Policymaker and stakeholder perspectives on determinants of fertility decisions through changing environmental and economic conditions in Greenland

This study explored linkages between natural resources and determinants of fertility decisions in Greenland. Interviews were conducted with 26 policymakers and key stakeholders in two communities about climate adaptation, hunting and fishing, economic development, and fertility and reproductive health. Participants link fertility outcomes to disparate community socioeconomic circumstances that affect individual access to education and financial mobility. Workforce and education challenges in Greenland limit ability to expand culturally grounded reproductive healthcare. Coordinating healthcare, education, and housing policy may improve material resources to support fertility decisions in Greenland. We contextualize drivers of fertility decisions within Greenland's climate adaptation policy options.