Family planning and population control in developing countries

This essay aims at a critical analysis of the major assumptions of the family planning movement and their implications for population and development policy in the less developed countries. A neo-Malthusian perspective, in which a reduction of the current high rates of population growth is considered to be a necessary condition for economic development in the less developed countries, is dominant among professionals in family planning. Population control has come to be regarded as a kind of“leading sector” in the development process. The position taken in this paper is that the contention that fertility reduction is crucial to short term economic development is not substantiated empirically and represents a distorted view of the economic development process. Nor is there good evidence that demographic modernization can move far ahead of other aspects of modernization. Skepticism about the success of family planning tends to lead to advocacy of alternative methods of population control which are generally beyond the economic, administrative, and political capacities of the less developed countries and are sometimes repressive in tone. The family planning movement, in overstressing the independent contributions of fertility reduction programs, has tended to underplay conditions such as improved health, lowered mortality, and altered opportunity structure which make these contributions possible at all.     

The population and economic issues in West Asia after WW II]

Using statistical data, this report analyzes population and economic issues in West Asia after World War II. The high rate of development as witnessed in West Asian countries after their gaining of political independence following World War II was accompained by an accelerated population growth. This population growth spead unevenly among different areas. Based on surveys of 17 countries in West Asia, the socioeconomic development and rapid rate of population growth have largely affected the population age, sex, urban and rural residential, and economic sector employment structures. With the help of indicators and mathematical methods to plot population development, these countries can be divided into 3 categories based on population development features. The semiindustrial countries demonstrate a gradually slowing population growth rate, most of these countries having experienced a peak period in the growth rate during the time of population transition. The agricultural countries show a natural population growth rate which is generally considered low. The 3rd category, the oil-producing countries, are currently experiencing a peak in population growth. In general, the popuation growth rate has dramatically accelerated in West Asia since World War II. Between 1950-1960 this rate was 2.58%; between 1960-1970, 2.75%; and between 1970-1980, 2.92%. This rate shows an increase of 6.6% between 1950-1960 and 6.2% between 1960-1970. It surpasses the average world population growth rate and most of the developing country growth rates. It has been augmented by post-World War II economic and social developments.     

Asia's population and development in retrospect and prospect

By 1989 Asia's population will reach 3 billion. That Asia's countries can change the course of population development has been shown by China, whose population growth rate has decreased to 1.2%. 58% of the world's population in 1985 was Asian, and 53% of it was concentrated in 11 Asian countries, of which 37.6% was accounted for by India and China. Asia's population density is 3 times the world average, and the number of persons sustained by a square kilometer of land in Asia is 2.5 times the world average. Asia's population is young (median age 20.3), which means a high dependency burden, a large number of women of childbearing age, and low quality of life, as measured by infant mortality, life expectancy, and literacy. Rapid population growth ensures a low rate of development. Asia's goals are to achieve a 1% growth rate by year 2000, zero population growth and replacement level by 2015 for East Asia and 2020 for South Asia. The World Bank estimates that Asia's population will not stabilize until the end of the 21st century, by which time it will have reached 6 billion. Asia must find a way of achieving both population control and economic development. 5 recommendations are made to the Asian Forum of Parliamentarians on Population and Development (AFPPD): 1) that the AFPPD sponsor the activities of "the Day of 3 billion"; 2) that seminars and conferences on population be held among Asian nations; 3) that high-fertility countries adopt late marriages, few births, and programs for maternal and child health; 4) that organizations for family planning be strengthened and given the resources to upgrade the status of women; and 5) that international cooperation in the area of population be intensified.     

Adolescent sexuality in Asia: new focus for population policy

As the age at marriage continues to rise in East and Southeast Asia, the fertility behavior of unmarried teenagers is receiving more attention from population policymakers. In addition to fertility reduction through family planning, Asian societies today consider population planning strategies in relation to national needs and social goals, including such matters as the population's growth rate, age structure, educational quality and skills. The number of single youth in Asia is growing much more rapidly than the total youth population. By the year 2010, for example, India is projected to have nearly 70 million single teenagers, aged 15-19, 188% more than in 1980. In many developing countries today, such as the Philippines and Korea, the rising age at marriage has combined with rapid urbanization, improved status for women, and more educational opportunity to alter both the behavioral norms of young people and the traditional means of social control over youth. Studies of contemporary adolescent sexuality have been conducted in 4 Asian countries. In the Philippines an overt independent youth homosexual culture was found to exist in urban and to some extent rural areas. In Thailand research revealed little conservative resistance to family planning or to contraceptives for young unmarried people. Surveys in Taiwan indicate that behavior related to dating and choice of spouse has become more liberal, and a survey in Hong Kong revealed a higher level of premarital sex and use of prostitutes among Chinese men than expected. Population policy perspectives that need to be considered in these changing times include: 1) issues of access to family planning services by unmarried people below the legal age of maturity; 2) the development of social institutions, such as exist in Thailand and the Philippines, to guide adolescents' behavior; 3) more extensive study of adolescent sexuality; 4) establishment of the scope of family policy.     

