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  1. 1

    Fertility, contraception and population policies.

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

    New York, New York, United Nations, 2003. iv, 37 p. (ESA/P/WP.182)

    Governments’ views and policies with regard to the use of contraceptives have changed considerably during the second half of the 20th century. At the same time, many developing countries have experienced a transition from high to low fertility with a speed and magnitude that far exceeds the earlier fertility transition in European countries. Government policies on access to contraceptives have played an important role in the shift in reproductive behaviour. Low fertility now prevails in some developing countries, as well as in most developed countries. The use of contraception is currently widespread throughout the world. The highest prevalence rates at present are found in more developed countries and in China. This chapter begins with a global overview of the current situation with regard to Governments’ views and policies on contraception. It then briefly summarizes the five phases in the evolution of population policies, from the founding of the United Nations to the beginning of the 21st century. It examines the various policy recommendations concerning contraception adopted at the three United Nations international population conferences, and it discusses the role of regional population conferences in shaping the policies of developed and developing countries. As part of its work programme, the Population Division of the United Nations Secretariat is responsible for the global monitoring of the implementation of the Programme of Action of the 1994 International Conference on Population and Development (ICPD). To this end, the Population Division maintains a Population Policy Data Bank, which includes information from many sources. Among these sources are official Government responses to the United Nations Population Inquiries; Government and inter-governmental publications, documents and other sources; and non-governmental publications and related materials. (excerpt)
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  2. 2

    Status of family planning activities and involvement of international agencies in the Caribbean region [chart].

    Pan American Health Organization

    [Unpublished] 1970. 1 p.

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  3. 3

    [World population policy] La politica demografica mundial.

    Casas Torres JM

    In: La explosion demografica y la regulacion de la natalidad, edited by Jose Botella Llusia and Salustiano del Campo Urbano. Madrid, Spain, Editorial Sintesis, 1997. 71-82.

    This work expresses strong disapproval of the antinatalist policies of the UN system, the nongovernmental organizations with which it cooperates, and the developed countries which support them. World population has grown at an unprecedentedly rapid rate in the latter half of the 20th century, with the greatest growth occurring in the poorest regions. Projections of huge future populations in poor regions are the pretext for population policies which rich countries, acting through the UN system, impose on poor ones. The author suggests that the UN has accomplished much in maintaining peace and fostering international collaboration in data collection, but he sees the UN primarily as a political system controlled by a few wealthy countries, whose main demographic export is an implacable antinatalist policy. On the other side of the "war against population," allied with the Vatican, are "millions of persons of all races and creeds" who are faithful to pronatalist traditions but disorganized, dispersed, and unaware of the dangers to future generations. The author suggests that any difficulty caused by population growth can be conquered by the talent and effort of the affected population, which will enable it to find new ways of exploiting resources and utilizing space to support higher population densities.
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  4. 4

    On course for the 21st century? [Interview with Nafis Sadik].

    Rowley J

    PEOPLE AND THE PLANET. 1997; 6(1):10-1.

    Dr. Nafis Sadik, Executive Director of the UN Population Fund, notes that in the wake of the 1994 International Conference on Population and Development (ICPD), governments have been persuaded to abandon demographic targets and instead set specific social goals such as reductions in maternal, child, and infant mortality, and improvements in education, especially for girls. Progress is being made with regard to health and education, with all countries having set target dates for the enrollment of all children in school. The meaning of basic health services for all remains unclear. Progress is also being made against female genital mutilation and sexual violence, and improving women's status and the delivery of reproductive health care. Most countries could, however, do a lot more, and greater public support and resources are needed for programs. India, Brazil, Egypt, and Peru are cited as examples of countries which have begun to change policy following the ICPD. Developing countries and donors, with the exception of the US in 1996, have made efforts to increase their levels of spending on reproductive health services; the US has reduced its aid budget by 35%.
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  5. 5

    Second Preparatory Committee of the 1994 International Conference on Population and Development. A review of major events and themes from the standpoint of a non-governmental organization involved in women's issues.

