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  1. 1

    Population issues in the 21st century: The role of the World Bank.

    Lakshminarayanan R; May JF; Bos E; Hasan R; Suzuki E

    Washington, D.C., World Bank, Human Development Network, 2007 Apr. [78] p. (HNP Discussion Paper)

    The objective of this paper is to discuss some obstacles and opportunities presented by population processes in order to prioritize areas for investment and analytical work as background information for the 2007 HNP Sector Strategy. Within HNP, two areas fall within population: (1) reproductive, maternal, and sexual health issues, and the health services that address them; and (2) levels and trends in births, deaths, and migration that determine population growth and age structure. Many of the aspects of delivery of sexual and reproductive health services are addressed in the overall sector strategy. This paper, therefore, focuses on the determinants and consequences of demographic change, and on policies and interventions that pertain to fertility and family planning. Fertility has declined in most of the low- and middle-income countries, with TFRs converging toward replacement level, except in 35 countries, mainly in Sub-Saharan Africa, where a broad-based decline in fertility has not occurred. As the priorities of donors and development agencies have shifted toward other issues, and global funds and initiatives have largely bypassed funding of family planning, less attention is being focused on the consequences of high fertility. Reproductive health is conspicuously absent from the MDGs, and assistance to countries to meet the demand for family planning and related services is insufficient. The need for Bank engagement in population issues pertains to economic growth and poverty reduction, as well as inequities in terms of the impact of high fertility on the poor and other vulnerable groups. Evidence indicates that large family size reduces household spending per child, possibly with adverse effects on girls, and the health of mothers and children are affected by parity and birth intervals. Equity considerations remain central to the Bank's work as poor people are less likely to have access to family planning and other reproductive health services. Other vulnerable groups that are less likely to be served by reproductive health services include adolescents and rural populations. Additionally, improved education for girls, equal opportunities for women in society, and a reduction of the proportion of households living below the poverty line are necessary elements of a strategy to achieve sustainable reductions in fertility. The Bank has a comparative advantage to address these issues at the highest levels of country policy setting, and its involvement in many sectors can produce synergies that will allow faster progress than a more narrow focus on family planning services. (author's)
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  2. 2

    [Population and development in the Republic of Zaire: policies and programs] Population et developpement en Republique du Zaire: politiques et programmes.

    Zaire. Departement du Plan. Direction des Etudes Macroeconomiques

    [Unpublished] 1986. Presented at the All-Africa Parliamentary Conference on Population and Development, Harare, Zimbabwe, May 12-16, 1986. 9 p.

    The 1st census of Zaire, in July 1984, indicated that the population of 30 million was growing at a rate of at least 2.3%/year. The crude birth rate was estimated at 46/1000 and was believed to be higher in urban areas than in rural because of better health and educational conditions. The crude death rate was estimated at 16/1000 and the infant mortality rate at 106/1000. 46.5% of the population is under 15. The population is projected to reach 34.5 million in 1990, with urban areas growing more rapidly than rural. Zaire is at the stage of demographic transition where the gap between fertility and mortality is very wide. The consequences for national development include massive migration and rural exodus, unemployment and underemployment, illness, low educational levels, rapid urbanization, and increasing poverty. In the past decade, Zaire has undertaken a number of activities intended to improve living conditions, but as yet there is no explicit official policy integrating population and development objectives. In 1983, the Executive Council of Zaire organized a mission to identify basic needs of the population, with the assistance of the UN Fund for Population Activities (UNFPA). In 1985, the UNFPA developed a 5-year development plan. The UNFPA activities include demographic data collection, demographic policy and research, maternal-child health and family planning, population education, and women and development. In the area of data collection, the 1st census undertaken with UNFPA help has increased the availability of timely and reliable demographic data. The vital registration system is to be improved and a permanent population register to be developed to provide data on population movement. A National Population Committee is soon to be established to assist the Executive Council in defining a coherent population policy in harmony with the economic, social, and cultural conditions of Zaire. Demographic research will be conducted by the Demographic Department of the University of Kinshasa and the National Institute of Statistics. A primary health care policy has been defined to increase health coverage to 60% from the current level of 20%. Zaire has favored family planning services integrated with the primary health care system since 1979. At present 2 components of the Desirable Births" program are underway, the Desirable Births Service Project undertaken in 1983 and the Rural Health Project undertaken in 1982, both executed by the Department of Public Health with financing provided by US Agency for International Development. The RAPID (Resources for the Analysis of the Impact of Population on Development) program has been used since 1985 to inform politicians, technicians, and planners. Efforts have been underway since 1965 to include women in the development process, and a new family code is being studied which would give better protection to some rights of women and children.
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  3. 3

