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Development. 1989; (4):77-82.Contemporary multilateral loan agreements to developing nations, unlike previous project and program aid, have often been contingent upon the effective implementation of structural adjustment programs of market liberalization and macroeconomic policy redirection. These programs herald such reform as necessary steps on the road to economic growth and development. Price decontrol and policy change may also, however, generate the more immediate and undesirable effects of exacerbated urban sector bias and plummeting income and quality of life in the general population. This paper considers the resultant changes expected in the political arena, product and input pricing, small business promotion and formation, export crop production, interest rate policy reform and financial market deregulation, exchange rate and public sector expenditure, and the labor market, and their effect upon women's economic position. The author notes, however, that women are not affected uniformly by these changes and sectoral disruptions, but that some women will suffer more than others. To develop policy to effectively meet the needs of these target groups, more subpopulation specificity is required. Approaches useful in identifying vulnerable women in particular societies are explored. Once identified, these women, especially those who head poor households, should be afforded protection against the turbulence and short- to medium-term economic decline associated with adjustment.
The potential of national household survey programmes for monitoring and evaluating primary health care in developing countries. L'apport potentiel des enquetes nationales sur les menages a la surveillance et a l'evaluation des soins de sante primaires dans les pays en developpement.
World Health Statistics Quarterly. Rapport Trimestriel de Statistiques Sanitaires Mondiales. 1985; 38(1):38-64.National programs of household sample surveys, such as those being encouraged through the National Household Survey Capability Program (NHSCP), are a principal source of information on primary health care in developing countries. Being representative of the total population, the major population subgroups and geographic subdivisions, they permit calculation of health status and utilization of health services. Household surveys have an important role to play in monitoring and evaluating primary health care since they sample directly the intended beneficiaries, and so can be used to judge the extent to which programs are meeting expected goals. Caution is necessary, however, since methodological problems have been experienced for many evaluation surveys. National surveys are especially appropriate for measuring many indicators of progress towards national goals within a broad socioeconomic perspective. Future directions in making the optimum use of household surveys for health program purposes are indicated. The NHSCP is a major undertaking of the UN system including WHO to collaborate with developing countries to establish a continuing flow of integrated statistics on a recurrent basis to support the national development process and information priorities. It brings together the principal users and producers of data to plan and conduct surveys which respond to national needs and priorities. The NHSCP encourages countries to employ a permanent national field organization for data collection. Areas of discussion are: the potential for monitoring and evaluation, the household survey as a source of health indicators, the demand for household surveys of health, followed by a summary of the health and health-related topics covered by 6 national health and nutrition surveys conducted in several developing countries. The special themes of infant and child mortality, morbidity and nutritional surveillance are also considered. The experience of many developed countries has been very positive with the use of nonmedically organized health surveys. Although the sample survey can be used in many settings to obtain population-based data, it must be carefully designed and implemented according to scientific procedures in order for the results to be validly extrapolated to the population or subgroups of primary concern.
Population and Development Review. 1984 Mar; 10(1):103-26.This paper presents some of the results of projections prepared by the World Bank in 1983 for all the world's countries. The projections (presented against a background of recent demographic trends as estimated by the United Nations) trace the approach of each individual country to a stationary state. Implications of the underlying fertility and mortality assumptions are shown mainly in terms of time trends of total population to the year 2100, annual rates of growth, and absolute annual increments. These indices are shown for the largest individual countries, for world regions, and for country groupings according to economic criteria. The detailed predictive performance of such projections is likely to be poor but the projections indicate orders of magnitude characterizing certain aggregate demographic phenomena whose occurrence is highly probable and set clearly interpretable reference points useful in discussing contemporary issues of policy. (author's)
People. 1984; 11(4):4-7.A significant happening at the International Conference on Population, which took place in Mexico City during August 1984, was the world consensus on the need to act more urgently to deal with the interrelated problems of population and development and to provide the conditions of life and means by which everyone can plan their family. The note of concern about the impact of population growth and about its distribution and structure was consistent. Support for expanded family planning services came from all sides, including Africia and Latin America. The UN agencies and the World Bank came nearest to injecting a visionary and emotional charge into the occasion. Their near universal message was the need to release and mobilize the energies of the people and slow excessive population growth by investing in their health, education, environment, employment opportunities and in family planning. Bradford Morse, Administrator of the UN Development Program, added a powerful plea, that the international factors of protectionism, debt, and high increase rates, arms spending, and ddeclining aid flows must be addressed if the goals of the original Plan of Action, i.e., to promote "economic development, wuality of life, human rights, and fundamental freedoms," were to be dealt with. James Grant, Executive Director of UNICEF, stated tha the experience of the past decade confirms "that development and population programs are interacting, mutually reinforcing efforts that work with the 'seamless' web of income, nutrition, health, education, and fertility." The final document put the same idea into various paragraphs. This consensus position was simple and consistent, but in its way, revoluntionary. The elements which brought about this agreement were made clear from the start. The 1st was the change in government attitudes towards population. In 4/5 of the world governments regard population as a key factor inn development strategy. A 2nd factor was that governments now feel more independent and less under external pressure. A 3rd element was that women in nearly all countries desire fewer children than they wanted previously and many are coming out openly and stating that they did not want their last child. A 4th factor was the awareness that population problems affect developed countries as well as developing countries. Along with these changes has come greater awareness of the health and social benefits of family planning. These ideas find expression the the 38 pages of recommendations which were eventually agreed on. The most significant of these was the added emphasis given to the role and status of women.
