Cover

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Title Page, Copyright

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Contents

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pp. v-vi

List of Tables / Figures / Boxes

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pp. vii-viii

Abbreviations and Acronyms

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pp. ix-xii

List of Contributors

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pp. xiii-xiv

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Foreword

William Lyakurwa

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pp. xv-xvi

Collected in this book are the framework papers prepared for the collaborative research project on Reproductive Health, Economic Growth and Poverty Reduction in Africa, one of several collaborative research projects supported by the African Economic Research Consortium (AERC) in Sub-Saharan Africa. The project was...

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Preface

Olu Ajakaiye and Germano Mwabu

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pp. xvii-xviii

This book examines the relationships between reproductive health, economic growth, and poverty reduction in Africa and, in light of the evidence generated on these linkages, recommends policies for realising long-term prosperity on the continent. The main thrust of the book is that Sub-Saharan Africa is not likely to...

Part I: Introduction

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1. Overview: The State of Reproductive Health in Africa

Germano Mwabu and Olu Ajakaiye

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pp. 3-8

The chapters in this volume deal with the nature and scope of reproductive health care services, the accumulation of reproductive health, and the linkages from reproductive health to economic growth and poverty reduction. The book further examines systems for the provision and financing of reproductive health care...

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2. Population Dynamics: Demographic Concepts and Processes

J. Patrick Sevilla

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pp. 9-34

Demography is the discipline whose primary concern is measuring the size and changes in size and composition of populations over time. It may encompass, in addition, the consequences of demographic changes on important social processes such as growth and economic development. From time immemorial, states and...

Part II: Reproductive Health Services

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3. The Demand for Reproductive Health Services: Frameworks of Analysis

Olu Ajakaiye and Germano Mwabu

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pp. 37-72

Like other welfare indicators, reproductive health is an outcome of consumption, in this consumption of both reproductive health care and other goods and services. In many developing countries, the availability as well as the consumption of reproductive health services is limited by a combination of economic, social and...

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4. Provision and Organisation of Reproductive Health Services in Sub-Saharan Africa

Joseph K. Wang’ombe and Mercy G. Mugo

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pp. 73-106

The scope of work for reproductive health is clearly determined by the definition adopted by the United Nations’ International Conference on Population and Development (ICPD), held in Cairo in 1994. The ICPD definition marked a major paradigm shift in the way the world viewed this issue...

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5. Financing Reproductive Health Services in Africa: The Role of Aid, Insurance, User fees and General Taxation

Nana Enyimayew

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pp. 107-120

Without appropriate financial resources, scaling up effective reproductive health interventions in order to achieve the Millennium Development Goal for maternal health (MDG 5)¹ will be virtually impossible. Yet little is known about how much is currently being invested in reproductive health services within African countries or...

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6. Conceptual and Methodological Issues in the Construction of Reproductive Health Accounts in Africa

Adedoyin Soyibo and Olakunle Odumosu

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pp. 121-188

A number of global initiatives have brought the issues of reproductive health (RH) to the front banner of international attention and discourse in the last decade or so. The International Conference on Population and Development (ICPD) held in Cairo in 1994, for example, pushed the issue of reproductive health onto the agenda of...

Part III: Linking Reproductive Health to Growth and Poverty

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7. Demography, Growth, Income Distribution and Poverty: A Survey of Interrelationships

Ali Abdel Gadir Ali

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pp. 191-216

In order to survey the interrelationships between demography, on the one hand, and economic growth, income distribution and poverty, each on the other hand, it is perhaps important to flag a number of basic demographic terms and concepts.
Abstracting from large-scale migration flows, the population growth rate is usually...

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8. Macro Perspectives on the Impact of Demographics on Growth, Income Distribution and Poverty

J. Patrick Sevilla

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pp. 217-234

One of the most fundamental questions in the long history of thought in economics is the precise nature of the relationship between populations and development, in particular whether population growth was a threat to or a facilitator of economic development. There have been, since the seventeenth century, two schools of...

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9. Realising the Demographic Dividend: Is Africa Any Different?

David E. Bloom, David Canning, Günther Fink and Jocelyn Finlay

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pp. 235-250

Because people’s economic behaviour varies at different stages of life, changes in a country’s age structure can have significant effects on its economic performance. Nations with a high proportion of children are likely to devote a high proportion of resources to their care, which tends to depress the pace of economic growth. The...

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10. Reproductive Health Behaviour, HIV/AIDS and Poverty in Africa

Peter Glick

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pp. 251-322

Few would disagree with the statement that of all the issues touching on both demography and economics in Africa, the AIDS epidemic is the most pressing for research and policy. Sub-Saharan Africa is by far the region worst affected by the epidemic. An estimated 24.7 million adults in Africa¹ are infected with the human...

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11. The Relationship Between Poverty and Maternal Morbidity and Mortality in Sub-Saharan Africa

Chad D. Meyerhoefer and David E. Sahn

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pp. 323-372

Good maternal health is of fundamental importance to a country’s wellbeing and ability to prosper, and there are few times when maternal health is more at risk than in the period surrounding childbirth. Protecting the health of mothers during reproduction safeguards their future contributions to society and ensures the health...

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12. Women’s Labour Market Choices: Fertility, Poverty and Demographic Linkages

Stephen D. Younger

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pp. 373-396

Women in poor countries tend to have high fertility and their children have high infant and child mortality rates. In rich countries, women tend to have low fertility and their children have low infant and child mortality rates. Thompson (1929) and Notestein (1945) described the change from the first state to the second as the demographic transition...

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13. Estimating Returns to Reproductive Health Investments

Germano Mwabu

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pp. 397-412

Information on returns to reproductive health can be used to allocate resources among activities within the health sector. Without such information, rational allocation of health resources is difficult, and at best imperfect. For example, it is not possible to decide the optimal amount of social expenditure that should be...

Index

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pp. 413-417