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[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.
[Health costs and financing and the work of WHO] Cout et financement de la sante et activities de l'OMS.
World Health Statistics Quarterly. Rapport Trimestriel de Statistiques Sanitaires Mondiales. 1984; 37(4):339-50.This discussion examines the international responses to issues and problems in the cost and financing of the health sector, focusing on the work of the World Health Organization (WHO). It describes the growth of attention to these concerns beginning in the 1970s, reviews methods and applications of financial analysis in greater detail, and summarizes progress to date and the agenda for work. Emphasis is on the developing countries, for they face the most urgent problems regarding costs and financing, and more attention is directed to their needs for support in this area. By the early 1970s it was clear that progress in health development particularly in the most underprivileged countries was unsatisfactory and that changes were needed if services were to have an appreciable impact on the health problems of developing populations. A major study conducted jointly by the UN Children's Fund (UNICEF) and WHO identified several of the critical problems associated with resources. The essential financial concerns requiring attention in connection with primary health service coverage, the need for more equitable distribution of existing resources for health and the priority of resources allocation to peripheral health services were examined in detail by a WHO Study Group on Financing Health Services which met in 1977. Among the problems of health finance, those of the overall lack of funds, the maldistribution of health resources, rising health care costs, and the lack of coordination were found to be particularly important. The Study Group concluded that, despite difficulties, it was possible to collect information of sufficient reliability for planners' needs and at a modest cost, even for the private sector. To help bring this about, it recommended that research centers and universities, in collaboration with national health authorities of their country, devote considerable attention to data collection methods. The reports, studies, and papers prepared at various meetings deal in general with specific aspects of health cost and financing. A major element, and evolving product, of the meetings and studies related to developing countries was a manual on financing health services, originally based on the recommendations of the 1st Study Group meeting. This draft document served as background material for a series of further meetings and was used to guide many of the country financing studies. A number of other health financing manuals were also developed between 1979-81. In its final published form the WHO manual attempts to be relevant to all developing countries. The manual describes health policies and their financial aspects and outlines techniques for data collection. If the recommendations of the 1st Study Group are compared with the achievements recorded thus far, the following facts come to light: many countries have undertaken surveys of health sector financing and resource allocation; increased interest in this subject has been shown by other international organizations; much progress has been made in the development and refinement of methodologies for collecting and using financial data; international activities and country studies have made it possible to provide reports for country leadership; and issues of financial planning and management often appear in medium and longterm plans.
In: Mortality and health policy. Proceedings of the Expert Group on Mortality and Health Policy, Rome, 30 May to 3 June 1983, [compiled by] United Nations. Department of International Economic and Social Affairs. New York, New York, United Nations, 1984. 270-88. (International Conference on Population, 1984; ST/ESA/SER.A/91)This paper reviews the technical cooperation efforts undertaken by the United Nations Department of Technical Cooperation for Development (DTCD) to help combat the high mortality levels in developing countries and to evolve policies in response to the World Population Plan of Action. Although the transfer of medical technology and the provision of drugs and other medical supplies remain important means of controlling death and disease, there is growing recognition of the need to develop national skills to deal with mortality, to maintain a continuous record of mortality and morbidity levels and their response to ameliorative programs, and to analyze the interrelationships between demographic, health, and socioeconomic variables. DTCD has focused on data collection and analysis, the integration of research findings into population policy formulation, and training and skill development to facilitate self-reliance. However, the lack of regular mechanisms for coordinating the activities of the various United Nations agencies that play a role in in technical cooperation in the areas of mortality and health policy has been a serious limitation. Another problem has been the dearth of tested alternative techniques for conducting simple health surveys whose results could be used in planning. Closer cooperation between United Nations agencies in this field is urged. It is also important that the recent reassignment of a low priority to data collection and analysis on the part of the United Nations Development Program be reversed. Unless data collection, analysis, and evaluation are reassigned a high priority, planners will be forced to depend on subjective judgments to evolve mortality policies. Finally, technical cooperation activities that aim to integrate mortality and morbidity control into population policies must be responsive to human rights.
