UNITED NATIONS POPULATION INFORMATION NETWORK (POPIN)
UN Population Division, Department of Economic and Social Affairs,
with support from the UN Population Fund (UNFPA)

96-11: International Dateline, November 1996

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This newsletter is being made available by the Population Information

Network (POPIN) of the United Nations Population Division (DESIPA)

and Population Communication International.  For further information

please contact Patrice_Newman@together.org

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                       INTERNATIONAL DATELINE

      A Population and Development News and Information Service



NOVEMBER WORLD POPULATION UPDATE:

                                 5,814,764,000 (Population

                                 Reference Bureau)



                                 NOVEMBER 1996



     EXTINCTION THREATENS 1,096 MAMMAL AND 1,108 BIRD SPECIES ON 1996

RED LIST. According to recent estimates, nearly a quarter of all

known mammal species around the world are at risk of becoming

extinct.  And the same threat applies to: over ten percent of all

bird species, a fifth of all reptiles, a quarter of all amphibians,

and over a third of all fish--mostly freshwater species.

Altogether, some 5200 threatened species are listed on the 1996 Red

List, compiled by the World Conservation Union.  Habitat loss, fed

by human population growth and economic development, takes most of

the blame for the declining numbers of animals worldwide.  Other

factors named in the Red List's burgeoning number of threatened

species include: the exploitation of certain animals; pollution and

climate change, and the introduction of non-native species into

habitats.  Four countries--Indonesia, China, India and Brazil--share

the highest rates of both bird and mammal species at risk of going

extinct.  The Red List report notes that while China, India and

Indonesia host a great number of species relative to other parts of

the world, the three countries also account for 43 percent of the

world's human population, which puts great pressure on critical

habitats.  Dr. William Conway, of the New York-based Wildlife

Conservation Society says: "Few animals that lie in the path of human

development and have limited ranges can be expected to survive

without special efforts to protect them."



     THE RED LIST REPORT SAYS THAT OF THE 26 ORDERS OF MAMMALS, 24

INCLUDE THREATENED SPECIES, including nearly half the world's monkeys

and apes; more than half of 18 species of hoofed mammals--among them

rhinoceroses, zebras, and wild horses; more than a third of shrews

and moles; a third of pigs, antelope and cattle species; one quarter

of all bats, wild dogs, bears and cats, and almost a fifth of all

rodents.  The little-known California harbor porpoise has been

reduced to just 100 individuals because of pollution, water diversion

and entanglements in fishing nets.  The pygmy hog--the world's

smallest pig species--survives in only two wildlife sanctuaries in

India.  And only 200 Tonkin snub-nosed monkeys survive in isolated

forest fragments in northern Vietnam.  Of the 27 orders of birds

around the world, 23 contain threatened species, numbering over 1100

bird species at risk altogether.  An estimated fifth of all reptiles

are threatened, including 44 percent of the 23 species of

"crocodilians," which includes crocodiles, alligators and caimans.

But crocodilians are one of the few orders whose situation has been

improved by conservation: In 1971, 100 percent of the large reptiles

were endangered.  Today, seven species are abundant enough to allow

sustainable use for skin trade, and five species have stable or

increasing population numbers.  Russel Mittermeier, president of

Conservation International in Washington, calls the Red List

"indisputable proof that warnings about global biological diversity

loss haven't been exaggerated," adding: "If anything, we've been too

optimistic."



     FISH AND INVERTEBRATE POPULATION NUMBERS ALSO HAVE ALARMING

IMPLICATIONS.  According to the Red List report, more than 100

species of marine fish are threatened with extinction, including

sharks, tuna, coral reef fish and seahorses.  All species of sturgeon

and paddlefish are at risk.  In light of these findings, scientists

are pessimistic about the status of the 14,000 marine species not yet

assessed.  In addition, about 77 of 250 known European freshwater

fish are threatened, and 14 species are critically endangered,

reflecting excessive harvesting, water pollution and overly-modified

water courses in Europe.  The report notes that most animal species

are invertebrates, and although the Red List carries 1,891 species

of these (mostly crustaceans, insects and mollusks), scientists

emphasize that very few invertebrate species have been assessed

relative to their total numbers.  More mollusks are listed as

threatened than any other invertebrate group: Out of 70,000

documented mollusk species, 2,049 were assessed, and 920 of these

were identified as threatened.



     THE RED LIST STARTED IN 1960 AS A CARD FILE ON 34 RARE ANIMALS.

The 1996 study, conducted by over 500 scientists worldwide,

identifies 5,205 threatened species, including nearly half of the

world's primates.  The list also includes 253 reptile, 124 amphibian

and 734 fish species, but it emphasizes that thousands of species in

those groups have not yet been assessed.  Various methods were used

to assess levels of endangerment, including rate of population

decline over a ten-year period.  Using this criterion, critically

endangered species are defined as those experiencing an 80 percent

decline; endangered, 50 percent; and vulnerable, 20 percent.  The

publication of the 1996 Red List coincided with the first World

Conservation Congress in Montreal, Canada, October 13-23, 1996.



