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. 2020 Jun;51(2):177-192.
doi: 10.1111/sifp.12116. Epub 2020 Jun 11.

Adolescent Fertility Is Lower than Expected in Rural Areas: Results from 10 African HDSS

Clémentine Rossier, Bruno Schoumaker, Valérie Delaunay, Donatien Beguy, Aparna Jain, Martin Bangha, Alemseged Aregay, Baptiste Beck, Karim Derra, Modeste Millogo, Albert Nkhata Dube, Kone Siaka, Marylene Wamukoya, Pascal Zabre

Adolescent Fertility Is Lower than Expected in Rural Areas: Results from 10 African HDSS

Clémentine Rossier et al. Stud Fam Plann. 2020 Jun.

Abstract

The adolescent birth rate (ABR) is an important indicator of maternal health, adolescent sexual health, and gender equity; it remains high in sub-Saharan Africa. While Demographic and Health Surveys (DHS) are the main source of ABR estimates, Health and Demographic Surveillance Systems (HDSS) also produce ABRs. Studies are lacking, however, to assess the ease of access and accuracy of HDSS ABR measures. In this paper, we use birth and exposure data from 10 HDSS in six African countries to compute local ABRs and compare these rates to DHS regional rates where the HDSS sites are located, standardizing by education and place of residence. In rural HDSS sites, the ABR measure is on average 44 percent lower than the DHS measure, after controlling for education and place of residence. Strong temporary migration of childless young women out of rural areas and different capacities in capturing temporarily absent women in the DHS and HDSS could explain this discrepancy. Further comparisons based on more strictly similar populations and measures seem warranted.

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References

REFERENCES

    1. Beauchemin, Cris, and Philippe Bocquier. 2004. “Migration and Urbanisation in Francophone West Africa: An Overview of the Recent Empirical Evidence.” Urban Studies 41(11): 2245-2272.
    1. Beguy, Donatien, Patricia Elung'ata, Blessing Mberu, Clement Oduor, Marylene Wamukoya, Bonface Nganyi, and Ezeh Alex. 2015. “Health & Demographic Surveillance System Profile: The Nairobi Urban Health and Demographic Surveillance System (NUHDSS).” International Journal of Epidemiology 44(2): 462-471.
    1. Beguy, Donatien, Joyce Mumah, and Lindsey Gottschalk. 2014. “Unintended Pregnancies among Young Women Living in Urban Slums: Evidence from a Prospective Study in Nairobi City, Kenya.” PLoS One 9(7): e101034.
    1. Bocquier, Philippe, Caren Ginsburg, Kobus Herbst, Osman Sankoh, and Mark A. Collinson. 2017. “A Training Manual for Event History Data Management Using Health and Demographic Surveillance System Data.” BMC Research Notes 10(1): 224.
    1. Byass, Peter, Don de Savigny, and Alan D. Lopez. 2014. “Essential Evidence for Guiding Health System Priorities and Policies: Anticipating Epidemiological Transition in Africa.” Global Health Action 7(1): 23359.

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