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Published on: October 24, 2025
Toward replacement fertility in Egypt and Tunisia
1Department of Economic and Social Affairs, United Nations, Post Office Box 62832, Riyadh 11595, Saudi Arabia. eltiganie@un.org
Tunisia achieved replacement fertility faster than Egypt due to a significant rise in age at marriage and effective family planning programs. Egypt needs to focus on reducing wanted fertility and improving family planning services to reach similar demographic goals.
Area of Science:
- Demography
- Public Health
- Sociology
Background:
- Egypt and Tunisia initiated fertility transitions concurrently with similar initial fertility levels.
- Significant divergence in the pace of fertility decline observed between the two nations.
Purpose of the Study:
- To provide empirical evidence on the differing rates of fertility decline in Egypt and Tunisia.
- To analyze the key determinants responsible for the observed discrepancies in fertility transition pace.
Main Methods:
- Analysis of secondary literature and nationally representative surveys from Egypt and Tunisia (1978-2005).
- Comparative analysis of demographic trends and socioeconomic factors influencing fertility.
Main Results:
- Fertility decline consistency varied across population segments in both countries.
- Family planning program success was linked to political leadership and integration with development goals.
- Contraceptive use significantly impacted total fertility rate (TFR) decline from the mid-1980s.
- Increased age at marriage in Tunisia was the primary driver of its accelerated fertility decline compared to Egypt.
Conclusions:
- Egypt's path to replacement fertility is contingent on further reductions in marital fertility.
- Enhancing family planning program coverage, service delivery, and efficiency is crucial for Egypt.
- Addressing wanted fertility and increasing age at marriage are key strategies for Egypt's demographic transition.
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