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  1. 1

    International Conference on Population and Development (ICPD), Cairo, Egypt, 5-13th September 1994. National position paper.

    Zambia. National Commission for Development Planning

    Lusaka, Zambia, National Commission for Development Planning, 1993 Dec. viii, 39 p.

    Zambia's country report for the 1994 International Conference on Population and Development opens with a review of the country's unfavorable economic and demographic situation. Population growth has been increasing (by 2.6% for 1963-69 and 3.2% for 1980-90) because of a high birth rate and a death rate which is declining despite an increase in infant and child mortality. The population is extremely mobile and youthful (49.6% under age 15 years in 1990). Formulation of a population policy began in 1984, and an implementation program was announced in 1989. International guidance has played a major role in the development of the policy and implementation plans but an inadequacy of resources has hindered implementation. New concerns (the status of women; HIV/AIDS; the environment; homeless children and families; increasing poverty; and the increase in infant, child, and maternal mortality) have been added to the formerly recognized urgent problems caused by the high cost of living, youth, urbanization, and rural underdevelopment. To date, population activities have been donor-driven; therefore, more government and individual support will be sought and efforts will be made to ensure that donor support focuses on the local institutionalization of programs. The country report presents the demographic context in terms of population size and growth, fertility, mortality, migration, urbanization, spatial distribution, population structure, and the implications of this demographic situation. The population policy, planning, and program framework is described through information on national perceptions of population issues, the role of population in development planning, the evolution and current status of the population policy, and a profile of the national population program (research methodology; integrated planning; information, education, and communication; health, fertility, and mortality regulatory initiatives; HIV/AIDS; migration; the environment; adolescents; women; and demography training). A description of the operational aspects of population and family planning (FP) program implementation covers political and national support, the national implementation strategy, program coordination, service delivery and quality of care, HIV/AIDS, personnel recruitment and training, evaluation, and financial resources. The discussion of the national plan for the future involves priority concerns, the policy framework, programmatic activities, and resource mobilization.
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  2. 2

    National report on population and development of Malaysia. International Conference on Population and Development, September, 1994, Cairo.

    Malaysia. National Population and Family Development Board. Technical Working Group for ICPD

    [Kuala Lumpur], Malaysia, National Population and Family Development Board, Technical Working Group for ICPD, 1993. [4], 64 p.

    Malaysia considers its population policy an integral part of its overall social and economic policy planning. In order to achieve its goal of becoming an industrialized nation by the year 2020, Malaysia considers it imperative to create a quality population based around a strong family unit and a caring society. This report on population and development in Malaysia begins with a description of the demographic context in terms of past and current trends in population size, growth, and structure; fertility, mortality, and migration as well as the outlook for the future. The implementation of the population policy, planning, and program is described in the context of the following issues: longterm population growth, fertility interventions, women's labor force participation, aging, the family, internal and international migration, urbanization, and the environment. The evolution of the population policy is included as is its relationship with such other population-related policies as health, education, human resource development, regional development, and the eradication of poverty. Information is provided on the current status of the population policy and on the role of population issues in development planning. A profile of the national population program includes a discussion of maternal-child health services; family planning services and family development; information, education, and communication; data collection and analysis, the relationship of women to population and development; mortality; migration; the environment; human resources development, poverty alleviation; aging; and HIV/AIDS. The national action plan for the future is presented through a discussion of the emerging and priority concerns of population and family development and an outline of the policy framework. The summary reiterates Malaysia's efforts to integrate population factors into development planning and its commitment to promoting environmentally-sound and sustainable development. Appendices present data in tabular form on population and development indicators, population policies, incentives, and programs; program results; and the phase and area of implementation of the national population and family development programs.
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  3. 3

    National population report prepared in the context of the International Conference on Population and Development, ICPD, 1994, Cairo, Egypt.

    Mauritius. National Task Force on Population

    Port Louis, Mauritius, National Task Force on Population, 1993 [16], 64, [2] p.

    Mauritius has one of the highest population densities in the world, and it can boast of one of the highest literacy rates among developing countries. Each of the development plans of Mauritius has contained a chapter devoted to population policy. This country report prepared for the 1994 International Conference on Population and Development borrows heavily from those plans. The first development plan (1971-75) emphasized employment creation to achieve growth with equity. By 1982-84, the emphasis shifted to productive employment, and, by 1987 nearly full employment was reached. The goal now is to achieve sustainable development and to dovetail the demands of a rapidly industrializing economy with the social needs of a slowly aging population. The country report presents the demographic context in terms of past trends, the current situation, and the outlook for the future. Demographic transition was achieved in a relatively short time and resulted in changes in the age structure of the population from "young" to "active." The population policy (which aims to maintain the replacement level gross reproduction rate and reduce fertility rates), planning, and program framework is described through information on national perceptions of population issues, the evolution and current status of the population policy, the role of population in development planning, and a profile of the national population program (maternal-child health and family planning services; information, education, and communication; research methodology; the status of women; mortality; population distribution; migration; and multi-sectoral activities). The description of the operational aspects of population and family planning (FP) program implementation includes political and national support, the national implementation strategy, evaluation, finances and resources, and the role of the World Population Plan of Action. The discussion of the national plan for the future involves emerging and priority concerns (reducing unwanted pregnancies and abortions, particularly among adolescents and unmarried women, an increase in teenage fertility rates, reducing the fertility rate which rose to 2.3 from 1.9 in 1986, and reducing infant, child, and maternal mortality rates), the policy framework, programmatic activities, and resource mobilization.
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  4. 4

    National report on population. Prepared for the International Conference on Population and Development, September 1994.

