The total fertility rate of the world has dropped from around 5 children per woman in 1950, to 2.2 children per woman in 2025, which means that women today are having fewer than half the number of children that women did 75 years ago. Replacement level fertility This change has come as a result of the global demographic transition, and is influenced by factors such as the significant reduction in infant and child mortality, reduced number of child marriages, increased educational and vocational opportunities for women, and the increased efficacy and availability of contraception. While this change has become synonymous with societal progress, it does have wide-reaching demographic impact - if the global average falls below replacement level (roughly 2.1 children per woman), as is expected to happen in the 2050s, then this will lead to long-term population decline on a global scale. Regional variations When broken down by continent, Africa is the only region with a fertility rate above the global average, and, alongside Oceania, it is the only region with a fertility rate above replacement level. Until the 1980s, the average woman in Africa could expect to have 6-7 children over the course of their lifetime, and there are still several countries in Africa where women can still expect to have 5 or more children in 2025. Historically, Europe has had the lowest fertility rates in the world over the past century, falling below replacement level in 1975. Europe's population has grown through a combination of migration and increasing life expectancy, however even high immigration rates could not prevent its population from going into decline in 2021.

In the United States, the crude birth rate in 1800 was 48.3 live births per thousand people, meaning that 4.8 percent of the population had been born in that year. Between 1815 and 1825 the crude birth rate jumped from 46.5 to 54.7 (possibly due to Florida becoming a part of the US, but this is unclear), but from this point until the Second World War the crude birth rate dropped gradually, reaching 19.2 in 1935. Through the 1940s, 50s and 60s the US experienced it's baby boom, and the birth rate reached 24.1 in 1955, before dropping again until 1980. From the 1980s until today the birth rate's decline has slowed, and is expected to reach twelve in 2020, meaning that just over 1 percent of the population will be born in 2020.

Crude birth rates, age-specific fertility rates and total fertility rates (live births), 2000 to most recent year.

BackgroundKawasaki disease (KD) is a common cause of acquired paediatric heart disease in developed countries. KD was first identified in the 1960s in Japan, and has been steadily increasing since it was first reported. The aetiology of KD has not been defined, but is assumed to be infection-related. The present study sought to identify the factor(s) that mediate the geographical variation and chronological increase of KD in Japan.Methods and FindingsBased upon data reported between 1979 and 2010 from all 47 prefectures in Japan, the incidence and mean patient age at the onset of KD were estimated. Using spatial and time-series analyses, incidence and mean age were regressed against climatic/socioeconomic variables. Both incidence and mean age of KD were inversely correlated with the total fertility rate (TFR; i.e., the number of children that would be born to one woman). The extrapolation of a time-series regressive model suggested that KD emerged in the 1960s because of a dramatic decrease in TFR in the 1940s through the 1950s.ConclusionsMean patient age is an inverse surrogate for the hazard of contracting the aetiologic agent. Therefore, the observed negative correlation between mean patient age and TFR suggests that a higher TFR is associated with KD transmission. This relationship may be because a higher TFR facilitates sibling-to-sibling transmission. Additionally, the observed inverse correlation between incidence and TFR implies a paradoxical “negative” correlation between the incidence and the hazard of contracting the aetiologic agent. It was hypothesized that a decreasing TFR resulted in a reduced hazard of contracting the agent for KD, thereby increasing KD incidence.

Germany's death rate has exceeded its death rate in every year since 1972, meaning that its population has been in a natural decline for over five decades. However, Germany's population has remained fairly stable at over 80 million during this period, due to the influence of immigration.Find more statistics on other topics about Germany with key insights such as life expectancy of women at birth, total life expectancy at birth, and total fertility rate.

In Sweden, the crude birth rate in 1800 was just under 29 live births per thousand people, meaning that roughly 2.9 percent of the population had been born in that year. In the nineteenth century, Sweden experienced various population-influencing events, such as separate wars with Norway and Russia, several smallpox epidemics, mass migration to the US, and industrialization. In this time, the crude birth rate fluctuated between 27 and 36 births per thousand. Between 1875 and 1935 this rate decreased consistently from 30.7 to 14.1. Sweden's crude birth rate stopped falling around the time of the Second World War, and rose to almost nineteen in 1945, before plateauing in the mid-teens between 1955 and 1970, where the decline then resumed. There was another brief increase during the late 1980s and 90s, however these numbers then dropped to their lowest recorded figure of 10.4 in the year 2000, and in 2020 the crude birth rate of Sweden is expected to be just under twelve births per thousand people.

