Exploring fertility preferences among women aged 15-24 in the Democratic Republic of Congo

Marie A. Mosuse, Sylvie Gadeyne


The DRC has one of the highest fertility rates globally, yet research on fertility preferences in the country remains limited. This study aims to identify the factors contributing to the persistence of high fertility preferences among young and adolescent women (15-24) in the DRC. Using data from the 2013-2014 DHS, the study examines fertility preferences by transition stage. Multinomial logistic regression analysis is used to identify the characteristics associated with mid- (4-5 children) and pre-transitional (6+ children) as opposed to post-transitional (0-3 children) preferences. Results reveal that 43% of the women prefer 6+ children. The relative risk of fertility preference varies significantly based on characteristics such as age, literacy, place and province of residence, religion, employment status, wealth, acceptance of domestic violence, and knowledge of modern family planning methods. The findings provide evidence for both the diffusion and socio-economic theory of fertility decline.

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Bongaarts J and Casterline J. Fertility Transition: Is sub-Saharan Africa Different? Popul Dev Rev 2013; 38: 153–168.

MPSMRM. Enquête Démographique et de Santé (EDS-RDC) 2013-2014. Rockville, Maryland, 2014.

Romaniuk A. Persistence of High Fertility in Tropical Africa: The Case of the Democratic Republic of the Congo. Popul Dev Rev 2011; 37: 1–28.

Mabika CM and Shapiro D. School enrollment in the Democratic Republic of the Congo: family economic well-being, gender, and place of residence. African Population Studies 2012; 26(2): 197-220.

Shapiro D, Tambashe B and Romaniuk A. The third biggest African country: The Democratic Republic of the Congo. In Africa’s Population: In Search of a Demographic Dividend. In: Groth H, May JF (eds). Springer International Publishing AG, 2017, 71–86.

World Bank. The World Bank in DRC, https://www.worldbank.org/en/country/drc/overview#1 (2022).

Kwete D, Binanga A, Mukaba T, Nemuandjare T, Mbadu MF, Kyungu M, Sutton P and Betrand JT. Family planning in the Democratic Republic of the Congo: Encouraging momentum, formidable challenges. Glob Health Sci Pract 2018; 6: 40–54.

Mosuse MA and Gadeyne S. Prevalence and factors associated with unmet need for family planning among women of reproductive age (15–49) in the Democratic Republic of Congo: A multilevel mixed-effects analysis. PLoS One 2022; 17: e0275869.

Feyisetan B and Casterline JB. Fertility Preferences and Contraceptive Change in Developing Countries. Int Fam Plan Perspect 2000; 26: 100–109.

Westoff CF. Reproductive Intentions and Fertility Rates. Int Fam Plan Perspect 1990; 16(3): 84–96.

Bongaarts J. Completing the fertility transition in the developing world: The role of educational differences and fertility preferences. Popul Stud (NY) 2003; 57: 321–335.

Kodzi IA, Johnson DR and Casterline JB. Examining the predictive value of fertility preferences among Ghanaian women. Demogr Res 2010; 22: 965–984.

Shapiro D and Hinde A. Laggards in the global fertility transition. Vienna Yearb Popul Res 2020; 18: 1–18.

Schoumaker B. Stalls in Fertility Transitions in sub-Saharan Africa: Revisiting the Evidence. Stud Fam Plann 2019; 50: 257–278.

Cleland J, Machiyama K and Casterline JB. Fertility preferences and subsequent childbearing in Africa and Asia: A synthesis of evidence from longitudinal studies in 28 populations. Popul Stud 2020; 74: 1–21.

Bongaarts J and Casterline JB. From Fertility Preferences to Reproductive Outcomes in the Developing World. Popul Dev Rev 2018; 44: 793–809.

Casterline JB. Diffusion Processes and Fertility Transition: Introduction. In: Diffusion Processes and Fertility Transition: Selected perspectives. National Academies Press (US), 200A, 1–38.

Cleland J and Wilson C. Demand theories of the fertility transition: An iconoclastic view. Popul Stud (NY) 1987; 41: 5–30.

Davis K. The World Demographic Transition. The Annals of American Academy of Political and Social Science 1945; 237: 1–11.

Notestein FW. Economic problems of population change. In: Proceedings of the Eighth International Conference of Agricultural Economists. New York: Oxford University Press, 1953, 13–31.

Thompson WS. Population. American Journal of Sociology, 1929; 34: 959–975.

Becker GS. An Economic Analysis of Fertility. In: Demographic and economic change in developed countries. Columbia University Press, 1960, 209–240.

Becker GS. A treatise on the family. Harvard University Press, 1991.

Schultz TW. New Economic Approaches to Fertility. NBER Books, 1973.

Caldwell JC. Theory of fertility decline. London: Academic Press Inc. (London) , 1982.

