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Female Migrants: Bridging the Gaps throughout the Life Cycle. Selected papers of the UNFPA-IOM Expert Group Meeting, New York, 2-3 May 2006.
New York, New York, United Nations Population Fund [UNFPA], 2006. 136 p.Women make up nearly half of all migrants, an estimated 95 million of 191 million people living outside their countries of origin in 2005. Having said this, after many years of observing migration and collecting data there is remarkably little reliable information about women as migrants. This anomaly underlines their continuing invisibility to policymakers and development planners. The High-Level Dialogue on International Migration and Development by the General Assembly on 14-15 September 2006 offers the best opportunity in a generation to address the rights, needs, capabilities and contribution of women migrants. Equal numbers do not confer equality of treatment. Women have fewer opportunities than men for legal migration; many women become irregular migrants with concomitant lack of support and exposure to risk. Whether they migrate legally or not, alone or as members of a family unit, women are more vulnerable than men to violence and exploitation. Their needs for health care, including reproductive health care, and other services are less likely to be met. They have more limited opportunities than men for social integration and political participation. Migration can be beneficial, both for women and for the countries which send and receive them. Women migrants make a significant economic contribution through their labour, both to their countries of destination and, through remittances, to their countries of origin. In societies where women's power to move autonomously is limited, the act of migration is in itself empowering. It stimulates change in women migrants themselves, and in the societies which send and receive them. In the process women's migration can become a force for removing existing gender imbalances and inequities, and for changing underlying conditions so that new imbalances and inequities do not arise. Women's voluntary migration is a powerful force for positive change in countries both of origin and of destination. (excerpt)
UN Chronicle. 1993 Mar; 30(1): p..The growing economic divide between North and South may well be reflected in the upcoming World Conference on Human Rights, as many developing and industrialized countries define their human rights concerns in sharply different terms. One basic difference over how much emphasis to place on the "right to development" may set the tone for a pointed debate at the Vienna conference. Many developing countries contend that political and civil rights cannot be separated from or be given priority over economic, social and cultural rights. Increasingly, they have asserted that development is an essential human right and objected to what many see as the industrial countries' narrow view of human rights as solely involving political and civil liberties. Indeed, in their view, economic development and an adequate living standard are preconditions of expanded political and civil rights. Further, the "collective rights" of people, some argue, may take precedence over certain rights of individuals. (excerpt)
Canadian HIV / AIDS Policy and Law Review. 2002 Dec; 7(2-3):80-84.Health is a fundamental right, not a commodity to be sold at a profit, argues Irene Fernandez in the second Jonathan Mann Memorial Lecture delivered on 8 July 2002 to the XIV International AIDS Conference in Barcelona. Ms Fernandez had to obtain a special permit from the Malaysian government to attend the Conference because she is on trial for having publicly released information about abuse, torture, illness, corruption, and death in Malaysian detention camps for migrants. This article, based on Ms Fernandez presentation, describes how the policies of the rich world have failed the poor world. According to Ms Fernandez, the policies of globalization and privatization of health care have hindered the ability of developing countries to respond to the HIV/AIDS epidemic-The article decries the hypocrisy of the industrialized nations in increasing subsidies to farmers while demanding that the developing world open its doors to Western goods. It points out that the rich nations have failed to live up their foreign aid commitments. The article concludes that these commitments - and the other promises made in the last few years, such as those in the United Nations' Declaration of Commitment on HIV/AIDS - can only become a reality if they are translated into action. (author's)
The progress of nations, 1998. The nations of the world ranked according to their achievements in fulfillment of child rights and progress for women.
