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Population x , 2015
Age group Women Births ASFR
A B C D (C/B)
15-19 9,493,761 484895 0.05108
20-24 8,678,024 965122 0.11121
25-29 9,341,226 1083010 0.11594
30-34 10,179,403 889365 0.08737
35-35 11,369,766 424890 0.03737
40-44 11,049,377 81027 0.00733
45-49 9,607,011 3624 0.00038
Totals 69,718,568 3,931,933 0.411
TFR 2.053
1. age at marriage,
2. use of contraceptives,
3. incidence of abortion , and
4. involuntary infecundity ( especially infecundity as
affected by breastfeeding practices).
a. Frequency of intercourse
b. Postpartum abstinence
c. Spousal separation
7. Natural infertility
8. PathologicalUNZA-
11 September 2018
infertility
Population Studies Dept 50
Fertility Theories
Bongaarts Model
• Bongaarts proposed a simple but ingenious model
(method) of quantifying the relative effects of the
proximate determinants of fertility in a given
population.
• The model is based on the view that the effect of
each of the proximate determinants-marriage,
breastfeeding and postpartum abstinence, and
contraception and induced abortion-is to reduce
fertility in a given population from some
hypothetical level which might be achieved.
11 September 2018 UNZA- Population Studies Dept 51
Fertility Theories
• TFR=TF x Ci x Cc x Ca x Cm.
TF – Total Fecundity
Ci – Index of postpartum infecundability
Cc – Index of contraception
Ca - Index of abortion
Cm – Index of Marriage
Education
Health
Cultural/social factors
Occupation/income
Age at marriage
Age at Menarche
Contraception
Abortion
• NATURAL METHODS
– WITHDRAWAL ( COITUS INTERUPTUS)
– BODY TEMPERATURE
– CERVICAL MUCUS METHOD/ CALENDER METHOD
– BREAST FEEDING
– ABSTINENCE
MECHANICAL
CHEMICAL
BARRIER
SURGICAL
FEMALE STERILIZATION
MALE STERILISATION
OTHER METHODS
NATURAL METHODS
Natural methods will include abstinence, rhythm method or calendar
method based on the observation of pattern of menstruation to give an
idea of when ovulation takes place, on average on the 14th day. During
this period conception is highly likely to occur.
Body temperature
About 2-3 days before ovulation the body temperature will rise by 0.2 or 0.5
degrees and is maintained throughout during ovulation. During this period a
women is expected to ovulate thus risk of conception is high.
NON –NATURAL METHODS
• These prevent sperm from meeting the ova. An
example is the contraceptive pill or birth control
pill. The pill releases hormones that prevent
ovulation.
Intra –uterine Device (IUD)
Condom - Male
Condom - Female
Cervical Cap
Vaginal Ring
Diaphram
Spermicidal
Injectables
Oral contraceptive The famous
“PILL
IMPLANTS - NORPLANT
Emergency contraceptives –
Morning after pill
SURGICAL METHODS
• Male sterilization
• Female sterilisation
Vasectomy
Tubal ligation
Key to note
• Correct and consistent use
• Wide choice
• Available , affordable and accessible
• Informed choice
• HIV transmission prevention
Q&A
4. Acceptability
Health care facilities, trained providers and contraceptive
methods are respectful of medical ethics and individual
preferences,
are sensitive to gender and life-cycle requirements and
respect confidentiality.
11 September 2018 UNZA- Population Studies Dept 102
Ten Dimension of FP
5. Quality- Individuals have access to contraceptive services
and information of good quality which are scientifically and
medically appropriate.
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