Reproductive rights and health discussed

The 29th session of the UN Commission on Population and Development (February 26 to March 1, 1996) focused on reproductive health and rights, including population IEC (information, education, and communication). Speakers relayed national responses to the Programme of Action of the 1994 International Conference on Population and Development, highlighted the critical role of nongovernmental organizations in meeting reproductive health needs through IEC and advocacy, and applauded the recent expansion of the Population Information Network. The Director of the UN's Population Division noted that in 1946, when the Commission was founded, the Division estimated that the world population would reach 6.3 billion in the year 2000. The latest estimate of 6.2 billion confirms this early estimate. Sensitive issues which the Commission expects to face in coming years are abortion, the aging of populations, HIV/AIDS, and international migration. The Executive Director of the UN Population Fund reported that guidelines are being developed on the quality of reproductive health care and that gender concerns are increasingly being included in program design and implementation. The Commission also considered the Secretary-General's January 15, 1996, report on world population monitoring, reproductive rights, and reproductive health. Finally, the Commission announced that Leticia Ramos-Shahani, an advocate from the Philippines, and Pathfinder International would share the 1996 Population Award.     

Choices and responsibilities: finding the balance

Rapid population growth means the addition of a billion more people in 11 years. The International Conference on Population and Development (ICPD), scheduled for September 5-13, 1994, will address the issue of population growth and design strategies for slower growth with economic development and environmental protection. This article summarizes Dr. Nafis Sadik's special preparatory message about the conference. The ICPD will address the issues of reproductive health, affordable family planning (FP), and informed choice. There will be an emphasis on better health care, housing, education, and other poverty alleviation measures. Empowerment of women through educational and economic opportunity and increased foreign aid are also themes. Improvements in the quality of life as well as demographic and social change are required. The key to slowing population growth is to meet the need for FP services to reduce fertility. Reexamination of the life-styles of the more affluent is also required. Needs and resources must be balanced. Sustainable development and resource use will depend upon slower population growth, more rational population distribution, alleviation of poverty, environmentally safer consumption patterns, and other measures. The 1994 draft plan of action has a broad mandate which recognizes the linkages between population and development. Target dates and reproductive rights language are bracketed and will be discussed during the conference. Quantitative goals are set for education, child and maternal mortality reduction, and universal access to FP and reproductive health services. The public should be made aware of the development and population links. Developing countries are asked to devote 20% of their government budget to social development. Countries by their action or inaction will choose a world population size in 2015 ranging from 7.27 to 7.92 billion. The difference of 660 million in 20 years is equal to the current population in Africa. The high projection for 2050 is 12.5 billion people. The ICPD will be the last global opportunity before the turn of the century to address the challenges of shared responsibility for the future of life on earth.     

Programme of Action: raising resources

The International Conference on Population Development (ICPD) Program of Action comprehensively covers a wide range of demographic and social issues by setting goals to be achieved over a period of 20 years. Since its initial implementation, population issues have been fundamentally linked with the countries' prospects for sustainable development. In the ICPD+5 review it was concluded that countries are committed to the Cairo agenda and to the idea that population and development go hand in hand. This commitment involves spending on population and related programs, which totals $17 billion by the year 2000 and $22 billion by 2015. Funding would come from countries (0.7% of gross domestic product to overall development assistance and 4% to population activities). However, the trend shows that countries have not achieved these targets and are decreasing rather than increasing spending on population issues, particularly from the developed countries. Findings of a survey indicated that the lack of resources is the greatest obstacle in attaining desired goals of developing countries. In addition, serious economic stagnation and an unfavorable international economic environment makes it difficult for many developing countries to resolve the problem of lack of resources, and technical capabilities are badly needed to achieve the goals of the ICPD.     

Table set thinly as Food Summit pledges to halve world hunger in 20 years

By 2030, global population will grow from the current size of 5.7 billion to 8.7 billion. Just maintaining current levels of food availability will require rapid and sustainable production gains, for supplies must be increased by more than 75% without destroying the planet's natural resources. At current levels of food availability, however, 840 million people worldwide are chronically undernourished because they are unable to acquire enough food to meet their body's energy or nutrient requirements. More than 200 million children under age 5 years suffer from basic protein and energy deficiencies, while millions suffer from diseases and retarded development related to diet deficiencies. Each year, almost 13 million children die unnecessarily as a direct or indirect result of hunger and malnutrition. The World Food Summit took place in Rome during November 13-17, 1996. 9863 delegates from 186 countries participated in charting the course toward achieving universal food security by adopting the Rome Declaration on World Food Security and the World Food Summit Plan of Action. The documents also pledge efforts to halve the number of hungry in the world no later than 2015.     

