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International Conference on Population and Development (ICPD), Cairo, Egypt, 5-13th September 1994. National position paper.
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.
National report on population and development of Malaysia. International Conference on Population and Development, September, 1994, Cairo.
[Kuala Lumpur], Malaysia, National Population and Family Development Board, Technical Working Group for ICPD, 1993. , 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.
National population report prepared in the context of the International Conference on Population and Development, ICPD, 1994, Cairo, Egypt.
Port Louis, Mauritius, National Task Force on Population, 1993 , 64,  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.
National report on population. Prepared for the International Conference on Population and Development, September 1994.
[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.
Government of Sierra Leone. National report on population and development. International Conference on Population and Development 1994.
Freetown, Sierra Leone, National Population Commission, 1994. , 15,  p.The government of Sierra Leone is very concerned about the poor health status of the country as expressed by the indicators of a high maternal mortality rate (700/100,000), a total fertility rate of 6.2 (in 1985), a crude birth rate of 47/1000 (in 1985), an infant mortality rate of 143/1000 (in 1990), and a life expectancy at birth of only 45.7 years. A civil war has exacerbated the already massive rural-urban migration in the country. Despite severe financial constraints, the government has contributed to the UN Population Fund and continues to appeal to the donor community for technical and financial help to support the economy in general and population programs in particular. Sierra Leone has participated in preparations for and fully supports the 1994 International Conference on Population and Development. This document describes Sierra Leone's past, present, and future population and development linkages. The demographic context is presented in terms of size and growth rate; age and sex composition; fertility; mortality; and population distribution, migration, and urbanization. The population policy planning and program framework is set out through discussions of the national perception of population issues, the national population policy, population in development planning, and a profile of the national population program [including maternal-child health and family planning (FP) services; information, education, and communication; data collection, analysis, and research; primary health care, population and the environment; youth and adolescents and development; women and development; and population distribution and migration]. The operational aspects of the program are described with emphasis on political and national support, FP service delivery and coverage, monitoring and evaluation, and funding. The action plan for the future includes priority concerns; an outline of the policy framework; the design of population program activities; program coordination, monitoring, and evaluation; and resource mobilization. The government's commitment is reiterated in a summary and in 13 recommendations of action to strengthen the population program, address environmental issues, improve the status of women, improve rural living conditions, and improve data collection.
[Senegal: report of mission on needs assessment for population assistance] Senegal: rapport de mission sur l'evaluation des besoins d'aide en matiere de population.
New York, New York, Fonds des Nations Unies pour la Population, . vi, 117 p. (Rapport No. 96)To deal with Senegal's severe economic situation, the government has put in place the 6th development plan (1981-1985). Increasing population growth and internal migration have rendered data from the 1976 census unuseful. Uncontrolled urbanization also constitutes a major problem for Senegal. Faced with this situation, the government has created a national population commission and laws on contraception, families, family planning, and health. Activities relevant to population have been regrouped under a single ministry, the Ministry of Social Development. The government's approach to population includes integrating population with development, integrating family planning with the well-being of families and maternal and child health, fighting sterility problems, and integrating women into the development process.
Health systems research in maternal and child health including family planning: issues and priorities. Report of the meeting of the Steering Committee of the Task Force on Health Systems Research in Maternal and Child Health including Family Planning, New Delhi, 12-15 March 1984.
[Unpublished] 1985. 23 p. (MCH/85.8)In a series of general discussions aimed at establishing health systems research priorities, the Steering Committee of the Task Force on the Risk Approach and Program Research in Maternal-Child Health/Family Planning Care identified 9 major issues: 1) health services and health systems, 2) research and service to the community, 3) involving the community, 4) evaluation, 5) information systems, 6) interdisciplinary nature of health systems research, 7) appropriateness in technology and research, 8) funding and collaboration between agencies, and 9) implications for research program strategies. Background considerations regarding subject priorities for health systems research include the policies, goals, and programs of WHO, especially the goal of health for all by the year 2000. Of particular importance is the joining of training in health systems research with the research itself given the shortage of workers in this area. The sequence of events in the management of research proposals includes approach by an applicant, the WHO response, information to the appropriate WHO regional office, the beginning of technical dialogue, development of protocol, submission of grant application, contractual agreement, initial payments, regular monitoring of progress, proposed training strategy, annual reports, final report, and assistance in disseminating results. 3 subject areas were identified by the Steering Committee for additional scrutiny: 1) the dissemination of results of health systems research in maternal-child health/family planning, 2) the implementation of health services research and the studies to be funded, and 3) the coordination and "broker" functions of the Steering Committee.
