Abstract
A growing body of research has argued that the traditional categories of stopping and spacing are insufficient to understand why individuals want to control fertility. In a series of articles, Timæus, Moultrie, and colleagues defined a third type of fertility motivation—postponement—that reflects a desire to avoid childbearing in the short term without clear goals for long-term fertility. Although postponement is fundamentally a description of fertility desires, existing quantitative research has primarily studied fertility behavior in an effort to find evidence for the model. In this study, we use longitudinal survey data to consider whether postponement can be identified in standard measures of fertility desires among reproductive-age women in rural Mozambique. Findings show strong evidence for a postponement mindset in this population, but postponement coexists with stopping and spacing goals. We reflect on the difference between birth spacing and postponement and consider whether and how postponement is a distinctive sub-Saharan phenomenon.
Similar content being viewed by others
Notes
The qualitative scholarship that Timæus, Moultrie, and colleagues drew on used a range of terms to describe the phenomenon, such as waiting (Agadjanian 2005) or pausing (Bledsoe et al. 1994). As Timæus and Moultrie (2008) noted, the term postponement has been widely used in research on low-fertility contexts to describe decisions to delay a first birth until some unspecified appropriate time (e.g., Berrington 2004; Sobotka 2004).
Timæus and Moultrie articulated a clear conceptual distinction between spacing and postponement but acknowledged that in practice, the differences may not be so clear. Agadjanian (2005) suggested that over time, desires to space may evolve into more open-ended goals to wait and, eventually, into stopping behavior.
Some of the original respondents who were replaced from the refresher sample were then located and interviewed in follow-up data collection efforts. Because the original and the refresher sample respondents were both retained, the total sample size increased in each subsequent wave.
In theory, women who experienced marital dissolution after Wave 1 could have married by Wave 2. In practice, no remarriages occurred during this three-year time frame.
Ryder (1973:502) took this suggestion to its logical extreme by noting that the only decision couples have to make about fertility is “whether to permit the next ovulation to come to fruition.”
References
Agadjanian, V. (2005). Fraught with ambivalence: Reproductive intentions and contraceptive choices in a sub-Saharan fertility transition. Population Research and Policy Review, 24, 617–645.
Agadjanian, V., & Hayford, S. R. (2009). PMTCT, HAART, and childbearing in Mozambique: An institutional perspective. AIDS and Behavior, 13(Suppl. 1), 103–112.
Agadjanian, V., & Hayford, S. R. (2018a). Men’s migration, women’s autonomy, and union dissolution in rural Mozambique. Journal of Family Issues, 39, 1236–1257.
Agadjanian, V., & Hayford, S. R. (2018b). HIV status, fertility intentions, and contraception in the era of expanded access to antiretroviral therapy: A case study of rural Mozambique. Global Public Health, 13, 582–596.
Agadjanian, V., & Prata, N. (2002). War, peace, and fertility in Angola. Demography, 39, 215–231.
Agadjanian, V., Yabiku, S. T., & Cau, B. (2011). Men’s migration and women’s fertility in rural Mozambique. Demography, 43, 1029–1048.
Berrington, A. (2004). Perpetual postponers? Women’s, men’s and couple’s fertility intentions and subsequent fertility behavior. Population Trends, 117, 9–19.
Bledsoe, C. H. (2002). Contingent lives: Fertility, time, and aging in West Africa. Chicago, IL: University of Chicago Press.
Bledsoe, C. H., Banja, F., & Hill, A. G. (1998). Reproductive mishaps and Western contraception: An African challenge to fertility theory. Population and Development Review, 24, 15–57.
Bledsoe, C. H., Hill, A. G., D’Alessandro, U., & Langerock, P. (1994). Constructing natural fertility: The use of Western contraceptive technologies in rural Gambia. Population and Development Review, 20, 81–113.
Bongaarts, J. (2006). The causes of stalling fertility transitions. Studies in Family Planning, 37, 1–16.
Bongaarts, J., & Casterline, J. (2013). Fertility transition: Is sub-Saharan Africa different? Population and Development Review, 38(Suppl. 1), 153–168.
Caldwell, J. C. (1976). Toward a restatement of demographic transition theory. Population and Development Review, 2, 321–366.
