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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)
New York, New York, UNFPA, . v, 36 p. (Report)The former government of Romania sought to maintain existing population and accelerate population growth by restricting migration, increasing fertility, and reducing mortality. The provision and use of family planning (FP) were subject to restrictions and penalties beginning in 1986, the legal marriage age for females was lowered to 15 years, and incentives were provided to bolster fertility. These and other government policies have contributed to existing environmental pollution, poor housing, insufficient food, and major health problems in the country. To progress against population-related problems, Romania most urgently needs to gather reliable population and socioeconomic data for planning purposes, establish the ability to formulate population policy and undertake related activities, rehabilitate the health system and introduce modern FP methods, education health personnel and the public about FP methods, promote awareness of the need for population education, and establish that women's interests are served in government policy and action. These topics, recommendations, and the role of foreign assistance are discussed in turn.
In: United Nations. Department of International Economic and Social Affairs. Population Division. Fertility and family. New York, New York, United Nations, 1984. 1-44. (International Conference on Population, 1984; Statements)This volume is comprised of the reports of the 1st of 4 Expert Group Meetings, scheduled in preparation for the 1984 International Conference on Population. Individuals and organizations attending this meeting are listed. The central task of the meeting was to examine critical, high-priority issues relevant to fertility and family and, on that basis, to make recommendations for action that would enhance the effectiveness of and compliance with the World Population Plan of Action, adopted in 1974 at Bucharest. The 1st item on the agenda dealt with ways in which modernization elements in the socio-cultural and economic patterns and institutions of societies alter reproduction. The 2nd topic of discussion was the relationship between family structure and fertility. The view adopted was that family structure could be influenced by a variety of factors that would have implications for fertility (e.g., delayed at marriage, improvements in education). The deliberations on factors influencing choice with respect to childbearing focused upon the complexity of decision making in matters of reproduction. In question, too, was a possible conflict between the acknowledged rights to freedom of choice in respect to childbearing and to the rights and goals of society, as well the acceptability of incentives and disincentives as measures introduced by governments to achieve social goals. The 4th item, reproductive and economic activity of women, was discussed from several perspectives: the amount of reproductive lifetime available to women for productive pursuits other than childbearing; the introduction of social support programs and income-generating opportunities. In the discussion of demographic goals and policy alternatives, the 5th item on the agenda, the policy options considered were family planning programs, incentives and desincentives, social and economic development, and marriage and divorce laws. Particular attention was given to the importance of local institutional settings for the achievement of government policy goals. The Expert Group's recommendations on population policy, family planning, the conditions of women, adolescent fertility, IEC, management and training, international cooperation and areas of research (demographic data, determinants of fertility, operational research and bio-medical) are included in this introduction. Finally, presented in the form of annexes are the agenda for the meeting, the list of documents and the texts of the opening statements.
New York, New York, United Nations, 1984. ix, 476 p. (International Conference on Population, 1984; Statements)The Expert Group on Fertility and Family was one of 4 expert groups assigned the task of examining critical, high priority population issues and, on that basis, making recommendations for action that would enhance the effectiveness of and compliance with the World Population Plan of Action. The report of the Expert Group consisted of 6 topics: 1) fertility response to modernization; 2) family structure and fertility; 3) choice with respect to childbearing, 4) reproductive and economic activity of women, 5) goals, policies and technical cooperation, and 6) recommendations. Contained in this report are also selected background papers with discuss in detail fertility determinants such as modernization, fertility decision processes, socioeconomic determinants, infant and child mortality as a ddeterminant of achieved fertility in some developed countries, the World Fertility Survey's contribution to understanding of fertility levels and trends, fertility in relation to family structure, measurement of the impact of population policies and programs on fertility, and techinical cooperation in the field of fertility and the family.
Population and the role of the family, statement made at the Scientific Conference on Family and Population, sponsored by the International Union of Family Organizations, Hanasaari, Espoo, Finland, 26 May, 1984.
New York, N.Y., UNFPA, . 5 p. (Speech Series No. 112)The family is the fundamental guarantor of the past, present and future of society. The social norms and values of a culture are transmitted from generation to generation through the family. Through the family, fresh influences are modulated and filtered and eventually harmonized with accepted norms. It is a highly influential instrument of social change. The family is also the guardian of social stability. In many developing countries the major social change affecting the family has been the fall in fertility which has been going on since the mid-1960s and has become a definite trend. The implication of lower fertility is that the nuclear family will become more socially significant than the extended family. This raises questions such as the role and care of the elderly, and women's role as workers outside the home. 2 main considerations are imbedded in the recommendations to the International Conference on Population in 1984: 1) that free choice in the size and spacing of the family is a basic human righ and that access to informatin and the means of family planning is a part of that right; 2) that it is the right and responsibility of governments to develop and implement population policies in the context of national development goals. These twin principles of respect for the rights of individuals and respect for national sovereignty are fundamental to all international agreements and action in population.
In: United Nations. Department of International and Social Affairs. Demographic transition and socio-economic development. New York, UN, 1979. 5-30. (Population Studies no. 65; ST/ESA/SER.A/65)The UN/UN Fund for Population Activity (UNFPA) Group Meeting on Demographic Transition and Socioeconomic Development, meeting in Istanbul, Turkey over the April 27-May 4th, 1977 period, examined the following: the current theoretical development relating to socioeconomic change to fertility; the variables and indicators used in the analysis; the sources of data and their utilization; the different analysis techniques and their limitations; and a sample of empirical studies. The discussion covered a wide range of issues and cut across the boundaries of the various disciplines. An attempt is made in this report of the proceedings to synthesize the various views and to highlight unresolved issues. The Group Meeting focused attention on the development of a conceptual framework that could serve as a general guide in assessing the impact of development on fertility. Due to the complex nature of the relationships examined, it was decided that the conceptual framework should focus more on basic determinants at the main points of control in demographic behavior. A general cost-benefit framework is used as the guiding paradigm for discussion. The level of fertility on any society is viewed as an outcome of systematic individual decision processes that are constrained by 3 sets of factors, representing various levels of aggregation: the individual's own personality characteristics and disposition, the socioeconomic context, and the normative context and institutional structure. The discussion attempted to examine these 3 sets of factors as they relate to fertility and as they change during the process of socioeconomic development. A social context for individual behavior is outlined as part of the conceptual framework; it defines 3 relative social positions. To understand the social structure it is necessary to concentrate on social classes and their roles in the ownership and management of the production process, social groups, and shifts in the levels and distribution of social output between the corporate and private sectors of society. The effect of socioeconomic development on individual calculating behavior was also examined. The provision of alternatives and options may result in a tendency towards more calculating behavior, which may eventually influence fertility behavior. A list was prepared of variables related to fertility and its determinants.