    Tunisia. Ministry of Planning and Regional Development

    [Tunis], Tunisia, Ministry of Planning and Regional Development, 1994 Aug. 57 p.

    Tunisia's country report for the 1994 International Conference on Population and Development opens with a brief discussion of the country's history and development achievements (the population growth rate has been reduced from 3.2% in the beginning of the 1960s to less than 2%, and Tunisia has achieved significant improvement over the past 2 decades in human development indices). Tunisia's population policy has gone through 3 stages: the establishment of an important legal framework during the 1950s and 60s, the creation of a National Family and Population Board and establishment of basic health care facilities during the 1970s, and an emphasis on environmentally-responsible development with an attempt to strengthen the integration of population policies into development strategies beginning in the 1980s. The report continues with an overview of the demographic context (historical trends and future prospects). The chapter on population policies and programs covers the evolution and status of the policies; sectoral strategies; development and research; a profile of the family health, family planning (FP), IEC (information, education, and communication), and data collection and analysis programs. This chapter also provides details on policies and programs which link women and families to population and development and on those which concern mortality, population distribution, and migration. The third major section of the report presents operational features of the implementation of population and FP programs, in particular, political support, program formulation and execution, supervision and evaluation, financing, and the importance and relevance of the world plan of action for population. Tunisia's national action plan for the future is discussed next in terms of new problems and priorities and a mobilization of resources. This section also includes a table which sets out the components, goals, strategies, and programs of action of the population policy. In conclusion, it is stated that Tunisia's population policy fits well with the world program of action because it promotes human resources and sustainable development and respects international recommendations about human rights in general and the rights of women in particular.
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  5. 5

    Bibliography on the health aspects of human reproduction, population dynamics and family planning and related subjects.

    World Health Organization [WHO]. Nursing Unit

    Geneva, Switzerland, WHO, (1971). (NURS/71.1) 53 p.

    The references cited in this bibliography cover the mandates of the United Nations and its specialized agencies in the field of human reproduction, population dynamics and family planning, and other related documents as well as World Health Organization publications dealing with family planning and related subjects.
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  6. 6

    Celebrating its 25th anniversary, UNFPA presents Today's Choices for Tomorrow's World.

    Philippine Legislators' Committee on Population and Development Foundation

    PEOPLE COUNT. 1994 Nov; 4(10):1-4.

    The UN Population Fund (UNFPA) can be optimistic about achieving the goals adopted for it at the 1994 International Conference on Population and Development because its accomplishments of the past 25 years overcame strong obstacles. In 1969, there was little appreciation of the importance of population factors, population was a controversial element in the development debate, it was difficult to achieve funding for population programs, less than 10% of couples (versus 55% today) used family planning (FP), and population growth was more than 2% per year (it is 1.5% today). The proposed UNFPA program for the Philippines for 1994-98 aims to help the Philippine government achieve population growth and distribution which is consistent with sustainable development by 1) broadening awareness of and support for population programs, 2) improving FP services, 3) improving service delivery through nongovernmental organizations, 4) integrating population perspectives into development plans, 5) improving the quality of population data, 6) integrating gender and environmental concerns into population policies and programs, and 7) coordinating program implementation with other donors. Specific goals of the proposed program are to improve the health of women and children through maternal/child health and FP services, to increase contraceptive prevalence by 10%, to extend FP services to remote areas and provide a wide array of methods, to support IEC (information, education, and communication) activities, to strengthen data collection and analysis capabilities at a cost of $500,000, to provide $2.4 million to efforts to promote greater consideration of population factors in policy making and development planning, to contribute $700,000 to research on population dynamics, and to provide $3.7 million to improve the status of women. The program will be managed by the government and monitored in accordance with standard UNFPA guidelines with a mid-term review scheduled for 1996.
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  7. 7

    Country report: Bangladesh. International Conference on Population and Development, Cairo, 5-13 September 1994.


    [Unpublished] 1994. iv, 45 p.

    The country report prepared by Bangladesh for the 1994 International Conference on Population and Development begins by highlighting the achievements of the family planning (FP)/maternal-child health (MCH) program. Political commitment, international support, the involvement of women, and integrated efforts have led to a decline in the population growth rate from 3 to 2.07% (1971-91), a decline in total fertility rate from 7.5 to 4.0% (1974-91), a reduction in desired family size from 4.1 to 2.9 (1975-89), a decline in infant mortality from 150 to 88/1000 (1975-92), and a decline in the under age 5 years mortality from 24 to 19/1000 (1982-90). In addition, the contraceptive prevalence rate has increased from 7 to 40% (1974-91). The government is now addressing the following concerns: 1) the dependence of the FP and health programs on external resources; 2) improving access to and quality of FP and health services; 3) promoting a demand for FP and involving men in FP and MCH; and 4) achieving social and economic development through economic overhaul and by improving education and the status of women and children. The country report presents the demographic context by giving a profile of the population and by discussing mortality, migration, and future growth and population size. The population policy, planning, and program framework is described through information on national perceptions of population issues, the evolution and current status of the population policy (which is presented), the role of population in development planning, and a profile of the national population program (reproductive health issues; MCH and FP services; information, education, and communication; research methodology; the environment, aging, adolescents and youth, multi-sectoral activities, women's status; the health of women and girls; women's education and role in industry and agriculture, and public interventions for women). The description of the operational aspects of population and family planning (FP) program implementation includes political and national support, the national implementation strategy, evaluation, finances and resources, and the role of the World Population Plan of Action. The discussion of the national plan for the future involves emerging and priority concerns, the policy framework, programmatic activities, resource mobilization, and regional and global cooperation.
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  8. 8

