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Mohammad Jalal Abbasi-Shavazi HA ob sb sa es Peter McDonald ini- i-CSh ha Meimanat Hosseini-Chavoshi avva oshzi · M i c D o n a l d 1 The Fertility Transition in Iran Revolution and Reproduction t i o n i n I r a n AB 3 The Fertility Transition in Iran: Revolution and Reproduction Mohammad Jalal Abbasi-Shavazi Peter McDonald Meimanat Hosseini-Chavoshi ● The Fertility Transition in Iran: Revolution and Reproduction Mohammad Jalal Abbasi-Shavazi Peter McDonald Department of Demography Australian Demographic Faculty of Social Sciences and Social Research Institute (ADSRI) University of Tehran Australian National University Tehran Iran Canberra [email protected] Australia [email protected] Meimanat Hosseini-Chavoshi Department of Family Health & Population Ministry of Health and Medical Education Hafez Avenue Tehran Iran [email protected] ISBN 978-90-481-3197-6 e-ISBN 978-90-481-3198-3 DOI 10.1007/978-90-481-3198-3 Springer Dordrecht Heidelberg London New York Library of Congress Control Number: 2009930526 © Springer Science+Business Media B.V. 2009 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. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) Preface Confounding all conventional wisdom, the fertility rate in the Islamic Republic of Iran fell from 7 births per woman in 1979 to 1.9 births per woman in 2006. That this, the largest and fastest fall in fertility ever recorded, should have occurred in one of the world’s few Islamic Republics demands explanation. This is the purpose of this book. Conventional wisdom has been that falls in fertility in developing countries are gained slowly and only in open societies, particularly those open to the western notion that rapid population growth is an obstacle to economic development. The ‘western package’ of development, promoted by organizations such as the World Bank and the International Monetary Fund, combines economic reforms including abolition of tariffs, removal of currency controls, private foreign investment, trans- fer of technology and human capital enhancement with aggressive, government- sponsored family planning programs. Japan provided the first apparent evidence of the appropriateness of this development model and it was followed by other Asian success stories such as South Korea, Singapore, Thailand, and Indonesia. The Islamic Revolution ensured that this ‘western package’ was not implemented in Iran yet fertility has fallen just as fast if not faster than in those countries where the package was applied. In this book, we address how this occurred. Various questions have been raised regarding the Iranian fertility transition. What are the reasons for the fall of fertility in Iran? What are the processes through which fertility has fallen? What is the relative importance of social, e conomic and cultural influences and what has been the role of the family plan- ning program? What are the reasons for the similarity of fertility trends across provinces and in both urban and rural areas? What is the future of fertility in Iran? Will it continue to decline or will it rise again in the future? All these questions are addressed in this book. We use various datasets including the 1986, 1996 and 2006 Censuses and the 2000 Iran Demographic and Health Survey (IDHS) to examine fertility trends over the last three decades. However, the main findings in the book are drawn from the 2002 Iran Fertility Transition Survey (IFTS) and the 2005 Iran Low Fertility Survey (ILFS) which were specifically designed and implemented to examine socio- economic and cultural determinants of fertility and the dynamics of contraception in Iran. v vi Preface The book is divided into ten chapters. The first chapter presents the theoretical framework for analysing fertility decline in Iran. The second chapter discusses pre- and post-revolutionary population policies in Iran, and sets out the context within which the fertility decline has occurred. Chapter 3 presents the broad evidence of fertility trends and patterns in Iran up to 2006. Chapter 4 provides a more detailed analysis of fertility trends using parity progression ratios. Chapter 5 deals with marriage change as one of the main proximate determinates of fertility, and exam- ines the extent to which transformation of marriage has contributed to the fertility decline in Iran. Chapter 6 focuses on the trends, levels and patterns of contraceptive use across time, while Chapter 7 uses the unique dataset from the ILFS on the full history of women’s contraceptive use, and provides important insights into the changing contraceptive behaviour of successive generations of Iranian married women. This chapter provides a parallel to Chapter 4 that examines the birth histo- ries of women across their lifetimes. Chapter 8 provides a cohort perspective on changes in attitudes related to family and fertility behaviour. The chapter discusses to what extent transformation of attitudes toward family and fertility paved the way for the later success of the family planning program and the phenomenal fertility decline in Iran in recent decades. One of the main features of social change in post- revolutionary Iran is the improvement of women’s status within an Iranian–Islamic context. Addressing questions arising from the theories of gender equity and women’s autonomy, Chapter 9 discusses how and to what extent the improvement of the status of women in Iran has been linked with contraceptive use and fertility decline. The final chapter reviews the applicability to the Iranian case of the various theories that have been developed to explain the fertility transition, and presents our expectations for the future of fertility in Iran. This is a comprehensive book and is based on a decade of research collabora- tions by the authors. It applies theories and hypotheses of fertility decline in explaining the sharpest fall of fertility ever recorded. The book is also rich in data as well as the application of different demographic methods to interpret the data. It offers guidelines for the future of fertility in Iran. We recommend the book to not only demographers and social scientists (sociologists, anthropologists and econo- mists), but also to those who are interested in social and demographic changes in Iran and other Islamic countries in the Middle East. It is also a useful reference for demography students and researchers who are