New Delhi, India, Department of Family Welfare, 1994. , 61 p.The country report prepared by India for the 1994 International Conference on Population and Development opens by noting that India's population has increased from 361.1 million in 1951 to 846.3 million in 1991. In describing the demographic context of this, the largest democracy in the world, information is given on the growth rate, the sex ratio, the age structure, marital status, demographic transition, internal migration, urbanization, the economically active population and the industrial structure, literacy and education, data collection and analysis, and the outlook for the future. The second section of the report discusses India's population policy, planning, and programmatic framework. Topics covered include the national perception of population issues, the evolution of the population policy, the national family welfare program (infrastructure and services; maternal and child health; information, education, and communication; and achievements), the relationship of women to population and development, the relationship of population issues and sectoral activities, the environment, adolescents and youth, and AIDS. The third section presents operational aspects of family welfare program implementation and covers political and national support, the implementation strategy, the new action plan, program achievements and constraints, monitoring and evaluation, and financial aspects. The national action plan for the future is the topic of the fourth chapter and is discussed in terms of emerging and priority concerns, the role and relevance of the World Population Plan of Action and other international instruments, international migration, science and technology, and economic stabilization, structural reforms, and international financial support. After a 24-point summary, demographic information is appended in 17 tables and charts.
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.
UN/IUSSP Expert Group Meeting on the International Transmission of Population Policy Experience, New York, USA, 27-30 June 1988.
INTERNATIONAL UNION FOR THE SCIENTFIC STUDY OF POPULATION NEWSLETTER. 1989 May-Aug; (36):51-64.In this report on the meeting, The International Union for the Scientific Study of Population presents a point of focus for discussing the research and program aspects of population policy. The experience of its own activities bearing on population policy over its 60-year history, and its changing relation with governments and UN and other international agencies, provide insights on the subject. The emergence over the past 3 decades of a wide consensus that the best (and virtually the sole effective) means of reducing perceived too-high fertility is through family planning programs is the most striking feature of population policy thinking since the 1940s. A number of factors have contributed to this development. 1 of them is the narrowing scope of demography and, within that scope, its increasing rigor and technical sophistication, including the efflorescence of survey taking, yielding numerous data sets on the most readily quantifiable aspects of attitudes towards, access to, and practice of contraception. A 2nd factor is a shift from a social scientific to a policy orientation, stimulated by the need to combat rapid population growth in developing countries. A 3rd factor is the influence of the family planning movement itself. In contrast to the fertility case, demographic research on mortality has proceeded fairly independently of programmatic action. This has probably been because the arena for program research has been seen as the bailiwick of the medical and public health professions rather than that of demographers. Policy research that must contend with program models already firmly in mind, and often already in place, is somewhat removed from the ideal type of social science influence on public affairs. At various points the author touches on the contrast between the breadth of knowledge that should ideally inform population policy and the fairly narrow terrain that demographers have intensively cultivated. Both the strengths and the weaknesses of demography's contributions to policy lie here.
New York, New York, United Nations Fund for Population Activities, 1985. x, 76 p. (Report No. 78)In 1985, the UN Fund for Population Activities sent a 2nd Needs Assessment Mission to Egypt. The 1985 population is 46.8 million. For more than a quarter of a century the government and the people of Egypt have gradually expanded activities in the areas of population policy and attempts to reduce fertility. During the past 3 decades, the crude death rate/1000 has decreased from 17.8 to 10.4, a decline of 42%. The crude birth rate/1000 has declined from 45.2 to 37.3, by 17%. Confronted by the serious overcrowding of cities, especially the capital city of Cairo, President Mubarak has determined that the nation must greatly expand its activities in the population area. The Ministry of Health offers tremendous potential for increasing contraceptive prevalence, but this potential is seriously underutilized. The National Population Council (NPC) should both be given support to strengthen its proposed technical department by salary supplements to attract the most qualified national experts and to provide training and equipment in demographic analysis, policy formulation, population information, population and development, maternal and child health and family planning, and women and development. Carrying out programs to deal with the population problem will require strong public support. For this reason, the Mission recommends that the NPC establish a national information program designed to educate the public and influential groups about population and migration. The Mission also recommends that the NPC strengthen its capability to analyze population policy issues. The Mission recommends that 2 related areas be strengthened: 1) demographic evaluation and analysis capability and 2) dissemination and utilization of census and survey results through publications, seminars, and surveys.
