世界银行-评估见解说明：支持高生育率国家生育率转型的经验教训（英）

Drawing from the Independent Evaluation Group’s rich knowledge repository, Evaluation Insight Notes respond to the need for more rapid and focused evaluative evidence. These notes systematically analyze data from a range of evaluations, validations, and other studies to generate insights in a timely manner around important strategic and operational issues.Lessons for Supporting Fertility Transitions in High-Fertility CountriesJuly 2025Supporting countries in their fertility transitions can entail different entry points, such as improving access to reproductive health services, raising awareness and knowledge of family planning, promoting female education and life skills, expanding women’s economic opportunities, and addressing social and cultural norms. The World Bank’s strategies highlight the critical intersection among reproductive health, gender equality, and human capital formation over the past two decades.Ensuring sociocultural compatibility in interventions is critical for maximizing participation and acceptability, particularly in projects aimed at empowering women or addressing sensitive topics such as contraception and fertility.Top-down planning without meaningful and active engagement with women and girls, and other key actors, such as men, religious and local leaders, community members, can undermine the effectiveness and ownership of projects addressing the drivers of fertility.An integrated approach that combines demand- and supply-side interventions is more likely to improve outcomes across the key drivers of fertility, accelerating a country’s fertility transition.Tailoring project designs to the diverse needs and preferences of women and girls can enhance the uptake of family planning services and women’s economic empowerment.A more gender-focused approach that considers gender (sociocultural) norms and gender power relations is more likely to address the drivers of fertility meaningfully.Integrating gender-sensitive knowledge and analysis into project design is crucial for gender-focused interventions because it helps identify women’s needs and preferences while enabling the development of culturally sensitive solutions.This Evaluation Insight Note synthesizes existing evidence from the Independent Evaluation Group’s evaluation products. The methodological approach involved a rigorous and systematic process to derive lessons through three stages: search and identification of the evidence base, qualitative review and extraction of evidence, and narrative synthesis to distill actionable insights. 3456click on individual headings for immediate access to the related section Public Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure AuthorizedPublic Disclosure Authorized2What Is the Main Issue Covered by This Evaluation Insight Note?This Evaluation Insight Note (EIN) synthesizes existing evidence from evaluations and systematic reviews on effective strategies to support high-fertility transitions, drawing lessons