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Washington, D.C., World Bank, Human Development Network, 2007 Apr.  p. (HNP Discussion Paper)The objective of this paper is to discuss some obstacles and opportunities presented by population processes in order to prioritize areas for investment and analytical work as background information for the 2007 HNP Sector Strategy. Within HNP, two areas fall within population: (1) reproductive, maternal, and sexual health issues, and the health services that address them; and (2) levels and trends in births, deaths, and migration that determine population growth and age structure. Many of the aspects of delivery of sexual and reproductive health services are addressed in the overall sector strategy. This paper, therefore, focuses on the determinants and consequences of demographic change, and on policies and interventions that pertain to fertility and family planning. Fertility has declined in most of the low- and middle-income countries, with TFRs converging toward replacement level, except in 35 countries, mainly in Sub-Saharan Africa, where a broad-based decline in fertility has not occurred. As the priorities of donors and development agencies have shifted toward other issues, and global funds and initiatives have largely bypassed funding of family planning, less attention is being focused on the consequences of high fertility. Reproductive health is conspicuously absent from the MDGs, and assistance to countries to meet the demand for family planning and related services is insufficient. The need for Bank engagement in population issues pertains to economic growth and poverty reduction, as well as inequities in terms of the impact of high fertility on the poor and other vulnerable groups. Evidence indicates that large family size reduces household spending per child, possibly with adverse effects on girls, and the health of mothers and children are affected by parity and birth intervals. Equity considerations remain central to the Bank's work as poor people are less likely to have access to family planning and other reproductive health services. Other vulnerable groups that are less likely to be served by reproductive health services include adolescents and rural populations. Additionally, improved education for girls, equal opportunities for women in society, and a reduction of the proportion of households living below the poverty line are necessary elements of a strategy to achieve sustainable reductions in fertility. The Bank has a comparative advantage to address these issues at the highest levels of country policy setting, and its involvement in many sectors can produce synergies that will allow faster progress than a more narrow focus on family planning services. (author's)
Bangkok, Thailand, United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP], 1988 Aug. iii, 41,  p. (Asian Population Studies Series No. 62-K)The goal of this Economic and Social Commission for Asia and the Pacific (ESCAP) project was to help family planning administrators and other development planners to pinpoint areas of high and low fertility through reference to a series of maps. Maps have the advantage of being able to summarize an enormous number of items of information in an easily comprehendable manner, including not only the levels and trends of fertility of each area, but also the contrasts between areas and groups of areas at 1 time and over time. The project began when data from the 1980 censuses became available and focused on 10 countries: Bangladesh, China, India, Indonesia, Malaysia, Pakistan, the Philippines, Republic of Korea, Sri Lanka, and Thailand. The maps show in detail, in some cases at the level of very small administrative areas, levels and trends of fertility during the 1970s and where possible the 1960s. The 10 countries participating in this study had to develop new methodological techniques to estimate the fertility of small areas from census data. In most cases, fertility was estimated from the age-sex distribution and children ever born classified by age of mother. Central to the analysis was the concept of reverse survival, which assumes that the number of births can be estimated from the census counts of children and an estimate of the number of children who would have been enumerated in the census if they had not died. The major lesson of this study was that maps of fertility can be drawn with sufficient accuracy to show patterns that cannot be identified easily through any other approach.
