Impaired fertility is a well-known public health issue in Africa. Central Africa, regions around Lake Victoria and Lake Chad, and various other locations have been characterized by particularly high levels of childlessness and subfertility. However, the data documenting this regional pattern date back to the 1970s and earlier. Current levels of and trends in fertility impairment in Central Africa are not known because nationally representative demographic data are not available for the 1980s or 1990s.