On the modernity of traditional contraception: Time and the social context of fertility

Many studies of fertility implicitly equate temporal management, biomedical contraception, and "modernity" on the one hand, and "tradition," the lack of intentional timing, and uncontrolled fertility on the other. This article questions that equation, focusing on the widespread use of periodic abstinence in southern Cameroon. Drawing on field data and the Cameroon Demographic and Health Survey, the article investigates how local concepts of timing shape both contraceptive choice and the evaluation of methods as "modern" or "traditional." Cameroonian women prefer periodic abstinence because they perceive it as "modern," a modernity tied both to the social context in which it is taught and to its unique temporal form. By contrast, Depo-Provera, pills, and the IUD are seen as less-than-modern, because they are less exigent of temporal control. The reliance on a behavioral, rather than technological, contraceptive method parallels the experience of the European fertility transition. Cameroonian women draw on a complex social repertoire in making contraceptive choices; methods are preferred or rejected not only on the basis of their efficacy in averting pregnancy, but also because of their correspondence to models of legitimate social action. Reproductive practices may have social motivations that are unrelated to fertility per se.