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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. 1-60. (Population Studies No. 90; ST/ESA/SER.A/90; International Conference on Population, 1984)The primary objective of the meeting of the Expert Group on Population, Resources, Environment, and Development was to identify mechanisms through which poulation characteristics conditioned and were conditioned by resource use, environmental effects, and the development structure. This called for a systems approach in which all factors were treated simultaneously and in which the closing of loops through feedback effects was of foremost importance. The 1st item of the agenda called for a general discussion of past and future trends in population, resources, environment, and development. The Expert Group emphasized the need for better knowledge of how the trends of the various variables interacted and modified each other and particularly about the role of population within the interrelationships. The discussion of food and nutrition focused on the demographic, economic, social, political, and institutional aspects of meeting the needs for food and nutrition, while the physical aspects were given greater attention in the discussions of resources and environments. At the center of the deliberations were such concerns as poverty, the food versus feed controversy, food self sufficiency, and the role of population growth. The discussion on resources and the environment covered the resource base, environmental degradation, and nonrenewable resources. Attention was directed to the various mechanisms that could expand resource availability as well as those activities that had caused a degradation of the environment. The discussions of social and economic aspects of development involved 4 interrelated topics: income distribution, employment, health and education, and social security. The last items on the agenda addressed the issue of integrated planning and policy formation. Some members of the Expert Group were concerned with immediate problems. Viewing demographic trends as largely exogenous, they gave highest priority to finding the best way to accommodate the needs of growing populations. Others emphasized longrun problems and considered demographic trends as policy instruments for dealing with problems of resources, the environment, and development.
Bangkok, Thailand, ESCAP, 1984. 323 p. (ESCAP Programme on Health and Development Technical Paper No. 66/PHD 19; ST/ESCAP/286)This training manual describes the organization of the courses, the course syllabus, the 1983 course on planning, development and health, the follow-up evaluation of the training courses of 1976-82 and the specialized activities in planning for health and development at ESCAP. Planning for health is viewed as an integral part of overall development planning with the conscious incorporation of clear goals, to help ensure that development programs have a positive impact on the health of the region's poor. ESCAP's training program aims to amplify, in concrete terms, the close relationship between health and development and to build the capability to take an integrated and multisectoral approach to inproving health and accelerating development. The design and implementation of a training program oriented to strengthen capacities in planning, development and health is a function of these 3 terms. The basic frame has remained farily similar to the 1976 course. Training aims at behavior change--to strengthen capacity for action, rather than to accumulate knowledge and information for information's sake. Training objectives must be appraised in terms of relevance, adequacy, effectiveness, efficacy and impact before actual implementation beings. The course is conceived as a unified, multi-sectoral approach to assess the health situation and propose intervention measures aimed at the elimination of the social causes of ill-health and disease of a country. The focus is in the relationships between health and development through systems analysis and relevant planning tools. The aim of the courses is to produce a cadre of planners for health with an innovative and intersectoral outlook, consistent with the dynamic approaches in health, development and planning and with abilities to convince the higher planning structures, rally political support and enlist coummunity involvement with focus on Health for All by the Year 2000. Tables and charts facilitate understanding of concepts involved in this training.
International Workshop on Youth Participation in Population, Environment, Development at Colombo, 28th Nov. 83 to 2nd Dec. 83.
Maribo, Denmark, WAY, . 120 p.The objectives of the International Youth Workshop on Population and Development were to provide a forum to the leaders of national youth councils and socio-political youth organizations. These leaders were brought together to review national and local youth activities and their plans and action programs for the future. The outlook for these discussions was local, regional, and global. In addition the Workshop aimed at providing interaction among the youth organizations of the developing and the developed countries. These proceedings include an inaugural address by Gemini Atukorata, Minister of Youth Affairs, Government of Sri Lanka and presentations focusing on the following: youth and development; the key role of youth in production and reproduction -- important factors of development; 60% of the aid goes back to the giving country in several ways; adolescent fertility as a major concern; social development for the poor with particular reference to the well-being of children and women; commitment for the cause is the key to attract funds; and observance of the International Youth Year under the themes of participation, development, and peace. The 11th workshop session dealt with follow-up and the future direction of the World Assembly of Youth (WAY). The following points emerged in this most important session: WAY should emphasize "Youth Participation in Development" as the major program; WAY's population programs should not be limited to just information, education, and communication, and youth groups should be encouraged to become service delivery agents for contraceptives wherever possible; environment awareness should become an integral part of population and development programs; youth in the service of children, health for all, and drug abuse should be the new areas of operation for WAY; and programs of youth working in the service of disabled, especially disabled young people, and youth and crime prevention programs also found favor with the participants. Recommendations and action programs are outlined. Proceedings include a summary of WAY activities and resolutions.
