Showing posts from category family planning.
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IPPF and Partners Connect Reproductive Rights With the Environment and Development
›A new framework for sexual and reproductive health is needed, argued panelists in a recent event at the Wilson Center, and the Rio+20 conference on sustainable development would have been the place to start. An international consensus around women’s human rights was developed at the International Conference on Population and Development in Cairo in 1994, but Carmen Barroso, director of the International Planned Parenthood Federation’s Western Hemisphere Region, said there has been slow implementation, little funding, and furthermore the world has changed significantly since then.
Barroso was joined by Latanya Mapp Frett, vice president of Planned Parenthood Global, as well as two representatives of Planned Parenthood partner organizations, Marco Cerezo of FUNDAECO and Ben Haggai of Carolina for Kibera.
New challenges to the reproduce rights landscape include the rapid spread of HIV/AIDS and decreased funding for international programs. But new opportunities include rapid dissemination provided by the internet and globalization and a subsequent mobilization of youth. “Young people are the largest cohort in history,” Barroso said in an interview with ECSP, both in absolute numbers and in percent of the population. “We have a historical opportunity [to incorporate] them in these decision-making processes.” Additionally, gender and health issues are incresaingly seen by many as linked with the environment and development.
Intersection of Health and the Environment
Marco Cerezo’s FUNDAECO (Foundation for Ecodevelopment and Conservation) is an example of Planned Parenthood’s partnership with other organizations. Based, in rural Guatemala, they shifted from primarily focusing on conservation and sustainable development to incorporating women’s health after finding a vicious cycle of poverty, high fertility, and environmental degradation in the places they worked.
Women’s health was so dire it was holding development back, Cerezo said. “Sustainable community development will not be possible without the education, empowerment, and support to rural women,” they write in their mission statement.
FUNDAECO now acts as a model for the intersection between reproductive health and the environment. Cerezo reported that once women are healthy and empowered through clinics established by FUNDAECO, they become more active in all aspects of the community, including ecological preservation.
Building Healthy Communities
Ben Haggai, who works in Nairobi’s biggest slum, Kibera, further reiterated the need for integrated programs. Carolina for Kibera has a number of programs to improve the quality of life for residents, he said, and has a particular focus on youth with sports associations and education programs.
Youth are the best reproductive health educators, Haggai said, as they are able to talk frankly with their peers. The NGO trains peer youth educators to reach out to community members about reproductive health and other issues like substance abuse. Since the young people work as volunteers, Haggai said, they are motivated only by a desire to improve their communities.
A Natural Intersection
Latanya Mapp Frett agreed that sexual and reproductive health aligns quite naturally with issues of sustainability. “We try to work in the countries overseas in Latin America and Africa where we focus particularly on non-traditional health sectors,” she said in an interview with ECSP following the panel. “One of those sectors is the environment.”
While emphasizing that contraceptive use is a cost-effective way to ensure sustainable development, Mapp Frett cautioned against framing sexual and reproductive health only in the context of reducing fertility. While this may have been common in the past, she noted, it’s important to ensure that women have the right to make childbearing choices for themselves.
Mapp Frett also urged policymakers in the United States to look to developing countries for intersections between development, the environment, and reproductive health. She said that Planned Parenthood’s partner organizations, including FUNDAECO and Carolina for Kibera, have found these connections and successfully partnered with already existing networks like churches to more effectively reach the community.
Translating Into Effective Action
Each member of the panel spoke about the challenge of articulating the need for sexual and reproductive health programs to people outside the field. Barroso mentioned research conducted by Brian O’Neill which found that meeting the current unmet need for contraception would slow population growth enough to reduce emissions by 17 percent.
Cerezo emphasized the importance of consensus among the staff of a given organization, saying it is difficult to make a case to agronomists and farmers if a culture clash exists within the institution. Haggai agreed, adding that focusing on reproductive issues is an important measure of prevention which helps protect both the environment and the health of women in a community.
For Mapp Frett, women’s reproductive and sexual health is indivisible from other aspects of development. “As you talk about sustainable development, you talk about ensuring that women are empowered to make sure that our earth is sustainable,” she said.
