The Demographic Transition and Development in Africa The Unique Case

Generalizations about the lack of demographic change and of progress in meeting the MDGs in sub-Saharan Africa are commonplace, but they are often misleading and belie the socio-cultural change. This book compares Ethiopia with other African countries, de

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Charles Teller · Assefa Hailemariam Editors

The Demographic Transition and Development in Africa The Unique Case of Ethiopia

Foreword by William Butz

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Editors Charles Teller, Ph.D Addis Ababa University Center for Population Studies Social Science Bldg., Sidist Kilo Addis Ababa, Ethiopia and

Assefa Hailemariam, Ph.D Addis Ababa University Center for Population Studies Social Science Bldg., Sidist Kilo Addis Ababa, Ethiopia [email protected]

George Washington University Dept. of Global Health School of Public Health and Health Services 2175 K St. NW, Suite 200 Washington, DC, 20037, USA [email protected]

ISBN 978-90-481-8917-5 e-ISBN 978-90-481-8918-2 DOI 10.1007/978-90-481-8918-2 Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2011920959 © Springer Science+Business Media B.V. 2011 No part of this work may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, microfilming, recording or otherwise, without written permission from the Publisher, with the exception of any material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Cover image: Four different stages of the fertility transition in 24 sub-Saharan Africa countries with at least two comparable demographic and health surveys (DHSs), ca. 1990- ca. 2008. See Chapter 2 for further details and definitions Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

Foreword

Ethiopia is indeed unique. Geographically and culturally diverse, this huge country displays among the best and the worst demographic and development outcomes in Africa. How can it be that all the health, nutrition, and education objectives in the Millennial Development Goals, save one (maternal mortality), appear to be on track (in 2010) for the year 2015 – among the best prospects in Africa – while the percentage of illiterate women and the number of food-insecure persons are the highest on the Continent? In the international setting, little about Ethiopia is average. As a promising setting for research, Ethiopia also stands apart. The demographic transition’s early and latest phases contrast starkly across rural and urban areas, as starkly as anywhere on the globe. The country has become a natural laboratory for studying how persons and families respond to this palpable disequilibrium. Looking beyond research toward policy, Ethiopia could also become a laboratory for realizing the human investment opportunities generated predictably during the demographic transition. Ethiopia’s uniqueness fascinates the authors of this timely book. From the first national census in 1984 through surveys of labor force, migration, health, gender, and development in the last decade, they document trends and highlight disparities in a broad array of outcomes: contraceptive prevalence; fertility trends and differentials; children’s and women’s nutritional sta