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  1. 1

    National report on population. Prepared for the International Conference on Population and Development, September 1994.

    Tunisia. Ministry of Planning and Regional Development

    [Tunis], Tunisia, Ministry of Planning and Regional Development, 1994 Aug. 57 p.

    Tunisia's country report for the 1994 International Conference on Population and Development opens with a brief discussion of the country's history and development achievements (the population growth rate has been reduced from 3.2% in the beginning of the 1960s to less than 2%, and Tunisia has achieved significant improvement over the past 2 decades in human development indices). Tunisia's population policy has gone through 3 stages: the establishment of an important legal framework during the 1950s and 60s, the creation of a National Family and Population Board and establishment of basic health care facilities during the 1970s, and an emphasis on environmentally-responsible development with an attempt to strengthen the integration of population policies into development strategies beginning in the 1980s. The report continues with an overview of the demographic context (historical trends and future prospects). The chapter on population policies and programs covers the evolution and status of the policies; sectoral strategies; development and research; a profile of the family health, family planning (FP), IEC (information, education, and communication), and data collection and analysis programs. This chapter also provides details on policies and programs which link women and families to population and development and on those which concern mortality, population distribution, and migration. The third major section of the report presents operational features of the implementation of population and FP programs, in particular, political support, program formulation and execution, supervision and evaluation, financing, and the importance and relevance of the world plan of action for population. Tunisia's national action plan for the future is discussed next in terms of new problems and priorities and a mobilization of resources. This section also includes a table which sets out the components, goals, strategies, and programs of action of the population policy. In conclusion, it is stated that Tunisia's population policy fits well with the world program of action because it promotes human resources and sustainable development and respects international recommendations about human rights in general and the rights of women in particular.
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  2. 2

    Government of Sierra Leone. National report on population and development. International Conference on Population and Development 1994.

    Sierra Leone. National Population Commission

    Freetown, Sierra Leone, National Population Commission, 1994. [4], 15, [4] p.

    The government of Sierra Leone is very concerned about the poor health status of the country as expressed by the indicators of a high maternal mortality rate (700/100,000), a total fertility rate of 6.2 (in 1985), a crude birth rate of 47/1000 (in 1985), an infant mortality rate of 143/1000 (in 1990), and a life expectancy at birth of only 45.7 years. A civil war has exacerbated the already massive rural-urban migration in the country. Despite severe financial constraints, the government has contributed to the UN Population Fund and continues to appeal to the donor community for technical and financial help to support the economy in general and population programs in particular. Sierra Leone has participated in preparations for and fully supports the 1994 International Conference on Population and Development. This document describes Sierra Leone's past, present, and future population and development linkages. The demographic context is presented in terms of size and growth rate; age and sex composition; fertility; mortality; and population distribution, migration, and urbanization. The population policy planning and program framework is set out through discussions of the national perception of population issues, the national population policy, population in development planning, and a profile of the national population program [including maternal-child health and family planning (FP) services; information, education, and communication; data collection, analysis, and research; primary health care, population and the environment; youth and adolescents and development; women and development; and population distribution and migration]. The operational aspects of the program are described with emphasis on political and national support, FP service delivery and coverage, monitoring and evaluation, and funding. The action plan for the future includes priority concerns; an outline of the policy framework; the design of population program activities; program coordination, monitoring, and evaluation; and resource mobilization. The government's commitment is reiterated in a summary and in 13 recommendations of action to strengthen the population program, address environmental issues, improve the status of women, improve rural living conditions, and improve data collection.
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  3. 3

    Report: Albania.

    United Nations Population Fund [UNFPA]. Technical and Evaluation Division; United Nations Population Fund [UNFPA]. Division for Arab States and Europe

    New York, New York, UNFPA, [1991]. [6], 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.
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  4. 4

    Social studies and population education. Book Two: man in his environment.

