| |
August
2008 - Volume 2, Issue 4
The Effect
of Women's Education and Some Socio- Economic Variables on
Fertility and Contraceptive Use in Bangladesh: A District
Level Analysis
 |
Md. Abdul Gonia, b
a IER, Hitotsubashi University, Kunitachi, Tokyo
186-8601, Japan and
b Assistant Professor, Department of Population Science
and HRD University of Rajshahi, Rajshahi - 6205. Bangladesh
Email: magoni_popsrubd@yahoo.com
|
 |
| ABSTRACT
The purpose of this study is
to present the fertility and contraceptives levels in
different regions of Bangladesh and to determine the
most important determinants of fertility and contraceptive
use of Bangladeshi women. It utilizes mainly the BMMS
2001 and Bangladesh District-Level Socio-Demographic
and Health care Utilization Indications that cover all
geographic areas of the Country. Using some statistical
techniques such as cross tabulation, correlation coefficients,
important relationships between fertility and several
demographic, socio-economic, and spatial variables,
are explored. In an attempt to understand fertility
behavior of Bangladeshi women, a multiple regression
analysis was utilized. It is found that woman's education
and working status are apparently the most important
determinants of fertility behavior and contraceptive
use. It is also found that some variables, specifically
child mortality, land ownership, household with TV,
NGO involvement and the geographic region, are significant
determinants of fertility and contraceptive use in Bangladeshi
women. Finally, the study was able to present a few
suggestions and recommendations.
Key Words:
Fertility, Contraceptive Use, Education, NGOs and District
Level Data.
|
 |
INTRODUCTION
Bangladesh is a country which
like many other developing countries, has achieved a remarkable
reduction in fertility despite little improvement in levels
of living, education, women's status, child survival and other
factors frequently associated with the demographic transition.
The family planning program is credited with being the main
driving force behind this reduction, while the role of social
and economic change is de-emphasized (Larson and Mitra 1992;
Cleland et. al. 1994). Bangladesh is internationally considered
a success story in family planning (Freedman, 1995), with
an increase in contraceptive prevalence rising from 8 percent
to 54 percent and a decline in the total fertility rate from
6.3 to 3.3 in the three decades since independence (BDHS 2000).
Success in meeting these population goals can be largely attributed
to the commitment of the Government of Bangladesh (GOB) and
the Ministry of Health and Family Welfare (MOHFW), which have
effectively coordinated donor organizations, non-government
organizations (NGOs) to ensure that free or affordable contraceptives
are available in both public and private health facilities
throughout the country. The late 1980s has seen a large increase
in the number of couples using family planning methods. Unfortunately,
the use of family planning has declined to 50 percent in 2001
BMMS. The decline in overall use is due to a decline in the
use of traditional methods (from 10 to 6 percent). Use of
modern methods has little changed since 1999-2000.
As for social indicators women have
gained in the development process, levels of female labour
force participation rose from the low level of 15.5% in 1995
to 23.9% in 1999-2000. The NGOs and the garment industry have
absorbed a good number of the female labour force. Electricity
is another important element of human life for developing
countries like Bangladesh. Electricity generates employment.
The impact on employment is both direct and indirect. Women
in the electrified households are involved more in household
level income-generation activities and depict better re-allocation
of time for remunerative employment; unemployment rate is
relatively low in the electrified households; and there is
a relatively higher share of non-agricultural employment in
the electrified households indicating a modernization effect
of electricity on occupation. The overall literacy rates for
both males and females in the electrified households are higher,
especially due to the household's access to electricity which
has contributed much both in economic terms as well as in
raising awareness about value of education (Barkat, et. al.
2002).
Demographic and social-economic variations
exist in Bangladesh across different regions. The total fertility
rate is lowest in Khulna division (2.5) and highest in Sylhet
division (4.3), which is 2 times higher than Khulna division.
Women with no formal education have more children (3.8) than
formal educated women (2.5) with at least secondary education.
Like education, women in poorer households have more children
than women in wealthier households. With a TFR of 4.2, women
in the poorest households are likely to have about two children
more than women in the wealthiest households (TFR of 2.4).
Proportion of women working for cash/kind is lowest in Sylhet
division (22.3) and highest in Khulna division (31.8) (BMMS,
2001). There have also been significant changes in the fertility
and women employment related variables, like infant mortality
rate, CPR, female education etc.
Apart from being of intrinsic interest,
these interregional and inter-temporal variations provide
useful opportunities to study the determinants of demographic
outcomes of different districts in Bangladesh. This paper
examines some of the relevant relationships between TFR and
contraceptive use based on a cross-sectional analysis of district-level
data from the Bangladesh Maternal Health Services and Maternal
Mortality Survey (BMMS) 2001. This paper also tried to determine
the most important factors affecting reproduction behavior.