    Case studies in population policy: Mexico.

    United Nations. Department of International Economic and Social Affairs

    New York, New York, United Nations, Department of International Economic and Social Affairs, 1989. vii, 52 p. (Population Policy Paper No. 21; ST/ESA/SER.R/89)

    Since 1973, the Mexican government has been included in other development programs. At the macro-level, there is the assumption that linkages exist between population, development, resources, and environment. At the micro-level, there is the assumption that, given the interconnection between socioeconomic and demographic variables, population programs can only be demographic in nature, and that socioeconomic programs can reinforce the impact of population programs if they properly take into account the processes of policy formulation and implementation. The important factors for controlling both fertility and mortality trends include improved and universal education, changes in perceptions and attitudes toward family formation, and greater access to health and family planning information and services. Significant progress in controlling both fertility and mortality is not credited to any single population program but to the fact that levels of income, nutrition, education, employment, and housing have improved, and also to more adequate access to and use of health services and family planning clinics. Mexico's recent policy to curb rapid population growth appears to offer many positive indications, although the experience may not be directly transferable to other countries. The Mexican approach to promoting family planning and population awareness has been highly centralized and initiated from the highest levels of administration. 2 characteristics of the health sector have contributed to program success: 1) several institutions that were delivering services were well equipped to take on additional responsibilities and 2) the responsiveness of doctors employed by public institutions. The Mexican experience thus serves as an example of the speed and efficacy with which public opinion and governmental infrastructure can be mobilized and extended given the political will to do so. The present administration is now attempting to decentralize the nation's vast system of public administration. In general, population policy faces the great challenges of 1) moving in the direction of specifically targeted groups, 2) achieving changes in spatial distribution, and 3) absorbing new members of the labor force.
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  4. 4

    Global population policy database, 1987.

    United Nations. Department of International Economic and Social Affairs. Population Division

    New York, New York, United Nations, 1987. vi, 201 p. (Population Policy Paper No. 9; ST/ESA/SER.R/71)

    The purpose of the Global Review and Inventory of Population Policy, 1987 data base, which is described in this document, is to provide current data on the population policies of 170 countries drawn from the Population Policy Data Bank of the Population Division of the UN. The policy topics covered include: population growth; mortality; fertility; internal migration, immigration; emigration; and the integration of population variables into the development planning process. The diskette contains information on selected demographic indicators, including current and projected population size, current levels of fertility and mortality, current population growth rates, and proportions foreign born, as well as data on population policy. The 1st chapter provides a profile of the population policy perceptions of 170 countries in February 1987, as coded by the UN Population Division. The 2nd chapter contains 22 tables showing the frequencies of particular codes on various population policy variables. Annex 1 contains a summary description of the variables included on the diskette. Annex II gives a more detailed description of each variable and the meaning of the codes. Annex III provides diskette order forms which may be used for requesting copies of the database.
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  5. 5

    A world divided.

    Brown LR; Jacobson JL

    POPULI. 1987; 14(1):39-47.

