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PLoS Medicine. 2006 Apr; 3(4):e211.One of the most unsettling images for newcomers to many parts of Africa is the sight of undernourished women bearing unfeasibly large vessels of water long distances over rough terrain to supply the needs of their families. A sense of outrage that anyone should have to live like this in the 21st century forms the basis of the humanitarian imperative that drives development programs, especially those that focus on basic needs such as access to safe water. When such a program reduces from three hours to 15 minutes the time that women spend fetching water each day, surely it can be described as a success, without the need for any "scientific" assessment of what has been achieved? In this issue of PLoS Medicine, we publish a study that did assess such a program. Mhairi Gibson and Ruth Mace (DOI: 10.1371/journal. pmed.0030087)--from the University of Bristol, United Kingdom--compared villages in Ethiopia that benefited from a tapped water supply with other villages that did not. Outcome measures included the nutritional status of women and children, mortality rates, and birth rates. There were a number of surprising findings, most notably the large increase in birthrate in the villages where the water supply intervention took place. (excerpt)
New York, New York, UNFPA, . , 33 p.A United Nations Fund for Population Activities (UNFPA) mission to Albania in 1989 attempted to identify the country's priority population issues and goals. Albania, a socialist country, has made many accomplishments, including an administrative structure that extends down to the village level, no foreign debt, universal literacy, a low death rate (5.4/1000), and involvement of women in development. At the same time, the country has the highest birth rate in Europe (25.5/1000), a high incidence of illegal abortion, lack of access to modern methods of contraception, and inadequate technology in areas such as medical equipment and data collection. Albania's population policy is aimed at maintaining the birth rate at its current level, reducing morality, and lowering the abortion rate by 50% by 1995. Goals for the health sector include increasing life expectancy, reducing infant and maternal mortality, improving the quality of health services, and decreasing the gap between the standard of living in rural and urban areas. Family planning is not allowed except for health reasons. Depending on trends in the total fertility rate, Albania's population in the year 2025 could be as low as 4.6 million or as high as 5.4 million. Albania has expressed an interest in collaborating with UN agencies in technical cooperation projects. The UNFPA mission recommended that support should be provided for the creation of a population database and analysis system for the Government's 1991-95 development plan. Also recommended was support to the Enver Hoxha University's program of strengthening the teaching of population dynamics and demographic research. Other recommendations included activities to strengthen maternal care/child spacing activities, IEC projects, and to raise the status of women.
Male, Maldives, Ministry of Education, Non-Formal Education Unit, 1988 Nov. , 86 p.The population growth rate of Maldives is over 3.2% and is one of the highest in the region. The development rate is over 12% and the literacy rate is 93% for both males and females and there is a high participation rate for basic education. The government has launched a population education program with assistance from UNFPA and UNESCO. Through the educational process people will be equipped to make rational decisions on population problems of the future. The long range objective of this program is to make young adults aware of the inter- relationships of population and aspects of quality of life, and that population growth rate is an important factor affecting their lives as well as the socio-economic development of their family. The immediate objectives are to strengthen the educational development center, to contribute to life preparation of children, to enhance social living of adults and youth not in school, to develop the competence of over 500 teachers, and to convey population education messages to as many islanders as possible. The messages that will be included in the curriculum include family size and family welfare, delayed marriage, responsible parenthood, population and resources, and population related beliefs and values. The teaching process for addressing the moral dilemma includes introducing and confronting the dilemma, then establishing individual positions for action and establishment of the class response to the position of action. The next step is selecting an appropriate strategy and examining different individual reasons within the class group. Major methods used in this training include hierarchical, peer group, mobile training, self learned, correspondence, linked training, mass media, field operational seminars, and internships.
[Population and development in the Republic of Zaire: policies and programs] Population et developpement en Republique du Zaire: politiques et programmes.
[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.
Resource requirements for population and reproductive health programmes. Programme country profiles for population assistance: sub-Saharan Africa, North Africa, Eastern Europe, Asia, Pacific Islands, Latin America, the Caribbean.
