United Nations

Economic and Social Council
Distr.: General
11 December 1997
Original: English

Commission on Population and Development
Thirty-first session
23-27 February 1998
Item 4 of the provisional agenda*
Follow-up actions to the recommendations of the
International Conference on Population and Development


The present report has been prepared in accordance with the terms of reference of the Commission on Population and Development and its topic-oriented prioritized multi-year work programme, which was endorsed by the Economic and Social Council in its resolution 1995/55.

The report provides a summary of recent information on selected aspects of health and mortality and covers such topics as levels and trends of mortality; child survival and health; primary health care and the health-care sector; women's health and safe motherhood; human immunodeficiency virus and acquired immunodeficiency syndrome (HIV/AIDS); the epidemiological transition; health and mortality policies; activities of intergovernmental and non-governmental organizations with respect to health and mortality; and health and development. The preliminary, unedited version of the full report is available as a working paper in document ESA/P/WP.142.

The report was prepared by the Population Division of the Department of Economic and Social Affairs of the United Nations Secretariat with contributions from the World Health Organization, the United Nations Children's Fund and the Joint and Co-sponsored United Nations Programme on HIV/AIDS.



I. Levels and trends of mortality 1-7
II. Child survival and health 8-17
III. Primary health care and the health-care sector 18-26
IV. Women's health and safe motherhood 27-34
V. Human immunodeficiency virus (HIV) infection and acquired immunodeficiency syndrome (AIDS) 35-52
VI. The epidemiological transition 53-62
VII. Health and mortality policies 63-68
VIII. Activities of intergovernmental and non-governmental organizations 69-76
IX. Health and development 77-87
1. Infant mortality for 1970-1975 and 1990-1995, percentage change in infant mortality between those periods, and under-five mortality, 1990-1995, by major area or region ranked according to level of mortality
2. Revised 1990 estimates of maternal mortality by region

3. Estimated distribution of people living with HIV/AIDS, 1997

4. Population groups whose mortality levels are of particular concern to Governments
I. Life expectancy at birth, world, more developed regions and less developed regions, 1950-1995, both sexes combined
II. Annual number of new HIV infections, selected regions
III. Governments' views regarding acceptability of mortality levels, 1995