Assessing Rio+20
The panel took place before the UN Conference on Sustainable Development got underway in Rio. Participants had high hopes for a renewed focus on gender and reproductive rights at the conference. Unfortunately, language on reproductive rights was first weakened and then omitted entirely from the final outcome document (see the account written by ECSP’s Sandeep Bathala at Rio for more on the conference).
While pressure from the Vatican and the G-77 kept reproductive health out of the outcome document, it was not entirely forgotten at the conference. A number of side events highlighted the importance of reproductive rights, especially in the context of the environment and development.
Hillary Clinton also re-affirmed U.S. commitment to access to contraception and reproductive health care. “Women must be empowered to make decisions about whether and when to have children,” she said at the conference on Friday. “And the United States will continue to work to ensure that those rights are respected in international agreements.”
Clinton shared the urgency expressed by the panelists at the Wilson Center. “There is just too much at stake, too much still to be done,” she said. “We simply cannot afford to fail.”
Event Resources:Sources: FUNDAECO, UN Conference on Sustainable Development, U.S. Department of State.
Photo Credit: Sean Peoples/Wilson Center. -
Population Projections: Breaking Down the Assumptions
›“The seventh billion [person] was added in 12 years, and that could be the story for the eighth billion – and that gets people who think that growth has stopped,” said Carl Haub, senior demographer at the Population Reference Bureau. Haub was joined by Hania Zlotnik, former director of the UN Population Division, and Rachel Nugent of the University of Washington’s Department of Global Health on June 5 to speak about the assumptions behind the UN population projections. While each of the panelists noted the utility of projections, they also cautioned against seeing them as inevitable. [Video Below]
Meeting the Projections
As a former top official in the UN’s Population Division, Zlotnik spoke about how much is riding on the projections. “The experts tell me that to feed nine billion people, living better than the standards of living that we have today, one needs to increase agricultural production or all the production of food by about 70 percent and that is a challenge, but it might be feasible. But if the numbers go higher…I think it’s impossible,” she said.
The medium variant projection by the UN that gets the world to that nine billion figure is not a given – it builds in expected action on and improvement of many demographic indicators. Zlotnik pointed to the global unmet need for family planning, for example, which “is especially high in the high fertility countries,” and suggested that the current rate of increase in contraceptive use is insufficient.
She calculated the number of years it would take many of these countries to meet their unmet need at their current rate of uptake and found “the number of years for a lot of these poorer countries that have high fertility would be very long – 40 years, some of them, 80 years, 100 years – because the increased contraceptive prevalence has been so small.” At that rate, population growth in these countries will far surpass the UN medium variant.
The perception that population growth is no longer an issue contributes to the problem, Zlotnik said. People see that only 18 percent of the world population lives in countries with high population growth and assume “there’s no longer a population problem.” But she emphasized the power of exponential growth, arguing that even a small proportion growing at a rapid rate can have a large impact.
Questioning Assumptions
Haub pointed out several instances where assumptions in the methodology behind the projections create uncertainty.
For example, there is a lack of data in many low-income countries. “A date, let’s say 2000, 2005 – it’s the past, but it may be a projection. It may be based on a census in 1990,” he said. If it’s wrong, that error may not be corrected until another census, but it will still be relied on for country-level projections.
He also noted that certain assumptions about desired family size sometimes do not bear out on the ground. One of the key methods to slowing population growth is to provide women and couples with the means to choose how many children they wish to bear. But in many fast-growing countries, women wish to have large numbers of children. In Niger, for example, women say their ideal family size is over nine children. Such women are less likely to use contraception, no matter how accessible it is, as they value larger families.
“It has been – I guess conventional is a good word – to assume that birth rates are going to come down the way they did in the rich countries,” Haub noted. But there has been a “stall” for many developing countries, which he suggests is caused by fast initial uptake from urban women followed by much slower uptake by rural women. These dynamics, however, are relatively new and therefore are not always well incorporated into current projections.