New York, New York, UNICEF, 1998.  p.The Progress of Nations is a clarion call for children. It asks every nation on earth to examine its progress towards the achievable goals set at the World Summit for Children in 1990 and to undertake an honest appraisal of where it has succeeded and where it is falling behind. This year’s report highlights successes attained and challenges remaining in efforts to register each child at birth, to immunize every child on earth and to help adolescents, particularly girls, as they set out on the path towards adulthood. With its clear league tables, The Progress of Nations is an objective scorecard on these issues. Commentaries by leading thinkers and doers stress the need for an approach to development based on child rights, calling on governments to fulfill the promises they made in ratifying the Convention on the Rights of the Child. The Progress of Nations reminds us annually that rhetoric about children must be backed up with action. I would commend it to anyone concerned about the status of our most vulnerable citizens. (excerpt)
New York, New York, United Nations, 2002 May 21. 5 p. (HR/4600)The Permanent Forum on Indigenous Issues should discuss the situation of indigenous peoples living in urban areas, an indigenous representative told the Forum today, as it continued its review of United Nations activities relating to indigenous peoples. (excerpt)
[Unpublished] 2003 Jul 9. 15 p.How can information and communication technologies (ICT) be used to promote gender equality in developing nations and to empower women? This essay seeks to deal with that issue, and with the gender effects of the “information revolution.” While obvious linkages will be mentioned, the essay seeks to go beyond the obvious to deal with some of the indirect causal paths of the information revolution on the power of women and equality between the sexes. This is the third1 in a series of essays dealing with the Millennium Development Goals (MDGs). As such, it deals specifically with Goal 3: to promote gender equality and to empower women. It is published to coincide with the International Conference on Gender and Science and Technology. The essay will also deal with the specific targets and indicators for Goal 3. (excerpt)
Human development report 2003. Millennium Development Goals: a compact among nations to end human poverty.
New York, New York, Oxford University Press, 2003. xv, 367 p.The central part of this Report is devoted to assessing where the greatest problems are, analysing what needs to be done to reverse these setbacks and offering concrete proposals on how to accelerate progress everywhere towards achieving all the Goals. In doing so, it provides a persuasive argument for why, even in the poorest countries, there is still hope that the Goals can be met. But though the Goals provide a new framework for development that demands results and increases accountability, they are not a programmatic instrument. The political will and good policy ideas underpinning any attempt to meet the Goals can work only if they are translated into nationally owned, nationally driven development strategies guided by sound science, good economics and transparent, accountable governance. That is why this Report also sets out a Millennium Development Compact. Building on the commitment that world leaders made at the 2002 Monterrey Conference on Financing for Development to forge a “new partnership between developed and developing countries”—a partnership aimed squarely at implementing the Millennium Declaration—the Compact provides a broad framework for how national development strategies and international support from donors, international agencies and others can be both better aligned and commensurate with the scale of the challenge of the Goals. And the Compact puts responsibilities squarely on both sides: requiring bold reforms from poor countries and obliging donor countries to step forward and support those efforts. (excerpt)
Report of an International Consultation on AIDS and Human Rights. Geneva, 26-28 July 1989. Organized by the Centre for Human Rights with the technical and financial support of the World Health Organization Global Programme on AIDS.
New York, New York, United Nations, 1991. iii, 57 p.In July 1989, ethicists, lawyers, religious leaders, and health professionals participated in an international consultation on AIDS and human rights in Geneva, Switzerland. The report addressed the public health and human rights rationale for protecting the human rights and dignity of HIV infected people, including those with AIDS. Discrimination and stigmatization only serve to force HIV infected people away from health, educational, and social services and to hinder efforts to prevent and control the spread of HIV. In addition to nondiscrimination, another fundamental human right is the right to life and AIDS threatens life. Governments and the international community are therefore obligated to do all that is necessary to protect human lives. Yet some have enacted restrictions on privacy (compulsory screening and testing), freedom of movement (preventing HIV infected persons from migrating or traveling), and liberty (prison). The participants agreed that everyone has the right to access to up-to-date information and education concerning HIV and AIDS. They did not come to consensus, however, on the need for an international mechanism by which human right abuses towards those with HIV/AIDS can be prevented and redressed. International and health law, human rights, ethics, and policy all must go into any international efforts to preserve human rights of HIV infected persons and to prevent and control the spread of AIDS. The participants requested that this report be distributed to human rights treaty organizations so they can deliberate what action is needed to protect the human rights of those at risk or infected with HIV. They also recommended that governments guarantee that measures relating to HIV/AIDS and concerning HIV infected persons conform to international human rights standards.
