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African Population Studies
Union for African Population Studies
ISSN: 0850-5780
Vol. 12, Num. 2, 1997
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African Population Studies/Etude de la Population Africaine, Vol. 12,
No. 2, September/septembre 1997
Non-marital
Teenage Childbearing in Southern Africa : The
Case of Namibia
Orieji
CHIMERE-DAN
University
of the Witwatersrand, Johannesburg,
South Africa
Code Number: ep97016
ABSTRACT
In
this paper, we used data from the 1992 Demographic and Health Survey to examine
proximate and socioeconomic correlates of non-marital teenage childbearing in
Namibia. The timing of first sexual intercourse, current marital status and
contraceptive use before first birth are strongly associated with teenage motherhood.
Region of residence and educational status are two most powerful influences
on pattern of teenage childbearing. Women in the Northwest and those with more
than a primary level of education tend to experience childbearing in their teens
than others. A framework for understanding these results in Namibia and other
countries in Southern Africa is suggested.
RÉSUMÉ
Dans
cette communication, des données issues de lenquête démographique
et de santé de 1992 sont utilisées pour examiner les corrélations
socio-économiques proches, de la procréation des adolescentes
célibataires, en Namibie. Le moment du premier rapport sexuel, la situation
matrimoniale du moment et la pratique contraceptive avant la première
naissance sont étroitement liés avec la maternité chez
les adolescentes. La région dorigine et le niveau dinstruction sont
les deux facteurs qui influent le plus fortement sur les tendances à
la maternité chez les adolescentes. Les femmes au nord-ouest et celles
qui ont un niveau dinstruction dépassant celui de lenseignement primaire
sont plus enclines que dautres à avoir des enfants avant lâge
de 20 ans. Il a été suggéré que soit élaboré
un cadre qui facilite la compréhension de ces résultats en Namibie
et dans dautres pays dAfrique australe.
INTRODUCTION
There
are two forms of teenage childbearing. One takes place within and the other
outside a socially recognized marital union. Clear and simple as it is, this
distinction has not been emphasized in many studies of teenage childbearing
in Africa. Teenage childbearing within a marriage is not an uncommon feature
of the social system in Africa and other developing regions of the world. Women
marry early and childbearing is expected soon after marriage. Although the health
risks of teenage childbearing are known, the cultural support for this practice,
as the expected outcome of early marriage, remains strong in Africa. In societies
with many women married in young ages, a high rate of teenage childbearing would
not be surprising.
An
important feature of the prevailing reproductive regime in Namibia and other
countries of Southern Africa is the high rates of sexual, contraceptive and
childbearing activities by women who have never been married. In two related
studies about fertility and contraceptive patterns in South Africa, for instance,
the total fertility rate for never married women is as high as 3.4 while as
many
as 55 per cent of them use a modern method of contraception compared to the
54 per cent prevalence rate among women who are currently in a marriage (Chimere-Dan,
1996; 1997). Similar high rates of childbearing and contraception among women
who have never been married have been reported in other countries of Southern
Africa including Zimbabwe and Botswana. This pattern of reproductive behaviour
has important implications for demographic change in Southern Africa. This paper
examines the socioeconomic and proximate determinants of teenage childbearing
in the case of Namibia.
DATA
AND METHOD
The
Namibian Demographic and Health Survey (NDHS) of 1992 collected information
from a nationally representative sample of 5421 women aged 15-49 in Namibia.
Details of the survey and findings are provided in the National Report (Katjiuanjo
et al., 1993). Information from the standard recode file of the NDHS is used
to examine the correlates of non-marital teenage childbearing.
The
three proximate determinants examined for their contributions to the rate of
non-marital teenage motherhood are marital status, timing of the first sexual
intercourse and the use of contraception. The socioeconomic factors used in
the analysis are region of usual residence, type of place of usual current residence,
type of place of childhood residence, educational status and current work status.
Bivariate and multivariate techniques are used to analyse the determinants of
teenage childbearing.