    Rahman A

    [Unpublished] [1993]. 8, [50] p.

    The US-based Center for Reproductive Law and Policy, a nongovernmental organization (NGO), participated in the two-week Second Preparatory Committee (PrepCom II) meeting for the 1994 International Conference on Population and Development (ICPD) in Cairo held in New York City in May 1993. Representatives from governments and 332 NGOs participated in the preparation of the Proposed Conceptual Framework of the Draft Recommendations of the Conference. NGOs participated by lobbying their respective governments. They organized themselves into groups on both a regional and issue basis. A controversy whirled around the importance of environmental concerns to policies of population and development and the role and structure of the family. The Vatican convinced Colombia and other South American nations to request a section entitled The Family, Its Role and Composition. Its concerns centered on sex education, care of the elderly, and AIDS within the family. Morocco also supported this section. The NGO Women's Caucus submitted papers containing specific language on provisions related to women's issues to governmental delegations. The US delegation, headed by Timothy Wirth, renewed its commitment to population issues and affirmed the centrality of women and their reproductive rights to the implementation of population policies. Political undercurrents at PrepCom II revolved around the North-South divide, reproductive health versus family planning, and human rights. In some instances, NGOs on both sides of the divide concurred on some issues. Some Southern NGOs took positions opposite their governments. Some NGOs wanted to expand discussions from family planning to reproductive health. Reproductive rights were the most popular human rights concept at PrepCom II.
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  6. 6

    Needed: a brave and angry plan.

    Anand A

    POPULI. 1993 Feb; 20(2):12-3.

    The Delhi Declaration and Vision 2000 is IPPF's strategic plan for directing efforts through the end of the 20th century. This brave and angry plan points out the need for IPPF to interact more closely with women's groups and nongovernmental organizations to address the needs of marginalized people. Women's status is lower than that of men in most societies. During the 1980s, family planning (FP) programs in some developing countries (e.g., Bangladesh, Brazil, India, and Mexico) directly or structurally pressured women to become sterilized or take part in clinical trials of injectable contraceptives and subdermal implants. IPPF calls for more funds from donor governments for research and development because pharmaceutical companies do the research, but lawsuits, adverse publicity, and consumer campaigns have resulted in reduced pharmaceutical company supported research. Adverse publicity has also been waged against international FP and population control groups, mainly because they do not include women in decision-making roles in all aspects of contraception research. The Declaration calls for a wider women's role in making decisions affecting FP, sexual health, and reproductive rights. Developed and developing countries should share power and freedom. Contraception has brought about positive changes in women's lives, e.g., better health for mother and child. About 51% of couples in developing countries use FP methods, but 300 - 500 million married women who want to use contraceptive still do not have access to it. Since religion, tradition, and peer pressure influence family size, public education is needed. The media needs to become more objective when they report on FP successes rather than on 1 problematic sterilization. AIDS, more unsafe abortions, and unwanted pregnancies make this brave and angry plan even more relevant to addressing today's needs.
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  7. 7

    Population and the family. Report of the Secretary-General.

    United Nations. Secretary-General

    In: The population debate: dimensions and perspectives. Papers of the World Population Conference, Bucharest, 1974. Volume I. New York, New York, United Nations, 1975. 124-54. (Population Studies, No. 57; ST/ESA/SER.A/57)