     For more information, contact: Ricardo Bayon, Special Assistant

to the Director General, IUCN, The World Conservation Union, Rue

Monuverny 25, CH-1196 Gland, Switzerland.  Tel: (4122) 999-0288; fax:

(4122) 999-0029; or Lisa Bowen at the Species Survival Commission in

Washington, DC: (202) 973-2204.

     (Press Release, October 1996, World Conservation Union; New York

     Times, 8 October 1996)



                          *   *   *   *   *





IN BRIEF . . .







. . . SOUTH AFRICA has the worst tuberculosis problem in the world,

with estimates of the disease numbering 311 cases per 100,000

population, according to the World Health Organization (WHO) and a

team of international experts.  WHO says that no other country's

estimates exceed 250 cases per 100,000 people.  A combination of

factors are blamed, including the isolating effects of decades of

apartheid; disparities in health care; the rising incidence of

HIV/AIDS; unsupervised medication regimes; working conditions in

mines--where many South Africans work, and treatment avoidance due

to shame or fear of losing employment.  Dr. Olive Shisana, director

general of South Africa's Department of Health, said that "directly

observed treatment," in which patients are forced to take their

medication under the eyes of a nurse every day for up to six months,

will be adopted throughout the country. (New York Times, 26 June

1996, New York/Pretoria)



. . . DEBT RELIEF for up to 41 of the world's poorest countries is

the focus of a new initiative from World Bank President James

Wolfensohn.  The initiative--projected to cost between US$5.6 and

$7.7 billion over the next decade--was endorsed at the recent annual

meetings of the World Bank and International Monetary Fund.

Wolfensohn has recommended that the World bank contribute up to US$2

billion, though sources for the rest of the funds are unclear.  Moves

to help the first of the poor countries--with Uganda at the top of

the list--should begin by the end of the year.



     (The Economist, 5 October, London/Washington)



. . . FEMALE GENITAL MUTILATION is now officially banned in both

Egypt and the United States.  Egyptian Health Minister Ismail Sallam

announced the decision in July, approximately one year after the

government succumbed to fundamentalist pressure and ruled that,

instead of being banned outright, the mutilation should be performed

in designated hospitals.  The United States imposed a federal ban on

the practice on September 30, directing Federal authorities to inform

new immigrants from countries where it is commonly practiced that

parents who arrange the procedure for their daughters and anyone who

performs the ritual face up to five years in prison.  The new law

also requires U.S. representatives to the World Bank and other

international financial institutions to oppose loans to governments

that have not carried out educational programs to prevent the

traditional practice.  (IPPF Open File, September 1996, International

Planned Parenthood Association, London; New York Times, 12 October

1996).



. . . SOUTH KOREA has the highest boy-to-girl ratio in the world,

with only 100 girls born in 1994 to every 115.4 boys.  Fertility

rates have declined from over five to under two children per woman

since 1950, but the pressure to produce a male heir is still high.

According to the Planned Parenthood Federation of Korea, the 1994

boy-to-girl ratio translates into 30,000 aborted female fetuses that

year.  Census projections indicate that by 2010, only four South

Korean women will reach marrying age for every five men in that

country. (IPPF Open File, September 1996, International Planned

Parenthood Association, London)



. . . TRANSNATIONAL CORPORATIONS account for 51 of the world's 100

largest economies, according to a new report from the Institute for

Policy Studies.  The study points out for example that Wal-Mart--the

world's 12th-largest corporation--racks up sales revenues larger than

the gross domestic product of 161 countries, including Israel, Poland

and Greece.  The combined sales of the top 200 corporations come to

US$7.1 trillion, nearly twice the $3.9 trillion in economic activity

generated by the poorest 80 percent of the world's population, some

4.5 billion people.  The report concludes that these corporations

"are creating a global economic apartheid, not a global village."

     (In These Times, 26 October 1996, Chicago, Illinois, USA)



                          *   *   *   *   *



     IF TODAY'S BIRTH RATES REMAIN UNCHANGED, THE WORLD WOULD SEE

MULTIBILLION POPULATION LEVELS--100 billion by the end of next

century and 700 billion by the mid-22nd century--"that would

certainly lead to food shortages, epidemics and civil strife."  That

scenario--posited to drive home the mathematical realities of certain

statistics--comes from demographer Carl Haub, co-author with Machiko

Yanagishita of the Washington-based Population Reference Bureau's

1996 World Population Data Sheet.  Haub notes that the acceptance of

family planning by couples around the world has been key in lowering

postwar population growth rates, but says that "birth rates in

developing countries remain at twice the level needed to stabilize

world population size at some point in the future."  If current birth

rates do not come down, PRB says, "we will soon be adding several

billions to world population every 10 years."  And they add that

while this may seem like an unimaginable scenario, "it would be a

mathematical certainty."



