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INDEPTH Fertility Monograph

INDEPTH AGM; Pune, India; October 26-30, 2009

Date of conception: February 2008Lead Editor: Fotso JC (Nairobi)Co-Editors: Muhwava W (Africa Centre), Razzaque A (Matlab) & Odimegwu C (Agincourt)Others: Bawah A (INDEPTH Secretariat), Ochako R (Nairobi), INDEPTH Fertility GroupReviewers: Prof John C (LSHTM), Dr Cheikh M (Board), Dr Tom M (UCT), Dr Abass B (Chakaria), Prof Rosalia S (SAC & Kanchanaburi)

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Outline

Progress since October 2008• Reviewers comments on preliminary drafts• Nairobi and Accra meetings• Participating HDSS sites• Monograph structure

Preliminary findings• Characterizing fertility levels across sites• Differences in fertility trends• Fertility-Mortality association

Way Forward• Data quality check & review of revised chapters• Draft of general chapters and merging of sites

chapters within countries

3

Progress since October 2008

Reviewers comments• Between February and March 2009• Use of similar methods to compute TFR• Need to improve the quality of the writing

Editors’ meeting in Nairobi (April 2009)• Three levels of participation offered to sites• From “Compilation of sites chapters” to “Global

picture illustrated by selected sites chapters”• Review and feed back to sites

Editors’ meeting in Accra (July 2009)• Roles and responsibilities of Editors drafted• Authorship issues• Content of the Monograph finalized• Review and feed back to sites

No Region Country HDSS siteParticipation Level

I & II IIIa IIIb

1South-Central Asia (5)

[William & Razzaque]

Bangladesh (4)

Abh & Mirs X

2 Chakaria X

3 Matlab X

4India (2)

Ballabgarh X

5 Vadu X

6 South-East Asia (3)

[William & Razzaque]

Vietnam (2)Chililab X

7 Filabavi X

8 Thailand (1) Kanchanaburi X

Progress: Participating HDSS sites

No Region Country HDSS siteParticipation Level

I & II IIIa IIIb

9

Eastern Africa (8)

[Jean C & Rhoune]

Kenya (3)

Nairobi X

10 Kilifi X

11 Kisumu X

12

Tanzania (3)

Ifakara X

13 Magu X

14 Rufiji X

15Uganda (2)

Iganga/Mayuge X

16 Rakkhai X

Progress: Participating HDSS sites

No Region Country HDSS siteParticipation Level

I & II IIIa IIIb

17

Western Africa (5)

[Ayaga]

Ghana (3)

Dodowa X

18 Kinampo X

19 Navrongo X

20 Burkina Faso (2)

Nouna X

21 Sapone X

22

Southern Africa (4)

[Clifford]

South Africa (3)

Africa Centre X

23 Agincourt X ?

24 Dikgale X

25Mozambique (1)

Mahnica X

Progress: Participating HDSS sites

Progress: Monograph Structure

Part I: Fertility in HDSS: Data and Methods Part II: Characterising the fertility transition in Africa

and Asia: Evidence from HDSS data (IUSSP, 2009) Part III: Site specific chapters (8-10 chapters)

• Introduction • Methodology• Results

Fertility Levels and Trends Fertility Differentials by Education and Location Proximate Determinants of Fertility

• Discussion and conclusion Part IV: Lessons learned & recommendations for further

research

Ma tla b

C ha ka ria

Abhoyna g a rMirsa ra i

C hilila b

K a nc ha na buri

B a lla bg a rh

F ila B a viVa du

K ilifiR ufiji

Ifa ka raK isumu

Ma g u

Na irobi

Ig a ng a /Ma yug e

Afric a C entre

Ag inc ourt

K a rong a

Ma nhic a

Dodowa

Na vrong o

K inta mpoS a pone

Nouna

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

5.5

6.0

6.5

Preliminary findings: Fertility Levels

1.5

2.0

2.5

3.0

3.5

4.0

4.5

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

Matlab

Chakaria

Abhoy.

Mirsarai

Chililab

Kanchanab

Ballabgarh

FilaBavi

Vadu

Preliminary findings: Asia Trends

2.0

3.0

4.0

5.0

6.0

7.0

90 91 92 93 94 95 96 97 98 99 00 01 02 03 04 05 06 07 08

Rufiji

Ifakara

Kisumu

Magu

Nairobi

Africa C

Navrongo

Preliminary findings: Africa Trends

Correlation: r = 0.64

1.5

2.5

3.5

4.5

5.5

6.5

10 30 50 70 90 110

Infant Mortality Rate

Tot

al F

ertil

ity R

ate

Preliminary findings: Mortality-Fertility

Preliminary findings: Limitations & Challenges

Common denominator across sites• Missing key aspects of fertility (e.g. Contraception),

data collection not designed for the Monograph• Monograph not designed to answer all possible

fertility-related questions• It is just a start with focus on levels and trends• Broadened discussion section in sites’ chapters

Time constraints and priorities in HDSS sites and among co-Editors

In some cases: Capacity in data management Hope: Initiative to arouse interest in fertility and

RH analyses in HDSS sites

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Way Forward

By January 2010• Data quality check• Revision of sites chapters• Selection of sites chapters to be published• Internal review

By end of February 2010• Draft of general chapters• Merging of sites chapters within countries• Internal review

Between April & June 2010• Submission of the Book to the Reviewers• Revisions• Submission to the Publisher

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Acknowledgements• HDSS Sites’ Leaders and Staff, they are co-authors

on the pooled chapter of the Monograph

• INDEPTH Secretariat

Thank You