    University of Sierra Leone. Institute of Education

    Freetown, Sierra Leone, Ministry of Education, 1984. 80 p. (UNFPA/UNESCO Project SIL/76/POI)

    The National Programme in Social Studies in Sierra Leone has created this textbook in the social sciences for secondary school students. Unit 1, "Man's Origins, Development and Characteristics," presents the findings of archaeologists and anthropologists about the different periods of man's development. Man's mental development and population growth are also considered. Unit 2, "Man's Environment," discusses the physical and social environments of Sierra Leone, putting emphasis on the history of migrations into Sierra Leone and the effects of migration on population growth. Unit 3, "Man's Culture," deals with cultural traits related to marriage and family structure, different religions of the world, and traditional beliefs and population issues. Unit 4, "Population and Resources," covers population distribution and density and the effects of migration on resources. The unit also discusses land as a resource and the effects of the land tenure system, as well as farming systems, family size and the role of women in farming communities. Unit 5, "Communication in the Service of Man", focuses on modern means of communication, especially mass media. Unit 6, "Global Issues: Achievements and Problems," discusses the identification of global issues, such as colonialism, the refugee problem, urbanization, and the population problems of towns and cities. The unit describes 4 organizations that have been formed in response to problems such as these: the UN, the Red Cross, the International Labor Organization, and the Co-operative for American Relief.
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  5. 5

    India: country statement. International Conference on Population and Development, Cairo, 1994.

    India. Department of Family Welfare

    New Delhi, India, Department of Family Welfare, 1994. [5], 61 p.

    The country report prepared by India for the 1994 International Conference on Population and Development opens by noting that India's population has increased from 361.1 million in 1951 to 846.3 million in 1991. In describing the demographic context of this, the largest democracy in the world, information is given on the growth rate, the sex ratio, the age structure, marital status, demographic transition, internal migration, urbanization, the economically active population and the industrial structure, literacy and education, data collection and analysis, and the outlook for the future. The second section of the report discusses India's population policy, planning, and programmatic framework. Topics covered include the national perception of population issues, the evolution of the population policy, the national family welfare program (infrastructure and services; maternal and child health; information, education, and communication; and achievements), the relationship of women to population and development, the relationship of population issues and sectoral activities, the environment, adolescents and youth, and AIDS. The third section presents operational aspects of family welfare program implementation and covers political and national support, the implementation strategy, the new action plan, program achievements and constraints, monitoring and evaluation, and financial aspects. The national action plan for the future is the topic of the fourth chapter and is discussed in terms of emerging and priority concerns, the role and relevance of the World Population Plan of Action and other international instruments, international migration, science and technology, and economic stabilization, structural reforms, and international financial support. After a 24-point summary, demographic information is appended in 17 tables and charts.
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  6. 6

    The Philippines: country report on population. International Conference on Population and Development, 5-13 September 1994, Cairo, Egypt.

    Philippines. Commission on Population

    [Manila], Philippines, Commission on Population, 1994. [4], 40 p.

    The country report on population prepared by the Philippines for the 1994 International Conference on Population and Development opens with a discussion of the 3 interdependent strategies which will be used to achieve development: total human resource development, international competitiveness, and sustainable development. Since the Philippines envisions development proceeding primarily from the initiatives of individuals, families, nongovernment organizations (NGOs), cooperatives, etc., empowerment of the people is a major objective of the government. To this end, the family is seen as the focal point for analysis of needs and resource use and for mobilization. The problems which beset the Philippines today and which are exacerbated by rapid population growth are pervasive poverty, a heavy debt burden, high unemployment and underemployment, a decrease in productive land, environmental degradation, and a poor economic performance. The country report considers the relationship between population, economic growth, and sustainable development in terms of the demographic situation and the economic situation. The report provides a history of the development of population policy and population programs in the country. The concerns of the population program are the environment and development, transitional population growth, the population structure, urbanization, migration, the status of women, maternal and child health and family planning (FP), and data collection and analysis. Various components of the implementation of the population program are described including political and national support, the national implementation strategy, the integration of population and development and assessment of integration efforts, responsible parenthood/FP, and the assessment of FP service delivery. Mechanisms for program monitoring and evaluation are presented along with an assessment of program efficiency, and the financial aspects of the program are discussed. After touching on the relevance of the World Population Plan of Action, the report puts forth the national 9-point action plan for the future which has the following goals: 1) to integrate population and development planning; 2) to strengthen the responsible parenthood/FP program; 3) to strengthen population education and the adolescent fertility program; 4) to increase the participation of women; 5) to build capabilities and develop institutions; 6) to decentralize administration; 7) to develop a sustainable financial plan; 8) to increase NGO and people's organization participation; and 9) to develop a reliable data base. The appendices present the demographic, health, and economic indicators for 1960-90 in tabular form and provide an outline of population policies, legislation, and incentives.
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  7. 7

