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Reassessing the Insurance Effect: A Qualitative Analysis of Fertility Behavior in Senegal and Zimbabwe

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  • Thomas LeGrand
  • Todd Koppenhaver
  • Nathalie Mondain
  • Sara Randall

Abstract

A number of prominent demographers have recently reiterated the argument that a lasting mortality decline is a key determinant of the fertility transition. Of the main hypothesized pathways linking fertility to mortality, the one least studied is the insurance hypothesis: the notion that, in high‐mortality contexts, people decide to have more children in order to anticipate possible future child deaths and lessen the risks of having too few surviving offspring. In‐depth interviews and focus groups from Zimbabwe and Senegal are used to examine this hypothesis and to extend it into a broader theory of reproductive decision making under uncertainty. Whereas insurance strategies are frequent in Zimbabwe and occur in urban Senegal, in the higher‐mortality settings—the rural Senegalese site and the recent past described by respondents in Zimbabwe and urban Senegal—deliberate fertility‐limitation strategies are rare. The data depict fundamental changes in attitudes, strategies, and behaviors concerning family size over time and, in Senegal, over space. Important reproductive goals and risks extend far beyond numbers of children and mortality. Parents seek to have healthy, successful children for many reasons including companionship, descendants, and old‐age support. Diverse investments in child quality (their education, health, etc.) and quantity (numbers of births) are the main means to attain these goals and, less recognized by demographers, are also important ways for parents to manage uncertainty in family‐building outcomes; the “classic” insurance mechanism is only one, often minor, aspect of the quantity option.

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  • Thomas LeGrand & Todd Koppenhaver & Nathalie Mondain & Sara Randall, 2003. "Reassessing the Insurance Effect: A Qualitative Analysis of Fertility Behavior in Senegal and Zimbabwe," Population and Development Review, The Population Council, Inc., vol. 29(3), pages 375-403, September.
  • Handle: RePEc:bla:popdev:v:29:y:2003:i:3:p:375-403
    DOI: 10.1111/j.1728-4457.2003.00375.x
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    References listed on IDEAS

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    1. Chesnais, Jean-Claude, 1992. "The Demographic Transition: Stages, Patterns, and Economic Implications," OUP Catalogue, Oxford University Press, number 9780198286592.
    2. Duryea, Suzanne & Behrman, Jere R. & Székely, Miguel, 1999. "Decomposing Fertility Differences across World Regions and over Time: Is Improved Health More Important than Women's Schooling?," IDB Publications (Working Papers) 1898, Inter-American Development Bank.
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    1. Mian Hossain & James Phillips & Thomas Legrand, 2007. "The impact of childhood mortality on Fertility in six rural Thanas of Bangladesh," Demography, Springer;Population Association of America (PAA), vol. 44(4), pages 771-784, November.
    2. Walter Rasugu Omariba & Fernando Rajulton & Roderic Beaujot, 2008. "Correlated mortality risks of siblings in Kenya," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 18(11), pages 311-336.
    3. Canning, David & Günther, Isabel & Linnemayr, Sebastian & Bloom, David, 2013. "Fertility choice, mortality expectations, and interdependent preferences—An empirical analysis," European Economic Review, Elsevier, vol. 63(C), pages 273-289.
    4. James Lachaud & Thomas LeGrand & Vissého Adjiwanou & Jean-François Kobiané, 2014. "Family size and intra-family inequalities in education in Ouagadougou," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 31(49), pages 1455-1476.
    5. Jenna Nobles & Elizabeth Frankenberg & Duncan Thomas, 2014. "The Effects of Mortality on Fertility: Population Dynamics after a Natural Disaster," NBER Working Papers 20448, National Bureau of Economic Research, Inc.
    6. Pascaline Dupas & Seema Jayachandran & Adriana Lleras-Muney & Pauline Rossi, 2024. "The Negligible Effect of Free Contraception on Fertility: Experimental Evidence from Burkina Faso," NBER Working Papers 32427, National Bureau of Economic Research, Inc.
    7. John Sandberg, 2005. "The influence of network mortality experience on nonnumeric response concerning expected family size: Evidence from a Nepalese mountain village," Demography, Springer;Population Association of America (PAA), vol. 42(4), pages 737-756, November.
    8. Corey Sparks, 2009. "An application of the variable-r method to subpopulation growth rates in a 19th century agricultural population," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 21(2), pages 23-64.
    9. Boberg-Fazlic, Nina & Ivets, Maryna & Karlsson, Martin & Nilsson, Therese, 2021. "Disease and fertility: Evidence from the 1918–19 influenza pandemic in Sweden," Economics & Human Biology, Elsevier, vol. 43(C).
    10. David E. Bloom & David Canning & Isabel Günther & Sebastian Linnemayr, 2008. "Social Interactions and Fertility in Developing Countries," PGDA Working Papers 3408, Program on the Global Demography of Aging.

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