    The UN Secretary-General's state of the population and family message is an expansive discussion of many issues. There are some historical perspectives and definitions of family type, socioeconomic change, and demographic changes affecting the family. Population trends are given for family size, more and less developed regions, the family life cycle, and family structures. Policies in industrialized countries are examined with a focus on the nuclear family, new marriage patterns and the sociological implications, and political responses to population growth. Family policy is also viewed from within transitional societies: demographic characteristics; specific populations such as those in Latin America, India and Indonesia; economic and social change; nuclear and extended families; international migration and urban-rural differences; marriage age changes; educational impacts from population growth; health programs; and family planning. Some basic principles for population policies are outlined. Parents must have the right to determine freely and responsibly the number and spacing of their children. Children have a right to education, and parents to literacy. Women have an equal right to employment. Women have a right to choose their own marriage partners. Social policy in order to ensure the welfare of the family relies on social and economic services, including care for the aged. Market expansion and economic policy also impacts on the family through increasing participation of marginal workers especially women and should be sensitive to the well-being of the family. Population pressure will affect housing shortages and inefficiencies in social welfare, for example. Traditional societies are defined as those not affected yet by modernization. Regional illustrations are given for tropical Africa, Pakistan, and Bangladesh. The threshold hypothesis is advanced that even in traditional societies substantial mortality decline has occurred; the stages of demographic transition for specific countries has been shortened and inadequacy of data prevents a detailed estimation. Raising national and income/capita is seen as a goal of notional government. National governments have a responsibility to develop family and population policies. Human rights must be protected. The implications of growth patterns, the objectives of national policies, priorities, and universal criteria for a family policy are all discussed.
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  8. 8

    Editor's introduction [to the proceedings of the Second International Conference on Health Law and Ethics, London, July 16-21, 1989].

    Gostin L

    LAW, MEDICINE AND HEALTH CARE. 1990 Spring-Summer; 18(1-2):11-4.

    The editor introduces selected proceedings from the 2nd International Conference on Health Law and Ethics. Over 600 participants from more than 60 international cooperating organizations and the World Health Organization (WHO) were in attendance. Papers considered to be among the finest from the conference are included in the proceedings, and represent a widely-diverging range of cultures and approaches. While this introduction points repeatedly to the United States' health system for contrast and comparison with other systems, the conference paid special attention to global dimensions, wealth and poverty, and innovative ways of approaching health law and ethics in other nations and regions. The publication introduced by the editor considers 6 main topics, the 1st being AIDS medicine, law, and public health in industrialized and 3rd world countries. In light of the ethical challenges in international research, resource distribution, prevention, and blood supply protection, and drug and vaccine availability, steps by WHO's Global Program on AIDS and the Council for International Organizations of Medical Sciences to develop international ethical guidelines for research and development of therapeutic agents are discussed. Comparative treatments of euthanasia, medical malpractice, resource allocation and service inequity, abortion and family planning, and the state's role in medical coercion are explored.
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  9. 9

    [The controversies over population growth and economic development] Die Kontroversen um Bevolkerungswachstum und wirtschaftliche Entwicklung.

    Schmid J

    In: Probleme und Chancen demographischer Entwicklung in der dritten Welt, edited by Gunter Steinmann, Klaus F. Zimmermann, and Gerhard Heilig. New York, New York/Berlin, Germany, Federal Republic of, Springer-Verlag, 1988. 19-35.

    This paper presents a broad review of the major theoretical and political viewpoints concerning population growth and economic development. The western nations represent one side of the controversy; based on their experience with population growth in their former colonies, the western countries attempted to accelerate development by means of population control. The underlying economic reason for this approach is that excess births interfere with public and private savings and thus reduce the amount of capital available for development investment. A parallel assumption on the social side is that families had more children than they actually desired and that it was only proper to furnish families with contraceptives in order to control unwanted pregnancies. The competing point of view maintains that forcing the pace of development would unleash productive forces and stimulate better distribution of wealth by increasing social pressures on governments. The author traces the interaction between these two viewpoints and shows how the Treaty of Bucharest in 1974 marked a compromise between the two population policies and formed the basis for the activities of the population agencies of UN. The author then considers the question of whether European development can serve as a model for the present day 3rd World. The large differences between the sizes of age cohorts and the pressure that these differences exert upon internal population movements and the availability of food and housing is more important than the raw numbers alone.
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  10. 10

    Maternal and child health and family planning programmes [sectoral paper].