In: Population strategy in Asia. The Second Asian Population Conference, Tokyo, November 1972. Report, declaration and selected papers, [compiled by] United Nations Economic Commission for Asia and the Far East [ECAFE]. Bangkok, Thailand, ECAFE, 1974 Jun. 69-130. (Asian Population Study Series No. 28; E/C.N.11/1152)The Economic Commission for Asia and the Far East (ECAFE) region currently includes 31 countries and territories. Since the first Asian Population Conference in 1963, there has been greater recognition of the adverse effects of rapid population growth on national development and on the standard of living of individual family units. By the year 2000, the population of the ECAFE region is expected to almost equal the total for the world in 1970, despite significantly slowed population growth in the East Asia subregion. During the periods 1900-1950 and 1950-2000, the average annual rates of growth for the population of the ECAFE region are estimated at 0.7% and 2.0%, respectively. The 4 largest countries in the region--China, India, Indonesia, and Japan--together hold 78% of the region's total population. Even in the countries where there has been a decline in fertility, it has not been sufficient to offset the effects of corresponding declines in mortality. The 1950 population of each country, except for China and Japan, will at least double itself by the year 2000. The number of preschool-aged children is expected to reach 356 million by 1980 and there will be 609 million school-aged children. Children ages 0-14 years currently comprise about 40% of the total population of the ECAFE region, producing a high dependency burden. The female population in the reproductive age group will grow from 474 million in 1970 to 593 million in 1980, implying that the fertility potential of the region will be accelerated. In addition, the population of persons aged 60 years and over will increase from 117 million in 1970 to 158 million in 1980, requiring significant investments in health facilities and social security. The urban population in the region is expected to increase from 25% in 1970 to 45% by 2000. Despite widespread awareness of the interrelation of population and development, no common approach among demographers, family plannes, and economic plannes has emerged.
[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.
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.
Demography India. 1984 Jan-Dec; 13(1-2):153-67.The threshold hypothesis shares with transition theory the basic assumption that a decline in fertility is interrelated with a decline in mortality and change in the social, economic, and cultural conditions of the population. However, threshold theory fails to formulate a causal chain between fertility and the other variables and its application at the aggregate country level is limited by intracountry heterogeneity in cultural and social variables. Problematic is the fixing of the timing for a country of a decline in fertility to be inferred from the fact that some indicators of development have reached the threshold zone while others have not. This paper attempts to develope a combined index for socioeconomic development on the basis of data from 12 countries of the ESCAP region of South East Asia. Variables included were life expectancy at birth, infant mortality rate, adult female literacy, percentages of females economically active, GNP per capita, and percentage urban population. In 1970, 3 of the countries analyzed had a crude birth rate below 25, 6 countries had a rate between 25-40, and 3 had a rate above 40. The lowest value of the index recorded for countries of low fertility (crude birth rate below 25) and the highest value recorded for countries of high fertility (above 40) are taken as the threshold zones for the overall index. The number of countries in the threshold range increased from 5 in 1970 to 8 in 1975. With the increase in the index value, a reduction in the fertility level was noted. In contrast, where socioeconomic development was slow, fertility showed little change. Policy makers could use this system to assess which indicator could be pushed through to raise the overall index of development so as to effect a decline in fertility.
In: Aspects of population change and development in some African and Asian countries. Cairo, Egypt, Cairo Demographic Centre, 1984. 43-56. (CDC Research Monograph Series no. 9)This paper examines the relationship between economic development and demographic change in the 13 states of the Economic Commission for West Asia (ECWA) region. Demographic variables considered include per capita income, proportion urban, proportion in urban areas with over 100,000 inhabitants, literacy among those over 15 years, and literacy among women. Unweighted rankings on these variables were added to produce a development ranking or general development index. Then this index was used to investigate the relationship between development and individual scores and rankings for various demographic indices. The development index exhibited a rough fit with the mortality indices, especially life expectancy at birth. Mortality decline appears to be most closely related to rise in income. At the same income level, countries that have experienced substantial social change tend to exhibit the lowest mortality, presumably because of a loosening in family role patterns. In contrast, the relationship between development and fertility measures seemed to be almost random. A far closer correlation was noted between the former and the general development index. It is concluded that economic development alone will not reduce fertility. Needed are 2 changes: 1) profound social change in the family and in women's status, achievable through increases in female education, and 2) government family planning programs to ensure access to contraception.
