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PRB’s 2012 World Population Data Sheet
›“The most rapid population growth in many ways [occurs in] the countries that can least afford it,” said Carl Haub in a webinar on July 19 to launch the Population Reference Bureau’s (PRB) 50th annual World Population Data Sheet. This year, the report explores aging populations in more developed countries, rapid population growth in less developed countries, and the increased global prevalence of non-communicable diseases in an interactive map, which concisely illustrates global trends. PRB estimates that the world’s population is 7,057,075,000 as of mid-2012; the global population crossed the seven billion threshold in October 2011.“The most rapid population growth in many ways [occurs in] the countries that can least afford it,” said Carl Haub in a webinar on July 19 to launch the Population Reference Bureau’s (PRB) 50th annual World Population Data Sheet. This year, the report explores aging populations in more developed countries, rapid population growth in less developed countries, and the increased global prevalence of non-communicable diseases in an interactive map, which concisely illustrates global trends. PRB estimates that the world’s population is 7,057,075,000 as of mid-2012; the global population crossed the seven billion threshold in October 2011.
Aging Europe and East Asia
Haub explained that population growth in Europe has been declining since the 1970s and is more or less a “pre-programmed destiny” for these countries. People of child-bearing ages make up a smaller percent of the population in many more developed countries, so unless there is an “enormous increase” in total fertility rates, these populations will continue to decline for the foreseeable future.
Haub noted that these aging populations are unprecedented. In Germany and Italy, for example, 21 percent are over the age of 65; many other European countries have similar figures, as do other developed countries like Japan and South Korea. PRB expects these percentages to increase throughout the next century and for European countries to struggle to support greater numbers of retirees.
Many such states have already found it difficult to raise the retirement age, even though medical advances allow people to work until later ages. PRB projects that in Japan, 42 percent of their population will be over the age of 60 in 2050; if such a large percentage of the population is no longer in the labor force, it will be difficult for to find the resources to support them.
The report shows that the United States, on the other hand, is still experiencing modest population growth. The higher birthrate is in part due to immigration, as recent immigrants to the United States tend to have more children. Haub noted that European states have been reluctant to accept greater numbers of migrants to try to reverse their declining population.
Youthful Developing Countries
While the demographic destiny of aging countries is somewhat determined, the future for less developed countries is more uncertain. Many countries in sub-Saharan Africa, the Middle East, and South Asia have large and growing youth populations, and how many children these “future parents” will have is uncertain. That uncertainty is underscored by the variety of scenarios for future population growth. The UN has four variants – high, medium, low, and constant fertility – which vary considerably in their projections for future populations, and PRB’s global projections for 2050 are some 600 million people more than the commonly-used medium variant UN projection.
Rapid growth in the least developed countries is hardly a new phenomenon, but PRB breaks down the numbers to an impressive degree. The 2012 Data Sheet provides updated net migration rates, projected population as a multiple of today’s, infant mortality rates, rate of natural increase, and other basic statistics. PRB also provides population pyramids from the wealthiest and poorest quintiles of the population of Malawi, as an example of the utility of desegregating data to better allocate resources to the underserved. They found that while birthrates have begun to decline for the wealthiest one-fifth of Malawians, the poorest citizens still have a total fertility rate of over seven children per woman.
Measuring Health Systems
Devastating infectious diseases – malaria, tuberculosis, and HIV/AIDS – have long been entrenched in some of the least developed and most rapidly growing parts of the world. But this year, PRB began to assess health on a broader level by tracking deaths attributed to non-communicable diseases as well. Diseases like cardiovascular disease, diabetes, respiratory illness, and cancer are leading causes of death in developed countries, but they have also increased in prevalence in developing countries at an alarming rate.
PRB is not the only organization to take note of the change in disease predominance. The World Health Organization has issued guidelines targeting four factors which increase the risk of these illnesses: tobacco use, alcohol abuse, poor diet/obesity, and physical inactivity. The UN also called a special session last September to discuss non-communicable diseases. President of PRB Wendy Baldwin noted that the last such discussion on a health issue was 10 years ago about HIV/AIDS.