    United Nations Population Fund [UNFPA]

    [Unpublished] 1989 Nov. 126 p. (A/E/BD/4/Sec. II)

    UNFPA has published a comprehensive document on the state of the art of maternal and child health and family planning (MCH/FP) worldwide. This paper mostly focuses on family planning because that is UNFPA's mandate, but since MCH/FP services are often delivered in an integrated fashion the recommendations and strategies for the management and administration of FP in this paper can also apply to MCH services. This document is a practical and useful historical analysis that traces past, current and future trends in family planning. It discusses issues and strategies, controversies, conflicts, advantages and disadvantages of population/FP issues by region and between developed and developing countries. The reader gets a comprehensive overview in MCH/FP during the past 3 decades. Major conferences, policies and events focusing on MCH/FP issues are interwoven into the multiple factors involved in FP practice and future needs. There are 9 chapters and 14 tables of valuable data. The chapters include: 1) Introduction; 2) Current FP practice and future needs in developed and developing countries; 3) Macro-environmental factors affecting provision of services; 4) Approaches to service delivery in the public and private sectors; 5) Current and future contraceptive technology; 6) Strategic issues; 7) Administrative issues; 8) Special challenges; and 9) Future priorities.
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  11. 11

    State of world population 1987.

    United Nations Fund for Population Activities [UNFPA]

    In: UNFPA: 1986 report, [by] United Nations Fund for Population Activities. New York, New York, UNFPA, 1987. 6-31.

    The implications of population growth and prospects for the future are examined in a 1987 UNFPA report on the state of world population. Demographic patterns in developed and developing countries are compared, as well as life expectancy and mortality rates. Although most countries have passed the stage of maximum growth, Africa's growth rate continues to increase. Changes in world population size are accompanied by population distribution and agricultural productivity changes. On an individual level, the fate of Baby 5 Billion is examined based on population trajectories for a developing country (Kenya, country A), and a developed country of approximately the same size (Korea, country B). The report outlines the hazards that Baby 5 Billion would face in a developing country and explains the better opportunities available in country B. Baby 5 Billion is followed through adolescence and adulthood. Whether the attainment of 5 billion in population is a threat or a triumph is questioned. Several arguments propounding the beneficial social, economic, and environmental effects of unchecked population growth are refuted. In addition, evidence of the serious consequences of deforestation and species extinction is presented. The report concludes with an explanation of the developmental, health and economic benefits of vigorous population control policies, especially in developing countries.
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  12. 12

    [National Conference on Fertility and Family, Oaxaca de Juarez, Oaxaca, April 13, 1984] Reunion Nacional sobre Fecundidad y Familia, Oaxaca de Juarez, Oax., a 13 de abril de 1984.

    Mexico. Consejo Nacional de Poblacion [CONAPO]

    Mexico City, Mexico, CONAPO, 1984. 228 p.

    Proceedings of a national conferences on the family and fertility held in April 1984 as part of Mexico's preparation for the August 1984 World Population Conference are presented. 2 opening addresses outline the background and objectives of the conference, while the 1st paper details recommendations of a 1983 meeting on fertility and the family held in New Delhi. The main body of the report presents 2 conference papers and commentary. The 1st paper, on fertility, contraception, and family planning, discusses fertility policies; levels and trends of fertility in Mexico from 1900 to 1970 and since 1970; socioeconomic and geographic fertility differentials; the relationship of mortality and fertility; contraception and the role of intermediate variables; the history and achievements of family planning activities of the private and public sectors in Mexico; and the relationship between contraception, fertility, and family planning. The 2nd paper, on the family as a sociodemographic unit and subject of population policies, discusses the World Population Plan of Action and current sociodemographic policies in Mexico; the family as a sociodemographic unit, including the implications of formal demography for the study of family phenomena, the dynamic sociodemographic composition of the family unit, and the family as a mediating unit for internal and external social actions; and steps in development of a possible population policy in which families would be considered an active part, including ideologic views of the family as a passive object of policy and possible mobilization strategies for families in population policies. The conference as a whole concluded by reaffirming the guiding principles of Mexico's population policy, including the right of couples to decide the number and spacing of their children, the fundamental objective of the population policy of elevating the socioeconomic and cultural level of the population, the view of population policy as an essential element of development policy, and the right of women to full participation. Greater efforts were believed to be necessary in such priority areas as integration of family planning programs with development planning and population policy, creation of methodologies for the analysis of families in their social contexts, development and application of contraceptive methodologies, promotion of male participation in family planning, coordination of federal and state family planning programs, and creation of sociodemographic information systems to ensure availability of more complete date on families in specific population sectors. The principles of the World Population Plan of Action were also reaffirmed.
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  13. 13

