Pregnancies and contraceptive use in four African countries during the COVID-19 pandemic

The COVID-19 pandemic and the public health measures adopted in response to it have triggered plenty of speculation about the potential impact on fertility in different regions of the globe. This study provides evidence on the fertility response in four sub-Saharan African countries during the first year of the pandemic. Using harmonized data on women of childbearing age from the Performance Monitoring for Action (PMA) data series, this study compares pregnancy rates at the turn of the year 2020/21 to a pre-pandemic baseline. There is no indication of a general increase in pregnancy rates after the beginning of the pandemic. In some of the sample countries, pregnancy rates during this phase of the COVID-19 pandemic instead fell significantly among the youngest and the least educated women of childbearing age, respectively. The findings also indicate that over this period, rates of modern contraceptive usage rose significantly among the surveyed female populations in several sample countries.