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  1. 126
    207503

    The Mexico City conference and the population issue

    Golini A

    Genus. 1984 Jul-Dec; 40(3-4):191-200.

    This article is a report on the U.N.-sponsored International Conference on Population, held in Mexico City in August 1984. The author distinguishes between the "demographic pseudo-problems", which are basically political in nature, and the "real demographic problems" discussed at the conference. Changes in attitudes since the Bucharest conference of 1974 are described, and it is noted that most countries now favor a population policy involving both birth control and economic development. Demographic problems examined at the conference are briefly outlined, and the human rights focus of the conference recommendations is discussed. (summary in FRE, ITA)
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  2. 127
    268209

    Population Commission: report on the twenty-second session, 18-20 January 1984.

    United Nations. Economic and Social Council

    New York, New York, United Nations 1984. 45 p. (Official Records, 1984, Supplement No. 2 E/1984/12 E./CN. 9/1984/9)

    The report of the 22nd session of the United Nations Population Commission includes the opening statements by the Under Secretary General for International Economic and Social Affairs, the Under Secretary General for Technical Cooperation for Development, the Director of the Population Division, and the Assistant Executive Director of the United Nations Fund for Population Activities. These are followed by a description of the actions taken by the United Nations to implement the recommendations of the World Population Conference, 1974. A report on the progress of ongoing work in the field of population summarized for the following categories: 1) world demographic analysis; 2) demographic projections; 3) population policies; 4) population and development; 5) monitoring of population trends and policies; 6) factors affecting patterns of reproduction; 7) dissemination of population information; 8) technical cooperation; and 9) demograpahic statistics. Programs of work in the field of population for the biennium 1984-1985 and medium-term plan for the period 1984-1989 are provided for each of the 9 preceding categories as well as a consideration of draft proposals and a report on the continuity of work. The report concludes with the organization, attendance, and agenda of the session.
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  3. 128
    031701

    Statement by the honourable Minister of Development and Economic Planning and leader of the Republic of Sierra Leone's delegation, Dr. S.H. Kanu at the International Conference on Population, Mexico, 6-13th August 1984.

    Kanu SH

    Popleone. 1985 Jan; 1(2):1-3.

    This article reprints the statement made by Dr SH Kanu, Sierra Leone's Minister of Development and Economic Planning, at the International Conference on Population held in Mexico City in 1984. It is noted that the implications of continued rapid population growth for food production, health, education, and employment have become increasingly clear. This awareness has been intensified by the current economic crisis. Population growth thwarts the expansion of basic necessities and social services. In Sierra Leone, the population is growing 1.2 percentage points faster than the economy each year. The Government is collaborating with voluntary agencies to enact programs that will 1) reduce the current high levels of infant, child, and maternal mortality; and 2) stimulate economic growth so it outstrips population growth. A National Population Commission, composed of representatives from all strata of society, has been formed to advise the government on the most effective ways to achieve a national population growth that is sustainable by the economy. Also needed is a rational global population policy that will remedy the widening gap between developed and developing countries and present inequities in the distribution of the world's natural and financial resources. The present low levels of aid given to African countries reflects the lack of appreciation of the magnitude and urgency of needs in developing countries. The Government of Sierra Leone endorses the call by developing countries for a New International Economic Order to ameliorte the world's socioeconomic problems, including population growth.
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  4. 129
    030885

    Assistance by the United Nations Fund for Population Activities to mortality and health policy.

    United Nations Fund for Population Activities [UNFPA]

    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. 289-303. (International Conference on Population, 1984; ST/ESA/SER.A/91)

    The United Nations Fund for Population Activities (UNFPA) assistance program encompasses basic data collection, population dynamics, formulation of population policies, implementation of general policies, family planning activities, communication and education programs, and special programs and multisector activities. This paper focuses on UNFPA assistance in the area of mortality. The Fund does not provide support for activities related to the reduction of mortality per se; rather, it contributes indirectly to the improvement of infant, child, and maternal health through assistance to family planning programs integrated with maternal-child health care. The types of activities UNFPA supports in this area include prenatal, delivery, and postnatal care of mothers and infants; infant and child care; health and nutrition education; promotion of breastfeeding; monitoring of infant malnutrition; and diagnostic studies and treatment of infertility and subfecundity. The Fund has cumulatively expended about US$87.3 million for activities in the area of mortality and health policy. The Fund is currently providing collaborative assistance to the World Health Organization and the UN for a comprehensive project aimed at measuring mortality trends and examining the roles of socioeconomic development and selected interventions in the mortality decline in certain developing countries. At present there is a need for research on the persistence of high mortality in the least developed countries, the early levelling off of life expectancies in many countries, and the determinants of socioeconomic differentials in mortality. Understanding of the mortality situation in many developing countries has been hindered by a lack of descriptive data on mortality by socioeconomic, regional, and occupational status. The real challenge lies in the implementation of policies designed to reduce mortality; political, managerial, and cultural factors unique to each country, as well as pervasive poverty, make this a difficult process.
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  5. 130
    030884

    Technical co-operation in the field of mortality and health policy.