New York, New York, United Nations Population Fund, 1988. vii, 85 p. (Report No. 92)Thailand's population in mid-1986 was estimated at 53 million, an increase of approximately 10% since mid-1981. The nation's gross national product was US $860 in 1984. The projected population growth rate for 1985-1990 was 1.6%, a substantial decline over the 1965-1970 rate of 3.04%. The ready acceptance of contraception among married women, supported by the family planning programs of the Government and voluntary organizations. played a major role in what has been termed Thailand's demographic revolution. The mission found that despite widespread recognition of the "population problem," key government ministries had little functional awareness of socioeconomic and demographic interrelationships. The Mission recommends that short-term seminars be conducted periodically for senior government officials and policy-makers. Not only has thailand built 1 of the most successful family planning programs in the region, but it has undertaken an impressive research effort. Both data collection and research as a whole largely reflect the immediate needs of the population program and are characterized by attention to practical implications. To enhance the family planning program's ability to respond to goals of the 6th plan and beyond, the Mission has identified 4 tissues that should receive special attention during the next plan period, including 1) improving the effectiveness of contraceptive use, 2) improving performance in underperforming areas, 3) meeting the needs of special groups, and 4) reaching the contraceptive prevalence rate required at the conclusion of the 6TH plan.
New York, New York, United Nations Fund for Population Activities, 1984. viii, 60 p. (Report No. 79)This report presents the findings of a mission from the UN Fund for Population Activities to ascertain the needs for population assistance for the Republic of Botswana. Botswana's population is growing at a rate of 3.46% (1980-1985), a consequence of continuing high fertility and decreasing death rates. While there is an awareness of the implications of he high growth rate for development, the government appears to have relaxed its emphasis on controlling population growth, limiting its role to maternal and child health, and concentrating on the family welfare aspects of fertility control. The Mission expressed concern about the absence of a clearly articulated policy on population. However, it is hoped that the creation of the Botswana Population Council will result in the inclusion of such a policy in future national development plans. Migration is a major problem facing planners. The high rate of rural to urban migration and the reduction of migration to the Republic of South Africa for employment, have resulted in high unemployment rates within Botswana, particularly among unskilled workers. Critical gaps have been identified in the collection, analysis, and dissemination of population data, which are essential for the formulation of appropriate development strategies in this area. The Mission recommends that support in the form of training and technical assistance be provided to both the Central Statistics Office and the Registry of Births and Deaths, in the case of the latter to promote the establishment of a nation-wide civil registration system. Present health policy focuses on the concept of primary health care, with an emphasis on preventive health and community participation. Due to the shortage of health manpower and heavy dependence on expatriate personnel, the Mission's recommendations in this area stress support for the training of health workers at all levels and the inclusion of population components in this training. A high proportion of households, particularly in rural areas, are headed by women, and many of these households are poor. The Mission's recommendations seek to enhance women's economic status and improve their access to resources such as vocational training and agricultural extension services.
