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  1. 1

    Global estimates for health situation assessment and projections, 1990.

    World Health Organization [WHO]. Division of Epidemiological Surveillance and Health Situation and Trend Assessment

    Geneva, Switzerland, WHO, 1990. v, 51 p. (WHO/HST/90.2)

    Some estimation of the magnitude of global health problems and trends is essential for the formulation of international health policies and strategies. Toward this end, in 1987, the World Health Organization published a document based on statistics available at the time on global health-related estimates. This document updates and refines the earlier report on the basis of more reliable data. State-of-the-art data are presented for 7 major categories: 1) demographic factors; 2) socioeconomic development; 3) general health problems (e.g., low birthweight, infant mortality, disability); 4) specific health problems (infectious and parasitic diseases, cancer, endocrine, metabolic, and nutritional disorders, anemia, mental and neurological disorders, circulatory diseases, respiratory diseases, occupational injuries and diseases, and oral health; 5) health-related issues (e.g., alcoholism, smoking, breastfeeding, and sanitation); 6) health services aspects (e.g., family planning, immunization); and 7) health resources (human resources, health expenditures, and pharmaceuticals). In most cases, statistics are presented for the 1985-90 period. It is emphasized in the introduction that, while these statistics provide orders of magnitude sufficient to support health policy planning, they lack the precision required for the formulation, implementation, and evaluation of disease-specific intervention strategies.
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  2. 2

    Health and health services in Judaea, Samaria and Gaza 1983-1984: a report by the Ministry of Health of Israel to the Thirty-Seventh world Health Assembly, Geneva, May 1984.

    Israel. Ministry of Health

    Jerusalem, Israel, Ministry of Health, 1984 Mar. 195 p.

    Health conditions and health services in Judea, Samaria, and Gaza during the 1967-83 period are discussed. Health-related activities and changes in the social and economic environment are assessed and their impact on health is evaluated. Specific activities performed during the current year are outlined. The following are specific facets of the health care system that are the focus of many current projects in these districts; the development of a comprehensive network of primary care programs and centers for preventive and curative services has been given high priority and is continuing; renovation and expansion of hospital facilities, along with improved staffing, equipment, and supplies for basic and specialty health services increase local capabilities for increasingly sophisticated health care, and consequently there is a decreasing need to send patients requiring specialized care to supraregional referral hospitals, except for highly specialized services; inadequacies in the preexisting reporting system have necessitated a continuting process of development for the gathering and publication of general and specific statistical and demographic data; stress has been placed on provision of safe drinking water, development of sewage and solid waste collection and disposal systems, as well as food control and other environmental sanitation activities; major progress has been made in the establishment of a funding system that elicits the participation and financial support of the health care consumer through volunary health insurance, covering large proportions of the population in the few years since its inception; the continuing building room in residential housing along with the continuous development of essential community sanitation infrastructure services are important factors in improved living and health conditions for the people; and the health system's growth must continue to be accompanied by planning, evaluation, and research atall levels. Specific topics covered include: demography and vital statistics; socioeconomic conditions; morbidity and mortality; hospital services; maternal and child health; nutrition; health education; expanded program immunization; environmental health; mental health; problems of special groups; health insurance; community and voluntary agency participation; international agencies; manpower and training; and planning and evaluation. Over the past 17 years, Judea, Samaria, and Gaza have been areas of rapid population growth and atthe same time of rapid socioeconomic development. In addition there have been basic changes in the social and health environment. As measured by socioeconomic indicators, much progress has been achieved for and by the people. As measured by health status evaluation indicators, the people benefit from an incresing quantity and quality of primary care and specialty services. The expansion of the public health infrastructure, combined with growing access to and utilization of personal preventive services, has been a key contributor to this process.
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  3. 3

    Population and the World Bank: implications from eight case studies.