The state of the world's women 1985: World Conference to Review and Appraise the Achievements of the United Nations Decade for Women, Equality, Development and Peace, Nairobi, Kenya, July 15-26, 1985.
[Unpublished] 1985. 19 p.This report, based on results of a questionnaire completed by 121 national governments as well as independent research by UN agencies, assesses the status of the world's women at the end of the UN Decade for Women in the areas of the family, agriculture, industrialization, health, education, and politics. Women are estimated to perform 2/3 of the world's work, receive 1/10 of its income and own less than 1/100 of its property. The findings revealed that women do almost all the world's domestic work, which combined with their additional work outside the home means that most women work a double day. Women grow about 1/2 the world's food but own very little land, have difficulty obtaining credit, and are overlooked by agricultural advisors and projects. Women constitute 1/3 of the world's official labor force but are concentrated in the lowest paid occupations and are more vulnerable to unemployment than men. Although there are signs that the wage gap is closing slightly, women still earn less than 3/4 of the wage of men doing similar work. Women provide more health care than do health services, and have been major beneficiaries of the global shift in priorities to primary health care. The average number of children desired by the world's women has dropped from 6 to 4 in 1 generation. Although a school enrollment boom is closing the gap between the sexes, women illiterates outnumber men by 3 to 2. 90% of countries now have organizations promoting the advancement of women, but women are still greatly underrepresented in national decision making because of their poorer educations, lack of confidence, and greater workload. The results repeatedly point to the major underlying cause of women's inequality: their domestic role of wife and mother, which consumes about 1/2 of their time and energy, is unpaid, and is undervalued. The emerging picture of the importance and magnitude of the roles women play in society has been reflected in growing concern for women among governments and the community at large, and is responsible for the positive achievements of the decade in better health care and more employment and educational opportunities. Equality for women will require that they have equal rights, responsibilities, and opportunities in every area of life.
WORLD HEALTH FORUM. 1997; 18(2):107-15.In 1996, the World Health Organization (WHO) identified the following issues for consideration as it designed its new strategy to achieve "health for all" in the 21st century: the determinants of health, health patterns in the future, intersectoral action, essential public health functions, partnerships in health, human resources for health, and the role of the WHO. Because ethical considerations play a vital role in developing the strategy, the WHO sought the input of the Council for International Organizations of Medical Sciences in this regard. As understanding of the role and nature of medical ethics has deepened in the past decades, new ethical questions are continually being raised by changing patterns of disease and health care and by technological advances. The new health-for-all strategy must, therefore, give prominence to the consideration of equity, utility, equality, and human rights. In order to attain justice, the equilibrium between equity and equality should be maintained. Cultural diversity will also inform notions of equity. The principles of primary health care contained in the WHO's Alma-Ata Declaration also need to be strengthened to place proper emphasis on the need for information systems, decision-making mechanisms, and support systems. The most important activities the WHO is applying to its effort to renew its "health for all" strategy are 1) clarifying the concepts; 2) strengthening links to related fields; 3) working in partnership with countries, regions, and organizations; and 4) promoting the dissemination of information and ideas. The WHO's renewed strategy must bring clarity, practicality, and effectiveness to global health activities while fostering an understanding of the moral issues that contribute to human well-being.
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.
[Unpublished] . 8,  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.