    United Nations. Department of Technical Co-operation for Development

    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.
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  6. 131
    030879

    Mortality and health policy: highlights of the issues in the context of the World Population Plan of Action.

    United Nations. Department of International Economic and Social Affairs. Population Division

    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. 37-79. (International Conference on Population, 1984.; ST/ESA/SER.A/91)

    This paper reviews the major issues that have emerged in the analysis of mortality and health policy since the 1974 World Population Conference. The 1st part summarizes current mortality conditions in the major world regions and evaluates progress toward achieving the goals of the World Population Plan of Action. It is noted that the current mortality situation is characterized by continued wide disparities between the more developed and less developed regions, especially during the 1st year of life. The 2nd part focuses on the synergistic relationship between health and development, including social, economic, and health inequalities. It is asserted that mortality rates in developing countries are a function of the balance governments select between development strategies favoring capital accumulation and concentrated investments on the 1 hand and strategies oriented toward meeting basic needs and reducing inequalities in income and wealth. Data from developed countries suggest that economic development does not necessarily lead to steady gains in life expectancy. Some variations in mortality may reflect changes in family relationships, especially women's status, that are induced by social and economic development, however. The 3rd part of this paper analyzes the effect of health policies on mortality, including curative and preventive programs and primary health care. The lack of community participation is cited as a key factor in the weak performance of primary health care in many developing countries. In addition, there is strong evidence that the concepts and technologies of modern medicine must be adapted to existing systems of disease prevention and care to gain acceptability. The 4th section, on the implementation of health policies, discusses health care management, planning, and financing. It is noted that successful implementation of health policies is often hindered by scarcity, inadequate allocation, and inefficient utilization of health resources. Finally, more effective means to cope with rising costs of health care are needed.
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  7. 132
    031005

    A survey of population in the ESCAP region.

    Asian and Pacific Population Programme News. 1985 Mar; 14(1):2-5.

    In 1983, the ESCAP region added 44 million people, bringing its total population to 2600 million, which is 56% of the world population. The annual rate of population growth was 1.7% in 1983 compared to 2.4% in 1970-75. The urban population rose from 23.4% in 1970 to 26.4% in 1983, indicative of the drift from rural areas to large cities. In 1980, 12 of the world's 25 largest cities were in the ESCAP region, and there is concern about the deterioration of living conditions in these metropoles. In general, however, increasing urbanization in the developing countries of the ESCAP region has not been directly linked to increasing industrialization, possibly because of the success of rural development programs. With the exception of a few low fertility countries, a large proportion of the region's population is concentrated in the younger age groups; 50% of the population was under 22 years of age in 1983 and over 1/3 was under 15 years. In 1983, there were 69 dependents for every 100 persons of working age, although declines in the dependency ratio are projected. The region's labor force grew from 1100 million in 1970 to 1600 million in 1983; this growth has exceeded the capacity of country economies to generate adequate employment. The region is characterized by large variations in life expectancy at birth, largely reflecting differences in infant mortality rates. Whereas there are less than 10 infant deaths/1000 live births in Japan, the corresponding rates in Afghanistan and India are 203 and 121, respectively. Maternal-child health care programs are expected to reduce infant mortality in the years ahead. Finally, fertility declines have been noted in almost every country in the ESCAP region and have been most dramatic in East Asia, where 1983's total fertility rate was 40% lower than that in 1970-75. Key factors behind this decline include more aggressive government policies aimed at limiting population growth, developments in the fields of education and primary health care, and greater availability of contraception through family planning programs.
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  8. 133
    030868
    Peer Reviewed

    Maternal mortality--a neglected tragedy. Where is the M in MCH?

    Rosenfield A; Maine D

    Lancet. 1985 Jul 13; 326(8446):83-5.

