@article{fdi:010058957, title = {{C}onvergence in fertility of {S}outh {A}fricans and {M}ozambicans in rural {S}outh {A}frica, 1993-2009}, author = {{W}illiams, {J}. and {I}bisomi, {L}. and {S}artorius, {B}. and {K}ahn, {K}. and {C}ollinson, {M}. and {T}ollman, {S}. and {G}arenne, {M}ichel}, editor = {}, language = {{ENG}}, abstract = {{B}ackground: {A}lthough there are significant numbers of people displaced by war in {A}frica, very little is known about long-term changes in the fertility of refugees. {R}efugees of the {M}ozambican civil war (1977-1992) settled in many neighbouring countries, including {S}outh {A}frica. {A} large number of {M}ozambican refugees settled within the {A}gincourt sub-district, underpinned by a {H}ealth and {S}ocio-demographic {S}urveillance {S}ite ({AHDSS}), established in 1992, and have remained there. {T}he {AHDSS} data provide a unique opportunity to study changes in fertility over time and the role that the fertility of self-settled refugee populations plays in the overall fertility level of the host community, a highly relevant factor in many areas of sub-{S}aharan {A}frica. {O}bjectives: {T}o examine the change in fertility of former {M}ozambican self-settled refugees over a period of 16 years and to compare the overall fertility and fertility patterns of {M}ozambicans to host {S}outh {A}fricans. {M}ethods: {P}rospective data from the {AHDSS} on births from 1993 to 2009 were used to compare fertility trends and patterns and to examine socio-economic factors that may be associated with fertility change. {R}esults: {T}here has been a sharp decline in fertility in the {M}ozambican population and convergence in fertility patterns of {M}ozambican and local {S}outh {A}frican women. {T}he convergence of fertility patterns coincides with a convergence in other socio-economic factors. {C}onclusion: {T}he fertility of {M}ozambicans has decreased significantly and {M}ozambicans are adopting the childbearing patterns of {S}outh {A}frican women. {T}he decline in {M}ozambican fertility has occurred alongside socio-economic gains. {T}here remains, however, high unemployment and endemic poverty in the area and fertility is not likely to decrease further without increased delivery of family planning to adolescents and increased education and job opportunities for women.}, keywords = {fertility decline ; education ; adolescent fertility ; birth intervals ; labour force participation ; contraception ; socioeconomic development ; refugees ; adaptation ; {A}gincourt health and socio-demographic ; surveillance site ; {AFRIQUE} {DU} {SUD} ; {MOZAMBIQUE}}, booktitle = {}, journal = {{G}lobal {H}ealth {A}ction}, volume = {6}, numero = {}, pages = {20--26}, ISSN = {1654-9880}, year = {2013}, DOI = {10.3402/gha.v6i0.19236}, URL = {https://www.documentation.ird.fr/hor/fdi:010058957}, }