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Chapel Hill, North Carolina, University of North Carolina at Chapel Hill, Carolina Population Center, MEASURE Evaluation, 2015 Apr.  p. (SR-15-118C; USAID Cooperative Agreement No. AID-OAA-L-14-00004)This publication is one of eight case studies that were developed as part of a broader review entitled Family Planning in Latin America and the Caribbean: The Achievements of 50 Years. As its title implies, the larger review documents and analyzes the accomplishments in the entire region since the initiation of U.S. Agency for International Development (USAID) funding in the early 1960s. El Salvador has made enormous progress in terms of family planning over the past five decades. It has reduced fertility rates; it has developed a robust legal and regulatory framework for FP; it has allocated resources for procuring contraceptives for its population; it now offers information and contraceptive services to the entire population of the country with the active participation of civil society organizations, especially women’s organizations.
In: The global family planning revolution: three decades of population policies and programs, edited by Warren C. Robinson and John A. Ross. Washington, D.C., World Bank, 2007. 155-174.In Jamaica, as in many countries, the pioneers of family planning were men and women who sought to improve the well-being of their impoverished women compatriots, and who perhaps were also conscious of the social threats of rapid population growth. When, eventually, population control became national policy, the relationship between the initial private programs and the national effort did not always evolve smoothly, as the Jamaican experience shows (see box 10.1 for a timeline of the main events in relation to family planning in Jamaica). A related question was whether the family planning program should be a vertical one, that is, with a staff directed toward a sole objective, or whether it should be integrated within the public health service. These issues were not unique to Jamaica, but in one respect Jamaica was distinctive: it was the setting for the World Bank's first loan for family planning activities. Family planning programs entailed public expenditures that were quite different from the infrastructure investments for which almost all Bank loans had been made, and the design and appraisal of a loan for family planning that did not violate the principles that governed Bank lending at the time required a series of decisions at the highest levels of the Bank. These decisions shaped World Bank population lending for several years and subjected the Bank to a good deal of external criticism. For that reason, this chapter focuses on the process of making this loan. (excerpt)
Population and Development Review. 2006; 32 Suppl:1-51.By the end of the twentieth century, although expansion of population numbers in the developing world still had far to run, the pace had greatly slowed: widespread declines in birth rates had taken place and looked set to continue. To what degree population policies played a significant role in this epochal transformation of demographic regimes remains a matter of conjecture and controversy. It seems likely that future observers will be impressed by the essential similarities in the path to demographic modernity that successive countries have taken in the last few centuries, rather than discerning a demographic exceptionalism in the most recent period--with achievement of the latter credited to deliberate policy design. But that eventual judgment, whatever it may be, needs to be based on an understanding of how demographic change over the last half-century has been perceived and the responses it has elicited--an exercise in political demography. Such an exercise, inevitably tentative given the recency of the events, is essayed in this chapter. (excerpt)
Evolution of national population policies since the United Nations 1954 World Population Conference.
Genus. 2005 Jul-Dec; 61(3-4):297-328.Population policy did not figure prominently at the 1954 United Nations World Population Conference in Rome. It was a commonly held view at the time that "population matters" were in the personal and family sphere and thus, not an appropriate area of involvement for Governments. Nevertheless, some discussion took place on policies to reduce population growth in less developed regions, on policies to raise fertility in more developed regions, on the impact of population ageing and on the consequences of international migration for sending and receiving countries. This paper tracks Government's views and policies on population and development since the 1954 Rome Conference. Among other things, it considers the central role played by United Nations global population conferences in facilitating international cooperation and national government entrance into embracing population policies. (excerpt)
Dialectical Anthropology. 2004; 28(3-4):261-287.It is now impossible to view the AIDS pandemic solely from the vantage point of its health ramifications. Like a tornado wreaking havoc to everything in its path, AIDS has also torn the social, economic and political fabric of several societies to shreds. In January, 2000, while speaking at the UN Security Council Session, James Wolfensohn, President of the World Bank, stated: "Many of us used to think of AIDS as a health issue. We were wrong... nothing we have seen is a greater challenge to the peace and stability of African societies (and much of the world) than the epidemic of AIDS... we face a major development crisis, and more than that, a security crisis." Four years and more than eight million deaths later, an equally passionate and resolute Kofi Annan, the UN Secretary General, spoke to the BBC and describe AIDS as "a real weapon of mass destruction" and bemoaned the world's relative inaction to combat this pandemic as "callousness that one would not have expected in the 21st century"... for which history would judge us all "harshly, very harshly.". (excerpt)