    The 1984 International Conference on Population: what will be the issues?

    Willson PD

    International Family Planning Perspectives. 1984 Jun; 10(2):43-8.

    In Mexico City from August 6-13, 1984, the UN will sponsor the International Conference on Population (ICP), 10 years after the UN's 1st worldwide governmental population conference on population. The ICP will reaffirm the World Population Plan of Action, assess the progress made in its implemention, and set priorities for the future. Issues to be discussed at the conference include 1) very slowly declining population growth rates, 2) a still increasing world population size, 3) strategies to meet the unmet need for family planning services, 4) intergrating population into development planning, 5) whether the ICP should set specific targets, and 6) whether other important issues not related to population, such as apartheid or disarmament, will be discussed. The 1974 Bucharest conference developed and approved the World Population Plan of Action, which placed population planning squarely in the development context, and endorsed family planning as a human right, but did not set targets for fertility decline. Perhaps most importantly, the Bucharest conference marked the end of the international political debate over whether governments should support family planning. The ICP, which has been more strongly supported by developing than developed countries, is charged with 1) reinforcing the momentum of population activities, 2) identifying emerging problems, and 3) initiating programs where none have yet had substantial impact. The Preparatory Committe for the ICP drafted 83 recommendations covering the relationship between population and development, and policies on morbidity and mortality, fertility, migration, aging, and the roles of governments and international organizations. The recommendations emphasize the urgency of the need to support family planning as well as mention family life and sex education, natural family planning, breast feeding, and male involvement in family planning for the 1st time. In addition, the recommendations support strong service goals, the integration of women in development, and increased funding for population activities.
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  14. 14

    Fertility and the family: highlights of the issues in the context of the World Population Plan of Action.

    United Nations. Secretariat

    In: United Nations. Department of International Economic and Social Affairs. Population Division. Fertility and family. New York, New York, United Nations, 1984. 45-73. (International Conference on Popualtion, 1984; Statements)

    This paper uses as its organizing principle 5 major themes which run through the sections of the 1974 World Population Plan of Action (WPPA) devoted to fertility and the family. The purpose of this paper it to assure that their discussion is comprehensive and that it reviews all the major research and policy concerns with respect to fertility and the family that have played an important role in the general debate about these issues since 1974. Summerized here are the contributions included in this volumen, as each deals with at least 1 of these issues. The 1st major theme focuses on fertility response to modernization as a facet of the interrelationship between population and development. Discussed are aspects of modernization leading to fertility increases, in particular the reduced incidence and shorter duration of breastfeeding, and those leading to fertility decline, namely the decline in the value of children as a source of labor and old-age support. Freedom of choice, information and education are the principal approaches within which childbearing decision making is discussed. Women's reproductive and economic activity during their life cycle, and the relationship of family types and functions to fertility levels and change are equally addressed. Finally, demographic goals and policy alternatives with respect to fertility change are discussed in terms of a number of policy options: family planning programs, economic incentives and disincentives and more global socioeconomic measures. Although primary attention is given to the problems and policies of developing countries, the special problems of certrain developed countries which view their fertility as too low are also considered. The issues raised in this paper are put forward as an aid to assist in the identification of emderging areas of policy concern and of fruitful new research directions.
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  15. 15

    Report of the Expert Group on Fertility and Family. Introduction.