The Economic Impact of Population Changes
While Haub and Zlotnik looked at the assumptions made before the projections are made and the importance and means to reach these projections, Nugent focused on the economic implications of lower fertility and the demographic transition.
She suggested that increased control over fertility can positively impact a country’s economy. Women are given the opportunity to “invest their time in acquiring skills and investing time in the labor market and that affects their earnings…[and] their ability to control resources and make decisions within the household” as they spend less time caring for children, she said.
The labor market changes as well, as fewer children are born into a given generation. This can reduce “demand on economic resources [and] demand on environmental resources,” and the increased investment in human capital allowed by smaller family sizes can lead to a healthier population.
Nugent concluded by pointing out key areas of intervention most likely to decrease both fertility and mortality and allow countries to reap the positive economic benefits of fertility decline. She suggested a focus on “complementary investments in education and health,” especially with regard to “poor and marginalized populations,” which can in fact impact the country as a whole. Finally, she recommended focusing on proven “evidence-based programs [and] service-delivery programs.”
Educating Policymakers
Each of the panelists cautioned against relying on population projections without taking action to make them come true.
“Maybe the best thing to do if you’re giving a presentation is to show the UN’s constant fertility variant first and scare people half to death and then say, ‘but if 117,000 things go right, [the medium variant projection] is what will happen,” said Haub, addressing the common tendency to view the UN projections as destiny.
Similarly, Nugent warned against viewing the demographic transition as inevitable. “There’s a certain sense…that [the demographic dividend] is kind of an automatic thing that happens, and that really has to be addressed,” she said, adding that “it’d be quite interesting to show some scenarios of what would need to be done…in order to get some benefits from that dividend.” (See also Elizabeth Leahy Madsen’s recent article on achieving the dividend.)
Zlotnik reiterated that the UN does not in fact know what the future will bring. “It’s not that we know what the world is going to do, but we hope that [the projections] will get the message out – if this doesn’t happen, you’re in trouble.”
Event ResourcesPhoto Credit: Sean Peoples/Wilson Center. -
Pop at Rio+20: Reproductive Rights Missing From Outcome Document – Assessing the Disappointment
›June 22, 2012 // By Sandeep BathalaAs heads of state get ready to sign on to the outcome document here in Rio, all eyes are on next steps – especially for the reproductive health and integrated development communities, which have seen their hopes of mainstreaming their issues with the sustainable development agenda dashed.
The final outcome document can be found here. USA Today reports that opposition from a group of countries in the 11th hour stripped the text of critical reproductive rights language:An initial draft of this conference’s outcome document stated, “We are committed to ensure the equal access of women and girls to education, basic services, economic opportunities, and health care services, including addressing women’s sexual and reproductive health and their reproductive rights.”
Absent entirely is any explicit connection between reproductive rights, population dynamics, and sustainable development.
In the final draft, the stronger wording “We are committed to ensure the equal access” was switched to the weaker “We are committed to promote the equal access.” The reference to reproductive rights was deleted altogether, after opposition from the G-77, a negotiating bloc of developing countries at the United Nations, and the Holy See.
But others, as we have heard repeatedly throughout the conference, insist that gender issues and reproductive rights have a strong and vital connection to sustainable development. Yesterday, USAID, the Aspen Institute, and the Center for Environment and Population held a discussion in the U.S. tent on this very issue, titled “Making Population Matter: The Demographic Dividend and Sustainable Development.”
As Vicky Markham of the Center for Environment and Population reports on RH Reality Check, the side-event aimed to demonstrate the effects of population dynamics, both positive and negative:We have the largest youth demographic ever in the history of the world, and most developing nations have a “youth bulge.” This can be seen as a challenge, or opportunity, particularly if the focus is on providing development programs for child survival, family planning, reproductive health, and education. The importance of women’s empowerment was also central. But it’s not a given; it’s an opportunity only if we pay attention to these issues to increase the benefits of the “demographic dividend.”