    Synthesis of the expert group meetings convened as part of the substantive preparations for the International Conference on Population and Development.


    As part of the preparation for the 1994 International Conference on Population and Development to be sponsored by the UN in Cairo, 6 expert groups were convened to consider 1) population growth; 2) population policies and programs; 3) population, development, and the environment; 4) migration; 5) the status of women; and 6) family planning programs, health, and family well-being. Each group included 15 experts representing a full range of relevant scientific disciplines and geographic regions. Each meeting lasted 5 days and included a substantive background paper prepared by the Population Division as well as technical papers. Each meeting concluded with the drafting of between 18 and 37 recommendations (a total of 162). The meeting on population, the environment, and development focused on the implications of current trends in population and the environment for sustained economic growth and sustainable development. The meeting on population policies and programs observed that, since 1984, there has been a growing convergence of views about population growth among the nations of the world and that the stabilization of world population as soon as possible is now an internationally recognized goal. The group on population and women identified practical steps that agencies could take to empower women in order to achieve beneficial effects on health, population trends, and development. The meeting on FP, health, and family well-being reviewed policy-oriented issues emerging from the experience of FP programs. The meeting on population growth and development reviewed trends and prospects of population growth and age structure and their consequences for global sustainability. The population distribution and migration experts appraised current trends and their interrelationship with development. In nearly all of the group meetings, common issues emerged. Concern was universally voiced for sustainable development and sustained economic growth, relevance of past experience, human rights, the status of women, the family, accessibility and quality of services, the special needs of subpopulations, AIDS, the roles of governments and nongovernmental organizations, community participation, research and data collection, and international cooperation.
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  9. 9

    Introduction. Review of the six expert group meetings.


    On July 26, 1991, the Economic and Social Council resolved to convene an International Conference on Population and Development under the auspices of the UN. To prepare for the conference, 6 expert group meetings were held to address the following issues: 1) population growth, demographic changes, and the interaction between demographic variables and socioeconomic development; 2) population policies and programs, emphasizing the mobilization of resources for developing countries; 3) the interrelationships between population, development, and the environment; 4) changes in the distribution of population; 5) the relationship between enhancing the status of women and population dynamics; and 6) family planning programs, health, and family well-being. A synthesis of these meetings is presented in the 34/35 issue of "Population Bulletin" (1993).
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  10. 10

    [Program review and strategy development report: Tunisia] Rapport de la mission d'analyse du programme et d'elaboration de la strategie: Tunisie.

    United Nations Population Fund [UNFPA]

    New York, New York, UNFPA, [1990]. v, 35 p.

    This report of the UN Population Fund's (UNFPA) program review and strategy development mission to Tunisia analyzes the current status and needs of population programs, evaluates the results of past population activities, and recommends measures to be taken by the national population strategy. The mission was in Tunisia in April 1990 to prepare recommendations in close cooperation with the Tunisian government for the 5th program of cooperation between the UNFPA and Tunisia, which will begin in 1992. The report contains chapters on Tunisia's demographic and development situation, the population policy, cooperation in the area of population by bilateral and multilateral organizations and private sector agencies, the strategy proposed for the population program, and the current and future role of the UNFPA. A final chapter containing conclusions and recommendations notes that control of population growth and reduction of regional disparities are central concerns of Tunisia's development policy. Family planning remains the principal component of the population policy. The population and family planning program has benefited from political and legislative support and has promoted contraceptive usage, but the rate of growth remains high and the government is determined to intensify its efforts. During the next economic and social development plan covering 1992-96, increased investment in the different areas related to population and especially family planning will be needed. The mission recommended that UNFPA assistance be concentrated in decreasing order of priority on maternal health and family planning, IEC, policy development, women in development, and study and research. In the area of maternal health and family planning, health services should be supported especially in the center-west and south of the country. Closer integration of family planning and maternal-child health services is needed to further the goal of providing high quality services in all health facilities. The UNFPA should participate in introducing new contraceptive methods and in training personnel in family planning and program administration. The UNFPA should support IEC activities and population education in and out of school, especially in the center and south. Activities permitting improved comprehension of demographic variables and their relations with development and reinforcement of regional planning should be supported, in order that relations between population and development be reflected in sectorial plans and regional development programs. Technical advice should be supplied in the areas of evaluation, data processing and analysis, and publication in order that data be exploited as fully as possible. Activities promoting the integration of women in development should be promoted. The UNFPA should offer support and technical advice to develop survey and operational research skills within tunisia in the areas of population and family health.
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  11. 11

    Programme review and strategy development report: Viet Nam.

