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In: Third Asian and Pacific Population Conference (Colombo, September 1982). Selected papers. Bangkok, Thailand, Economic and Social Commission for Asia and the Pacific, 1984. 9-40. (Asian Population Studies Series No. 58)This report summarizes the recent demographic situation and considers prospective trends and their development implications among the 39 members and associate members of the Economic and Social Commission for Asia and the Pacific (ESCAP). It presents data on the following: size, growth, and distribution of the population; age and sex structure; fertility and marriage; mortality; international migration; growth and poverty; food and nutrition; households and housing; primary health care; education; the working-age population; family planning; the elderly; and population distribution. Despite improvements in the frequency and quality of demographic data collected in recent years, big gaps continue to exist in knowledge of the demographic situation in the ESCAP region. Available evidence suggests that the population growth rate of the ESCAP region declined between 1970 and 1980, as compared with the preceding decade, but that its rate of decline was slow. Within this overall picture, there is wide variation, with the most developed countries having annual growth rates around 1% and some of the least developed countries having a figure near 3%. The main factors associated with the high growth rates are the past high levels of fertility resulting in young age structures and continuing high fertility in some countries, notably in middle south Asia. The population of countries in the ESCAP region is expected to grow from 2.5 billion in 1980, to 2.9 billion in 1990, and to 3.4 billion persons by the year 2000. This massive growth in numbers, which will be most pronounced in Middle South Asia, will occur despite projected continuing moderation in annual population growth rates. Fertility is expected to continue its downward trend, assuming a more widespread and equitable distribution of health, education, and family planning services. Mortality is expected to decline further from its current levels, where life expectancy is often at or around 50 years. In several countries, more than 10 in every 100 babies born die before their 1st birthday. The extension of primary health care services is seen as the key to reducing this figure. Rapid population growth and poverty tend to reinforce each other. Low income, lack of education, and high infant and child mortality contribute to high fertility, which in turn is associated with high rates of natural increase. High rates of natural increase feed back to depress socioeconomic development. High population growth rates and their correlates of young age structures and heavy concentrations of persons in the nonproductive ages tend to depress production and burden government expenditure with high costs for social overhead needs. Rapid population growth emerges as an important factor in the persistence of chronic undernutrition and malnutrition. It increases the magnitude of the task of improving the educational system and exacerbates the problem of substandard housing that is widely prevalent throughout Asia.
In: Sobrero AJ, Lewit S, ed. Advances in planned parenthood. Proceedings of the Third and Fourth Annual Meetings of the American Association of Planned Parenthood Physicians, Chicago, Illinois, May, 1965/Denver, Colorado, April 1966. Amsterdam, Excerpta Medica Foundation, 1967. 227-30. (International Congress Series No. 138)The availability of highly effective methods of contraception provides new opportunities for a broadened approach to family planning in which contraception is part of a course of therapy holistically planned for the welfare of the individual. This approach requires family planners to shift their emphasis from responsible parenthood to responsible sexual functioning. Medical practice must recognize human sexuality as a health entity in and of itself and analyze its functioning through anatomical, physiological, and psychological components. In contrast to men's sexuality, which tends to be pelvic-centered, women's sexuality is constantly shifting in focus, from pelvic-centered to emotion-centered to spiritual-centered and back again. This shifting of emphasis reflects the creative interplay between a woman's reproductive and sexual lives and contraindicates a purely mechanistic approach to contraception. The family planning movement, which in its earlier stages of necessity shifted from a clinical to a public health orientation, is now in a position to move toward renewed consideration of the needs of the individual. The goal at this stage should be not just fewer pregnanvies but also a better quality of life and improved marital relationships.
New York, United Nations Fund for Population Activities; London, England, Croom Helm, 1980. 215 p.The Arab population, consisting of 20 states and the people of Palestine, was almost 153 million in 1978 and is expected to reach 300 million by the year 2000. Most Arab countries have a high population growth rate of 3%, a young population structure with about 50% under age 15, a high rate of marriage, early age of marriage, large family size norm, and an agrarian rural community life, along with a high rate of urban expansion. Health patterns are also similar with epidemic diseases leading as causes of mortality and morbidity. But there is uneven distribution of wealth in the region with per capita annual income ranging from US$100 in Somalia to US$12,050 in Kuwait; health care is also more elaborate in the wealthier countries. Fertility rates are high in most countries, with crude birthrates about 45/1000 compared with 32/1000 in the world as a whole and 17/1000 in most developed countries. In many Arab countries up to 30-50% of total investment is involved in population-related activities compared to 15% in European countries. There is also increasing pressure in the educational and health systems with the same amount of professionals dealing with an increasing amount of people. Unplanned and excessive fertility also contributes to health problems for mothers and children with higher morbidity, mortality, and nutrition problems. Physical isolation of communities contributes to difficulties in spreading health care availability. Urban population is growing rapidly, 6%/year in most Arab cities, and at a rate of 10-15% in the cities of Kuwait and Qatar; this rate is not accompanied by sufficient urban planning policies or modernization. A unique population problem in this area is that of the over 2 million Palestinians living in and outside the Middle East who put demographic pressures on the Arab countries. 2 major constraints inhibit efforts to solve the Arab population problem: 1) the difficulty of actually reallocating the people to achieve more even distribution, and 2) cultural and political sensitivities. Since in the Arab countries fertility does not correlate well with social and economic indicators, it is possible that development alone will not reduce the fertility of the Arab countries unless rigorous and effective family planning policies are put into action.