Brown LA. Innovation Diffusion: A New Perspective. New York: Methuen, 1981.

Rogers EM. Diffusion of Innovations. New York: Free Press, 1962.

Cleland J. Potatoes and pills: an overview of innovation-diffusion contributions to explanations of fertility decline. In: John B. Casterline (ed) Diffusion Processes and Fertility Transition: Selected Perspectives,. Washington, DC: National Research Council, 2001, 39–65.

Bongaarts J and Watkins SC. Social Interactions and Contemporary Fertility Transitions. 1996.

Entwisle B, Rindfuss RR, Guilkey DKDK, Chamratrithirong A, Curran SR and Sawangdee Y. Community and contraceptive choice in rural Thailand: a case study of Nang Rong. Demography 1996; 33: 1–11.

Montgomery M and Casterline J. The diffusion of fertility control in Taiwan: evidence from pooled cross-section time-series models. Popul Stud 1993; 47: 457–479.

Dodoo FNA and Frost AE. Gender in African population research: The fertility/ reproductive health example. Annual Review of Sociology 2008; 34: 431–452.

Atake EH and Gnakou Ali P. Women’s empowerment and fertility preferences in high fertility countries in Sub-Saharan Africa. BMC Womens Health; 19: 54.

Upadhyay UD and Karasek D. Women’s empowerment and ideal family size: An examination of DHS empowerment measures in Sub-Saharan Africa. Int Perspect Sex Reprod Health 2012; 38: 78–89.

Muhoza DN. The heterogeneous effects of socioeconomic and cultural factors on fertility preferences: evidence from Rwanda and Kenya. J Popul Res 2019; 36: 347–363.

Larsson C and Stanfors M. Women’s Education, Empowerment, and Contraceptive Use in sub-Saharan Africa: Findings from Recent Demographic and Health Surveys. African Population Studies 2014; 28(2): 1022-1034.

Rabbi AMF. Factors influencing fertility preference of a developing country during demographic transition: Evidence from Bangladesh. South East Asia Journal of Public Health 2015; 4: 23–30.

Odusina EK, Ayotunde T, Kunnuji M, Ononokpono DN, Bishwajit G and Yaya S. Fertility preferences among couples in Nigeria: A cross sectional study. Reprod Health; 17: 92.

Bankole A and Audam S. Fertility preferences and contraceptive use among couples in sub-Saharan Africa. African Population Studies 2011; 25: 556–586.

Woldemicael G. Womens autonomy and reproductive preferences in Eritrea. J Biosoc Sci 2009; 41: 161–181.

Hindin MJ. Women’s autonomy, women’s status and fertility-related behavior in Zimbabwe. Population Research and Policy Review 2000; 19(3): 255-282.

Bankole A. Desired Fertility and Fertility Behaviour among the Yoruba of Nigeria: A Study of Couple Preferences and Subsequent Fertility. Popul Stud 1995; 49(2): 317-328.

Bongaarts J. Trends in fertility and fertility preferences in sub-Saharan Africa: the roles of education and family planning programs. Genus 2020; 76: 32.

Barber JS. Intergenerational Influences on the Entry into Parenthood: Mothers’ Preferences for Family and Nonfamily Behavior. Social Forces 2000; 79(1): 319-348.

Bongaarts J. The Measurement of Wanted Fertility. Popul Dev Rev; 16(3): 487-506.

Shapiro D and Tambashe BO. Fertility, ethnicity, and education in the Democratic Republic of the Congo. Etude de la Population Africaine 2017; 31: 3253–3270.

Hedeker D. A mixed-effects multinomial logistic regression model. Stat Med 2003; 22: 1433–1446.

Muanda M, Ndongo PG, Taub LD, Betrand JT. Barriers to modern contraceptive use in Kinshasa, DRC. PLoS One 2016; 11(12): e0167560.

Muanda MF, Ndongo GP, Messina LJ, Betrand JT. Barriers to modern contraceptive use in rural areas in DRC. Cult Health Sex 2017; 19: 1011–1023.

Ntoimo LFC. Family size preferences among women in a union in Nigeria and associated factors. Int J Popul Stud 2022; 7.

Mathe JK, Kasonia KK and Maliro AK. Barriers to Adoption of Family Planning among Women in Eastern Democratic Republic of Congo. African Journal of Reproductive Health 2011; 15: 69.

Guirkinger C and Villar P. Pro-birth policies, missions and fertility: historical evidence from Congo. DeFiPP Working Papers 2204, University of Namur, Development Finance and Public Policies, 2022.

Hyatt DE and Milne WJ. Determinants of Fertility in Urban and Rural Kenya: Estimates and a Simulation of the Impact of Education Policy. Environment and Planning A: Economy and Space 1993; 25: 371–382.


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