New York, United Nations, 1984. 108 p. (Population Studies, No. 85; ST/ESA/SER.A/85)The 3 parts of this report on world, regional, and international developments in the field of population, present a summary of levels, trends, and prospects in mortality, fertility, nuptiality, international migration, population growth, age structure, and urbanization; consider some important issues in the interrelationships between economic, social, and demographic variables, with special emphasis on the problems of food supply and employment; and deal with the policies and perceptions of governments on population matters. The 1st part of the report is based primarily on data compiled by the UN Population Division. The 2nd part is based on information provided by the Food and Agriculture Organization of the UN (FAO) and the International Labor Organization (ILO), as well as that compiled by the Population Division. The final part is based on information in the policy data bank maintained by the Population Division, including responses to the UN Fourth Population Inquiry among Governments. In 1975-80 the expectation of life at birth for the world was estimated at 57.2 years for both sexes combined. The corresponding figure for the developed and developing regions was 71.9 and 54.7 years, respectively. In 1975-80 the birthrate of the world was estimated at 28.9/1000 population and the gross reproduction rate was 1.91. These figures reflect considerable decline from the levels attained 25 years earlier: a crude birthrate of 38/1000 population and a gross reproduction rate of 2.44. World population grew from 2504 million in 1950 to 4453 million in 1983. Of the additional 1949 million people, 1645 million, or 84%, accrued to the less developed countries. The impact of population growth on economic development and social progress is not well understood. The governments of some developing countries still officially welcome a rapid rate of population growth. Many other governments see cause for concern in the need for the large increases in social expenditure, particularly for health and education, that accompany a young and growing population. Planners are concerned that the rapidly growing supply of labor, compounded by a trend toward rapid urbanization, may exceed that which the job market is likely to absorb. In the developed regions the prospect of a declining, or an aging, population is also cause for apprehension. There is a dearth of knowledge as to the impact of policies for altering the consequences of these trends. Many policies have been tried, in both developed and developing countries, to influence population growth and distribution, but the consequences of such policies have been difficult to assess. Frequently this problem arises because their primary objectives are not demographic in character.
Revista de Prensa. 1978 Nov; 12-13.This article discusses changes occurring in population since the foundation of UNFPA in 1969. The birthrate has decreased by 15% in about 3 or 4 dozen countries that represent 2/3 of the developing world. Most changes have occurred in small countries. In the mid 70's the life expectancy rate increased from 42 to 54 years in the developing countries and from 65 to 71 years in the developed countries. Latin America has a life expectancy median of 62 yrs. Asia of 56, and Africa of 45 yrs. In the developing countries infant mortality continues to be the determinant factor of mortality. A decrease in mortality linked with improvements in health, educational services, women status, and a more equalitarian distribution of income has been reported. Nevertheless, malaria has again become an important sanitary problem particulary in Asia and Africa. In India, malaria cases increased from 40,000 in 1966 to 143,000 in 1976. Nutrition and health are also related to mortality. Presently, countries try to conserve gains from good years to prevent difficulties in poor years. It is estimated that during the next 2 decades cities will grow to magnitudes unknown to urbanists. In the year 2000 Tokyo may have 26 million inhabitants, Gran Cairo 16.3, Lagos 9.4, and Mexico 31.6. The number of young adults has increased form 488 million in 1955 to 740 million in 1975. It is expected that in developed countries the will increase from 548 million to 688 million in 1985. Strategies of internal and international migration, measures to open up jobs for the young, and budget increases in population programs in Nepal, Costa Rica, and Mexico in the 1970's are discussed. International cooperation to help developing countries to achieve their own goals in matters of population, thus consolidating the gains of the past years, is recommended.
International consultation of NGOs on population issues in preparation of the 1984 United Nations International Conference on Population: report of the consultation.
