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  1. 1
    033687

    Demographic trends and their development implications.

    United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]

    In: Third Asian and Pacific Population Conference (Colombo, September 1982). Selected papers. Bangkok, Thailand, Economic and Social Commission for Asia and the Pacific, 1984. 9-40. (Asian Population Studies Series No. 58)

    This report summarizes the recent demographic situation and considers prospective trends and their development implications among the 39 members and associate members of the Economic and Social Commission for Asia and the Pacific (ESCAP). It presents data on the following: size, growth, and distribution of the population; age and sex structure; fertility and marriage; mortality; international migration; growth and poverty; food and nutrition; households and housing; primary health care; education; the working-age population; family planning; the elderly; and population distribution. Despite improvements in the frequency and quality of demographic data collected in recent years, big gaps continue to exist in knowledge of the demographic situation in the ESCAP region. Available evidence suggests that the population growth rate of the ESCAP region declined between 1970 and 1980, as compared with the preceding decade, but that its rate of decline was slow. Within this overall picture, there is wide variation, with the most developed countries having annual growth rates around 1% and some of the least developed countries having a figure near 3%. The main factors associated with the high growth rates are the past high levels of fertility resulting in young age structures and continuing high fertility in some countries, notably in middle south Asia. The population of countries in the ESCAP region is expected to grow from 2.5 billion in 1980, to 2.9 billion in 1990, and to 3.4 billion persons by the year 2000. This massive growth in numbers, which will be most pronounced in Middle South Asia, will occur despite projected continuing moderation in annual population growth rates. Fertility is expected to continue its downward trend, assuming a more widespread and equitable distribution of health, education, and family planning services. Mortality is expected to decline further from its current levels, where life expectancy is often at or around 50 years. In several countries, more than 10 in every 100 babies born die before their 1st birthday. The extension of primary health care services is seen as the key to reducing this figure. Rapid population growth and poverty tend to reinforce each other. Low income, lack of education, and high infant and child mortality contribute to high fertility, which in turn is associated with high rates of natural increase. High rates of natural increase feed back to depress socioeconomic development. High population growth rates and their correlates of young age structures and heavy concentrations of persons in the nonproductive ages tend to depress production and burden government expenditure with high costs for social overhead needs. Rapid population growth emerges as an important factor in the persistence of chronic undernutrition and malnutrition. It increases the magnitude of the task of improving the educational system and exacerbates the problem of substandard housing that is widely prevalent throughout Asia.
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  2. 2
    031969

    China: report of Mission on Needs Assessment for Population Assistance.

    United Nations Fund for Population Activities [UNFPA]

    New York, New York, UNFPA, 1984 May. xii, 156 p. (Report No. 67)

    A Needs Assessment and Program Development Mission visited the People's Republic of China from March 7 to April 16, 1983 to: review and analyze the country's population situation within the context of national population goals as well as population related development objectives, strategies, and programs; make recommendations on the future orientation and scope of national objectives and programs for strengthening or establishing new objectives, strategies, and programs; and make recommendations on program areas in need of external assistance within the framework of the recommended national population program and for geographical areas. This report summarizes the needs and recommendations in regard to: population policies and policy-related research; demographic research and training; basic population data collection and analysis; maternal and child health and family planning services; management training support for family planning services; logistics of contraceptive supply; management information system; family planning communication and education; family planning program research and evaluation; contraceptive production; research in human reproduction and contraceptives; population education and dissemination of population information; and special groups and multisectoral activities. The report also presents information on the national setting (geographical and cultural features, government and administration, the economy, and the evolution of socioeconomic development planning) and demographic features (population size, characteristics, and distribution, nationwide and demographic characteristics in geographical core areas). Based on its assessment of needs, the Mission identified mjaor priorities for assistance in the population field. Because of China's size and vast needs, external assistance for population programs would be diluted if provided to all provincial and lower administrative levels. Thus, the Mission suggests that a substantial portion of available resources be concentrated in 3 provinces as core areas: Sichuan, the most populous province (100,220,000 people by the end of 1982); Guandong, the province with the highest birthrate (25/1000); and Jiangsu, the most densely populated province (608 persons/square kilometer. In all the government has identified 11 provinces needing special attention in the next few years: Anhui, Hebei, Henan, Hubei, Hunan, Jilin, Shaanxi and Shandong, in addition to Guangdong, Jiangsu, and Sichuan.
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  3. 3
    031976

    Ghana: report of Mission on Needs Assessment for Population Assistance.