Africa's population and family planning dynamics

The historical and current demography of Africa in this discussion focuses on the context of population policy, contraceptive use, reproductive behavior, polygamy, and economic impacts. Sub-Saharan Africa countries have the highest rate of population growth in the world. 50% are aged under 20 years, and 20% are aged under five years. Urban areas are growing at the fastest rates in the world (5-6% annually). Population density remains low, except for areas where there is high soil fertility. Many African countries recognize the need for population policies. The most important donor to Africa, the World Bank, has pressured African governments to adopt family planning (FP) programs. A major World Bank study has shown that more FP services are desired by African women. Family expenditures for the 1980s for FP were estimated at $100 million annually, of which $53 million was provided by donors. Further expansion in the program is needed. The World Bank targeted contraceptive use at 25% of African married couples. Except for Egypt and North African countries, contraceptive use is around 3-4%. Another perspective on population reduction is to expand programs for child spacing and postnatal nutrition of mothers and infants. There has been a failure to turn health systems around to low-cost preventive health, particularly in rural areas. Infant mortality must be reduced before fertility will decline. Population growth can be slowed by changing the status of African women (high social status and recognition are associated with high fertility), age of marriage, child spacing, agricultural productivity, and nutrition. Demographic data on Africa have only become available during the past 25 years. African demographers are in short supply and require training abroad. Demographic data gaps and reliability problems are offset by the recent availability and quantity of survey data. Historical demography has produced conflicting results. Although some investigators, such as Ester Boserup, argue that population pressure results in agricultural innovations, Africa has yet to experience this phenomena. The youthful composition of the population guarantees continued population momentum. Fertility is enhanced by the cultural emphasis on perpetuating lineage and high fertility. Changes in reproductive behavior will depend on major social changes for women.     

Declines in fertility levels evident in Africa,notes UN Population Fund

This article reports on the UN Population Fund's (UNFPA) African regional meeting that was held in November 1997. The meeting was attended by an assortment of UNFPA representatives and program staff. This meeting followed up the 1994 Cairo International Conference on Population and Development (ICPD) and 1995 regional meetings on the 1994 Plan of Action. These prior meetings emphasized the link between population and development and the urgency of meeting the needs of individual women and men in a people-centered approach to development, rather than a target oriented one. The 1997 meeting reviewed the progress made toward achieving the goals of the 1994 plan of action by the UNFPA. UNFPA aims to decentralize operations, to play a role in emergency situations, to encourage South-to-South cooperation, to advocate for reproductive rights, and to promote gender equity and women's empowerment. The meeting discussed UNFPA's role in reproductive health, population and development strategies, and advocacy in detail. Participants agreed that there were signs of fertility decline in Africa. Countries are beginning to adopt a reproductive health and rights approach and to address female genital mutilation as a human and reproductive right's issue. Population policies are being changed to include ICPD goals. 32 countries adopted new programs in 1996 and 1997, that integrated the 1994 strategies and selectively focused on issues of concern. Partnerships confirm that population issues are becoming an agenda for all. The major challenge ahead is the mobilization of resources, while dealing with civil strife and political instability.     

Population: action for a new decade

This 48-page supplement reports on the world popultion situation and on the International Conference on Population held in Mexico City in 1984. Included are summaries of Conference recommendations, the text of the Mexico City Declaration on Population and Development, a World Population Chart, and reports on population studies. The main task of the 1984 Population Conference was to review the 1974 World Population Plan of Action and approve steps to update some of its goals in line with new issues that have emerged in recent years. The preamble to the 1984 recommendations states that the basis for an effective solution to population problems is socioeconomic transformation. It is noted, however, that even in the absence of socioeconomic development, family planning programs can have an impact on fertility levels. This report futher describes the debate on disarmament, abortion, economic policy, and occupied territories that took place in Mexico City. Also included is a glossary of terms used in population studies and a discussion on how the United Nations determines its demographic projections.     

