Showing posts from category family planning.
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From Youth Bulge to Food and Family Planning, Los Angeles Times’ ‘Beyond 7 Billion’ Series Synthesizes Population Challenges
›Over the next 40 years, the world is set to add 2.3 billion people. Millions more will join the middle class, pushing consumption upwards and further straining the world’s natural resources. Variables like climate change and political instability will exacerbate that strain and complicate efforts to bolster peaceful and stable development. Los Angeles Times correspondent Kenneth Weiss and photographer Rick Loomis examine these numerous and interconnected challenges in a five-part series on population growth and consumption dynamics.
Speaking to demographic and health experts (including a number of New Security Beat regulars, like Richard Cincotta, Jon Foley, and Dr. Joan Castro), Weiss provides a thorough, astute, and compelling assessment of population dynamics in a rapidly changing world. The series starts with a basic introduction to population, climate, and consumption dynamics and progresses through to discuss political demography, global food security, and detailed looks at two important case studies, China and the Philippines.
Part One: A Population Primer
Population growth alone poses a number of challenges as cities become more crowded and demand for basic resources like water and food outpaces supply. Climate change and the unpredictable and sometimes extreme weather that is its hallmark “will make all of these challenges more daunting,” writes Weiss. And “population will rise most rapidly in places least able to handle it.” Africa, the Middle East, and South Asia, already expected to bear the brunt of climate change with rising sea levels, shorter growing seasons, and increasingly variable weather patterns, will also have to support the bulk of the world’s population growth by mid-century. Populations in Europe, North America, and East Asia are expected to stay stable or decline in numbers.
The magnitude of growth in Africa, the Middle East, and South Asia, however, is uncertain. What happens from here “hinges on the cumulative decisions of hundreds of millions of young people around the globe,” Weiss writes. And yet, “population growth has all but vanished from public discourse.” Family planning in particular remains hamstrung by “erratic funding and unpredictable crosscurrents.” The result, he writes, is that even “under the best conditions, it’s hard to get contraceptives into the hands of impoverished women who want them.”
Part Two: The Arc of Instability
Drawing on work from demographer Richard Cincotta, George Mason University’s Jack Goldstone, Population Action International, and others, part two of Weiss’ series examines youth bulges and the so-called “arc of instability,” stretching across the disproportionately youthful countries of Africa, the Middle East, and South Asia.
When a large youth population is mixed with other societal conditions, like “religious and ethnic friction, political rivalries, economic disparities, or food shortages,” youth can be “the kindling” for a spark that ignites simmering tensions, writes Weiss. Afghanistan is a case in point, where unemployed young men are often turning to the Taliban not out of extremist fervor, but out of a desperate need to support themselves and their families. “It’s too hard to employ this many people and too easy to recruit them into violence,” Cincotta told Weiss.
And Afghanistan is just the beginning, according to Goldstone. “We are literally going to see one billion young people come into the populations in the arc of instability over the next two decades,” he said. “We can’t fight them. We have to figure a better way to help them.”
Part Three: Feeding a Growing Population
As the world’s population continues to grow, and as more families join the middle class, world food production will have to double by mid-century in order to meet future demand. “What that actually means,” says World Wildlife Fund’s Jason Clay, an agriculture specialist, “is that in the next 40 years we need to produce as much food as we have in the last 8,000.”Jon Foley on how to feed nine billion and keep the planet
Weiss presents the Horn of Africa and Punjab as microcosms of the problems facing global food production in the 21st century. Desertification and urbanization are eating away at potential cropland, while harmful farming techniques leech essential nutrients from soil, rendering it useless for future use. Insufficient infrastructure means that food spoils as it’s shipped from where it’s produced to where it’s needed, while extreme and widespread poverty means that those most in need can’t afford enough to feed their families.
Stuck between growing demand and restricted supply, the University of Minnesota’s Jonathan Foley said the challenge of the century is straightforward: “How will we feed nine billion people without destroying the planet?”
Part Four: Population and Consumption in China
China has “a greater collective appetite – and a greater ecological impact – than any other country,” writes Weiss, making it a prime example of “how rising consumption and even modest rates of population growth magnify each other’s impact on the planet.”
The country’s one-child policy slowed population growth rapidly, cutting fertility almost in half in less than a decade. Over time, a large working-age cohort with few dependents emerged, and helped China reap a demographic dividend. The resulting economic prosperity has come at a cost, however, as rising incomes and increasing consumption, spread across 1.3 billion people, have wreaked havoc on the country’s environment on a scale not seen anywhere else in the world.