Author: K Swanson, educator, Minnesota Alliance for Geographic EducationGrade/Audience: high schoolResource type: lessonSubject topic(s): populationRegion: worldStandards: Minnesota Social Studies Standards

Standard 5. The characteristics, distribution and migration of human populations on the earth’s surface influence human systems (cultural, economic and political systems).Objectives: Students will be able to:

1. Identify the major demographic indicators that indicate a high or low population growth rate.
2. Compare/contrast the regions of the world using demographic indicators such as growth rate, natural increase, fertility rate, crude birth rates, and crude death rates
3. Identify the regions of the world with the highest and lowest birth rates.
4. Analyze the three means to control population growth: increase death rate, decrease birth rate and government laws.Summary: Students will analyze demographic data from the Population Reference Bureau and determine which areas of the world contain the fastest and slowest population growth rates. Students will determine that the fastest growth rates are in Northern and Eastern Africa and the slowest growth rates are found in Eastern Europe. Students will write an editorial on the best means to control population.

From 1950 to 1955, the worldwide crude birth rate was just under 37 births per thousand people, which means that 3.7 percent of the population, who were alive during this time had been born in this five year period. Between this five year period, and the time between 2015 and 2020, the crude birth rate has dropped to 18.5 births per thousand people, which is fifty percent of what the birth rate was seventy years ago. This change has come as a result of increased access and reliability of contraception, a huge reduction in infant and child mortality rate, and increased educational and vocational opportunities for women. The continents that have felt the greatest change over this seventy year period are Asia and Latin America, which fell below the global average in the 1990s and early 2000s, and are estimated to have fallen below the crude birth rate of Oceania in the current five-year period. Europe has consistently had the lowest crude birth rate of all continents during the past seventy years, particularly in the 1990s and 2000s, when it fell to just over ten births per thousand, as the end of communism in Europe caused sweeping demographic change across Europe. The only continent that still remains above the global average is Africa, whose crude birth rate is fifteen births per thousand more than the world average, although the rate of decrease is higher than it was in previous decades.

In the United Kingdom, the crude birth rate in 1800 was 37 live births per thousand people, meaning that 3.7 percent of the population had been born in that year. From 1800 until 1830, the crude birth rate jumped between 35 and 45, before plateauing between 35 and 37 until the 1880s. From 1880 until the Second World War, the crude birth rate dropped to just under fifteen births per one thousand people, with the only increase coming directly after World War One. After WWII, the United Kingdom experienced a baby boom, as many soldiers returned home and the economy recovered, however this boom stopped in the late 1960s and the crude birth rate went into decline again. From the late 1970s until today, the crude birth rate has remained between eleven and fourteen, and is expected to be 11.5 in 2020.

BackgroundBirth weights have continued to decline in Japan in recent years. However, secular trend changes such as the birth weight relative to the week of gestation remain to be explored. This study aimed to determine the trends over time in mean birth weight and small for gestational age (SGA) rate for each gestational week.MethodsWe used a large dataset of 27,015,792 births obtained from birth certificates between 1997 and 2021. Births from 22 to 41 weeks of gestation were evaluated in six groups (22–24, 25–27, 28–31, 32–33, 34–36, and 37–41 weeks of gestational age). For each group, secular trend changes in the z-scores calculated from standard birth weight values were assessed. Time trends in the proportion of SGA and mean birth weight z-scores were evaluated using the Cochran–Armitage trend test and linear regression analysis. Binomial logistic regression was performed to ascertain the effects of gestational age, sex, primiparity, number of births, and maternal age on the likelihood of SGA.ResultsThe mean birth weight of preterm infants continued to decrease, and the z-score for mean birth weight decreased linearly, falling to −0.7 at 25–27 weeks of gestation from 1997–2001 (first period) to 2017–2021 (final period). Maternal age continued to increase from the first period to the last period for all weeks of gestation. There was a linear increase in the SGA rate in preterm infants born at

The total population of Germany was estimated at over 84.4 million inhabitants in 2025, although it is projected to drop in the coming years and fall below 80 million in 2043. Germany is the most populous country located entirely in Europe, and is third largest when Russia and Turkey are included. Germany's prosperous economy makes it a popular destination for immigrants of all backgrounds, which has kept its population above 80 million for several decades. Population growth and stability has depended on immigration In every year since 1972, Germany has had a higher death rate than its birth rate, meaning its population is in natural decline. However, Germany's population has rarely dropped below its 1972 figure of 78.6 million, and, in fact, peaked at 84.7 million in 2024, all due to its high net immigration rate. Over the past 75 years, the periods that saw the highest population growth rates were; the 1960s, due to the second wave of the post-WWII baby boom; the 1990s, due to post-reunification immigration; and since the 2010s, due to high arrivals of refugees from conflict zones in Afghanistan, Syria, and Ukraine. Does falling population = economic decline? Current projections predict that Germany's population will fall to almost 70 million by the next century. Germany's fertility rate currently sits around 1.5 births per woman, which is well below the repacement rate of 2.1 births per woman. Population aging and decline present a major challenge economies, as more resources must be invested in elderly care, while the workforce shrinks and there are fewer taxpayers contributing to social security. Countries such as Germany have introduced more generous child benefits and family friendly policies, although these are yet to prove effective in creating a cultural shift. Instead, labor shortages are being combatted via automation and immigration, however, both these solutions are met with resistance among large sections of the population and have become defining political issues of our time.