The demographic dividend, as described by USAID Deputy Administrator and panelist Donald Steinberg in blog post earlier this week, “is an opportunity that arises when a country transitions from high to low rates of fertility and child and infant mortality.” But it’s not just about ensuring access to family planning and reproductive health; youth-focused economic and education policies are also needed: “Maximizing the dividend requires social and economic policies that reinforce inclusion, equity, and opportunity across the entire population,” he writes. USAID is making a point of creating youth-focused policies for this reason, he said in Rio.
Carmen Barroso, regional director of the International Planned Parenthood Federation’s Western Hemisphere Region, pointed out that Latin American countries could not take advantage of the demographic dividend before recent societal changes occurred, including decreased fertility, increased urbanization (which leads to smaller families), and greater schooling and employment of women.
Seventy percent of world population growth is likely to be generated by Africa this century, said Eliya Msiyaphazi Zulu, executive director of the African Institute for Development Policy – and it is the only continent projected to continue to grow in the next century, he said. He called for redefining growth as more than GDP as that measure does not consider environmental degradation and its costs: “We must have other means to measure development.”
As heads of state and negotiators consider their positions at this conference – which many were hoping would make a much stronger statement – they might do well to ponder today’s comments from Secretary of State Hillary Clinton:While I am very pleased that this year’s outcome document endorses sexual and reproductive health and universal access to family planning, to reach our goals in sustainable development we also have to ensure women’s reproductive rights. Women must be empowered to make decisions about whether and when to have children. And the United States will continue to work to ensure that those rights are respected in international agreements.
Sources: RH Reality Check, UN, U.S. Department of State, USA Today, USAID.
Now none of this is an abstract discussion. There is just too much at stake, too much still to be done. And many of you visited the U.S. Center here in Rio and saw practical solutions related to some of the work I’ve discussed and other goals we hold in common. We believe solutions require action by all of us. Governments, yes; let’s do our part. Let’s do more than our part.
Photo Credit: YouthPolicy.org. -
Pop at Rio+20: Text Finalized, Population-Sustainable Development Links Left Out?
›June 21, 2012 // By Sandeep BathalaWhile I was visiting with youth peer educators yesterday with the Brazilian Society for Family Welfare in the Cachoeirinha favela (see Vicky Markam’s post for details – we were on the same trip), UN member states reached consensus in the Rio+20 negotiations. But, according to reports, although the outcome document includes some mention of reproductive health, gender equality, and women’s empowerment, it fails to explicitly recognize the link between reproductive rights and sustainable development.
Many women’s rights and health observers have, from the start, encouraged this link.
Karen Newman, speaking to ECSP in April during the Planet Under Pressure conference – a precursor to Rio – said she hoped this week would offer an opportunity to look at “sustainable development in the round” and “re-identify family planning as a core development priority,” given its human rights and health implications and relationship to population growth.
Jenny Shipley (Former Prime Minister of New Zealand) wrote just yesterday on CNN that “we are at a moment in history where we still have time to make a difference. It is essential that the global discussion in Rio not be blind to the potential solutions that access to voluntary family planning could offer to many of the world’s problems.”
“We can no longer afford this outrageous oversight, driven by old-fashioned tradition, discrimination, and pure ignorance,” said Gro Harlem Brundtland (Former Prime Minister of Norway and Former Head of the World Health Organization) at a side event on Monday. “Now is the time to agree to unleash the largest untapped potential for sustainable development and stop all discrimination against women and girls.”
But now that preliminary agreement on the outcome text has been reached, reports have filed in that the connection many were hoping for is absent. Zonibel Woods, blogging on RH Reality Check, wrote:From the start of the negotiations, gender equality and women’s human rights, including reproductive rights, have continuously been challenged by a few governments, claiming that [these] had “nothing to do with sustainable development.”
The lack of consensus among the wider international community may also undercut efforts to highlight reproductive rights in the post-2015 Millennium Development Goals/Sustainable Development Goals framework and as governments ready for the follow-on to the International Conference on Population and Development in 2014. A concrete link to “sustainable development,” whatever form that takes, would help ensure that reproductive health is not side-lined.