Because of that scale, what happens in China will have global repercussions. Climate scientists “say that in order to avoid a potentially catastrophic rise in global temperatures, worldwide carbon dioxide emissions must be cut in half by 2050,” Weiss writes. “For that to happen, China’s emissions would have to peak by 2020” – 15 years earlier than official government projections. The government remains opposed to further limits on emissions, arguing that such limits would “cripple” economic growth – an unfair impediment considering that developed countries were able to “pollute their way to prosperity, their argument goes.”
Part Five: Family Planning in the Philippines
Weiss ends the series with an in-depth look at family planning in the Philippines – a country at the forefront of the global debate over access to contraception. Lawmakers in the 80-percent-Catholic country have steadfastly refused to fund family planning services, while support from the international community all but vanished when USAID, “the major donor of contraceptives to the Philippines,” said in 2008 that it would end its contraceptive program.
Today, half of all pregnancies in the Philippines are unintended. Lawmakers are considering a “reproductive health bill…call[ing] for public education about contraceptives and government subsidies to make them available to everyone,” but a powerful opposition, including Church leadership, has stalled the bill for 14 years, Weiss writes.Joan Castro on population-environment programing in the Philippines
Public officials, including the former Manila mayor who ended the city’s contraceptive program 12 years ago, portray unbridled population growth as an economic asset, saying that “when you have more people, you have a bigger labor force.” For the millions of Filipinos who live in poverty, however, the lack of affordable family planning services leaves them with little control over family size and puts the Philippines on track to grow from 96.4 million people today to 154.9 million by mid-century. At that rate, the Philippines would be Asia’s third fastest growing country, behind Timor Leste and Afghanistan.
Not everything in the series is dire – there are side columns highlighting population, health, and environment programming in Uganda, Iran’s successful family planning program, and Dr. Joan Castro’s family planning and marine conservation work in the Philippines. But Weiss is not naïve about the challenges ahead. Under any of the United Nation’s population projections, “living conditions are likely to be bleak for much of humanity,” he writes. “Water, food, and arable land will be more scarce, cities more crowded, and hunger more widespread.”
“Even under optimistic assumptions, the toll on people and the planet will be severe.”
But while the population challenges facing the world are many, Weiss, like many before him, makes one argument clear: providing family planning services to the 222 million women who want to control the number of children they have but cannot would go a long way towards minimizing future strain.
Be sure to check out the photo and video features accompanying the “Beyond 7 Billion” series on the feature site.
Note: The sentence beginning with “When a large youth population…” was corrected.
Sources: Los Angeles Times, UN Population Division.
Video Credit: “The Challenge Ahead,” used with permission courtesy of the Los Angeles Times; Photo: “Dharavi,” used with permission courtesy of Rick Loomis/Los Angeles Times; Jon Foley video: TEDx. -
Nine Strategies to Stop Short of Nine Billion
›Although most analysts assume that the world’s population will rise from today’s seven billion to nine billion by 2050, it is quite possible that humanity will never reach this population size.
My chapter in this year’s State of the World 2012: Moving Toward Sustainable Prosperity, “Nine Population Strategies to Stop Short of 9 Billion,” outlines a series of strategies that would prompt significant declines in birth rates. Based purely on the intention of women around the world to have small families or no children at all, these initiatives, policies, and changes in attitude could end population growth before mid-century at fewer than nine billion people.
Examples from around the world demonstrate effective policies that not only reduce birth rates, but also respect the reproductive aspirations of parents and support an educated and economically active society that promotes the health of women and girls. Most of these reproduction policies are relatively inexpensive to implement, yet in many places they are opposed on the basis of cultural resistance and political infeasibility.
In creating this list, I sought to eschew the language and approaches of “population control” or the idea that anyone should pressure women and their partner on reproduction. Instead, I hoped to highlight strategies that could put human population on an environmentally sustainable path:- Provide universal access to safe and effective contraceptive options for both sexes. With two in five pregnancies reported as mistimed or never wanted, lack of access to good family planning services is among the biggest gaps in assuring that each baby will be wanted and welcomed in advance by its parents.
- Guarantee education through secondary school for all, especially girls. In every culture surveyed to date, women who have completed at least some secondary school have fewer children on average, and have children later in life, than do women who have less education.