Family Planning Perspectives. 1995 Nov-Dec; 27(6):254-8.This article is a reflection on the Fourth World Conference on Women in Beijing in September 1995, including its preparatory meetings. Delegates from 187 nations negotiated and decided on the disputed passages of the draft Platform of Action, which comprised 40% of the 150 page document. The atmosphere prior and during the conference was not peaceful. The UN and China disputed over the location of the nongovernmental organizations' (NGO) forum that took place at the same time of the conference. The US and Chinese governments squabbled about China's detention of a Chinese-American human rights activist. The US First Lady attended the conference and the NGO forum, promoting human rights. Most delegates had decided that this conference would not be a retreat from the Cairo conference. In comparison to Cairo, the Vatican delegation had toned down its opposition. US based antiabortion groups and conservative women's groups arrived in greater numbers in Beijing than in Cairo, in hopes to reverse actions taken in Cairo. They had few victories. A contentious issue was parental rights and responsibilities, specifically adolescents' access to confidential health services. Compromise wording was worked out in two paragraphs. All other references to parental rights were deleted or there was a reference to the compromise wording. The Beijing platform was the first universal document recognizing the right of a woman to say no to sexual intercourse. The references in the Beijing document recognizing sexual rights as human rights were a major accomplishment. Debates over the issue of abortion took place: the proposed conscience clause and a call for the review of laws containing punitive measures against women who have had an illegal abortion. The vocal delegates from developing countries are silencing the accusation that radical Western women are thrusting women's rights on the rest of the world.
ECONOMIC AND POLITICAL WEEKLY. 1994 Aug 20; 29(34):2,201-4.The aim of US-promoted population policies is maintaining and securing the economic and political dominance of capitalist states. Governments of developed countries blame overpopulation in developing countries for destroying the planet and those of developing countries blame overconsumption, waste, and industrial pollution in the capitalist countries to be responsible. Developed countries and the UN profess that population control is in the interests of development and for the sake of women's rights. Many women's groups protest planned and already existing population policies and bear witness to the suffering women from developing countries experience, raising the question of choice of these policies. Sexism served as the smokescreen behind which US strategies of population control were implemented. The concept of sustainable development is also used to advance population policies in developing countries. Developed countries use this concept to maintain the status quo, agricultural countries as such, cash crop economies, dependency on food, foreign aid, and loans and to continue their exploitation in developing countries. USAID, UNFPA, and the World Bank are the major moneylenders for population control. The US targets Africa for population control because it produces 90-100% of four minerals vital to US industry. The new phase of capitalist development has shifted the state's role from its function as a nation state to facilitator of global capital. Population control policy, national security laws, and anti-trade union laws are used to create a docile and immobile pool of labor. The World Bank, the IMF, and the WTO, through their structural adjustment policies, provide the infrastructure to implement population policies and targets. Population policies focusing on targets take control away from women. People in developing countries will not accept these population policies until they have control of their lives. They need assurance of child survival and to be in a position to plan their future. The population control lobby now uses deception to thwart resistance.
[And after Cairo? It is now that the difficulties begin] Le Caire, et apres? C'est maintenant que les difficultes commencent.
EQUILIBRES ET POPULATIONS. 1994 Oct; (4):8.The international community and the UN should be congratulated for adopting a strategy and a very clear action plan at the International Conference on Population and Development in Cairo. The process leading up to and during the conference allowed all member nations, even the most conservative members, to communicate their interest in problems associated with population and development and their approaches to solving the problems. The members reached consensus and adopted the program of action. Conference delegates finalized the program of action by concentrating on a global vision of population policy. They recognized the need for unrestricted access to high quality family planning services and the right of women. The document calls for improved reproductive health in developing countries. Specifically, it pronounces the need for improved sanitary conditions during childbirth, access to safe abortion where it is legal, and successive steps to reduce sexually transmitted diseases, including AIDS. Implementation of the program of action poses some difficulties, however. Will the most developed countries provide the necessary financial resources to meet the needs of family planning and reproductive health? Many such countries have promised to contribute US$ 17 billion to meet these needs in developing countries. The US plans to contribute US$ 600 million in 1995. Japan will contribute US$ 3 billion over the next 7 years, 33% of which will go to family planning. Germany plans to give US$ 2 billion over the same period. The European Union plans to give US$ 400 million each year. Other countries also plan to contribute (UK and Belgium). We must make sure that the words adopted in Cairo become reality for the men and women of the planet.