    Ridker R; Freedman R

    Washington, D.C., World Bank, Operations Evaluation Department, 1992. xii, 159 p. (World Bank Operations Evaluation Study)

    The World Bank's first assessment of operations concentrates on development over the past 25 years and the Bank's role in Indonesia, India, Bangladesh, Brazil, Kenya, and Senegal. The major issues for the World Bank are discussed, including the neglect of population issues in the nonpopulation sector, policy promotion, project issues, donor coordination and involvement of nongovernmental agencies (NGOs), country organization of population and family planning (FP) activities, the need for a longterm program approach, the extent and allocation of bank resources, and implications for evaluating and staffing Bank population activities. The implications are that too much attention has been paid to inputs rather than outputs for accountability purposes. Attention must also be paid to nonpopulation activities. Appropriateness of the content is more important than the extent of the resources transfer. Errors of commission are pointed out, but there is need to identify errors of omission. The implications for staffing in the field in both nonproject and project work. A small core of dedicated people has been effective thus far, but in the long run greater technical resources are needed, particularly in countries with little assistance or indigenous capacity. The statistical appendix includes tables on demographic indicators for selected countries and years; donor expenditures, 1982-89; summary data for 1990 for case study countries; appraisal project costs and bank financing by category of expenditure for population projects in case study countries; bank lending by sector, for decades between 1970 and 1990; appraisal estimates of civil works, furniture, and equipment in bank population projects; and commitments for international population assistance by the World Bank and other donors, 1952-89. Annexes 1 and 2 pertain to Bangladesh's population program (executive summary, demographic situation, environmental and social and economic context, the national FP program, population projects and the Bank's institutional style), and conclusions and a similar discussion for Indonesia.
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  4. 4

    Population and development problems: a critical assessment of conventional wisdom. The case of Zimbabwe.

    Sibanda AE

    ZIMBABWE JOURNAL OF ECONOMICS. 1988 Jan; 2(1):81-100.

    Conventional wisdom, as reflected in reports by the World Bank and the Whitsun Foundation, maintains that control of population growth is the key strategy for stimulating socioeconomic development and ending widespread poverty. The Witsun Foundation has criticized the Government of Zimbabwe for failing to include specific policies for population control in its National Transitional Development Plan. the report further expressed alarm about future availability of land to contain Zimbabwe's growing population. Communal areas are designed for a maximum of 325,000 families yet presently contain 700-800,000 families. This Malthusian, deterministic emphasis on population growth as the source of social ills ignores the broader, complex set of socioeconomic, historical, and political factors that determine material life. Any analysis of population that fails to consider the class structure of society, the type of division of labor, and forms of property and production can produce only meaningless abstractions. For example, consideration of crowding in communal areas must include consideration of inequitable patterns of land ownership in sub-Saharan Africa. Unemployment must be viewed within the context of a capitalist economic structure that relies on an industrial reserve army of labor to ensure acceptance of low wages and labor-intensive conditions. While it is accepted that population growth is creating specific and real problems in Zimbabwe and other African countries, these problems could be ameliorated by land reform and restructuring of the export-oriented colonial economies. Similarly, birth control should not be promoted as the solution to social problems, yet family planning services should be available to raise the status of women. Literacy, agrarian reform, agricultural modernization, and industrialization campaigns free from the dominance of Western capitalism represent the true solutions to Zimbabwe's problems.
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  5. 5

    Basis for the definition of the organization's action policy with respect to population matters.

    Pan American Health Organization [PAHO]

    [Unpublished] 1984 May 8. 31 p. (CE 92/12)