- Eradicate gender bias from law, economic opportunity, health, and culture. Women who can own, inherit, and manage property; divorce; obtain credit; and participate in civic and political affairs on equal terms with men are more likely to postpone childbearing and to have fewer children compared to women who are deprived of these rights.
- Offer age-appropriate sexuality education for all students. Data from the United States indicates that exposure to comprehensive programs that detail puberty, intercourse, options of abstinence and birth control, and respecting the sexual rights and decisions of individuals can help prevent unwanted pregnancies and hence reduce birth rates.
- End all policies that reward parents financially based on the number of children they have. Governments can preserve and even increase tax and other financial benefits aimed at helping parents by linking these not to the number of children they have, but to parenthood status itself.
- Integrate lessons on population, environment, and development into school curricula at multiple levels. Refraining from advocacy or propaganda, schools should educate students to make well-informed choices about the impacts of their behavior, including childbearing, on the environment.
- Put prices on environmental costs and impacts. In quantifying the cost of an additional family member by calculating taxes and increased food costs, couples may decide that the cost of having an additional child is too high. Such decisions, freely made by women and couples, can decrease birth rates without any involvement by non-parents in reproduction.
- Adjust to an aging population instead of boosting childbearing through government incentives and programs. Population aging must be met with the needed societal adjustments, such as increased labor participation, rather than by offering incentives to women to have more children.
- Convince leaders to commit to stabilizing population through the exercise of human rights and human development. By educating themselves on rights-based population policies, policymakers can ethically and effectively address population-related challenges by empowering women to make their own reproductive choices.
Kathleen Mogelgaard assisted with research for this piece.
Robert Engelman is the president of the Worldwatch Institute and contributing author to State of the World 2012: Moving Toward Sustainable Prosperity.
Sources: Bloom et al. (2011), Guttmacher Institute, Kohler et al. (2008), Population Reference Bureau, UN, UNFPA, The Wall Street Journal, Yadava and Yadava (1999).
Image Credit: Worldwatch Institute, State of the World 2012: Moving Toward Sustainable Prosperity. -
Pop at Rio+20: Despite Failure Narrative, Progress Made at Rio on Gender, Health, Environment Links
›July 13, 2012 // By Sandeep BathalaA month ago this weekend I boarded a plane to Rio de Janeiro for the UN Conference on Sustainable Development. Over the past few weeks, I have had some time to reflect on the amazing (and exhausting) experience afforded to me. Unfortunately, the final Rio+20 outcome document (considered by some to be misnamed as “The Future We Want”) failed to recognize the connections between reproductive rights and sustainability. However, since I returned I’ve also found myself in conversations with colleagues eager to celebrate the successes of the conference.
Jason Bremner, program director at Population Reference Bureau, reminds me that the initial “zero draft document” that was circulated prior to Rio had absolutely no mention of reproductive health, family planning, or population. “Though the ultimate conference document wasn’t a success by many measures, I commend the efforts of the many advocacy organizations that resulted in the inclusion of reproductive health and family planning as a key aspect of sustainable development,” he said.
Other wins were recognized at Rio as well. On a panel organized by the International Planned Parenthood Federation, Brazilian Minister of Policies for Women Eleonora Menicucci de Oliveira pointed out that the presence of women this year was much stronger than at the 1992 conference. And she stressed that the overall importance placed on the reduction of poverty will have a big impact for women.
Though the official language was weakened in the final outcome document, there was much more support expressed at side events and off the record conversations. Speaking at the same event as Oliveira, Christian Friis Bach, Minister for Development Cooperation in Denmark, said that “one leader after another has stood up for reproductive rights, and we’ve started a campaign which will go on until ICPD+20.”
In fact, as the Wilson Center’s Brazil Institute Director Paulo Sotero points out, there was a great deal of progress made by non-government representatives alongside the main conference:I left Rio more hopeful about the future than the official part of Rio+20 would allow. As governments clearly fumbled in the face of the complex challenges of imagining and building a more equitable and sustainable economic growth model in the decades ahead, I saw senior business executives and leaders of civil society engaged in intelligent and productive dialogue about difficult issues at hundreds of thematic panels held at the Corporate Sustainability Forum and other sessions held in Rio.
I felt the same energy. And many groups there seemed to already be planning for next steps.