New York, New York, UNFPA, 1996. , 165 p. (E/500/1996)This compendium provides socioeconomic and demographic statistical profiles for developing countries in the major regions of the world, estimated annual financial resource requirements for population programs for 2000, 2005, 2010, and 2015, and the stated population policy of each country. About 76% of the almost $5.6 billion available for global population and reproductive health services was provided by developing countries. The 1994 International Conference on Population and Development (ICPD) adopted a formula for satisfying future population and family planning needs. Developing countries should contribute about $11.3 billion from domestic resources, an increase of $7 billion over 1995 figures. Donor nations should increase support by $4.4 billion. The needs for family planning are summarized by region. For example, sub-Saharan Africa includes 29 of the least developed countries in the world. The socioeconomic and demographic predictors among African countries indicate a poor quality of life and a lack of sustainable development. Most African countries need to expand services and improve quality in the delivery of reproductive health care. African countries are suffering from resource constraints that will make it difficult to meet their ICPD commitments. Most African countries will need external support on a concessional or grant basis. Countries in Eastern Europe and the Central Asian Republics are expected to have a continuation of slow population growth. The needs of North African, Asian, and South Pacific Island countries with 60% of global population include infrastructure, human resource development, and external support.
POPULATION BULLETIN OF THE UNITED NATIONS. 1993; (34-35):1.On July 26, 1991, the Economic and Social Council resolved to convene an International Conference on Population and Development under the auspices of the UN. To prepare for the conference, 6 expert group meetings were held to address the following issues: 1) population growth, demographic changes, and the interaction between demographic variables and socioeconomic development; 2) population policies and programs, emphasizing the mobilization of resources for developing countries; 3) the interrelationships between population, development, and the environment; 4) changes in the distribution of population; 5) the relationship between enhancing the status of women and population dynamics; and 6) family planning programs, health, and family well-being. A synthesis of these meetings is presented in the 34/35 issue of "Population Bulletin" (1993).
ASIA-PACIFIC POPIN BULLETIN. 1991 Jun; 3(2):7-11.George Walmsley, UNFPA country director for the Philippines, discusses demographic and economic conditions in the Philippines, and present plans to revitalize the national population program after 20 years of only modest achievements. The Philippines is a rapidly growing country with much poverty, unemployment and underemployment, uneven population distribution, and a large, highly dependent segment of children and youths under age 15. Initial thrusts of the population program were in favor of fertility reduction, ultimately changing to adopt a perspective more attuned to promoting overall family welfare. Concurrent with this change also came a shift from a clinic-based to community-based approach. Fertility declines have nonetheless grown weaker over the past 8-10 years. A large gap exists between family planning knowledge and practice, with contraceptive prevalence rates declining from 45% in 1986 to 36% in 1988. Behind this lackluster performance are a lack of consistent political support, discontinuities in program implementation, a lack of coordination among participating agencies, and obstacles to program implementation at the field level. The present government considers the revitalization of this program a priority concern. Mr. Walmsley discusses UNFPA's definition of a priority country, and what that means for the Philippines in terms of resources nd future activities. He further responds to questions about the expected effect of the Catholic church upon program implementation and success, non-governmental organization involvement, the role of information and information systems in the program, the relationship between population, environment and sustainable development, and the status of women and its effect on population.
INTEGRATION. 1989 Dec; (22):24-7.In the last 20 years the world's population has grown by 1.6 billion and has reached 5.2 billion. The gap in population growth between developing and developed areas will increase in the next decade: at present 77% of the earth's population lives in developing countries. A major demographic factor is the future of urban growth where the number of cities over 5 million will increase to 45 by the end of the century. The aging of the population is another demographic factor found worldwide. By the year 2000, 13% of the population will be over 60: 70% of those will be in developed areas. Most developing countries now have a population policy. The total fertility rate has dropped more than 20% in developing countries since 1970. The United Nations Population Fund (UNFPA) has devoted a recent report to the purpose of investing in women. The key to the future of mankind is related directly to the extent that women can make decisions affecting their lives. It is apparent that the effects of resource misuse, environmental damage, and population growth crosses national borders indiscriminately. The key elements to a new approach of development are population, environment, and the role and status of women. In the development of national conservation policies and in the implementing a world strategy, the population environmental relationship will need to be addressed. Since women are directly and indirectly related to the environment by the tasks they perform they are also the most directly effected by environmental degradation. A new approach is needed for balanced development that recognized social, economic, population and environmental relationships. A realistic set of goals for population policy would be to slow the rapid population growth, decrease infant, child and maternal mortality, raise the status of women, and regulate the migration and distribution of population.