    United Nations Fund for Population Activities [UNFPA]

    New York, New York, UNFPA, 1984 Jul. vii, 59 p. (Report No. 68)

    This report of a Mission visit to Ghana from May 4-25, 1981 contains data highlights; a summary of findings; Mission recommendations regarding population and development policies, population data collection and analysis, maternal and child health and family planning, population education and communication programs, and women and development; and information on the following: the national setting; population features and trends (population size, growth rate, and distribution and population dynamics); population policy, planning, and policy-related research; basic data collection and anaylsis; maternal and child health and family planning (general health status, structure and organization of health services, maternal and child health and family planning activities, and family planning services in the private sector); population education and communication programs; women, youth, and development; and external assistance in population. Ghana gained independence in 1957. The country showed early promise of rapid development. Although well-endowed with natural and human resources, Ghana now suffers from food scarcity, inadequate infrastructure and services, inflation, inequities in income distribution, unemployment, and underemployment. Per capita gross national product (GNP) was $400 in 1981; between 1960-81 the average annual growth of GNP was -1.1%. A high rate of natural increase of the population has compounded development problems by intensifying demands for food, consumer goods, and social services while simultaneously increasing the constraints on productivity. The population, estimated at 13 million in mid-1984, is growing at a rate of 3.25% per annum. Immigration and emigration have contributed to changes in the size and composition of the population. Post-independence development policies favored the urban areas, encouraging a steady rural-to-urban shift in the population. At the same time, worsening socioeconomic conditions spurred the emigration of professional, managerial, and technical personnel and skilled workers. Ghana was the 1st sub-Saharan African nation to establish an official population policy. Since the formulation of the policy in 1969, successive governments have remained committed to its emphasis on fertility reduction while increasing attention to the problems of mortality and morbidity and rural/urban migration. Recognizing the need to intensify the commitment to population policies, the Mission recommends support for a program to further the awareness of policy makers of the relationship between population trends and their areas of responsibility. The Mission recommends the creation of a special permanent population committee and the strengthening of the Ministry of Finance and Economic Planning's Manpower division. The Mission also makes the following recommendations: the provision of training, technical assistance, and data processing facilities to ensure the timely provision of demographic data for socioeconomic planning; data collected in the pilot program of vital registration be evaluated before the system is expanded; the complete integration of maternal and child health and family planning and general health services within the primary health care system; and improvement in women's access to resources such as education, training, and agricultural inputs.
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  4. 4
    030588

    After Mexico: NGOs and the follow-up to the International Conference on Population. Summary report of the Fourth Annual NGO/UNFPA Consultation on Population in New York (March 6, 1985).

    Cassidy K

    New York, New York, UN Non-Governmental Liaison Service, 1985. 50 p.

    This Summary Report of the Fourth Annual Nongovernmental Organizations/UN Fund for Population Activities (NGO/UNFPA) contains the following: an opening statement of David Poindexter, Director, Communication Centre of the Population Institute; a presentation devoted to opportunities for action by Bradman Weerakoon, Secretary General, International Planned Parenthood Federation (IPPF); a discussion of global population realities by Sheldon Segal, Director, Population Sciences of the Rockefeller Foundation; panel discussions on the topic of patterns of NGO action; reports from workshop groups (environment, development and population; role and status of women; health and population; reproduction and the family; population policies and funding; population and children; population and youth; and population and aging); a report on financing global population programs, given by Barbara Hertz, Senior Economist, World Bank; discussion of the implementation of the Mexico mandate, Rafael M. Salas, Under Secretary-General of the UN and Executive Director of the UNFPA; recommendations of the Mexico City Conference which refer to the NGO role in followup; and some background material. Recommendations of the workshop groups for ongoing NGO action in the field of population include: linkages between environment, development, and population to be more carefully delineated; the need for the voice of women to be heard at all levels by those formulating population policies and for the status of women to be considered by all as essential to the population issue; couples to be offered a full range of contraceptive choices; all family members to have access to reproductive health information, sex education, and family planning services; organizations to look for multiple sources of funding and to become less reliant on a single source of funding for population and health related activities; support of programs which promote women's development; governments to prepare youth better for their roles within their own countries; and the leadership role of the elderly to be facilitated and utilized in the areas of education, communication, and influencing policies at the village, regional, national, and international level.
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  5. 5
    031241

    Family health in Zambia, Ministry of Health.