Health and health services in Judaea, Samaria and Gaza 1983-1984: a report by the Ministry of Health of Israel to the Thirty-Seventh world Health Assembly, Geneva, May 1984.
Jerusalem, Israel, Ministry of Health, 1984 Mar. 195 p.Health conditions and health services in Judea, Samaria, and Gaza during the 1967-83 period are discussed. Health-related activities and changes in the social and economic environment are assessed and their impact on health is evaluated. Specific activities performed during the current year are outlined. The following are specific facets of the health care system that are the focus of many current projects in these districts; the development of a comprehensive network of primary care programs and centers for preventive and curative services has been given high priority and is continuing; renovation and expansion of hospital facilities, along with improved staffing, equipment, and supplies for basic and specialty health services increase local capabilities for increasingly sophisticated health care, and consequently there is a decreasing need to send patients requiring specialized care to supraregional referral hospitals, except for highly specialized services; inadequacies in the preexisting reporting system have necessitated a continuting process of development for the gathering and publication of general and specific statistical and demographic data; stress has been placed on provision of safe drinking water, development of sewage and solid waste collection and disposal systems, as well as food control and other environmental sanitation activities; major progress has been made in the establishment of a funding system that elicits the participation and financial support of the health care consumer through volunary health insurance, covering large proportions of the population in the few years since its inception; the continuing building room in residential housing along with the continuous development of essential community sanitation infrastructure services are important factors in improved living and health conditions for the people; and the health system's growth must continue to be accompanied by planning, evaluation, and research atall levels. Specific topics covered include: demography and vital statistics; socioeconomic conditions; morbidity and mortality; hospital services; maternal and child health; nutrition; health education; expanded program immunization; environmental health; mental health; problems of special groups; health insurance; community and voluntary agency participation; international agencies; manpower and training; and planning and evaluation. Over the past 17 years, Judea, Samaria, and Gaza have been areas of rapid population growth and atthe same time of rapid socioeconomic development. In addition there have been basic changes in the social and health environment. As measured by socioeconomic indicators, much progress has been achieved for and by the people. As measured by health status evaluation indicators, the people benefit from an incresing quantity and quality of primary care and specialty services. The expansion of the public health infrastructure, combined with growing access to and utilization of personal preventive services, has been a key contributor to this process.
The role of food safety in health and development. Report of a Joint FAO-WHO Expert Committee on Food Safety.
World Health Organization Technical Report Series. 1984; (705):1-79.This document presents the recommendations of a Joint Food and Agriculture Organization (FAO)-World Health Organization (WHO) Expert Committe on Food Safety. Illness due to contaminated food is perhaps the most widespread health problem in the world and a major cause of reduced economic productivity. The safety of food is affected by food systems, sociocultural factors, food chain technology, ecologic factors, nturitional aspects, and epidemiology. It was the assumption of the Committee that, if food safety is given sufficient priority within national planning, countries can prevent and control foodborne disease, especially pathogen-induced diarrheal syndromes, and interrupt the vicious cycle of diarrhea-malnutrition-disease. Attainment of this objective requires a national commitment and the collaboration of all ministries and agencies concerned with health, agriculture, finance, planning, and commerce as well as the food industry, the biamedical and agricultural scientific community, and the consuming public. Prevention and control interventions should aim to avoid or minimize contamination, to destroy or denature the contaminant, and to prevent the further spread or multiplication of the contaminant. The Committee outlined a series of recommendations for achieving a worldwide reduction in the morbidity and mortality caused by foodborne hazards. Food safety should be considered an integral part of the primary health care delivery system. Food safety should also be regarded as an integral part of the total food system. National food control infrastructures should be strengthened, and regional, national, multinational, and international surveillance of foodborne diseases should be carried out. Each country should aim to develop at least 1 laboratory capable of identifying the etiologic agents of diarrhea and other foodborne diseases. Health workers should be trained to play a role in identifying and monitoring critical control points in food production and preparation. Health education, within the context of the cultural and social values of the community, should inform the public about food safety hazards and preventive measures. Finally, the hazard analysis critical control point approach to prevention is recommended.