In: Demographic trends in the European region: health and social implications, edited by Alan D. Lopez and Robert L. Cliquet. Copenhagen, World Health Organization, Regional Office for Europe, 1984. 5-67. (WHO Regional Publications, European Series No. 17; Project RMI/79/P05)This chapter presents an overview of recent demographic trends in Europe and discusses the implications of these trends for health and social services. The discussion is based on reports received from 15 of the 33 Member States of the European Region of the World Health Organization. The components of demographic change analyzed included population growth and structure, family formation, fertility, mortality, and population movement. Increases in the number and proportion of the elderly were noted and the traditional excess of births over deaths is expected to change in future years. Population aging is expected to continue to be a principal concern for the social services sector. The increasing emphasis on caring for rather than attempting to cure chronic illnesses among the aged suggests a need for more nursing homes and home-help services. Anticipation of future morbidity and mortality patterns implies a need to focus on specific risk groups, e.g. migrants, adult males, and those from lower socioeconomic groupings. With regard to fertility, adolescent sexual activity and the low use levels of contraception among teenagers comprise areas where greater service provision is necessary. In addition, there is a need for more vocational training for women, improved child care facilities, and full-time employment opportunities better suited to the needs of workers with dependent children. As a result of smaller families, increased divorce rates, the discrepancy between male and female survival, and greater regional mobility, markedly higher numbers of single individuals can be expected. Rapidly evolving changes in family formation, social norms, and underlying demographic trends will continue to alter European societies in the years ahead. The interrelationships between health and demographic phenomenon must continue to be probed to form a basis for future health and social planning.
Population and Development Review. 1984 Mar; 10(1):103-26.This paper presents some of the results of projections prepared by the World Bank in 1983 for all the world's countries. The projections (presented against a background of recent demographic trends as estimated by the United Nations) trace the approach of each individual country to a stationary state. Implications of the underlying fertility and mortality assumptions are shown mainly in terms of time trends of total population to the year 2100, annual rates of growth, and absolute annual increments. These indices are shown for the largest individual countries, for world regions, and for country groupings according to economic criteria. The detailed predictive performance of such projections is likely to be poor but the projections indicate orders of magnitude characterizing certain aggregate demographic phenomena whose occurrence is highly probable and set clearly interpretable reference points useful in discussing contemporary issues of policy. (author's)
New York, Pergamon, 1984. 240 p.This book, a sequel to "International Population Assistance: The First Decade," characterizes the work of the UN Fund for Population Activities (UNFPA) with the developing countries up to 1984, relating these experiences to the issues before the 1984 International Conference on Population. The 1st chapter provides an overview of the significant developments in population up to the 1984 International Conference on Population. The next 7 chapters discuss the following main issues before the Conference and generally reflect the arrangement of the document to be brought before the Conference concerning recommendations for further implementation of the World Population Plan of Action: fertility, status of women and the family; morbidity and mortality; population distribution, internal and international migration; population growth and structure; promotion of knowledge and implementation of policies and programs; international cooperation and the role of UNFPA; and the year 2000 and beyond. Within each of these chapters, excerpts have been arranged in an analytic order, with the aim of facilitating the flow of arguments presented. Appendices contain the 5 "State of World Population Reports" issued from 1980-84 and 7 Rafael M. Salas statements which, primarily due to their focus on the population issues of particular importance to the major regions of the globe, are reproduced in their entirety. This volume reflects the process of population policymaking of the UNFPA with the developing countries in support of their population programs in the past 15 years. These policies were sanctioned and validated, both nationally by the countries themselves and globally by UN deliberative bodies and conferences. The experience of UNFPA in policy formulation indicates that an effective population policy must have its proper time perspective and must be scientifically determined in its component elements, normative and applicable at different levels, multisectoral in its emphasis, and measurable in its impact and consequenes.