    This report shows how demographic information can be analyzed and used to identify and characterize the groups assigned priority in the Regional Plan of Action and that it is necessary for the improvement of the planning and allocation of health resources so that national health plans can be adapted to encompass the entire population. In discussing the connections between health and population characteristics in the countries of the region, the report covers mortality, fertility and health, and fertility and population increase; spatial distribution and migration; and the structure of the population. Focus then moves on to health, development, and population policies and family planning. The final section of the report considers the response of the health sector to population trends and characteristics and to development-related factors. The operations of the health sector must be revised in keeping with the observed demographic situation and the projections thereof so that the goal of health for all by the year 2000 may be realized. In several countries of the region mortality remains high. In 1/3 of them, infant mortality during the period 1980-85 exceeds 60/1000 live births. If measures are not taken to reduce mortality 55% of the population of Latin America in the year 2000 will still be living in countries with life expectancies at birth of under 70 years. According to the projections, in the year 2000 the birthrate will stand at around 29/1000, with wide differences between the countries of the region, within each of them, and between socioeconomic strata. High fertility will remain a factor hostile to the health of women and children and a determinant of rapid population growth. Some governments view the present or predicted growth rates as excessive; others want to increase them; and some take no explicit position on the matter. The countries would be well advised to assign values to their birthrate, natural increase, and periods for doubling their populations in relation to their development plans and to the prospects for improving the standard of living and health of their populations. An important factor in urban growth is internal migration. These migrants, like some of those who move to other countries, may have health problems requiring special care. Regardless of a country's demographic situation, the health sector has certain responsibilities, including: the need to promote the framing and adoption of population and development policies, in whose implementation the importance of health measures is not open to question; and the need to favor the intersector coordination and articulation required to ensure that population aspects are considered in national development planning.
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  6. 6

    [The importance, development situation, and trend of population studies]

    Tsai HC

    JOURNAL OF POPULATION STUDIES. 1986 Jun; (9):193-212.

    Population studies have been well developed in many countries of the world, but not so in Taiwan. Many academic people and general citizens in the Taiwan area are still not very familiar with the significance of population research within and outside of the nation. The purpose of this paper is to help readers understand the importance and development situation and trend of the field of population studies, so that they can be motivated to carry out population research and can become more knowledgeable of institutions and organizations both in Taiwan and abroad. Important concepts of the development and trend of population studies presented in this paper are developed by the author after many years of population study. Most sources used in this paper are secondary, and appear in various population references and documents of population organizations. The paper includes 3 main parts: the importance of population studies, the development of population studies in Taiwan, and international population research and sponsoring organizations and agencies. In the 1st part, the important need for population studies has been comprehensively discussed. In the 2nd part, discussions are extended to 3 subjects government's role on data collection and data analysis, teaching and research developments in acdemic institutions, and the role of private organizations in the promotion and application of population studies. In the 3rd part, more than 70 international institutions and agencies of population studies have been introduced and examined. Partticular attention has been paid to characteristics and functions of 3 organizations: UN Population Divisions, IUSSP, and CICRED. In addition, many other international public and private agencies in different countries have been listed and their locations mentioned. In this paper, discussion has not focused on the development of population in the US. It is because the development status in the US is unusually important and requires a separate, special report. The author has made such a report on population studies in the US a decade ago, and it will not be repeated here. (author's modified) (summary in ENG)
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  7. 7

    A fresh look at the threshold hypothesis of fertility change in ESCAP region

    Pathak KB; Murthy PK

    Demography India. 1984 Jan-Dec; 13(1-2):153-67.

    The threshold hypothesis shares with transition theory the basic assumption that a decline in fertility is interrelated with a decline in mortality and change in the social, economic, and cultural conditions of the population. However, threshold theory fails to formulate a causal chain between fertility and the other variables and its application at the aggregate country level is limited by intracountry heterogeneity in cultural and social variables. Problematic is the fixing of the timing for a country of a decline in fertility to be inferred from the fact that some indicators of development have reached the threshold zone while others have not. This paper attempts to develope a combined index for socioeconomic development on the basis of data from 12 countries of the ESCAP region of South East Asia. Variables included were life expectancy at birth, infant mortality rate, adult female literacy, percentages of females economically active, GNP per capita, and percentage urban population. In 1970, 3 of the countries analyzed had a crude birth rate below 25, 6 countries had a rate between 25-40, and 3 had a rate above 40. The lowest value of the index recorded for countries of low fertility (crude birth rate below 25) and the highest value recorded for countries of high fertility (above 40) are taken as the threshold zones for the overall index. The number of countries in the threshold range increased from 5 in 1970 to 8 in 1975. With the increase in the index value, a reduction in the fertility level was noted. In contrast, where socioeconomic development was slow, fertility showed little change. Policy makers could use this system to assess which indicator could be pushed through to raise the overall index of development so as to effect a decline in fertility.
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  8. 8

    [Ivory Coast: report of the Mission on Needs Assessment for Population Assistance] Cote d'Ivoire: rapport de Mission sur l'Evaluation des Besoins d'Aide en Matiere de Population.