Specifically, objectives of this paper are: a) to present
the levels of fertility and contraceptive use in Bangladesh;
and b) to determine the most important variables that explain
the fertility behavior and contraceptive use.
From a fertility point of view the
fertility determinants in a population is a complex process.
While fertility behaviour influences population growth, which
has consequences for pressure on resources, employment situations,
health and other social facilities, and savings and investment,
in turn, such consequences have a great bearing on the socio-economic
variables that affect fertility behaviour. Socio-economic
conditions of a population and differences in them affect
the level of fertility in a population and create differences
among the sub-groups or sub-regions. The demographic and the
socio-economic variables considered for investigating the
fertility and contraceptive use by various sub-regions of
a population are: education of women, work status of women,
child mortality and household condition of women.
In this study, samples consist of
64 districts for which detailed information is available.
Under the study the demographic outcomes are total fertility
rate, contraceptive use and some socio-economic variables.
Particular attention is paid to female literacy, female household
conditions (electrified or not) and involvement in NGO activities.
This paper is organized as follows.
In section 2 we discuss data and methodology, section 3 analyses
the data regarding women's education and fertility; and presents
the regression results, conclusion and finally offers policy
implications in section 4.
DATA AND METHOD
The 2001 Bangladesh Maternal Health
Services and Maternal Mortality Survey (BMMS) created an opportunity
to address this information need. This study utilized mainly
the BMMS 2001 and Bangladesh District-Level Socio-Demographic
and Health care Utilization Indications. The BMMS is the first
national survey conducted in Bangladesh to serve as a source
of maternal health and maternal death data for policy makers
and the research community. The survey also collected other
information such as household socio-economic conditions, education,
reproductive and child health. In the past, most data on the
country's socio-economic development, health and family planning
were only available at the division level. Due to the large
sample size of BMMS, it is possible to present this information
at the district level. The survey was implemented under the
authority of National Institute of Population Research and
Training (NIPORT) in collaboration with ORC Macro, USA. The
Johns Hopkins University, USA and ICDDR, B provided technical
assistance. Associates for Community and Population Research
(ACPR), Mitra and Associates, two Bangladeshi private research
firms, collected the survey data of all sample points from
November 2000 to April 2001. Some other sources such as Bangladesh
Demographic and Health Survey (BDHS) 2004 has been used.
Administratively, Bangladesh is divided
into six divisions. Each division is divided into districts
(Zilas), for a total of 64 districts and then thanas/upazilas.
Each urban area in a Thana is divided into wards and each
rural area in a Thana is divided into union parishads. In
each division, the list of wards constituted the initial sample
frame for urban areas and the list of union was the sample
frame for rural areas. At the first stage, a total of 1,616
clusters from 808 (674 urban and 134 rural) primary sampling
units were randomly selected. A second stage, a systematic
sample of 104,323 households was selected to interview more
than 100,000 ever-married women age 13-49.
Three types of questionnaires were
provided for the BMMS: a Household Questionnaire, a Women's
Questionnaire (for ever married women age 13-49), and Verbal
Autopsy Questionnaire (for deaths of women age 13-49). The
survey collected basic information such as age, sex, marital
status and education. Information was also collected on household
characteristic such as type of housing, sources of water and
availability of electricity. The information about female
adult deaths identified deaths for which the Verbal Autopsy
Questionnaire was used.
The ever-married women age 13-49
were asked questions on the following topics:
Background Characteristics (age, education, religion, etc),
reproductive history, use of family planning methods, information
about siblings (to calculate the maternal mortality rate).
Fertility is measured by the total
fertility rate (TFR), and its component age-specific fertility
rates (ASFRs). The TFR is defined as the number of children
a woman would have by the end of her childbearing years if
she were to pass through those years bearing children at the
currently observed age-specific rates. The child mortality
is the probability that a child will die before attaining
the age of five years.
Another indicator is level of education
of women. Proportion of women aged 15-24 with completed secondary
education was included in our analysis. Female labour force
participation, included the percentage of women aged 15-49
participating in the labour force. I include two unconventional
new variables, NGOs and electricity, which relate to women's
employment and consumption of population.
Finally, region dummy variables are
used to identify regional patterns. A list of the variables,
their definition and sources are given in Table 1, which are
the summary statistics of our data. Most of the information
used in this analysis is derived from 2001 BMMS and another
source is BDHS 2000, which are available in published survey
reports (see Table 1).
