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A charade of concern: the abandonment of Colombia's forcibly displaced. [Falsa inquietud: el abandono de los colombianos desplazados por la fuerza]
New York, New York, Women's Commission for Refugee Women and Children, 1999 May. 24 p.The armed conflict in Colombia has forced more than 1.5 million Colombian citizens to flee their homes and communities. Caught in a nightmare of violent conflict with no prospects for reconstructing their former lives, hundreds of thousands of mostly rural peasants have found no option but to join the ranks of the internally displaced. It is noted that despite the extraordinary dimensions of the displacement phenomenon, the issue has remained a silent crisis. During November 29-December 10, 1998, the Women's Commission for Refugee Women and Children sent a delegation to Colombia to assess the conditions of women, children and adolescents uprooted by war and violence. The objectives of the delegation were to: 1) report on the scale of the displacement crisis; 2) determine to what extent the specific needs of women and children were being addressed by the government and international humanitarian relief; and 3) raise awareness among policymakers and among donor agencies of the status, rights and needs of women and children. Overall, the delegation found evidence of a seriously deprived displaced population which receives alarmingly low levels of humanitarian support and only minimal recognition of their plight from national and international agencies and governments. Thus, this paper also provides recommendations for ameliorating this crisis.
[Unpublished] 1984 May 8. 31 p. (CE 92/12)This report shows how demographic information can be analyzed and used to identify and characterize the groups assigned priority in the Regional Plan of Action and that it is necessary for the improvement of the planning and allocation of health resources so that national health plans can be adapted to encompass the entire population. In discussing the connections between health and population characteristics in the countries of the region, the report covers mortality, fertility and health, and fertility and population increase; spatial distribution and migration; and the structure of the population. Focus then moves on to health, development, and population policies and family planning. The final section of the report considers the response of the health sector to population trends and characteristics and to development-related factors. The operations of the health sector must be revised in keeping with the observed demographic situation and the projections thereof so that the goal of health for all by the year 2000 may be realized. In several countries of the region mortality remains high. In 1/3 of them, infant mortality during the period 1980-85 exceeds 60/1000 live births. If measures are not taken to reduce mortality 55% of the population of Latin America in the year 2000 will still be living in countries with life expectancies at birth of under 70 years. According to the projections, in the year 2000 the birthrate will stand at around 29/1000, with wide differences between the countries of the region, within each of them, and between socioeconomic strata. High fertility will remain a factor hostile to the health of women and children and a determinant of rapid population growth. Some governments view the present or predicted growth rates as excessive; others want to increase them; and some take no explicit position on the matter. The countries would be well advised to assign values to their birthrate, natural increase, and periods for doubling their populations in relation to their development plans and to the prospects for improving the standard of living and health of their populations. An important factor in urban growth is internal migration. These migrants, like some of those who move to other countries, may have health problems requiring special care. Regardless of a country's demographic situation, the health sector has certain responsibilities, including: the need to promote the framing and adoption of population and development policies, in whose implementation the importance of health measures is not open to question; and the need to favor the intersector coordination and articulation required to ensure that population aspects are considered in national development planning.