In Mexico, the crude birth rate in 1900 was 47 live births per thousand people, meaning that 4.7 percent of the population had been born in that year. In the first half of the twentieth century the crude birth rate of Mexico fluctuates, between 41 and 48, before gradually declining from 1955 until today. Improved living conditions, economic opportunities and education have led to a decrease in Mexico's crude birth rate, and it is expected to fall below 18 births per thousand in 2020.

This is a source dataset for a Let's Get Healthy California indicator at https://letsgethealthy.ca.gov/. Infant Mortality is defined as the number of deaths in infants under one year of age per 1,000 live births. Infant mortality is often used as an indicator to measure the health and well-being of a community, because factors affecting the health of entire populations can also impact the mortality rate of infants. Although California’s infant mortality rate is better than the national average, there are significant disparities, with African American babies dying at more than twice the rate of other groups. Data are from the Birth Cohort Files. The infant mortality indicator computed from the birth cohort file comprises birth certificate information on all births that occur in a calendar year (denominator) plus death certificate information linked to the birth certificate for those infants who were born in that year but subsequently died within 12 months of birth (numerator). Studies of infant mortality that are based on information from death certificates alone have been found to underestimate infant death rates for infants of all race/ethnic groups and especially for certain race/ethnic groups, due to problems such as confusion about event registration requirements, incomplete data, and transfers of newborns from one facility to another for medical care. Note there is a separate data table "Infant Mortality by Race/Ethnicity" which is based on death records only, which is more timely but less accurate than the Birth Cohort File. Single year shown to provide state-level data and county totals for the most recent year. Numerator: Infants deaths (under age 1 year). Denominator: Live births occurring to California state residents. Multiple years aggregated to allow for stratification at the county level. For this indicator, race/ethnicity is based on the birth certificate information, which records the race/ethnicity of the mother. The mother can “decline to state”; this is considered to be a valid response. These responses are not displayed on the indicator visualization.

