Female Migration, Local Context and Contraception Use in Urban Mozambique

Boaventura M Cau


Although there are studies of the influence of rural-urban migration on contraceptive use in Africa, one question poorly explored is how the urban destination context shapes rural-urban migrants’ use of contraceptives. Using data from the 2003 Mozambique Demographic and Health Survey, we examine the effect of community context in urban areas on recent female migrants’ use of modern contraceptives. We find that recent female migrants, particularly newer migrants, have disadvantages in using modern contraceptives. We also find that the context of migrants’ receiving areas in urban areas shapes migrants’ use of contraceptives. Living in a community with high percentage of women who discussed family planning with others, in a community with high level of female education or in a wealthy community has a positive effect on using modern contraceptives. While residing in a community with major transport problems has a negative effect. The study finds, however, that it is the persisting high level of strong fertility desires which is a major barrier to contraceptive use in urban communities. (Afr J Reprod Health 2016; 20[1]: 52-61).

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UN-Habitat. The State of African Cities 2010: Governance,

Inequality and Urban Land Markets. UN-Habitat, Nairobi. 2010.

Beauchemin, C. Rural-urban migration in West Africa:

towards a reversal? Migration trends and economic situation in Burkina Faso and Côte d’Ivoire. Population, Space and Place 2011; 17:47-72.

Boaventura M. Cau Female Migration and Contraception

African Journal of Reproductive Health March 2016; 20 (1): 61

The Cities Alliance. The Urban Transition in Sub-Saharan

Africa: Implications for Economic Growth and Poverty Reduction. The Cities Alliance, Washington, DC. 2006.

UN-Habitat. The State of African Cities 2014: Re-

imagining Sustainable Urban Transitions. UN-Habitat: Nairobi. 2014

Brockerhoff M. Fertility and family planning in African

cities: the impact of female migration. Journal of Biosocial Science 1995a; 27:347-358.

Zulu EM, Beguy D, Ezeh AC, Bocquier P, Madise NJ et

al. Overview of migration, poverty and health dynamics in Nairobi City’s slum settlements. Journal of Urban Health: Bulletin of the New York Academy of Medicine 2011; 88: s185-s199.

May A, McCabe JT. City work in a time of AIDS: Maasai

labor migration in Tanzania. Africa Today 2004; 51(2): 3-32.

Xu H, Mberu BU, Goldberg RE, Luke N. Dimensions of

rural-to-urban migration and premarital pregnancy in Kenya. Ann Am Acad Pol Soc Sci. 2013; 648(1): 104-119.

Zheng Z, Zhou Y, Zheng L, Yang Y, Zhao D, Lou C, Zhao

S. Sexual behaviour and contraceptive use among unmarried, young women migrant workers in five cities in China. Reproductive Health Matters 2001; 9(17): 118-127.

Jensen ER, Ahlburg DA. Why does migration decrease

fertility? Evidence from the Philippines. Population Studies 2004; 58:219-231.

Lee BS. The influence of rural-urban migration on

migrant’s fertility behavior in Cameroon. International Migration Review 1992; 26(4): 1416-1447.

Brockerhoff M, Yang X. Impact of migration on fertility

in sub-Saharan Africa. Biodemography and Social Biology 1994; 41(1&2): 19-43.

Chattopadhyay A, White MJ, Debpuur C. Migrant fertility

in Ghana: Selection versus adaptation and disruption as causal mechanisms. Population Studies 2006; 60(2): 189-203.

Sijuwade PO. The economic implications of rapid urban

growth in the third world countries. Anthropologist

; 12(2): 79-85.

United Nations. World Urbanization Prospects: the 2009

Revision. United Nations: New York. 2010.

Instituto Nacional de Estatística. III Recenseamento Geral

da População e Habitação 2007: Resultados Definitivos – Moçambique. Instituto Nacional de Estatística: Maputo. 2010.

UN-Habitat. Mozambique: Mozambique Urban Sector

Profile. UN-Habitat: Nairobi. 2007.

UN-Habitat. World urbanization prospects: the 2007

Revision. United Nations: New York. 2008.

Jenkins P. In search of the urban-rural frontline in post-war

Mozambique and Angola. Environment and Urbanization 2003; 15(1):121-134

Ministério da Saúde, Instituto Nacional de Estatística and

ICF International. Moçambique Inquérito Demográfico e de Saúde 2011. ICF International: Calverton. 2013

Ministério da Saúde. Estratégia de Planeamento Familiar

e Contracepção 2011-2015 (2020). Ministério da Saúde: Maputo. 2010.

Andrews GJ, Moon G. Space, place and the evidence base:

Part I – an introduction to health geography. Worldviews on Evidence-Based Nursing 2005; 2:49-107.

Macintyre S, Ellaway A. Neighborhoods and health: an

overview. In: Kawachi I, Berkman LF (eds.), Neighborhoods and Health. Oxford: Oxford University Press, 2003, 20-42.

Bernard P, Charafeddine R, Frohlich KL, Daniel M,

Kestens Y et al. Health inequalities and place: a theoretical conception of neighbourhood. Social Science and Medicine 2007; 65:1839-1852.

Macintyre S, Ellaway A, Cummins S. Place effects on

health: how can we conceptualise, operationalize and measure them? Social Science and Medicine 2002; 55:125-139.

Cummins S, Macintyre S, Davidson S, Ellaway A.

Measuring neighbourhood social and material context: generation and interpretation of ecological data from routine and non-routine sources. Health & Place 2005; 11:249-260.

Moursund A, Kravdal O. Individual and community effects

of women’s education and autonomy on

contraceptive use in India. Population Studies 2003; 57(3):285-301.

DeRose LF, Ezeh AC. Decision-making patterns and

contraceptive use: evidence from Uganda. Popul Res Policy Rev 2010; 29:423-439.

Seiber EE, Bertrand JT. Access as a factor in differential

contraceptive use between Mayans and Ladinos in Guatemala. Health Policy and Planning 2002; 17(2):167-177.

Ezeh AC. Polygyny and reproductive behavior in sub-

Saharan Africa: a contextual analysis. Demography 1997; 34(3):355-368.

Harbour C. Normative influence and desired family size

among young people in rural Egypt. Studies in Family Planning 2011; 42(2):107-116.

Okech TC, Wawire NW, Mburu TK. Contraceptive use

among women of reproductive age in Kenya’s city slums. International Journal of Business and Social Science 2011; 2(1):22-43.

Instituto Nacional de Estatística, Ministério da Saúde and

ORC Macro. Moçambique Inquérito Demográfico e de Saúde 2003. Instituto Nacional de Estatística: Maputo. 2005.

Lee BS, Pol, LG. The influence of rural-urban migration

on migrants’ fertility Korea, Mexico and Cameroon. Population Research and Policy Review 1993; 12(1): 3-26.

Bongaarts J, Casterline J. Fertility transition: is sub-

Saharan Africa different? Population and Development Review 2013; 38 (Suppl.): 153-168.


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