"To change the world." Cairo conference reaches consensus on plan to stabilize world growth by 2015

After 6 days of debate and 200 speakers during September 5-13, 1994, participants from 180 countries at the Cairo International Conference on Population and Development (ICPD) agreed on a strategy for curbing global population growth over the next 20 years. The objective was sustained economic growth and sustainable development. In his opening remarks, UN Secretary-General Boutros Boutros-Ghali said that the objective was to balance humanity and the environment with the means to sustain life, and that the efficacy of the world economic order depended to some extent on the ICPD. Participants were urged to use rigor, tolerance, and conscience in conference deliberations. Men and women should have the right and the means to choose their families' futures. The preamble stated that the ICPD would probably be the last opportunity in the twentieth century to address globally the issues relating to population and development. UN Population Fund Executive Director Nafis Sadik remarked that the ICPD had the potential to change the world. Egyptian President Mohamed Hosni Mubarak was elected president of the ICPD. Mubarak stated that solutions to population problems must go beyond demographic accounting and incorporate change in social, economic, and cultural conditions. Norway's Prime Minister Gro Harlem Brundtland stated that development in many countries never reached many women. She called it a hypocritical morality that allowed women to suffer and die from unwanted pregnancies, illegal abortions, and miserable living conditions. US Vice President Albert Gore called for comprehensive and holistic solutions. The essential features of social change would involve democracy, economic reform, low rates of inflation, low levels of corruption, sound environmental management, free and open markets, and access to developed country markets. Pakistan's Prime Minister Benazir urged the empowerment of women. Many expressed the concern about unsustainable consumption in industrialized countries. Prior world population conferences had been held in Rome (1954), Belgrade (1965), Bucharest (1974), and Mexico City (1984). The first World Plan of Action was adopted in 1974 and changed at the 1984 conference.     

Population,progress, and peanuts

Population and development, more specifically on matters relating to family planning, contraceptives and abortion, have always been key issues at the UN. These were the challenges faced by the Member States of the UN during the General Assembly held in New York from June 30 to July 2, 1999. The 1999 session covered a wide range of questions, which reflected universal consensus on concerns including adolescent reproduction and sexual health, as well as gender-related issues. The special meeting lasted for 3 days of visionary hopes and politics for the future of the world, and also took into account the crucial issue of resources and fundraising. The 1994 International Conference on Population and Development (ICPD) in Cairo was the starting point for such an international understanding and consensus. In the years following 1994, the challenge to carry out lessons learned from the Cairo Conference and ICPD has now led to a final document, which guides nations across the globe on where to concentrate key future actions.     

Comparing Projection Assumptions of Fertility in Six Advanced Asian Economies; or ‘Thinking Beyond the Medium Variant’

The United Nations' (UN) World Population Prospects are perhaps the most widely used population projections in both academic and policy discourses. In this short research note, we examine six advanced Asian economies, and compare the fertility assumptions used by the UN with those derived from local statistical offices (LSOs). We identify a significant divergence between them. When translated into total projected population size of younger age groups (0–14 years), the use of the UN rather than the LSO ‘medium’ projection can increase the total projected population size by up to 50% by 2040.     

BOOK REVIEWS

Book reviewed in this article: M. I. Tuqan, Education, Society and Development in Underdeveloped Countries. Centre for the Study of Education in Changing Societies A. Lauterbach: Psychological Challenges to Modernization. D.H. Burger, Sociologisch-economische geschiedenis van Indonesia (The Social- Economic History of Indonesia) James Howe et al: The US and World Development. Agenda for Action 1975. Charles Cooper and Sidney Alexander (eds): Economic Development and Population Growth in the Middle East.     