The 1997 the Kyrgyz Republic Demographic and Health Survey (KRDHS) is a nationally representative survey of 3,848 women age 15-49. Fieldwork was conducted from August to November 1997. The KRDHS was sponsored by the Ministry of Health (MOH), and was funded by the United States Agency for International Development. The Research Institute of Obstetrics and Pediatrics implemented the survey with technical assistance from the Demographic and Health Surveys (DHS) program. The purpose of the KRDHS was to provide data to the MOH on factors which determine the health status of women and children such as fertility, contraception, induced abortion, maternal care, infant mortality, nutritional status, and anemia. Some statistics presented in this report are currently available to the MOH from other sources. For example, the MOH collects and regularly publishes information on fertility, contraception, induced abortion and infant mortality. However, the survey presents information on these indices in a manner which is not currently available, i.e., by population subgroups such as those defined by age, marital duration, education, and ethnicity. Additionally, the survey provides statistics on some issues not previously available in the Kyrgyz Republic: for example, breastfeeding practices and anemia status of women and children. When considered together, existing MOH data and the KRDHS data provide a more complete picture of the health conditions in the Kyrgyz Republic than was previously available. A secondary objective of the survey was to enhance the capabilities of institutions in the Kyrgyz Republic to collect, process, and analyze population and health data. MAIN FINDINGS FERTILITY Fertility Rates. Survey results indicate a total fertility rate (TFR) for all of the Kyrgyz Republic of 3.4 children per woman. Fertility levels differ for different population groups. The TFR for women living in urban areas (2.3 children per woman) is substantially lower than for women living in rural areas (3.9). The TFR for Kyrgyz women (3.6 children per woman) is higher than for women of Russian ethnicity (1.5) but lower than Uzbek women (4.2). Among the regions of the Kyrgyz Republic, the TFR is lowest in Bishkek City (1.7 children per woman), and the highest in the East Region (4.3), and intermediate in the North and South Regions (3.1 and3.9, respectively). Time Trends. The KRDHS data show that fertility has declined in the Kyrgyz Republic in recent years. The decline in fertility from 5-9 to 0-4 years prior to the survey increases with age, from an 8 percent decline among 20-24 year olds to a 38 percent decline among 35-39 year olds. The declining trend in fertility can be seen by comparing the completed family size of women near the end of their childbearing years with the current TFR. Completed family size among women 40-49 is 4.6 children which is more than one child greater than the current TFR (3.4). Birth Intervals. Overall, 30 percent of births in the Kyrgyz Republic take place within 24 months of the previous birth. The median birth interval is 31.9 months. Age at Onset of Childbearing. The median age at which women in the Kyrgyz Republic begin childbearing has been holding steady over the past two decades at approximately 21.6 years. Most women have their first birth while in their early twenties, although about 20 percent of women give birth before age 20. Nearly half of married women in the Kyrgyz Republic (45 percent) do not want to have more children. Additional one-quarter of women (26 percent) want to delay their next birth by at least two years. These are the women who are potentially in need of some method of family planning. FAMILY PLANNING Ever Use. Among currently married women, 83 percent report having used a method of contraception at some time. The women most likely to have ever used a method of contraception are those age 30-44 (among both currently married and all women). Current Use. Overall, among currently married women, 60 percent report that they are currently using a contraceptive method. About half (49 percent) are using a modern method of contraception and another 11 percent are using a traditional method. The IUD is by far the most commonly used method; 38 percent of currently married women are using the IUD. Other modern methods of contraception account for only a small amount of use among currently married women: pills (2 percent), condoms (6 percent), and injectables and female sterilization (1 and 2 percent, respectively). Thus, the practice of family planning in the Kyrgyz Republic places high reliance on a single method, the IUD. Source of Methods. The vast majority of women obtain their contraceptives through the public sector (97 percent): 35 percent from a government hospital, and 36 percent from a women counseling center. The source of supply of the method depends on the method being used. For example, most women using IUDs obtain them at women counseling centers (42 percent) or hospitals (39 percent). Government pharmacies supply 46 percent of pill users and 75 percent of condom users. Pill users also obtain supplies from women counseling centers or (33 percent). Fertility Preferences. A majority of women in the Kyrgyz Republic (45 percent) indicated that they desire no more children. By age 25-29, 20 percent want no more children, and by age 30-34, nearly half (46 percent) want no more children. Thus, many women come to the preference to stop childbearing at relatively young ages-when they have 20 or more potential years of childbearing ahead of them. For some of these women, the most appropriate method of contraception may be a long-acting method such as female sterilization. However, there is a deficiency of use of this method in the Kyrgyz Republic. In the interests of providing a broad range of safe and effective methods, information about and access to sterilization should be increased so that individual women can make informed decisions about using this method. INDUCED ABORTION Abortion Rates. From the KRDHS data, the total abortion rate (TAR)-the number of abortions a woman will have in her lifetime based on the currently prevailing abortion rates-was calculated. For the Kyrgyz Republic, the TAR for the period from mid-1994 to mid-1997 is 1.6 abortions per woman. The TAR for the Kyrgyz Republic is lower than recent estimates of the TAR for other areas of the former Soviet Union such as Kazakhstan (1.8), and Yekaterinburg and Perm in Russia (2.3 and 2.8, respectively), but higher than for Uzbekistan (0.7). The TAR is higher in urban areas (2.1 abortions per woman) than in rural areas (1.3). The TAR in Bishkek City is 2.0 which is two times higher than in other regions of the Kyrgyz Republic. Additionally the TAR is substantially lower among ethnic Kyrgyz women (1.3) than among women of Uzbek and Russian ethnicities (1.9 and 2.2 percent, respectively). INFANT MORTALITY In the KRDHS, infant mortality data were collected based on the international definition of a live birth which, irrespective of the duration of pregnancy, is a birth that breathes or shows any sign of life (United Nations, 1992). Mortality Rates. For the five-year period before the survey (i.e., approximately mid-1992 to mid1997), infant mortality in the Kyrgyz Republic is estimated at 61 infant deaths per 1,000 births. The estimates of neonatal and postneonatal mortality are 32 and 30 per 1,000. The MOH publishes infant mortality rates annually but the definition of a live birth used by the MOH differs from that used in the survey. As is the case in most of the republics of the former Soviet Union, a pregnancy that terminates at less than 28 weeks of gestation is considered premature and is classified as a late miscarriage even if signs of life are present at the time of delivery. Thus, some events classified as late miscarriages in the MOH system would be classified as live births and infant deaths according to the definitions used in the KRDHS. Infant mortality rates based on the MOH data for the years 1983 through 1996 show a persistent declining trend throughout the period, starting at about 40 per 1,000 in the early 1980s and declining to 26 per 1,000 in 1996. This time trend is similar to that displayed by the rates estimated from the KRDHS. Thus, the estimates from both the KRDHS and the Ministry document a substantial decline in infant mortality; 25 percent over the period from 1982-87 to 1992-97 according to the KRDHS and 28 percent over the period from 1983-87 to 1993-96 according to the MOH estimates. This is strong evidence of improvements in infant survivorship in recent years in the Kyrgyz Republic. It should be noted that the rates from the survey are much higher than the MOH rates. For example, the KRDHS estimate of 61 per 1,000 for the period 1992-97 is twice the MOH estimate of 29 per 1,000 for 1993-96. Certainly, one factor leading to this difference are the differences in the definitions of a live birth and infant death in the KRDHS survey and in the MOH protocols. A thorough assessment of the difference between the two estimates would need to take into consideration the sampling variability of the survey's estimate. However, given the magnitude of the difference, it is likely that it arises from a combination of definitional and methodological differences between the survey and MOH registration system. MATERNAL AND CHILD HEALTH The Kyrgyz Republic has a well-developed health system with an extensive infrastructure of facilities that provide maternal care services. This system includes special delivery hospitals, the obstetrics and gynecology departments of general hospitals, women counseling centers, and doctor's assistant/midwife posts (FAPs). There is an extensive network of FAPs throughout the rural areas. Delivery. Virtually all births in the Kyrgyz Republic (96 percent) are delivered at health facilities: 95 percent in delivery hospitals and another 1 percent in either general hospitals

Abstract

This survey is part of a fertility survey series conducted in the 1970s and 1980s, covering contraceptives, reproductive health, breastfeeding and complete birth histories.Currently housed by Princeton, these surveys were originally done under the auspices of the International Statistical Institute from the 70s to the early 80s.

