Demographic Transition Case Study

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I. Demographic Transition

Cameroon, a low-income country with a rapidly increasing population estimated at 21,700,000 million in 2012 [1] is currently experiencing high population growth resulting from continuing high fertility during a period when mortality rates have been declining consistently. In the period 1950-1955, life expectancy for both males and females was 38.5 years [3]. In 2012, over 17.5 years have been added to life expectancy for both sexes, raising it to 56 years [3]. On the other hand, fertility rates have dropped slowly since the last 50 years. In 1965, the total fertility rate (TFR) was 6.08 live births per woman which has since decreased to a rate of 4.9 live births per woman in 2012 [3]. The higher rate of population …show more content…

According to the United Nation Economic Commission for Africa, some factors that can explain the resulting fertility rates are: “early marriages, limited use of contraception; high demand for children due to tradition, religion and high infant mortality; [...] Persistence of customs and ancestral beliefs favoring large families, early marriages, and polygamy; Need for more children to assist in food and …show more content…

There is an enduring unequal distribution of the wealth that is produced by the economic growth as demonstrated by the Gini coefficient of 38.9 in 2013, in addition to the fact that at least 9.56% of the population lives below the poverty threshold of less than $US 1 per day [9]. These inequalities may contribute to alarming health consequences. According to Echuffo-Tchegui and Kengne, the recent years have seen a considerable increase in the burden of chronic non-communicable diseases (NCDs), which “accounted for 43% of all deaths in 2002” [10]. Increasing urbanization is exposing the Cameroonian population to highly processed foods (usually high in fat, salt, and sugar) and increasingly sedentary lifestyles [10]. Currently, 53% individuals live in urban areas [1]. It has been shown that that these socio-economic changes could now lead Cameroon to face “the double burden of infectious and chronic non-communicable diseases (NCDs)” [10]. The burden of infectious diseases is mainly driven by HIV/AIDS, malaria, and lower respiratory infections [11]. In 2012, the prevalence of HIV among Cameroonian adults was 2217 per 100 000 population [1]. The incidence of malaria was 16877 per 100 000 population [1]. Yet at the same time, the country experiences an increase in the burden of NCDs, displaying elements of an

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