Fertility is one of the major tenets of demography. Its importance lies in the determination of fertility trends in a country, in a specific time period. These statistical inferences of fertility play an imperative role in population policy formation and planning. Thus the importance of the measurement of fertility remains undisputed. Due to the significance of fertility, its measurement and its profound impact on societies, acknowledging and addressing the quality of fertility data is of great importance. This research study was conceived in response to the above concern. This study aims at addressing and providing insight into birth history data irregularities and determining interventions of working with this issue in the context of South Africa. Through secondary analysis (i.e. descriptive exploratory and comparative analysis) the study sought to firstly establish a demographic profile of women associated with inconsistent and inaccurate reporting of their birth histories. Secondly the research attempted to ascertain a relationship between the socio-economic statuses of individuals and retrospective reporting. A third objective was to note the sex-selectiveness of reporting (i.e. were more girls or boys reported or misreported on in the retrospective birth histories). The study has established that older, married women with some educational attainment, of rural areas from either the middle and lower income categories tend to misreport more frequently than their converse counterparts. Furthermore, a plausible relationship between the socio-economic statuses of individuals was observed. In terms of the sex-selectiveness of reporting, in general, boys were reported on more consistently than girls. However in certain cases, it was found that rural and middle income women reported accurately on girl children born alive and dead girl children. Recommendations made with respect to improve the quality of fertility data for include the proper training of enumerators and data capturers, quality control during data collection, testing of questionnaires, dealing with social, cultural and language barriers and the reinforcement of publicity campaigns for censuses and surveys. / Thesis (M.A.)-University of KwaZulu-Natal, Durban, 2010.

The aim of this study was to examine the fertility differentials between migrants and non-migrants in the North West province of South Africa. Evaluation of fertility behavior of migrants at the destination area and the causes of fertility differentials of migrants and non-migrants was also undertaken. Data used in · this study were obtained from the 1996 Census and the 1998 South African Demographic and Health Survey. It was found that migrant behavior at the destination areas tends to be influenced by the new environment, which motivated them to, adapt to the norms and values that would affect their fertility. Although South Africa has a lower fertility rate than to the rest of Sub Saharan Africa, It appeared that fertility differentials have existed between migrants and non-migrants. Fertility was higher among migrants than non-migrants and the difference between the two population groups has declined between 1996 and 1998. However fertility differentials were vividly observed with respect to Education, income age and employment status among both migrants and non-migrants in 1996 and income and age at first intercourse among both migrants and non-migrants in 1998. The study concludes by recommending that further research be done particularly on the issue of ethnicity and its impact on fertility since there is no concrete evidence to suggest that there is any marked link between migrants and non-migrants. Also, this kind of research should be done in other provinces to establish the state of migrant and non-migrant fertility and any variations among different socio-economic and demographic groups of Household society. Furthermore, Education should be universalized as a powerful tool to regulate fertility as it has shown to affect fertility, particularly in areas where fertility is still relatively high among both migrants and non-migrants. / (M.Soc.Sc.) North West University, Mafikeng Campus, 2004

D.Phil. / Despite a sharp decline in the birthrate, recent projections show that the population groups in the RSA are still expected to grow rapidly in the future. Since its inception in 1974, the National Family Planning Programme has been very successful, and by 1980 more than a million women from all population groups were practising contraception. Although the programme planners set as their goal an annual increase in this figure, it was not clear what the effect of a given increase would be on population growth in the RSA. In this study recent population projections for the RSA were used as the point of departure, and it was established what the increased family planning input would have to be if the prospect of reduced population sizes were held out. Furthermore, it was assumed in the models used that changes would take place over a period of time in respect of the average period of use of contraceptives, and that there would be a shift to more effective methods. The TABRAP and PROJTARG models used for these analyses were extremely suitable for experimentation so that an in-depth study of the family planning situation of Asians, Coloureds and Blacks could be made. There are certain shortcomings in these models, however, and a new model incorporating characteristics from both models was developed to conduct projections up to the year 2010.