    This reevaluation of the demographic transition theory of Notestein (1945) presents a view of developing countries trapped in the 2nd stage and unable to achieve the economic and social gains counted upon to reduce births. Among the half of the world's countries that have not yet reached the demographic transition, 5 regions have growth rates of 2.2% or more yearly, or 20-fold per century, a are unable to prevent declining living standards and deteriorating ecological life-support systems. These are Southeast Asia (except Japan, China, and possibly Thailand and Indonesia), Latin America, the Indian subcontinent, the Middle East and Africa. In these countries, death rates will begin to rise, reversing the process of demographic transition. Examples of this phenomenon include 7 countries in West Africa with deteriorating agricultural and fuelwood yields, such that a World Bank study concluded that desertification is inevitable without a technological breakthrough. The elements of the life-support system, food, water, fuelwood and forests, are interrelated, and their failure will create "ecological refugees." When economic resources of jobs and income are added to biological resources, conflict and social instability will further hamper implementation of sound population policies. For the 1st time, governments are faced with the task of reducing birth rates as living conditions deteriorate, a challenge requiring new approaches. There are examples, such as China, where broad-based, inexpensive health care systems and well-designed family planning programs have encouraged small families without widespread economic gains. The most needed ingredient is leadership.
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  6. 6

    1986 ESCAP population data sheet.

    United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]. Population Division

    Bangkok, Thailand, Economic and Social Commission for Asia and the Pacific, Population Division, 1985. 1 p.

    The 1986 Economic and Social Commission for Asia and the Pacific (ESCAP) population data sheet gives statistics on the mid-1986 population, the annual growth rate, the crude birth and death rates, the total fertility rate, male and female expectancy at birth, the infant mortality rate, the percentage of the population aged 0-14 and 65 and over, population density, and the projected population in 2000 for the Asian and Pacific regions, and individual Asian and Pacific countries. Sources are cited for all statistics.
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  7. 7

    Demographic trends and their development implications.

    United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]

    In: Third Asian and Pacific Population Conference (Colombo, September 1982). Selected papers. Bangkok, Thailand, Economic and Social Commission for Asia and the Pacific, 1984. 9-40. (Asian Population Studies Series No. 58)

    This report summarizes the recent demographic situation and considers prospective trends and their development implications among the 39 members and associate members of the Economic and Social Commission for Asia and the Pacific (ESCAP). It presents data on the following: size, growth, and distribution of the population; age and sex structure; fertility and marriage; mortality; international migration; growth and poverty; food and nutrition; households and housing; primary health care; education; the working-age population; family planning; the elderly; and population distribution. Despite improvements in the frequency and quality of demographic data collected in recent years, big gaps continue to exist in knowledge of the demographic situation in the ESCAP region. Available evidence suggests that the population growth rate of the ESCAP region declined between 1970 and 1980, as compared with the preceding decade, but that its rate of decline was slow. Within this overall picture, there is wide variation, with the most developed countries having annual growth rates around 1% and some of the least developed countries having a figure near 3%. The main factors associated with the high growth rates are the past high levels of fertility resulting in young age structures and continuing high fertility in some countries, notably in middle south Asia. The population of countries in the ESCAP region is expected to grow from 2.5 billion in 1980, to 2.9 billion in 1990, and to 3.4 billion persons by the year 2000. This massive growth in numbers, which will be most pronounced in Middle South Asia, will occur despite projected continuing moderation in annual population growth rates. Fertility is expected to continue its downward trend, assuming a more widespread and equitable distribution of health, education, and family planning services. Mortality is expected to decline further from its current levels, where life expectancy is often at or around 50 years. In several countries, more than 10 in every 100 babies born die before their 1st birthday. The extension of primary health care services is seen as the key to reducing this figure. Rapid population growth and poverty tend to reinforce each other. Low income, lack of education, and high infant and child mortality contribute to high fertility, which in turn is associated with high rates of natural increase. High rates of natural increase feed back to depress socioeconomic development. High population growth rates and their correlates of young age structures and heavy concentrations of persons in the nonproductive ages tend to depress production and burden government expenditure with high costs for social overhead needs. Rapid population growth emerges as an important factor in the persistence of chronic undernutrition and malnutrition. It increases the magnitude of the task of improving the educational system and exacerbates the problem of substandard housing that is widely prevalent throughout Asia.
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  8. 8

    [World population and development: an important change in perspective] Population mondiale et developpement: un important changement de perspective.