Draper Fund Report. 1984 Jun; (13):1-3.The UN International Conference on Population to be held in Mexico City in August 1984, responding to an unprecedented upsurge of interest in population over the last decade, offers developed and developing countries the opportunity to assess current and likely future population trends, to comment on programs and progress during the past 10 years, and to determine desirable future directions. More developing countries are reporting diminished declining fertility and family size in countries of widely varying ethnic, social, and economic makeup. Although it is likely that the future will bring a steadily declining rate of world population growth, culminating in stability, present trends indicate that it will take more than a century for world population to stabilize. Meanwhile growth continues. The developing world's annual average birthrate from1975-80 was twice as high as the developed world's. Also there are large areas, much of Latin America and most of Africa, where growth rates continue very high. Other areas, such as parts of Asia, do not follow the general declining trend despite trend despite, in some instances, a long history of population programs. Interest in population programs and demand for resources to support them are growing, but the population dimension is sometimes unrecognized in development planning. The experience of the last decade illustrates that population assistance can make a uniquely valuable contribution to national development when it is given in accord with national policies, is appropriate to local conditions and needs, and is delivered where it can make the most impact. Substantial evidence exists that women in the developing world undertand the risks of repeated pregrancy and would like to take steps to reduce them. It is evident that providers of family planning services are not yet sufficiently responsive to women's own perceptions of their needs and that the social and economic conditions which make family planning a reasonable option do not yet exist. Influxes of immigrants, short and long term, legal and illegal, create particular problems for receiving countries. It is important for sending countries to know what effect the absence of their nationals is having on the domestic economy and essential for receiving countries to consider the protection of the human rights of international migrants, including settlers, workers, undocumented migrants, and refugees. It is a particular responsibility of the industrialized nations to make careful use of limited resources and to ensure that their comsumption contributes to the overall balance of the environment. In most developing countries infectious and parasitic disease remains the primary cause of death, particularly among the young. Much of this toll is preventable. The International Conference on Population provides an opportunity to establish in broad terms the conditions and directions of future cooperation.
[Unpublished] 1983. Presented at the 1983 Annual Meeting of the Population Association of America, Pittsburgh, April 14-16. 35 p.In 1950 fertility levels in the developing countries were high. The crude birthrates (CBRs) were about 47 in Africa, 42 in the Americas, and 41 in Asia and the Pacific. In Asia and the Pacific, several countries are thought to have had fertility rates between 35-40/1000. In Latin America, Argentina, Cuba, and Uruguay the birthrates were less than 30/1000 and between 30-35/1000 in Chile and Jamaica. No country in Africa was reported to have had a rate below 40 with the sole exception of Gabon which is reported to have had a crude birthrate between 30-35/1000, not only in 1950 but this remained unchanged up to 1980. By 1965 there had been a little change in several countries but virtually no change at all in Africa. During the next 15 years the situation changed markedly in Asia and the Pacific with the crude birthrate decreasing by almost 1/4, from a little more than 39 to 30. There was a similar but slightly smaller decrease in Latin America, a decrease from 40-32, or about 20%. In Africa there was virtually no change. Many scholars and laypersons concerned about the rapid rate of population growth have expressed the view that population policies have been slow to develop. By 1980, 39 countries with a population of 2.6 billion or 78% of the population of all developing countries had adopted official policies to reduce the population growth rate. Many of these policies are without substance but a fairly large number of the countries have developed substantial population programs, as well as policies to reduce rates of population growth. There were an additional 33 countries with a total population of 554 million that had no demographic policy to reduce rates of population growth but nonetheless gave officcial support to family planning activities. Prior to 1960 only India had a population policy to reduce rates of population growth but during the 1960-64 period 4 additional countries in Asia and the Pacific adopted such policies, namely China, Korea, Pakistan, and Fiji. It was not until 1965 and after that African and Latin American countries adopted such policies. The annual number of family planning acceptors in large scale programs increased from a few tens of thousands around 1960 to about 2 1/2 million in 1965 and to approximately 25 million in 1980, excluding China, for which quantitative data are less readily available. In some countries contraceptive prevalence rates remain low after many years of a national family planning program, e.g., Ghana, Kenya, Morocco, and Bangladesh. Various macroeconomic studies, using countries as units, have found that both socioeconomic and population programs have important effects on fertility decline. UN projections (medium variant) to 2000-2005 assume a continuation of fertility decline in less developed countries (LDCs), including the start of decline in black Africa and Arab countries. Even if the UN projections are consistent with the realities of the years ahead, there is enormous population growth ahead.