Caldwell, J. C., Orubuloye, I. O., & Caldwell, P. (1992). Fertility decline in Africa: A new type of transition? Population and Development Review, 18, 211–242.
Casterline, J. B., & Odden, C. (2016). Trends in inter-birth intervals in developing countries 1965–2014. Population and Development Review, 42, 173–194.
Cherlin, A., Cumberworth, E., Morgan, S. P., & Wimer, C. (2013). The effects of the Great Recession on family structure and fertility. Annals of the American Academy of Political and Social Science, 650, 214–231.
Clifford, D., Falkingham, J., & Hinde, A. (2010). Through civil war, food crisis and drought: Trends in fertility and nuptiality in post-Soviet Tajikistan. European Journal of Population, 26, 325–350.
Coale, A. J. (1973). The demographic transition reconsidered. In International Union for the Scientific Study of Population (Ed.), Proceedings of the International Population Conference (pp. 53–57). Liège, Belgium: Editions Ordina.
de Vletter, F. (2007). Migration and development in Mozambique: Poverty, inequality and survival. Development Southern Africa, 24, 137–153.
Easterlin, R. A. (1975). An economic framework for fertility analysis. Studies in Family Planning, 6, 54–63.
Garver, S. (2018). Navigating livelihood uncertainty: Prevailing wisdoms guiding fertility preferences in rural Malawi. African Population Studies, 32, 3964–3973.
Hayford, S. R., & Agadjanian, V. (2010). Providers’ views on family planning service delivery to HIV+ women in Mozambique. Studies in Family Planning, 41, 291–300.
Hayford, S. R., & Agadjanian, V. (2017). Determined to stop? Longitudinal analysis of the desire to have no more children in rural Mozambique. Population Studies, 71, 329–344.
Hayford, S. R., Agadjanian, V., & Luz, L. (2012). Now or never: Perceived HIV status and fertility intentions in rural Mozambique. Studies in Family Planning, 43, 191–199.
Iacovou, M., & Tavares, L. P. (2011). Yearning, learning, and conceding: Reasons men and women change their childbearing intentions. Population and Development Review, 37, 89–123.
Johnson-Hanks, J. (2004). Uncertainty and the second space: Modern birth timing and the dilemma of education. European Journal of Population, 20, 351–373.
Johnson-Hanks, J. (2005). When the future decides: Uncertainty and intentional action in contemporary Cameroon. Current Anthropology, 46, 363–385.
Johnson-Hanks, J. (2006). Uncertain honor: Modern motherhood in an African crisis. Chicago, IL: University of Chicago Press.
Kodzi, I. A., Casterline, J. B., & Aglobitse, P. (2010). The time dynamics of individual fertility preferences among rural Ghanaian women. Studies in Family Planning, 41, 45–54.
Lindstrom, D. P., & Berhanu, B. (1999). The impact of war, famine, and economic decline on marital fertility in Ethiopia. Demography, 36, 247–261.
Machiyama, K., Casterline, J. B., Mumah, J. N., Huda, F. A., Obare, F., Odwe, G., . . . Cleland, J. (2017). Reasons for unmet need for family planning, with attention to the measurement of fertility preferences: Protocol for a multi-site cohort study. Reproductive Health, 14, 23. https://doi.org/10.1186/s12978-016-0268-z
Mercandilli, S., & Anseeuw, W. (2017). Migration and resilience of rural households’ livelihoods in the face of changing political and economic contexts: The case of South Mozambique (1900–2010). African Studies, 76, 221–242.
Ministry of Health. (2010). Inquérito Nacional de Prevalência, Riscos Comportamentais e Informação sobre o HIV e SIDA (INSIDA), 2009: Relatório final [National Survey of Prevalence, Behavioral Risks and Information on HIV and AIDS (INSIDA), 2009: Final report]. Maputo, Mozambique: Ministry of Health.
Ministry of Health, National Institute for Statistics, and ICF International. (2011). Mozambique Demographic and Health Survey, 2011. Calverton, MD: Ministry of Health, National Institute of Statistics, and ICF International.
Moultrie, T. A., Sayi, T. S., & Timæus, I. M. (2012). Birth intervals, postponement, and fertility decline in Africa: A new type of transition? Population Studies, 66, 241–258.