Costs and benefits of children: implications for population policy

Family size preferences are strongly affected by parents' perceptions of the value, economic contributions, and costs of children. Better understanding of these factors can help policy-makers to improve the effectiveness of population IEC campaigns, design strategies to persuade couples to have smaller families, assess the relationship between economic development and family size preferences, and devise national population policies and family planning programs that reflect individual choices. Parents in high-fertility countries are more likely to perceive children as productive investments than those in low-fertility countries. Parents in the former countries maintain children are an economic advantage or provide practical assistance in the household; they are less likely to emphasize the psychological advantages of children. As economic development occurs, and parents no longer value children for their economic contributions, psychological and social reasons become more important. Changing fertility preferences is more complex than providing couples with family planning services. Similarly, efforts to persuade families that large families are a burden are successful only when families are already interested in reducing their family size. Efforts to persuade couples to have smaller families are likely to be more successful if there are alternative sources of old-age support available, for example, from increased household savings, public or private pensions, or greater contributions from 1st and 2nd children. Investments in education and training, especially for women and children, would also support these goals.     

Thinking about several problems of the research of our family planning strategy]

On the basis of 1982 census data, it is estimated that from 1987-1997 13 million women will enter the age of marriage and child-bearing each year. The tasks of keeping the population size around 1.2 billion by the year 2000 is arduous. Great efforts have to be made to continue encouraging one child/couple, and to pursue the current plans and policies and maintain strict control over fertility. Keeping population growth in pace with economic growth, environment, ecological balance, availability of per capita resources, education programs, employment capability, health services, maternal and child care, social welfare and social security should be a component of the long term development strategy of the country. Family planning is a comprehensive program which involves long cycles and complicated factors, viewpoints of expediency in guiding policy and program formulation for short term benefits are inappropriate. The emphasis of family planning program strategy should be placed on the rural areas where the majority of population reside. Specifically, the major aspects of strategic thrusts should be the linkage between policy implementation and reception, between family planning publicity and changes of ideation on fertility; the integrated urban and rural program management relating to migration and differentiation of policy towards minority population and areas in different economic development stages. In order to achieve the above strategies, several measures are proposed. (1) strengthening family planning program and organization structure; (2) providing information on population and contraception; (3) establishing family planning program network for infiltration effects; (4) using government financing, taxation, loan, social welfare and penalty to regulate fertility motivations; (5) improving the system of target allocation and data reporting to facilitate program implementation; (6) strengthening population projection and policy research; (7) and strengthening training of family planning personnel to improve program efficiency.     

New perspectives on population: lessons from Cairo

The lessons from the 1994 World Population Conference in Cairo, Egypt, are summarized in this publication. The topics of discussion include the evolution of population policies, the changing policy environment, demographic trends, and solutions in the form of gender equity, provision of reproductive health services, and sustainable social and economic development. The program of action supported by 180 governments and targeted for 2015 articulated the goals of universal access to a full range of safe and reliable family planning methods and reproductive health services, a specified level of reduction in infant and child mortality, a specified level of reduction in maternal mortality, an increase in life expectancy to 70-75 years or more, and universal access to and completion of primary education. Other features include goals for improving women's status and equity in gender relations, expansion of educational and job opportunities for women and girls, and involvement of men in childrearing responsibilities and family planning. Steps should be taken to eliminate poverty and reduce or eliminate unsustainable patterns of production and consumption. Population policy must be integrated within social and economic development policies. About $22 billion will be needed for provision of family planning and reproductive health services by the year 2015. Costs will increase over the 10-year period due to the increased population to be served. Per person user costs for family planning alone are higher in countries without infrastructure and technical skills. Actual costs vary with the cost of contraceptive supplies, patterns of use, and efficiency of delivery systems. Although the plan offers 16 chapters worth of advice and recommends 243 specific actions, countries will have to be selective due to cost limitations. The 20/20 Initiative is proposed for sharing social service costs between international donors (20%) and host countries (20%). A separate UN projection of need is for 33% of support from international donors for family planning and related programs. The constraints to the implementation of the action plan are identified as the rate of demographic change, the extent of public support for population limitation and provision of family planning services, and potential conflicts of interests and funding between cooperating agencies. The World Bank has developed guidelines for policy development according to a country's identification as an emergent, transitional, or advanced country.     