    United Nations Fund for Population Activities [UNFPA]

    New York, New York, UNFPA, 1984 Sep. viii, 57 p. (Report No. 69)

    Conclusions and recommendations are presented of the UN Fund for Population Activities (UNFPA) Mission which visited the Ivory Coast from February 20-March 15, 1983 to assess population assistance needs. Ivory Coast officials believe that the population, estimated at 8,034,000 in 1980, is insufficient given the country's economic needs. Its very rapid rate of growth is estimated at over 4.5%/year, of which 1.5% is due to foreign immigration. 42% of the population is urban. The country has undergone exceptional economic growth in the past 2 decades, and the per capita income is now estimated at over $US1000 annually. Social development does not seem to have kept pace, however, and the mortality rate of 15.4/1000 is that of a country with only 1/2 the per capital income. The 1981-85 Ivory Coast Plan proposes a change from a growth economy to a society in which individual and collective welfare is the supreme goal. Up to date data on the size, structure, and dynamics of the population will be needed to aid in preparation of the 1986-90 and 1991-95 plans. A 2nd national population census is planned for 1985. Until the present, rapid population growth had been considered a boon, but problems are arising of massive rural exodus, high rates of urban unemployment coupled with manpower shortages in agriculture, and growing demographic pressure on health, educational, and social infrastructures, especially in the cities. The government has maintained its pronatalist stance, and government health programs have been directed only to mortality and maternal and child health. The need to control fertility and to use birth spacing as a tool to combat maternal and infant mortality is being increasingly felt, and a private family welfare association was able to form in 1979. A policy of maternal and child health encouraging spacing to improve family welfare would probably be welcomed in the Ivory Coast. The Mission recommended that a population policy be formulated which would correspond to the national demographic reality and development objectives. Basic demographic data collection should focus on the 1985 general census, which should have high priority. The civil registration system should be reorganized. A planned migration survey should cover the whole year to take into acconnt seasonal variations, but preparations should not begin until the census is completed. A multiple objective survey could be undertaken in 1988 to determine the nature and scope of interrelationships between demographic variables and economic and sociocultural variables, and a survey of infant mortality on a small sample could be done in 1989. The planned manpower and employment survey should be completed. Population research should receive high government priority. In regard to maternal and child health, the government should take an official position on the problem of birth spacing as a means of combatting maternal and infant deaths. IEC activities should be expanded, and efforts should be made to encourage the participation of women in development.
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  9. 9

    Population change and development in the ECWA region

    Caldwell P; Caldwell JC

    In: Aspects of population change and development in some African and Asian countries. Cairo, Egypt, Cairo Demographic Centre, 1984. 43-56. (CDC Research Monograph Series no. 9)

    This paper examines the relationship between economic development and demographic change in the 13 states of the Economic Commission for West Asia (ECWA) region. Demographic variables considered include per capita income, proportion urban, proportion in urban areas with over 100,000 inhabitants, literacy among those over 15 years, and literacy among women. Unweighted rankings on these variables were added to produce a development ranking or general development index. Then this index was used to investigate the relationship between development and individual scores and rankings for various demographic indices. The development index exhibited a rough fit with the mortality indices, especially life expectancy at birth. Mortality decline appears to be most closely related to rise in income. At the same income level, countries that have experienced substantial social change tend to exhibit the lowest mortality, presumably because of a loosening in family role patterns. In contrast, the relationship between development and fertility measures seemed to be almost random. A far closer correlation was noted between the former and the general development index. It is concluded that economic development alone will not reduce fertility. Needed are 2 changes: 1) profound social change in the family and in women's status, achievable through increases in female education, and 2) government family planning programs to ensure access to contraception.
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  10. 10

    [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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  11. 11

    Socio-economic development and fertility decline in Costa Rica. Background paper prepared for the project on socio-economic development and fertility decline.