[Unpublished] . 83 p.196 individuals from 44 countries, representing national and international non-governmental organizations, bilateral agencies and intergovernmental organizations attended the consultation. The purposes of the consultation were: 1) to provide an overview of the contributions of non-governmental organizations to the implementation of the World Population Plan of Action through a wide range of population and population related programs carried out since the Plan was adopted in 1974; 2) to explore what non-governmental organizations believe needs to be done in the world population field during the balance of the century; 3) to prepare for participation in the January 1984 Conference Preparatory Committee meeting and in the Conference itself to be held in August 1984; and 4) to provide suggestions for activities of national affiliates relative to the 1984 Conference. This report provides a synopsis of the plenary sessions and their recommendations. Addresses by numerous individuals covered the following topics: the creative role of non-governmental organizations (NGOs) in the population field; vital contributions of NGO's to the implementation of the world population plan of action; the family; population distribution and migration; population, resources, environment and international economic crisis; mortality and health; and NGO prospects for the implementation of the world population plan of action.
[Unpublished] 1982. Paper prepared for Conference on Vasectomy, Colombo, Sri Lanka, Oct. 4-7, 1982. 21 p.Discusses the factors responsible for the decline of male acceptance of vasectomy over the past decade. The Association for Voluntary Sterilization (AVS) is a nonprofit organization working in the United States which helps funding of similar programs in other developed and developing countries. Reasons for the decline of vasectomy acceptance include the lack of attention paid to male sterilization in countries with family planning programs, the introduction of new technology for female sterilization, the introduction of new effective methods of contraception, and the exaggerated sexual role of the male and the need to protect his virility. The author reviews successful vasectomy programs and finds that, to be successful, a program should have strong leadership, a focussed design, clinic hours that would not interfere with patients' working schedules, and should pay attention to the needs of men, e.g., emphasizing that vasectomy does not cause impotency. The program should also have a community-based orientation, since all the services are not hospital-based and can be brought to the client's home, thereby emphasizing the minor nature of the surgery. AVS believes that vasectomy as a means of family planning can be effective. It is safe, inexpensive, simple, and deliverable. A special fund was allocated in 1983 to stimulate the development of several pilot and demonstration projects in a variety of countries.
In: United Nations. Department of International Economic and Social Affairs. Population and human rights: proceedings of the Symposium on Population and Human Rights, Vienna, 29 June-3 July 1981. New York, New York, United Nations, 1983. 3-22.The Population Division of the Department of International Economic and Social Affairs of the UN in cooperation with the Division of Human Rights organized a 2nd Symposium on Population and Human Rights. The purpose was to review developments in the formulation and implementation of human rights as they related to population trends and policies in the context of changing economic and social conditions. Human Rights were discussed in relation to the following topics: 1) fertility 2) mortality and morbidity 3) the status of women 4) aging 5) internal migration 6) international migration. This paper serves to introduce the general proposals that were made in regard to the areas that were considered, and also reviews the new institutional functions in the area of human rights and population. Annex I contains the agenda of the Symposium, and Annex II lists the participants.
[Population Politics: some theoretical and practical aspects to be discussed] Politicas de poblacion: algunos aspectos teorico-practicos a discutir.
In: Universidad Central del Ecuador. Instituto de Investiqaciones Economicas. Analisis de politicas poblacionales en America Latina [Seminario Internacional, Quito, Ecuador, 1982] Quito, Ecuador, Instituto de Investigaciones Economicas, 1983. 59-67.This article proposes that for adequate planning of economic and social development it is necessary to be aware of the relations that exist among socioeconomic transformations, demographic dynamics and population polictics. The general definition of population politics as "the adoption of measures inteneded to influence demographic variables taken by a country's government" is questioned. Limitations of this definition, such as ignoring other variables which influence demography e.g. education, health, housing, income redistribution, and social security, and the assumption that only the government has explicit population policies are discussed. The role of industrialized countries and international organizations and corporations in population politics are examined. It is recommended that the family, treated as an abstract entity by most investigators, be examined in its sociocultural contexts by future studies.
Aging: a matter of international concern, statement made to the world Assembly on Aging, Vienna, Austria, 27 July 1982.
New York, N.Y., UNFPA, . 9 p. (Speech Series No. 78)This statement discusses the rising proportion of the aged in the total population of both developed and developing countries, causing psychological, economic, social and spiritual needs. The aging of the population is the consequent phenomenon of the demographic transition, that is the reduction of fertility and prolongation of life expectancy. People aged 60 or over constitute 15% of the population of developed nations in 1975. It is expected that by the year 2000, they will constitute 18% of the population. This transition called for programs for the welfare, health and protection of the aged. One of the most important issues facing both developed and developing countries is to insure that, in the process of industrialization, urbanization and social change, the valuable aspects of village and extended family life are not lost. UNFPA's agenda for the aging include data collection, research, support communication, collaboration with concerned institutions, and policy consultations.