Economic development and fertility decline: lessons from Asia's newly industrialized countries

The general thesis that economic development and fertility decline are interrelated is substantiated in literature that discusses the successes of the newly industrialized countries of Hong Kong, Korea, Singapore, and Taiwan. When countries are developing rapidly, family planning accelerates the rate of fertility change, particularly among the poor uneducated rural population. Relying on economic and social development is not enough. National policy in Hong Kong, Singapore, Korea, and Taiwan recognized that population growth drains resources and the family planning programs operating since the 1960s contributed to a drop from 5 children/woman to 2 by 1988, and 70% of married couples used contraception. Coupled with this, age at marriage rose, contraception became more available, and educational and employment opportunities increased. Economically, the growth rate in the 1980's was 6-10% annually, with growth in the manufacturing and service sectors and export trade. Close economic ties evolved between governments and private sectors. Social development programs had been fully funded and gains evident in education, living standards, health care and nutrition, and life expectancy. The success of family planning is attributed to encouraging contraceptive awareness and use. Fertility reduction may occur with social and economic development, but no developing countries have reduced fertility without family planning. The relative importance of family planning may change over time, and reducing the cost through government sponsored family planning programs and encouraging the acceptability of contraceptive usage.     

The international family planning movement

Over the past 3 decades, the number of women using family planning has increased 6-fold to over 400 million married women of childbearing age. The evolution of behavior and attitudes toward using birth control among third world couples reflects the goals and hard work of an international network of individuals, governments and organizations. This article follows the progression of this movement, from early opposition in developed as well as developing countries, to the present day, when birth control is practiced by a slight majority of the world's women of childbearing age. Among world regions, contraceptive use ranges from about 17% in Africa to 75% in Asia. In some African countries, however, family planning is still a foreign concept, and fewer than 5% of women use any birth control. International organizations played a crucial role in spread of family planning by providing training for developing country professionals, funding actual family planning programs and helping to evaluate programs. But the success of a country's family planning program also was dependent upon a national commitment, and often on a strong socioeconomic setting. The private sector has had a limited role except in some countries, notably in Latin America, but its involvement is likely to expand in the future. Also, as financial support from the US and international organizations wanes, national governments will cover a larger share of the cost. The worldwide increase in the practice of family planning has led to fertility declines in many third world countries, slowing rapid population growth rates. For individuals, family planning has been a liberating influence, allowing them to participate more fully in the shift from traditional to modern society.     

Irrational international economic order is an obstacle

China is a socialist and developing country. As the most populous country in the world, China has a population now of over 1 billion, making up more than 1/5 of the total world population. However, China has a rather poor economic and educational foundation to start with. This is particularly true in the rural areas, where 80% of the total population lives. The problem of population increase and decrease in arable land has grown more acute. Hence, the Chinese Government has been promoting family planning since the 1970s. The Constitution of the People's Republic of China explicitly stipulates that "the state promotes family planning so that population growth may fit the plan for economic and social development." Thanks to the implementation of the basic state policy of family planning, the blind population growth is turning into a planned one. It is estimated by the fertility rate of the 1970s that 200 million births have been averted during the last 16 years. Thus, China has made contributions to the stability of the world's population. Were China to allow its population to grow blindly instead of having practiced family planning over the past 10 years, the world population would be substantially over 5 billion by the middle of this year.     

东北亚地区国际劳务合作与我国的境外就业

东北亚地区各国人口数量和结构的差异,经济结构和发展水平的差异,使得区域内劳动力供需存在很强的互补性。东北亚区域合作的开展形成了区域内国际劳务合作的多种形式。我国作为区域内的主要劳务输出国,扩大与区域内各国的劳务合作,对缓解我国就业压力具有积极作用。     

国外人口政策法规概观

1974— 1 994年的近 2 0年间 ,约有 50个国家明确制订了人口政策 ,有 1 0多个国家将有关人口与计划生育政策的条文写入了宪法。各国人口政策的基本框架大都相同 ,都包含了政策的理论基础、政策目标等。各国政府对人口问题的态度不一 ,关心的焦点也不尽相同。而我国必须加强人口与计划生育工作的法制建设 ,为实现可持续发展的目标创造良好的环境     