Only
women who have ever had a baby are included in the study. Current teenagers
are excluded from the detailed analysis because their motherhood experience
as an age group was censored by the timing of the survey. There is a problem
in the study of socioeconomic correlates of teenage childbearing using cross-sectional
data. We are in effect correlating present socioeconomic profile with an event
(teenage motherhood) that happened sometime in the past when some of the background
characteristics of each woman were different from what they are today. This
problem arises mainly due to the limited nature of the retrospective information
collected in Demographic and Health Surveys. For younger teenage mothers, the
problem is not serious. Their reproductive experiences are fairly recent occurrences.
Their current socioeconomic status would not have changed considerably since
they had their first baby. This is not necessarily the case with older women
in the sample. The problem is not encountered with regard to the proximate determinants
examined. All proximate determinants analysed here refer to the status of the
women at the time of motherhood.
RESULTS
Table
1 shows the percentage of all women who became mothers in different teenage
groups in Namibia. Teenage mothers constitute 38 per cent of all women in Namibia,
with generally high percentages in younger age groups. However, there is a slight
decline in the proportion of women who became mothers before age 15. In contrast,
no declining trend is observed in teenage childbearing among women aged from
15 to 19 years.
Table
2 shows the association between the percentage of all mothers who had their
first birth as teenagers and different socioeconomic characteristics. The North
East has more teenage mothers than other regions of the country. Women who lived
in rural areas before the age of 12 appear more likely to be teenage mothers
than those who were brought up in urban areas. Educational status is inversely
associated with the incidence of teenage motherhood. Work status does not show
statistically significant bivariate associations with age pattern of childbearing.
Table 3 shows significant differences in the socioeconomic predictors of teenage
motherhood in Namibia.
Table
1: Teenage mothers as percentage of all women in reproductive ages Namibia 1992
Current
Age
|
Age
at motherhood
|
<
15
|
15-17
|
18-19
|
All
|
20-24
|
1.6
|
16.2
|
23.8
|
41.6
|
25-29
|
1.7
|
15.0
|
22.2
|
38.9
|
30-34
|
3.8
|
18.5
|
22.2
|
44.5
|
35-39
|
2.6
|
15.7
|
21.3
|
39.6
|
40-44
|
3.1
|
16.9
|
17.9
|
37.9
|
45-59
|
3.0
|
12.1
|
12.9
|
28.0
|
All
|
2.6
|
15.7
|
20.1
|
38.4
|
Table
2: Socioeconomic differences in the number of teenage mothers as a percentage
of all mothers in Namibia, 1992
Socioeconomic factorsRegion
(X2 = 288; p< .01)
|
Northwest
|
9.4
|
Northeast
|
16.3
|
Central
|
12.9
|
South
|
10.2
|
Place
of current residence (X2 = 6.9; (p<.01)
|
Urban
|
10.1
|
Rural
|
13.0
|
Place
of childhood residence (X2 = 9.6; p<.01)
|
Urban
|
8.6
|
Rural
|
12.7
|
Education
(X2 = 44.5; p<.01)
|
|
None
|
17.1
|
Primary
|
12.9
|
Secondary
+
|
7.3
|
Current
work status (X2 = 0.4; ns at p = 0.05)
|
Working
|
11.9
|
Not
working
|
11.9
|
Table
3: Logistic regression of socioeconomic determinants of teenage childbearing1
in Namibia, 1992
Socioeconomic Characteristic
|
b
|
SE
|
Odds
ratio
|
Region
|
Northwest
|
-0.36**
|
0.18
|
0.69
|
Northeast
|
0.30*
|
0.16
|
1.35
|
Central
|
0.07
|
0.19
|
1.07
|
Place
of current residence
|
Urban
|
-0.14***
|
0.15
|
0.87
|
Place
of childhood residence
|
Urban
|
-0.25***
|
0.17
|
0.78
|
Education
|
None
|
0.88***
|
0.16
|
2.42
|
Primary
|
0.61***
|
0.14
|
1.84
|
Current
work status
|
Working
|
0.31***
|
0.16
|
1.36
|
1%
of mothers who had a baby as teenagers
*
= p<0.05; ** = p<0.01; *** = p<0.001
Proximate
Determinants of Teenage Childbearing
The
bivariate association of age patterns of first birth and five proximate factors
are shown in Table 4. The proximate factors indicate strong statistical associations
with age at first birth. Women who have never used contraception, those who
did not use contraception before their first birth, and those who had their
first baby out of wedlock are more likely than others to be teenage mothers.