This debate continued until the last few hours of the negotiations. In the end, the text includes a re-affirmation of both the Cairo and Beijing agreements, but it falls short by failing to recognize that reproductive rights are also critical to the achievement of sustainable development. If a woman cannot decide if and when to have children and if she is not provided with the reproductive health care that is her human right, it is challenging to contribute to sustainable solutions for the planet.
Immediately following the adoption of the text, women gathered and protested at Rio Centro, the main venue for the conference, and advocacy continues.
Heads of state will in all likelihood sign on to the outcome document by tomorrow (it could technically still be changed, but that appears unlikely). I will keep you posted on the final outcome and will be taking notes at a side-event this afternoon by USAID, the Aspen Institute, and Center for Environment and Population on the demographic dividend and sustainable development, which promises to be spirited given today’s news. You can tune in live to the webcast of that event at 2:30 EST on Ustream.
Sources: AllAfrica, Aspen Institute, CNN, IRIN, RH Reality Check, U.S. Department of State, USAID.
Photo Credit: United Nations Photo. -
Laurie Goering, AlertNet
Pop at Rio+20: Brazil a Model for Slowing Population Growth, Say Experts
›June 21, 2012 // By Wilson Center StaffThe original version of this article, by Laurie Goering, appeared on AlertNet.
Rosimere Lopes knows what she does not want in life.
The 23-year-old, who lives in Cachoeirinha, a hillside slum in Rio’s gritty North Zone, was born when her mother was just 16, and grew up taking care of her five younger brothers and sisters while her mother worked.
As a result of missing so much education, she’s still trying to finish high school. But she has accomplished one important thing – she has no children of her own yet, despite having a regular boyfriend.
“My mother got pregnant at 16 so I know the consequences. I don’t want that,” she said. “I want to do better.”
In the last decade, Brazil has undergone a family planning revolution. In 2000, the country’s birthrate was 2.4 children per woman, already dramatically down from decades past. Today it has dropped to 1.9 children, below replacement level and on a par with many developed countries.
That slowdown, built on making available better information and contraceptives, and on growing urbanization, is increasingly looked at as a model by experts around the world trying to find ways to dampen population growth and consumption – both linked to accelerating climate change and resource scarcity.
Continue reading on AlertNet.
Sources: UN Population Division.
Photo Credit: A grandmother, mother, and child in Brasilia, courtesy of flickr user babasteve (Steve Evans). -
Vicky Markham, RH Reality Check
Pop at Rio+20: Favelas and Protests
›June 20, 2012 // By Wilson Center StaffThe original version of this article, by Vicky Markham, appeared on RH Reality Check.
This morning I ventured the opposite direction from Rio Centro where the UN Rio+20 negotiations are taking place, and travelled with colleagues to the Cachoeirinha (I was told it means “waterfall”) favela in Rio de Janeiro. These shantytowns are quite common in Rio, well over one million strong, located within and around the city limits. This particular one has 37,000 residents.
We made the trip to visit the Brazilian Society for Family Welfare (BEMFAM) reproductive health and family planning clinic there, and were treated to a gathering of youth already discussing the facts of life, and more, with a BEMFAM counselor. This is especially poignant because youth in Brazil, similar to youth worldwide, are key to the issues we are debating here at the UN Rio+20 meetings just a few miles away. The Brazilian youth demographic, and the world’s, is the largest ever in history – it’s called the “youth bulge” – and from favelas, to cities, suburbs and rural areas everywhere, they represent the decision makers for the world’s future at all levels.
Here at the BEMFAM clinic, an affiliate of the International Planned Parenthood Federation’s array of family planning clinics worldwide, youth have weekly meetings and can come in daily if needed for their reproductive health needs. We entered to find about 25 adolescents sitting in a circle in very animated discussion about how they viewed sexuality, reproductive health, being young, their feelings and emotions about this period in their life. Through translators we learned so much from these adolescents and young adults, and once revealed I can’t help but feel how similar they are to our own youth. They cared about their friends, family, (how much their parents don’t know), going to college, getting jobs, raising families, school, and having fun. One glaring difference that emerged however is accessibility to many of their hopes and dreams – resources to come by any of their plans are scarce, and few will likely see college or even jobs from what they told us. This however did not make them dour or negative; they were bright, committed, compelling, cheerful, very well-spoken, and passionate about all they relayed to us.