Moultrie, T. A., & Timæus, I. M. (2017). Institutions, insecurity, and uncertainty: The role of the state in African fertility transitions. Manuscript submitted for publication.
National Institute for Statistics and Ministry of Health. (2005). Mozambique Demographic and Health Survey, 2003. Calverton, MD: ORC Macro, Measure DHS+/ORC Macro.
Notestein, F. W. (1953). Economic problems of population change. In G. Cumberlege (Ed.), Proceedings of the Eighth International Conference of Agricultural Economics (pp. 13–31). London, UK: Oxford University Press.
Population Reference Bureau. (2018). World population data sheet 2018 (Report). Washington, DC: Population Reference Bureau.
Rackin, H. M., & Bachrach, C. A. (2016). Assessing the predictive value of fertility expectations through a cognitive–social model. Population Research and Policy Review, 35, 527–551.
Rangel, M., Nobles, J., & Hamoudi, A. (2018). Brazil’s missing infants: Zika risk causes changes in reproductive behavior (CDE Working Paper No. 2018-5). Madison, WI: Center for Demography and Ecology.
Ryder, N. B. (1973). A critique of the National Fertility Study. Demography, 10, 495–506.
Ryder, N. B. (1980). Components of temporal variations in American fertility. In R. W. Hiorns (Ed.), Demographic patterns in developed societies (pp. 15–54). London, UK: Taylor and Francis.
Schneider, D. (2015). The Great Recession, fertility, and uncertainty: Evidence from the United States. Journal of Marriage and Family, 77, 1144–1156.
Sennott, C., & Yeatman, S. (2012). Stability and change in fertility preferences among young women in Malawi. International Perspectives on Sexual and Reproductive Health, 38, 34–42.
Shapiro, D., & Gebreselassie, T. (2008). Fertility transition in sub-Saharan Africa: Falling and stalling. African Population Studies, 23(1), 3–23.
Sobotka, T. (2004). Is lowest-low fertility in Europe explained by the postponement of childbearing? Population and Development Review, 30, 195–220.
Sobotka, T., Skirbekk, V., & Philipov, D. (2011). Economic recession and fertility in the developed world. Population and Development Review, 37, 267–306.
Timæus, I. M., & Moultrie, T. A. (2008). On postponement and birth intervals. Population and Development Review, 34, 483–510.
Timæus, I. M., & Moultrie, T. A. (2013). Distinguishing the impact of postponement, spacing and stopping on birth intervals: Evidence from a model with heterogeneous fecundity. Journal of Biosocial Science, 45, 311–330.
Trinitapoli, J., & Yeatman, S. (2011). Uncertainty and fertility in a generalized AIDS epidemic. American Sociological Review, 76, 935–954.
Trinitapoli, J., & Yeatman, S. (2018). The flexibility of fertility preferences in a context of uncertainty. Population and Development Review, 44, 87–116.
World Bank. (2018). World Development Indicators [Data set]. Retrieved from http://wdi.worldbank.org/tables
Yabiku, S. T., Agadjanian, V., & Cau, B. (2012). Labor migration and child mortality in Mozambique. Social Science & Medicine, 75, 2530–2539.
Yeatman, S., Sennott, C., & Culpepper, S. (2013). Young women’s dynamic family size preferences in the context of transitioning fertility. Demography, 50, 1715–1737.
Acknowledgments
The data used in this analysis were collected with support from the Eunice Kennedy Shriver National Institutes of Child Health and Human Development (Grants R21HD048257, R01HD058365; Agadjanian, PI). This research was also supported in part by Ohio State University’s Institute for Population Research (P2C-HD058484). Earlier versions of this article were presented at the Carolina Population Center, the Institut national d’études démographiques, and the Institute for Population Research at Ohio State University. The authors thank participants and discussants at these seminars for helpful comments.
Author information
Authors and Affiliations
Corresponding author
Additional information
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Electronic supplementary material
ESM 1
(PDF 317 kb)
Rights and permissions
About this article
Cite this article
Hayford, S.R., Agadjanian, V. Spacing, Stopping, or Postponing? Fertility Desires in a Sub-Saharan Setting. Demography 56, 573–594 (2019). https://doi.org/10.1007/s13524-018-0754-8
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13524-018-0754-8