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

    In: United Nations. Department of International Economic and Social Affairs. Population Division. Fertility and family. New York, New York, United Nations, 1984. 1-44. (International Conference on Population, 1984; Statements)

    This volume is comprised of the reports of the 1st of 4 Expert Group Meetings, scheduled in preparation for the 1984 International Conference on Population. Individuals and organizations attending this meeting are listed. The central task of the meeting was to examine critical, high-priority issues relevant to fertility and family and, on that basis, to make recommendations for action that would enhance the effectiveness of and compliance with the World Population Plan of Action, adopted in 1974 at Bucharest. The 1st item on the agenda dealt with ways in which modernization elements in the socio-cultural and economic patterns and institutions of societies alter reproduction. The 2nd topic of discussion was the relationship between family structure and fertility. The view adopted was that family structure could be influenced by a variety of factors that would have implications for fertility (e.g., delayed at marriage, improvements in education). The deliberations on factors influencing choice with respect to childbearing focused upon the complexity of decision making in matters of reproduction. In question, too, was a possible conflict between the acknowledged rights to freedom of choice in respect to childbearing and to the rights and goals of society, as well the acceptability of incentives and disincentives as measures introduced by governments to achieve social goals. The 4th item, reproductive and economic activity of women, was discussed from several perspectives: the amount of reproductive lifetime available to women for productive pursuits other than childbearing; the introduction of social support programs and income-generating opportunities. In the discussion of demographic goals and policy alternatives, the 5th item on the agenda, the policy options considered were family planning programs, incentives and desincentives, social and economic development, and marriage and divorce laws. Particular attention was given to the importance of local institutional settings for the achievement of government policy goals. The Expert Group's recommendations on population policy, family planning, the conditions of women, adolescent fertility, IEC, management and training, international cooperation and areas of research (demographic data, determinants of fertility, operational research and bio-medical) are included in this introduction. Finally, presented in the form of annexes are the agenda for the meeting, the list of documents and the texts of the opening statements.
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  16. 16

    Population on the world agenda, 1984: a view from Bucharest.

    Demeny P

    Population and Development Review. 1984; 10(2):353-9.

    Thise comments and remarks were fomulated in 1974 during a panel discussion which was part of the program for the Population Tribune, a nongovernmental meeting, organized in parallel with the 1st UN World Population Conference at Bucharest. The panelists discussed the ways in which they expected the deliberations of a similarly conceived international conference, taking place 10 years after Bucharest, would differ from those of the 1974 meeting. The author prefaces his comments by clarifying his own position: population change is nnot the determinant of economic and social development. 5 major differences between the future policy debates and those at Bucharest are identified, explored and critically judged. The next Conference's deliberations will be characterised by a greatly increased understanding and appreciation of what its topic is supposed to be, of what the population problem really is and of what population policy is about. The author argues that the present conference did not deal with these issues in a satisfactory fashion. He maintains that there has been a failure to identify the structure of the population problem: an inconsistency between collective and individual interest. The principle to be adopted by governments is to analyze their own situation, identify their problems and act according to their best interest. The principles are the same whether a country is developed or developing. A 2nd major difference will be an increased understanding and appreciation that population policies should be guided by a search for improvement and optimization. A 3rd important difference will be increased demographic sophistication of the participants, to overcome the mechanistic and naive interpretation of the development-fertility link. A 4th difference is the expectation that, by 1984, the economic sophistication in discussing problems of development will have been greatly increased, which will facilitate constructive discussions of economic-demographic interrelations. A final change expected for 1984 would manifest itself in a calmer yet more helpful stance of the developed countries with respect to the developing world in demographic matters. Ultimately, the solutions must be local, rather than global.
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  17. 17

    Fertility and family.