New York, New York, United Nations Fund for Population Activities, 1984. viii, 60 p. (Report No. 79)This report presents the findings of a mission from the UN Fund for Population Activities to ascertain the needs for population assistance for the Republic of Botswana. Botswana's population is growing at a rate of 3.46% (1980-1985), a consequence of continuing high fertility and decreasing death rates. While there is an awareness of the implications of he high growth rate for development, the government appears to have relaxed its emphasis on controlling population growth, limiting its role to maternal and child health, and concentrating on the family welfare aspects of fertility control. The Mission expressed concern about the absence of a clearly articulated policy on population. However, it is hoped that the creation of the Botswana Population Council will result in the inclusion of such a policy in future national development plans. Migration is a major problem facing planners. The high rate of rural to urban migration and the reduction of migration to the Republic of South Africa for employment, have resulted in high unemployment rates within Botswana, particularly among unskilled workers. Critical gaps have been identified in the collection, analysis, and dissemination of population data, which are essential for the formulation of appropriate development strategies in this area. The Mission recommends that support in the form of training and technical assistance be provided to both the Central Statistics Office and the Registry of Births and Deaths, in the case of the latter to promote the establishment of a nation-wide civil registration system. Present health policy focuses on the concept of primary health care, with an emphasis on preventive health and community participation. Due to the shortage of health manpower and heavy dependence on expatriate personnel, the Mission's recommendations in this area stress support for the training of health workers at all levels and the inclusion of population components in this training. A high proportion of households, particularly in rural areas, are headed by women, and many of these households are poor. The Mission's recommendations seek to enhance women's economic status and improve their access to resources such as vocational training and agricultural extension services.
New York, New York, International Women's Tribune Center, 1984 Sep. iv, 116 p.The 1st 2 issues of newsletters in this volume, Women and Appropriate Technology, Parts I and II, emphasize resource materials and appropriate technology groups and projects from around the world that might be found useful. The 3rd issue, Women and Food Production, focuses specifically on the need for women to have greater access to land, technology, and capital in the production of food crops, whether for their own use or as crops for marketing. The last issues, Women MOving Appropriate Technology Ahead, concentrates on strategies for introducing appropriate technology ideas and approaches into one's own community. Together, these 4 issues combine several issues related to women's access to and uses of appropriate technologies, with practical information for concrete action and sample projects involving women from countries around the world. Originally published between 1978 and 1973, all 4 newsletters in this volume have been updated and edited in some parts to assure their continued relevance. Resource groups, UN news and conferences, available periodicals, training, credit and loan information, cash crops, international nongovernmental organizations, and government agencies are all discussed.
[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: Tras nuevas raices: migraciones internas y colonizacion en Bolivia [by] Carlos Garcia-Tornell, Maria Elena Querejazu, Jose Blanes, Fernando Calderon, Jorge Dandler, Julio Prudencio, Luis Lanza, Giovanni Carnibella, Gloria Ardaya, Gonzalo Flores [and] Alberto Rivera. La Paz, Bolivia, Ministerio de Planeamiento y Coordinacion, Direccion de Planeamiento Social, Proyecto de Politicas de Poblacion, 1984 Apr. 51-251.A study of colonization programs in Bolivia was conducted as part of a larger evaluation of population policy. The 1st of 8 chapters examines the history of colonization programs in Bolivia and the role of state and international development agencies. It sketches the disintegration of the peasant economy, and presents 5 variables that appear to be central to colonization processes: the directedness or spontaneity of the colonization, the distance to urban centers and markets, the diversification of production, the length of time settled, and the origin of the migrants. The 2nd chapter describes the study methodology. The major objective was to evaluate government policies and plans in terms of the realistic possibilities of settlement in colonies for peasants expelled from areas of traditional agriculture. Interviews and the existing literature were the major sources used to identify the basic features and problems of colonization programs. 140 structured interviews were held with colonists in the Chapare zone, 43 in Yapacari, and 51 in San Julian. The 3 zones were selected because of their diversity, but the sample was not statistically representative and the findings were essentially qualitative. The 3rd chapter examines the relationships between the place of origin and the stages of settlement. The chapter emphasizes the influence of place of origin and other factors on the processes of differentiation, proletarianization, and pauperization. The 4th chapter examines the productive process, profitability of farming, the market, and reproductive diversification. The next chapter analyzes the technology and the market system of the colonists, the dynamics of the unequal exchange system in which they operate, and aspects related to ecological equilibrium and environmental conservation. The 6th chapter concentrates on family relationships and the role played by the family in colonization. Some features of the population structure of the colonies are described. The 7th chapter assesses forms of organization, mechanisms of social legitimation, and the important role of peasant syndicates. The final chapter summarizes the principal trends encountered in each of the themes analyzed and makes some recommendations concerning the colonization program, especially in reference to the family economy and labor organizations.
