An Assessment of Communication about Family Planning on Desired Fertility: The Case of Rwanda
Abstract
Despite the recognition of the importance of spousal communication in family planning programs, it remains a challenge to many couples in sub Saharan Africa. This paper uses the 2000 Rwanda Demographic and Health Survey (RDHS) to assess spousal communication about family planning on desired fertility. Analysis is done on married people aged 15 €“49 years. Results indicate that communication about family planning is a significant covariate of the desire to have no more children. The direction of causation in this relationship is plausibly two-way: occurring when already established fertility desires are articulated to the partner, and when a discussion of advantages of child spacing or birth limitation is translated into lower fertility desires, for one or both partners. Results show that fertility desire of wives and husbands are shaped by the partner ' s desire, whether or not these are explicitly communicated. Multivariate results show that current age has a small but highly significant effect on the desire for additional children among both men and women. Older men and women are more likely to want no more children. Urban residence is significantly related to desired fertility, indicating the overall level of wanting no more children in urban areas than in rural areas. The paper recommends various alternatives to encourage spousal communication about family planning, taking into consideration various challenges that prevail in African societies.
References
Bamikale, F. 2000. Spousal Communication and Contraceptive among the Yoruba of Nigeria. Population Research and Policy Review, 19: 29 €“45
Bankole, A. 1995. Desired Fertility and Fertility Behaviour among the Yoruba of Nigeria: A Study of Couple Preferences and Subsequent Fertility. Population Studies, 49: 317 €“328.
Bongaarts, J. & C. Bruce, 1995. The Causes of Unmet Need for Contraception and the Social Content of Services. Studies in Family Planning, 26(2): 57 €“75
Caldwell, J.C. P. Caldwell. 1987. The Cultural Context of High Fertility in Sub-Saharan Africa. Population and Development Review, 18(2): 211 €“242.
De Vaus, L. 2002. Analyzing Social Science Data; 50 Key Problems in Data Analysis. London, California and New Delhi: Sage Publications.
Ezeh, A. 1993. The Influence of Spouse Over Each Other's Contraceptive Attitude in Ghana. Studies in Family Planning, 24(3): 163 €“174.
Feyisetan, B. 2000. Spousal Communication and Contraceptive Use Among Yoruba of Nigeria. Population Research and Policy Review, 19(1): 29 €“45
Kamal, N. 1999. Inter-Spousal Communication on Family Planning As a Determinant of the Use of Modern Contraception in Bangladesh. Journal of Family Welfare, 45(1): 31 €“43.
Makinawa, P. 2001. Socio-Cultural Factors Affecting Fertility in Sub-Saharan Africa. New York: Population Division.
Mason, K. & T. Malhotra, 1987. Differences between Women's and Men's Reproductive Goals in Developing Counties. Population and Development Review, 13(4): 611 €“638.
Ministry of Health of Rwanda. 2002. Report of Qualitative Assessment of Family Planning in Rwanda, Advance Africa Deliver, Kigali.
Orubuyole, T. 1977. High Fertility and the Rural Economy: A Study of Yoruba Society in Western Nigeria. In J.C. Caldwell (Ed.). The Persistence of High Fertility: Population Prospects in the Third World. Canberra: Australian National University Press.
Watkins, S. 2000. Local and Foreign Models of Reproduction in Nyanza Province, Kenya. Population and Development Review, 26(4): 725 €“759.