Population problems and international cooperation, statement made at a meeting of the Scientific Council of the Moscow State University, Moscow, Union of Soviet Socialist Republics, 29 September 1982.
New York, N.Y., UNFPA, . 19 p. (Speech Series No. 80)This statement discusses certain population problems within a framework of international cooperation. Specifically, linkages between population and development, basic data collection, population and development research, policy formulation, family planning, communication and education, training, population migration, urbanization, aging of the population, and integration of population with development planning, are all issues examined. Solving the problems generated by population growth of developing countries are social and economic development, accumulation of resources and economic growth. All countries need data on population structure and its changes in order to plan effectively. There is a continuous need to learn more about the dynamics of population change, especially for demographers in developing countries. Data gathering, processing, analysis and research are crucial components in the formulation of policies. UNFPA devotes a great amount of its resources to family planning, education and training programs within countries. The inability to find employment opportunities has led to considerable internal and international migration, increasing and promoting urbanization and overcrowded cities. Aging of the population is becoming an important issue for developed countries and will necessitate further policy formulation. Population planning needs to become a more effective arm of overall development planning.
Defining population education, statement made at the University of Nevada, Reno, Nevada, 7 March 1983.
New York, N.Y., UNFPA, . 16 p. (Speech Series No. 87)This statement defines population education, and discusses some related areas such as human sexuality, social and economic change, ecology, and the family and its social structure. Population education may have a direct impact on development at the level of the community by encouraging attention to the relationship of natural to human resources. It may promote development goals: Universities and ministries of education play an important part in the spread of population education. They introduce to teachers new training methods and ideas regarding material and curriculum development. Population education is not a prescriptive program dealing only with a limited range of population scenarios. It is a relevant issue that is not only limited to countries where growth is perceived as a problem. UNFPA assisted population education programs to 42 countries in 1982. Many national projects in countries such as Sri Lanka, Egypt, and the Philippines have been created by the support and assistance of UNFPA. Present programs will be further developed and refined in teacher training, refresher courses, and continued monitoring and evaluation.
Lexington, Massachusetts, Women's International Network News, 1982 Nov. 338 p.This report documents the existence and prevalence in Africa and in other regions of the world of the cultural practice of female circumcision and genital mutilation (FC/GM). This serious problem is examined so that it can be abolished. Until recently the problem was hidden from the public, and most health, government and international agency officials denied that the practices were widespread. In 1979 at a World Health Organization (WHO) seminar on traditional health practices, the problem received international attention. Recommendations made by the seminar participants urged nations to adopt policies to abolish FC/GM, to establish commissions to coordinate activities aimed at abolishing the practices, and to intensify efforts to educate the public and health professionals about the problem. In 1984 it was estimated that 79.97 million women in Africa had FC/GM operations performed at some time during their life. The proportion of women who have had FC/GM operations was almost 100% in Somalia, 90% in Ethiopia, 80% in Sudan, Mali, and Sierra Leone, and 60% in Kenya, Ivory Coast, and Gambia. Information is provided on 1) the extent of the practices, 2) the health problems associated with FC/GM, 3) the 1979 WHO seminar, 4) the history of FC/GM, and 5) the cultural beliefs supporting the practices. Case histories provide detailed information on the practices in 11 African countries, 4 countries on the Arab Pennisula, and 2 Asian countries, including Sudan, Somalia, Egypt, Ethiopia, Kenya, Nigeria, Mali, Upper Volta, Senegal, Ivory Coast, Sierra Leone, People's Democratic Republic of Yemen, Oman, United Arab Emirates, Bahrain, Indonesia, and Malaysia. The existence of FC/GM practices in many other countries, including Western nations, is also documented. These practices are also discussed in reference to the depressed status of women in many African countries, and the role of women in these countries is examined in regard to legal matters, education, employment, agriculture, family planning, development, and urbanization. Political factors hindering the abolition of the practices and the hesitancy of international agencies such as WHO, US Agency for International Development, and the UN Children's Fund, to deal with the problem are discussed. There is some evidence that FC/GM operations are being conducted in hospitals in a number of African countries, and efforts must be made to prohibit the introduction of these practices into the modern health care system. Suggestions are provided for action and education programs aimed at abolishing FC/GM practices. An annotated bibliograpy, containing 78 references, is also provided.