    Denton C; Acuna O; Gomez M; Fernandez M; Raabe C; Bogan M

    New York, New York, United Nations, 1985. 118 p. (ST/ESA/SER.R/55)

    This summary of information on the development process in Costa Rica and its relation to fertility from 1950-70 is a revision of a study prepared for the Workshop on Socioeconomic Development and Fertility Decline held in Costa Rica in April 1982 as part of a UN comparative study of 5 developing countries. The report contains chapters on background information on fertility and the family, historical facts, and political organization of Costa Rica; the development strategy and its consequences vis a vis the composition of the gross domestic product, balance of trade, investment trends, the structure of the labor force, educational levels, and income; the allocation of public resources in public employment, public investment, credit, public expenditures, and the impact of resource allocation policies; changes in land tenure patterns; cultural factors affecting fertility, including education, women and their family roles, behavior in the home, women and politics, work and social security, and race and religion; changes in demographic variables, including nuptiality patterns, marital fertility, and natural fertility and birth control; characteristics and determining factors of the decline in fertility, including levels and trends, decline by age group, decline in terms of birth order, differences among population groups, how fertility declined, and history and role of family planning programs; and a discussion of the modernization process in Costa Rica and the relationship between demographic and socioeconomic variables. Beginning with the 1948 civil war, Costa Rica underwent drastic changes which were still reflected in national life as late as 1970. The industrial sector and the government bureaucracy have become decisive forces in development and the government has become the major employer. The state plays a key role in economic life, and state participation is a determining factor in extending medical and educational resources in the social field. The economically active population declined from 64% in 1960 to 55% in 1975 due to urbanization and migration from rural to urban areas, but there was an increase in economic participation of women, especially in urban areas. Increased educational level of the population in general and women in particular created changes in traditional attitudes and behavior. Although there is no specific explanation of why Costa Rica's fertility decline occurred, some observations about its determining factors and mechanisms can be made: the considerable economic development of the 1950s and 1960s brought about a rapid rise in per capita income and changes in the structure of production as well as substantial social development, increased opportunities for self-improvement for some social groups, and a rise in expectations. The size of the family became an aspect of conflict between rising expectations and increasing expenses. The National Family Planning Program helped accelerate the fertility decline.
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  12. 12

    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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  13. 13

    Population, resources, environment and development.

    United Nations. Department of International Economic and Social Affairs

    New York, New York, United Nations, 1984. ix, 534 p. (International Conference on Population, 1984; Statements ST/ESA/SER.A/90)

    Contained in this volume are the report (Part I) and the selected papers (Part II) of the Expert Group on Population, Resources, Environment and Development which review past trends and their likely future course in each of the 4 areas, taking into account not only evolving concepts but also the need to consider population, resources, environment and development as a unified structure. Trends noted in the population factor include world population growth and the differences between rates in the developed and developing countries; the decline in the proportion of the population who are very young and the concomitant increase in the average age of the population. Discussed within the resource factor are the labor force, the problem of increasing capital shortage, expenditures on armaments, trends in the supply and productivity of arable land, erosion and degradation of topsoil and energy sources. Many of the problems identified overlap with the environment factor, which centers on the problem of pollution. The group on the development factor was influenced by a pervasiv sense of "crisis" in current economic trends. Concern was also expressed regarding the qualitative aspects of current development trends, defined as the perverse effects of having adopted inappropriate styles of development. Part II begins with a general overview of recent levels and trends in the 4 areas along with the concepts of carrying capacity and optimum population. Other papers discuss the impact of trends in resources, environment and development on demographic prospects; long-term effects of global population growth on the international system; economic considerations in the choice of alternative paths to a stationary population and the need for integration of demographic factors in development planning. The various papers on the resources and environment factor focus on resources as a barrier to population growth; the effects of population growth on renewable resources; food production and population growth in Africa; the frailty of the balance between the 4 areas and the need for a holistic approach on a scale useful for regional planning. Also addressed are: social development; population and international economic relations; development, lifestyles, population and environment in Latin America; issues of population growth, inequality and poverty; health, population and development trends; education requirements and trends in female literacy; the challenge posed by the aging of populations; and population and development in the ECE region.
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  14. 14

    Sex differentials in mortality.