POPULI. 1984; 11(4):4-12.The purposes of the 1984 International Conference on Population were to review the implementation of the World Population Plan of Action adopted in Bucharest in 1974, to sustain the momentum gained in population programs, and to make recommendations for future implementation of the plan that are deemed appropriate for the conditions of the next decade. The Bucharest Conference was the 1st one to bring together high-ranking governmental officials and experts to discuss the issues of population development. The Plan was the 1st international and comprehensive document on population policies, programs, and measures. The most tangible effect of the Conference was a growing interest in the UN population program, parallel with a rapid expansion of UN Fund for Population Activites (UNFPA) fund raising and project financing. Signs of hope and optimism could be found in the Plan as well as in the 2 General Assembly resolutions; international, political, and economic developments in the years that followed have hardly concurred with such expectations. As far as population policies are concerned, the situation in the developing world in 1984 is far different than it was in 1974. Research and study will have to be further promoted because 1) there are several new approaches to population issues and the relating policies adopted in the Recommendations, 2) research in reproductive physiology and contraception should be continued following new promising developments in those fields, and 3) studies on organzational, communicational, and psychological aspects of population programs will be essential for the successful implementation of those programs at levels significantly higher than in the past.
[Recommendations of the Population World Plan of Action and of the United Nations Expert Group on Population Distribution, Migration and Development] Recomendaciones del Plan de Accion Mundial sobre Poblacion y del Grupo de Expertos de la Organizacion de las Naciones Unidas sobre Distribucion de la Poblacion, Migracion y Desarrollo.
In: Reunion Nacional sobre Distribucion de la Poblacion, Migracion y Desarrollo, Guadalajara, Jalisco, 11 de mayo de 1984, [compiled by] Mexico. Consejo Nacional de Poblacion [CONAPO]. Mexico City, Mexico, CONAPO, 1984. 21-31.Highlights are presented of the expert meeting on population distribution, migration, and development held in Hammamet, Tunisia, in March 1983 to prepare for the 1984 World Population Conference. Rafael Salas, Secretary General of the World Population Conference, indicated in the inaugural address of the meeting that changes in the past 10 years including the increasing importance of short-term movements, illegal migrations, and refugees would require international agreements for their resolution. In the area of internal migrations, Salas suggested that in addition to migration to metropolitan areas which continues to predominate, short-term movements of various kinds need to be considered in policy. Improvement in the quality of life of the urban poor is an urgent need. Leon Tabah, Adjunct Secretary General of the World Population Conference, pointed out that population distribution and migration had received insufficient attention in the 1975 World Population Conference, and that the World Population Plan of Action should be modified accordingly. Among the most important findings of the meeting were: 1) The Plan of Action overstressed the negative effects of urbanization and rural migration. Available evidence suggests that migration and urbanization are effects rather than causes of a larger process of unequal regional and sectorial development 2) The historical context of each country should be considered in research and planning regarding population movements. 3) Analyses of the determinants and consequences of migration were reexamined in light of their relationship to the processes of employment, capital accumulation, land tenure, technological change, ethnic and educational aspects, and family dynamics. 4) The need to consider interrelationships between urban rural areas in formulation of policy affecting population distribution was emphasized. 5) National development strategies and macroeconomic and sectoral policies usually have stronger spatial effects than measures specifically designed to influence population distribution, and should be examined to ensure compatability of goals. 6) Population distribution policies should not be viewed as ends in themselves but as measures to achieve larger goals such as reducing socioeconomic inequalities. 7) Multiple levels of analysis should be utilized for understanding the causes and consequences of population movements. 8) Programs of assistance should be organized for migrants and their families. 9) The human and labor rights of migrants and nonmigrants should be considered in policy formulation. 10) Policies designed to improve living and working conditions of women are urgently needed.
[National Conference on Population Distribution, Migration and Development, Guadalajara, Jalisco, May 11, 1984] Reunion Nacional sobre Distribucion de la Poblacion, Migracion y Desarrollo, Guadalajara, Jalisco, 11 de mayo de 1984.
Mexico City, Mexico, CONAPO, 1984. 107 p.Proceedings of a national conference on population distribution, migration, and development held in Guadalajara, Mexico, in May 1984 in preparation for the 1984 World Population Conference are presented. 2 opening addresses explain the objectives and relevance of the national conference, while the 1st conference paper outlines the recommendations of the World Population Plan of Action and of an expert meeting sponsored by the UN in Tunisia in 1983 on the topic of population distribution, migration, and development. The main conference papers discuss recent evolution of population distribution in Mexico; migration, labor markets, and development, including migratory flows and the economic structure of Mexico, recommendations of the World Population Conference of 1974, the migration policy of the Mexican National Development Plan, and the National Employment Service as an instrument of migration policy; and reflections on the World Population Conference, the Mexican government, and the design of an international migration policy, including commentarty on the recommendations of the expert committee on international migration convened in preparation for the World Population Conference, and comments on problems in design of migration policy. The main recommendations of the conference were 1) the principles of the World Population Plan of Action, particularly in regard to respect for fundamental human rights, be reaffirmed; 2) policies designed to influence population movement directly be supplemented by and coordinated with other social and economic policies likely to produce the same effect; 3) coordination among all sectors be improved to ensure effective implementation of policy goals; 4) efforts be undertaken to provide more detailed information on internal migratory movements; 5) laws governing migration and population distribution in Mexico be carefully analyzed and possibly modified; and 6) a clear and realistic international migration policy be formulated which would take into account the need for more detailed data on international migration, a clear definition of policy objectives in international migration, respect of basic human rights, and coherence between external and internal international migration policies.
