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  • Title: Family planning patterns in Sierra Leone.
    Author: Dow TE.
    Journal: Stud Fam Plann; 1971 Oct; 2(10):211-22. PubMed ID: 5164356.
    Abstract:
    Data gathered from 5952 currently married women and single women with children, 15-49 years of age, living in rural, urban, and Freetown (the largest metropolitan area), Sierra Leone has indicated that residence (urban or rural) is a greater influence on patterns of fertility and family planning than any other social or demographic factor. 10 detailed tables present an analysis of some of the social, cultural, and economic factors which have influenced existing family planning norms. Younger women seemed more influenced by social change, leading to a more positive position on family planning, although significant indications of this trend were apparent only in rural areas and their fertility was higher than that of their urban counterparts. Women in urban areas generally approved of family planning more than rural women, but data on those approving of but not practicing family planning indicates that efforts to increase approval may not necessarily increase practice. (Those approving but not practicing planning were: Freetown, 48.5%; towns, 56.0%; rural, 7.6%.) These figures may represent a transitional phase in the family planning process. However, most women are in economic or domestic roles that are unlikely to lead to change in their attitudes, which suggests that this transition will be difficult and slow. The high infant mortality rate, which tends to deny women their preferred number of children regardless of residence, intensifies the situation.
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