Two
models are examined, one using five and the other using three proximate factors
as shown in Table 5. Considering model 1, marriage and ever use of contraception
are not statistically associated with teenage childbearing. The two factors
that are highly associated with teenage childbearing are age at first sexual
intercourse and timing of the first use of contraception. Women who engage in
sexual intercourse before the age of 18 are about two times more likely than
others to become teenage mothers. Early marriage is, therefore, a strong predictor
of teenage childbearing.
Socioeconomic
Influences on the Proximate Determinants of Teenage Childbearing
The
effects of simultaneous control of the five socioeconomic factors on their influence
on the three most important proximate determinants of teenage childbearing are
shown in Tables 6, 7 and 8. Region of residence and educational status have
the most significant impacts on the age at first sexual intercourse. Women in
the Northwest are about two times more likely than others to initiate sexual
relations before the age of 18. Region of residence and education are strongly
correlated with marital status at the birth of first child. All background factors
except childhood residence contribute significantly to the use of contraception
before first birth.
Table
4: Teenage mothers as a percentage of all mothers by proximate determinants of
teenage childbearing, Namibia 1992
Proximate
determinant (at the time of first birth) Teenage mothers as
%
of all mothers
|
|
Ever
married (X2 = 8.6; p<.01)
|
Yes
|
13.0
|
No
|
9.6
|
Married
before first birth (X2 = 11.8; p<.01)
|
Yes
|
15.1
|
No
|
10.9
|
Age
at first intercourse (X2 = 23.4; p<.01)
|
Younger
18
|
14.5
|
18
or older
|
20.1
|
Ever
used contraception (X2 = 3.6; ns; p =.05)
|
Yes
|
10.9
|
No
|
13.0
|
Used
contraception before first birth (X2 = 4.4; p<0.05)
|
Yes
|
10.5
|
No
|
12.8
|
Table
5: Logistic regression of proximate determinants of teenage motherhood, Namibia
1992
Proximate
Determinant
|
Model
1
|
Model
2
|
b(SE)
|
Odds
ratio
|
b(SE)
|
Odds
ratio
|
Ever
married
(Yes
= 1;0 = No)
|
0.23
(0.13)
|
1.26
|
|
|
Married
before 1st birth
(Yes
= 1; No = 0)
|
0.37**
(0.12)
|
1.37
|
0.41***
(0.10)
|
1.51
|
Age
at 1st intercourse
(<18
= 1; 18+ = 0)
|
0.53***
(0.10)
|
1.70
|
0.53***
(0.10)
|
1.70
|
Ever
used contraception
(Yes
= 1; No = 0)
|
-0.01
(0.17)
|
0.99
|
|
|
Used
contraception before
first
birth
(Yes
= 1; No = 0)
|
-0.35*
(0.17)
|
0.70
|
-0.35***
(0.11)
|
0.71
|
*
= p< 0.05; **= p< 0.01; ***=p< 0.001
Table
6: Logistic regression of the socioeconomic determinants of age at first
sexual intercourse, Namibia 1992
Socioeconomic
Characteristic
|
b
|
(SE)
|
Odds
ratios
|
Region
|
Northwest
|
-1.40***
|
0.08
|
0.25
|
Northeast
|
0.74***
|
0.07
|
2.10
|
Central
|
0.60***
|
0.09
|
1.81
|
Place
of current residence
(Urb
= 1; Ru = 0)
|
-0.33***
|
0.11
|
0.71
|
Place
of childhood residence
(1
= urb; 0 = rur)
|
-0.02
|
0.11
|
0.98
|
Education
|
None
|
0.20
|
0.06
|
1.22
|
Primary
|
0.33***
|
0.05
|
1.38
|
Currently
working
|
(Yes
= 1; No = 0)
|
-0.18***
|
0.09
|
0.83
|
*
= p<0.05; ** = p<0.01; ***= p<0.001
Table
7: Logistic regression of socioeconomic factors affecting the marital status
at the time of first birth, Namibia 1992
Socioeconomic
Characteristic
|
b
|
(SE)
|
Odds
ratio
|
Region
|
|
|
|
Northwest
|
-0.55***
|
0.08
|
0.58
|
Northeast
|
-0.34***
|
0.08
|
0.71
|
Central
|
0.12
|
0.09
|
1.13
|
Current
residence
(Urb
= 1; Ru = 0)
|
0.02
|
0.11
|
1.00
|
Childhood
residence
(1
= urb; 0 = Ru)
|
0.00
|
0.11
|
1.00
|
Education
|
|
|
|
None
|
0.08