Baldwin also pointed out that non-communicable diseases can increase the burden on the health systems of developing countries even more so than in developed states. She reported that in south Asia, for example, people have heart attacks on average six years earlier than people in developed countries, meaning more families lose their primary breadwinners.
The Data Sheet Over Time
The World Population Data Sheet has long been a vital resource for those in the population, health, and environment fields and has grown to include far more data than its first iteration in 1962. At first, the sheet had only four indicators: a population estimate for the year, annual rate of increase, crude birth rate, and crude death rate. Over time, PRB began measuring a greater number of key figures like infant mortality and life expectancy at birth. Population projections, a staple of the current version, were not added until 1978, perhaps in response to the inception of the United Nations World Population Projections in 1974.
Over the past five decades, the data sheet has been witness to some major shifts in global population trends. While PRB discourages researchers from comparing past data to current figures because the measures and methods of gathering information have likely changed over time, it is still possible to see the rise of importance in several trends based on the indicators PRB chose to focus on each year. For example, extremely young populations have been found to have profound effects on a country’s stability and prosperity, as have aging populations. The 1966 data sheet was the first to measure the percentage of the population under the age of 15, and it didn’t become a consistent data point until 1977.
The number of people living in cities in the developing world surpassed those in the developed in 1970, according to the UN, and in 1972, PRB began tracking the percentage of populations living in urban areas. HIV/AIDS indicators were added in 2000, as global awareness and a commitment to fighting the disease was rising.
PRB’s demonstrated commitment to continually adding more data and refining existing projections makes the data sheet is a valuable resource to those studying the problems of today and the future. Fifty years on, the amount of information collected is staggering. The data sheet provides a glimpse at not just how many people there are in the world, but also where and how they live.
For more information, take a look at the full data sheet!
Sources: Population Reference Bureau, UN Population Division.
Image Credit: PRB; Video: Noncommunicable Diseases and Youth in Developing Countries. -
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. -
World Population Day 2012: Looking Beyond Reproductive Health
›How should the seven billion or so of us on Earth mark World Population Day? Today, major global players are focusing on increasing access to family planning around the world. But there are other important aspects to population that also deserve our sustained attention.
The links between demography and development have come into the limelight over the last few months, first as advocates decried the last minute removal of reproductive rights language from the Rio+20 outcome document and now as the Bill and Melinda Gates Foundation prepares a massive funding push for reproductive health (starting today, not coincidentally).
“Multiple crises – food, fuel, and financial – have caused significant suffering and served as a wake-up call about the need to pay far more attention to the building blocks of sustainable development,” UN Secretary-General Ban Ki-moon says in an address for today. “Reproductive health is an indispensable part of the sustainable development equation.”
The sustainable development connection is fairly obvious. Environmental destruction in some of the most biodiversity-rich parts of the world has complex but significant population drivers, as Wilson Center consultant Laurie Mazur explains:Human impact on the environment is mediated by a host of factors, including culture, technology, institutions, and market forces. And inequitable socioeconomic systems mean that some human beings have far greater impact than others.
“Often, the value of biodiversity becomes apparent only when it is lost,” Mazur continues. “For example, with the global decline of honeybee populations, growers can now calculate the monetary value of pollination services that were once provided for free by nature. ‘Bee pollination is worth $190 billion,’ said Pavan Sukhdev, a Yale environmental economist, in an interview with Bloomberg. ‘But when did a bee ever send you an invoice?’”
But some generalizations can be made. We live on a planet dominated and transformed by human activity. As we have become more numerous, we have also become more adept at altering ecosystems for human use, replacing species-rich natural landscapes with simpler monocultures.
In other areas, population drivers threaten more basic scarcities: food and water, which in turn impede development and cost human lives. Some of the most successful efforts to address these relationships have combined women’s empowerment, family planning, and basic health interventions with site-based conservation and livelihood efforts.
But besides reproductive rights, there are other important aspects of population that deserve attention on this day.
The demographic dividend – a concept that marries population dynamics and development economics – requires more than just fertility decline to take effect in countries. Economic and social policies that prepare and enable young people to enter the workforce are just as important.