Thesis (DPhil)--Stellenbosch University, 2002. / ENGLISH ABSTRACT: The study describes and analyses changes in women's reproductive behaviour ID developing communities. These changes took more than hundred years to occur ID Western communities but only two to three decades in developing communities such as Taiwan and Barbados. The population of Victoria East district of the Eastern Cape province of South Afiica was chosen as a case study of these changes. Changes in the reproductive behaviour of women are described over a period of twenty-two years. The base year for the study is 1978 and data were collected up to 2001. Changes increased in particular since 1988. Statistical descriptive analyses were undertaken with regard to patterns of changes in variables such as age at the onset of births, child spacing, the mean number of births per woman, fertility regulation, and the number of children ever bom. Variations in patterns were analysed according to age cohorts, occupation and marital status. Information regarding these variables was collected from records at hospitals and clinics. Focus group interviews were held to reflect women's own descriptions and experiences regarding these variables. The research design thus combines the quantitative and qualitative approaches. The findings confirm a pattern of fertility decline that Caldwell described as the African pattern, which is different from that seen in Europe and Asia. It is characterized by a progressive delay in onset of childbearing and reductions in the mean number of childbirths that occur across all age cohorts and are associated with contraceptive accessibility. The high incidence of non-marital childbearing in the Victoria East district however sets the population studied apart from the polygamous Afiican societies on which Caldwell based the African transition. In this respect the population considered resembles the scenarios seen in Latin America, the Caribbean, Botswana and in recent years Europe. The study population shows a divergence in the patterns of marital and non-marital childbearing, with marital childbearing following the African pattem. Because of its high incidence, non-marital childbearing is dominant and the major contributor to the fertility decline that is afoot. The implications of this pattern needs much more in-depth study before comparisons with the above-mentioned communities can be made. / AFRIKAANSE OPSOMMING: Die studie beskryf en ontleed veranderinge in vroue se reproduktiewe gedrag in ontwikkelende gemeenskappe. Hierdie veranderinge het in Westerse gemeenskappe meer as honderd jaar geneem om plaas te vind maar slegs twee tot drie dekades in ontwikkelende gemeenskappe soos Taiwan en Barbados. Die bevolking van die landelike Victoria-Oosdistrik: in die Oos-Kaapprovinsie is gekies as 'n gevalstudie daarvan in Suid- Afrika. Veranderinge in die reproduktiewe gedrag van vroue in hierdie gemeenskap word oor 'n periode van twee-en-twintigjaar beskryf Die basisjaar van die studie is 1978 en data is ingesamel tot en met 2001. Veranderinge het veral toegeneem vanaf 1988. Statistiese-beskrywende ontleding is gedoen ten opsigte van patrone van verandering in veranderlikes soos die ouderdom by die skenk van geboorte, geboorte-spasiëring, die gemiddelde aantal geboortes per vrou, fertiliteitsregulering en die aantal kinders ooit gebore. Variasies in patrone is ook na aanleiding van huwelikstaat en beroep bepaal. Inligting aangaande hierdie veranderlikes is verky vanaf rekords wat by hospitale en klinieke gehou word. Fokusgroeponderhoude is ook onderneem waarvolgens vroue se eie beskrywings en ervarings aangaande die genoemde veranderlikes verkry is. Groepe is saamgestel volgens verskeie ouderdomskohorte en huwelikstaat. Die navorsingsmetodologie behels dus 'n kombinasie van kwantitatiewe en kwalitatiewe benaderings. Die bevindings bevestig 'n patroon van fertiliteitsafhame wat deur Caldwell as die Afrikapatroon beskryf word en afwyk van die Europese en Asiatiese patroon. Dit word gekenmerk deur 'n progressiewe vertraging in die aanvang van geboorte-skenk, afhame in die gemiddelde aantal geboortes oor al die ouderdomskohorte en word geassosieer met kontraseptiewe toegankliheid. Die hoë voorkoms van buite-egtelike geboortes in die Victoria-Oosdistrik onderskei egter die bestudeerde bevolking van die poligame Afrika gemeenskappe waarop Caldwell die Afrika-oorgangstipe gebaseer het. In hierdie opsig vertoon die bevolking eerder ooreenkomste met ontwikkelende gemeenskappe m Suid-Amerika, die Karibbiese Eilande, Botswana en die meer onlangse Europa. Die bestudeerde bevolking vertoon uiteenlopende patrone van binne-egtelike en buite-egtelike geboortes met die binneegtelike patroon meer in ooreenstemming met die Afrika-patroon. Die hoë voorkoms van buite-egtelike geboortes domineer egter die algehele patroon en kan beskou work as die hoof bydraende faktor in the afhemende fertiliteit wat waargeneem is. Die implikasies hiervan moet egter veel dieper studie ondergaan alvorens verdere vergelykings met die bogenoemde gemeenskappe gemaak kan word.