Status of National Family Planning Programmes of Developing Countries in relation to demographic targets

Abstract Having arisen within the context of social and economic development plans, demographic targets associated with family planning programmes in developing countries stipulate levels deemed desirable or necessary to implement economic goals. Since an optimum fertility path for economic development is open to conjecture, targets tend to be vague or arbitrary, and generally imply a fertility decline that goes beyond family limitation based on health considerations. While on the one hand, programme administrators have assumed responsibility for these targets, on the other hand they have structured their programmes toward health, not demographic, goals. As a result, they have minimized rather tham maximized the contribution of the programmes to the targets. of the 24 countries with programmes designed to reduce birth rates, the demographic variable is on target in seven; in six, review is premature; five cannot be evaluated because targets are non-quantifiable or vital data are too uncertain; and in six, including India and Pakistan, progress has been poor, at least in relation to targets. The demographic target is only one of many models and techniques for programme evaluation, although many require data not often available in developing countries. An estimate of births averted based directly on programme activities is not only complex but speculative. However, in contrast to the target criterion, cost benefit analyses involving the estimated return for an averted birth indicate that the programmes are a highly profitable investment.     

World population in transition

The world's population growth rate peaked at slightly over 2%/year in the late 1960s and in 1986 is down to 1.7% and falling. Annual numbers added continue to rise because these rates apply to a very large base, 4.9 billion in 1986. According to UN medium variant projections, world population growth will peak at 89 million/year in the late 1990s and then taper off until world population stabilizes in the late decade of the 21st century at about 10.2 billion. Close to 95% of this growth is occurring in less developed countries (LDCs) of Africa, Asia (minus Japan), and Latin America. LDC fertility rates are declining, except in sub-Saharan Africa and parts of Latin America and South Asia, but most have far to go to reach the replacement level of 2.1 births/woman. Fertility is below replacement in virtually all more developed countries. For LDCs, large numbers will be added before stabilization even after attainment of replacement level fertility because of the demographic momentum built into their large and young population bases. This complicates efforts to bridge gaps between living standards in LDCs and industrialized countries. From a new debate about whether rapid population growth deters or stimulates economic growth, a more integrated view has emerged. This view recognizes the complementary relationship between efforts to slow population growth and other development efforts; e.g., to improve health and education, upgrade women's status, increase productivity. Most effective in the increased contraceptive prevalence and fertility declines seen in many LDCs has been the combination of organized programs to increase access to family planning information and supplies with socioeconomic development that enhances the desire for smaller families.     

Theory and methods in China's population policy]

Before 1949, China's population development was noted for its high birth rate, high death rate, and low natural growth rate. After 1949, the death rate showed a large-scale decline, the birth rate was maintained at a high level, and natural growth rate also remained high. Between 1949 and 1973, the natural growth rate was kept above a 2% annual rate. Since then, the need for population control has become increasingly obvious. The theory and methods of China's population policy can be summarized in the following points: (1) material production has to keep up with the pace of population growth, and that means the quantity and quality of the population have to match athe production of materials needed for life and consumption; (2) in a Socialist society, material production and population growth have to develop with well-designed plans; (3) the population question has a direct impact on social and economic development; (4) through enforcement of a national policy, cooperation from different individuals, and ideological education, family planning will gradually be accepted by the general public for the well-being of the country.     

Speech at the UN International Conference on Population,Mexico City,August, 1984

In seeking a solution to its population problem, China, as a developing socialist country, has been making unremitting efforts to develop economy while controlling the rapid growth. The objective is to control rapid population growth so that population growth may be in keeping with socioeconomic development and commensurate with utilization of natural resources and environmental protection. In the past decade, and particularly since 1979, China has made much progress in developing economy and gained remarkable successes in controlling population growth. The natural population growth rate dropped to 1.15% in 1983, from 2.089% in 1973. Living standards have improved with a gradual annual increase of per capita income. All this proves that the policy of promoting family planning to control population growth along with planned economic development is correct. In China family planning is a basic state policy. The government has advocated the practice of "1 couple, 1 child" since 1979. This does not mean that 1 couple could have 1 child only in every case. The government provides guidance for the implementation of family planning programs in the light of specific conditions such as economic developments, cultural background, population structure, and the wishes of the people in different localities. The requirements are more flexible in rural than in urban areas and more so among the people of national minorities than among the people of the Han Nationality. In rural areas, couples who have actual difficulties and want to have 2 children may have a 2nd birth with planned spacing. In carrying out its family planning program, China has consistently adhered to the principle of integrating state guidance with the masses' voluntariness. The government has always emphasized the importance of encouraging the people's own initiatives, through publicity and education, which is the key link in implementing the family planning program.     