    United Nations Population Fund [UNFPA]

    New York, New York, UNFPA, [1991]. ix, 81 p.

    Rapid population growth is an obstacle to Vietnam's socioeconomic development. Accordingly, the Government of Vietnam has adopted a population policy aimed at reducing the population growth rate through family planning programs encouraging increased age at 1st birth, birthspacing of 3-5 years, and a family norm of 1-2 children. TFR presently holds at 4, despite declines over the past 2 decades. Current mortality rates are also high, yet expected to continue declining in the years ahead. A resettlement policy also exists, and is aimed at reconfiguring present spatial distribution imbalances. Again, the main thrust of the population program is family planning. The government hopes to lower the annual population growth rate to under 1.8% by the year 2000. Achieving this goal will demand comprehensive population and development efforts targeted to significantly increase the contraceptive prevalence rate. Issues, steps, and recommendations for action are presented and discussed for institutional development strategy; program management and coordination and external assistance; population data collection and analysis; population dynamics and policy formulation; maternal and child health/family planning; information, education and communication; and women, population, and development. Support from UNFPA's 1992-1995 program of assistance should continue and build upon the current program. The present focus upon women, children, grass-roots, and rural areas is encouraged, while more attention is suggested to motivating men and mobilizing communities. Finally, the program is relevant and applicable at both local and national levels.
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  12. 12

    Report on the evaluation of Indonesia country programme.

    Chee S; Kittle D; Pullum TW; Rimon JG 2d; Sarvaas CD; Munthe-Kaas AC

    New York, New York, United Nations Population Fund [UNFPA], 1988 Nov. [2], xvii, 81 p.

    A mission team evaluated the UNFPA supported country program in Indonesia for 4 weeks in 1988. The team found that country program staff had progressed greatly towards institution building and had sufficiently upgraded its capacity, both primary goals in the design of the program. On the other hand, the evaluators observed that the program did not sufficiently emphasize or consider women's issues, except a project for income generation among women's acceptor groups. No comprehensive record of income generating programs exists, however, and should be developed. 4 population dynamics research projects involved improving individual and institutional capability to conduct research in development and implementation of population policies. In addition, the program also supported training programs and computer equipped resource centers at 2 university centers. The team noted, however, that research and analyses should also be conducted using the available primary data, e.g., census data and annual surveys. Even though the 2 projects in strengthening family planning management and operations research have basically achieved their goals, they need to foster linkage between the 2 and to include gender issues in their designs. Indonesia has been successful in delivery of family planning services through community involvement and women's group. Nevertheless, some areas of improvement include development of a transport policy to continue and expand family planning services and investigating the potential for NORPLANT production in Indonesia. In terms of education and communication, the program has satisfactorily focused on motivating couples and youth to use contraceptives. Yet it needs to know its target audiences better so as to develop more effective materials and presentations.
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  13. 13

    Vietnam's population growth: old struggle, new strategy.

    Fraser SE

    INDOCHINA ISSUES. 1988 Jan; (78):1-7.

    A campaign promoting "1 or at most 2 children" was launched officially in 1982 in Vietnam, a country which ranked 12th most populous in the world in 1987, with the 7th largest annual growth rate. Although major municipalities have registered less than 1.7% annual growth rates, in rural areas, particularly in the southern provinces, the growth rate ranges from 2.3-3.4%; 80% of the population resides in such locales. In April 1986, the Hanoi City People's Committee issued regulations designed to encourage the practice of birth control. Cash awards were offered to couples with only 1 child and payments for sterilization after the birth of a 2nd child. The birth of a 3rd child triggers higher maternity clinic charges, and an escalating scale of birth registration fees has been introduced to discourage failure to practice family planning. The most significant statistic to emerge from the birth control program is the gradual increase in the number of family planning acceptors over the past 5 years, slightly over 1 million couples estimated in 1981 to 4.5 million acceptors estimated for 1987. Between 1981-87 there was more than a doubling of acceptors for sterilization and IUD insertion. The IUD is used by 75% of couples practicing birth control, followed in popularity by the condom. Agencies in a UN triumvirate with special population concerns in Vietnam include the UN Fund for Population Activities (UNFPA), the UN International Children's Emergency Fund (UNICEF), and the World Health Organization (WHO). In the 3 years preceding 1987, several new UNICEF-supported public information projects were implemented, including the creation of an extensive maternal and child care network. This network was used to train cadres from the Women's Union as family planning motivators. In mid-1986, an experimental and innovative pilot project on "family life" or "parenting information" was initiated by UNICEF, UNFPA, and the Vietnamese Committee for the Protection of Mothers and the Newborn (CPMN). The desired growth rate of 1.1% by 2000 will have to rely on a variety of current program innovations. Surveys now being conducted in various regions of Vietnam reveal attitudinal problems in promoting smaller families. A survey of the members of 300 farming cooperatives in various areas of Vietnam in 1986 found that 60% of those questioned believed that the more children they had the better it would be for their family economy. Cooperative Vietnamese and UN efforts, particularly the innovative surveys and field research, represent valuable approaches, but considerable need remains for improvement in birth control knowledge and application and in the means to reduce child morbidity and mortality rates.
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  14. 14

    Basis for the definition of the organization's action policy with respect to population matters.