In this paper two dependent variables
are used: (a) Total fertility rate, and (b) Use of contraception
to the BMMS 2001 data. Two categories are used for each of
the two dependent variables: for the contraceptive use variable
- use of modern family planning method and for the total fertility
rate. The independent variables included were the woman's
participation in the labour force, access to mass media, women's
educational attainment (schooling, primary education and secondary
education), and involvement in NGOs, landownership, electricity
connection, and geographic region. The relationship between
fertility, CPR and its determinants has been examined using
some statistical methods such as Pearson correlation coefficient
and multiple regressions for the district level data from
BMMS 2001. In district level data, cross-sectional analysis
is standard based on the assumption that the error terms are
independently and identically distributed. If there is a possibility
of correlation between error term and explanatory variables
the ordinary least squares estimates will be inconsistent,
and the estimated coefficients will not approach their true
values even in very large samples (see Murthi, Dreze and Guio
1995). In order to test the consistency of our results two
regression models were estimated; one with all independent
variables (Model 1 and 3), and the other with only the significant
ones (Model 2 and 4).
| Table 1. Variable
Name, Definitions and Sample Summary Statistics |
| Variable |
Definition |
Mean |
Standard
deviation |
| TFR |
Total
fertility rate |
3.2 |
0.71 |
| Female
labour force participation |
Proportion
of women aged 15-49 working for cash who
are considered to be in the labour force |
28.3 |
3.6 |
| CPR |
Contraceptive
prevalence rate with modern method |
44.0 |
10.88 |
| Women
education |
|
|
|
| |
Any schooling
age 7-12 |
90.10 |
5.80 |
| |
Primary
complete |
58.15 |
9.90 |
| |
Secondary
complete |
42.9 |
11.2 |
| Male education |
Secondary
complete |
51.24 |
9.31 |
| CMR |
The probability
of dying between the first and fifth birthdays |
28.6 |
10.4 |
| HH’s w
electricity |
Households
with electricity (%) |
26.6 |
16.3 |
| HH’s with
land |
Ownership
of land means that household owning less than 0.5 acres
of land other than homestead (%) |
66.8 |
7.8 |
| HH’s with
poorest |
Households
with the lowest wealth scores (%) |
24.9 |
11.0 |
| HH’s w
TV |
Household
owning a television (%) |
14.4 |
9.1 |
| NGOs |
Number
of women involved in NGO activities from a particular
division/district and divided by total number of women
of particular division/district expressed as a percentage. |
28.36 |
8.9 |
| Region |
|
|
|
| Rajshahi
division |
Dummy
variable, with value 1 for district of Rajshahi division |
0.25 |
0.44 |
| Khulna
division |
Dummy
variable, with value 1 for district of Khulna division |
0.16 |
0.37 |
| Chittagong
division |
Dummy
variable, with value 1 for district of Chittagong division |
0.17 |
0.38 |
| Barishal
division |
Dummy
variable, with value 1 for district of Barishal division |
0.09 |
0.29 |
| Sylhet
division |
Dummy
variable, with value 1 for district of Sylhet division |
0.06 |
0.24 |
Sources: NGO: Bangladesh Demographic
and Health Survey (BDHS 2000); and remaining information came
from BMMS 2001
Several demographic, socioeconomic,
and geographic variables are used for the analytical purpose
(Table1). These variables represent some personal/household
characteristics. Some of them are nominal in nature and included
in the regression equations as dummy variables.
RESULTS AND DISCUSSION
The Bangladesh Demographic and Health
Survey (2001-2003) provides some interesting information on
fertility differentials (as measured by total fertility rate
and the mean number of children ever born) and current contraceptive
use and educational attainment of women. As expected, the
educational attainment of women is strongly associated with
fertility. Looking at the relationships between women's education
and total fertility rate (Table 2); it appears that the TFR
(2.2) of the women of at least secondary completed education
is less than one half that of the no educated women (TFR 3.6).
The TFR decreases with rising levels of education. Table 2
also presents data on the same women's wanted (desired) fertility
(TWFR). The Table shows that all educational groups of women,
except those with no education, want to have around replacement-level
fertility (2.1) or lower. Women who have some primary school
education report that they want to have 2.1 children, whereas
those with at least secondary wanted to have only 2.0 children.
The wanted fertility for women with no education, still have
a desire for an above-replacement level of fertility. For
all educational groups, the total fertility rate exceeds the
total wanted fertility rate. The difference is greatest for
the group with no education - the TFR exceeds the TWFR by
1.3 children - and decreases with education to 0.2 children
for the most educated group. If we can interpret this difference
as unwanted fertility, we can conclude that enabling women
to avoid unwanted fertility, e.g., through better family planning
services, would lead to fertility rates around replacement
level for all women except those with no education.
A quite similar picture emerges when
one compares the contraceptive use by education levels of
women; only those who have completed at least secondary education
are more likely to report a higher use of both the modern
and traditional methods than other women. It is mentioned
here that TFR and mean ideal number of children are lower
among the women who have completed at least secondary education.