On the first day of side events I attended, members of the Population and Climate Change Alliance discussed strategies to ensure that in the post-2015 (i.e. post-Millennium Development Goals) international development agenda sexual and reproductive health and rights are explicitly recognized as core to sustainable development. The panel included Mialy Andriamahefazafy of Blue Ventures Madagascar, Joan Castro of PATH Foundation Philippines, Inc., and Negash Teklu of PHE Ethiopia Consortium, who all shared examples of efforts in their countries to integrate reproductive health with other sustainable development programs.Joan Castro on PATH Foundation’s work in the Philippines
The Rio+20 conference was, at the very least, a re-affirmation of the tenets set down by the ‘92 Earth Summit – that is, that there is middle ground between full-tilt economic development and uncompromising environmentalism, called “sustainable development,” and we ought to be moving towards it. It was also a fantastic gathering place for disparate groups of people to come together on to similar issues and to build momentum and networks on their issues.
For those hoping to see a stronger link recognized between reproductive rights, population, and the environment, the good news is that elsewhere, awareness and momentum seems to be growing. Just this week, The Bill and Melinda Gates Foundation joined the United Kingdom, United States, France, Germany, the Netherlands, South Korea, Norway, Sweden, and Australia to pledge more than $2.6 billion towards meeting global unmet for contraceptives. And the connection to development was explicit: “Contraceptives are one of the best investments a country can make in its future,” reads the summit website.
Coincidence to have followed so closely behind a “disappointing” Rio outcome? Perhaps not.
Sources: The Bill and Melinda Gates Foundation, Estado, UN Conference on Sustainable Development.
Photo Credit: “UN Women Leaders Forum at Rio+20,” courtesy of UN Women. -
Gates Foundation Spearheads London Summit on Family Planning
›July 12, 2012 // By Carolyn Lamere“Given the option, [women in developing countries] will have fewer children,” said Melinda Gates in a TEDxChange talk in April. “The question is: are we going to commit to helping them get what they want now? Or are we going to condemn them to some century-long struggle, as if this were still revolutionary France and the best method was still coitus interruptus?”
Wednesday, The Bill and Melinda Gates Foundation followed through on Gates’ pledge, helping to raise more than $2.6 billion at the London Summit on Family Planning as part of an ambitious goal of helping 120 million additional women in developing countries gain access to contraception by 2020. The summit was co-hosted by the UK Department for International Development and garnered support from other foundations and governments, including the United States, France, Germany, the Netherlands, South Korea, Norway, Sweden, and Australia.
To quote the Population Institute’s Robert Walker on Dot Earth, this is a big deal:Many of the challenges that we face (hunger, severe poverty, energy, food, carbon emissions) are seemingly intractable. Population growth, which is a challenge multiplier, is not intractable. Far from it. There are proven highly cost-effective means of lowering fertility rates: providing access to contraceptives, keeping girls in school, ending child marriage practices, and changing social norms (including attitudes toward women and desired family size) through entertainment media.
The focus on family planning for the Gates Foundation – one of the largest philanthropic organizations in the world – is relatively new (though their commitment to global health and development is not). Melinda Gates announced a commitment to maternal health in 2010, and the foundation first issued a family planning strategy in April of this year.
The move has been unwelcome by some, particularly some Catholic institutions who object to family planning. But Gates has been adamant that contraceptives “should be a completely non-controversial topic.” She argues that 90 percent of Americans find contraceptives “morally acceptable,” including herself and many other Catholics, so there is no reason for the taboo around international aid for family planning to continue.
“We’re not going to agree about everything, but that’s OK,” said Gates in a recent interview with CNN.
In the TEDxChange talk, which helped launch this year’s push, she credits her upbringing for instilling a strong sense of social justice. During her travels with the Gates Foundation, one woman from a slum in Nairobi told her, “I want to bring every good thing to this child before I have another.” That statement resonated with Gates: “We all want to bring every good thing to our children,” she said. “But what’s not universal is our ability to provide every good thing for our children.” Gates pointed to contraception as a way for families to plan for their future and manage their resources. She recognized the controversial history of family planning as population control, but argued that this new initiative is about providing choices to individuals, not imposing values.
Gates remains confident that as long as the foundation makes its mission clear, people will rally behind the cause.
“We’re not talking about abortion. We’re not talking about population control. What I’m talking about is giving women the power to save their own lives, to save their children’s lives, and to give their families the best possible future.”
Sources: BBC, The Bill and Melinda Gates Foundation, CNN, Catholic Family and Humans Rights Institute, Catholics For Choice, Dot Earth.