    Lopez AD

    Who Chronicle. 1984; 38(5):217-24.

    As part of its regional strategy for attaining health for all, the World Health Organization (WHO) European Region seeks to reduce sex differentials in mortality. In developing countries, the health consequences of social, economic, and cultural discrimination against females have produced a higher mortality rate among females than males. In contrast, there is a trend toward increasing excess male mortality in the developed countries. The sex differential in mortality arises from 2 broad groups of causes: genetic-biological and enivronmental. In high mortality countries, environmental factors may reduce or cancel out the biological advantages that women enjoy over men. As mortality is reduced through improved nutrition, public health measures, and better health care and education, women's environmental disadvantage is reduced and genetic-biological factors may increase the female life span faster than that of males. In the 3rd phase of this process, life style factors (e.g. alcohol abuse, cigarette smoking) may become increasingly detrimental to male health and survival, leading female mortality to decline at a faster pace than that of males. Although males appear to have adapted less well than women to the stresses of modernization, there has been a trend toward high risk behavior patterns among women too as a result of the changing female role. Prospects for the future trend of sex differentials in developed societies depend largely on developments in 2 areas: the effective treatment of degenerative and chronic diseases, which dominate the cause-of-death structure in these societies; and prevention through health education and encouragement of changes in personal behavior and life style. The challenge for women is to resist pressures to adopt a hazardous life style (e.g. smoking) that might offset the benefits of their improved social status.
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  15. 15

    United Nations International Conference on Population, 6-13 August 19849

    Brown GF

    Studies in Family Planning. 1984 Nov-Dec; 15(6/1):296-302.

    The international Conference on Population, held in Mexico City in August 1984, met to review past developments and to make recommendations for future implementation of the World Population Plan of Action. Despite the several ifferences of opinion, the degree of controversy was minor for an intergovernmental meeting of this size. The 147 government delegations at the Conference reached overall agreement on recommendations for future international commitment to expanding population efforts in the future. This review examines the recommendations of the Mexico Conference with regard to health, family planning, women in development, research, and realted issues. The total 88 recommendations wre intended to reaffirm and refine the World Population Plan of Action adopted in Bucharest in 1974, and to strengthen the Plan for the next decade. Substantial improvement in development was noted including fertility and mortality declines, improvements in school enrollement and literacy rates, as well as access to health services. Economic trends, however, were much less encouraging. While the global rate of population growth has declined slightly since 1974, world population has increased by 770 million during the decade, with 90% of that increase in the developing countries. Part of the controversy at the Conference focused on the remarkable change of position by the US delegation, which largely reversed the policies expressed at Bucharest. The US delegation stated that population was a neutral issue in development, that development is the primary requirement in achieving fertility decline. Several recommendations emphasized the need to integrate population and development planning, and called for increased national and international efforts toward the eradication of mass hunger, illiteracy, and unemployment; achievement of adaquate health and nutrition levels; and improvement in women's status. The need for futher development of management, training, information, education and communication was recognized. A clear call to strenghten global efforts in population policies and programs emerged.
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  16. 16

    [Statement by Rene Fernandez-Araoz, Vice-Minister of coordination of the Ministry of Planning, Bolivia] Discurso pronunciado por S.E. el Lic. Rene Fernandez-Araoz, Vice-Ministro de Planeamiento de la Republica de Bolivia, en la Conferencia Internacional de Poblacion..

    Bolivia. Ministerio de Planeamiento

    [Unpublished] 1984. Presented at the International Conference on Population held in Mexico City, August 6-13, 1984. 7 p.