    Despite increasing attention to maternal and child health programs, most do little to reduce maternal mortality. In developing countries, maternal death rates of 100-300/100,000 births are common; rates are even higher in rural areas. Only 1 of the components of most maternal-child health programs (oral rehydration, growth monitoring, breastfeeding, family planning, and immunization) can reduce maternal mortality--family planning. Women who have many births or give birth at either extreme of the reproductive cycle are more likely to die of complications than other women. If all women who want to limit their families had access to efficient contraception, matenal mortality would be substantially reduced. Also needed is a major investment in a system of comprehensive maternity care. 75% of obstetric deaths are due to hemorrhage, infection, toxemia, and obstructed labor. Many of these complications occur among women with recognizable risk factors. It is recommended that the World Bank make maternity care 1 of its priorities. The Bank could initiate a program based on the construction of maternity centers in rural areas, the recruitment and training of staff for these centers, and the provision of supplies and drugs. Because women receiving maternity care can be offered family planning services as well, this proposal provides the World Bank with an opportunity to work toward its goal of reduced population growth rates.
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  9. 134
    030796

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

    United Nations Fund for Population Activities [UNFPA]

    New York, UNFPA, 1985 Mar. viii, 68 p. (Report No. 70)

    The UN Fund for Population Activities (UNFPA) is in the process of an extensive programming exercise intended to respond to the needs for population assistance in a priority group of developing countries. This report presents the findings of the Mission that visited Burma from May 9-25, 1984. The report includes dat a highlights; a summary and recommendations for population assistance; the national setting; population policies and population and development planning; data collection, analysis, and demographic training and research;maternal and child health, including child spacing; population education in the in-school and out-of school sectors; women, population, and development; and external assistance -- multilateral assistance, bilateral assistance, and assistance from nongovernmental organizations. In Burma overpopulation is not a concern. Population activities are directed, rather, toward the improvement of health standards. The main thrust of government efforts is to reduce infant mortality and morbidity, promote child spacing, improve medical services in rural areas, and generally raise standards of public health. In drafting its recommendations, whether referring to current programs and activities or to new areas of concern, the Mission was guided by the government's policies and objectives in the field of population. Recommendations include: senior planning officials should visit population and development planning offices in other countries to observe program organization and implementation; continued support should be given to ensure the successful completion of the tabulation and analysis of the 1983 Population Census; the People's Health Plan II (1982-86) should be strengthened through the training of health personnel at all levels, in in-school, in-service, and out-of-country programs; and the need exists to establish a program of orientation to train administrators, trainers/educators, and key field staff of the Department of Health and the Department of Cooperatives in various aspects of population communication work.
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  10. 135
    030137

    Socio-economic development and fertility decline in Costa Rica. Background paper prepared for the project on socio-economic development and fertility decline.

    Denton C; Acuna O; Gomez M; Fernandez M; Raabe C; Bogan M

    New York, New York, United Nations, 1985. 118 p. (ST/ESA/SER.R/55)

    This summary of information on the development process in Costa Rica and its relation to fertility from 1950-70 is a revision of a study prepared for the Workshop on Socioeconomic Development and Fertility Decline held in Costa Rica in April 1982 as part of a UN comparative study of 5 developing countries. The report contains chapters on background information on fertility and the family, historical facts, and political organization of Costa Rica; the development strategy and its consequences vis a vis the composition of the gross domestic product, balance of trade, investment trends, the structure of the labor force, educational levels, and income; the allocation of public resources in public employment, public investment, credit, public expenditures, and the impact of resource allocation policies; changes in land tenure patterns; cultural factors affecting fertility, including education, women and their family roles, behavior in the home, women and politics, work and social security, and race and religion; changes in demographic variables, including nuptiality patterns, marital fertility, and natural fertility and birth control; characteristics and determining factors of the decline in fertility, including levels and trends, decline by age group, decline in terms of birth order, differences among population groups, how fertility declined, and history and role of family planning programs; and a discussion of the modernization process in Costa Rica and the relationship between demographic and socioeconomic variables. Beginning with the 1948 civil war, Costa Rica underwent drastic changes which were still reflected in national life as late as 1970. The industrial sector and the government bureaucracy have become decisive forces in development and the government has become the major employer. The state plays a key role in economic life, and state participation is a determining factor in extending medical and educational resources in the social field. The economically active population declined from 64% in 1960 to 55% in 1975 due to urbanization and migration from rural to urban areas, but there was an increase in economic participation of women, especially in urban areas. Increased educational level of the population in general and women in particular created changes in traditional attitudes and behavior. Although there is no specific explanation of why Costa Rica's fertility decline occurred, some observations about its determining factors and mechanisms can be made: the considerable economic development of the 1950s and 1960s brought about a rapid rise in per capita income and changes in the structure of production as well as substantial social development, increased opportunities for self-improvement for some social groups, and a rise in expectations. The size of the family became an aspect of conflict between rising expectations and increasing expenses. The National Family Planning Program helped accelerate the fertility decline.
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  11. 136
    030262

    Demographic change in Europe and its health and social implications: an overview.