New York, New York, United Nations Population Fund [UNFPA], 1990. 40 p.The decade of the 1990's, the Fourth Development Decade, will be "critical" because of the world's demographic situation will determine the future for the 21st century in terms of population growth and the effect of growing populations in terms of damage to the environment. Despite the fact that government political support for population programs and activities rose from 97 countries in 1976 to 125 in 1988 (Africa rose from 16 in 1978 to 30 in 1988), the contraceptive prevalence rates in developing countries (excluding China) during the 1980's fell below 40%. Many countries encountered a "mix" of difficulties maintaining their family planning programs (FP) because of declining political support and the debt burden forcing governments to reduce investments in health and social welfare programs, including FP. By the year 2025 the UN expects 8,467 million people; 147 million (<5%) will be in the industrialized countries and 95% in the developing countries of Africa, Latin America and Asia. This report discusses human resource development during the Fourth Development Decade. FP and population programs must become integral components of countries' development process to achieve sustainable economic growth. 19 recommendations are offered on how to achieve sustained fertility declines. This UNFPA report includes the following sections: Introduction; Part 1 "The Challenges Ahead"; Part 2 "Keeping the Options Open"; Part 3 "Human Resource Development-A New Priority"; Conclusion and Recommendations.
In: Population perspectives. Statements by world leaders. Second edition, [compiled by] United Nations Fund for Population Activities [UNFPA]. New York, New York, UNFPA, 1985. 175-6.10 years after the Bucharest Conference, which adopted the World Plan of Action, there is a second World Population Conference to be held in Mexico. The Conference will deal with considering progress since the Bucharest Conference and new population problems which need to be addressed, with respect to the diversity of the governments and cultures represented in Mexico. The Conference is faced with the prospect of deciding in which manner each country should deal with their population problems in the future. However factors such as inflation, growing debts, and unemployment should not be viewed as secondary to population variables. Factors such as bloc policies and arms races are other reasons for the depletion of funds which could be better used for economic and social development. The country of Yugoslavia is affected by these factors, as well. The government believes that peaceful development, globally, might lead to faster social and economic development in lesser developed countries which experience excessive poverty and population growth. Increase diversity in population problems is of great concern to the Yugoslavian government. However, support of United Nations programs, humanitarian aid from developed countries, and the increasing implementation of the World Plan of Action by various countries encourages the Yugoslavian people. However, it is up to each country to develop and implement its own population policy. Factors such as maternal and infant mortality; status of women; rights of each family to decide the size and spacing of their families; and the well-being of the family should be taken into account.
[Unpublished] 1989 Nov. 88 p. (A/E/BD/4/Sec. I)International population assistance defines the population aspects of development as the causes, conditions and consequences of changes in fertility, mortality and mobility as they affect developmental prospects and human welfare. Key elements in the policy-making process in the field of population are research, dissemination, policy formulation, policy planning, policy implementation and evaluation, policy analysis and data collection. The challenge is identifying where and how the population policy process needs are to be strengthened or modified to fit future needs. Political and substantive factors are the main causes for the lack of population policies in many developing countries; population assistance can begin to contribute to economic development by reaching the poorest classes of society; more focus has to be put on the interrelationship between gender roles and demographic behavior; more research is needed on the costs versus benefits of changing mortality, fertility and migration among the poor or will the focus remain on urban dwellers; more research and policy analysis are needed on the consequences of migration; there is the need for greater focus on integrating population with development and establishing appropriate institutional arrangements; data collection, tabulation and analysis will need to become more gender-specific and aimed at special target groups such as women, youth and the elderly. Data will need to be disaggregated for population subgroups and then integrated between different social and economic sectors. The availability of integrated statistics will be fundamental in the formulation and evaluation of programs for these special groups. When the policy development process is based on scientific data, research and analysis, there must be strong political commitment, institutional support, budgetary provision and a willingness to use the findings on an on-going basis.