[Unpublished] 1984 Jan. 13 p.The UN Development Program (UNDP) began a special drive in the mid-1970s to ensure that women would enjoy greater benefits from its programs of technical cooperation. Efforts have increased steadily since 1975 when UNDP's Governing Council declared that "the integration of women in development should be a continuous consideration in the formulation, design, and implementation of UNDP projects and programs." They involve: promotion to create a greater awareness of women's needs and approaches which can meet them effectively; orientation and training to enhance skills in developing, implementing, and monitoring programs of benefit to women; improving the data base to provide better information on women's productive roles; programming to address women's concerns and generate self-sustaining activities, replicable nationally, regionally, and interregionally; and personnel action to increase the number of women professionals within UNDP. A number of projects supported by UNDP are directly benefiting women, especially those in rural and poor urban areas of developing countries. Among other things, these projects are helping to reduce women's workloads; addressing needs for clean water, health care, and education; providing training in basic skills; and helping to develop income-earning potentials. Examples are cited for the countries of Indonesia, Mali, Mexico, Yemen Arab Republic, Nepal, Rwanda, Honduras, Papua New Guinea, Liberia, Bolivia, and the Philippines.
[Unpublished] 1984. Paper presented at the Meeting on Analysis of Trends and Patterns of Mortality in the ESCAP Region, 13-19 November 1984, Bangkok.  p.Mortality has declined in all the countries of the Economic and Social Commission for Asia and the Pacific (ESCAP) region, but the declines have been far from uniform. Development may mean greater input into health services and public health, but it can also mean better transportation, more schools, higher wages, more job opportunities, and better housing. Each of these factors affects the health of the population. Mortality decline may be due to either a reduction of exposure to risk or an increased proportion of the population protected from the risk by immunization or other preventive measures. A disease may disappear, such as smallpox has, or a new treatment may substantially reduce case fatalities; both processes may be happening at once. The effective control of "preventable deaths" is the path to modern low mortality levels. Only a few ESCAP countries, those with reasonably accurate cause of death statistics, show modernized mortality levels. Deaths from infectious and parasitic diseases decline with modernization, and deaths from cancer increase. The U-shaped age pattern of mortality, in which infant and child deaths are predominant, becomes a J-shaped curve with greater mortality risk at older ages. Socioeconomic change affects mortality at national, community, and individual or household levels. Life expectancy at birth rises with per capita gross national product. On the individual level, mother's education, family income, family size, and child spacing all affect child mortality. Other sociobiological factors affect mortality risk on an individual level, such as late use of modern health services. Future mortality research needs to examine all these factors and cross discipinary lines.
[Unpublished] 1984. Paper presented at the Meeting on Analysis of Trends and Patterns of Mortality in the ESCAP Region, 13-19 November 1984, Bangkok.  p.In the Economic and Social Commission for Asia and the Pacific (ESCAP) region, life expectancy at birth varies from less than 45 years in Afghanistan, Bhutan, Democratic Kampuchea, Lao People's Democratic Republic, and Nepal to 70 years and above in Japan, Australia, and New Zealand. Generally, mortality has declined in the ESCAP region in the last 25 years. Early mortality improvements can largely be attributed to new disease control technologies, such as immunization and effective disease treatment. Large-scale epidemics became rare, as did large-scale famines. In countries where population was concentrated in urban areas, such as in Singapore and Hong Kong, and in countries where health services were extended to the rural sector, such as China, mortality fell to developed country levels. Health services are not the sole agent in this process; increasing literacy, social welfare policy, adequate housing and water supplies, sanitation, and economic growth are also participants. At the root of mortality differentials between and within countries are problems associated with differential rates of socioeconomic development, income distribution, and the inadequacy of health care systems to cope with their responsibilities. Health services alone may alleviate only some of the major health problems. The sophisticated approach of Western medicine may be inappropriate for these countries. The most prevalent health problems in the least developed countries of the ESCAP region are water and airborne infectious diseases, complicated by malnutrition. Treatment, although bringing immediate relief, may not have a lasting effect on the person who must return to a disease-ridden environment.
Working paper/Strategies for meeting basic socio-economic needs in the context of achieving the goals of population policies and programmes.