    Siatwinda SM

    [Unpublished] 1984. Presented at the Union of National Radio and Television Organisations of Africa [URTNA] Family Health Broadcast Workshop (Nairobi, 19-23 November, 1984). [16] p.

    Statistical information on Zambia's population is provided, and the activities, goals, and achievements of the country's family health, maternal and child health (MCH), and expanded immunization programs are described. Zambia is a tropical country and has a 1-party participatory democratic form of government. The country is inhabited by 73 tribes speaking 62 languages. In 1983, the population size was 6,425,000, and 48.6% of the population was under 15 years of age. Population size, area, and density information for each province is provided. The general fertility rate was 220/1000 women of reproductive age. Life expectancy was 50 years for women and 46.7 years for men. The 6 major causes of death among women and children in 1979 were measles, malnutrition, pneumonia, malaria, diarrhea, and respiratory infection. The Ministry of Health is actively working to expand immunization and MCH services in the rural areas. The family health program is a training program charged with the task of providing training in family health for 600 enrolled nurses and midwives. Sessions include 6 weeks of classroom instruction followed by 6 weeks of clinical or field experience. Topics covered in the training sessions are health education, teaching and communication skills, management skills, child health, nutrition, immunization, prenatal and postnatal care, and child spacing. Graduates of the program are assigned to rural health facilities where they supervise the delivery of immunization and MCH services and initiate child spacing services. The family health program, initiated in 1980, is funded by the UN Fund for Population Activities and is guided jointly by the Ministry of Health and the World Health Organization. As of 1983, 19 registered nurse midwives and 442 enrolled nurse midwives were trained under the program. Information on the family health program is disseminated via radio, television, a Ministry of Health magazine, the World Health Day Exhibition, and agricultural shows. The development of MCH services in rural areas is emphasized by the 1980-84 national development plan. The major components of the MCH program are prenatal and postnatal care, family planning, children's clinics, vitamin and protein supplementation, immunization, and school health services. The Expanded Immunization Program (EIP) is integrated into the primary health care system and covers remote areas not as yet covered by MCH services. The specific goals of the program are to increase immunization coverage, establish a cold chain for vaccines, reduce vaccine wastage, and train health personnel to use and maintain cold chain equipment. The program is funded by various UN agencies and the national government. Family planning was introduced into Zambia by the Family Planning Association. The organization's name was later changed to the Planned Parenthood Association to overcome the mistaken impression that family planning meant the complete cessation of childbearing. In 1973, child spacing was integrated into the MCH program and family planning was assigned a high priority in the 1980-84 national development plan. Between 1980-84, the number of family planning acceptors increased from 49,412 to 101,803. In 1984, a number of evaluations were made of the MCH, EPI, and family health programs. The results of these evaluations will be available in the near future. Tables provide information on contraceptive usage, the Ministry of Health budget for 1983, the number and type of health staff in 1982, and the number and type of health facilities in the country.
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  6. 6
    030330

    Stopping population growth.

    Brown LR

    In: State of the world 1985. A Worldwatch Institute report on progress toward a sustainable society [by] Lester R. Brown, Edward C. Wolf, Linda Starke, William U. Chandler, Christopher Flavin, Sandra Postel, Cynthia Pollack. New York, New York, W.W. Norton, 1985. 200-21.