    Vallin J

    Problemes Economiques. 1984 Oct 24; (1895):26-32.

    The International Population Conference in Mexico City was much less controversial than the World Population Conference in Bucharest 10 years previously, in part because the message of Bucharest was widely accepted and in part because of changes that occurred in the demographic and economic situations in the succeeding decade. The UN medium population projection for 1985 has been proved quite accurate; it is not as alarming as the high projection but still represents a doubling of world population in less than 40 years. The control of fertility upon which the medium projection was predicated is well underway. The movement from high to low rates of fertility and mortality began in the 18th century in the industrial countries and lasted about 1 1/2 centuries during which the population surplus was dispersed throughout the world, especially in North and South America. The 2nd phase of movement from high to low rates currently underway in the developing countries has produced a far greater population increase. The proportion of the population in the developed areas of Europe, North America, the USSR, Japan, Australia, and New Zealand will decline from about 1/3 of the 2.5 billion world population of 1950 to 1/4 of the 3.7 billion of 1985, to 1/5 of the 4.8 billion of 2000, and probably 1/7 of the 10 billion when world population stabilizes at the end of the next century. The growth rates of developing countries are not homogeneous; the populations of China and India have roughly doubled in the past 35 years while that of Latin America has multiplied by 2 1/2. The population of Africa more than doubled in 35 years and will almost triple by 2025. The number of countries with over 50 million inhabitants, 9 in 1950, will increase from 19 in 1985 to 32 in 2025. The process of urbanization is almost complete in the industrialized countries, with about 75% of the population urban in 1985, but urban populations will continue to grow rapidly in the developing countries as rural migration is added to natural increase. The number of cities with 10 million inhabitants has increased from 2 to 13 between 1950 and 1985, and is expected to reach 25 by 2000, with Mexico City, Sao Paulo, and Shanghai the world's largest cities. The peak rate of world population growth was reached in the 1960s, with annual increases of 2.4%. In 1980-85 in the developed and developing worlds respectively the rates of population growth were .7% and 2.0%/year; total fertility rates were 2.05 and 4.2, and the life expectancies at birth were 72.4 and 57.0. Considerable variations occurred in individual countries. Annual rates of growth in 1980-85 were 2.4% in Latin America, 3.0% in Africa, 2.2% in South Asia and 1.2% in East Asia. Today only Iran among high fertility countries pursues a pronatalist policy. Since Bucharest, it has become evident to developing and developed countries alike that population control and economic development must go hand in hand.
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  9. 9

    Long-term effects of global population growth on the international system.

    Demeny P

    In: Population, resources, environment and development. Proceedings of the Expert Group on Population, Resources, Environment and Development, Geneva, 25-29 April 1983, [compiled by] United Nations. Department of International and Social Affairs. New York, New York, United Nations, 1984. 125-43. (Population Studies No. 90; ST/ESA/SER.A/90; International Conference on Population, 1984)

    4 overlapping and interrelated concerns appear to influence, if unevenly and in varying combinations, the approaches towards international population phenomena embodied in national policies. The concerns have to do with shifts in relative demographic size within the family of nations, international economic and political stability, humanitarian and welfare considerations, and narrowing options with regard to longterm social development. Each of these concerns is a reflection of measurable or perceived consequences of the extraordinarily rapid growth of the world population during the 20th century and in particular of the marked acceleration of that growth since the end of World War 2. None of these concerns has been adequately articulated, either in the academic literature or in international and national forums in which population policies are considered. International action in the population field has become a subset of international development assistance. Among the motivating concerns, humanitarian and welfare considerations have received the most attention. Considerations of economic and political stability also have been often invoked. In contrast, shifts in relative demographic size and the narrowing options with respect to longterm social development have been seldom discussed. Yet, examination of the record of policy discussions of the last few decades confirms that the influence of these factors has been potent. The dramatic increase of the world population is possibly the single most spectacular event of modern history. During the last 100 years global numbers have tripled, and net population growth between 1900 and 2000 will most likely be of the order of 4.5 billion. Concern with the deleterious consequences of rapid population growth on domestic economic development and, by extension on the health of the world economy is a major factor in explaining international interest in population matters. Concern with poverty is another motivating force for international action involving unilateral resource transfers between nations. The potential role of 2 types of population policies -- relating to international migration and to mortality -- would seem to be narrowly circumscribed. The prospects for useful action in the matter of fertility are more promising.
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  10. 10