POPULATION BULLETIN OF THE UNITED NATIONS. 1993; (34-35):120-53.As part of the preparation for the up-coming International Conference on Population and Development, an expert group meeting on population distribution and migration was held in Santa Cruz, Bolivia, in January 1993. Participants considered the scope of migration which included a net internal migration of between 75 million and 1 billion people during 1975-85 and international migration which census data put at 77 million in the 1970s and early 1980s. World economic trends during the 1980s were reviewed, as were changes in the nature and configuration of various countries. The following topics were explored: patterns of population distribution and development, policies affecting internal migration and population distribution, internal migration and its implications for development, economic aspects of international migration, international migration in a changing world, international migration between developing countries, and refugees and asylum-seekers. 37 recommendations were prepared for governments, social institutions, and the international community. The first 10 urge that population distribution be an integral part of development policies, that government policies and expenditures be evaluated for their contribution to social and economic goals, that the capacity and competence of municipal authorities to manage urban development be increased, that government funding be decentralized, that economic and institutional links be developed between urban centers and surrounding rural areas, that alternatives to out-migration from rural areas be created, that the income-earning capacities of migrants be improved, that group mobilization by and for people affected by migration be encouraged, that adequate access to health services and family planning be assured, and that the underlying causes of environmental degradation, natural disasters, and war be addressed with mechanisms developed to protect victims. 13 recommendations deal with international migration and call for appropriate policies, cooperation, protection of human rights, an end to discrimination toward women, the normalization of family life among documented migrants, the promotion of good community relations between migrants and the rest of society, the guarantee of equal economic and social rights to longterm foreign residents and facilitation of their naturalization, the provision of legal information to potential migrants, the provision of equal educational and training opportunities to the children of migrants, and the institution of sanctions against the organizers of illegal migration. The next 7 recommendations urge that the causes of forced migration be addressed, that refugees receive assistance and protection, that the responsibility for refugees be shared equitably, that the right to asylum be protected, that appropriate repatriation programs be supported, that long-standing refugee populations be helped to achieve self-sufficiency, and that the specific needs of refugee women be addressed. The final 7 recommendations cover data and research needs regarding population distribution and migration and urge support for research on population distribution, the collection of national statistics, a review of existing standard definitions and classifications of rural and urban populations and of international migration, cooperation in the registration and monitoring of refugee populations, and the promotion of an exchange of information on trends and policies of international migration.
NEW YORK TIMES. 1992 Jun 4; A1, B10.The international AIDS Center at the Harvard School of Public Health led a coalition of AIDS research from around the world in an analysis of more than 100 AIDS programs and discovered that the HIV/AIDS pandemic is more serious than WHO claims. Its findings are in the book called AIDS in the World 1992. AIDS programs do not implement efforts that are known to prevent the spread of HIV. For example, clinicians in developing countries continue to transfuse unscreened blood to many patients, even though HIV serodiagnostic test have existed since 1985. Further, programs do not evaluate what works in other programs. As long as people debate whether or not to distribute condoms, exchange needles, or offer sex education and whether people with AIDS deserve care, the fight against HIV/AIDS is hindered. The report recommends that leader come up with a new strategy to address the AIDS pandemic. WHO claims to have done just that at its May 1992 meeting. An obstacle for WHO is political pressure from member nations. On the other hand, the private Swiss foundation, Association Francois-Xavier Bagnoud, finances the Harvard-based AIDS program, allowing members more freedom to speak out. The head of the Harvard program believes the major impact of AIDS has not yet arrived. Contributing to the continual spread of HIV is the considerable difference of funding for AIDS prevention and control activities between developed and developing countries (e.g., $2.70 per person in the US and $1.18 in Europe vs. $.07 in sub-Saharan Africa and $.03 in Latin America). Even though developed countries provide about $780 million for AIDS prevention and care in developing countries, they do not enter in bilateral agreements with developing countries. 57 countries limit travel and immigration of people with HIV/AIDS. Further, efforts to drop these laws have stopped. Densely populated nations impose travel constraints to prevent an explosive spread of HIV.