    [International Conference on Population and Development, Cairo, 1994. The voice of women] Conferencia Internacional sobre Poblacion y Desarrollo, El Cairo 1994. La voz de las mujeres.

    Guevara S; Ramos M; Guerra-Garcia A

    [Lima], Peru, Centro Flora Tristan, 1994. 47 p.

    This document provides basic information on Peru's population from the perspective of women in preparation for the 1994 World Population Conference in Cairo. Peru has changed from a primarily rural, Andean, agricultural country with a population of 6 million in 1940 to a primarily coastal and urban country with a rapidly growing population of 22 million in 1993. In 1940, 65% of the population was rural; by 1993, 70% was urban. 29% of the total population lived in Lima, where economic activity, services, and government functions are concentrated. In 1992, 90% of urban houses had electricity, 80% had potable water, and 64% had toilets. In rural areas only 20% of houses had electricity, 22% had potable water, and 3% had toilets. In 1991, 58% of urban and 7% of rural households were considered to be adequately well off, 29% of urban and 29% of rural households were considered poor, and 13% of urban and 64% of rural households were considered destitute. 38.1% of Peru's total population in 1992 was under 15 years old. Peru's total fertility rate in 1992 was 3.5 for the country as a whole, 2.1 in metropolitan Lima, 3.2 in other cities, and 6.2 in rural areas. The ideal family size was 2.4 to 2.5 in urban areas and just 2.7 in rural areas. 11% of adolescents aged 15 to 19 already had children or were pregnant. Illiterate women had 7 children on average compared to 3 for women with secondary educations. 72.4% of women interviewed in the 1992 Demographic and Health Survey stated they wanted no more children, but only 32.8% used a modern contraceptive method. The maternal mortality rate was estimated at 30/10,000 in 1991. It was estimated that 12 abortions occur for every 100 live births, but the actual rate may be higher. Illiteracy rates among persons over age 15 in 1991 were estimated at 2.2% for urban men, 6.3% for urban women, 10.4% for rural men, and 45.6% for rural women. Working women are concentrated in low paid, low status jobs, domestic work, and the informal sector. Preparations for the 1994 World Population Conference have included five regional conferences and six meetings of experts on population-related topics. The Andean Declaration on Population and Development of December 1993 identified sixteen priority actions that should be taken in the areas of population and development. Conferences and meetings in Peru and elsewhere have been a vehicle for inclusion of topics and viewpoints of particular importance to women.
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  8. 8

    Synthesis of the expert group meetings convened as part of the substantive preparations for the International Conference on Population and Development.