Increasing numbers of medicines are being used by pregnant South African women in the public sector during pregnancy, for the treatment of different biomedical and supernatural disease states and conditions. The motivation for the research is to support the development of more local pregnancy registries in order to strengthen evidence for the safety and efficacy of medicines used in pregnancy. A mixed methods approach was used. Women in their ninth month of pregnancy in a public sector setting, and four community pharmacists were identified. The women who met the inclusion criteria were recruited. One in-depth semi-structured interview was conducted with each woman before giving birth and data on their pregnancy outcomes were collected after labour. Coincidentally, the mother of one of the participants was found to be a traditional healer. She was also interviewed on the topic. A structured questionnaire was administered to the pharmacists. Ten pregnant women between the ages of 19 to 39 who had used or were using a traditional medicine during the pregnancy were recruited. All the participants had had at least one antenatal check up during their pregnancy with one having attended five times. No abnormal results were reported from any of the check ups or tests done during the visits. All of them had been to school and had at least Standard 8/Grade 10 education. Ten babies were seen between one and four days postpartum and no birth defects were obvious or were reported for any of them. The traditional healer did not provide additional information to what the women had said and confirmed that some of the practices the women reported were known to her as traditional medicine practices. All four pharmacists indicated that they considered complementary and alternative medicines (CAMs) to be “somewhat effective” and sold them at their pharmacies although none of them were aware of whether or not they were registered with the MCC. None of the pharmacists appeared to have an in-depth knowledge of traditional, complementary and alternative medicines (TCAMs). All four pharmacists said that it is important to have a basic understanding of TCAMs before using them, although they did not agree on the reasons for this. All of them felt that pharmacists have a professional responsibility to provide information on TCAMs (especially herbal preparations) and two felt that providing this information is part of a medical doctors’ responsibility. No harm from taking TCAMs could be shown. However herbal medicines have numerous ingredients some of which are unknown and taking these medicines is risky. The pharmacists in this sample were unsure whether they were accessing unreliable CAM information. Reliable sources of information and reference materials on CAMs to assist pharmacists and other healthcare professionals are needed. The apparent widespread use of TCAM in pregnancy indicates a need for documentation about its efficacy and safety. The establishing of TCAM pregnancy registries should seriously be considered. Due to the increase in CAM use, CAM education during pharmacists’ training as well as continuing professional development (CPD) in CAM for pharmacists in practice should be encouraged.

The objective of this study was to explore women's perceptions of family size and to investigate factors that influence women's decisions on family size. An exploratory research design was used. Fifty women who had completed their families, fifty women who had not started with their families and twenty five males who had not started with their families all residing at Sebokeng, were interviewed. The results showed that the women's perceptions of family size were changing towards a small family norm. A small family was defined in terms of a family that one can afford to maintain financially and educate. Men support the idea of smaller families. Decisions on family size are influenced by external factors and experience in growing up in big families. Rearing a lot of children also influences women to prefer smaller families either for themselves or for their children. / Social Work / M.A. (Social Science (Social Work))

The objective of this study was to explore women's perceptions of family size and to investigate factors that influence women's decisions on family size. An exploratory research design was used. Fifty women who had completed their families, fifty women who had not started with their families and twenty five males who had not started with their families all residing at Sebokeng, were interviewed. The results showed that the women's perceptions of family size were changing towards a small family norm. A small family was defined in terms of a family that one can afford to maintain financially and educate. Men support the idea of smaller families. Decisions on family size are influenced by external factors and experience in growing up in big families. Rearing a lot of children also influences women to prefer smaller families either for themselves or for their children. / Social Work / M.A. (Social Science (Social Work))

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga). / Health Studies / M.A. (Health Studies)

Contraceptives are available free of charge throughout South Africa. Nevertheless the number of requests for termination of pregnancy (TOP) services continues to increase. This research investigated challenges preventing women from using contraceptives effectively. Structured interviews were conducted with 47 women who requested TOP services. Gender and financial issues posed challenges for some women to access contraceptives as well as their reported inability to access contraceptives. Most (85,5%) of the respondents used contraceptives. They discontinued using contraceptives because they experienced side-effects, necessitating them to request TOPs. Knowledge about, access to, nor the actual use of contraceptive enabled these women to prevent unwanted pregnancies. More effective counselling about the side-effects of contraceptives and enhanced accessibility of contraceptives during weekends and lunch breaks could enable more women to prevent unwanted pregnancies and reduce the number of requests for TOPs in the Gert Sibande District (Mpumalanga). / Health Studies / M.A. (Health Studies)

Social Work / M. A. (Social Science)