    Lopez AD

    In: Demographic trends in the European region: health and social implications, edited by Alan D. Lopez and Robert L. Cliquet. Copenhagen, World Health Organization, Regional Office for Europe, 1984. 5-67. (WHO Regional Publications, European Series No. 17; Project RMI/79/P05)

    This chapter presents an overview of recent demographic trends in Europe and discusses the implications of these trends for health and social services. The discussion is based on reports received from 15 of the 33 Member States of the European Region of the World Health Organization. The components of demographic change analyzed included population growth and structure, family formation, fertility, mortality, and population movement. Increases in the number and proportion of the elderly were noted and the traditional excess of births over deaths is expected to change in future years. Population aging is expected to continue to be a principal concern for the social services sector. The increasing emphasis on caring for rather than attempting to cure chronic illnesses among the aged suggests a need for more nursing homes and home-help services. Anticipation of future morbidity and mortality patterns implies a need to focus on specific risk groups, e.g. migrants, adult males, and those from lower socioeconomic groupings. With regard to fertility, adolescent sexual activity and the low use levels of contraception among teenagers comprise areas where greater service provision is necessary. In addition, there is a need for more vocational training for women, improved child care facilities, and full-time employment opportunities better suited to the needs of workers with dependent children. As a result of smaller families, increased divorce rates, the discrepancy between male and female survival, and greater regional mobility, markedly higher numbers of single individuals can be expected. Rapidly evolving changes in family formation, social norms, and underlying demographic trends will continue to alter European societies in the years ahead. The interrelationships between health and demographic phenomenon must continue to be probed to form a basis for future health and social planning.
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  12. 137
    030016

    Integration of population factors into development planning and programmes.

    United Nations. Department of Technical Co-operation for Development; United Nations. Economic and Social Commission for Asia and the Pacific [ESCAP]. Population Division

    In: Population, resources, environment and development. Proceedings of the Expert Group on Population, Resources, Environment and Development, Geneva, 25-29 April 1983, [compiled by] United Nations. Department of International Economic and Social Affairs. New York, New York, United Nations, 1984. 175-86. (Population Studies No. 90; ST/ESA/SER.A/90; International Conference on Population, 1984)

    In carrying out the recommendations of the World Population Plan of Action, the UN has expanded its technical cooperation activities with the countries concerned in diverse population development fields, including studies of the interaction between social, economic, and demographic variables, the formulation and implementation of policies, the integration of demographic factors in the planning process, the training of national staff, and the improvement of the data base and institutional arrangements. Discussion focuses on country problems and policies, national institutional capacity in population and development planning, strengthening national institutional capacities, and integration of population and development in the Economic and Social Commission for Asia and the Pacific (ESCAP) region. The interaction between structural change in population and social and economic development is generally recognized at the aggregate, sectoral, and regional levels, yet it has not thus far been possible to take this factor fully into account in the development planning process in many countries. In too many cases, population policies have been formulated and implemented in isolation and not in harmony with development policies or as an integral part of overall development strategy. Deficiencies in achieving integrated population policies and integration of demographic factors in the development planning process often have been caused or aggravated by a deficient knowledge of the interactions between demographic and socioeconomic factors and by insufficient expertise, resources, and proper institutional arrangements in the field. The population policies most frequently formulated and implemented during the last decade dealt with fertility, population growth, migration (internal and international), and mortality. Many governments continue to assign relatively low priority to the formulation of population policy and the formulation of related institutional arrangements. The fact that population is still understood as family planning by a number of governments also delays the legislative procedure necessary to establish government institutions for population research and study. The need exists to create a viable national institutional capacity through the establishment of a population planning unit within the administrative structure of national planning bodies. The substantive content of the work programs of these units would vary from country to country. There also is a need for a broader approach to the adoption of population policies and development planning strategies. Some progress has been made in integrating population into development planning in the ESCAP region, but the progress has been slow.
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  13. 138
    030014

    Long-term effects of global population growth on the international system.