New York, N.Y., United Nations Population Fund, 1989. xi, 902 p. (Population Programmes and Projects v. 2)The 15th edition of the INVENTORY shows at a glance, by country, internationally-assisted population projects funded, inaugurated, or being carried out by multilateral, bilateral, and non-governmental and other agencies and organizations during the period from 1 January 1987-30 June 1988. Whenever possible, projects that may have been funded prior to 1987 and that are still being carried out in 1987-1988 are shown. However, it is a good idea to use this INVENTORY in conjunction with the 1986-1987 edition. The 18-month period was used as the base period, since, although there was bound to be some duplication between editions, coverage would be more complete. Entries are grouped by country. Each country listing includes assistance from multilateral organizations, such as the UN Population Fund and the World Health Organization, assistance from non-governmental organizations, demographic facts, and population policies. The basic source of demographic data for individual countries is the WORLD POPULATION PROSPECTS: 1988 REVISION. The basic source of information for the section on government's views on population is the UN Population Division and its publication WORLD POPULATION POLICIES. The dollar value of projects or total country programs is given where such figures are available.
[Unpublished] 1985. 78 p.A Population/Family Health Assessment was conducted in the Democratic Republic of Madagascar (GDRN) to review population and family planning activities and to make general recommendations for improvement, including the type of US Agency for International Development (USAID) population assistance that should be provided. Despite the fact that Madagascar's population of approximately 9 million is growing at a rate of 2.8% annually, meaning the population will double in less than 25 years, there is no official population policy. Yet, it is significant that the reduction of maternal and infant mortality and morbidity has been identified as an explicit goal in the health sector, and the country's actions long have reflected an attitude of acceptance and support of family planning. The private family planning association is recognized as a nongovernmental organization, which provides clinical and contraceptive services throughout Madagascar. The public health system offers no family planning services. Although the French law of 1920 forbidding the sale and use of contraceptives has not been rescinded, it is not enforced. The private family planning association now provides contraceptive services in 40 Ministry of Health facilities at the request of public health physicians, and the government has approved the participation of 35 medical and paramedical personnel in training courses as well as the installation of laparoscopic equipment in 8 medical facilities. Several other organizations provide child spacing services. Despite the efforts being made, the availability of contraceptive services remains limited, and contraceptive prevalence was estimated at 1% of women aged 15-49 in 1982. Several obstacles impede accessibility to contraceptive services and expansion of family planning programs, including a culture which favors large families, the strong influence of the Catholic Church, and a limited number of medical centers providing family planning services. Further, communication between the Office of Population and the Ministry of Health has not been the most favorable for the development of effective programs either area, but the recent naming of a physician to the position of Director of Population may facilitate closer collaboration. The recommendations made outline a general strategy for the initiation of population activities in the shortterm.
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.
New York, New York, United Nations Fund for Population Activities, 1987. xi, 826 p. (Population Programmes and Projects, Volume 2.)This inventory of population projects in developing countries shows, at a glance, by country, internationally assisted projects funded, inaugurated, or being carried out by multilateral, bilateral, and other agencies and organizations during the reporting period (January 1985 to June 1986). Demographic estimates such as population by sex and by age group, age indicators, urban-rural population, and population density refer to the year end 1985; other estimates such as average annual change, rate of annual change, fertility, and mortality are 5-year averages for 1985-1990. The dollar value of projects or total country programs is given where figures are available. Chapter I provides information on country programs, and Chapter II deals with regional, interregional, and global programs. Chapter III lists sources, including published sources of information and and addresses for additional information and for keeping up-to-date on population activities. Each country profile includes a statement by Head of State of Government on their government's views regarding population, and views of the government on other population matters.