Generally contraceptive practice increases sharply with education
(BDHS 2000). But here worth noting is that the successive
two BDHS (1999-2000 and 2001-2003) suggested that contraceptive
use has increased among women with little or no education
(8%); while this figure is only 2% among the women who had
at least secondary education. Those indicators in Table 2
suggest that educated women not only have different fertility
goals but also have their aspirations based on reality. Further
indications of these different links between fertility, contraceptive
use and education and some socio-demographic variables will
be seen on the next section.
| Table 2. Women's
educational attainment, fertility and use of contraception
from Bangladesh Demographic and Health Survey (2001-2003) |
| Women’s
Education |
Fertility
and Use of Contraception |
| Total fertility rate1 |
Total wanted fertility rate2 |
Method of contraception (Any method) |
| No
education |
3.6 |
2.3 |
58.7 |
| Primary
education |
3.1 |
2.1 |
57.9 |
| Secondary
incomplete |
2.7 |
1.8 |
56.4 |
| Secondary
complete and higher |
2.2 |
2.0 |
62.0 |
| Total |
3.0 |
2.0 |
58.1 |
Sources: Bangladesh Demographic and
Health surveys 2004 about 10,000 ever-married women aged 10-49
years (p 51, 66, 113).
Notes: 1 see table 1; 2 Rates are based on births to women
age 15-49 in the period 1-36 months preceding the survey.
3.1. FERTILITY LEVELS BY SPATIAL,
DEMOGRAPHIC, AND SOCIO-ECONOMIC CHARACTERISTICS
Fertility behaviour is a complex
phenomenon that results from the interplay of various social,
psychological and cultural patterns related to employment,
child mortality, contraceptive use, level of education and
socio-economic development. It is not feasible to explain
all the factors of fertility transition in Bangladesh together.
Therefore, we need to classify the district into groups in
such a way that they are highly heterogeneous between groups
and homogeneous within groups to better understand the fertility
behaviour. In this paper we considered 64 districts and six
geographic broad regions/administrative divisions. It is very
useful to present fertility levels by important woman's characteristics,
familial attributes, and geographic regions of the country.
First of all, the data clearly shows
that there is a strong relationship between fertility, contraceptive
use and others demographic, and socio-economic variables (Appendix
table A). The Chittagong and Sylhet division exhibit total
fertility rate from 3 to 5, while the rates are lower, generally
around 3, in the Rajshahi and Khulna divisions. The Dhaka
division exhibits average fertility rates. The Barisal division
is the third lowest fertility rate regions. The Rajshahi district
under Rajshahi division shows lowest fertility rate (2.0).
The Cox's bazaar (5.0) and Sunamganj (4.8) district shows
relatively highest fertility rate at the same time. Generally,
there are higher fertility rates there than in Chittagong
division (3.74) and Sylhet division (4.27), and lower acceptance
of the family planning method especially among the women of
Cox's bazaar district (20.70) and Sunamganj district (18.90).
The fact that the women of Rajshahi (29.43%) and Khulna (31.56%)
divisions are more involved in NGO activities and more active
in the labour force (30.20% and 31.3% respectively) (BDHS
2000 and BMMS 2001) than remaining regions, may also provide
them with greater reasons to control the fertility rate.
It may be mentioned that broad region-level
comparisons and classifications may not be able to capture
fully the extent of diversities among various indicators characterizing
several facets of development. Considerable regional diversity
in terms of social, economic and demographic characteristics
prevails in Bangladesh. This is true not only among the broad
region but also among the districts of the same broad region.
In general, these striking variations among the region in
the livelihood of the common people stem from various factors
such as the level of literacy, female education, nutritional
standards, child mortality, morbidity, employment, income
distribution, etc., and their corresponding interactions.
These differentials of demographic and socio-economic variables
among the regions interest researchers to observe the cross-relationships
between fertility, women's employment and with socio-economic
variables in district levels except spatial region. Table
3 produces the results of Pearson correlation coefficient
of TFR, CPR and with some socio-economic variables.
| Table 3.
Correlation Coefficients between dependent and independent
variables |
| Independent
Variables |
With
TFR |
With CPR |
Female
labour force
Any schooling
Complete primary education
Complete Secondary education
Male secondary education
CMR
Household with land
Poorest household
Household with electricity
Household with TV
NGO involvement |
-0.54**
-0.70**
-0.68**
-0.33**
-0.32**
0.75**
0.05
0.46
** -0.28*
-0.37**
-0.18 |
0.64**
0.52**
0.46**
0.41**
0.31*
-0.66**
-0.03
-0.19
0.06
0.28*
0.25* |
"**" Correlation is significant
at the 0.01 level, "*" Correlation is significant
at the 0.05 level, (2-tailed)
The correlation between female labour
force and fertility is -0.54 and statistically significant
which implies that greater female labour force participation
rate tends to show more decline in fertility rate. Greater
acceptance of family planning methods means that the greater
control of fertility rate. The correlation between these two
variables is -0.86 (not shown in table) and is highly statistically
significant. But the correlation between CPR and female employment
is positive and statistically significant which implies that
working women are more likely to use family planning methods
than others.