The International Parliamentary Assembly on Population and Development held in Mexico City

The International Parliamentary Assmebly on Population and Development took place on August 15-16, 1984, with the participation of more than 300 parliamentarians from 60 countries. The aim was to promote an exchange of views on population programs and policies among parliamentarians, and to support the recommendations adopted by the UN International Conference on Population. The assembly held discussion in 3 subcommittees on the subjects of 1) policies of population and development; 2) the legal and social status of women; and 3) the improvement of family planning service. On population policy, parliamentarians generally agreed that policy formulation is the prerogative of each sovereign country, stressing that such policies and programs should be integrated with social and economic development. The developing countries stronly demanded that a new international economic order be established and international aid increased to help them in solving the popultion problem. Concerning the status of women, the assembly unanimously agreed that both men and women should not only be legally equal, but should also have de facto equality for employment, education and social life. Attention should be given particularly to the rights and status of rural women. Examples of how the status of Chinese women has improved were offered by Chinese representative and were appreciated by the assembly. On improving family planning services, participants urged provision of information about birth control to people of marriageable age and of access to contraceptives to eligible couples; moreover, they advocated the strengthening of medical care for women and children and the lowering of infant and maternal mortality rates. Dr. Qian Xinzhong described the priorities and goals of family planning programs in China. Finally, the assembly unanimously adopted the "Action Plan," whose contents embody independence, respect for national sovereignty, and the spirit of cooperation and conformity to the interest of the international community, particularly the developing nations.     

The objectives of government policies on fertility control in Eastern Europe

Although demographers from the communist countries continue to maintain that overpopulation in the Malthusian sense Is possible only under capitalism, some East European demographers now concede that a form of overpopulation may, at times and under certain conditions, exist In a communist society. In this connection the ideological framework for an optimum population policy under communism has been developed, and demographers have been given the task of determining what the optimum population is and how it is to be attained. There has been considerable ferment on the Issue of fertility control in both the literature and action programmes of Poland, Chechoslovakia, and Hungary. The latter two countries have conducted surveys on family planning, including the use and effectiveness of contraceptives, and have established demographic journals.

All the communist countries of Eastern Europe except Albania and East Germany have relaxed laws restricting abortions and conducted campaigns for the spread of contraceptives. At the same time family allowances have been continued. These paradoxically divergent policies can be rationalized as attempts to sustain existing families while providing the basis for regulating future fertility to achieve an optimum population in relation to the resources of the respective countries.     

A components method for measuring the impact of a family planning program on birth rates

One of the major goals of family planning programs worldwide has been to reduce the level of fertility in hopes of slowing the rate of natural increase and promoting social and economic development. Such programs have now been in existence for sufficient lengths of time to have had an impact on fertility levels. In general countries with organized family planning programs, marked declines in fertility levels have been observed. The extent to which such declines may be credited to organized programs has not been rigorously measured because an appropriate research methodology has been lacking. This paper describes one method of directly linking declines in fertility levels to the contraceptive protection experienced by a population. The contribution of organized family planning programs is estimated by decomposing the amount of total contraceptive protection into within-program and outside-program sources.     

ESCAP migration study gathers momentum

A comparative study is being conducted in the ESCAP (Economic and Social Commission for Asia and the Pacific) region on the relationships of migration and urbanization to development. The 1st stage of the study will entail the preparation of country reports on the census analysis of migration, urbanization and development. The 2nd stage will involve preparation of a series of national migration surveys. The 3rd phase will involve assisting member governments to formulate a comprehensive population redistribution policy as part of their national development planning. 1st-phase country reports have been completed in Sri Lanka, South Korea, the Philippines, and Indonesia. Migration in Sri Lanka has largely been rural-to-rural with little urbanization so far. The picture in South Korea has been the opposite, with rapid urbanization in the 1960s and 1970s; the government is hoping to divert some population to smaller cities away from Seoul. The pattern in the Philippines is 1 of urban primacy with the metropolis of Manila accounting for over 1/3 of the country's total population. Indonesia is characterized by a dense heartland in the Java-Bali regions. However, the rate of urbanization here has been slower. Migrants in all the countries studied are preponderantly young. The sex differential varies from country to country. The influence of migration on subsequent fertility is unknown.