Between October 1981 and August 1982, a World Fertility Survey (WFS) was conducted in Nigeria, the most populated country in Africa. Nigeria has a population of 93.7 million (1984) and an estimated growth rate of 3.0%-3.5% WFS findings indicate that current conditions in Nigeria are conducive to continued rapid population growth in the future. These conditions include high fertility, strong pronatalist attitudes, an increase in the proportion of young people in the population, a low level of contraceptive knowledge and use, high infant and child mortality rates, and a decrease in breastfeeding duration and in postpartum sexual abstinence duration among urban and educated women. In the survey information was collected from a sample of 8623 households and from 9727 women of reproductive age residing in those households. These completed interviews represented a 93.4 response rate for the households and a 96.0% response rate for the individual women. 56.1% of the households were occupied by a nuclear family, 23.6% were occupied by an extended family, and 20.3% contained no married couples. Mean household size was 5.09 in urban areas and 5.83 in rural areas. Housing conditions were relatively poor in both rural and urban areas. 83.5% of the surveyed women were ever married. Marriage was almost universal; only 0.6% of the women aged 44-49 never married. Marriages were relatively stable, and those who divorced tended to promplty remarry. Preliminary analysis indicates that the age at marriage may be decreasing. The mean age at 1st marriage was 16.0 years for women aged 25-29 and 17.7 years for women aged 40-44. 42.6% of the currently married women were in polynous unions, and the mean age difference between husbands and wives was 12.56 years. 77.4% of the interviewed women were illiterate, 77.4% resided in rural areas, 35.0% were currently not working, 45.9% were Muslim, and 44.9% were Christian. Among all the surveyed women, the mean number of children ever born was 3.07. Women aged 45-49 had a mean of 5.84 ever born children. The total fertility rate for the 5-year period preceding the study was 6.34, and the total fertility rate for ever married women was 7.48. Women with secondary or higher educations had lower fertility than women with less education; however, women with primary schooling only had higher fertility than those with no schooling. Urban and rural fertility differences were small, but there were marked regional differences in fertility patterns. Preliminary analysis indicates that fertility increased between the early 1960s and mid-1970s, but declined slightly since then. Only 5% of the surveyed women wanted no more children, and average desired family size among currently married and fecund women was 8.3 children. Although infant and child mortality declined in recent years, the respective rates were still 84.8 and 144.5 for 1975-9. Among surveyed women, 66.3% had no knowledge of any contraceptive method. 85.9% never used any contraceptive method, 12.5% ever used an inefficient method (mainly postpartum abstinence), and only 2.6% ever used an efficient method. Only 0.7% of exposed women currently used an efficient contraceptive method. Breastfeeding is universal. Mean breastfeeding duration for the next to last child was 16.6 months. For ever married women, the mean duration of post partum amenorrhea in the last closed birth interval was 10.4 months, and the mean duration of sexual abstinence following the next to last birth was 14.1 months. The duration of both breastfeeding and postpartum sexual abstinence is shorter among educated and urban women than among rural and uneducated women.Source: Voorburg, Netherlands, International Statistical Institute, 1984 Sep. 18 p. (WFS Summary of Findings No. 49)

Geographic coverage

National

Analysis unit

Households, Individuals

Universe

All women, 15-49

Kind of data

Sample survey data [ssd]

Sampling procedure

The 250 enumeration areas (EAs)of the Nigeria Fertility Survey are a subsample of the EAs used for the National Demographic Sample Survey 1980. It was originally intended as a self-weighting sample but problems of implementation led to the abandoning of this. The final sample of size 9727 includes weights to allow for the unequal probabilities of selection. The household and individual interviews were conducted on the same visit by the same (female) interviewers.

Mode of data collection

Face-to-face [f2f]

Research instrument

The WFS Headquarters prepared survey documents for general guidance and use, principal among these being the survey instruments or questionnaires.

Two basic instruments were the Hosuehold schedule and the individual questionnaire for women. 1. The Household Questionnaire covered topics such as age, sex, marital status of household members 2. Individual questionnaire for women provides detailed information on maternity and marriage histories, contraceptive knowledge and use, and fertility regulation.

A husbands questionnaire and an individual core questionnaire for low fertility countries were also developed. Optional supplementary modules on : - Abortion - Community level variables - Economic questionnaires - Factors other than contaception affecting fertility (FOTCAF) - Family planning - Fertility regulation - General mortality

The FOTCAF module measures biological factors and traditional practices that affect fertility in countries with low levels of contraceptive use. It includes questions on the lengths of: breastfeeding, unsupplemented breastfeeding, postpartum amenorrhea, and postpartum abstinence. The WFS core questionnaire included a complete live birth history; questions on the respondent's age, characteristics, and contraceptive use; and a record of the dates of marriages and marriage dissolutions. For African countries, one or more questions were asked about polygyny. Also included were questions on whether a woman's husband had other wives, and all (except Ghana) asked wives in polygynous marriages about their rank (first wife, second wife, and so forth). Several countries also asked about the number of other wives in the marriage.