Common responsibility in the 1990's. The Stockholm Initiative on Global Security and Governance, April 22, 1991.
Stockholm, Sweden, Prime Minister's Office, 1991. 48 p.Common responsibility in the 1990s is the result of the working of the Stockholm Initiative on Global Security and Governance, which represents the interests of prominent members of 4 international commissions: the North-South Commission, established by Willy Brandt, West Germany; the Independent Commission on Disarmament and Security, established by Olaf Palme, Sweden; the World Commission on the Environment and Development or the Brundtland Commission, established by the Secretary-General of the UN; and the South Commission, established by developing countries and chaired by Julius Nyerere, Tanzania. The basic tenet of the April 22, 1991, initiative states that no nation can resolve its own problems without relying on others. The document is concerned with the following issues: peace and security which strengthens the UN and has regional security arrangements and arms trade limitations and the peace dividend; development which focuses on poverty and a conducive international environment; the environment, population, democracy, human rights; and global governance and international institutions, which provide universality in world economic cooperation, and follow in the spirit of San Francisco. Peace can be improved with a UN global emergency system and law enforcement arrangement with assured financial and organizational support, regional conferences outside Europe, monitoring world arms trade, government contributions to the peace dividend, and the commitment by the South to reduce armed forces and to invest in human development. Development has a set goal to end extreme poverty in 25 years with primary education for all children, equal participation of the sexes in education, and reduction by 33% of child mortality, and by 50% of maternal mortality. Commercial debt needs to be restructured. 1% of the gross national product is to be committed to international development. Also proposed is the levying of fees (e.g.; for carbon dioxide emissions), and promotion of more efficient use of energy resources and alternative and renewable energy replacement. Sustainable development is a primary focus. Also proposed is limiting population growth and stabilizing goals. Popular internal will to live up to human and democratic rights must be recognized by strengthening international observance of violations. The UN Security-Council, the Secretary-General, and social and economic fields must be strengthened. World summits on global governance need to continue.
AMERICAN JOURNAL OF PUBLIC HEALTH. 1990 Oct; 80(10):1188-92.Health trends since 1950 in both developed and developing countries are classified and discussed in terms of causative factors: socioeconomic development, cross-national influences and growth of national health systems. Despite the vast differences in scale of health statistics between developed and developing countries, economic hardships and high military expenditures, all nations have demonstrated significant declines in life expectancy and infant mortality rates. Social and economic factors that influenced changes included independence from colonial rule in Africa and Asia and emergence from feudalism in China, industrialization, rising gross domestic product per capita and urbanization. An example of economic development is doubling to tripling of commercial energy consumption per capita. Social advancement is evidenced by higher literacy rates, school enrollments and education of women. Cross-national influences that improved overall health include international trade, spread of technology, and the universal acceptance of the idea that health is a human right. National health systems in developing countries are receiving increasing shares of the GNP. Total health expenditure by government is highly correlated with life expectancy. The view of the World Bank and the International Monetary Fund that health care should be privatized is a step backward with anti-egalitarian consequences. The UN Economic Commission for Africa attacked the IMF and the World Bank for promoting private sector funding of health care stating that this leads to lower standards of living and poorer health among the disadvantaged. Suggested health strategies for the future should involve effective action in the public sector: adequate financial support of national health systems; political commitment to health as the basis of national security; citizen involvement in policy and planning; curtailing of smoking, alcohol, drugs and violence; elimination of environmental and toxic hazards; and maximum international collaboration.