Child death is also found to be strongly
related to fertility and CPR among Bangladeshi women. The
correlation between child mortality and fertility shows a
significant positive relation and with CPR in a significant
negative relationship. It means that if levels of child mortality,
fertility rate would be higher and CPR would be decreased
and vice versa. This finding is largely supported by most
macro and micro fertility studies in different developing
countries.
The close relationship between education,
especially female education and demographic change has clearly
emerged in recent empirical studies. Education is found to
be strongly related to fertility and CPR. Illiterate women
tend to have a larger number of children than those with higher
levels of education. As shown in Table 2, an illiterate woman
was found to have four children on average, while a woman
who obtained at least secondary education had two children.
Similarly, with the higher level of men's education is the
smaller number of children. Based on the Pearson correlation
coefficients, it seems that women's education is more strongly
related to fertility and CPR than men's educational attainment.
The importance of each of these two explanatory variables
and their contribution in explaining fertility behavior and
CPR will be examined in the next section.
The correlation between households
(HH's) with electricity and fertility and HH's with electricity
and CMR is negative and statistically significant except TFR.
This implies that the electrified households are relatively
lower in fertility and child mortality rate. Again the correlation
between households (HH's) with electricity and female labour
force and households (HH's) with electricity and education
is positive and statistically significant except FLPR. So
electricity has a contribution to reducing fertility, child
mortality and increases literacy rate and created employment
opportunities.
The fertility seems to be related
to landownership. The fertility rate is higher among the women
of poorest households than household with land. The correlation
between poorest households and fertility is positive and statistically
significant. The correlation between households with land
and fertility is positive but not significant. The landownership
is negatively related to CPR but not statistically significant.
Mass media is strongly related to
fertility and CPR. The correlation between TV and TFR shows
a significant negative relationship. The correlation between
TV and CPR shows a significant positive relationship.
The correlation between NGOs and
fertility is negative but does not show statistical significance.
Maybe it has an interaction effect with other variables. But
the correlation between NGOs and CPR shows a significant positive
relationship. It implies that NGOs have an awareness ability
among women regarding small families as norm, with health,
education and created employment opportunities.
3.2. SOME DETERMINANTS OF FERTILITY
BEHAVIOUR AND FAMILY PLANNING METHOD
Despite the importance of descriptive
analysis in the previous section, it is very important to
determine the variables that explain fertility behavior and
contraceptive use in Bangladesh. Utilizing multivariate analysis
in which all independent variables are taken into consideration,
our hypotheses can be tested. The results of multiple regression
analysis show that most of the independent variables have
a significant effect on fertility and contraceptive use. Few
regression coefficients of some variables such as male education,
NGOs involvement, and household with land, are not statistically
significant on fertility. In order to test the consistency
of our results two regression models were estimated; one with
all independent variables (Model 1), and the other with only
the significant ones (Model 2) for TFR and Model 2 and Model
3 for CPR. Apart from indicating the signs of the coefficients
and whether they are statistically significant, table 4 and
5 makes it possible to assess the quantitative effects of
different demographic and socio-economic variables on fertility
and CPR by combining the given information with the mean values
presented in Table 1.
| Table 4.
Some Determinants of fertility: The Results of Multiple
Regression Analysis of Cross-Sectional Data |
| Independent
Variables |
Model
1 |
Model
2 |
| Constant |
31.35
*(3.23) |
35.38*(4.48) |
| Education |
|
|
| Any schooling |
-0.35*
(-2.49) |
-0.42*(-3.50) |
| Primary
complete |
0.14***(1.82) |
0.13**(2.27) |
| Secondary
complete |
-0.08***(-1.71) |
-0.10**(-2.03) |
| Secondary
complete male |
0.01(0.55) |
|
| Female
labour force |
-0.99
*(-2.95) |
-1.09*(-3.99) |
| Child
mortality |
-0.03*(3.73) |
0.02*(4.15) |
| Household
with land |
-0.01
(-0.10) |
|
| Household
with poorest land |
0.04*(3.22) |
0.03*(3.64) |
| Household
with electricity |
-0.28***(-1.64)
|
-0.20***(1.66) |
| Household
with TV |
-0.03***(-1.65) |
-0.08**(-1.95) |
| NGO involvement |
-0.02(-0.341) |
|
| Interaction
effect |
|
|
| Female
labour force X Any schooling |
0.02**
(2.45) |
0.02*(3.58) |
| Female
labour force X Primary complete |
-0.02***(-1.74) |
-0.01**(-2.40) |
| Female
labour force X Secondary complete |
0.03*** (1.63) |
0.07**(2.02) |
| Geographic
Region |
|
|
| Rajshahi
division |
-0.06(-0.052) |
|
| Khulna
division |
-0.06(-0.54) |
|
| Barisal
division |
-0.51*(-2.72) |
-0.44*(-2.88) |
| Chittagong
division |
-0.46***(-1.77) |
-0.64*(-3.43) |
| Sylhet
division |
0.26(1.27) |
|
| Adjusted
R2 |
0.81 |
0.82 |
| F Statistics |
14.82* |
29.52* |
| Number
of observation |
64 |
64 |
Note: Values of 't' are shown in
parentheses. * Significance at less than 1 percent; ** significance
at less than 5 percent and *** significance at less than 10
percent. For definition of variables see Table 1.