    Pan American Health Organization [PAHO]

    [Unpublished] 1984 May 8. 31 p. (CE 92/12)

    This report shows how demographic information can be analyzed and used to identify and characterize the groups assigned priority in the Regional Plan of Action and that it is necessary for the improvement of the planning and allocation of health resources so that national health plans can be adapted to encompass the entire population. In discussing the connections between health and population characteristics in the countries of the region, the report covers mortality, fertility and health, and fertility and population increase; spatial distribution and migration; and the structure of the population. Focus then moves on to health, development, and population policies and family planning. The final section of the report considers the response of the health sector to population trends and characteristics and to development-related factors. The operations of the health sector must be revised in keeping with the observed demographic situation and the projections thereof so that the goal of health for all by the year 2000 may be realized. In several countries of the region mortality remains high. In 1/3 of them, infant mortality during the period 1980-85 exceeds 60/1000 live births. If measures are not taken to reduce mortality 55% of the population of Latin America in the year 2000 will still be living in countries with life expectancies at birth of under 70 years. According to the projections, in the year 2000 the birthrate will stand at around 29/1000, with wide differences between the countries of the region, within each of them, and between socioeconomic strata. High fertility will remain a factor hostile to the health of women and children and a determinant of rapid population growth. Some governments view the present or predicted growth rates as excessive; others want to increase them; and some take no explicit position on the matter. The countries would be well advised to assign values to their birthrate, natural increase, and periods for doubling their populations in relation to their development plans and to the prospects for improving the standard of living and health of their populations. An important factor in urban growth is internal migration. These migrants, like some of those who move to other countries, may have health problems requiring special care. Regardless of a country's demographic situation, the health sector has certain responsibilities, including: the need to promote the framing and adoption of population and development policies, in whose implementation the importance of health measures is not open to question; and the need to favor the intersector coordination and articulation required to ensure that population aspects are considered in national development planning.
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  15. 15

    The population problem in Turkey (as seen from the perspective of a foreign donor).

    Holzhausen W


    From the perspective of the UN Fund for Population Activities, Turkey has a population problem of some magnitude. In 1987 the population reached 50 million, up from 25 million in 1957. Consistent with world trends, the population growth rate in Turkey declined from 2.5% between 1965-73 to 2.2% between 1973-84; it is expected to further decrease to 2.0% between 1980 and 2000. This is due primarily to a marked decline of the crude birthrate from 41/1000 in 1965 to 30/1000 in 1984. These effects have been outweighed by a more dramatic decline in the death rate from 14/1000 in 1965 to 9/1000 in 1984. Assuming Turkey to reach a Net Reproduction Rate of 1 by 2010, the World Bank estimates Turkey's population to reach some 109 million by the middle of the 21st century. The population could reach something like 150 million in the mid-21st century. Some significant progress has been made in Turkey in recent years in the area of family planning. Yet, some policy makers do not seem fully convinced of the urgency of creating an ever-increasing "awareness" among the population and of the need for more forceful family planning strategies. Government allocations for Maternal and Child Health and Family Planning (MCH/FP) services continue to be insufficient to realize a major breakthrough in curbing the population boom in the foreseeable future. Most foreign donors do not consider Turkey a priority country. It is believed to have sufficient expertise in most fields and to be able to raise most of the financial resources it needs for development. The UNFPA is the leading donor in the field of family planning, spending some US $800,000 at thi time. Foreign inputs into Turkey's family planning program are modest, most likely not exceeding US $1 million/year. Government expenditures are about 10 times higher. This independence in decision making is a positive factor. Turkey does not need to consider policy prescriptions that foreign donors sometimes hold out to recipients of aid. It may be difficult for foreign donors to support a politically or economically motivated policy of curtailing Turkey's population growth, but they should wholeheartedly assist Turkey in its effort to expand and improve its MCH/FP services. Donors and international organizations also may try to persuade governments of developing countries to allocate more funds to primary education and to the fight against social and economic imbalances. Donors should continue to focus on investing in all sectors that have a bearing on economic development.
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  16. 16

    UNESCO/IPDC Regional Seminar on the Media and the African Family, Livingstone, Zambia, 6-10 January 1986. Report.

    UNESCO. International Programme for the Development of Communication

    [Unpublished] 1986 Jan. v, 63 p.

