The Spread of Health Services and Fertility Transition

We use detailed measures of social change over time, increased availability of various health services, and couples 'fertility behaviors to document the independent effects of health services on fertility limitation. Our investigation focuses on a setting in rural Nepal that experienced a trans...

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Published in:Demography 2007-11, Vol.44 (4), p.747-770
Main Authors: Brauner-Otto, Sarah R., Axinn, William G., Ghimire, Dirgha J.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Behavior
Birth
Birth Control
Catchment Area (Health) - statistics & numerical data
Child health
Child health services
Child mortality
Child rearing
Children & youth
Childrens health
Communities
Community Health Services - statistics & numerical data
Community Health Services - trends
Contraception
Contraception - statistics & numerical data
Couples
Decision making
Demographic change
Demography
Effects
Family Planning
Family planning services
Female
Fertility
Fertility - physiology
Geographic Information Systems
Geography
Health care
Health Care Services
Health services
Humans
Immunization
Immunization - statistics & numerical data
Influence
Interviews as Topic
Logistic Models
Male
Maternal & child health
Middle Aged
Mortality
Nepal
Social Change
Studies
Transitions
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container_issue 4
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container_title Demography
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creator Brauner-Otto, Sarah R.
Axinn, William G.
Ghimire, Dirgha J.
description We use detailed measures of social change over time, increased availability of various health services, and couples 'fertility behaviors to document the independent effects of health services on fertility limitation. Our investigation focuses on a setting in rural Nepal that experienced a transition from virtually no use of birth control in 1945 to the widespread use of birth control by 1995 to limit fertility. Changes in the availability of many different dimensions of health services provide the means to evaluate their independent influences on contraceptive use to limit childbearing. Findings show that family planning as well as maternal and child health services have independent effects on the rate of ending childbearing. For example, the provision of child immunization services increases the rate of contraceptive use to limit fertility independently of family planning services. Additionally, new Geographic Information System (GlS)-based measures also allow us to test many alternative models of the spatial distribution of services. These tests reveal that complex, geographically defined measures of all health service providers outperform more simple measures. These results provide new information about the consequences of maternal and child health services and the importance of these services in shaping fertility transitions.
doi_str_mv 10.1353/dem.2007.0041
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numerical data</subject><subject>Influence</subject><subject>Interviews as Topic</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Maternal &amp; child health</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Nepal</subject><subject>Social Change</subject><subject>Studies</subject><subject>Transitions</subject><issn>0070-3370</issn><issn>1533-7790</issn><issn>1533-7790</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>DPSOV</sourceid><sourceid>HEHIP</sourceid><sourceid>M0C</sourceid><sourceid>M2L</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><sourceid>8BJ</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFks2LFDEQxYMo7rh69Kg0Hrz1WJXPzlEW1xUWPMx4Dul0NdtDf4xJt7D__aaZYRUvUwQKwq9ewXvF2HuELQolvjQ0bDmA2QJIfME2qIQojbHwkm3yN5RCGLhib1I6AICVir9mV1hxwTnYDdP7Byp2x0i-Kaa2uCPfzw_FjuKfLlAq_NgUtxTnru_mx2If_Zi6uZvGt-xV6_tE7879mv26_ba_uSvvf37_cfP1vgxKwlwGLRBChY2SsvWNNr6RTeC8sjxXkELWJMlra0Bqw2uPVhuoLRqsWym5uGafT7rHOP1eKM1u6FKgvvcjTUtyBkBXFuVFUKPWRnG4CCrDucx1ERS64lVlLityUIBcmQx--g88TEscs38uu2Er1HZVK09QiFNKkVp3jN3g46NDcGviLifu1sTdmnjmP55Fl3qg5i99jjgD8nnrgcI8LIn-XSy5Rrdbz2a9GjAyP7M6_-E0dkjzFJ9lBYASiFo8AeJtu9o</recordid><startdate>20071101</startdate><enddate>20071101</enddate><creator>Brauner-Otto, Sarah R.</creator><creator>Axinn, William G.</creator><creator>Ghimire, Dirgha J.</creator><general>Population Association of America</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>0U~</scope><scope>1-H</scope><scope>3V.</scope><scope>4T-</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88C</scope><scope>88E</scope><scope>88F</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DPSOV</scope><scope>DWQXO</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>HEHIP</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>KC-</scope><scope>L.-</scope><scope>L.0</scope><scope>M0C</scope><scope>M0K</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2L</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>S0X</scope><scope>7ST</scope><scope>7U6</scope><scope>C1K</scope><scope>8BJ</scope><scope>FQK</scope><scope>JBE</scope><scope>7QJ</scope><scope>7U4</scope><scope>BHHNA</scope><scope>DWI</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20071101</creationdate><title>The Spread of Health Services and Fertility Transition</title><author>Brauner-Otto, Sarah R. ; 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subjects Adolescent
Adult
Behavior
Birth
Birth Control
Catchment Area (Health) - statistics & numerical data
Child health
Child health services
Child mortality
Child rearing
Children & youth
Childrens health
Communities
Community Health Services - statistics & numerical data
Community Health Services - trends
Contraception
Contraception - statistics & numerical data
Couples
Decision making
Demographic change
Demography
Effects
Family Planning
Family planning services
Female
Fertility
Fertility - physiology
Geographic Information Systems
Geography
Health care
Health Care Services
Health services
Humans
Immunization
Immunization - statistics & numerical data
Influence
Interviews as Topic
Logistic Models
Male
Maternal & child health
Middle Aged
Mortality
Nepal
Social Change
Studies
Transitions
title The Spread of Health Services and Fertility Transition
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