And the Arab Spring helps illustrate the complex relationship between population and democracy. “Among the five countries where revolt took root, those with the earliest success in ousting autocratic leaders also had the most mature age structures and the least youthful populations,” writes Wilson Center consultant and demographer Elizabeth Leahy Madsen. The work of fellow Wilson Center consulting demographer Richard Cincotta shows that countries with very young age structures are prone both to higher incidence of civil conflict and undemocratic governance. What happens next in Egypt, Libya, Yemen, and Syria will further test the connection between youth and democracy.
In South Asia, Madsen finds that as Afghanistan and Pakistan’s political circumstances have become more entwined, their demographic paths are more closely parallel than expected. “For Afghanistan, given its myriad socioeconomic, political, cultural, and geographic challenges, this is good news. But for Pakistan, where efforts to meet family planning needs have fallen short of capacity, it is not,” she writes in the first issue of the newly re-launched ECSP Report, “Afghanistan, Against the Odds: A Demographic Surprise.”
In more developed countries, population aging is a concern. At the Wilson Center last year, economists Andrew Mason and Ronald Lee explained the challenges that those on the other side of the “demographic divide” will face in the near future. From 2010 to 2015, 85 countries are projected to witness the largest absolute increase in history of their populations aged 60 and over, straining public welfare systems and reducing labor forces. It’s not the “catastrophe” that it has been portrayed to be in the media, they said, but like many demographic issues, it is a challenge that will require planning for.
These connections demonstrate the wide importance of population dynamics to understanding how the world works today. Demography is the study of us – all seven billion of us. Demography affects – and is affected by – economics, political stability, health, the environment, food security, foreign policy, development, and conflict. Let’s not overlook that breadth on this World Population Day 2012.
For more, be sure to read some of our additional resources from the recent archives:- Food Security in a Climate-Altered Future: More Than a Supply Problem
- Taming Hunger in Ethiopia: The Role of Population Dynamics
- Uganda’s Demographic and Health Challenges Put Into Perspective With Newfound Oil
- New Surveys Generate Mixed Demographic Signals for East and Southern Africa
- In Building Resilience for a Changing World, Reproductive Health Is Key
- Demographic Security 101 (video)
- Yemen: Revisiting Demography After the Arab Spring
- Hania Zlotnik Discusses Latest Changes to UN Population Projections (audio)
- Book Review: ‘World Population Policies’
- Tunisia’s Shot at Democracy: What Demographics and Recent History Tell Us
- Joel E. Cohen on Solving the Resource-Population Equation in the Developing World (video)
Photo Credit: UN Day Secretary-General Ban Ki-moon with students in October celebrating the seven billion mark, courtesy of Eskinder Debebe/UN Photo. -
Jennifer Dabbs Sciubba, The Huffington Post
Global Threats Exist, But Also Many Global Demographic Opportunities for the United States
›July 3, 2012 // By Wilson Center StaffThe original version of this article, by Jennifer Dabbs Sciubba, appeared on The Huffington Post.
Events like the Arab Spring gave birth to a generation of demographic converts in the national security community. Many are now convinced that demography matters because demographers today can clearly show how youthful population profiles in the developing world could lead to conflicts over the next 20 years – a major concern for policymakers.
Too much focus on demography and conflict, though, means policymakers miss opportunities for cooperation.
We are used to thinking of the wealthy and stable “Global North” and the poor and tumultuous “Global South,” but a demographic divide within the developing world is emerging, a third category of states that are growing older, more urban, more prosperous, more peaceful, and active in international affairs. These states – particularly India, Brazil, and South Africa – represent opportunities for building U.S. and world security.
Even as it maintains its longstanding relationships in Europe and elsewhere in the developed world, the U.S. should be more assertive in seeking partnerships with India as both a counterbalance to China and as a global security partner in addressing piracy and terrorism and in distributing international aid.
Continue reading on The Huffington Post.
Photo Credit: Tahrir 2011, courtesy of flickr user Denis Bocquet. -
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. -
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. -
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.
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