Video Credit: TEDxChange. -
Guttmacher Updates Unmet Need Estimates, and West Africa’s Demographic Dividend Examined
›The Guttmacher Institute has updated their estimates for global contraceptive services, putting the number of women around the world who have an unmet need for modern family planning at 222 million (up from 215 million). Authors Susheela Singh and Jacqueline E. Darroch, in Adding It Up: Costs and Benefits of Contraceptive Services Estimates for 2012, also examine the estimated current costs of contraception, cost of meeting the current unmet need, and the money saved from having fewer unintended pregnancies. An estimated four billion dollars is currently spent on contraception in the developing world, and “the total cost of fully meeting the contraceptive needs of all women in the developing world with appropriate services would…be $8.1 billion per year.” Singh and Darroch note that there are substantial benefits to increasing access to contraception, including reduced infant and maternal mortality and lower education and health costs as smaller populations put less strain on existing systems. They conclude that “the gains that derive from meeting the contraceptive needs of all women in the developing world more than outweigh the financial costs.”How Can We Capitalize on the Demographic Dividend?, by Jean-Pierre Guengant of the Institute of Development Research, explores the connection between population age structure and economic growth in 12 West African countries (the West African Economic and Monetary Union plus Ghana, Guinea, Mauritania, and Nigeria). While much of Africa has recently experienced economic growth between four and six percent, Guengant notes it has been “too low to allow for any substantial increase in per capita income levels” due to continued population growth. And he suggests that projections of declining fertility in much of Africa are overly optimistic. “Contrary to popular belief,” he writes, “the demographic future of sub-Saharan Africa has not been written.” Guengant extrapolates his own fertility projection using data beginning in 1960. If fertility declines rapidly, he writes, the larger proportion of people in the labor force could increase the GDP per capita and drive up the standard of living. -
Hania Zlotnik Discusses Changes to Latest UN Population Projections
›Former UN Population Division Director Hania Zlotnik spoke recently at the Wilson Center discussing last year’s highly-publicized UN world population projections and explaining the methodology behind the figures. “The latest projections are very special,” she said, adding that “we think that this methodology is a lot better than what we had before.”
What accounts for such improvement? Zlotnik said it has a lot to do with greater availability of data. “The UN has been…mandated by governments to produce population estimates since the 1950s,” she stated, and they have refined their projections process over the years based on an increasing record of data and identification of some “patterns that can inform the future.”Former UN Population Division Director Hania Zlotnik spoke recently at the Wilson Center discussing last year’s highly-publicized UN world population projections and explaining the methodology behind the figures. “The latest projections are very special,” she said, adding that “we think that this methodology is a lot better than what we had before.”
What accounts for such improvement? Zlotnik said it has a lot to do with greater availability of data. “The UN has been…mandated by governments to produce population estimates since the 1950s,” she stated, and they have refined their projections process over the years based on an increasing record of data and identification of some “patterns that can inform the future.”
The increasingly large dataset accumulated during this process is particularly important because of what Zlotnik called “inertia” in population change. “There’s something called ‘population momentum,’ where the population changes on the basis of how many people have already been accumulated on the planet,” she explained, pointing out that many of the people included in the UN’s population projections for 2050 have already been born.
This inertia helps make population projections fairly accurate, but last year’s projections differed from previous efforts in two significant ways.
First, the UN Population Division provided projections not just to 2050 but also to 2100. These more long-term projections estimated an end-of-century population of more than 10 billion – notably higher than previous reports, which had predicted that population would stabilize mid-century at around nine billion.
Second, the underlying methodology used shifted from a deterministic to a probabilistic approach that, according to Zlotnik, does a better job capturing variability in each country’s fertility rate over the next century. “Essentially,” she explained, “a model was developed for every country that takes into account the past path of fertility change [and] also takes into account changes that have happened in other countries…Then [it] does a simulation for the future for every country, in which 100,000 paths are projected, essentially by throwing dice, and then the central path of those 100,000 is used to project the future.”
Zlotnik cautioned that projecting so far into the future is an inexact – albeit necessary – science: “Of course, as we go further into the future, the numbers are more subject to uncertainty. But [the long-term projections] help us give people a better feeling of how important it is to change trends from here to 2050, so that we ensure that, at the end of the century, the number of people on the planet is sustainable.”
“In order to make sure that the population projections made by the United Nations [are realized],” Zlotnik said, “it’s very important that fertility continues to decline, and especially that fertility decline happens in the countries that still have very high fertility.”