    A seminar was planned and conducted by UNESCO's Population Division during January 1986 to promote increased media attention to issues which affect family stability and welfare. Especially important are the social, economic, and health problems created by high rates of population growth, urbanization, and migration. The seminar intended to give participants an opportunity to: examine the changing characteristics and emergin problems of the African family; review and appraise both past and current efforts on the part of the media to promote understanding of the interrelationships between socioeconomic conditions and family welfare, composition, stability, and size; and develop plans to increase the involvement and effectiveness of the media in promoting understanding of these interrelationships and in enabling families to make decisions and take action to enhance their welfare and stability. This report of the seminar is presented in 2 sections. The 1st section presents the participants' review of the changing nature of the African family over recent decades and the socioeconomic and sociocultural problems which have emerged as a consequence of these changes. Additionally, the 1st section reviews the extent to which communication systems in the region have tried to deal with the population related issues which affect family welfare. A "Communication Plan of Action" is proposed by the participants as a logical outcome of their 2 analyses and as a synthesis of their recommendations for the manner in which communication systems in the region must develop in order to meet ongoing and future population-family life changes. The Plan of Action identifies the following strategies as necessary to realize the increased involvement of the media in family issues and problems: institutionalizing population family life content within the curricula of media training institutions within the region; intensifying preservice and inservice training of media personnel to enable them to deal effectively with the demographic, social, and economic issues which impinge upon family welfare; highlighting population family life communication matters; ensuring that research on population family life issues be widely disseminated to media personnel and media based organizations; sensitizing political and administrative decisionmakers to population family life issues so that media communication can be supported and opportunities for media coverage can be extended; emphasizing in national development plans the importance of the media in generating public awareness of and response to the constraints placed upon national development and improved family welfare by rapid population growth and large-scale urban migration; and encouraging the involvement of community organizations in media programs. The 2nd section of the report includes the participants examination of the communication planning process.
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  17. 17

    [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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  18. 18

    Population growth and policies in sub-Saharan Africa.

    World Bank

    Washington, D.C., World Bank, 1986 Aug. x, 102 p.

    This report provides a comprehensive assessment of the magnitude and underlying causes of Africa's rapid population growth and suggests a framework to help African leaders design policies to address this problem. The report has 3 themes. The 1st theme is that rapid population growth in Africa is slowing economic development and reducing the possibility of raising living standards. Africa's population growth rate, the highest in the world, has accelerated from an average of 2.8%/year in 1970-82 to 3.1%/year in 1985. Population growth is expected to continue to rise for at least another 5-10 years. In addition to undermining economic growth and per capita income growth, the population explosion implies higher child and maternal morbidity and mortality, further degradation of the natural environment, constraints on expanding education and health care services, and falling wages. A comprehensive population policy in African countries must include efforts both to slow this growth and to cope with its consequences. A 2nd theme is one of cautious hope arising from recent indications of a change in ideas and behavior regarding fertility. More and more African governments are expressing alarm about population growth and are supporting family planning measures. Improvements in women's status, especially in female education, are occurring and can be expected to have a fertility reducing effect. Increased availability and accessibility of family planning services could raise Africa's contraceptive prevalence rate from its current level of 3-4% to 25% in the next decade. The 3rd theme is that strategic reorientation of the direction and nature of government involvement in the area of population policy is required. Although governments should not seek to be the only provider of family planning services, they must take the lead in generating a climate of legitimacy for family planning. An increase in external assistance will be necessary if family planning is to become a realistic option for Africans.
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  19. 19

    Demographic trends and their development implications.

    United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]

    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.
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  20. 20

    International family planning: the reasons for the program.

    McPherson MP

    [Unpublished] 1985 Nov 25. 8 p.

    For some time there has been an active debate centering on the relationship between population growth and economic growth and the relationship, if any, between abortion and family planning programs. This debate has been characterized by strongly held and often polarized convictions, yet the debate usually fails to consider a most important set of reasons for family planning programs. Specifically, there has been little attention directed to the interests of families and individuals. This is unfortunate since the availability or lack of family planning services is of enormous consequences to some families and individuals. These family and individual interests fall into 3 categories: the desire of couples to determine the size and spacing of their family; mother and child survival; and reduction of abortion. The right of the family to choose the number and spacing of their children was strongly reaffirmed by international consensus at the International Conference on Population in Mexico City in 1984. Governments should not dictate the number of children couples can have, but family planning services should be encouraged so that people really do have the option, if they desire, of fewer children. Families make decisions in their own interest based upon their social and economic and religious situation. Change, including urbanization and lower child mortality, has created a new situation for millions of families throughout the developing world. One can debate the impact of population growth on economic growth in a family, but there is no question that many families feel they can do more for each child if they have fewer children. The unfulfilled desire of 3rd world families to have fewer children is not just Western speculation. Surveys show a large number of women who would like to space or limit their family size but cannot because no services are available. The health and survival of mothers and children provides a 2nd important reason for family planning. 1 of the most serious consequences of women having many children in quick succession is that more children and mothers die. There are dramatic statistics that family planning saves lives. Sound economic policies and various development efforts are critical to economic growth, but family planning has been part of successful packages in some key countries in recent years. Based upon that, sound economic and population policies are mutually supportive components of a country's plans for economic growth. This was the position taken by the Agency for International Development and remains its position. Strong family planning programs should be supported in the interests of families and individuals.
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  21. 21

    China: report of Mission on Needs Assessment for Population Assistance.