interested in applying fertility theo- ries in designing surveys and analysing data. Finally, the book would be of interest to policy makers who are interested in the past and future of demographic transition in Iran. Tehran and Canberra Mohammad Jalal Abbasi-Shavazi May 2009 Peter McDonald Meimanat Hosseini-Chavoshi Acknowledgements This book is a product of a fruitful collaboration by the authors for a decade. We are indebted to many institutions, universities, and individuals whose contribution, support and comments have been instrumental for the completion of this book. The Department of Demography of the Faculty of Social Sciences along with Division of Population Research of the Institute for Social Studies and Research of the University of Tehran and the Demography and Sociology Program (now the Australian Demographic and Social Research Institute – ADSRI) of the Australian National University have been the main institutions where the collaborations between the three authors have taken place. The authors met frequently in Tehran and Canberra and benefited from the stimulating and scientific environment at the two universities. We would have not been able to complete the manuscript of this book without the generous institutional support of the two universities. We owe special thanks to our colleagues and graduate students at the Department of Demography of the University of Tehran and the Australian Demographic and Social Research Institute at the Australian National University for their support over the years. This book is based on the findings of three Wellcome Trust (WT) funded projects which have been implemented since 1998. The first one was a 2 year Postdoctoral Fellowship to the first author during 1998–2000. In this project, fertil- ity trends and patterns in Iran during 1972 and 1996 were analyzed. Several ques- tions arose from this study which led to two further WT funded projects awarded to McDonald and Abbasi-Shavazi. The Iran Fertility Transition Survey (IFTS) was conducted in four provinces of Gilan, West Azarbaijan, Sistan and Baluchistan, and Yazd during 2002–2004. This was followed by another project entitled the Iran Low Fertility Survey (ILFS) which was conducted in the provinces of Yazd, Gilan, Isfahan and the city of Tehran during 2004–2007. We would like to acknowledge the generous support of the Welcome Trust that enabled us to successfully imple- ment the three projects. W e owe many thanks to those who made contributions to the implementation of the IFTS and ILFS surveys. We appreciate the support of Dr Bahram Delavar, the former Director General of the Family Health and Population Department and his colleagues who made the completion of the projects possible. We are also indebted to the Iran Ministry of Health and Medical Education for providing a scholarship vii viii Acknowledgements to Dr Meimanat Hosseini-Chavoshi, the third author, to complete her Ph.D. in Demography at the ANU. Through this collaboration, Dr Hosseini made a substantial and valuable contribution in the implementation, data collection and analysis of these two projects. Her Ph.D. thesis was based on the findings of these two surveys and three chapters of this book are drawn from her work. We would like to thank the Medical Sciences Universities of Yazd, Rasht, Zahedan, Isfahan, Tehran, Iran, Shahid Beheshti, and Oroumiyeh for their support and involvement in the accom- plishment of our two surveys. Our appreciations go to our provincial coordinators, Dr/s Mohammad Abbasi, Foroozandeh Kalantari, Siamak Aghlmand, Ghadirollah Najafizadeh, Soosan Mahmoudi, Sheerin Nasirzad, Shahla Ghanbari and Pejman Aghdak, and also to our interviewers and supervisors whose efforts were valuable in data collection for these projects. The Statistical Center of Iran (SCI) also provided the necessary data from the 1986, 1996, and 2006 censuses. Assistance from Ali Reza Zahedian, Taha Nourollahi, and Neamat Mirfallah Nassiri from the SCI are gratefully acknowledged. We are also indebted to many colleagues for their valuables comments and ques- tions throughout our projects. The list is long but we would like to name Terence H. Hull, Gigi Santow, Ann Evans, Mohammad Mirzaie, Diana Glazebrook, John C. Caldwell, Arland Thornton, John Casterline, Amir Houshang Mehryar, Zhongwei Zhao, Chris Wilson, Geoffrey McNicoll, Albert Hermalin and the late Ronald Freedman. Gavin Jones and S. Philip Morgan have not only provided useful com- ments on our earlier papers and research findings, but also thoroughly reviewed the manuscript of this book and provided valuable suggestions for the final version of the book. Several papers have been published based on our surveys as ANU Demography Working Papers, journal articles, book chapters and conference pre- sentations. Several workshops also were held in Tehran to disseminate the results of our surveys. We have benefitted from valuable comments received from partici- pants and anonymous reviewers for each of these publications and presentations. Many people provided administrative and institutional support for the implemen- tation of the projects and dissemination of the findings of our surveys of whom we would like to acknowledge the support from Taghi Azadarmaki, Hossein Mahmoudian, Gholamreza Jamshidiha, and Mohammad Abdelahad. Assistance and support from Evelien Bakker and Bernadette Deelen at Springer are greatly appreci- ated. Their patience and support contributed greatly to the quality of the book as with the extension of their deadline we were able to add more chapters and new findings into the book. Finally, we would like to appreciate our families for their continuing support over the last several years enabling us to complete this book. Contents 1 The Fall in Iranian Fertility: Theoretical Considerations ..................... 1 Before and After the Islamic Revolution .................................................... 1 The Watershed in 1986 ............................................................................... 4 Acceptance of the Reality of Fertility Decline ........................................... 4 Theoretical Considerations ......................................................................... 5 Demographic Transition Theory: Modernisation, Industrialisation, Urbanisation ................................................................................................ 