New York, New York, United Nations Fund for Population Activities, 1986 ix, 88 p. (Report No. 80)This report presents the findings of the UN Fund for Population Activities mission which visited Bangladesh in 1984 in preparation for activities leading to the formulation of the 3rd Country Programme (1985-1990). Bangladesh is now the 8th most populous country in the world, with an estimated 1983 population of 95.6 people. It is overwhelmingly rural, with 83.8% of the population classified as rural. 45% of rural households have no land at all. The government of Bangladesh is firmly committed to decreasing the rate of population growth and has in place an administrative structure for generating family planning services. The key ministry has recently changed its name from the Ministry of Health and Population Control to the Ministry of Health and Family Planning (MOHFP). This report makes recommendations for aiding and extending existing MOHFP programs. The Mission's recommendations include 1) strengthening the existing policy-making body for population (the National Council for Population Control) by giving it a well-staffed, well-funded secretariat that can plan and also monitor broad population control programs; 2) accepting the principle that this Council and the Secretariat are the top population strategy with all other ministries and non-governmental organizations as implementing agencies under its guidance, 3) creating a regular working-level (Section Chief) inter-Ministerial working group (or workshop) to discuss and coordinate on-going multi-sectoral projects and programs, 4) developing a consistent Women and Development Policy and Programme with detailed projects and implementation strategies, and 5) creating joint ventures in population and development between governmental and non-governmental organizations in selected areas to test new ideas and projects.
Washington, D.C., International Science and Technology Institute, Population Technical Assistance Project, 1985 Aug 8. v, 7,  p. (Report No. 85-48-018; Contract No. DPE-3024-C-00-4063-00)The objectives of the consultation in Madagascar were to review existing policies and programs in population and family health, to assess government and nongovernment plans and capabilities to program implementation, to review other donor activities, to identify constraints impeding population and family planning activities, and to prepare recommendations for the US Agency for International Development (USAID) assistance to Madagascar. Although the government has no officially proclaimed population policy, there is increasing direct support of family planning. The private family planning association, Fianakaviana Sambatra (FISA) was officially recognized in 1967 and is permitted to import and distribute contraceptives. Sale of contraceptives in private pharmacies also is permitted. The major organization providing family planning services is FISA. The Ministry of Health (MOH) system does not include contraceptive services as part of its health care services, but at the request of MOH physicians, FISA provides services in 40 MOH facilities. Private pharmacies account for most of the contraceptive distribution, with oral contraceptives (OCs) being sold by prescriptions written by private physicians or, on occasion, by public health physicians. Contraceptive services also are provided in the medical centers of at least 3 organizations: JIRAMA, the water and electricity parastatal; SOLIMA, the petroleum parastatal; and OSTIE, a group of private enterprises that has its own health care system. A Catholic organization, FTK (Natural Family Planning Association) provides education and training in natural family planning. Demographic research has not been accorded a high priority in Madagascar. Consequently, the country's capabilities in the area are relatively limited. At this time, demographic research is carried out within several institutional structures. The major donor in the area of population/family planning is UN Fund for Population Activities (UNFPA). Activities of the UN International Children's Emergency Fund (UNICEF) in the area of health are relevant to the planned USAID assistance. For several years, USAID has provided population assistance to Madagascar through its centrally funded projects. Recommendations are presented in order of descending importance according to priorities determined by the consultation team: population policy; training/sensitization of the medical community; support to existing private voluntary organizations; demographic statistics and research; information, education, and communication; and collection and reinforcement of health statistics. In regard to population policy, assistance should be directed to 2 general objectives: providing guidance to the government in deciding which stance it ultimately wishes to adopt officially with regard to population; and encouraging the systematic incorporation of demographic factors into sectoral development planning.
New York, New York, PPWP, 1966. 6 p.Add to my documents.
Evaluation of the USAID grant to the International Center for Diarrheal Disease Research, Bangladesh: Maternal and Child Health/Family Planning Extension Project.
Arlington, Virginia, International Science and Technology Institute, Population Technical Assistance Project, 1986 Sep 18. xi, 23,  p. (Report No. 85-68-039)This report evaluates a US Agency for International Development (AID) grant to the International Center for Diarrheal Disease Research, Bangladesh (ICDDR, B), which supports the Maternal and Child Health/Family Planning Extension Project (EP). The EP operations research effort was initially designed to replicate the Matlab model in 2 upazilas, but shifted to an effort to initiate new approaches. Of the 13 major experiment undertaken during the project's 4-year history, over half have adopted by the Ministry of Health and Population Control, including a plan to add 10,000 female welfare assistants to the existing cadres. Considering the accomplishments of the EP to date, there is strong justification for continued funding of the project, at least until 1990 when the government's 5-year Plan concludes. It is recommended that the project's emphasis should continue to be to test various alternative strategies for improved implementation of family planning/maternal-child health programs within the overall framework of a limited number of clearly defined project objectives. The task of analyzing incremental costs should be given higher priority in the next 5 years and project documentation should be refined. The decision as to whether the project should be funded after 1990 or phased out should be deferred until a later date. Also presented in this report are specific recommendations regarding the selection of research topics, research procedures, dissemination of research results, addition of new staff, filling of staff vacancies, and Population Council involvement.