    As part of the preparation for the 1994 International Conference on Population and Development to be sponsored by the UN in Cairo, 6 expert groups were convened to consider 1) population growth; 2) population policies and programs; 3) population, development, and the environment; 4) migration; 5) the status of women; and 6) family planning programs, health, and family well-being. Each group included 15 experts representing a full range of relevant scientific disciplines and geographic regions. Each meeting lasted 5 days and included a substantive background paper prepared by the Population Division as well as technical papers. Each meeting concluded with the drafting of between 18 and 37 recommendations (a total of 162). The meeting on population, the environment, and development focused on the implications of current trends in population and the environment for sustained economic growth and sustainable development. The meeting on population policies and programs observed that, since 1984, there has been a growing convergence of views about population growth among the nations of the world and that the stabilization of world population as soon as possible is now an internationally recognized goal. The group on population and women identified practical steps that agencies could take to empower women in order to achieve beneficial effects on health, population trends, and development. The meeting on FP, health, and family well-being reviewed policy-oriented issues emerging from the experience of FP programs. The meeting on population growth and development reviewed trends and prospects of population growth and age structure and their consequences for global sustainability. The population distribution and migration experts appraised current trends and their interrelationship with development. In nearly all of the group meetings, common issues emerged. Concern was universally voiced for sustainable development and sustained economic growth, relevance of past experience, human rights, the status of women, the family, accessibility and quality of services, the special needs of subpopulations, AIDS, the roles of governments and nongovernmental organizations, community participation, research and data collection, and international cooperation.
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  9. 9

    Introduction. Review of the six expert group meetings.


    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).
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  10. 10

    Educating girls and women: investing in development.

    King EM

    Washington, D.C., World Bank, 1990. [2], 17 p.

    This brochure summarizes selected chapters from a forthcoming publication of a World Bank study on women's education in developing countries. The poorest benefit, and for girls and women, the benefits are many. Failure to raise the education levels of women has hugh consequences for increasing productivity and income and improving quality of life. Development has been affected both by the level of schooling of women and the gender gap. New approaches are being explored; policymakers must find and appropriate combination of actions to change families' opinions of and the economics of female education. Adult literacy is low in many developing countries; of the 14 out of 40 countries with data, only 1 in 5 adult females can read. Gross enrollment has increased from 45% in 1965 to 70% in 1985; only 41% of total primary school enrollment was girls in 1985. There are great regional differences. The gender gap is dramatic in South Asia, the Middle East, North Africa, and sub-Saharan Africa, e.g., in Bhutan girls school enrollment was 19% compared with 34% for boys in 1985, and in Pakistan 38% of girls vs 73% of boys. Differences were not as marked in Latin America and all East Asian countries. Dropout rates for girls are also higher than boys. Middle-income countries have experienced the greatest progress. The benefits of educating women are discussed in terms of the link with social and economic development. Families investment in girls education is low because the private returns are not large enough to balance the costs. Sons receive preference in many countries. Approaches to attracting more girls to schools are discussed: building schools is not enough; demand for girls education must occur. New ways of engaging rural students are being tried. Culturally appropriate facilities also boost enrollment. The best method is training and placing teachers close to home. Financial incentives and lower opportunity costs attract more girls to school. National media campaigns to raise awareness are effective. Limited resources and rapid population growth demand a realignment of priorities.
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  11. 11

    Interview: Mr. George Walmsley: UNFPA Country Director for the Philippines.

    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.
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  12. 12

    The earth: can it support 5.2 billion people?

    Sadik N

    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.
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  13. 13

    Lesotho: report of Mission on Needs Assessment for Population Assistance.

    United Nations Fund for Population Activities [UNFPA]

    New York, New York, UNFPA, 1986 Jun. x, 66 p. (Report No. 81)

    A UN mission was sent to assess and recommend areas for assistance in the field of population assistance in Lesotho. The mission recommends a population unit be set up and staffed with personnel able to initiate, coordinate, and document population research. It also should assist in the integration of population data into the planning process. Data needed to accomplish these tasks includes current statistics on the size, demographic, and socioeconomic details of the population; migration and geographical distribution; general health and nutritional status, including adult and infant mortality; the size and distribution of the work force; and the employment market and manpower in the private sector. Research is recommended in the following areas: resource limitations on development and job growth; international migration; effects of infertility on population growth and distribution; religion and culture in family planning; women's status in work force; effects of land tenure, land use and distribution; teen pregnancy; resources available to women; and effects of returning migrants on households. Also recommended are expanding health facilities and increasing staff training for this network. Family planning should be integrated with maternal and child health services. The mission finds that the government needs to promote a longterm formal program on population education, and designate an agency to coordinate such a program. The mission suggests that women's role in agriculture and other employment be analyzed, and also laws that effect their rights and responsibilities. It also recommends more small projects in rural areas and designating funds to help women gain self sufficiency.
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  14. 14