    Demeny P

    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 and Social Affairs. New York, New York, United Nations, 1984. 125-43. (Population Studies No. 90; ST/ESA/SER.A/90; International Conference on Population, 1984)

    4 overlapping and interrelated concerns appear to influence, if unevenly and in varying combinations, the approaches towards international population phenomena embodied in national policies. The concerns have to do with shifts in relative demographic size within the family of nations, international economic and political stability, humanitarian and welfare considerations, and narrowing options with regard to longterm social development. Each of these concerns is a reflection of measurable or perceived consequences of the extraordinarily rapid growth of the world population during the 20th century and in particular of the marked acceleration of that growth since the end of World War 2. None of these concerns has been adequately articulated, either in the academic literature or in international and national forums in which population policies are considered. International action in the population field has become a subset of international development assistance. Among the motivating concerns, humanitarian and welfare considerations have received the most attention. Considerations of economic and political stability also have been often invoked. In contrast, shifts in relative demographic size and the narrowing options with respect to longterm social development have been seldom discussed. Yet, examination of the record of policy discussions of the last few decades confirms that the influence of these factors has been potent. The dramatic increase of the world population is possibly the single most spectacular event of modern history. During the last 100 years global numbers have tripled, and net population growth between 1900 and 2000 will most likely be of the order of 4.5 billion. Concern with the deleterious consequences of rapid population growth on domestic economic development and, by extension on the health of the world economy is a major factor in explaining international interest in population matters. Concern with poverty is another motivating force for international action involving unilateral resource transfers between nations. The potential role of 2 types of population policies -- relating to international migration and to mortality -- would seem to be narrowly circumscribed. The prospects for useful action in the matter of fertility are more promising.
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  14. 139
    028858

    [Hunger and disease in less developed countries and en route to development (the Third World). Proposal for solutions] Hambre y enfermedades en los paises menos adelantados y en vias de desarrollo (Tercer Mundo). Propuesta de soluciones.

    Piedrola Gil G

    Anales de la Real Academia Nacional de Medicina. 1984; 101(1):39-96.

    The extent, causes, and possible solutions to problems of hunger, inequality, and disease in developing countries are discussed in this essay. Various frameworks and indicators have been proposed for identifying the poorest of nations; currently, 21 African, 9 Asian, and 1 American nation are regarded as the poorest of the poor. The 31 least developed countries, the 89 developing countries, and the 37 developed countries respectively have populations of 283 million, 3 billion; infant mortality rates of 160, 94, and 19/1000 live births; life expectancies of 45, 60, and 72 years; literacy rates of 28, 55, and 98%; per capita gross national products of $170, and $520, and $6230; and per capita public health expenditures of $1.70, $6.50, and $244. Developing countries in the year 2000 are expected to have 4.87 billion of the world's 6.2 billion inhabitants. The 3rd world contains 70% of the world's population but receives only 17% of world income. 40 million persons die of hunger or its consequences each year. Economic and social development is the only solution to problems of poverty and underdevelopment, and will require mobilization of all present and future human and material resources to achieve maximum possible wellbeing for each human being. Among principal causes of underdevelopment in the 3rd World are drought, illness, exile, socioeconomic disorder, war, and arms expenditures. Current food production and a long list of possible new technologies would be adequate to feed the world's population, but poor distribution condemns the world's people to hunger. Numerous UN agencies, organizations, and programs are dedicated to solving the problems of hunger, underdevelopment, and disease. In 1982, 600 billion dollars were spent in armanents, of $112 for each of the world's inhabitants; diversion of these resources to development goals would go a long way toward solving the problem of underdevelopment. The main problem is not lack of resources, but the need to establish a new and more just economic and distributive order along with genuine solidarity in the struggle against underdevelopment. Several steps should be taken: agricultural production should be increased with the full participation of the developng nations; the industrialized or petroleum-producing nations should aid the poor states with at least .7% and up to 5% of their gross national products for the struggle against drought, disease, illiteracy, and for the green revolution and new agropastoral technologies; prices paid to poor countries for raw materials should be fair; responsible parenthood, education, women's rights, clean drinking water, environmental sanitation and primary health care should be promoted; the arms race should be halted, and the North-South dialogue should be pursued in a spirit of goodwill and cooperation.
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  15. 140
    248073

    [World demographic processes and their determining factors] Mirovye demograficheskie protsessy i opredelyayushchie ikh faktory

    Isupov A

    Vestnik Statistiki. 1985; (2):54-60.

    This is a general review of the International Conference on Population, which was held in Mexico in August 1984. The focus is on the Soviet viewpoints toward the various issues discussed at the conference. (ANNOTATION)
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  16. 141
    267814

    Population, resources, environment and development.