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

    New York, New York, United Nations, 1984. ix, 476 p. (International Conference on Population, 1984; Statements)

    The Expert Group on Fertility and Family was one of 4 expert groups assigned the task of examining critical, high priority population issues and, on that basis, making recommendations for action that would enhance the effectiveness of and compliance with the World Population Plan of Action. The report of the Expert Group consisted of 6 topics: 1) fertility response to modernization; 2) family structure and fertility; 3) choice with respect to childbearing, 4) reproductive and economic activity of women, 5) goals, policies and technical cooperation, and 6) recommendations. Contained in this report are also selected background papers with discuss in detail fertility determinants such as modernization, fertility decision processes, socioeconomic determinants, infant and child mortality as a ddeterminant of achieved fertility in some developed countries, the World Fertility Survey's contribution to understanding of fertility levels and trends, fertility in relation to family structure, measurement of the impact of population policies and programs on fertility, and techinical cooperation in the field of fertility and the family.
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  18. 18

    US is key player in Salvador's controversial birth control plan.

    Hedges C

    CHRISTIAN SCIENCE MONITOR. 1984 Jan 13; 78(34):8, 23.

    The US Agency for International Development (USAID) has played a key role in El Salvador's family planning program and has identified population control as among its main objectives in the country. In addition to helping to start the Salvadorean Health Ministry's Family Planning Coordination Office, USAID has provided over $4 million to the Salvadorean Demographic Association (ADS). These organizations distribute contraceptives nationwide and perform surgical sterilizations on women. USAID estimates that 25% of women of childbearing age in El Salvador are now using some form of contraception. However, the program has been criticized by many local physicians and health workers. It is argued that the US has ignored the really pressing health needs of the Salvadorean people and is attempting to limit the number of poor people. The most controversial aspect of the population program concerns the surgical sterilizations performed on 21,000 women each year. Relief workers have charged that food has been offered to women in displaced persons camps if they agree to be sterilized, and that some procedures are performed against the will of patients. ADS teams make home visits to explain the advantages of sterilization, and each field nurse is expected to sign up an average of 1 woman/day for the procedure. USAID officials have indicated they will conduct an investigation into the alleged abuses of sterilization. The agency has also initiated a US$25 million program in El Salvador intended to reduce shortages of pharmaceutical supplies and replace some medical equipment.
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  19. 19

    Seven billion by 2010.

    Fincancioglu N

    People. 1981; 8(2):26.

    The slowed down world population growth rate masks the magnitude of the net population increase. This warning comes in the new set of population projections prepared by the United Nations Population Division in 1980. These estimates, submitted to the 21st session of the Population Commission in January, indicate that the annual rate of growth of the world population had declined from 2% about 15 years ago to 1.7% and may decline to 1.5% by the end of the century. The world population has increased by 1.9 billion in the last 3 decades; 2.6 billion people are expected to be added in the coming 3 decades, bring the world population to 7 billion by 2010. About nine-tenths of the annual increase is having to be absorbed in the developing countries, despite a substantial decline in the birth rate of 41/1000 in 1960-65 to 32/1000 at present. Most of the decline has occurred in China and in several Asian and Latin American countries. Little or no decline is yet apparent in South Asia and Africa. By 1978 only 7 out of 24 Western developed countries had fertility rates above the replacement level. The UN Population Division's analyses of government policies in 165 countries show that 84 governments consider fertility levels in their countries to be satisfactory, 22 too low and 59 too high. 17 governments have policies to increase fertility and 39 to reduce it.
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  20. 20

    International Planned Parenthood Federation.

    Dennis F

    In: Ross JA, ed. International encyclopedia of population. Vol. 1. New York, Free Press, 1982. 373-4.