    Schluter P

    In: Population perspectives. Statements by world leaders. Second edition, [compiled by] United Nations Fund for Population Activities [UNFPA]. New York, New York, UNFPA, 1985. 50-1.

    The world rate population growth has decreased slightly over the past decade. However, global development differs from country to country. In some countries, population growth has been replaced by population decline. This particular phenomena is being experienced in developed nations. On the other hand, the developing world is experiencing an alarming population increase, which compromises economic and social development. However, a problem common to both developed and developing countries is an increase in the population of the elderly. It is something that each nation must eventually address in the future. In dealing with present population problems, global cooperation is needed. Bi-lateral and multi-lateral assistance should be emphasized, in addition to programmes implemented by non-governmental organizations. All national programs should take into account the individual rights of all- those who wish to receive family planning services and those who do not. At the center of each population policy should be the improvement of the status of women. The Danish government offers assistance to those countries looking to implement programs which will deal with this particular problem. The government of Denmark looks forward to the World Population Conference to be held in Mexico. It recognizes the importance of reviewing and assessing progress since the Bucharest Conference in 1974.
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  15. 15


    Husein S

    In: Population perspectives. Statements by world leaders. Second edition, [compiled by] United Nations Fund for Population Activities [UNFPA]. New York, New York, UNFPA, 1985. 84-5.

    The president of Iraq wishes to express his best wishes for the success of the 1984 World Population Conference. The government of Iraq believes that the conference requires a great deal of effort to improve present-day problems. Several countries have experienced socioeconomic growth since the 1974 Bucharest Conference; it is necessary that these problems of development be addressed as well. The government of Iraq has paid special attention to its own development problems by addressing such factors as the labor force and the status of women. The government of Iraq has given financial and material aid to developing countries in an attempt to help build up these economies. It is up to the more developed countries to combat world poverty by giving assistance to the less developed. International cooperation is needed to deal with global problems; foreign aggression, as in the case of Israel and Iran, solves nothing - it only creates a state of instability within the Middle East.
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  16. 16

    Sectoral paper--policy development process.

    United Nations Population Fund [UNFPA]

    [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.
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  17. 17

    The state of the world's children 1988.

    Grant JP

    Oxford, England, Oxford University Press, 1988. [9], 86 p.

    The 1988 UNICEF report on the world's children contains chapters describing the multi-sectorial alliance to support child health, the current emphasis on ORT and immunization, the effect of recession on vulnerable children, family rights to knowledge of basic health facts, and support for women in the developing world. Each chapter is illustrated by graphs. There are side panels on programs in specific countries, including Senegal, Syria, Colombia, Bangladesh, Turkey, India, Honduras, Japan and Southern Africa, and highlighted programs including immunization, AIDS, ORT, breast-feeding and tobacco as a test of health. The SAARC is a new regional organization of southern Asian countries committed to immunization and other health goals. Tables of health statistics of the world's nations, divided into 4 groups by "Under 5 Mortality Rate" present basic indicators, nutrition/malnutrition data, health information, education, literacy and media data, demographic indicators, economic indicators and data pertaining to women. The absolute numbers of child deaths had fallen to 16 million in 1980, from 25 million in 1950. Saving children's lives will not exacerbate the population problem because, realizing that their children will survive, families will have fewer children. Furthermore, the methods used to reduce mortality, such as breast feeding and empowerment of families to control their lives, are known to reduce fertility.
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  18. 18

    Population growth and policies in sub-Saharan Africa.

