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Reproductive efficiency in the developing world.

John Ross1, Anrudh K Jain2

  • 1Independent Demographic Consultant, New Paltz, NY, USA.

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|February 21, 2020
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Summary
This summary is machine-generated.

This study assesses reproductive losses from conception to age 15 to measure childbearing efficiency. Higher abortion rates decrease efficiency, while increased contraceptive use improves it, leading to fewer unplanned pregnancies.

Keywords:
AbortionsBirthsChild Mortality

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Area of Science:

  • Reproductive Health
  • Demography
  • Public Health

Background:

  • Reproductive losses, including miscarriages, abortions, stillbirths, and early childhood deaths, significantly impact population dynamics.
  • Assessing childbearing efficiency requires a comprehensive measure encompassing losses from conception through childhood.
  • Regional variations in mortality and abortion rates present complex challenges in global reproductive health strategies.

Purpose of the Study:

  • To propose and estimate a novel measure of reproductive losses from conception to age 15.
  • To evaluate the 'efficiency' of childbearing across different global regions.
  • To identify key factors, such as abortion and mortality, influencing reproductive efficiency.

Main Methods:

  • Utilized data from diverse sources across 129 developing countries in seven regions.
  • Calculated reproductive losses by combining rates of miscarriages, abortions, stillbirths, and deaths up to age 15.
  • Estimated overall childbearing efficiency from conception to a surviving child at age 15.

Main Results:

  • Reproductive efficiency varies globally, influenced by regional differences in abortion and mortality rates.
  • Sub-Saharan Africa shows high mortality losses but lower abortion rates, while advanced regions have low mortality but higher abortion rates.
  • The mortality component of reproductive loss has improved over time, but the abortion component has not.

Conclusions:

  • Abortion rates are a primary driver of decreased reproductive efficiency.
  • Reproductive efficiency is positively correlated with contraceptive use, independent of abortion rates.
  • Improved reproductive efficiency may encourage greater adoption of contraceptive methods to prevent unintended pregnancies.