    Country statement: Ethiopia.

    [Unpublished] 1984. Presented at the Second African Population Conference, Arusha, Tanzania, January 9-13, 1984. 21 p.

    This discussion of Ethiopia focuses on: sources of demographic data; population size and age-sex distribution; urbanization; fertility; marital status of the population; mortality and health; rate of natural increase; economic activity and labor force activity rates; food production; education; population policies and programs; and population in development planning. As of 1983, Ethiopia's population was estimated at 33.7 million. Agriculture is the mainstay of the economy. Ethiopia has not yet conducted a population census, however, the 1st population and housing census is planned for 1984. The population is young with children under 15 years of age constituting 45.4% of the total population; 3.5% of the population are aged 65 years and older. The degree of urbanization is very low while the urban growth rate is very high. Most of the country is rural with only 15% of the population living in localities of 2000 or more inhabitants. In 1980-81 the crude birthrate was 46.9/1000. The total fertility rate was 6.9. Of those aged 15 years and older, 69.2% of males and 71.3% of females are married. According to the 1980-81 Demographic Survey the estimates of the levels of mortality were a crude death rate of 18.4/1000 and an infant mortality rate of 144/1000. At this time 45% of the population have access to health services. It is anticipated that 80% of the population will be covered by health care services in 10 years time. Ethiopia is increasing at a very rapid rate of natural increase; the 1980 estimation was 2.9% per annum. Despite the rich endowments in agricultural potential, Ethiopia is not self-sufficient in food production and reamins a net importer of grain. Enrollment at various levels of education is expanding rapidly. There is no official population policy. Financial assistance received from the UN Fund for Population Activities and the UN International Children's Emergency Fund for population programs is shown.
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  11. 11

    Country statement--Liberia.

    [Unpublished] [1984]. Presented at the Second African Population Conference, Arusha, Tanzania, January 9-13, 1984. 3 p.

    Liberia's population characteristics and dynamics are briefly decribed, the current status of population data collection is noted, and the government's population policies and programs are summarized. National censuses were conducted in 1962 and 1974 with assistance from the UN Fund for Population Activities (UNFPA), and a 3rd census is planned for February 1984. National population growth surveys were conducted in 1969 and 1972, and demographic growth surveys were undertaken in 1978 and 1979. An administrative structure for registering births and deaths was recently created, however, most births occurring outside of hospitals and clinics will not be covered. In 1973, a demographic unit was established at the University of Liberia to develop the manpower needed to upgrade population data collection procedures. According to data collected in the 1974 censuses and subsequent surveys, the birthrate is 48.6, the death rate is 17.3, and the gross reproductive rate is 3.2. the total fertility rate is 6.7, and the infant mortality rate is 110.4. Life expectancy at birth is 49.1 for males and 52.5 for females. there are 97.3 males/100 females. The proprotion of the male population under 15 years of age is 47.9%, and the respective proportion for females is 46.9%. The total population is 1.8 million. Although Liberia does not have a population policy, the government recently established a National Population Committee to formulate a national policy and to coordinate population acitivities. 3.5% of Liberia's women of childbearing age currently use family planning services provided either by the International Planned Parenthood Federation or by the government with the assistance of UNFPA and the US Agency for International Development.
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