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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)
[Unpublished] 1983 Dec 9. 410 p. (IESA/P/WP.82)This report is the 4th in a series prepared pursuant to a recommendation of the World Population Plan of Action that the monitoring of population trends and policies should be undertaken continuously as a specialized activity of the UN and reviewed biennially. Part 1 of the report covers world and regional population growth, fertility, nuptiality, mortality, age structure, international migration, and urbanization. Also included is an overview of the most significant demographic events occurring since 1974. Although the world population is projected to increase from the 1980 level of 4.5 billion to 6.1 billion in 2000 and 8.2 billion in 2025, the growth rate is expected to continue to decline from 1.7% in 1980 to 1.4% in 2000 and 0.9% in 2025. The rate of growth is 2.1% in the developing regions compared with 0.6% in developed regions; however, this gap is expected to be narrowed in the future. The share of the world's population represented by developing countries is projected to increase from the current level of 75% to 79% in 2000 and 85% in 2025. Fertility declined 22% between 1970-75 and 1980-85 worldwide and 26% in the developing regions alone, due mainly to the drastic reduction of fertility in China (54%). 26 other countries with population exceeding 1 billion achieved fertility declines over 20%, but no significant decline has taken place in Africa or certain subregions of Latin America and Southern Asia. In the developed countries, fertility stabilized at very low levels in the 1970s and in some cases a slight recovery was noted in the 1980s. There is a considerable gap in life expectancy between developed countries (73 years) and developing countries (57 years), but by 2000, this statistic is expected to stand at 75.4 years and 63.5 years, respectively. As a consequence of the rapid decline in fertility, the age structure of the world population has been modified, with a decrease in those aged 15 years and under and an increase in those aged 65 years and over. There is an increasing trend of concentration of the population of developing countries in the large metropolitan areas, while a pattern of deconcentration out of the large metropolitan centers is emerging in developed countries.