5 Improvements in Child Survival ............................................................. 6 Demand Theory .......................................................................................... 6 Economic Expectations and Economic Realities .................................... 7 Status Enhancement ................................................................................ 8 Culture, Religion and the State: the Institutional Perspective .................... 8 Gender Equity Theory ............................................................................. 9 Diffusion of New Values, Rational Thought, Westernisation, Ideation .. 10 The Tempo and Quantum of Childbearing ................................................. 11 Discussion ................................................................................................... 12 Appendix 1.1: Data Sources ....................................................................... 12 The 2000 Iran Demographic and Health Survey .................................... 13 The 2002 Iran Fertility Transition Survey .............................................. 13 The 2005 Iran Low Fertility Survey ........................................................ 13 References ................................................................................................... 14 2 The Social, Economic and Cultural Contexts of Population Policy Changes in Iran .......................................................... 17 Introduction ................................................................................................. 17 A Brief History of Population Dynamics .................................................... 17 Socio-political Changes in Iran During the Twentieth Century .................. 20 The Pahlavi Regime ................................................................................ 20 The 1979 Islamic Revolution .................................................................. 22 The Shah’s Family Planning Program ........................................................ 23 Suspension of the Family Planning Program .............................................. 24 The Emergence of Post-revolutionary Antinatalist Policy .......................... 25 The Impacts of the Post-revolutionary Family Planning Program .............. 28 ix x Contents The Context of the Family Planning Program ............................................ 29 Expansion of the Health Network System .............................................. 29 Rural Development ................................................................................. 31 The Status of Women in Post-revolutionary Iran .................................... 35 Administrative Divisions in Iran: Provinces (Ostans)................................. 37 Conclusion and Discussion ......................................................................... 38 References ................................................................................................... 40 3 National and Provincial Level Fertility Trends in Iran, 1972–2006 ..................................................................................... 43 Introduction ................................................................................................. 43 Data and Method ......................................................................................... 43 Fertility Levels, Trends and Age Specifi c Patterns: A Detailed Description ............................................................................... 46 National Trends: Total Fertility Rates: 1972–2006 ................................. 47 National Trends: Age-Specifi c Fertility Rates, 1972–2006 .................... 51 Total Fertility Rates for Rural and Urban Areas, 1972–2006 ................. 54 Age Patterns of Fertility for Rural and Urban Areas .............................. 54 Provincial Fertility Trends ...................................................................... 56 Fertility Differentials by Province: Age Specifi c Fertility Rates, 1972–2006 ...................................................................... 59 Attainment of Below-Replacement Fertility ............................................... 61 Summary of Fertility Trends ....................................................................... 61 References ................................................................................................... 62 4 Fertility Dynamics Using Parity Progression Ratios ............................. 67 Introduction ................................................................................................. 67 The Progression to First Marriage .............................................................. 67 Progression to the First Birth (from Marriage) ........................................... 68 Progression to the Second Birth .................................................................. 71 Progression to the Third Birth ..................................................................... 72 Progression to the Fourth and Higher Order Births .................................... 74 Synthetic Lifetime Parity Distributions and Average Parities .................... 76 Decomposition of Fertility .......................................................................... 78 Discussion ................................................................................................... 80 References ................................................................................................... 80 5 Effects of Marital Fertility and Nuptiality on Fertility Transition in Iran, 1976–2006 .................................................................. 83 Introduction ................................................................................................. 83 Changes in Age at First Marriage ............................................................... 84 Decomposition of Change in the Total Fertility Rate ................................. 86 1976–1986............................................................................................... 88 1986–1996............................................................................................... 88 1996–2006 ............................................................................................... 88 Provincial Differences ............................................................................. 89

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