In the Nigeria survey, the WFS core questionnaire, the FOTCAF Module, as well as supplementary surveys for household members and community were used. The FOTCAF module was modified so that (a) information was gathered about live-birth rather than pregnancy intervals and (b) provision was made to record information about the third to last interval, if this interval started within the five years preceding the survey. The latter ammendment removes much of the selection bias inherent in the standard FOTCAF module which is restricted to the last and last-but-one intervals.

Also recorded in the survey are : Place of and assistance at delivery of recently born children ; the existence of grandsons and granddaughters of the respondent, as well as the age of oldest. The purpose of these data is to test the hypothesis that the attainment of grandmotherhood is associated with terminal abstinence. The community survey covers availability of facilities (post office, health services, police, courts, bank) and provision of services (water, electricity, fuel, transport, specified goods).

Response rate

These completed interviews represented a 93.4 response rate for the households and a 96.0% response rate for the individual women.

Moldova's first Demographic and Health Survey (2005 MDHS) is a nationally representative sample survey of 7,440 women age 15-49 and 2,508 men age 15-59 selected from 400 sample points (clusters) throughout Moldova (excluding the Transnistria region). It is designed to provide data to monitor the population and health situation in Moldova; it includes several indicators which follow up on those from the 1997 Moldova Reproductive Health Survey (1997 MRHS) and the 2000 Multiple Indicator Cluster Survey (2000 MICS). The 2005 MDHS used a two-stage sample based on the 2004 Population and Housing Census and was designed to produce separate estimates for key indicators for each of the major regions in Moldova, including the North, Center, and South regions and Chisinau Municipality. Unlike the 1997 MRHS and the 2000 MICS surveys, the 2005 MDHS did not cover the region of Transnistria. Data collection took place over a two-month period, from June 13 to August 18, 2005. The survey obtained detailed information on fertility levels, abortion levels, marriage, sexual activity, fertility preferences, awareness and use of family planning methods, breastfeeding practices, nutritional status of women and young children, childhood mortality, maternal and child health, adult health, and awareness and behavior regarding HIV infection and other sexually transmitted diseases. Hemoglobin testing was conducted on women and children to detect the presence of anemia. Additional features of the 2005 MDHS include the collection of information on international emigration, language preference for reading printed media, and domestic violence. The 2005 MDHS was carried out by the National Scientific and Applied Center for Preventive Medicine, hereafter called the National Center for Preventive Medicine (NCPM), of the Ministry of Health and Social Protection. ORC Macro provided technical assistance for the MDHS through the USAID-funded MEASURE DHS project. Local costs of the survey were also supported by USAID, with additional funds from the United Nations Children's Fund (UNICEF), the United Nations Population Fund (UNFPA), and in-kind contributions from the NCPM. MAIN RESULTS CHARACTERISTICS OF RESPONDENTS Ethnicity and Religion. Most women and men in Moldova are of Moldovan ethnicity (77 percent and 76 percent, respectively), followed by Ukrainian (8-9 percent of women and men), Russian (6 percent of women and men), and Gagauzan (4-5 percent of women and men). Romanian and Bulgarian ethnicities account for 2 to 3 percent of women and men. The overwhelming majority of Moldovans, about 95 percent, report Orthodox Christianity as their religion. Residence and Age. The majority of respondents, about 58 percent, live in rural areas. For both sexes, there are proportionally more respondents in age groups 15-19 and 45-49 (and also 45-54 for men), whereas the proportion of respondents in age groups 25-44 is relatively lower. This U-shaped age distribution reflects the aging baby boom cohort following World War II (the youngest of the baby boomers are now in their mid-40s), and their children who are now mostly in their teens and 20s. The smaller proportion of men and women in the middle age groups reflects the smaller cohorts following the baby boom generation and those preceding the generation of baby boomers' children. To some degree, it also reflects the disproportionately higher emigration of the working-age population. Education. Women and men in Moldova are universally well educated, with virtually 100 percent having at least some secondary or higher education; 79 percent of women and 83 percent of men have only a secondary or secondary special education, and the remainder pursues a higher education. More women (21 percent) than men (16 percent) pursue higher education. Language Preference. Among women, preferences for language of reading material are about equal for Moldovan (37 percent) and Russian (35 percent) languages. Among men, preference for Russian (39 percent) is higher than for Moldovan (25 percent). A substantial percentage of women and men prefer Moldovan and Russian equally (27 percent of women and 32 percent of men). Living Conditions. Access to electricity is almost universal for households in Moldova. Ninety percent of the population has access to safe drinking water, with 86 percent in rural areas and 96 percent in urban areas. Seventy-seven percent of households in Moldova have adequate means of sanitary disposal, with 91 percent of households in urban areas and only 67 percent in rural areas. Children's Living Arrangements. Compared with other countries in the region, Moldova has the highest proportion of children who do not live with their mother and/or father. Only