    The International Planned Parenthood Federation (IPPF), founded at an international conference in Bombay in 1952 by the family planning associations of 8 countries, is an independent world body that united national family planning associates in 100 countries. It has provided the voluntary leadership of the family planning movement for the past 30 years. It offers financial and technical assistance to family planning associates in developing countries, promotes the transfer of knowledge and experience among associations, and articulates the interests of the family planning movement at the global level. IPPF fosters the establishment of new associations and assists many small local groups to develop into national organizations. For the past few years the IPPF has operated with an annual international budget of about $50 million, most of which is distributed in grants to national family planning associations in developing countries. Associations in developed nations participate as members but depend on local support for funding. At this time IPPF is the 2nd largest nongovernmental organization in the world in terms of the global spread of its activities and the volume and scope of its operations. It is the leading nongovernmental organization involved in population and family planning efforts. IPPF is a professional organization and an international authority on the provision of family planning education and service.
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  21. 21

    [Population policy in the Third World eight years after Bucharest: hopes and realities] Les politiques de population dans le Tiers Monde huit ans apres Bucarest: espoirs et realites.

    Chasteland JC

    Revue Tiers Monde. 1983 Apr-Jun; 24(94):277-304.

    2 events of the past 2 decades have been of vital importance in the history of the human race: the slowing of the very high rates of population growth and the massive interventionism of governments in the demographic domain. This article describes the current status of population policies in the Third World, contrasting them to the goals and objectives expressed in the Plan of Action of the World Population Conference in Bucharest. 5 major sections consider the perceptions and policies of governments regarding population growth; morbidity and mortality; fertility, spatial redistribution and internal migration; and international migration. It is concluded that the objectives of the Plan of Action were sometimes attained, sometimes surpassed, and sometimes merely forgotten. National population policies have tended to be both general and diverse, not focusing solely on antinatalist interventions. The concept of integration of demographic policy into development policy has furnished a theoretical and practical basis of compromise between those who see development as the best means of limiting fertility and those who view fertility control as a prerequisite for development. Integration in the actual implementation of policies has been less frequently achieved. Programs to control fertility have had characteristics out of keeping with the spirit or letter of the Plan of Action, such as recourse to coercion on family size and careful restrictions on geographic mobility. Among some of the poorest countries, the urgency of controlling demographic growth in order to facilitate economic development has eclipsed to some extent respect for individual rights. A new world demographic order is evolving, with the reduction in fertility rates accelerated by population policies covering most of the developing world. But the momentum of growth resulting from the very high rates of fertility in the past few decades means that world population will continue to increase for years into the future. When world population stabilizes at about 10 billion, the population of the currently industrialized nations will account for only about 13%, compared to the 25% of today.
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  22. 22

    Population growth: a global problem.

    Rosenfield A

    In: Current problems in obstetrics and gynecology, Vol. 5, No. 6, edited by John M. Leventhal. Chicago, Illinois, Year Book Medical Publishers, 1982. 4-41.

    This article addresses the medical aspects of population growth, with specific focus on a demographic overview, population policies, family planning programs, and population issues in the US. The dimensions of the population problem and their implications for social and economic development are reviewed. The world's response to these issues is discussed, followed by an assessment of what has been accomplished, particularly as it relates to the record of national family planning programs in developing countries. The impact of population growth on such issues as education, available farm land, deforestation, and urban growth are discussed. Urban populations are growing at an unprecedented rate, posing urgent problems for action. From a public health perspective, data are reviewed which demonstrate that having children at short intervals (2 years) or at unfavorable maternal ages (18 or 35) and/or parity (4) has a negative impact on maternal, infant and childhood morbidity and mortality, particularly in developing countries. Increasing the age of marriage, delaying the 1st birth, changing and improving the status of women, increasing educational levels and improving living conditions in general also are important in reducing population growth. Probably the most important, but most controversial intervention, has been the development of national family planning programs aimed at increasing the public's access to modern contraceptive and sterilization methods. India was the 1st country to declare a formal population policy (in the 1950s) with the goal of reducing population growth. Currently, close to 35 countries have formal policies. The planned parenthood movement, with central support from the London office of the International Planned Parenthood Federation (IPPF), has played a most important role in making family planning services available. 2 population issues in the US today are reviewed briefly in the final section: teenage pregnancy and the changing age structure.
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