    The demographic contrasts of the 1980s are placing considerable stress on the international economic system and on national political structures. Runaway population growth is indirectly fueling the debt crisis by increasing the need for imported food and other basic commodities. Low fertility countries are food aid donors, and the higher fertility countries are the recipients. In most countries with high fertility, food production per person is either stagnant or declining. Population policy is becoming a priority of national governments and international development agencies. This discussion reviews what has happened since the UN's first World Population Conference in 1974 in Bucharest, fertility trends and projections, social influences on fertility, advances in contraceptive technology, and 2 major family planning gaps -- the gap between the demand for family planning services and their availability and the gap between the societal need to slow population growth quickly and the private interests of couples in doing so. The official purpose of the 1984 UN International Conference on Population convened in Mexico City, in which 149 countries participated, was to review the world population plan of action adopted at Bucharest. In Bucharest there had been a wide political schism between the representatives of industrial countries, who pushed for an increase in 3rd world family planning efforts, and those from developing countries, whose leaders argued that social and economic progress was the key to slowing population growth. In Mexico City this division had virtually disappeared. Many things had happened since Bucharest to foster the attitude change. The costly consequences of continuing rapid population growth that had seemed so theoretical in the 1974 debate were becoming increasingly real for many. World population in 1984 totaled 4.76 billion, an increase of some 81 million in 1 year. The population projections for the industrial countries and East Asia seem reasonable enough in terms of what local resource and life support systems can sustain, but those for much of the rest of the world do not. Most demographers are still projecting that world population will continue growing until it reaches some 10 billion, but that most of the 5.3 billion additional people will be concentrated in a few regions, principally the Indian subcontinent, the Middle East, Africa, and Latin America. What demographers are projecting does not mesh with what ecologists or agronomists are reporting. In too many countries ecological deterioration is translating into economic decline which in turn leads to social disintegration. The social indicator that correlates most closely with declining fertility across the whole range of development is the education of women. Worldwide, sterilization protects more couples from unwanted pregnancy than any other practice. Oral contraceptives rank second. The rapid growth now confronting the world community argues for effective family planning programs.
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  7. 7
    027804

    Country statement: Ethiopia.

    [Unpublished] 1984. Presented at the Second African Population Conference, Arusha, Tanzania, January 9-13, 1984. 21 p.

    This discussion of Ethiopia focuses on: sources of demographic data; population size and age-sex distribution; urbanization; fertility; marital status of the population; mortality and health; rate of natural increase; economic activity and labor force activity rates; food production; education; population policies and programs; and population in development planning. As of 1983, Ethiopia's population was estimated at 33.7 million. Agriculture is the mainstay of the economy. Ethiopia has not yet conducted a population census, however, the 1st population and housing census is planned for 1984. The population is young with children under 15 years of age constituting 45.4% of the total population; 3.5% of the population are aged 65 years and older. The degree of urbanization is very low while the urban growth rate is very high. Most of the country is rural with only 15% of the population living in localities of 2000 or more inhabitants. In 1980-81 the crude birthrate was 46.9/1000. The total fertility rate was 6.9. Of those aged 15 years and older, 69.2% of males and 71.3% of females are married. According to the 1980-81 Demographic Survey the estimates of the levels of mortality were a crude death rate of 18.4/1000 and an infant mortality rate of 144/1000. At this time 45% of the population have access to health services. It is anticipated that 80% of the population will be covered by health care services in 10 years time. Ethiopia is increasing at a very rapid rate of natural increase; the 1980 estimation was 2.9% per annum. Despite the rich endowments in agricultural potential, Ethiopia is not self-sufficient in food production and reamins a net importer of grain. Enrollment at various levels of education is expanding rapidly. There is no official population policy. Financial assistance received from the UN Fund for Population Activities and the UN International Children's Emergency Fund for population programs is shown.
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  8. 8
    024638

    [Togo: report of Mission on Needs Assessment for Population Assistance] Togo: rapport de Mission sur l'Evaluation des Besoins d'Aide en Matiere de Population.