| Table 5.
Some Determinants of Contraceptive use: The Results
of Multiple Regression Analysis of Cross-Sectional Data |
| Independent
Variables |
Model
2 |
Model
3 |
| Constant |
-315.61
**(-2.10) |
-341.50*(-3.02) |
| Education |
|
|
| Any schooling |
4.59**
(2.11) |
5.02**(3.17) |
| Primary
complete |
-3.38**(-2.79) |
-3.19**(-3.05) |
| Secondary
complete |
2.33*(2.90) |
1.84*(3.03) |
| Secondary
complete male |
0.04(0.24) |
|
| Female
labour force |
13.02 *(-2.49) |
13.68*(3.46) |
| Child
mortality |
-0.26*(-2.58) |
-0.23**(-2.65) |
| Household
with land |
0.09 (0.77) |
|
| Household
with poorest land |
-0.26***(-1.95) |
-0.25***(-1.96) |
| Household
with electricity |
0.02**(2.09) |
0.01*(2.99) |
| Household
with TV |
0.43***(-1.70) |
0.40***(1.75) |
| NGO involvement |
0.03***(1.87) |
0.02***(1.90) |
| Interaction
effect |
|
|
| Female
labour force X Any schooling |
-0.16**
(-2.19) |
-0.17*(-3.17) |
| Female
labour force X Primary complete |
0.12*(2.90) |
0.12*(3.25) |
| Female
labour force X Secondary complete |
-0.09* (-3.25) |
-0.07*(-3.49) |
| Geographic
Region |
|
|
| Rajshahi
division |
1.72(0.67) |
|
| Khulna
division |
0.68(0.27) |
|
| Barishal
division |
4.45***(1.62) |
4.49***(1.75) |
| Chittagong
division |
0.39(0.07) |
|
| Sylhet
division |
-16.74*(-5.34) |
-18.26*(-6.78) |
| Adjusted
R2 |
0.80 |
0.81 |
| F statistics |
14.44* |
27.16* |
| Number
of observation |
64 |
64 |
Note: Values of 't' are shown in
parentheses. * Significance at less than 1 percent; ** significance
at less than 5 percent and *** significance at less than 10
percent. For definition of variables see Table 1.
| Appendix
Table A: Differentials of Demographic and Some Socio-Economic
Variables of Different regions in Bangladesh |
|
Regions/Divisions |
Name of the Variables |
| TFR |
CPR |
Education(Any
schooling) |
Women
working for cash1 |
Child
mortality2 |
| Rajshahi
Division |
2.85 |
56.4 |
90.7 |
30.2 |
24.0 |
| Khulna
Division |
2.61 |
61.8 |
94.9 |
31.3 |
19.2 |
| Barisal
Division |
3.32 |
47.8 |
90.5 |
25.6 |
36.6 |
| Dhaka
Division |
3.22 |
52.2 |
89.3 |
29.7 |
31.5 |
| Chittagong
Division |
3.74 |
37.7 |
88.5 |
22.8 |
36.8 |
| Sylhet
Division |
4.47 |
28.1 |
83.3 |
27.4 |
38.4 |
Source: Bangladesh District level
socio-Demographic and Health care Utilization Indicators 2001(p
4-9).
Notes: 1 Percentage of women aged 15-49 participating in labour
force; 2 Child mortality (deaths per 1,000 children surviving
to the first birthday).
The multiple regression results presented
in Table 4 and 5 shows that the female education is of the
most important variable. As education level increases, fertility
decreases and raises contraceptive use significantly. The
results of any schooling and higher education are expected
in sign but primary education is not expected in sign. Data
from the World Fertility Survey and the Demographic and Health
Survey confirm the positive effect of education on reproductive
behaviour (Schultz 1994; World Bank 1994). Clearly, those
with schooling beyond the primary level have a higher contraceptive
use and lower fertility than those without. We expected a
strong negative relation between fertility and male education
and positively with contraceptive use. The fact is that male
education has been found not to have a significant effect
on fertility and contraceptive use. This is probably due to
its interrelationship with both female and male education.
