Author:
Agbaglo Ebenezer,Agbadi Pascal,Tetteh Justice Kanor,Ameyaw Edward Kwabena,Adu Collins,Nutor Jerry John
Abstract
Abstract
Background
The past few decades witnessed a considerable decline in total fertility rates globally. However in Ghana, there has been a slight increase in the fertility rate with little understanding of the reason for the increment. To understand this change, it is important to first examine the trend over a considerable period of time while taking into consideration some important inequality dimensions. This informed the need for this present study as we examined the trends in total fertility rate in Ghana by different inequality dimensions from 1993 to 2014.
Methods
Data from the 1993–2014 Ghana Demographic and Health Surveys were used for the study, and we relied on the World Health Organization’s (WHO) Health Equity Assessment Toolkit (HEAT) software for the analysis. The analysis involved disaggregation of TFR by wealth index, education, place of residence and region. This was followed by the estimation of inequality by Difference, Population Attributable Risk, Ratio and Population Attributable Fraction. In the analysis, we set the statistical significance at a 95% confidence interval.
Results
For all surveys, the total fertility rate was consistently highest among the poorest women (7.00, 6.28, 6.77, 6.61 and 6.29 in 1993, 1998, 2003, 2008 and 2014, respectively). The highest total fertility rate was recorded among women with no formal education in all the survey years. For instance, in the 2014 survey, the total fertility rate for women with no formal education was 5.98 and those with secondary/higher had a total fertility rate of 3.40. Women in rural areas had a higher total fertility rate compared to those in urban areas (4.90 vs. 3.40 in 2014). In terms of sub-national regions, the Northern region was the region where women consistently had the highest total fertility rate.
Conclusion
There is a need for a collective effort to design interventions and policies to create awareness among the people of Ghana especially girls and women on the implications of high fertility.
Funder
University of California San Francisco Population Health and Health Equity Scholar award
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology,Reproductive Medicine,General Medicine
Reference28 articles.
1. United Nations, Department of Economic and Social Affairs, Population Division (2020). World Fertility 2019: Early and later childbearing among adolescent women (ST/ESA/SER.A/446).
2. Atake E-H, Ali PG. Women’s empowerment and fertility preferences in high fertility countries in Sub-Saharan Africa. BMC Womens Health. 2019;19:54. https://doi.org/10.1186/s12905-019-0747-9.
3. O’Neill A. Fertility rates of the world and continents 1950–2020. Statista 2021. Retrieved from https://www.statista.com/statistics/1034075/fertility-rate-world-continents-1950-2020/ on 3/11/2021 at 10:13am
4. O’Neill A. Sub-Saharan Africa: Fertility rate from 2009 to 2019. Statista 2021. Retrieved from https://www.statista.com/statistics/805638/fertility-rate-in-sub-saharan-africa/ on 2/11/2021 at 10:15am
5. Novignon J, Djossou NG, Enemark U. Childhood mortality, intra-household bargaining power and fertility preferences among women in Ghana. Reprod Health. 2019;16:139.