    United Nations. Department of International Economic and Social Affairs

    New York, New York, United Nations, 1984. ix, 534 p. (International Conference on Population, 1984; Statements ST/ESA/SER.A/90)

    Contained in this volume are the report (Part I) and the selected papers (Part II) of the Expert Group on Population, Resources, Environment and Development which review past trends and their likely future course in each of the 4 areas, taking into account not only evolving concepts but also the need to consider population, resources, environment and development as a unified structure. Trends noted in the population factor include world population growth and the differences between rates in the developed and developing countries; the decline in the proportion of the population who are very young and the concomitant increase in the average age of the population. Discussed within the resource factor are the labor force, the problem of increasing capital shortage, expenditures on armaments, trends in the supply and productivity of arable land, erosion and degradation of topsoil and energy sources. Many of the problems identified overlap with the environment factor, which centers on the problem of pollution. The group on the development factor was influenced by a pervasiv sense of "crisis" in current economic trends. Concern was also expressed regarding the qualitative aspects of current development trends, defined as the perverse effects of having adopted inappropriate styles of development. Part II begins with a general overview of recent levels and trends in the 4 areas along with the concepts of carrying capacity and optimum population. Other papers discuss the impact of trends in resources, environment and development on demographic prospects; long-term effects of global population growth on the international system; economic considerations in the choice of alternative paths to a stationary population and the need for integration of demographic factors in development planning. The various papers on the resources and environment factor focus on resources as a barrier to population growth; the effects of population growth on renewable resources; food production and population growth in Africa; the frailty of the balance between the 4 areas and the need for a holistic approach on a scale useful for regional planning. Also addressed are: social development; population and international economic relations; development, lifestyles, population and environment in Latin America; issues of population growth, inequality and poverty; health, population and development trends; education requirements and trends in female literacy; the challenge posed by the aging of populations; and population and development in the ECE region.
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  17. 142
    028827

    Sex differentials in mortality.

    Lopez AD

    Who Chronicle. 1984; 38(5):217-24.

    As part of its regional strategy for attaining health for all, the World Health Organization (WHO) European Region seeks to reduce sex differentials in mortality. In developing countries, the health consequences of social, economic, and cultural discrimination against females have produced a higher mortality rate among females than males. In contrast, there is a trend toward increasing excess male mortality in the developed countries. The sex differential in mortality arises from 2 broad groups of causes: genetic-biological and enivronmental. In high mortality countries, environmental factors may reduce or cancel out the biological advantages that women enjoy over men. As mortality is reduced through improved nutrition, public health measures, and better health care and education, women's environmental disadvantage is reduced and genetic-biological factors may increase the female life span faster than that of males. In the 3rd phase of this process, life style factors (e.g. alcohol abuse, cigarette smoking) may become increasingly detrimental to male health and survival, leading female mortality to decline at a faster pace than that of males. Although males appear to have adapted less well than women to the stresses of modernization, there has been a trend toward high risk behavior patterns among women too as a result of the changing female role. Prospects for the future trend of sex differentials in developed societies depend largely on developments in 2 areas: the effective treatment of degenerative and chronic diseases, which dominate the cause-of-death structure in these societies; and prevention through health education and encouragement of changes in personal behavior and life style. The challenge for women is to resist pressures to adopt a hazardous life style (e.g. smoking) that might offset the benefits of their improved social status.
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  18. 143
    021441
    Peer Reviewed

    A perspective on long-term population growth.

    Demeny PG

    Population and Development Review. 1984 Mar; 10(1):103-26.

    This paper presents some of the results of projections prepared by the World Bank in 1983 for all the world's countries. The projections (presented against a background of recent demographic trends as estimated by the United Nations) trace the approach of each individual country to a stationary state. Implications of the underlying fertility and mortality assumptions are shown mainly in terms of time trends of total population to the year 2100, annual rates of growth, and absolute annual increments. These indices are shown for the largest individual countries, for world regions, and for country groupings according to economic criteria. The detailed predictive performance of such projections is likely to be poor but the projections indicate orders of magnitude characterizing certain aggregate demographic phenomena whose occurrence is highly probable and set clearly interpretable reference points useful in discussing contemporary issues of policy. (author's)
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  19. 144
    267631

    Action by the United Nations to implement the recommendations of the World Population Conference, 1974: monitoring of population trends and policies.