Women endangered,says world population report

This report highlights key points from the UN Population Fund's "State of World Population 1997," which focused on women's right to choose in matters relating to reproductive health. The report documents global progress toward achieving reproductive rights for women and recommends more funding for reproductive health care and family planning and increased efforts to promote gender equality and individual rights. International agreements protect: the right to reproductive and sexual health throughout the life cycle; voluntary choice in marriage and childbearing and the means to determine when to have children; equality and equity in all spheres for men and women; and freedom from sexual violence and coercion. When these rights are denied, the result is maternal mortality (a death every minute). There is a lack of access to contraceptive services that affect 350 million women. Unsafe abortions are performed on 20 million women, of whom 70,000 die. There is a lack of access to sex education and services for teenagers that results in HIV infections and sexually transmitted diseases (STDs). 1.5 million die from HIV/AIDS related causes, and another 1 million die from reproductive tract infections and STDs. Teenagers represent about 50% of the 333 million new cases of HIV and STDs that occur each year. Female genital mutilation is performed on 120 million girls and women, and 2 million are at risk each year. 2 million girls aged 5-15 years enter the commercial sex trade each year. The report documents the suffering from anemia and malnutrition and complications from pregnancy.     

Non-crisis economies must make adjustments too. World Economy survey

This article presents ?The World Economy in 1999,? a report prepared by the UN Department of Economic and Social Affairs (DESA). It was noted in the report that 39 developing countries had gross domestic product (GDP) per capita growth exceeding 3% in 1996, compared to just 13 countries in 1999. This indicates that 32 developing countries would suffer a decline in GDP per capita by the year 2000 as compared to 14 in 1996. In addition, slow growth has been recorded at just 2% in 1998 and 1999, with only continued growth in North America and Europe keeping the world economy going. Continued slow growth was expected for the year 2000. In terms of income, commodity prices have fallen in developing countries. Net transfer of financial resources from developing countries was almost $60 billion in 1998, compared to positive flows of about $35 billion in the first half of the 1990s. Overall, the brunt of world economic slow-down had been borne by the developing and transition economies. Thus, according to Mr. Nitin Desai, it is important that there is a coordinated policy response to crisis situations, rather than expecting the crisis economies to undertake the bulk of adjustment actions. There are advantages in coordination, which should include developing countries and the Group of Seven.     

Reproductive rights,family planning: a cornerstone of control

The main objective of the action plan for the International Conference on Population and Development is to assure access to high quality information and reproductive health care services in a manner that is affordable, acceptable, and convenient. Informed choice should be voluntary for childbearing and fertility control decisions. Services must be sensitive to the cultural, economic, and demographic diversity of local communities. The target date for countries to implement family planning (FP) and reproductive health programs that are available to all is 2015. Programs must involve women in all phases of planning, management, and delivery of services; outreach programs must be developed to involve men. Public and private FP programs should be directed to removing all obstacles to method use by the year 2005 by redesigning and expanding information and services. IEC (information, education, and communication) should also focus on sexually transmitted diseases, including AIDS. Programs should provide high quality condoms from stock on hand. About 55% of couples in developing countries use some form of contraception. The increase in contraceptive use has contributed to the decline in total fertility from 6.1 children per woman in the 1950s to 3.7 in the 1990s. At least 350 million couples still lack access to modern FP methods. The draft plan emphasizes that couples must be given the freedom and responsibility to decide on the number and spacing of their children.     

Nyingchi Airport：Maiden Flight Successful

The construction of the Nyingchi Airport started in October 2003. It received collective investmentof 780 million Yuan from the State Development Reform Commission and General Administration of Civil Aviation of China as one of the major projects in the Tibetan Autonomous Region. It is designed to handle 120,000 passengers a year as a feeder tourist airport. Nyingchi is located in southeast Tibet, neighboring India and Myanmar, and lies at an average altitude of 3,100 meters. The mount…     

The Army and Chemical Weapons Destruction: Implementation in a Changing Context

In 1985, Congress directed the Army to destroy the nation's stockpile of chemical weapons. The estimate was that this task could be accomplished by 1994 at a cost of $1.7 billion. By 1998, only a portion of the stockpile has been destroyed, the deadline extended to 2007 and the estimated cost had risen to approximately $16 billion. This paper discusses the factors underlying cost escalation and missed deadlines. It examines the diffusion of control over the implementation process surrounding the chemical weapons demilitarization (Chem Demil) program in the United States. Focusing on the role of the Army and its difficulties in adjusting strategies in the face of political change from the Cold War to the post-Cold War setting, it analyzes the course of implementation through three converging "streams of political activity." What differentiates the federal, intergovernmental, and international stream are the nature an number of actors, and the type of pressures with which the Army must deal.     