“Fertility decline happens in many ways,” she continued, “but the immediate reason why fertility can be reduced is that more people use modern methods of contraception.” -
Book Review: ‘World Population Policies’ Offers Sweeping Overview of a Complex Field
›July 2, 2012 // By Elizabeth Leahy MadsenWith much attention in the international family planning community directed to the impending anniversary of the 1994 International Conference on Population and Development and the closing date of the Millennium Development Goals, the fact that 2012 is the 60th anniversary of two other milestones in population programming may have escaped notice. In 1952, the International Planned Parenthood Federation was created, and India became the first country to formulate a national policy to reduce population growth.
These and many other landmarks are highlighted in World Population Policies: Their Origin, Evolution and Impact, a new book by demographer John May that reviews several decades of policies, advocacy, and program interventions addressing the full range of diverse demographic trends seen globally.May, who spent more than two decades working on population issues at the World Bank and other international institutions before recently assuming a fellowship at the Center for Global Development, is well-positioned to provide such an ambitious overview. Although the breadth of material included in the book means that some topics receive less coverage than a specialist might wish, it serves as a sound introduction to this diverse field, and offers some particularly interesting case studies.
The book’s main chapters begin with a summary of current population trends, including a comprehensive array of figures and statistics about population size, distribution, and projections. Some important concepts, such as the demographic transition and dividend, are perhaps covered too quickly, and in such cases the book would have benefited from more than a handful of figures, charts, and graphs. May classifies regions and countries as demographic “hotspots,” where the number of people outstrips available resources, and “coldspots,” which have too few residents. He makes an ambitious suggestion that high-density countries facing resource challenges, such as Bangladesh, should consider promoting rapid fertility decline below replacement level to stop population growth, then reverse course and increase to a rate that promotes a stable population – but such a reversal from low fertility is a feat that has stymied several countries in Europe and East Asia.
Evolution of the “Population Movement”
In addition to summarizing the ways that demographic issues have been framed in the past several decades, May briefly describes the long-running debate between demographers and economists about the ways in which population is theorized to affect economic development.
Three points in this chapter were particularly striking: First, the concept of family planning as a human right dates from well before the 1994 International Conference on Population and Development. In 1968, the Tehran International Conference on Human Rights defined the ability to choose family size and spacing as a fundamental right; still, some programs, such as India’s under the Emergency-era government of the late 1970s, adopted coercive practices. Second, population policies are not limited to official initiatives targeting fertility, mortality, and migration, but also encompass implicit or “passive” policy measures that arise without advance planning or that have an unintended effect on demographic trends. Related to this, May suggests that “contextual variables” such as education, health, gender, culture, and religion can have a greater impact on population policies’ effectiveness and demographic outcomes than government structures or funding.
Although population policies are most often designed at the national level, May’s discussion of the “population movement” highlights the influence of international networks and donors on such policies. By the late 1960s, the U.S. Agency for International Development had begun funding family planning programs overseas, and the United Nations Population Fund (UNFPA) was active. Although the United States has become less dominant over time, population programming remains a Northern-driven movement.
Beginning with a meeting in Belgrade in 1965, a series of international population conferences successfully raised the prominence of population issues on the global development agenda and built consensus around international goals, while also becoming increasingly political.
May’s cautions about such conferences are timely given this month’s London Family Planning Summit: “Consensus-building through international conferences and their preparatory meetings is often inefficient as a process, whereas such events could be used to promote learning among policymakers and experts…The gap between the conferences’ resolutions and the actual policies implemented at country level is important to remember” (110).
Growth and Aging Distinguish the Demographic Divide
In his chapter focusing on the developing world, May notes that population policies have become broader in the nearly 20 years since the Cairo conference, incorporating a reproductive rights framework while also addressing new issues such as the environment, HIV/AIDS, and poverty. But under this more holistic approach, national policies are susceptible to becoming overly diffuse, with an ambitious agenda not matched by concrete action plans.
The challenges expand to policy implementation as well. Kenya is profiled as emblematic of the difficulties facing population programs in fast-growing sub-Saharan Africa, particularly political disinterest, mismanagement, opposition from some religious groups, and commodity shortages. But when implemented well, such policies can be very successful. The book offers a thorough summary of research findings on the common features of effective family planning programs (such as leadership, monitoring performance data, and opening access to contraceptive methods at lower levels of the health system), as well as their demographic impact. Several country examples are cited to show that family planning programs reduce lifetime fertility rates by 0.5 to 1.5 children per woman, while also benefiting individual and social health, income, and well-being.