|
0.07
|
1.08
|
Primary
|
0.19**
|
0.05
|
1.21
|
Currently
working
(Yes
= 1; No = 0)
|
0.14*
|
0.09
|
1.15
|
*
= p<0.05; ** = p<0.01; *** = p<0.001
Table
8: Logistic regression of determinants of contraceptive use before first birth
by Namibia 1992
Socioeconomic
Characteristic
|
b
|
(SE)
|
Odds
ratio
|
Region
|
|
|
|
Northwest
|
-1.12***
|
0.07
|
0.32
|
Northeast
|
0.63***
|
0.06
|
1.88
|
Central
|
0.36***
|
0.08
|
1.44
|
Current
residence
(Urb
= 1; Ru = 0)
|
0.28
|
0.10
|
1.33
|
Childhood
residence
(1
= urb; 0 = Ru)
|
0.02
|
0.10
|
1.02
|
Education
|
|
|
|
None
|
-0.50***
|
0.06
|
0.61
|
Primary
|
0.19
|
0.05
|
1.21
|
Currently
working
(Yes
= 1; No = 0)
|
0.42***
|
0.09
|
1.52
|
*
= p<0.05; **= p<0.01; *** = p<0.001
DISCUSSION
A
major question that arises from these Namibian data is why unmarried teenagers
become mothers. For many population researchers, the high incidence of non-marital
teenage motherhood is evidence of a high demand for modern methods of contraception.
From a conventional perspective, childbearing by non-married teenagers is an
unwanted consequence of teenage sexual and reproductive health behaviour (see
Senderowitz and Paxman, 1985). The role of national family planning programmes
should be emphasized in this regard. It is a common argument that a high rate
of teenage motherhood is indicative of national family planning programmes that
have not made adequate provision for the prevention of unwanted births by teenage
women due to general institutional failures, cultural norms, religious beliefs
and general misconception about contraception (see Ahrenson-Pandikow, 1992).
The assumption is that if contraceptives are easily accessible to teenagers,
the incidence of teenage motherhood will be drastically reduced. While this
viewpoint highlights an aspect of the problem, namely the direct technical side
of intervention, it fails to explain adequately the cases of Namibia and other
countries in Southern Africa. First, if the incidence of non-marital teenage
childbearing is put into a regional perspective, there is no strong negative
correlation between the strength of family planning programmes and the incidence
of non-marital teenage motherhood in Africa. In fact, the experience of South
Africa suggests a positive correlation between the two variables.
Another
framework sees the prevailing rate of non-marital teenage childbearing as a
feature of an emerging pattern of reproductive regime in the sub-region. From
this perspective, the task of explaining the high rate of non-marital teenage
childbearing in Namibia and other countries in the region involves an analysis
of not only the availability and accessibility of contraception to unmarried
teenagers but also wider issues that include the social context, the position
of teenage women in the family and society and their motivations and aspirations
for adopting forms of sexual behaviour that have a potential to result in motherhood.
The
high rates of teenage motherhood and childbearing outside marriage appears to
be a manifestation of an emerging reproductive regime in the sub-region of Southern
Africa, a regime that is characterized by a separation of motherhood from marriage.
Although marriages and the traditional family life are under great pressure
from various quarters, African societies still place a high premium on children,
and having children remains a principal determinant of the social status of
a woman. In this context, it is conceivable that to a good number of teenagers,
motherhood could be a calculated strategy of social and economic advancement.