[Unpublished] 1986. Presented at the All-Africa Parliamentary Conference on Population and Development, Harare, Zimbabwe, May 12-16, 1986. 7 p.The Second African Conference on Population and Development, held early in 1984, marked a decisive stage in African thinking about population. During the 12 years between the 1972 and 1984 conferences, African nations learned in detail about their demographic situation and confronted the ever-increasing costs of development and their lack of physical and administrative infrastructure. In the midst of these and other concerns came the drought, which for over a decade in some parts of the continent has reduced rainfall, dried up rivers, lakes, and wells, and forced millions into flight. It is in this context that population became an African issue. African countries on the whole are not densely populated nor do they yet have very large concentrations in cities. Yet, population emerges as more than a matter of numbers, and there are features which give governments cause for concern. First, the population of most African countries, and of the continent as a whole, is growing rapidly and could double itself in under 25 years. Second, mortality among mothers and children is very high. Third, life expectancy generally is lower in African than in other developing countries. Fourth, urbanization is sufficiently rapid to put more than half of Africa in cities by 2020 and 1/3 of the urban population in giant cities of over 4 million people. The 1984 conference recognized these and other uncomfortable facts and their implications for the future, and agreed that attention to population was an essential part of African development strategy. Strategy is considered in terms of the 4 issues mentioned. First, high rates of growth are not in themselves a problem, but they mean a very high proportion of dependent children in the population. About 45% of Africa's population is under age 14 and will remain at this level until the early years of the 21st century. Meeting the needs of so many children and young adults taxes the ability of every African nation, regardless of how rapidly its economy may expand. Understanding this, a growing number of African leaders call for slower growth in order to achieve a balance in the future between population and the resources available for development. Reducing mortality requires innovation. Among the new approaches to health care are the use of traditional medicine and practitioners in conjunction with modern science and the mobilization of community groups for preventive care and self-help. Health care and better nutrition also are keys to improvement in life expectancy and call for ingenuity and innovation on the part of African governments and communities. Part of the solution to the impending urban crisis must be attention to the viability of the rural sector. The role of the UN Fund for Population Activities in addressing the identified issues is reviewed.
POPULI. 1986; 13(1):5-14.Within the next 50 years, the predominantly rural character of developing countries will shift as a result of rapid world urbanization. In 1970 the total urban population of the more developed world regions was almost 30 million more than in the less developed regions; however, by the year 2000 the urban population of developing countries will be close to double that in developed countries. A growing proportion of the urban population will be concentrated in the biggest cities. At the same time, the rural population in developing countries is expected to increase as well, making it difficult to reduce the flow of migrants to urban centers. Although urban fertility in developing countries tends to be lower than rural fertility, it is still at least twice as high as in developed countries. The benefits of urbanization tend to be distributed unevenly on the basis of social class, resulting in a pattern of skewed income and standard of living. Social conditions in squatter settlments and urban slums are a threat to physical and mental health, and the educational system has not been able to keep up with the growth of the school-aged population in urban areas. The problems posed by urbanization should be viewed as challenges to social structures and scientific technologies to adapt with concern for human values. It is suggested than 4 premises about the urbanization process should guide urban planners: 1) urban life is essential to the social nature of the modern world; 2) urban and rural populations should not be conceptualized in terms of diametrically opposed interest groups; 3) national policies will have an impact on urban areas, just as developments in the cities will impact on national development; and 4) the great cities of the world interact with each other, exchanging both trade and populations. The United Nations Family Planning Association stresses the need for 3 fundamental objectives: economic efficiency, social equity, and population balance.
Population Research Leads. 1985; (19):1-15.The Population Division's evaluation of the role of population factors in the planning process through the application of economic-demographic models shows that procedures for considering the short and long-term implications of population growth can be significantly improved. The Division's research projects demonstrate that models can help planners to achieve an efficient allocation of scarce resources, set clear-cut national objectives and provide a national sense of political and social purpose. There are many advantages in applying economic-demographic models to development planning in order to integrate population factors within the development process, yet care must be taken in adopting and/or applying a certain model at the national level. Aside from the question of adopting a model, the question of the applicability and application of models is emphasized. The choice of model structure is discussed in terms of 4 major issues: 1) the choice of a central core; 2) the trade-off between simplicity and complexity and the appropriate degree of endogeneity; 3) the choice of a demand or supply orientation; and 4) the criteria for selecting a particular model for use. A representative selection of economic demographic models is presented. Included are the TEMPO (designed to illustrate the benefits of reduced fertility) and Long-Range Planning Models (LAPM--designed to illustrate the implications of policy assumptions for economic development, particularly in regard to health and education), both developed by the US government. Also described are the BACHUE and the UN Fund for Populations Activities (UNFPA)/ Food and Agriculture Organization (FAO) models. It is argued that these latter models offer the greatest promise as tools for planning in the ESCAP Region, at the present time. As the BACHUE model is primarily concerned with employment and the distribution of income and the UNFPA/FAO model with agriculture, incorporating both into the planning process could be desirable.