While population policies have been often effective at shaping demographic trends in high-fertility settings, even in changing cultural norms about family size, May notes that their impact has been notably weaker in reversing the trajectory of declining fertility in developed countries. While countries such as France have maintained a fertility rate close to, albeit still below, replacement level thanks to generous paid parental leave, housing initiatives and public child care facilities, policies that try to boost low fertility through financial compensation have been particularly ineffective.
Developed countries are less likely to have formal population policies and tend to address demographic issues through incentives and disincentives implemented by multiple agencies. Aging and immigration are receiving greater attention in such countries, along with low fertility rates. Population aging raises policy concerns that are both economic and social, and May focuses largely on the benefit of reducing incentives for early retirement. He notes that thanks to improvements in health and life expectancy, “today’s 65-year-old persons are young compared to their counterparts” of previous generations (180). Despite their economic soundness, government efforts to raise retirement ages are widely unpopular, and France’s newly elected president has promised to cut the retirement age from 62 to 60 for some workers.
What Comes Next
Some observations are intriguing and could have been further detailed. For example, May notes a recent “fragmentation” of organizations working on population issues, and suggests that “too many institutions and NGOs appear to support their own limited mandates as they also struggle for resources that are less abundant” (5). Decentralization and integration within health systems is a growing trend that could have been discussed in more detail, along with the legacy of pronatalist laws and attitudes by colonial powers in Africa, the effect of recent European efforts to tighten immigration policies, and the achievements of forums designed for collaboration on population policy issues (for example, the United Nations Commission on Population and Development or the Reproductive Health Supplies Coalition).
Looking towards the future, May foresees continued integration of demography with related development issues, such as poverty reduction and equitable growth, gender and youth perspectives, environmental issues, and conflict prevention. He notes a few challenges, including sub-Saharan Africa’s lag in fertility decline and the overall ineffectiveness of policies aimed at addressing the pressures of urbanization on infrastructure and resources.
In high-fertility settings, May recommends that instead of framing reproductive health writ large, policies should more specifically target family planning and women’s empowerment, including education and income-generation opportunities as well as legal rights. Bangladesh is presented as a model for other countries, as a setting where cultural change and economic development laid the groundwork for successful family planning outreach efforts. Most of all, May entreats government leaders to maintain a policy focus on population issues, regardless of where they stand in the demographic divide.
Elizabeth Leahy Madsen is a consultant on political demography for the Wilson Center’s Environmental Change and Security Program and senior technical advisor at Futures Group.
Photo Credit: “Crowded Shopping District,” courtesy of flickr user EnvironmentBlog. -
Gwen Hopkins, Aspen Institute Global Health and Development
Aspen Ideas Festival Takes on “The Population Challenge”
›The original version of this article, by Gwen Hopkins, appeared on the Aspen Ideas Festival blog.
The pictures flash quickly: lush sea vegetation replaced by empty grey-blue seabed as carbon bubbles out of undersea vents. Reservoirs depleted too quickly, never to refill. Forests and mountains leveled for coal, deep sea oil rigs ablaze, the arctic ice cap visibly retreating. Dennis Dimick is answering the question posed to him with a litany of evidence collected by National Geographic: Does population matter?
Yes, he says – a lot.
Kicking off the Our Planet: The World at Seven Billion track, on a panel called “The Population Challenge,” Washington Post staff writer Joel Achenbach moderated a conversation between Dimick and Helene Gayle, president and CEO of CARE USA, following Dimick’s presentation about how the earth’s human population has made its presence known.
Dimick explains that this new geologic era has been dubbed Anthropocene, the age of man, as we “transform the planet to perpetuate our lifestyle.” That’s a lifestyle powered first and foremost by what he calls “the new sun” – coal, oil, and gas, or in Dimick’s words, “ancient plant goo.” These transformations are deep and widespread – and according to Dimick, growing worrisome in their magnitude. While there is searing inequity – “few have a lot, and a lot have few” – those that lead the consumption have, for example, caught 90 percent of the big fish in the sea already, and burn in one year a quantity of fuel that took a million years to coalesce underground. “If everyone in the world lived like Americans do, we’d need four planets.”
Continue reading on the Aspen Ideas Festival blog.
Photo Credit: Aspen Institute.