    World Bank

    Washington, D.C., World Bank, 1986 Aug. x, 102 p.

    This report provides a comprehensive assessment of the magnitude and underlying causes of Africa's rapid population growth and suggests a framework to help African leaders design policies to address this problem. The report has 3 themes. The 1st theme is that rapid population growth in Africa is slowing economic development and reducing the possibility of raising living standards. Africa's population growth rate, the highest in the world, has accelerated from an average of 2.8%/year in 1970-82 to 3.1%/year in 1985. Population growth is expected to continue to rise for at least another 5-10 years. In addition to undermining economic growth and per capita income growth, the population explosion implies higher child and maternal morbidity and mortality, further degradation of the natural environment, constraints on expanding education and health care services, and falling wages. A comprehensive population policy in African countries must include efforts both to slow this growth and to cope with its consequences. A 2nd theme is one of cautious hope arising from recent indications of a change in ideas and behavior regarding fertility. More and more African governments are expressing alarm about population growth and are supporting family planning measures. Improvements in women's status, especially in female education, are occurring and can be expected to have a fertility reducing effect. Increased availability and accessibility of family planning services could raise Africa's contraceptive prevalence rate from its current level of 3-4% to 25% in the next decade. The 3rd theme is that strategic reorientation of the direction and nature of government involvement in the area of population policy is required. Although governments should not seek to be the only provider of family planning services, they must take the lead in generating a climate of legitimacy for family planning. An increase in external assistance will be necessary if family planning is to become a realistic option for Africans.
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  19. 19

    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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  20. 20

    Burma: report of Mission on Needs Assessment for Population Assistance.

    United Nations Fund for Population Activities [UNFPA]

    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.
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  21. 21

    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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  22. 22

    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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  23. 23

    Action by the United Nations to implement the recommendations of the World Population Conference, 1974: monitoring of population trends and policies.

    United Nations. Economic and Social Council. Population Commission

    New York, New York, United Nations, 1984 Dec. 10. 15 p. (E/CN.9/1984/2/Add.1)

    Pursuant to the recommendation of the World Population Plan of Action adopted in 1974, which was reaffirmed by the International Conference on Population in 1984, the United Nations has been undertaking a biennial review of population trends and policies. At the 22nd session of the Population Commission, held in January 1984, the Commission requested the Secretary-General to prepare an addendum to the concise report on monitoring of population trends and policies for the 23rd session, bearing in mind the relatively short time span since the preparation of the last such report. The purpose of the present document is to provide the Population Commission with such information to facilitate its deliberation on the agenda item. Analyses show that the gradual slow-down of global population growth is still holding with the present rate estimated at 1.65%/year, down from 2% during the 1960s. Declines have occurred in both the developed and the developing countries. Regional diversity of population trends have been so large that an overall global assessment seems almost irrelevant for policy consideration at national levels. The future population growth rate is expected to decline slower than it did in the past 15 years unless population policies change significantly. During the 1980-85 period the working age population (15-64 years) in the developing countries is estimated to have increased, on the average, at an annual rate of 2.8%, the elderly population (60 and over) at 3% and women in the reproductive ages (15-49 years) at 2.9%. The most urgent problem for many developing countries is perhaps the continuing very rapid increase of the working age population. The aging of the population, which bears significant policy implications, is among the most salient features of population change in the world, except for Africa. Fertility rates in most developed countries continue to fluctuate at low levels. No current data on developing country rates are available. An overall improvement in mortality in most countries is noted. A high rate of urban population growth in developing countries is a tremendous problem facing these countries. International migration, social and economic implications, demographic perceptions and governmental policies are summarized. National sovereignty, human rights, cultural values and peace are stressed as important factors in population policies. Women's status is discussed as playing a role in population change.
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  24. 24

    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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  25. 25

    Reflections on population.

    Salas RM

    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.
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