Battle of the bedroom

The Philippine government's position on aggressive population management is in conflict with the Catholic Church's opposition to artificial means of birth control, particularly sterilization. The Episcopal Commission for Family Life plans to increase its campaign against contraception at their local level. The government effort through the Department of health will provide access to contraception in a network of 600 hospitals and 1500 rural health units. Government support comes from 2 Protestant churches, the Church of Christ, which is the largest independent church in the Philippines, and the United Church of Christ. Leaders of both churches gave the Minister of Health letters of support which stated that family planning (FP) was necessary to curb population growth which was too high, and China and Thailand are countries which are economically better off with population planning. The government position is similar to former President Corazon Aquino's. The new President, Fidel Ramos, is a protestant and wants economic prosperity for the Philippines; part of the formula for achieving economic growth is slowing population growth. There is limited resources in a sluggish economy and the push for zero population growth can be accomplished through effective contraception. The birth rate fuels poverty is the position of Juan Flavier, Health Secretary. Annual population growth is 2.3% and family size is 4.8/couple while agricultural growth is only 1%. The ideal family size recommended is 2 children/family. The Philippine Commission on Population in its 6-year plan is hoping to obtain 200 million in foreign aid and involve a larger network of nongovernmental organizations. Choice is the key component. Women need to be convinced that birth spacing will reduce maternal and infant mortality. Flavier has reassured Cardinal Jaime Sin of the Catholic Church that Natural methods or the rhythm method would be taught. Health experts argue that the discipline and sacrifice necessary for effective natural methods is lacking.     

当前俄罗斯人口地理变动的新特点

俄罗斯是一个地广人稀的国家。在20世纪90年代世界性人口增长的大背景下,人口持续减少,已成为影响国家发展和民族生存的重大问题,特别是其人口的发展显示出有悖于世界人口增长普遍规律的一些特征,非常值得探讨和研究。本文在对俄罗斯人口的增长、结构、分布和城市化发展特点等四个方面进行全面分析的基础上,探讨了俄罗斯人口危机产生的经济、社会和文化原因。指出解决俄罗斯人口问题的当务之急是加快发展经济,全面提高人口的生存环境质量。     

Obstacles to women's progress to be addressed in Beijing

Speakers at the Third Social, Humanitarian, and Cultural Committee Assembly held in December 1994 maintained that power sharing between women and men is still intolerably low and that economic hardship, abuse, and discrimination remain. One speaker announced that society needs to do more to challenge obstacles to women's advancement: poverty, violence, access to resources, women's rights, education, and health. She asserted that, for this reason, the Fourth World Conference on Women scheduled for September 1995 in Beijing must succeed. Discussions and action at the December assembly will constitute a major part of the groundwork for the Beijing Conference. The Committee debate centered on the advancement of women as a cause and effect of development. The 1994 World Survey on the Role of Women in Development shows that economic development may be complexly connected with advancement of women. In societies where women have progressed, the economy tends to grow steadily, while, in societies where women cannot fully participate in development, the economy is stagnant. The Assembly called on the Commission on the Status of Women to ensure that the Platform for Action recognize and incorporate older women's concerns and contributions to development into its strategies, programs, and policies. It also called for countries to protect women migrant workers from violence and corrupt recruitment practices. It condemned the illegal trafficking of women and girls across borders for sexual or economic oppressive and exploitative purposes and for other illegal activities (forced domestic labor, false marriages, clandestine employment, and false adoption).     

Between Jakarta and Geneva: why Abbott needs to view Africa as a great opportunity

Australia's engagement with Africa during the Rudd and Gillard governments was primarily driven by the national interest, which revolved around three issues: humanitarianism, support for mining corporations, and the United Nations Security Council seat. This article argues that there is a need for the Abbott government to retain the same depth and breadth of relationships with Africa. It is in the interest of both Australia and African states for the Australian government to remain committed to humanitarian objectives and to help African countries meet some of their Millennium Development Goal targets. Moreover, the continued support of Australian mining corporations operating in Africa, especially through the training of African policy makers in mining governance, is good for both Africa and Australia. Finally, Australia's continued success in multilateral diplomacy will depend on support from all parts of the world, including Africa. Australia's success at the multilateral level will, in turn, result in bilateral benefits in other regions, including the Asia-Pacific.