[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.
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.
Report on the evaluation of UNFPA assistance to the strengthening of the civil registration and vital statistics system in Sierra Leone: project SIL/79/P03.
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Dec. x, 28 p.While Sierra Leone has a long tradition in registering births and deaths, dating back to the mid-1880s, registration has remained low. In order to improve registration coverage, the original project formulated in 1979 by the government included 3 immediate objectives; the strengthening of the civil registration system in a model area, the experimentation with field organization procedures most suitable for the registration system in the country, and the production of estimates of demographic variables in the model area and in the rest of the country. In the Tripartite Project Review held in 1981, 2 additional objectives were added to the project; the unification of the civil registration laws, including the provision of a uniform and universal legislation for the entire country, and the reorganization and training of the registration hierarchy. While the strategy to use a model area for the development was a sound one, without the law being enacted, new forms and registers could not be printed and thus few of the planned activities could take place. Of the 5 immediate objectives of the project, only one has been achieved--the passage of the Act of 1983 which provides the legal framework for registration to take place nationwide under the new system. Little progress has been made in the achievement of the 4 remaining objectives. The Evaluation Mission made recommendations concerning the need to reformulate the extension document early in 1985, taking into account the results of the Evaluation Mission, the concentration of government action on registration in the non-model areas, and thereafter the gradual expansion of registration to adjacent areas where more complete coverage is possible.
In: Mortality and health policy. Proceedings of the Expert Group on Mortality and Health Policy, Rome, 30 May to 3 June 1983, [compiled by] United Nations. Department of International Economic and Social Affairs. New York, New York, United Nations, 1984. 289-303. (International Conference on Population, 1984; ST/ESA/SER.A/91)The United Nations Fund for Population Activities (UNFPA) assistance program encompasses basic data collection, population dynamics, formulation of population policies, implementation of general policies, family planning activities, communication and education programs, and special programs and multisector activities. This paper focuses on UNFPA assistance in the area of mortality. The Fund does not provide support for activities related to the reduction of mortality per se; rather, it contributes indirectly to the improvement of infant, child, and maternal health through assistance to family planning programs integrated with maternal-child health care. The types of activities UNFPA supports in this area include prenatal, delivery, and postnatal care of mothers and infants; infant and child care; health and nutrition education; promotion of breastfeeding; monitoring of infant malnutrition; and diagnostic studies and treatment of infertility and subfecundity. The Fund has cumulatively expended about US$87.3 million for activities in the area of mortality and health policy. The Fund is currently providing collaborative assistance to the World Health Organization and the UN for a comprehensive project aimed at measuring mortality trends and examining the roles of socioeconomic development and selected interventions in the mortality decline in certain developing countries. At present there is a need for research on the persistence of high mortality in the least developed countries, the early levelling off of life expectancies in many countries, and the determinants of socioeconomic differentials in mortality. Understanding of the mortality situation in many developing countries has been hindered by a lack of descriptive data on mortality by socioeconomic, regional, and occupational status. The real challenge lies in the implementation of policies designed to reduce mortality; political, managerial, and cultural factors unique to each country, as well as pervasive poverty, make this a difficult process.
New York, UNFPA, 1985 Mar. viii, 68 p. (Report No. 70)The UN Fund for Population Activities (UNFPA) is in the process of an extensive programming exercise intended to respond to the needs for population assistance in a priority group of developing countries. This report presents the findings of the Mission that visited Burma from May 9-25, 1984. The report includes dat a highlights; a summary and recommendations for population assistance; the national setting; population policies and population and development planning; data collection, analysis, and demographic training and research;maternal and child health, including child spacing; population education in the in-school and out-of school sectors; women, population, and development; and external assistance -- multilateral assistance, bilateral assistance, and assistance from nongovernmental organizations. In Burma overpopulation is not a concern. Population activities are directed, rather, toward the improvement of health standards. The main thrust of government efforts is to reduce infant mortality and morbidity, promote child spacing, improve medical services in rural areas, and generally raise standards of public health. In drafting its recommendations, whether referring to current programs and activities or to new areas of concern, the Mission was guided by the government's policies and objectives in the field of population. Recommendations include: senior planning officials should visit population and development planning offices in other countries to observe program organization and implementation; continued support should be given to ensure the successful completion of the tabulation and analysis of the 1983 Population Census; the People's Health Plan II (1982-86) should be strengthened through the training of health personnel at all levels, in in-school, in-service, and out-of-country programs; and the need exists to establish a program of orientation to train administrators, trainers/educators, and key field staff of the Department of Health and the Department of Cooperatives in various aspects of population communication work.