    United Nations Fund for Population Activities [UNFPA]

    New York, UNFPA, 1983 Feb. 66 p. (Report No. 57)

    This report of a needs assessment carried out by a UN Fund for Population Activities (UNFPA) Mission in Togo in late 1980 includes chapters on the country's geographic, administrative, and cultural background, socioeconomic and demographic characteristics, and national development policy and population goals; data collection; demographic research and population policy formulation; implementation of policy; external population assistance; and recommendations of the Mission. The population of Togo was estimated at 2.7 million in 1981 and is expected to nearly double by the year 2000. Infant, child, and maternal mortality rates are high, and population distribution is very uneven in different regions, with severe pressure on cultivable lands. The country has enjoyed considerable economic growth in the past 2 decades, with the gross national products (GNP) quadrupling in constant dollars from 1960-75. The rate of increase of the GNP was 7% from 1966-70, 5.6% from 1971-75, and about 3% from 1976-80. 3/4 of Togo's inhabitants derive their livelihood from agriculture, but in 1979 they produced only 28% of the GNP. Self-sufficiency in food is not total. Since 1966 Togo has elaborated 4 5-year plans whose orientations were to promote economic independence, the growth of production, reduction in regional disparities, and human development. The demographic variable has not been integrated into general economic and social development policy. The government has adopted a noninterventionist attitude toward population and considers the demographic situation to be fairly satisfactory. The only actions concern control of infant mortality. Some social and economic interventions, such as the priority given to provision of potable water, will inevitably have an impact on population. Togo has a solid infrastructure and qualified and experienced personnel for demographic data collection. The country is planning an ambitious program of demographic data collection and permanent surveillance. Maternal and child health care are provided in nearly 300 centers. About 1/2 of births occur under medical supervision. The national family welfare program provides family health services and information on birth spacing. A secondary school sex education program is under development. Population education is included in out-of-school educational programs. Population communication programs are not very advanced. Among the recommendations of the Mission were that financial aid be given to institutions responsible for demographic data collection and dissemination and to the demographic research unit of the University of Benin.
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  9. 9
    024950

    Country profile: Sierra Leone.

    International Planned Parenthood Federation. Africa Region; Planned Parenthood Federation of Sierra Leone

    [Nairobi, Kenya], International Planned Parenthood Federation, Africa Region, [1983]. 28 p.

    This profile of Sierra Leone discusses the following: geographical features; neighboring countries; ethnic and racial groups and religion; systems of government; population, namely, size, distribution, age/sex distribution, and women of reproductive age; socioeconomic conditions -- agriculture, industry, exports, imports, employment, education, health, and social welfare; family planning/population -- government policies, programs, Planned Parenthood Association of Sierra Leone (PPASL), nongovernment organizations and voluntary agencies, private organizations, sources of funding, and future trends of policies and programs; and the history, constitution, and structure and administration of the PPASL. According to the 1974 census, the population of Sierra Leone totaled 2,735,159. In 1980 it was estimated to have grown to 3,474,000. With an average annual growth rate of about 2.7%, it is expected to reach 6 million in 2000 and to have doubled in 27 years. Sierra Leone has a population density of 48 people/sq km. In 1974, 27.5% of the population lived in urban centers with 47% living in Freetown alone. The indigenous population includes 18 major ethnic groups; the Temne and Mende are the largest of these. The percentage of nonnationals increased from 2.7% in 1963 to 2.9% in 1974 and includes nationals mainly from the West African subregion with a sprinkling of British, Lebanese, Americans, Indians, and others. In 1974 the sex ratio was 98.8 males/100 females. In 1981 it was estimated that 41% of the total population was under age 15 and 5% over age 65, making the dependency burden very high. Agriculture is now the main focus of the government's development policy. Minerals are an important source of foreign exchange. It was estimated in 1980 that the total economically active population would reach 1.2 million, of whom the majority would be employed in agriculture. Women made up approximately 1/3 of the economically active population in 1970. The adult literacy rate recently has been estimated at 12% of the population. The government allows the PPASL to freely operate in the country, but it has not as yet declared a population policy. In 1973 the government did recognize the effects of rapid population growth on the nation's socioeconomic development. As a pioneering organization in family planning, the PPASL has made considerable effort in promoting the concept of responsible parenthood. Its motivational programs are geared towards informing and educating the public on the need for having only those children whom individuals and couples can adequately provide for in terms of health, nutrition, education, clothing, and all other basic necessities. Family planning services are provided to meet the demand thus created to enable families and individuals to exercise free and informed choice for spacing or limiting of children. Between 1971 and 1983 the UN Fund for Population Activities (UNFPA) provided financial assistance to Sierra Leone for population activities in the amount of US$2,659,382.
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