@inproceedings{fdi:010025414, title = {{R}evisiting the {A}frican fertility exception}, author = {{G}uengant, {J}ean-{P}ierre and {M}ay, {J}.{F}.}, editor = {}, language = {{ENG}}, abstract = {{T}he onset of the fertility transition observed in several sub-{S}aharan countries in the 1990s has led to think that {A}frican fertility might, over the next 50 years, catch up with lower levels of fertility experienced in the rest of the world. {T}he authors attempt to demonstrate that, on the contrary, future fertility trends in {A}frica will diverge from those of the rest of the world, will probably remain above replacement levels and, moreover, will become more diverse within the region (the analysis is conducted for four sub-regions : {E}astern, {M}iddle, {S}outhern, and {W}estern {A}frica). {T}he authors examine several features linked to the proximate determinants of fertility which taken alone explain these forthcoming trends even without considering the intermediate determinants of fertility. {T}hese factors are : the initial low levels and the slow increases of contraceptive prevalence rates : the contraceptive usage mostly for birth spacing and not for birth limiting ; the dearth of quality reproductive health and family planning services ; and the lack of strong policy commitment toward the ideal of family planning and the setting up of efficient programs. {F}inally, the authors discuss four less documented factors, also linked to the proximate determinants, that will also undoubtedly affect fertility outcomes in the decades to come. {T}hese are : the low demand vs. poor supply vicious circle for the expansion of family planning services ; the role of traditional contraception in the fertility transition ; the importance of induced abortion in place of contraceptive method use ; and the impact of the {HIV}/{AIDS} epidemic on attitudes to family planning and fertility. {T}he authors do not discuss the intermediate determinants of fertility, such as education or the status of women, which are also far from favorable in sub-{S}aharan {A}frica but where improvements are much needed if one wishes to accelerate the fertility transition. ({R}{\'e}sum{\'e} d'auteur)}, keywords = {{CROISSANCE} {DEMOGRAPHIQUE} ; {FECONDITE} ; {TRANSITION} {DEMOGRAPHIQUE} ; {BAISSE} {DE} {LA} {FECONDITE} ; {TAUX} {DE} {NATALITE} ; {CONTRACEPTION} ; {TRADITION} ; {PLANIFICATION} {DE} {LA} {FAMILLE} ; {AVORTEMENT} ; {SIDA} ; {EPIDEMIE} ; {FEMME} ; {SCOLARISATION} ; {EDUCATIO} {N} {SANITAIRE} ; {DONNEES} {STATISTIQUES} ; {REGION} ; {PERSPECTIVE} ; {VIH} ; {AFRIQUE} {SUBSAHARIENNE} ; {AFRIQUE} {DE} {L}'{OUEST} ; {AFRIQUE} {DE} {L}'{EST} ; {AFRIQUE} {DU} {SUD}}, numero = {}, pages = {25 multigr.}, booktitle = {{A}nnual meeting of the {P}opulation {A}ssociation of {A}merica : session 76 : the future of fertility in the next 50 years}, year = {2001}, URL = {https://www.documentation.ird.fr/hor/fdi:010025414}, }