Factors Affecting Fertility in North Sumatra

Oct 13, 2025 by wbrum.org 43 views

Introduction

North Sumatra, like other regions in Indonesia, has experienced a decline in fertility rates in recent years. This study aims to analyze the factors that affect the level of fertility, measured by the Total Fertility Rate (TFR), in 25 districts/cities in North Sumatra during the 2004-2008 period. Understanding the factors that influence fertility is crucial for policymakers and stakeholders to develop effective strategies and programs to support family development and improve the welfare of the community.

Factors Affecting Fertility in North Sumatra

Several factors can influence fertility rates, including economic, health, and education factors. The five independent variables analyzed in this study include:

Per Capita Income (GDP per Capita)

Per capita income is an indicator of economic welfare that reflects the ability of the community to meet basic needs, including health and educational needs, which in turn can affect reproductive decisions. A higher GDP per capita can lead to better access to healthcare, education, and family planning services, ultimately resulting in a decline in fertility rates.

Life Expectancy at Birth

Life expectancy at birth is a reflection of the quality of public health. The higher the life expectancy, the greater the chance for women to live longer and have more children. However, as life expectancy increases, women may choose to have fewer children due to improved access to healthcare and education.

Educational Index

The educational index measures the level of education in a region. Higher education is generally associated with better reproductive awareness, leading to a smaller number of children. Education can empower women to make informed decisions about their reproductive health and family planning.

Women's Workforce Participation

Women's workforce participation reflects the role of women in the economic sector. The higher the level of participation, the less time is available for women to get pregnant and give birth to children. This can lead to a decline in fertility rates as women prioritize their careers over family planning.

Contraception Use

The percentage of women aged 15-49 years using contraception is an indicator of the use of contraception, which can directly reduce birth rates. Access to family planning services and education on contraception can significantly impact fertility rates.

Methodology

The data used in this study are secondary data obtained from the Central Statistics Agency (BPS) for the 2004-2008 period. The analysis method used is Pooled Least Squared (PLS) with the help of EViews Software 5.1.

Results

The results showed that simultaneously, all independent variables had a significant effect on TFR in 25 districts/cities in North Sumatra. Partially, the regression results show that GDP per capita, life expectancy at birth, and the educational index have a significant influence on TFR, with a significance level of alpha 1% and 5%.

Implications and Analysis

The results indicate that economic, health, and education factors have an important role in the decline in fertility in North Sumatra. Increased GDP per capita, life expectancy, and education level positively contribute to a decrease in birth rates. This shows that access to economic resources, health services, and better education can encourage families to plan pregnancy and have a smaller number of children.

However, it is essential to note that other factors, such as culture, social norms, and access to reproductive health services, can also affect reproductive decisions. Further research is needed to understand the complex mechanisms and interactions behind the decline in fertility in North Sumatra.

Conclusions and Suggestions

This study provides a better understanding of the factors that influence the decline in fertility in North Sumatra. The results can be the basis for the government and stakeholders in formulating strategies and programs to support family development and improve the welfare of the community.

Suggestions for further research include:

Expanding research by including other independent variables, such as social norms, access to reproductive health services, and cultural factors.
Assessing the influence of independent variables on the level of fertility in various age groups and education levels.
Conducting longitudinal studies to analyze changes in fertility and factors that influence it in the long run.

Limitations and Future Directions

This analysis only shows the relationship between independent variables and fertility rates. Further research is needed to understand more deeply the mechanisms and interactions that are complex behind the decline in fertility in North Sumatra.

Q: What are the main factors that contribute to the decline in fertility rates in North Sumatra?

A: The main factors that contribute to the decline in fertility rates in North Sumatra include economic, health, and education factors. These factors include per capita income, life expectancy at birth, educational index, women's workforce participation, and contraception use.

Q: How does per capita income affect fertility rates?

A: Per capita income is an indicator of economic welfare that reflects the ability of the community to meet basic needs, including health and educational needs, which in turn can affect reproductive decisions. A higher GDP per capita can lead to better access to healthcare, education, and family planning services, ultimately resulting in a decline in fertility rates.

Q: What is the relationship between life expectancy at birth and fertility rates?

A: Life expectancy at birth is a reflection of the quality of public health. The higher the life expectancy, the greater the chance for women to live longer and have more children. However, as life expectancy increases, women may choose to have fewer children due to improved access to healthcare and education.

Q: How does education affect fertility rates?

A: Education can empower women to make informed decisions about their reproductive health and family planning. A higher educational index is generally associated with better reproductive awareness, leading to a smaller number of children.

Q: What is the role of women's workforce participation in fertility rates?

A: Women's workforce participation reflects the role of women in the economic sector. The higher the level of participation, the less time is available for women to get pregnant and give birth to children. This can lead to a decline in fertility rates as women prioritize their careers over family planning.

Q: How does contraception use affect fertility rates?

A: The percentage of women aged 15-49 years using contraception is an indicator of the use of contraception, which can directly reduce birth rates. Access to family planning services and education on contraception can significantly impact fertility rates.

Q: What are the implications of the study's findings for policymakers and stakeholders?

A: The study's findings suggest that economic, health, and education factors have an important role in the decline in fertility in North Sumatra. Policymakers and stakeholders can use this information to develop effective strategies and programs to support family development and improve the welfare of the community.

Q: What are the limitations of the study?

A: The study only shows the relationship between independent variables and fertility rates. Further research is needed to understand more deeply the mechanisms and interactions that are complex behind the decline in fertility in North Sumatra.

Q: What are the suggestions for further research?

A: Suggestions for further research include expanding the study to include other independent variables, such as social norms, access to reproductive health services, and cultural factors. Additionally, assessing the influence of independent variables on the level of fertility in various age groups and education levels, and conducting longitudinal studies to analyze changes in fertility and factors that influence it in the long run.

Q: What are the potential applications of the study's findings?

A: The study's findings can be applied to develop effective strategies and programs to support family development and improve the welfare of the community. This can include improving access to education, healthcare, and family planning services, as well as promoting women's workforce participation and education.

Q: What are the potential benefits of the study's findings?

A: The study's findings can lead to a better understanding of the factors that influence fertility rates in North Sumatra, which can ultimately lead to improved reproductive health and well-being for women and families in the region.