Female labour force is another most
important variable that explains fertility behaviors and contraceptive
use. It has a negative and highly statistical significant
effect on fertility and positively on contraceptive use in
the country. Contraceptive use appears to be a significant
determinant of fertility and female labour force indicating
they are appropriate instruments. The sharp increase in contraceptive
prevalence has led to an appreciable decline in fertility
(Khuda, B., et. al. 2000). Working women are more likely to
use contraception and have fewer children as compared to non-working
women (CPS 1991).
It is also found that child mortality
significantly affects the fertility positively and contraceptive
use negatively. The infant deaths shorten the period before
next pregnancy and consequently lead to more births. This
result is expected since most, if not all, fertility studies
found similar results in different parts of the world. It
is worthy to note that infant mortality rate (IMR) has sharply
declined in Bangladesh during the last decade, which might
suggest a further decline in fertility.
As expected, higher levels of poverty
are associated with higher levels of fertility and lower use
of contraception. It is found that the women of households
with poorest land have higher fertility than those women of
households with land. There is a positive statistically significant
relationship between HH's with poorest land and fertility
and negatively with contraceptive use. There appears to be
little or no effect of landownership status on fertility and
contraceptive use.
Another important economic condition
of household level is electricity. About one-third (32%) of
the households in Bangladesh have electricity (BDHS 2000).
HH's with electricity have a significant negative effect on
fertility and positively on contraceptive use (this result
is consistent with Khuda, et. al. 2000 and Barakat, et. al.
2002). Electricity not only contributes to declining overall
TFR, but also contributes to a reduction in TFR among the
poor. Electrification has contributed to the positive development
on women's socio-economic status. Electricity has left a profound
impact on women's mobility, participation in IGAs, decision-making,
freedom in using income and savings, better utilization of
credit, knowledge about gender inequality issues, household
work plan according to convenience, changes in attitude in
terms of reducing healthcare disparities, increase in overall
years of schooling for both boys and girls, preference to
send girls to schools, awareness of legal issues (as for example,
marriage for girls at 18 and boys at 21), and awareness about
the negative impact of dowry. Although, women in the non-electrified
households are working inside and outside home, they have
less control over utilization of their earnings, decision-making;
and their level of awareness of fundamental rights is low
(Barkat, et. al. 2002).
The mass media like TV has a significant
effect on fertility and contraceptive use. Women's access
to mass media, especially TV is associated with higher probability
of contraceptive use, and lower fertility and mean number
of children. It is found to have a significantly negative
effect on fertility and positively on contraceptive use.
Another important unconventional
new variable is NGOs, which has a significant effect on contraceptive
use. The regression coefficient corresponding to NGOs shows
an expected sign and is statistically significant. The fertility
rate is lower among the women associated with the activities
of NGOs. But the result is not statistically significant.
This is probably due to the fact that the relationships between
fertility and NGOs reflect the joint influence of some others;
time varying variables (see our earlier work, Goni, 2007).
The NGO sector is currently playing an important role in informal
education program (figures for any schooling, also see Table1)
and created employment opportunities, especially among rural
poor women (BDHS 2000). Non-governmental organizations (NGOs)
in Bangladesh, especially the Bangladesh Rural Advancement
Committee (BRAC), have been famous for their non-formal primary
education programs that run low-cost schools for the poor.
Because poor children help in household economic activities,
school timing is set in such a way that the poor can participate
in both school and household economic activities. Non-formal
schools emphasize girls' education by enrolling more girls
than boys. Involvement of women with NGOs required traveling
among different places to attend meetings and training, and
deposit savings and credit installments to bank. All these
factors exposed them to new ideas, knowledge and experiences
through their interactions with the outside world, consequently
reducing fertility and increasing contraceptive use among
the Bangladeshi women (Goni, 2007).
In developing countries, especially
Muslim majority countries some researchers have found that
there is no effect of work status on fertility (Noor's, 1986).
A weak relationship between work status and fertility in some
developing countries is due to availability of child care
through the help of relatives (Chaudhury, 1978; Zurayk, 1987).
In addition, it is not necessary for participation in the
labor force to always lead to reduction of number of children,
because of the competition between bearing children and work,
for the time of mother and father (Easterlin, 1975). But in
my study, there is a relatively strong relationship between
education level and woman's participation in the labor force.
For this reason, an interaction term between education and
female labour force was introduced into the regression model.
It is found that this term is statistically significant, indicating
that the effect of education varies based on work status.
