patterns, determinants and implications. Phil Trans Biol Sci. 2009;364(1532):2991–3007.
Zuberi T, Amson S, Bawah A, Noumbissi A. Population and African society. Ann Rev Soc. 2003;29:465–86.
Amson S, Woubalem Z, Hogan D, Lindstrom D. The proximate determinants of the decline to below-replacement fertility in Addis Ababa, Ethiopia. Stud Fam Plann. 2003;34(1):1–7.
KersaHDSS. Health indicator for 2007/2008: Kersa woreda. Unpublished manuscript. Harar: Kersa HDSS, Haramaya University; 2008.
Bongaarts J. A framework for analyzing the proximate determinants of fertility. Popul Dev Rev. 1978;4(1):105–32.
Halperin DT. Scaling up of family planning in low-income countries: lessons from Ethiopia. Lancet. 2015;383(9924):1264–7.
Zelalem D, Semahegn A, Tesfaye G, Sileshi B. The level and patterns of fertility among women in Kersa Demographic Surveillance and Health Research Center (KDS-HRC) Field site, Kersa District, East Ethiopia. Fert Res Pract. 2015;1:18.
Sathiya Susuman A, Bado A, Lailulo YA. Promoting family planning use after childbirth and desire to limit childbearing in Ethiopia. Reprod Health. 2014;11:53.
Tilahun T, Coene G, Luchters S, Kassahun W, Leye E, Temmerman M, Degomme O. Family planning knowledge, attitude and practice among married couples in Jimma Zone, Ethiopia. PLoS One. 2013;8(4):e61335.
Yalew SA, Zeleke BM, Teferra AS. Demand for long acting contraceptive methods and associated factors among family planning service users, Northwest Ethiopia: a health facility based cross sectional study. BMC Res Notes. 2015;8:29.
FMOH. Health and Health related indicator. Addis Ababa: Planning and Programming Department Federal Ministry of Health; 2007.
FMoH. In: Center HeaE, editor. Health Extension Program in Ethiopia: Profile. Addis Ababa: Federal Ministry of Health (ET); 2007.
Banteyerga H. Ethiopia’s health extension program: improving health through community involvement. MEDICC Rev. 2011;13(46):9–3.
Gebremedhin S, Betre M. Level and differentials of fertility in Awassa town, Southern Ethiopia. Afr J Reprod Health. 2009;13(1):93–112.
Nardi BA. Modes of explanation in anthropological population theory: Biological determinism vs. self-regulation in studies of population growth in third world countries. Am Anthrop. 1981;83(1):28–56.