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Fertility Preservation Through Oocyte Vitrification: Clinical and Laboratory Perspectives

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Trends in fertility preference implementation among selected Eastern African countries.

Vincent Otieno¹, Alfred Agwanda Otieno¹, Anne Khasakhala¹

¹Population Studies and Research Institute, University of Nairobi, Nairobi, Nairobi, 00100, Kenya.

|April 25, 2022

Summary

Fertility transition in Eastern Africa is progressing due to increased family planning access and women

Keywords:

Degree of Preference Implementation Index Eastern Africa Fertility Preference Wanted Fertility

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Area of Science:

Demography
Public Health
Sociology

Background:

Ongoing scholarly debate on the pace of fertility transition in Africa.
Two main conclusions: slow decline due to weak social programs and high demand for large families, or accelerated decline with reduced desired fertility and improved preference implementation.
Emergent exceptions in Eastern Africa, particularly Rwanda and Kenya, warrant focused study due to shared policy frameworks and potential for cross-border behavioral influence.

Purpose of the Study:

To analyze trends in fertility preferences and their implementation among women of reproductive age in Eastern Africa.
To investigate factors influencing fertility decline using the Bongaarts supply-demand framework.
To understand the dynamics of fertility transition in a region with shared characteristics and notable exceptions.

Main Methods:

Utilized Demographic and Health Surveys (DHS) data to analyze trends over time.
Applied the Bongaarts supply-demand framework to assess fertility preferences and implementation.
Decomposed trends in fertility preferences and implementation to understand their contributions to fertility decline.

Main Results:

Observed a rising aggregate degree of fertility preference implementation index.
Documented continuous declining trends in the demand for births.
Found increasing contributions from wanted fertility and preference implementation to fertility transition across categories, indicating progress in all studied countries.

Conclusions:

Fertility transition is demonstrably underway in Eastern African countries, albeit at varying paces.
The effectiveness of family planning programs is a key driver of this transition.
Sustained progress necessitates integrating family planning initiatives with robust public education and sensitization campaigns.