In: Third Asian and Pacific Population Conference (Colombo, September 1982). Selected papers. Bangkok, Thailand, Economic and Social Commission for Asia and the Pacific, 1984. 253-66. (Asian Population Studies Series No. 58.)The developing countries in the Economic ans Social Commission for Asia and the Pacific (ESCAP) region present widely different development levels. 13 countries have low incomes with per capita incomes from US $80--US $370. 8 are middle income countries with incomes from US $590--US $3830. Most of the population lives in the low income countries. These populations 1) are rural, 2) have low life expectancy, 3) have high fertility, 4) have low nutrition, and 5) are illiterate. Most people do not have their basic needs met, and they live in countries with very unequal structures of income distribution. The lower 40% of the population in these countries will not be able to reach minimum levels of satisfaction for their basic needs without a development effort that is both qualitatively and quantitatively different. The middle income countries generally have declining population growth rates, higher literacy, adequate nutrition, and a life expectancy above 60. Many of the poorest countries had increasing birth rates during the 1970s. Most of the poorest countries will have a labor force that continues to be largely agricultural and rural. Countries in Southeast and East Asia, including China, have a high economic growth potential. South Asia's per capita incomes will still remain below US $200 in the year 2000. The satisfaction of basic needs remains one of the main criteria of development; this includes health, education, food, clothing, housing, and drinking water. The key elements in countries who have improved their satisfaction of basic needs are literacy rates, women's status, equal improvement for men and women, free health care, free education, and income redistribution. A basic strategy would 1) concentrate health care on maternal and child health, sanitation, and public health; 2) give educational priority to universal primary education; and 3) improve the productivity of small holdings and concentrate on staple foods.
Demography India. 1984 Jan-Dec; 13(1-2):153-67.The threshold hypothesis shares with transition theory the basic assumption that a decline in fertility is interrelated with a decline in mortality and change in the social, economic, and cultural conditions of the population. However, threshold theory fails to formulate a causal chain between fertility and the other variables and its application at the aggregate country level is limited by intracountry heterogeneity in cultural and social variables. Problematic is the fixing of the timing for a country of a decline in fertility to be inferred from the fact that some indicators of development have reached the threshold zone while others have not. This paper attempts to develope a combined index for socioeconomic development on the basis of data from 12 countries of the ESCAP region of South East Asia. Variables included were life expectancy at birth, infant mortality rate, adult female literacy, percentages of females economically active, GNP per capita, and percentage urban population. In 1970, 3 of the countries analyzed had a crude birth rate below 25, 6 countries had a rate between 25-40, and 3 had a rate above 40. The lowest value of the index recorded for countries of low fertility (crude birth rate below 25) and the highest value recorded for countries of high fertility (above 40) are taken as the threshold zones for the overall index. The number of countries in the threshold range increased from 5 in 1970 to 8 in 1975. With the increase in the index value, a reduction in the fertility level was noted. In contrast, where socioeconomic development was slow, fertility showed little change. Policy makers could use this system to assess which indicator could be pushed through to raise the overall index of development so as to effect a decline in fertility.
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.
[Ivory Coast: report of the Mission on Needs Assessment for Population Assistance] Cote d'Ivoire: rapport de Mission sur l'Evaluation des Besoins d'Aide en Matiere de Population.
New York, New York, UNFPA, 1984 Sep. viii, 57 p. (Report No. 69)Conclusions and recommendations are presented of the UN Fund for Population Activities (UNFPA) Mission which visited the Ivory Coast from February 20-March 15, 1983 to assess population assistance needs. Ivory Coast officials believe that the population, estimated at 8,034,000 in 1980, is insufficient given the country's economic needs. Its very rapid rate of growth is estimated at over 4.5%/year, of which 1.5% is due to foreign immigration. 42% of the population is urban. The country has undergone exceptional economic growth in the past 2 decades, and the per capita income is now estimated at over $US1000 annually. Social development does not seem to have kept pace, however, and the mortality rate of 15.4/1000 is that of a country with only 1/2 the per capital income. The 1981-85 Ivory Coast Plan proposes a change from a growth economy to a society in which individual and collective welfare is the supreme goal. Up to date data on the size, structure, and dynamics of the population will be needed to aid in preparation of the 1986-90 and 1991-95 plans. A 2nd national population census is planned for 1985. Until the present, rapid population growth had been considered a boon, but problems are arising of massive rural exodus, high rates of urban unemployment coupled with manpower shortages in agriculture, and growing demographic pressure on health, educational, and social infrastructures, especially in the cities. The government has maintained its pronatalist stance, and government health programs have been directed only to mortality and maternal and child health. The need to control fertility and to use birth spacing as a tool to combat maternal and infant mortality is being increasingly felt, and a private family welfare association was able to form in 1979. A policy of maternal and child health encouraging spacing to improve family welfare would probably be welcomed in the Ivory Coast. The Mission recommended that a population policy be formulated which would correspond to the national demographic reality and development objectives. Basic demographic data collection should focus on the 1985 general census, which should have high priority. The civil registration system should be reorganized. A planned migration survey should cover the whole year to take into acconnt seasonal variations, but preparations should not begin until the census is completed. A multiple objective survey could be undertaken in 1988 to determine the nature and scope of interrelationships between demographic variables and economic and sociocultural variables, and a survey of infant mortality on a small sample could be done in 1989. The planned manpower and employment survey should be completed. Population research should receive high government priority. In regard to maternal and child health, the government should take an official position on the problem of birth spacing as a means of combatting maternal and infant deaths. IEC activities should be expanded, and efforts should be made to encourage the participation of women in development.