    United Nations. Economic and Social Council. Population Commission

    New York, New York, United Nations, 1984 Dec. 10. 15 p. (E/CN.9/1984/2/Add.1)

    Pursuant to the recommendation of the World Population Plan of Action adopted in 1974, which was reaffirmed by the International Conference on Population in 1984, the United Nations has been undertaking a biennial review of population trends and policies. At the 22nd session of the Population Commission, held in January 1984, the Commission requested the Secretary-General to prepare an addendum to the concise report on monitoring of population trends and policies for the 23rd session, bearing in mind the relatively short time span since the preparation of the last such report. The purpose of the present document is to provide the Population Commission with such information to facilitate its deliberation on the agenda item. Analyses show that the gradual slow-down of global population growth is still holding with the present rate estimated at 1.65%/year, down from 2% during the 1960s. Declines have occurred in both the developed and the developing countries. Regional diversity of population trends have been so large that an overall global assessment seems almost irrelevant for policy consideration at national levels. The future population growth rate is expected to decline slower than it did in the past 15 years unless population policies change significantly. During the 1980-85 period the working age population (15-64 years) in the developing countries is estimated to have increased, on the average, at an annual rate of 2.8%, the elderly population (60 and over) at 3% and women in the reproductive ages (15-49 years) at 2.9%. The most urgent problem for many developing countries is perhaps the continuing very rapid increase of the working age population. The aging of the population, which bears significant policy implications, is among the most salient features of population change in the world, except for Africa. Fertility rates in most developed countries continue to fluctuate at low levels. No current data on developing country rates are available. An overall improvement in mortality in most countries is noted. A high rate of urban population growth in developing countries is a tremendous problem facing these countries. International migration, social and economic implications, demographic perceptions and governmental policies are summarized. National sovereignty, human rights, cultural values and peace are stressed as important factors in population policies. Women's status is discussed as playing a role in population change.
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  20. 145
    028327

    United Nations International Conference on Population, 6-13 August 19849

    Brown GF

    Studies in Family Planning. 1984 Nov-Dec; 15(6/1):296-302.

    The international Conference on Population, held in Mexico City in August 1984, met to review past developments and to make recommendations for future implementation of the World Population Plan of Action. Despite the several ifferences of opinion, the degree of controversy was minor for an intergovernmental meeting of this size. The 147 government delegations at the Conference reached overall agreement on recommendations for future international commitment to expanding population efforts in the future. This review examines the recommendations of the Mexico Conference with regard to health, family planning, women in development, research, and realted issues. The total 88 recommendations wre intended to reaffirm and refine the World Population Plan of Action adopted in Bucharest in 1974, and to strengthen the Plan for the next decade. Substantial improvement in development was noted including fertility and mortality declines, improvements in school enrollement and literacy rates, as well as access to health services. Economic trends, however, were much less encouraging. While the global rate of population growth has declined slightly since 1974, world population has increased by 770 million during the decade, with 90% of that increase in the developing countries. Part of the controversy at the Conference focused on the remarkable change of position by the US delegation, which largely reversed the policies expressed at Bucharest. The US delegation stated that population was a neutral issue in development, that development is the primary requirement in achieving fertility decline. Several recommendations emphasized the need to integrate population and development planning, and called for increased national and international efforts toward the eradication of mass hunger, illiteracy, and unemployment; achievement of adaquate health and nutrition levels; and improvement in women's status. The need for futher development of management, training, information, education and communication was recognized. A clear call to strenghten global efforts in population policies and programs emerged.
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  21. 146
    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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  22. 147
    026428

    Migrants and planned parenthood.

    International Planned Parenthood Federation [IPPF]. Europe Region

    London, International Planned Parenthood Federation, Europe Region, 1984 Jun. 122 p.

    Reflections, speculations, and partial evaluations of work already undertaken in the International Planned Parenthood Federation (IPPF) Europe Region concerning migrants and planned parenthood are presented. This project, initiated by the Federal Republic of Germany Planned Parenthood Association (PPA), PRO FAMILIA, stemmed from the practical experiences and problems of 1 family planning association in the Europe region. The original substantive framework, consisting of data collection and correspondence, plenary meetings, and subworking group meetings on specific areas of interest, was not altered. Throughout the project, as the work was accomplished, the emphasis shifted to different aspects to migrant work. The 1st questionnaire was intended to provide a sociodemographic profile of the participating countries, a show European migratory movements, and ascertain the ethnicity of the target groups in the different countries. The 2nd questionnaire was related specifically to PPA and/or other family planning center's data and activities and attempted to explore PPA attitudes toward migrant clients, when special facilities for migrants were provided, and whether PPAs felt there was a particular need for such services. The report provides a sociodemographic background of migration in Europe. In addition it includes information from donor countries and recipient countries, examining family planning services in the Federal Republic of Germany and the UK. It also covers training; information, education, and communication; adolescence and 2nd generation migrants; and migrant work. It is necessary to be particularly aware of political sensitivities in treating immigrant fertility regulation. Ideally, the aim is to provide an integrated service for migrants and natives both, catering to individual needs. Until this is feasible, the goal must be to work toward an integrated service, recognizing the needs and providing special services where possible if this is judged tobe the best approach to catering to those needs. Migrant needs must be discovered rather than assumed. Better use should be made of the available printed material, which should be utilized to complement oral information where possible. Experience has shown that family planning personnel working with migrants need additional training. The main components of this training should include self-awareness, insight, and knowledge.
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  23. 148
    267405

