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    Programme review and strategy development report: Brazil.

    United Nations Population Fund [UNFPA]

    New York, New York, UNFPA, 1992. ix, 81 p.

    Rapid industrialization, general economic development, and insufficient attention to social development have caused great social and development gaps within regions and between regions in Brazil. Brazil is very urbanized and is at the end stage of the demographic transition, with a somewhat low and decreasing population growth rate and an aging population structure. Mortality and fertility remain high, however, among some populations. Internal migration still shapes some regions. In the past, Brazil's population policy mainly consisted of colonizing the interior with construction of a network of roads, resulting in environmental destruction. Brazil's development planning system has shifted from centralized planning to one following market forces. Brazil conducts censuses, but long delays and limited flexibility in the production and distribution of results exist. The vital statistics system in most of Brazil needs to improve. Policymakers tend to not use population studies. The public and private sectors provide maternal and child health and family planning services. The health care system is dominated by high-cost, hospital-based, curative care. Public health spending is limited in the poorest areas where infant and maternal mortality is still high. Limited contraceptive choices and lack of information have resulted in a high rate of abortion and adolescent pregnancy. Sex education emphasizes biological reproduction and basically neglects the psychological, sociocultural, and gender aspects. Most people support environmental education, but the link between environment and population tends to be ignored. Women's groups and female labor participation are growing. 54% of adolescents live in poverty. 500,000 are street children and a high risk of delinquency and prostitution. UNFPA, UNICEF, and the World Bank are international sources supporting population-related activities. The report lists objectives and strategies and proposals for UNFPA assistance.
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