Continue reading on RH Reality Check.
Photo Credit: “Riocinha Favela – Rio de Janeiro Brazil,” courtesy of flickr user David Berkowitz. -
Pop at Rio+20: Getting Women’s Rights on the Agenda
›June 19, 2012 // By Sandeep BathalaHere we are on my second day of side events at Rio+20 and the Aspen Institute, International Planned Parenthood Federation, and the United Nations Foundation convened a high-level moderated dialogue this morning to raise the profile of human development, gender, and reproductive health at the main conference.
Rio+20 is an unprecedented opportunity to draw attention to sustainable development and the role women’s rights and voices play in it. The Aspen/IPPF/UN Foundation event was timely as some negotiators are questioning the link between women and sustainable development in the 11th hour instead of reaffirming the commitments made 20 years ago at international conferences in Rio, Cairo, and Beijing.
High-level leaders, including Gro Harlem Brundtland (Former Prime Minister of Norway), Musimbi Kanyoro (President and Chief Executive Office of the Global Fund for Women), Tewodros Melesse (Director General of the International Planned Parenthood Federation), Mary Robinson (Former President of Ireland and President of the Mary Robinson Foundation – Climate Justice), and Tim Wirth (President of the United Nations Foundation), spoke to the role of women’s empowerment and family planning in the global discussion of sustainable development.
Some highlights from the meeting:
Brundtland noted that the next increment of economic growth could come fully from women’s empowerment. Family planning is a cross-cutting and cost-effective way to ensure this possibility.
Kanyoro further emphasized that for development organizations, women, more than any other partner, have the potential to enable sustainable growth.
Melesse discussed the role of addressing the special needs of young women. “If they are not met, we will have failed at sustainable development,” he said.
Robinson argued that family planning must be mainstreamed in international conferences, like Rio+20 and the annual UN climate COPs, as a human rights issue. Women’s issues cannot be add-ons in outcome documents – they have to be front and center. “We know what works,” she said, referring to effective reproductive health efforts and their ability to advance human rights and sustainable development
Wirth spoke passionately about the basic rules of diplomacy: do no harm and no backsliding. He remarked that hard earned gains from previous UN documents, although limited, must not be lost. They must be considered as statements from governments around the world and as resounding affirmation of the rights of women, he said.
For more, see Vicky Markham’s thoughts on the meeting at RH Reality Check too.
Stay tuned to see whether official negotiations in Rio – which start tomorrow – will heed these calls.
Photo Credit: “Etiopía,” courtesy of flickr user subcomandanta. -
Royal Society Launches ‘People and the Planet’ Study
›“This is a time of rapid and multifaceted change in both population and the planet,” said Parfait Eloundou-Enyegue, a member of the U.K. Royal Society’s People and the Planet working group and contributing author to the report of the same name launched at the Wilson Center on June 4. “The question that the report is trying to address is whether we can actually envision a world in which we can sustainably and equitably meet the consumption needs of seven billion people, and the more to come.” [Video Below]The Royal Society is a self-governing fellowship of scientists that fosters research to address pressing social issues and better inform policy on a global scale. Eloundou-Enyegue, also an associate professor of development sociology at Cornell University, was joined by fellow working group member and African Institute for Development Policy Director and Founder Eliya Msiyaphazi Zulu to discuss their assessment of growing population and consumption pressures on global wellbeing.
Current Trends Are Unsustainable
“The current trends of global population growth and material consumption and the concomitant changes in the environment are unsustainable,” said Zulu.
On the population side, “you have changes that are affecting not just the size, the growth of the population, but also changes in family structure, in the population distribution, [and] population movement,” said Eloundou-Enyegue.