    [Statement by Rene Fernandez-Araoz, Vice-Minister of coordination of the Ministry of Planning, Bolivia] Discurso pronunciado por S.E. el Lic. Rene Fernandez-Araoz, Vice-Ministro de Planeamiento de la Republica de Bolivia, en la Conferencia Internacional de Poblacion..

    Bolivia. Ministerio de Planeamiento

    [Unpublished] 1984. Presented at the International Conference on Population held in Mexico City, August 6-13, 1984. 7 p.

    Latin America faces a series of problems and hurdles which condition the way in which the issue of population/development is approached. The most obvious problems are the required changes in the socioeconomic and political structures; the state of the social sciences in the population field; the fragmentation of efforts among scientists, academicians, technicians and politicians dealing with this area; and the lack of legitimacy accorded to this topic. The chief hurdle facing most countries in the region and Bolivia in particular, is that of wide social differences. This disparity will worsen unless profound social changes are carried out. Bolivia has spent 3 yeras developing a consistent population policy within a development framework. This country offers a peculiar demographic situation: while the average fertility rate is 6.5 children/woman, this is offset by a high infant mortality rate (213/1000 children between the ages of 0 and 2), and a net population loss from out-migration. Bolivia is therefore underpopulated at the same time that the poorest women have a high fertility rate. The country's population policy thus seeks to act not only on the key demographic variables, but also on those social and economic variables which determine its poverty and underdevelopment. To this end, a National Population Council is being established with the assistance of the UN Fund for Population Activities and other entities. The speaker regrets the imposition of conditions on the funds granted by the UNFPA. These restrictions fall primarily on the poor and less-developed countries.
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  24. 149
    203195

    [Examination and evaluation of the World Population Plan of Action. An analysis of population growth in Latin America] Examen y evaluacion del Plan de Accion Mundial sobre Poblacion. Analisis de crecimiento demografico en America Latina

    Lima Otero J; Garcia Quinones R

    Havana, Cuba, Universidad de la Habana, Facultad de Economia, Centro de Estudios Demograficos [CEDEM], 1984. 49 p. (Publicaciones de CEDEM: Coleccion Investigaciones no. 63)

    Socioeconomic and demographic changes that have occurred in Latin America since the 1974 World Population Conference are reviewed using data from published U.N. sources. Factors affecting Latin American population growth and urbanization and determinants of Cuban population growth since 1970 are considered. (ANNOTATION)
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  25. 150
    026165

    Reflections on population.

    Salas RM

    New York, Pergamon, 1984. 240 p.

    This book, a sequel to "International Population Assistance: The First Decade," characterizes the work of the UN Fund for Population Activities (UNFPA) with the developing countries up to 1984, relating these experiences to the issues before the 1984 International Conference on Population. The 1st chapter provides an overview of the significant developments in population up to the 1984 International Conference on Population. The next 7 chapters discuss the following main issues before the Conference and generally reflect the arrangement of the document to be brought before the Conference concerning recommendations for further implementation of the World Population Plan of Action: fertility, status of women and the family; morbidity and mortality; population distribution, internal and international migration; population growth and structure; promotion of knowledge and implementation of policies and programs; international cooperation and the role of UNFPA; and the year 2000 and beyond. Within each of these chapters, excerpts have been arranged in an analytic order, with the aim of facilitating the flow of arguments presented. Appendices contain the 5 "State of World Population Reports" issued from 1980-84 and 7 Rafael M. Salas statements which, primarily due to their focus on the population issues of particular importance to the major regions of the globe, are reproduced in their entirety. This volume reflects the process of population policymaking of the UNFPA with the developing countries in support of their population programs in the past 15 years. These policies were sanctioned and validated, both nationally by the countries themselves and globally by UN deliberative bodies and conferences. The experience of UNFPA in policy formulation indicates that an effective population policy must have its proper time perspective and must be scientifically determined in its component elements, normative and applicable at different levels, multisectoral in its emphasis, and measurable in its impact and consequenes.
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