New York, New York, Oxford University Press, 1990. xvii, 423 p.This text on international health covers historical and contemporary health issues ranging from water distribution systems of the ancient Aztecs to the worldwide endemic of AIDS. The author has also included areas not in the 1979 version: the 1978 Alma Ata conference on primary health care, infant and maternal mortality, health planning, and the role of science and technology. The 1st chapter discusses how each population movement, political change, war, and technological development has changed the world's or a region's state of health. Next the book highlights health statistics and how they can be applied to determine the health status of a population. A text on international health would be incomplete without a chapter on understanding sickness within each culture, including a society's attitude towards the sick and individual behavior which causes disease, e.g. smoking and lung cancer. 1 chapter features risk factors of a disease that are found in the environment in which individuals live. For example, in areas where iodine is not present in the soil, such as the Himalayas, the population exhibits a high degree of goiter and cretinism. Others present the relationship between socioeconomic development and health, e.g., countries at the low socioeconomic development spectrum have low life expectancies compared to those at the high socioeconomic end. An important chapter compares national health care systems and identifies common factors among them. An entire chapter is dedicated to organizations that provide health services internationally, e.g., private voluntary organizations. 1 chapter covers 3 diseases exclusively which are smallpox, malaria, and AIDS. The appendix presents various ethical codes.
Socio-economic development and fertility decline in Costa Rica. Background paper prepared for the project on socio-economic development and fertility decline.
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.
[Hunger and disease in less developed countries and en route to development (the Third World). Proposal for solutions] Hambre y enfermedades en los paises menos adelantados y en vias de desarrollo (Tercer Mundo). Propuesta de soluciones.
Anales de la Real Academia Nacional de Medicina. 1984; 101(1):39-96.The extent, causes, and possible solutions to problems of hunger, inequality, and disease in developing countries are discussed in this essay. Various frameworks and indicators have been proposed for identifying the poorest of nations; currently, 21 African, 9 Asian, and 1 American nation are regarded as the poorest of the poor. The 31 least developed countries, the 89 developing countries, and the 37 developed countries respectively have populations of 283 million, 3 billion; infant mortality rates of 160, 94, and 19/1000 live births; life expectancies of 45, 60, and 72 years; literacy rates of 28, 55, and 98%; per capita gross national products of $170, and $520, and $6230; and per capita public health expenditures of $1.70, $6.50, and $244. Developing countries in the year 2000 are expected to have 4.87 billion of the world's 6.2 billion inhabitants. The 3rd world contains 70% of the world's population but receives only 17% of world income. 40 million persons die of hunger or its consequences each year. Economic and social development is the only solution to problems of poverty and underdevelopment, and will require mobilization of all present and future human and material resources to achieve maximum possible wellbeing for each human being. Among principal causes of underdevelopment in the 3rd World are drought, illness, exile, socioeconomic disorder, war, and arms expenditures. Current food production and a long list of possible new technologies would be adequate to feed the world's population, but poor distribution condemns the world's people to hunger. Numerous UN agencies, organizations, and programs are dedicated to solving the problems of hunger, underdevelopment, and disease. In 1982, 600 billion dollars were spent in armanents, of $112 for each of the world's inhabitants; diversion of these resources to development goals would go a long way toward solving the problem of underdevelopment. The main problem is not lack of resources, but the need to establish a new and more just economic and distributive order along with genuine solidarity in the struggle against underdevelopment. Several steps should be taken: agricultural production should be increased with the full participation of the developng nations; the industrialized or petroleum-producing nations should aid the poor states with at least .7% and up to 5% of their gross national products for the struggle against drought, disease, illiteracy, and for the green revolution and new agropastoral technologies; prices paid to poor countries for raw materials should be fair; responsible parenthood, education, women's rights, clean drinking water, environmental sanitation and primary health care should be promoted; the arms race should be halted, and the North-South dialogue should be pursued in a spirit of goodwill and cooperation.
In: Societe et procreation: les facteurs sociaux qui l'influencent. Edited by Robert Gubbels. Bruxelles, Belgique, Editions de l'Universite de Bruxelles, 1981. 233-291.Add to my documents.
Fertility and the family: highlights of the issues in the context of the World Population Plan of Action.
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.
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.