[Reconciling censal and inter-censal data and determination of the population base] Conciliacion censal y determinacion de la poblacion base.
In: Metodos para proyecciones demograficas [compiled by] United Nations. Centro Latinoamericano de Demografia [CELADE]. San Jose, Costa Rica, Centro Latinoamericano de Demografia, 1984 Nov. 13-42. (Centro Latinoamericano de Demografia [CELADE] Series E, No. 1003)This work describes procedures used by the Latin American Demographic Center (CELADE) for establishing a base population for projection in quinquennial age groups by means of evaluation of population censuses and reconciliation of demographic data for 2 or more intercensal periods. Demographic reconciliation refers to the array of procedures through which the degree of coverage of successive censuses is evaluated; age and sex distributions resulting from incomplete coverage, differential omission, and poor age reporting are corrected; the demographic dynamics of intercensal periods are made coherent with estimates of mortality, fertility, and migration from all available sources; and a base population for population projection is established. There are no fixed rules for evaluation and reconciliation of census data, because the history and quality of data collection in each country are unique. The compensatory equation, in which 2 or more population censuses are reconciled in regard to fertility, mortality, and international migration in intermediate years usually in terms of age cohorts, is an indispensable tool for demographers in developing countries. The need to add children born in the years between censuses and the different types of errors typifying different age groups means that the process of census reconciliation should be carried out separately for at least 3 age groups: children under 5, the 5-9 year cohort, and those over 10 years of age. The age group 0-4 is often the most seriously underestimated. Because the age group 5-9 years is often the best enumerated in Latin American population censuses, it can serve as the basis for correction of the population aged 0-4. The data required include the population aged 5-9 in single years in the last census, the deaths in children under 10 by year of birth and age at death in single years, and the annual number of births in the 10 years preceding the last census. Data from Panama illustrate that the results of this technique are not always acceptable, in which case correction of the 0-4 cohort may be accomplished by means of correction of births and deaths using indirect methods. Corrections for the 5-9 cohort, if required, can be made in a similar manner to that for the youngest group. Evaluation and correction of errors of omission and misreporting of age of the population over 10 is the most difficult because data sources are most often inadequate, these age groups have the greatest age and sex differentials and poorest age reporting, and are most likely to be effected by emigration. All available data should be utilized to produce a group of alternative estimates for each cohort based on diverse basic data and assumptions about such variables as the sex ratios for age agroups. The most likely values must then be selected or calculated. The process by which census results from 1950-80 were used to estimate the base population for a projection by components in Panama illustrates the procedure used by CELADE.
In: United Nations. Department of International Economic and Social Affairs. Population projections: methodology of the United Nations. New York, N.Y., United Nations, 1984. 67-74. (Population Studies, No. 83; ST/ESA/SER.A/83)This paper draws attention to the large variation in national practices to determine localities and to classify urban populations which has serious implicatons for any projections of urban and city populations, no matter what specific methodology is being used. There are many criteria by whichlocalities can be defined as urban: population size, population density, % labor force in non-agriucltural activities, function of the city, some other unspecified "urban" characteristics or a combination of several of these criteria. Population size is deemed the preferable criterion for designating localities as urban. This criterion is consistent with one of the classic definitions of urbanization: "Urbanization is a process of population concenttration. It proceeds in 2 ways: the multiplication of points of concentration and the increase in size of individual concentration." Population size is also the most widely available criteria for localities. Procedures used by the UN to estimate and project urban and city population are given. The UN utilizes a measure of urbanization called the urban-rural ratio (URR), which is defined as the ratio of the urban to the rural population for a country at a given point in time. While attempts are being made to provide as complete a coverage of cities as possible, no standard guidelines have so far been used to systematically include all cities that will reach 100,000 population during the projection period. It is hoped that detailed discussion of the data and the conceptual and procedural problems will lead users of the estimates and projections to carefully consult the respective sources and definitions when they use these results for comparative purposes.