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Global Health Economics and
            Sustainability
                                                                         Fertility models using Nepalese and Malaysian data


            curve of ASFR. Education and economic development   2.1.1. Stochastic models
            substantially contribute to delayed fertility. High education   This section presents stochastic models used to analyze
            levels, particularly for women, enhance the awareness   fertility parents, which account for random variations in
            of reproductive health and expand career opportunities,   fertility outcomes as they have evolved in the literature.
            typically resulting in postponed marriage and childbearing.   The Hadwiger function, initially proposed by Hadwiger
            Economic development complements this trend by     (1940), is expressed as follows:
            increasing employment opportunities for women and
            raising the cost of living, motivating couples to delay starting   
   3 2       x

            a family until they achieve financial stability. These factors   fx       exp   2     2  ,
            are closely associated with low fertility rates and small       x         x
            family sizes. To model such fertility patterns, we propose   for (x ≥ 0), (α, β,γ > 0).        (2)
            a log-logistic (LLog) distribution that features a unimodal
            density function with a heavy right tail and a hazard   In this model, x represents a mother’s age at the time
            function  rapidly  increasing  before  gradually  decreasing,   of childbirth, and  α,  β, and  γ denote three parameters
            resulting in a right-skewed curve. Further, the proposed   associated with the model. The first parameter, α, relates
            LLog distribution and its generalized forms are employed   to total fertility, providing the gross reproduction rate. The
            to fit the ASFRs of women in Nepal and Malaysia. The   second parameter,  β, measures the height of the model,
            Kumaraswamy LLog (KuLLog) distribution is identified as   and γ is associated with the average age of fertility lifespan
            the best fit for the ASFR data of both countries.  of women. The relation αγ/β corresponds to the maximum
                                                               ASFR. The model has been demonstrated to be particularly
            2. Mathematical formulation of ASFRs               useful for bimodal ASFR distributions.

            Herein, we explore the development of various graduation   Gilje  (1969)  extended  the  Hadwiger  function  by
            models designed to fit and smooth ASFRs, as documented   introducing a fourth parameter, δ, to the existing model
            in the literature by demographers. The mathematical   expressed in Equation 2. This modification incorporates
            formulation of the fertility model proposed by Hoem   the threshold for the mother’s age at childbirth, which is
            et al. (1981) to fit ASFRs in a probabilistic framework is   expressed as follows:
            as follows:
                                                                               3
            h(x;R, θ ,…θ ) = α t(x;R, θ ,…θ )           (1)          
      2       x
                  2   r         2   r                           fx          exp   2       2  ,

              where t(x;R, θ ,…θ ) is a density function on the real       x           x
                              r
                          2
                                                 th
            line R with (r − 1) parameters, α denotes the r  parameter
            representing the total fertility rate (TFR). Various PDFs   for x ≥ δ                          (3)
            and additional functional forms have been established   As an alternative to the Hadwiger function, Murphy &
            based on the relation expressed in Equation 1. We aim   Nagnur (1972) employed the four-parameter Gompertz
            to trace fertility model evolution and identify a right-  model to fit Canada’s ASFRs. The model is defined as
            skewed distribution that accurately characterizes ASFRs,   follows:
            particularly in populations where such probabilistic   f(x) = cα β(X–X )                       (4)
            approaches can yield valuable insights, for example, for     0
            Nepalese and Malaysian women.                        where α, β and c are parameters, with X representing
                                                                                                   0
                                                               the new origin that has been shifted.
            2.1. Parametric models
                                                                 Similarly, Brass (1974) proposed a linear model to
            Parametric models are widely employed to fit ASFRs   transform the fertility schedule, which is expressed as
            due to their ability to describe complex fertility patterns   follows:
            using predefined functional forms. These models rely on
            a specific mathematical function, which is determined   Q  = α+βQ *                            (5)
                                                                x
                                                                       x
            by a fixed number of parameters. By estimating these   Where Q = −ln(ln f(x)) and Q * = −ln(ln f*(x)). Here,

                                                                         x
                                                                                          x
            parameters using the data, parametric models can provide   f(x) represents the observed ASFR, and  f*(x) denotes
            structured and interpretable representations of fertility   the theoretical standard fertility rate. The ordinary least-
            dynamics. These models facilitate detailed analyses   squares  (OLS)  method  was  employed  to  estimate  the
            and comparisons of fertility patterns across different   model’s associated constants. However, Beer (2011)
            populations by providing robustness and clarity when   highlighted  that  interpreting  these  constants  regarding
            interpreting demographic patterns.                 fertility dynamics poses challenges.

            Volume 3 Issue 1 (2025)                        224                       https://doi.org/10.36922/ghes.4219
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