[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..
[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.
New York, Pergamon, 1984. 240 p.This book, a sequel to "International Population Assistance: The First Decade," characterizes the work of the UN Fund for Population Activities (UNFPA) with the developing countries up to 1984, relating these experiences to the issues before the 1984 International Conference on Population. The 1st chapter provides an overview of the significant developments in population up to the 1984 International Conference on Population. The next 7 chapters discuss the following main issues before the Conference and generally reflect the arrangement of the document to be brought before the Conference concerning recommendations for further implementation of the World Population Plan of Action: fertility, status of women and the family; morbidity and mortality; population distribution, internal and international migration; population growth and structure; promotion of knowledge and implementation of policies and programs; international cooperation and the role of UNFPA; and the year 2000 and beyond. Within each of these chapters, excerpts have been arranged in an analytic order, with the aim of facilitating the flow of arguments presented. Appendices contain the 5 "State of World Population Reports" issued from 1980-84 and 7 Rafael M. Salas statements which, primarily due to their focus on the population issues of particular importance to the major regions of the globe, are reproduced in their entirety. This volume reflects the process of population policymaking of the UNFPA with the developing countries in support of their population programs in the past 15 years. These policies were sanctioned and validated, both nationally by the countries themselves and globally by UN deliberative bodies and conferences. The experience of UNFPA in policy formulation indicates that an effective population policy must have its proper time perspective and must be scientifically determined in its component elements, normative and applicable at different levels, multisectoral in its emphasis, and measurable in its impact and consequenes.
[Unpublished] 1979 Jul 30. 107 p. (Contract No. AID/afr-C-1413)This paper provides recommendations to the Sahel Demvelopment Program of the U.S. Agency for International Development concerning an operational strategy for the promotion and development of social services and production have been the development goals of the Sahelian countries since 1960, progress to date has not met expectations. With the exception of Senegal and Mauritania, all the member countries still have per capita gross national products of less than $200 per year. Between 1960-75 the Gambia and Mauritania experienced some growth in their per capita gross national product, while those in the other countries have actually declined. The agricultural sectors are the basis of the national economies, employing 80-90% of the economically active population, and growth of the agricultural sector between 1960-70 has been slow but steady, averaging about 2% annually. The population of region is 28 million, with an age structure in which 45% of the population is under 15 years of age and 55% is between ages 15-64. The Sahel Demographic Research Program has as its objectives: 1) to substantially develop the capacity for demographic data collection, analysis, and research in the Sahel countries; 2) to improve the mechanisms of social and economic development by taking into consideration the interrelations of all social, economic, and demographic variables in the process of development; 3) to contribute to the definition of appropriate population policies that are based on reliable data and can contribute to the rehabilition of the Sahelian ecosystem; 4) to reinforce the scientific and technical cooperation and solidarity between the countries of the area from a self-relian and common perspective of subregional development. To achieve these goals, objectives for a "first generation program" to be undertaken during the period 1978-82 were formulated. The strategy for achieving the objectives should be designed so as to remove the human, physical, and financial resource constraints that are reflected in lack of appropriately trained personnel, institutional networks, financial resources, and coordination at all levels. Successful program impelmentation should result in a team of professional and technical personnel capable of identifying, collecting, analyzing, and utilizing demographic data needed for longterm development planning, systematization of the colleciton, and mechanisms for regional coordination and collaboration. Specifically, the strategy should consist of: 1) institution building and training; 2) establishment of a centralized computer bank; 3) expansion of the demographic database; 4) promotion of the application of demographic data in policy formulation, planning, project design, and evaluation; and 5) publication, dissemination, and translation of research.