Preston-Whyte
(1990; 1993) makes good progress in this direction by describing the social
and cultural environment generated by the grand apartheid policies in which
teenage and adult childbearing outside a marital union could be considered rational
strategies. In the environment of severe material deprivation, popular models
of marriage and the family were gradually rendered impracticable for many disadvantaged
couples by the apartheid laws and their consequences. Marriage and cohesion
of nuclear or extended families were weakened as many men were forced to be
separated from their families for a long time as a necessity of work. Most men
in the urban areas had wives in the rural areas who could not join them because
of apartheid laws. The few women in the urban areas entered into temporary sexual
liaisons with a full awareness of the possibility that their urban male partners
had wives at home. In extreme but not uncommon cases, some men and women were
forced by the exigencies of the urban life to enter into marriage of convenience.
In response to the experience of prolonged spousal abstinence, rural women assumed
the responsibility of household head while their urban counterparts cautiously
guarded their autonomy from migrant men. Realistic assessments of this situation
led many women to reject the centrality of a formal marital union for childbearing.
Many unmarried but socially successful mothers became important role models
especially to young women who found this a reason to believe that childbearing
outside a conventional marital union is no longer stigmatised, and makes social
and economic sense.
To
suggest that teenage childbearing outside marriage is a rational survival strategy
does not necessarily commit one to argue that it is the best of all options
open to young women. Nor is the idea any more startling than what we already
know about some of the reasons why teenage girls engage in consenting sexual
relations. Many will argue that if non-marital teenage childbearing is a conscious
choice it is a bad one. In most cases biological fathers of babies born to teenage
mothers are not committed to a medium or long term relationship. If they are
young, they do not have the economic security to support a mother and child.
If they are old, they most probably have other relationships which they consider
more important or which can compete more favourably with a commitment to an
unmarried teenage mother. In the end the responsibilities of caring for the
baby and economic and emotional support for the teenage mothers fall largely
on their parents and grandparents. Again, unlike the situation in many Western
societies, unmarried teenage mothers could not look to the state for economic
support as a result of their childbirth. There are no adequate social welfare
systems in Namibia or other countries of Southern Africa that provide generous
housing and monthly stipends to single mothers for the maintenance of a child.
These valid arguments withstanding, there is a compelling case in the search
for determinants of non-marital teenage childbearing to address the constraints
imposed by poverty and the limited opportunities for socioeconomic advancement
of young Namibian women in the colonial apartheid society of the recent past.
A perspective that situates non-marital teenage childbearing in its socioeconomic
and cultural context improves our understanding by pulling together in one analytical
framework exogenous forces and the volitional factors on the part of teenagers
in Namibia and other comparable societies in Southern Africa.
REFERENCES
- Ahrenson-Pandikow,
H. 1992. Survey of Attitudes Towards the Use of Contraception in Namibia.
Namibian Institute for Social and Economic Research, University of Namibia,
Windhoek.
- Chimere-Dan,
O. 1997. "Recent Fertility Patterns and Population Policy in South Africa", Development Southern Africa 14(1):1-20.
- ______________.
1996. Contraceptive Behaviour in South Africa. Unpublished Research
Report. Population Research Programme, University of the Witwatersrand.
Johannesburg.
- Katjiuanjo,
P; Titus, S; Zauana, M and Boerma, J.T. 1993. Namibia Demographic and
Health Survey 1992. Ministry of Health and Social Services, Windhoek,
Namibia.
- Preston-Whyte,
E..M. 1993. Women who are not married: fertility, 'Illegitimacy', and
the Nature of Households and Domestic Groups Among Single African Women
in Durban, South African Journal of Sociology, 24 (3): 63-71.
- ________________.
1990. "Qualitative Perspectives on Fertility Trends Among African Teenagers".
In South Africas Demographic Future. Edited by Mostert, W.
and J.M. Lotter. Pretoria. Human Sciences Research Council.
- Senderowitz,
J. and J.M. Paxman. 1985. Adolescent Fertility: Worldwide Concerns.
Population Bulletin. 40(2).
Copyright 1997 - Union for African Population
Studies
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