    United Nations Fund for Population Activities [UNFPA]

    New York, New York, UNFPA, 1984 May. xii, 156 p. (Report No. 67)

    A Needs Assessment and Program Development Mission visited the People's Republic of China from March 7 to April 16, 1983 to: review and analyze the country's population situation within the context of national population goals as well as population related development objectives, strategies, and programs; make recommendations on the future orientation and scope of national objectives and programs for strengthening or establishing new objectives, strategies, and programs; and make recommendations on program areas in need of external assistance within the framework of the recommended national population program and for geographical areas. This report summarizes the needs and recommendations in regard to: population policies and policy-related research; demographic research and training; basic population data collection and analysis; maternal and child health and family planning services; management training support for family planning services; logistics of contraceptive supply; management information system; family planning communication and education; family planning program research and evaluation; contraceptive production; research in human reproduction and contraceptives; population education and dissemination of population information; and special groups and multisectoral activities. The report also presents information on the national setting (geographical and cultural features, government and administration, the economy, and the evolution of socioeconomic development planning) and demographic features (population size, characteristics, and distribution, nationwide and demographic characteristics in geographical core areas). Based on its assessment of needs, the Mission identified mjaor priorities for assistance in the population field. Because of China's size and vast needs, external assistance for population programs would be diluted if provided to all provincial and lower administrative levels. Thus, the Mission suggests that a substantial portion of available resources be concentrated in 3 provinces as core areas: Sichuan, the most populous province (100,220,000 people by the end of 1982); Guandong, the province with the highest birthrate (25/1000); and Jiangsu, the most densely populated province (608 persons/square kilometer. In all the government has identified 11 provinces needing special attention in the next few years: Anhui, Hebei, Henan, Hubei, Hunan, Jilin, Shaanxi and Shandong, in addition to Guangdong, Jiangsu, and Sichuan.
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  22. 22

    Ghana: report of Mission on Needs Assessment for Population Assistance.

    United Nations Fund for Population Activities [UNFPA]

    New York, New York, UNFPA, 1984 Jul. vii, 59 p. (Report No. 68)

    This report of a Mission visit to Ghana from May 4-25, 1981 contains data highlights; a summary of findings; Mission recommendations regarding population and development policies, population data collection and analysis, maternal and child health and family planning, population education and communication programs, and women and development; and information on the following: the national setting; population features and trends (population size, growth rate, and distribution and population dynamics); population policy, planning, and policy-related research; basic data collection and anaylsis; maternal and child health and family planning (general health status, structure and organization of health services, maternal and child health and family planning activities, and family planning services in the private sector); population education and communication programs; women, youth, and development; and external assistance in population. Ghana gained independence in 1957. The country showed early promise of rapid development. Although well-endowed with natural and human resources, Ghana now suffers from food scarcity, inadequate infrastructure and services, inflation, inequities in income distribution, unemployment, and underemployment. Per capita gross national product (GNP) was $400 in 1981; between 1960-81 the average annual growth of GNP was -1.1%. A high rate of natural increase of the population has compounded development problems by intensifying demands for food, consumer goods, and social services while simultaneously increasing the constraints on productivity. The population, estimated at 13 million in mid-1984, is growing at a rate of 3.25% per annum. Immigration and emigration have contributed to changes in the size and composition of the population. Post-independence development policies favored the urban areas, encouraging a steady rural-to-urban shift in the population. At the same time, worsening socioeconomic conditions spurred the emigration of professional, managerial, and technical personnel and skilled workers. Ghana was the 1st sub-Saharan African nation to establish an official population policy. Since the formulation of the policy in 1969, successive governments have remained committed to its emphasis on fertility reduction while increasing attention to the problems of mortality and morbidity and rural/urban migration. Recognizing the need to intensify the commitment to population policies, the Mission recommends support for a program to further the awareness of policy makers of the relationship between population trends and their areas of responsibility. The Mission recommends the creation of a special permanent population committee and the strengthening of the Ministry of Finance and Economic Planning's Manpower division. The Mission also makes the following recommendations: the provision of training, technical assistance, and data processing facilities to ensure the timely provision of demographic data for socioeconomic planning; data collected in the pilot program of vital registration be evaluated before the system is expanded; the complete integration of maternal and child health and family planning and general health services within the primary health care system; and improvement in women's access to resources such as education, training, and agricultural inputs.
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  23. 23

    After Mexico: NGOs and the follow-up to the International Conference on Population. Summary report of the Fourth Annual NGO/UNFPA Consultation on Population in New York (March 6, 1985).

    Cassidy K

    New York, New York, UN Non-Governmental Liaison Service, 1985. 50 p.

    This Summary Report of the Fourth Annual Nongovernmental Organizations/UN Fund for Population Activities (NGO/UNFPA) contains the following: an opening statement of David Poindexter, Director, Communication Centre of the Population Institute; a presentation devoted to opportunities for action by Bradman Weerakoon, Secretary General, International Planned Parenthood Federation (IPPF); a discussion of global population realities by Sheldon Segal, Director, Population Sciences of the Rockefeller Foundation; panel discussions on the topic of patterns of NGO action; reports from workshop groups (environment, development and population; role and status of women; health and population; reproduction and the family; population policies and funding; population and children; population and youth; and population and aging); a report on financing global population programs, given by Barbara Hertz, Senior Economist, World Bank; discussion of the implementation of the Mexico mandate, Rafael M. Salas, Under Secretary-General of the UN and Executive Director of the UNFPA; recommendations of the Mexico City Conference which refer to the NGO role in followup; and some background material. Recommendations of the workshop groups for ongoing NGO action in the field of population include: linkages between environment, development, and population to be more carefully delineated; the need for the voice of women to be heard at all levels by those formulating population policies and for the status of women to be considered by all as essential to the population issue; couples to be offered a full range of contraceptive choices; all family members to have access to reproductive health information, sex education, and family planning services; organizations to look for multiple sources of funding and to become less reliant on a single source of funding for population and health related activities; support of programs which promote women's development; governments to prepare youth better for their roles within their own countries; and the leadership role of the elderly to be facilitated and utilized in the areas of education, communication, and influencing policies at the village, regional, national, and international level.
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  24. 24

    Stopping population growth.

