Duminy James, Cleland John, Harpham Trudy, Montgomery Mark R, Parnell Susan, Speizer Ilene S
School of Geographical Sciences, University of Bristol, Bristol, United Kingdom.
African Centre for Cities, University of Cape Town, Cape Town, South Africa.
Front Glob Womens Health. 2021 Oct 25;2:749636. doi: 10.3389/fgwh.2021.749636. eCollection 2021.
Health agendas for low- and middle-income countries (LMICs) should embrace and afford greater priority to urban family planning to help achieve a number of the global Sustainable Development Goals. The urgency of doing so is heightened by emerging evidence of urban fertility stalls and reversals in some sub-Saharan African contexts as well as the significance of natural increase over migration in driving rapid urban growth. Moreover, there is new evidence from evaluations of large programmatic interventions focused on urban family planning that suggest ways to inform future programmes and policies that are adapted to local contexts. We present the key dimensions and challenges of urban growth in LMICs, offer a critical scoping review of recent research findings on urban family planning and fertility dynamics, and highlight priorities for future research.
低收入和中等收入国家(LMICs)的卫生议程应接纳并更加重视城市计划生育,以助力实现多项全球可持续发展目标。撒哈拉以南非洲部分地区出现的城市生育率停滞和逆转迹象,以及自然增长在推动城市快速发展方面超过人口迁移的重要性,都凸显了这样做的紧迫性。此外,对侧重于城市计划生育的大型项目干预措施的评估有新证据,这些证据为未来因地制宜的项目和政策提供了参考思路。我们阐述了低收入和中等收入国家城市增长的关键层面和挑战,对近期关于城市计划生育和生育动态的研究结果进行了批判性的范围综述,并突出了未来研究的重点。