In: Aspects of population change and development in some African and Asian countries. Cairo, Egypt, Cairo Demographic Centre, 1984. 43-56. (CDC Research Monograph Series no. 9)This paper examines the relationship between economic development and demographic change in the 13 states of the Economic Commission for West Asia (ECWA) region. Demographic variables considered include per capita income, proportion urban, proportion in urban areas with over 100,000 inhabitants, literacy among those over 15 years, and literacy among women. Unweighted rankings on these variables were added to produce a development ranking or general development index. Then this index was used to investigate the relationship between development and individual scores and rankings for various demographic indices. The development index exhibited a rough fit with the mortality indices, especially life expectancy at birth. Mortality decline appears to be most closely related to rise in income. At the same income level, countries that have experienced substantial social change tend to exhibit the lowest mortality, presumably because of a loosening in family role patterns. In contrast, the relationship between development and fertility measures seemed to be almost random. A far closer correlation was noted between the former and the general development index. It is concluded that economic development alone will not reduce fertility. Needed are 2 changes: 1) profound social change in the family and in women's status, achievable through increases in female education, and 2) government family planning programs to ensure access to contraception.
Report on the evaluation of SEN/77/P04: population/socio-spatial/regional planning (population/amenagement du territoire).
New York, New York, United Nations Fund for Population Activities [UNFPA], 1984 Dec. xiii, 34,  p.The Senegal population/socio-spatial/regional planning project illustrates a truly integrated approach to population and development planning. The evaluation Mission concluded overall that the project's achievements are positive. The project's main accomplishments have been the establishment of a sophisticated population data bank, the preparation of national and regional population projections, an analysis of migration movements, and the production of related maps and tables using primarily 2ndary data sources. The technical quality and detail of the work undertaken, as well as its potential usefulness, were high. However, the Mission also found that various constraints specific to this project have considerably limited its achievements. These include inadequately formulated project objectives and planned activities, poorly defined conceptual framework, low absorptive capacity of the implementing agency, and severe United Nations Fund for Population Activities budget reductions. The value of the work was found to be lessened because the data assembled have not yet been systematically integrated into other relevant data banks, properly disseminated or utilized. The Mission recommended measures which will help conserve the valuable data bank and other results of the project and will assist in the transfer to nationals of the knowledge and skills to update and utilize the data bank. Limited outside assistance--financial and technical--is needed for some of the recommended measures.
A summary of the report on the evaluation of MEX/79/P04 "Integration of population policy with development plans and programmes".
New York, New York, UNFPA, 1984 Jul. 19,  p.The objective of this UNFPA project was to build the institutional and methodological base for integration of population policy into and its harmonization with national, sectoral and state policies or socioeconomic development in Mexico. More specifically, the project was to achieve integration of population policy with 6 sectoral plans, 24 state plans and the Master Development Plan within 3 years. Although the Mission considers it an achievement that the project signed agreements with all 31 states and the Federal District, no formal contacts had been made with the 6 sectors. Mexico's National Population Council (CONAPO) coordinated the project. The Mission recommended that support to integration activities be continued on the basis of the experience that has been acquired. Therefore it is necessary 1) to strengthen the activities at the state level; 2) to support the development of methodologies considering the impact of socioeconomic plans and programs on demographic variables and to provide a comprehensive program of international technical experience; 3) to recognize that responses to ad hoc support activities are an important integration instrument for both sectors and states; and 4) to exact greater clarity concerning the role of the project in the National Population Program. A lack of aedquately trained personnel proved to be a continual obstacle to implementation. The Mission recommends that at an early stage in the development of such projects a thorough assessment of the human resource requirements and existing capacity for integration of demographic and socioeconomic variables be made and that, based on this assessment, a specific training strategy be developed and incorporated in the project's design. In addition to training, the project also included research support activities; the outputs, however, were descriptive rather than analytical, which can be traced to both the design and execution of the work plan for research activities. The UNFPA's funding constraints and its management of reduced funds further complicated the project's execution, which suffered from high personnel turnover and lack of coordination of project activities.