about two-thirds (69 percent) of children under age 15 live with both parents. Fifteen percent live with just their mother although their father is alive, 5 percent live with just their father although their mother is alive, and 7 percent live with neither parent although they are both alive. Compared with living arrangements of children in 2000, the situation appears to have worsened. FERTILITY Fertility Levels and Trends. The total fertility rate (TFR) in Moldova is 1.7 births. This means that, on average, a woman in Moldova will give birth to 1.7 children by the end of her reproductive period. Overall, fertility rates have declined since independence in 1991. However, data indicate that fertility rates may have increased in recent years. For example, women of childbearing age have given birth to, on average, 1.4 children at the end of their childbearing years. This is slightly less than the total fertility rate (1.7), with the difference indicating that fertility in the past three years is slightly higher than the accumulation of births over the past 30 years. Fertility Differentials. The TFR for rural areas (1.8 births) is higher than that for urban areas (1.5 births). Results show that this urban-rural difference in childbearing rates can be attributed almost exclusively to younger age groups. CONTRACEPTION Knowledge of Contraception. Knowledge of family planning is nearly universal, with 99 percent of all women age 15-49 knowing at least one modern method of family planning. Among all women, the male condom, IUD, pills, and withdrawal are the most widely known methods of family planning, with over 80 percent of all women saying they have heard of these methods. Female sterilization is known by two-thirds of women, while periodic abstinence (rhythm method) is recognized by almost six in ten women. Just over half of women have heard of the lactational amenorrhea method (LAM), while 40-50 percent of all women have heard of injectables, male sterilization, and foam/jelly. The least widely known methods are emergency contraception, diaphragm, and implants. Use of Contraception. Sixty-eight percent of currently married women are using a family planning method to delay or stop childbearing. Most are using a modern method (44 percent of married women), while 24 percent use a traditional method of contraception. The IUD is the most widely used of the modern methods, being used by 25 percent of married women. The next most widely used method is withdrawal, used by 20 percent of married women. Male condoms are used by about 7 percent of women, especially younger women. Five percent of married women have been sterilized and 4 percent each are using the pill and periodic abstinence (rhythm method). The results show that Moldovan women are adopting family planning at lower parities (i.e., when they have fewer children) than in the past. Among younger women (age 20-24), almost half (49 percent) used contraception before having any children, compared with only 12 percent of women age 45-49. MATERNAL HEALTH Antenatal Care and Delivery Care. Among women with a birth in the five years preceding the survey, almost all reported seeing a health professional at least once for antenatal care during their last pregnancy; nine in ten reported 4 or more antenatal care visits. Seven in ten women had their first antenatal care visit in the first trimester. In addition, virtually all births were delivered by a health professional, in a health facility. Results also show that the vast majority of women have timely checkups after delivering; 89 percent of all women received a medical checkup within two days of the birth, and another 6 percent within six weeks. CHILD HEALTH Childhood Mortality. The infant mortality rate for the 5-year period preceding the survey is 13 deaths per 1,000 live births, meaning that about 1 in 76 infants dies before the first birthday. The under-five mortality rate is almost the same with 14 deaths per 1,000 births. The near parity of these rates indicates that most all early childhood deaths take place during the first year of life. Comparison with official estimates of IMRs suggests that this rate has been improving over the past decade. NUTRITION Breastfeeding Practices. Breastfeeding is nearly universal in Moldova: 97 percent of children are breastfed. However the duration of breast-feeding is not long, exclusive breastfeeding is not widely practiced, and bottle-feeding is not uncommon. In terms of the duration of breastfeeding, data show that by age 12-15 months, well over half of children (59 percent) are no longer being breastfed. By age 20-23 months, almost all children have been weaned. Exclusive breastfeeding is not widely practiced and supplementary feeding begins early: 57 percent of breastfed children less than 4 months are exclusively breastfed, and 46 percent under six months are exclusively breastfeed. The remaining breastfed children also consume plain water, water-based liquids or juice, other milk in addition to breast milk, and complimentary foods. Bottle-feeding is fairly widespread in Moldova; almost one-third (29 percent) of infants under 4 months old are fed with a bottle with

In Denmark, the crude birth rate in 1800 was 29.9 live births per thousand people, meaning that approximately three percent of the population had been born in that year. Over the next century, the crude birth rate generally fluctuated between 29 and 33, before dropping consistently in the first few decades of the 1900s. Between 1935 and 1965, the decline stopped, and Denmark's crude birth rate increased from 17.2 in 1935 to 20.9 by 1950, and the decline did not continue until the late 1960s. Between 1965 and 1985, the crude birth rate dropped from 17.3 to 10.4 births per thousand people, which is the lowest recorded number in Denmark's history. It did increase over the next two decades, however it then dropped again in the last decade, and is expected to be 10.7 in 2020.