    Latin America faces a series of problems and hurdles which condition the way in which the issue of population/development is approached. The most obvious problems are the required changes in the socioeconomic and political structures; the state of the social sciences in the population field; the fragmentation of efforts among scientists, academicians, technicians and politicians dealing with this area; and the lack of legitimacy accorded to this topic. The chief hurdle facing most countries in the region and Bolivia in particular, is that of wide social differences. This disparity will worsen unless profound social changes are carried out. Bolivia has spent 3 yeras developing a consistent population policy within a development framework. This country offers a peculiar demographic situation: while the average fertility rate is 6.5 children/woman, this is offset by a high infant mortality rate (213/1000 children between the ages of 0 and 2), and a net population loss from out-migration. Bolivia is therefore underpopulated at the same time that the poorest women have a high fertility rate. The country's population policy thus seeks to act not only on the key demographic variables, but also on those social and economic variables which determine its poverty and underdevelopment. To this end, a National Population Council is being established with the assistance of the UN Fund for Population Activities and other entities. The speaker regrets the imposition of conditions on the funds granted by the UNFPA. These restrictions fall primarily on the poor and less-developed countries.
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  17. 17

    Adoption of the Report of the Conference: report of the Main Committee.

    Concepcion MB

    [Unpublished] 1984 Aug 13. 40 p. (E/CONF.76/L.3; M-84-718)

    This report of the International Conference on Population, held in Mexico City during August 1984, includes: recommendations for action (socioeconomic development and population, the role and status of women, development of population policies, population goals and policies, and promotion of knowledge and policy) and for implementation (role of national governments; role of international cooperation; and monitoring, review, and appraisal). While many of the recommendations are addressed to governments, other efforts or initiatives are encouraged, i.e., those of international organizations, nongovernmental organizations, private institutions or organizations, or families and individuals where their efforts can make an effective contribution to overall population or development goals on the basis of strict respect for sovereignty and national legislation in force. The recommendations reflect the importance attached to an integrated approach toward population and development, both in national policies and at the international level. In view of the slow progress made since 1974 in the achievement of equality for women, the broadening of the role and the improvement of the status of women remain important goals that should be pursued as ends in themselves. The ability of women to control their own fertility forms an important basis for the enjoyment of other rights; likewise, the assurance of socioeconomic opportunities on a equal basis with men and the provision of the necessary services and facilities enable women to take greater responsibility for their reproductive lives. Governments are urged to adopt population policies and social and economic development policies that are mutually reinforcing. Countries which consider that their population growth rates hinder the attainment of national goals are invited to consider pursuing relevant demographic policies, within the framework of socioeconomic development. In planning for economic and social development, governments should give appropriate consideration to shifts in family and household structures and their implications for requirements in different policy fields. The international community should play an important role in the further implementation of the World Population Plan of Action. Organs, organizations, and bodies of the UN system and donor countries which play an important role in supporting population programs, as well as other international, regional, and subregional organizations, are urged to assist governments at their request in implementing the reccomendations.
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  18. 18

    Concise report on the world population situation in 1983: conditions, trends, prospects, policies.

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

    New York, United Nations, 1984. 108 p. (Population Studies, No. 85; ST/ESA/SER.A/85)

    The 3 parts of this report on world, regional, and international developments in the field of population, present a summary of levels, trends, and prospects in mortality, fertility, nuptiality, international migration, population growth, age structure, and urbanization; consider some important issues in the interrelationships between economic, social, and demographic variables, with special emphasis on the problems of food supply and employment; and deal with the policies and perceptions of governments on population matters. The 1st part of the report is based primarily on data compiled by the UN Population Division. The 2nd part is based on information provided by the Food and Agriculture Organization of the UN (FAO) and the International Labor Organization (ILO), as well as that compiled by the Population Division. The final part is based on information in the policy data bank maintained by the Population Division, including responses to the UN Fourth Population Inquiry among Governments. In 1975-80 the expectation of life at birth for the world was estimated at 57.2 years for both sexes combined. The corresponding figure for the developed and developing regions was 71.9 and 54.7 years, respectively. In 1975-80 the birthrate of the world was estimated at 28.9/1000 population and the gross reproduction rate was 1.91. These figures reflect considerable decline from the levels attained 25 years earlier: a crude birthrate of 38/1000 population and a gross reproduction rate of 2.44. World population grew from 2504 million in 1950 to 4453 million in 1983. Of the additional 1949 million people, 1645 million, or 84%, accrued to the less developed countries. The impact of population growth on economic development and social progress is not well understood. The governments of some developing countries still officially welcome a rapid rate of population growth. Many other governments see cause for concern in the need for the large increases in social expenditure, particularly for health and education, that accompany a young and growing population. Planners are concerned that the rapidly growing supply of labor, compounded by a trend toward rapid urbanization, may exceed that which the job market is likely to absorb. In the developed regions the prospect of a declining, or an aging, population is also cause for apprehension. There is a dearth of knowledge as to the impact of policies for altering the consequences of these trends. Many policies have been tried, in both developed and developing countries, to influence population growth and distribution, but the consequences of such policies have been difficult to assess. Frequently this problem arises because their primary objectives are not demographic in character.
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  19. 19