[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 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.
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.
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.
Washington, D.C., SOMARC, .  p.This document contains briefing materials for the participants of an upcoming meeting of the advisory council and working groups of Social Marketing for Change (SOMARC), an organizational network, funded by the US Agency for International Development (USAID) and composed of 5 firms which work together in helping agencies, organizations, and governments develop contraceptive social marketing programs. Social marketing is the use of commercial marketing techniques and management procedures to promote social change. The briefing materials include 3 background and 18 issue papers. The background papers provide brief summaries of USAID's population activities and of the history of social marketing programs, an overview of USAID sponsored contraceptive social marketing programs in 14 countries and of 3 major non-USAID programs, and a listing of the skills and resources needed to develop effective contraceptive social marketing programs. The issue papers provide a focus for the discussion sessions which are scheduled for SOMARC's working groups on marketing communication, management, and research. USAID's objective is to promote the development of family planning programs which are completely voluntary and which increase the reproductive freedom of couples. Contraceptive social marketing programs are consistent with this objective. USAID provides direct funding for family planning programs as well as commodity, technical, and training support. USAID's involvement in social marketing began in 1971, and USAID is currently sponsoring programs in Jamaica, Bangladesh, Nepal, El Salvador, Egypt, Honduras, Ecuador, the Caribbean Region, Costa Rica, Guatemala, and Peru. In the past, USAID provided support for programs in Mexico, Tunisia, and Ghana. The Mexican project is now functioning without USAID support, and the projects in Tunisia and Ghana are no longer operating. Major non-USAID contraceptive social marketing programs operate in India, Sri Lanka, and Colombia. These programs received only limited technical support from USAID. To ensure the success of social marketing programs, social marketers must have access to the knowledge and skills of commercial marketers in the areas of management, analysis and planning, communications, and research. Social marketers must also have expertise in social development and social research. In reference to the issue papers, the working groups and the advisory council were asked to develop suggestions for 1) overcoming social marketing program management problems, 2) motivating health professionals toward greater involvement in social marketing programs, 3) improving the media planning component of the programs, 4) improving management stability and training for management personnel, and 5) improving program evaluation. Areas addressed by the issue papers were 1) whether social marketing programs should be involved in creating a demand for contraceptives or only in meeting the existing demand, 2) the development of a methodology for assessing why some programs fail and others succeed, 3) the feasibility of using anthropological and questionnaire modules for conducting social marketing research, 4) techniques for overcoming the high level of nonsampling error characteristic of survey data collected in developing countries, 5) techniques for identifying contraceptive price elasticity, 6) the feasibility of using content analysis in social marketing communications, 7) the applicability of global marketing strategies for social marketing, and 8) how to select an an appropriate advertising agency to publicize social marketing programs.
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.
London, International Planned Parenthood Federation, Europe Region, 1984 Jun. 122 p.Reflections, speculations, and partial evaluations of work already undertaken in the International Planned Parenthood Federation (IPPF) Europe Region concerning migrants and planned parenthood are presented. This project, initiated by the Federal Republic of Germany Planned Parenthood Association (PPA), PRO FAMILIA, stemmed from the practical experiences and problems of 1 family planning association in the Europe region. The original substantive framework, consisting of data collection and correspondence, plenary meetings, and subworking group meetings on specific areas of interest, was not altered. Throughout the project, as the work was accomplished, the emphasis shifted to different aspects to migrant work. The 1st questionnaire was intended to provide a sociodemographic profile of the participating countries, a show European migratory movements, and ascertain the ethnicity of the target groups in the different countries. The 2nd questionnaire was related specifically to PPA and/or other family planning center's data and activities and attempted to explore PPA attitudes toward migrant clients, when special facilities for migrants were provided, and whether PPAs felt there was a particular need for such services. The report provides a sociodemographic background of migration in Europe. In addition it includes information from donor countries and recipient countries, examining family planning services in the Federal Republic of Germany and the UK. It also covers training; information, education, and communication; adolescence and 2nd generation migrants; and migrant work. It is necessary to be particularly aware of political sensitivities in treating immigrant fertility regulation. Ideally, the aim is to provide an integrated service for migrants and natives both, catering to individual needs. Until this is feasible, the goal must be to work toward an integrated service, recognizing the needs and providing special services where possible if this is judged tobe the best approach to catering to those needs. Migrant needs must be discovered rather than assumed. Better use should be made of the available printed material, which should be utilized to complement oral information where possible. Experience has shown that family planning personnel working with migrants need additional training. The main components of this training should include self-awareness, insight, and knowledge.