In: Population, resources, environment and development. Proceedings of the Expert Group on Population, Resources, Environment and Development, Geneva, 25-29 April 1983, [compiled by] United Nations. Department of International Economic and Social Affairs. New York, New York, United Nations, 1984. 175-86. (Population Studies No. 90; ST/ESA/SER.A/90; International Conference on Population, 1984)In carrying out the recommendations of the World Population Plan of Action, the UN has expanded its technical cooperation activities with the countries concerned in diverse population development fields, including studies of the interaction between social, economic, and demographic variables, the formulation and implementation of policies, the integration of demographic factors in the planning process, the training of national staff, and the improvement of the data base and institutional arrangements. Discussion focuses on country problems and policies, national institutional capacity in population and development planning, strengthening national institutional capacities, and integration of population and development in the Economic and Social Commission for Asia and the Pacific (ESCAP) region. The interaction between structural change in population and social and economic development is generally recognized at the aggregate, sectoral, and regional levels, yet it has not thus far been possible to take this factor fully into account in the development planning process in many countries. In too many cases, population policies have been formulated and implemented in isolation and not in harmony with development policies or as an integral part of overall development strategy. Deficiencies in achieving integrated population policies and integration of demographic factors in the development planning process often have been caused or aggravated by a deficient knowledge of the interactions between demographic and socioeconomic factors and by insufficient expertise, resources, and proper institutional arrangements in the field. The population policies most frequently formulated and implemented during the last decade dealt with fertility, population growth, migration (internal and international), and mortality. Many governments continue to assign relatively low priority to the formulation of population policy and the formulation of related institutional arrangements. The fact that population is still understood as family planning by a number of governments also delays the legislative procedure necessary to establish government institutions for population research and study. The need exists to create a viable national institutional capacity through the establishment of a population planning unit within the administrative structure of national planning bodies. The substantive content of the work programs of these units would vary from country to country. There also is a need for a broader approach to the adoption of population policies and development planning strategies. Some progress has been made in integrating population into development planning in the ESCAP region, but the progress has been slow.
New York, UNFPA, 1981 Oct. 59 p. (Report No 44)The findings of the Mission that visited the Republic of the Gambia during October 1978 and from August 27th to September 5th, 1980 for the purpose of assessing the need for population assistance are presented in this report. Information is provided on the following: the national setting (geographical and governmental features; demographic, social, and economic characteristics of the population; and population policy and development planning); basic population data (censuses and surveys, vital statistics and civil registration, other data collection activities, and needs); population policy formulation (population growth and distribution, integration of population factors into development plans, and structures for policy formulation; and implementing population policies (programs designed to affect fertility, mortality, and morbidity; programs affecting the distribution of the population; information, education, and communication programs; and women's programs); and external assistance (multilateral and bilateral assistance and nongovernmental organization assistance). Mission recommendations are both summarized and presented in detail. The total population of the country is 597,000, and the population growth rate between 1963-1973 was an estimated 2.8%. The crude birth rate is 49-50/1000 and the total estimated fertility rate is an average of 6.4 live births/woman over her reproductive life span. Both population density and urban growth are serious concerns. Internal and international migration are influencing the population distribution, although data regarding migration are limited. The economy is primarily agricultural. Gambia had no formal population policy until 1979. The current population is based on the guiding principles that population policy should be considered part of rural development and that the goal of self-reliance should be pursued. Improved management, administration, logistics, transport, and supervision to support the existing and all future health care service systems of the country are critical needs. Training is needed for various categories of health personnel.
Washington, D.C., U.S. Office of International Health, Division of Planning and Evaluation, 1976. 144 p. (Syncrisis: the dynamics of health, XIX)This report uses available statistics to examine health conditions in Senegal and their interaction with socioeconomic development. Background data are presented, after which population, health status, nutrition, environmental health, health infrastructure, facilities, services and manpower, national health policy and planning, international organizations, and the Sahel are discussed. Diseases such as malaria, measles, tuberculosis, trachoma and venereal diseases are endemic in Senegal, and high levels of infant and childhood mortality exist throughout the country but especially in rural areas. Diarrhea, respiratory infections, and neonatal tetanus contribute to this mortality and are evidence of the poor health environment, and lack of basic services including nutrition assistance, health education, and potable water. Nutrition in Senegal appears to be good in general, but seasonal and local variations sometimes produce malnutrition. Lowered fertility rates would reduce infant and maternal mortality and morbidity and might slow the present decline in per capita food intake. At present the government of Senegal has no population policy and almost no provisions for family planning services. Health services are inadequate and inefficient, with shortages of all levels of health manpower, poor planning, and overemphasis on curative services.