    Population, development, family welfare. The ILO's contribution

    International Labour Office [ILO]

    Geneva, Switzerland, International Labour Office [ILO], 1984. 56 p.

    This booklet describes the origins, scope, purpose, achievements and perspectives of the ILO's Population and Labour Policies Programme since its inception in the early 1970s as an integral part of the World Employment Programme. Its focus is in the area where population issues and labour and employment concerns intersect. The booklet was produced on the occasion of the International Conference on Population, held in Mexico City in August 1984, but is also intended as a source of information on ILO's population activities for the general reader. Topics covered include the integration of population and development planning, institution building, women's roles and demographic issues, fertility, labor force, migration and population distribution, and motivation through education. (EXCERPT)
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  20. 20

    Report of the Second African Population Conference: organized in co-operation with the United Nations Fund for Population Activities and the government of the United Republic of Tanzania (Arusha, United Republic of Tanzania, 9-13 January 1984)

    United Nations. Economic Commission for Africa

    Addis Ababa, Ethiopia, United Nations. Economic Commission for Africa [ECA], 1984. 20, [23]; 158, 29 p. (no. ST/ECA/POP/1)

    This two-volume work contains the proceedings of the Second African Population Conference, held in Arusha, Tanzania, in January 1984. Vol. 1 includes summaries of the inaugural address and of the discussions at earlier meetings, a summary of the country statements submitted, and the text of the Kilimanjaro Programme of Action for African Population and Self-Reliant Development. Vol. 2 includes papers on the demographic situation in Africa and future population trends; the relationship between population and development; spatial distribution; family health, welfare, and family planning; the role of women in development; UNFPA assistance programs in Africa; and priorities in population programs in Africa.
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  21. 21

    Population and the future: from Bucharest (1974) to Mexico City (1984). Summary report: Second Annual Briefing, United Nations Fund for Population Activities for Non-Governmental Organizations in New York, 16 February 1983.

    De Vel Muller R

    New York, United Nations, Non-Governmental Liaison Service, [1983]. 32 p.

    This Summary Report provides the substance of the February 16 Briefing, designed to inform nongovernmental organizations (NGOs) of population problems and progress worldwide, to provide information on the International Conference on Population 1984, and to discuss effective support of the Conference. It provides basic information and can be used as a background paper complementing preparations for the Conference and outlining the issues which will be addressed by the Conference itself. The report includes a discussion of the world population situation -- both problems and progress -- by Rafael Salas, Under Secregary General of the UN, and a review of issues and outcome of the 1984 International Conference on Population by Leon Tabah, Director, UN Population Division. It covers presentations on the major themes of fertility and the family; population distribution, migration, and development; population, resources, environment, and development; and mortality and health policy. The report also includes discussion of UN Fund for Population Activities (UNFPA) policies and programs, the Congo's role, and existing challenges for NGOs. Noting that the global population is likely to reach 6.1 billion by the year 2000, Rafael Salas suggests that there is much room for productive collaboration between NGOs and governments. He suggests that the singular objective is to maintain the attention, focus, and commitment of developing and developed countries to the population program. Focusing on the International Conference on Population 1984, Leon Tabah relates that this conference should be the natural continuation of Bucharest but with less ideology and more improved implementation, a conference committed to action.
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