On the consumption side, “beyond the increase in consumption itself, there’s also a dramatic rise in aspiration,” he continued. “People are in greater contact and this tends to encourage…an increasing aspiration to mimic or to emulate the consumption standard of the more industrialized countries.”
Limits to Equitable Growth
When measuring consumption, which itself tends to be a misplaced barometer of wellbeing, according to Eloundou-Enyegue, there is a “disproportionate focus on GDP.”
Using GDP growth as a measure of consumption and wellbeing both “misses a lot of the economic production that’s not mediated through the market,” and “counts as positive things that are damaging to the planet,” he said.
The People and the Planet report marks a departure from the traditional consumption framework by asking “about the relevance of growth – is growth what we ought to be after?”
“The report tried to make a distinction between two types of consumption – the consumption of material resources and the consumption of goods and services – that are all relevant to wellbeing but have different implications for the environment,” Eloundou-Enyegue said. “So there is a need to think about how to shift or to favor consumption that is less damaging to the environment.”
Not an “Either-Or” Proposition
There is “a tendency to look at population and consumption when you’re addressing the impact of the environment in an either-or format, as if you had to choose either population as being the main culprit or consumption,” said Eloundou-Enyegue. “The reality is that they all have to be integrated and considered jointly.”
At the same time, there is “a tendency to shy away from population issues when you set development goals because they tend to be controversial,” he said. And yet, said Zulu, “there’s no question about it, the global population growth needs to be slowed down and ultimately stabilized for both people and the planet to flourish.”
The vast majority of future population growth is expected to come from Africa. Based on the United Nation’s medium variant projection, 70 percent of global population growth over the rest of the century will come from the continent.
That projection, however, belies a big assumption: “that the high fertility countries now will follow the same pattern in decline in fertility as the countries that have [already] achieved lower fertility had [in the past],” said Zulu, which “may actually not be the case.”
“You might actually find a situation where fertility might stabilize around three to four children in some of the…least developed countries,” he said, “and if that happens, it means that actually we stand a much, much bigger chance of getting to the high variant [of 15.8 billion by 2100] than we often tend to assume.”
In spite of that dire warning, however, Zulu said that “we should recognize that demography is not destiny, that through…appropriate socioeconomic and health policies and investment, we can actually slow down population growth.”
The report concludes that voluntary and non-coercive “reproductive health and family planning programs are urgently required,” said Zulu. “There is also a need for strong political leadership and financial commitment to make sure that these programs and services reach out to all women around the world who need them.”
Have We Missed the Boat Again?
Part of the urgency from the working group is because, so far, commitments to reproductive health appear to be falling short. It is the international community’s responsibility “to make sure that women have the contraceptives that they need in order to achieve their fertility aspirations,” said Zulu, but some of the most important agenda-setting events in global development over the past 20 years have sidelined population, reproductive health, and family planning.
The Millennium Development Goals, for instance, “tried to stay clear of population,” said Eloundou-Enyegue, even though “all the indicators that I see are either intrinsically demographic or have a strong demographic component.”
“If you think about stratification and the reproduction of inequality and poverty across generations and the role that differential fertility and reproduction plays, there’s no way you can sidestep population,” he continued. “If you’re talking about maternal mortality and child mortality…it doesn’t make sense to set population aside.”
Now, as the international community prepares for the upcoming Rio+20 summit, “there’s been a big struggle to get…consideration of population issues” on the agenda, said Zulu.
“Population is at the peripheral of all those discussions,” said Zulu. When in Nairobi for a preparatory conference earlier this year, Zulu said UNFPA Executive Director Babatunde Osotimehin “told me that he was quite alarmed that there was hardly any mention of population in all those discussions. And he asked me the question, ‘have we missed the boat again?’”
That concern reinforces the main argument of People and the Planet, said Zulu: there is an “urgent need to reduce material consumption of the richest, and increase consumption and healthcare for the poorest 1.3 billion people.”
“We’re talking about having the majority of people in the world being able to flourish, being able to lead decent lives.”
Event Resources:Photo Credit: “Market_Kampala, Uganda,” courtesy of the Hewlett Foundation.
