Efforts to reduce fertility rates in Sub-Saharan Africa did not begin in earnest until the 1980s.

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This statement is true. While family planning programs had been introduced in Africa as early as the 1960s and 1970s, it was not until the 1980s that efforts to reduce fertility rates became a significant priority for many governments and international organizations in Sub-Saharan Africa. This was partly due to concerns about the region's rapidly growing population and its potential impact on economic development and social welfare.

Efforts to Reduce Fertility Rates in Sub-Saharan Africa Did Not