Population Research and Policy Review. 2005 Jan; 24(1):85-106.Our case studies of the evolution of population policies in Kenya and Malawi offer insights into the interaction between the global population movement and national governments. The comparison is useful because it permits identifying the common strategies of a global movement, strategies that are likely to be evident elsewhere; it also permits identifying differences in national responses related to particular domestic contexts. We find a common repertory of movement strategies to influence the governments of Kenya and Malawi to adopt a neo-Malthusian population policy and to implement a family planning program. However, these strategies were promoted more or less aggressively depending on the national response and the chronological period. National responses were related to differences in the governments' approaches to nation-building, their willingness to accept foreign influence and the importance they placed on preserving cultural traditions, and to their assessment of benefits they would gain from responding favorably to movement proposals. The data come from written accounts and from interviews with international actors and Kenyan and Malawian elites who participated in the policy development process. (author's)
New York, New York, Human Rights Watch, 2005 Jan 21. 22 p.Since February 2003, Darfur has been the scene of massive crimes against civilians of particular ethnicities in the context of an internal conflict between the Sudanese government and a rebel insurgency. Almost two million people have been forcibly displaced and stripped of all their property and tens of thousands of people have been killed, raped or assaulted. Even against this backdrop of extreme violence against civilians, several incidents in March 2004 stand out for the extraordinary level of brutality demonstrated by the perpetrators. In one incident, Sudanese government and “Janjaweed” militia forces detained and then conducted mass executions of more than 200 farmers and community leaders of Fur ethnicity in the Wadi Saleh area of West Darfur. In a second incident in neighboring Shattaya locality, government and militia forces attacked Fur civilians, detained them in appalling conditions for weeks, and subjected many to torture. To date, the Sudanese government has neither improved security for civilians nor ended the impunity enjoyed by its own officials and allied militia leaders. Immediate action including an increased international presence in rural areas of Darfur is needed to improve protection of civilians and reverse ethnic cleansing. International prosecutions are also essential to provide accountability for crimes against humanity and ensure justice for the victims in Darfur. The Sudanese government is clearly unwilling and unable to hold perpetrators of atrocities to account: a presidential inquiry into abuses recently disputed evidence of widespread and systematic abuses and instead of prosecutions, recommended the formation of a committee. The United Nations Security Council, following receipt of the January 25th report of the international commission of inquiry’s investigation into violations of international humanitarian law and human rights law and allegations of genocide in Darfur, should promptly refer the situation of Darfur to the International Criminal Court for prosecution. (excerpt)
Population Research and Policy Review. 2004 Feb; 23(1):25-54.Using population assistance data, this study divides donor trends for population assistance into five distinct epochs: until the mid-1960s, the population hysteria of the 1960s and 1970s, Bucharest Conference and beyond, the 1984 Mexico City conference, and the 1990s. A number of decisive events, as well as changing views of the population problem, characterise each period and have affected the sums of population assistance from donor nations. Taking a long-term view of global population assistance, the research shows that four factors account for most of the historical funding trends from primary donors: the association between population assistance and foreign aid, the role of alarmists and doomsayers in the public debate over population issues, individuals in a position of power within donor governments, and decennial international population conferences. (author's)
In: An agenda for people: the UNFPA through three decades, edited by Nafis Sadik. New York, New York, New York University Press, 2002. 47-80.This chapter explains the various mechanisms for fostering compliance with different rights relating to reproductive and sexual health, and explores programming options for fostering such compliance. The chapter is not exhaustive, but exploratory; recognizing that much more discussion is needed to address this issue adequately. (excerpt)
Bulletin of the World Health Organization. 2001; 79(1):69-70.This article reviews the 1991 paper by Arata Kochi on the strategy of WHO to control tuberculosis. It notes that Kochi's paper did not report a new scientific discovery, rather it depicted the devastating impact of tuberculosis around the world in a clear and forceful manner. Consequently, it changed the public health focus of WHO, national governments and leading voluntary organizations. Kochi's paper pinpointed three major programmatic deficiencies that had to be overcome: inadequate treatment services; high rates of failure to complete therapy; and the worldwide absence of adequate governmental surveillance and monitoring systems. Furthermore, the paper gave attention to the role of public health in addressing the tuberculosis issue. To address the problem, Kochi emphasized that it would take strong, directive leadership by national government to implement systems for an effective prevention and control program for tuberculosis.
The role of international agencies, governments, and the private sector in the diffusion of modern contraception.
TECHNOLOGY IN SOCIETY. 1987; 9(3-4):497-520.This paper views diffusion as encompassing three processes: the acceptance of the idea and practice of contraception by consumers; the establishment of the institutions or programs to provide services; and the development of technical capability in research and development and in the production of contraceptives. The historical development of the family planning movement is described, and the contribution of international agencies, governments, and private sectors is discussed in the context of changing development approaches. Substantial achievements have been made, but, in view of future needs and the uncertainty of political and financial commitment to family planning on the part of donors, the future presents a continuing challenge. (EXCERPT)