Why Is Kenya's Fertility Rate Still High? HIV Epidemic May Be a Factor by ProQuest

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[...] the epidemic may help keep fertility rates high because couples might choose to have extra children (to replace those who have died of AIDS or as insurance against losing future children). [...] both infected women and those who do not know their HIV status- which in Kenya includes most women- may refrain from breast-feeding to avoid transmitting the virus to their infants, and thus may be at increased risk for pregnancy because they do not benefit from breast-feeding's contraceptive effects.

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