Culture and fertility in the Nepal Himalayas: a test of a hypothesis.
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A survey of 232 households of the Mosuo minority group in Yunnan Province, People's Republic of China, suggested that polyandrous matriarchy did not raise the birth rate per household, but lowered the community birth rate by restricting many women's chances of marrying. The results imply that tolerance by the national government of polyandry within certain minority groups (e.g. Mosuos and Tibetans) will not prevent but may aid the attainment of zero population growth by China in the twenty-first century.
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"This paper examines the relationship between fertility and nuptiality in Kenya using data from the Kenya Fertility Survey 1977/78. The results show that completed fertility (the cumulative fertility at the end of the reproductive period 15-49) decreases with the rise in age at first marriage. Type of union is also found to affect marital stability, frequency of marriage and consequently completed fertility. Regardless of type of union, women whose first union is still continuing have higher fertility than those women whose first union was dissolved and who married once or several times after. Highest fertility is experienced by women married only once and...in monogamous unions. The results also show that polygamously married older women among the rural populations experience higher fertility than their counterparts in the urban areas regardless of age." (SUMMARY IN AFR)
In order to provide effective and sympathetic health care in a community, it is essential to have a detailed understanding of the culture. This is particularly true when one is concerned with the health of mothers and their children. The Pokot people of Kenya have developed a social structure and cultural practices which aim to optimize the chance of survival of the community in an often difficult and hostile environment. When examined in detail, some of these practices are seen to be beneficial, while others are associated with significant morbidity and mortality, especially in the area of mother and child health. In recent times, Pokot society has been in a phase of transition, influenced by new opportunities of educational, economic and social interaction, particularly since the completion of a tarmac road through the district in 1983. While many of these changes are undoubtedly beneficial to the community, they have been associated with a disintegration of traditional Pokot society and accompanied by changing patterns of existing diseases, as well as the opportunity for introduction and dissemination of diseases which were previously absent from or rarely encountered in the area.
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