As for example, the effect of at least secondary education
is a little less for working woman compared to non-working
woman (-0.08 + 0.03 = -0.05). This result emphasizes the weak
impact of "labour force" upon fertility behavior.
The geographic variables are significant
in explaining the variations of fertility and contraceptive
use in the country. Some dummy variables have been introduced
to represent major geographic regions in Bangladesh. It is
found that a woman living in Rajshahi and Khulna division
has lower fertility rate and higher contraceptive use than
those in the Central Dhaka division. In general, fertility
rate is higher and contraceptive prevalence rate (CPR) is
lower among the women of Chittagong and Sylhet division. Our
findings show that the fertility rate is in decline and contraceptive
use increases over the entire region except Sylhet division.
But the results are not significant for Rajshahi and Khulna
division. It is worth noticing that the Sylhet division fertility
rate is increased and contraceptive use decreases. It is observed
from Table 4 and 5 that the fertility rate is in decline significantly
in high fertility regions, that are Chittagong and Barisal
divisions, but the low fertility rate regions like Khulna
and Rajshahi division fertility rate of decline is not pleasing
and gas likely stalled in recent decades. This result is also
consistent with the findings of other studies (SVRS 2001;
Islam 2003). It also seems that geographic variables capture
the effects of some variables that are not in the model.
The overall explanatory power of
the regression model is satisfactory (R2 = 0.81 and 0.80).
This indicates that the model was able to explain 81% of the
variations in the dependent variable TFR and 80% CPR. In sum,
it was shown that female education especially secondary completed,
is one of the most important variables in the model. This
means that fertility and contraceptive use in Bangladesh is
influenced by female education, rather than the impact of
landownership. In addition, some other variables are found
to affect fertility and contraceptive use such as child mortality,
female participation in the labour force, poverty, electricity
and mass media.
CONCLUSION AND POLICY IMPLICATIONS
In
many other developing countries, Bangladesh is one of the
best examples of a country with a strong family planning programmed
effort, which has brought a significant fertility decline.
In an attempt to understand the levels of fertility in Bangladesh
in general, and to determine the major factors affecting fertility
behavior and contraceptive use, in particular, the data of
a BMMS 2001 and Bangladesh District-Level Socio-Demographic
and Health care Utilization Indications data were utilized
and some statistical methods were used. The results of the
analysis indicate the important role played by women's education
in fertility decline and increased contraceptive use in Bangladesh.
The main findings can be summarized as follows:
Women's education has long been recognized
as another crucial factor that influences childbearing patterns.
Women's education reduces her desired family size and increases
contraceptive use. Total fertility rate (TFR) and total wanted
fertility rate (TWFR) decrease with rising educational levels.
Regression analysis revealed that
female educational attainment and female labour force participation
are the most important variables in explaining fertility behavior
and contraceptive use in Bangladesh. Other variables were
also found to be significant determinants of fertility and
contraceptive use such as child mortality, landownership,
and household's asset like electricity, and TV. The NGO involvement
and geographic variables are also significant in the regression
equation. We found that the fertility rate declines significantly
in high fertility regions such as Chittagong and Barisal divisions
but the low fertility rate regions like Khulna and Rajshahi
divisions, fertility rate declines and is not pleasing as
it has stalled in recent decades.
Moreover, the findings of this study
have important policy implications, especially in formulating
national population policy and useful when addressing female's
participation in the labor force. Our finding indicates that
improvements in both education and family planning services
should receive priorities in policies. Education is important
for reducing fertility and (and also infant and child mortality),
as well as in its own right for improving the human capital
(and economic potential) of the population. There is need
to give at least secondary education for all women to further
accelerate the lowering of the fertility rate in the country.
Family planning services can help women avoid unintended pregnancies
and the abortions that sometimes follow them (Rahman and others,
2001). We find that there is a substantial amount of fertility
that is excess of desired fertility. Excess fertility is higher
among women with no or little education. Family planning programs
can play a crucial role, especially among the women with no
or little education, in reducing the gap between desired and
actual fertility. Women's involvement in NGOs and participation
in labour force are crucial factors for reducing fertility
and using contraception. Therefore, the policy maker should
carefully design strategies that with better counseling and
supervision should lead to increases in contraceptive adoption
and continuation and hence should further reduce fertility
in the country.
 |
ACKNOWLEDGEMENT
I would acknowledge the contribution
of my supervisors Prof. Osamu Saito and Prof. S. Taniguchi
for their help and advice. I benefited from discussion at
Professor Saito's seminar in the Institute of Economic Research
(IER), Hitotsubashi University. I am grateful to Professor
Osamu Saito for very useful suggestions and language editing
every stage of this paper that improved essentially the content
of the paper.
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