[Unpublished] 1972 Sep 20. 15 p. (COM/72/CONF.32/A/5)The widely differing opinions concerning the effects of mass media on behavior suggests the need to question some strongly held beliefs among population communicators. On the basis of this awareness the discussion reviews some of the existing major communication studies in the areas of voting behavior, purchasing behavior, and smoking behavior as well as family planning communication research studies to shed some light on what effects one might expect the mass media to have on contraceptive behavior. Little is known about the effects of mass media on voting behavior. Research has provided few definitive answers. All studies suggest that most voters in the US and the UK vote for the party label rather than the candidate. It has been noted that mass media does not change attitudes and behavior and reinforces existing behavior and attitudes. Exposure to mass media ishighly selective. Most people have an exaggerated fear of the persuasive power of advertising campaigns. The effects of an advertising program, among other variables, depends upon the skill of the advertiser in reaching the right audience with the most persuasive messages over the proper media mix, with a useful product at the proper competitive price. Advertising can announce the availability of a product, shape brand images, create positive attitudes toward a product, and reinforce existing attutudes--all of which are steps toward a trial purchase of a new product. Efforts to reduce cigarette consumption in the US via the mass media have been substantial. A random telephone survey concluded that only those individuals predisposed to giving up smoking reported that commercials persuading cigarette smokers to cut down or quit had any significant effect on them. A review of the history of family planning communications research is difficult for several reasons: several hundred studies have been completed which relate to family planning; the quality of these studies varies greatly; and most are relevant only to specific cultural areas. The result of such dissimilarity is that generalizations are almost impossible. A few of the better known and more successful studies are reviewed. The majority of these studies are concerned with communication campaigns using a wide variety of media ranging from wall writings to television. It seems that as far as short-term, general, large scale behavioral effects are concerned, a mass media campaign is ineffective in increasing clinic attendance and is ineffective in increasing nonclinic sales of contraceptives.
Accent. 1974 May; 2(4):26-8.The recent establishment of the United Nations Fund for Population Activities indicates a universal alarm at the global population situation and a universal determination to deal with it. Set up in 1967 by the Secretary General of the United Nations, the Fund can draw on an inexhaustible reservoir of worldwide expertise of governmental, international and private organizations as well as individuals. In 1969 it was placed under the management of P.G. Hoffman, Administration of the United Nations Development Program. The work of many aid-giving organizations contributed substantially to the successful launching of the initial programs. The Fund directs its efforts toward maintaining national sovereignty without prescribing national policies and emphasizes that population programs should complement, not substitute for economic development efforts. By the end of 1973, the Fund was already supporting over 950 projects in 92 individual countries in Africa, Asia, Latin America and the Near and Middle East. Among these were evaluation missions, plans to strengthen demographic training and research facilities, and the provision of expert services, supplies and equipment for family planning. Additionally, agreements were signed for large scale aid to Mauritius, Pakistan, and Iran for comprehensive family planning programs. The United Nations and its agencies are engaged in population activities. The population Division has offered substantial advice and guidance to countries seeking population policies; the World Health Organization has expanded its own work in the medical field to aid countries in incorporating family planning into their health services; the UNICEF collaborated with the Fund to increase help to children. The remarkable rise in support for the Fund is noted, but requests for assistance are also rising. A greater emphasis on social development is needed. More advanced countries' population problems require different approaches for the same goal: bringing the numbers and needs of people into a reasonable balance with the development of the earth's resources. It is estimated that an annual income of US$100 million will be needed to provide sufficient aid to developing countries.