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Sterility in zambia.

T S Sunil1, V K Pillai

  • 1University of North Texas, TX 76203, USA. sunils@scs.cmm.unt.edu

Annals of Human Biology
|August 6, 2002
PubMed
Summary

Social factors significantly contribute to high sterility rates in Zambia, challenging purely biological explanations. These findings highlight the need for social policies to address and reduce sterility levels in affected regions.

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Area of Science:

  • Reproductive health
  • Sociology
  • Public health

Background:

  • Sub-Saharan Africa, particularly Zambia, faces high sterility rates.
  • Existing research primarily attributes sterility to biological factors, overlooking social determinants.

Purpose of the Study:

  • To quantify sterility extent in Zambia during 1980 and 1990.
  • To evaluate the impact of social determinants on Zambian sterility levels.

Main Methods:

  • Sterility rates calculated using 1980 and 1990 census data and parity progression ratios.
  • Social determinants analyzed using Zambian Demographic Health Survey (ZDHS) data.
  • Logistic regression employed to assess the net effects of social determinants.

Main Results:

  • Elevated sterility rates identified in North Western, Eastern, and Western provinces during 1980 and 1990.
  • Social variables demonstrated significant influence on sterility, even when controlling for biological factors like sexually transmitted diseases (STDs).

Conclusions:

  • Findings underscore the necessity of implementing social policies to combat sterility.
  • The study suggests a re-evaluation of the view that sterility is solely biological and unresponsive to social interventions.

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