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[HIV: 590,000 children newly infected worldwide in 1997] HIV: 1997 weltweit 590 000 Kinder neu infiziert.
DEUTSCHE MEDIZINISCHE WOCHENSCHRIFT.. 1998 Jan 2; 123(1-2):A12.In 1997 there were 590,000 children infected with HIV--most of them in Africa and Asia. according to UNAIDS estimates. In Germany, since the beginning of the epidemic, 50,000-60,000 persons have been infected with HIV, of whom 500 are children under 13 years of age. About 120 children have full-blown AIDS and the number of HIV-infected children is increasing. Throughout Europe there are 530,000 people infected with HIV. In some countries the situation has stabilized; however, in Portugal and Greece the number of infected people has been rising sharply. In Central and Eastern Europe the HIV epidemic is still in its infancy; therefore, the number of AIDS cases is low. On the other hand, the epidemic is spreading worldwide. In 1997 it was estimated that there were 5.8 million new infections and 2.3 million deaths caused by AIDS. More than 30 million people live with HIV worldwide; of these, 1.1 million are children under 15 years of age (90% in the developing world). More than 40% of the 14,000 adults who get newly infected each day are women. The probability that the child of an HIV-infected woman will be infected with HIV is over one-third in the developing world, whereas it is under 5% if optimal therapy has been obtained.
[WHO Special Programme of Research, Development and Research Training in Human Reproduction (HRP). A summary] WHO Special Programme of Research, Development and Research Training in Human Reproduction (HRP). Eine zusammenfassende Darstellung.
GEBURTSHILFE UND FRAUENHEILKUNDE. 1991 Jan; 51(1):9-14.The WHO's Special Program of Research, Development, and Research Training in Human Reproduction (HRP) has been involved in a global research and development program since 1972 in the are of human reproduction with special regard to the needs of developing countries. HRP set up a worldwide network of cooperating institutes and organized task forces for carrying out priority research objectives/assignments. The goals of HRP include reducing population growth in developing countries by improving health care and by increasing the availability of contraceptives. HRP training and research activities have encompassed workshops, seminars, and training courses. Research and development have been concerned with contraceptive prevalence and use; risks of contraceptives (carcinogenicity, cardiovascular effects, and subdermal implants' side effects); the development of new and safe methods (1-2 month depot preparations; and the levonorgestrel-releasing vaginal ring); and efficacy of contraceptive methods (lactation for birth spacing and natural family planning). A multicentric study in 25 countries has examined infertility caused by infections and sexually transmitted diseases. The extension of research capacity in developing countries was enabled by long-term institutional development grants, capital grants, labor cost financing, training of scientists, and improvement of management. The social and individual determinants of family planning aims at increasing contraceptive prevalence from 11% in Africa, 24% in Southeast Asia, and 43% in Latin America to the level of industrial countries 68%. The structure and management, goal setting and priorities, international cooperation, and finances of HRP are further detailed.
[The controversies over population growth and economic development] Die Kontroversen um Bevolkerungswachstum und wirtschaftliche Entwicklung.
In: Probleme und Chancen demographischer Entwicklung in der dritten Welt, edited by Gunter Steinmann, Klaus F. Zimmermann, and Gerhard Heilig. New York, New York/Berlin, Germany, Federal Republic of, Springer-Verlag, 1988. 19-35.This paper presents a broad review of the major theoretical and political viewpoints concerning population growth and economic development. The western nations represent one side of the controversy; based on their experience with population growth in their former colonies, the western countries attempted to accelerate development by means of population control. The underlying economic reason for this approach is that excess births interfere with public and private savings and thus reduce the amount of capital available for development investment. A parallel assumption on the social side is that families had more children than they actually desired and that it was only proper to furnish families with contraceptives in order to control unwanted pregnancies. The competing point of view maintains that forcing the pace of development would unleash productive forces and stimulate better distribution of wealth by increasing social pressures on governments. The author traces the interaction between these two viewpoints and shows how the Treaty of Bucharest in 1974 marked a compromise between the two population policies and formed the basis for the activities of the population agencies of UN. The author then considers the question of whether European development can serve as a model for the present day 3rd World. The large differences between the sizes of age cohorts and the pressure that these differences exert upon internal population movements and the availability of food and housing is more important than the raw numbers alone.
[Population policy and family planning in the third world] Bevolkerungspolitik und Familienplanung in der Dritten Welt.
In: Probleme und Chancen demographischer Entwicklung in der dritten Welt, edited by Gunter Steinmann, Klaus F. Zimmermann, and Gerhard Heilig. New York, New York/Berlin, Germany, Federal Republic of, Springer-Verlag, 1988. 274-95.Beginning with the observation that the idea of the 3rd World is an artificial creation of western development economists, the author analyses the effects of family policy goals and processes toward the improvement of welfare and opportunities for children and mothers in African, Asian and South American countries and particularly the effects of programs aimed at decreasing fertility. He points out that two opposing points of view have dominated the development of family planning policies: "Development is the best pill" implies that when a country has become economically developed to European standards that fertility will decrease of its own accord; the opposing view: "No development without a pill" holds that economic development and modernization cannot take place without prior control of the rate of population growth. The author reviews UN General Assembly resolutions concerning the fundamental human right to development and sketches the background of UN actions based on that assertion. The author then traces the historical roots of community-based family planning from early times to more recent times, marked by national drives to limit the number of conceptions. He presents statistics on government policies regarding family planning, the populations affected by those policies and the demographic situations under which these policies operate. He itemizes the ethical issues involved in government and organizational activities in family planning and includes many examples of government activities in developing countries in which these principles have been involved.
[Population growth, development work, and family planning (the church's experience in the third world)] Bevolkerungswachstum, Entwicklungsarbeit und Familienplanung (kirchliche Erfahrung in der Dritten Welt).
In: Probleme und Chancen demographischer Entwicklung in der dritten Welt, edited by Gunter Steinmann, Klaus F. Zimmermann, and Gerhard Heilig. New York, New York/Berlin, Germany, Federal Republic of, Springer-Verlag, 1988. 308-15.This paper approaches the problem of population growth, development and family planning from the point of view of Christian church activities in the 3rd World. It is an oversimplification of the situation to believe that development policy in a country can be guided only by population considerations. The challenge of population growth must be seen in the context of many barriers to development in the 3rd World which are closely associated with population trends. Thus, birth control measures will succeed only when they are part of a unified multi-sector development aid that is integrated into the life of the country taking into consideration cultural and ecological factors. The author traces the evolution of viewpoints among development specialists since the Bucharest conference of 1974 in which contraception was no longer accepted as the basic principle in development aid, unless it is integrated into a complete system of satisfying the basic needs of a population. The target group for this strategy is primarily the family, representing as it does the smallest unit of human society in village and urban communities. The author lists and discusses a number of general criteria for acceptability of methods of contraception. Development leaders trained in the western churches can accept methods of natural family planning (NFP) such as rhythm methods but in many societies local cultures unquestionably accept richness in children as a blessing. The use of NFP requires the acceptance of a new life style by both husband and wife.