    Brown LR

    In: State of the world 1985. A Worldwatch Institute report on progress toward a sustainable society [by] Lester R. Brown, Edward C. Wolf, Linda Starke, William U. Chandler, Christopher Flavin, Sandra Postel, Cynthia Pollack. New York, New York, W.W. Norton, 1985. 200-21.

    The demographic contrasts of the 1980s are placing considerable stress on the international economic system and on national political structures. Runaway population growth is indirectly fueling the debt crisis by increasing the need for imported food and other basic commodities. Low fertility countries are food aid donors, and the higher fertility countries are the recipients. In most countries with high fertility, food production per person is either stagnant or declining. Population policy is becoming a priority of national governments and international development agencies. This discussion reviews what has happened since the UN's first World Population Conference in 1974 in Bucharest, fertility trends and projections, social influences on fertility, advances in contraceptive technology, and 2 major family planning gaps -- the gap between the demand for family planning services and their availability and the gap between the societal need to slow population growth quickly and the private interests of couples in doing so. The official purpose of the 1984 UN International Conference on Population convened in Mexico City, in which 149 countries participated, was to review the world population plan of action adopted at Bucharest. In Bucharest there had been a wide political schism between the representatives of industrial countries, who pushed for an increase in 3rd world family planning efforts, and those from developing countries, whose leaders argued that social and economic progress was the key to slowing population growth. In Mexico City this division had virtually disappeared. Many things had happened since Bucharest to foster the attitude change. The costly consequences of continuing rapid population growth that had seemed so theoretical in the 1974 debate were becoming increasingly real for many. World population in 1984 totaled 4.76 billion, an increase of some 81 million in 1 year. The population projections for the industrial countries and East Asia seem reasonable enough in terms of what local resource and life support systems can sustain, but those for much of the rest of the world do not. Most demographers are still projecting that world population will continue growing until it reaches some 10 billion, but that most of the 5.3 billion additional people will be concentrated in a few regions, principally the Indian subcontinent, the Middle East, Africa, and Latin America. What demographers are projecting does not mesh with what ecologists or agronomists are reporting. In too many countries ecological deterioration is translating into economic decline which in turn leads to social disintegration. The social indicator that correlates most closely with declining fertility across the whole range of development is the education of women. Worldwide, sterilization protects more couples from unwanted pregnancy than any other practice. Oral contraceptives rank second. The rapid growth now confronting the world community argues for effective family planning programs.
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  25. 25

    Integration of population factors into development planning and programmes.

    United Nations. Department of Technical Co-operation for Development; United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]. Population Division

    In: Population, resources, environment and development. Proceedings of the Expert Group on Population, Resources, Environment and Development, Geneva, 25-29 April 1983, [compiled by] United Nations. Department of International Economic and Social Affairs. New York, New York, United Nations, 1984. 175-86. (Population Studies No. 90; ST/ESA/SER.A/90; International Conference on Population, 1984)

    In carrying out the recommendations of the World Population Plan of Action, the UN has expanded its technical cooperation activities with the countries concerned in diverse population development fields, including studies of the interaction between social, economic, and demographic variables, the formulation and implementation of policies, the integration of demographic factors in the planning process, the training of national staff, and the improvement of the data base and institutional arrangements. Discussion focuses on country problems and policies, national institutional capacity in population and development planning, strengthening national institutional capacities, and integration of population and development in the Economic and Social Commission for Asia and the Pacific (ESCAP) region. The interaction between structural change in population and social and economic development is generally recognized at the aggregate, sectoral, and regional levels, yet it has not thus far been possible to take this factor fully into account in the development planning process in many countries. In too many cases, population policies have been formulated and implemented in isolation and not in harmony with development policies or as an integral part of overall development strategy. Deficiencies in achieving integrated population policies and integration of demographic factors in the development planning process often have been caused or aggravated by a deficient knowledge of the interactions between demographic and socioeconomic factors and by insufficient expertise, resources, and proper institutional arrangements in the field. The population policies most frequently formulated and implemented during the last decade dealt with fertility, population growth, migration (internal and international), and mortality. Many governments continue to assign relatively low priority to the formulation of population policy and the formulation of related institutional arrangements. The fact that population is still understood as family planning by a number of governments also delays the legislative procedure necessary to establish government institutions for population research and study. The need exists to create a viable national institutional capacity through the establishment of a population planning unit within the administrative structure of national planning bodies. The substantive content of the work programs of these units would vary from country to country. There also is a need for a broader approach to the adoption of population policies and development planning strategies. Some progress has been made in integrating population into development planning in the ESCAP region, but the progress has been slow.
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