In China, the crude birth rate in 1930 was just under 39 live births per thousand people, meaning that 3.9 percent of the population had been born in that year. The crude birth rate dropped gradually over the next fifteen years, however it then rose to it's highest recorded figure by 1955. Between 1945 and 1950, the Second World War ended and the Chinese Civil War was finally coming to an end, and during this time the crude birth rate rose to almost 47 births per thousand in individual years. The crude birth rate dropped again in the late 1950s, as Chairman Mao's 'Great Leap Forward' failed to industrialize the nation, and resulted in a famine which killed an estimated 45 million people. The 1960s saw some recovery, where the figures rose from 36.4 to 39.5 births per thousand in this decade, however two-child and one-child policies were introduced in the 1970s and 80s, in an attempt to slow China's rapidly growing population. These measures led to the decline of the birth rate, dropping below fifteen births per thousand at the turn of the millennium. From 2000 until now the decline of China's crude birth rate has slowed, falling by just 2.8 births per thousand over the past twenty years, and it is expected to be just below twelve in 2020.

In 2023, it is estimated that the BRICS countries have a combined population of 3.25 billion people, which is over 40 percent of the world population. The majority of these people live in either China or India, which have a population of more than 1.4 billion people each, while the other three countries have a combined population of just under 420 million. Comparisons Although the BRICS countries are considered the five foremost emerging economies, they are all at various stages of the demographic transition and have different levels of population development. For all of modern history, China has had the world's largest population, but rapidly dropping fertility and birth rates in recent decades mean that its population growth has slowed. In contrast, India's population growth remains much higher, and it is expected to overtake China in the next few years to become the world's most populous country. The fastest growing population in the BRICS bloc, however, is that of South Africa, which is at the earliest stage of demographic development. Russia, is the only BRICS country whose population is currently in decline, and it has been experiencing a consistent natural decline for most of the past three decades. Growing populations = growing opportunities Between 2000 and 2026, the populations of the BRICS countries is expected to grow by 625 million people, and the majority of this will be in India and China. As the economies of these two countries grow, so too do living standards and disposable income; this has resulted in the world's two most populous countries emerging as two of the most profitable markets in the world. China, sometimes called the "world's factory" has seen a rapid growth in its middle class, increased potential of its low-tier market, and its manufacturing sector is now transitioning to the production of more technologically advanced and high-end goods to meet its domestic demand.

Attitude to questions of raising children, education, marriage and family. Judgement on the occupational situation and the relationship between generations.

Topics: 1. Basic questions on marriage and family: meaning of family; ideal number of children and desire for children; reasons against further children; attitude to childless marriage; assessment of significance for development policy of a reduction in birth rate; appropriate measures against decreasing birthrates and assumed reasons for the decrease in births; adequate preparation of young people for marriage and family; basic conditions of a marriage; attitude to divorce; evaluation of measures for family policy.

1. Family life and family interaction: attitude to family; reasons for arguments in one´s family; person to confide in with problems; occupation with the children; researching one´s own family history; magazines and public advice centers as possible advisers for help with life.

2. Dominance or partnership: agreement between the spouses and reasons for differences of opinion; role distribution or dominating person in the marriage; equal rights and duties of the partners; adapting to the spouse; role distribution or dominance in raising children; conversations with partner about problems at work.

3. Education questions: education style and problems with education; possible help with education problems; type of advice centers used; judgement on and attitude to advice centers; attitude to bad school report cards and supervision of school work; desired occupation for the children; attitude to sex education; desired development possibilities for the children; judgement on the generation conflict.

4. Achievement orientation and education: attitude to education and assumed causes for inadequate education; judgement on the school as preparation for employment; desired studies for the children; general moral orientation.

5. Leisure time: leisure desires; reduction in leisure time from household and family; actual and desired activities on Sunday; vacation activities and vacation hindrances; behavior going out; evening activities and significance of television.

6. Relatives, friendship and neighborhood: contacts with friends and acquaintances; neighbors´ willingness to help; place of residence of parents.

7. Occupation and occupation stress: effects of occupation on family life; wish to quit or begin employment; interest in return to work and reasons for the desire for employment; attitude to the job of housewife or role as mother; work orientation.

8. Miscellaneous: self-assessment of social class and class consciousness; attitude to the abortion regulation; sources of political information.

Demography: age; sex; marital status; age and number of children; year of marriage; share of support of household; religious denomination; school education; occupation; employment in the civil service; employment; number of persons with their own income in household; size of household; composition of household; respondent is head of household; characteristics of head of household; self-assessment of social class and class-consciousness; party preference and party inclination; religiousness; membership in clubs, associations and parties; contribution payments; housing situation and residential status; size of residence; desired residence change; possession of durable economic goods; living together with partner; age of spouse.

Also encoded was: form of housing; type of city; living in new construction area; city size; state; identification of interviewer; ZIP (postal) code; district code.