Women At Work. 1984; (2):1-71.This document describes the current status of maternity protection legislation in developed and developing countries and is based primarily on the findings of the International Labor Organization's (ILO's) global assessment of laws and regulations concerning working women before and after pregnancy. The global survey collected information from 18 Asian and Pacific countries, 36 African nations, 28 North and South American countries, 14 Middle Eastern countries, 19 European market economy countries, and 11 European socialist countries. Articles in 2 ILO conventions provide standards for maternity protection. According to the operative clauses of these conventions working women are entitled to 1) 12 weeks of maternity leave, 2) cash benefits during maternity leaves, 3) nursing breaks during the work day, and 4) protection against dismissal during maternity. Most countries have some qualifying conditions for granting maternity leaves. These conditions either state that a worker must be employed for a certain period of time or contributed to an insurance plan over a defined period of time before a maternity leave will be granted. About 1/2 of the countries in the Asia and Pacific region, the Americas, Africa, and in the Europe market economy group provide maternity leaves of 12 or more weeks. In all European socialist countries, women are entitled to at least 12 weeks maternity leave and in many leaves are considerably longer than 12 months. In the Middle East all but 3 countries provide leaves of less than 12 weeks. Most countries which provide maternity leaves also provide cash benefits, which are usually equivalent to 50%-100% of the worker's wages, and job protection during maternity leaves. Some countries extend job protection beyond the maternity leave. For example, in Czechoslovakia women receive job protection during pregnancy and for 3 years following the birth, if the woman is caring for the child. Nursing breaks are allowed in 5 of the Asian and Pacific countries, 30 of African countries, 18 of the countries in the Americas, 9 of the Middle East countries, 16 of European market economy countries, and in all of the European socialist countries. Several new trends in maternity protection were observed in the survey. A number of countries grant child rearing leaves following maternity leaves. In some countries these leaves can be granted to either the husband or the wife. Some countries have regulations which allow parents to work part time while rearing their children and some permit parents to take time off to care for sick children. In most of the countries, the maternity protection laws and regulations are applied to government workers and in many countries they are also applied to workers in the industrial sector. A list of the countries which have ratified the articles in the ILO convenants concerning maternity benefits is included.
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.
[World population and development: an important change in perspective] Population mondiale et developpement: un important changement de perspective.
Problemes Economiques. 1984 Oct 24; (1895):26-32.The International Population Conference in Mexico City was much less controversial than the World Population Conference in Bucharest 10 years previously, in part because the message of Bucharest was widely accepted and in part because of changes that occurred in the demographic and economic situations in the succeeding decade. The UN medium population projection for 1985 has been proved quite accurate; it is not as alarming as the high projection but still represents a doubling of world population in less than 40 years. The control of fertility upon which the medium projection was predicated is well underway. The movement from high to low rates of fertility and mortality began in the 18th century in the industrial countries and lasted about 1 1/2 centuries during which the population surplus was dispersed throughout the world, especially in North and South America. The 2nd phase of movement from high to low rates currently underway in the developing countries has produced a far greater population increase. The proportion of the population in the developed areas of Europe, North America, the USSR, Japan, Australia, and New Zealand will decline from about 1/3 of the 2.5 billion world population of 1950 to 1/4 of the 3.7 billion of 1985, to 1/5 of the 4.8 billion of 2000, and probably 1/7 of the 10 billion when world population stabilizes at the end of the next century. The growth rates of developing countries are not homogeneous; the populations of China and India have roughly doubled in the past 35 years while that of Latin America has multiplied by 2 1/2. The population of Africa more than doubled in 35 years and will almost triple by 2025. The number of countries with over 50 million inhabitants, 9 in 1950, will increase from 19 in 1985 to 32 in 2025. The process of urbanization is almost complete in the industrialized countries, with about 75% of the population urban in 1985, but urban populations will continue to grow rapidly in the developing countries as rural migration is added to natural increase. The number of cities with 10 million inhabitants has increased from 2 to 13 between 1950 and 1985, and is expected to reach 25 by 2000, with Mexico City, Sao Paulo, and Shanghai the world's largest cities. The peak rate of world population growth was reached in the 1960s, with annual increases of 2.4%. In 1980-85 in the developed and developing worlds respectively the rates of population growth were .7% and 2.0%/year; total fertility rates were 2.05 and 4.2, and the life expectancies at birth were 72.4 and 57.0. Considerable variations occurred in individual countries. Annual rates of growth in 1980-85 were 2.4% in Latin America, 3.0% in Africa, 2.2% in South Asia and 1.2% in East Asia. Today only Iran among high fertility countries pursues a pronatalist policy. Since Bucharest, it has become evident to developing and developed countries alike that population control and economic development must go hand in hand.