     GROWING AT ITS CURRENT PACE, WORLD POPULATION WILL REACH 6

BILLION IN 1999, just twelve years after passing the five billion

mark, according to the PRB authors.  They note that if couples in

developing countries continue to average well over two children each,

"only rising death rates from factors such as famines would deter an

unsustainable population of several hundreds of billions."  Assuming

a downturn from its average of six children per couple, PRB says that

Africa's ultimate population size over the next 50 years will rise

to between 1.2 billion and almost 8 billion--a number that would

undermine the continent's development opportunities and its

governments' ability to deal with the situation.  PRB says that China

and India are two huge population question marks in the world's

demographic future.  The two most populous nations have both lowered

fertility rates over the last few decades, but PRB notes that China's

rate of 1.8 children per woman is the result of the controversial

government-mandated family planning program.  India has lowered its

rate to 3.4 children in the past 30 years; however, PRB says, further

decline to its goal of two children per family remains elusive.



     THE 1996 WORLD POPULATION DATA SHEET FINDINGS ALSO INCLUDE THE

FOLLOWING:



     * AIDS will have a far greater effect on population size in

Africa than previously thought.  And though the impact on continent-

wide population growth will be modest, PRB says, AIDS may have a

devastating impact on certain countries;



     * With Europe's fertility rate down to only 1.5 children per

woman, population growth in the industrialized countries has

effectively ended for the foreseeable future.  PRB says that this

will lead to significant economic challenges as populations age.



     For information on obtaining copies of the 1996 World Population

Data Sheet, contact: Population Reference Bureau, 1875 Connecticut

Ave., NW, Suite 520, Washington, DC 20009-5728, USA. [Note to

journalists: if you return the survey enclosed with your July/August

Dateline, PCI will send you a complimentary copy of the 1996 Data

Sheet.  If you cannot find your survey, simply jot down your

affiliation and a few comments on whether, how and how often you use

Dateline and why, and mail it to us at PCI.  Thanks in advance.]

     (News Release, 3 July 1996, Population Reference Bureau Inc.,

     Washington)



                          *   *   *   *   *



     A FORMER BRAZILIAN GUERRILLA FIGHTER HAS TURNED HIS MILITANCY

TOWARD A DEVELOPMENT MODEL aimed at defending the threatened Amazon

rainforest.  He is Joao Alberto Capiberibe, governor of Amapa, one

of Brazil's poorest and most remote states, situated at the left bank

of the Amazon's mouth.  Capiberibe, a 48-year-old politician who once

battled to unseat Brazil's military rulers, has won praise from

environmentalists for his peaceful war against poverty and its

devastating effect on Amapas's rich forest resources.  Though small

by Amazonian standards, the state--with a population of only 600,000-

-spans an area twice the size of Ireland.  Capiberibe's strategy is

to attract people away from the interior forest land by promoting

job-creating tourism and a fishing industry along the Amazon and

Atlantic coasts.  His government is also providing assistance to

interior communities that extract from the forest such lucrative and

renewable natural crops as rubber and nuts.  Shortly after

Capiberibe's inauguration in 1995, his administration began buying

dehydrated Brazil nuts from one indigenous reserve to bolster

nutrition among children by fortifying meals distributed free to

schools.  Members of the rural workers' union say they benefitted as

well, because the government program pushed up the price of nuts in

the wholesale market.  About his new programs, Capiberibe says: "I

started from a very simple diagnosis.  Our natural resources are

disappearing and unless we do something, we will be left in a

situation of eternal poverty."



     IN THE TRADITIONALLY CONSERVATIVE STATE, CAPIBERIBE MUST CONTEND

WITH POWERFUL POLITICAL OPPOSITION as well as entrenched cultural

patterns. In one case, inhabitants balked when he tried to persuade

them to move to higher ground from a heavily polluted riverbank

settlement.  As a resident explained, they like living by the river--

however unsanitary the site.  More threatening to the governor's

projects are local and national political forces.  Before Amapa

became a state in 1991, the territory was ruled directly from

Brasilia, the national capital--usually in an authoritarian manner.

And the local population has not yet been able to shake off the habit

of living under powerful land owners.  Even the grass-roots approach

to attacking poverty and saving the environment has drawn fire.  As

a Capiberibe government member explained: "We're not building lots

of grand projects, and that can be used by the opposition against

us."

     (Financial Times, 28 November 1995, London)



                          *   *   *   *   *



     WILL CHINA--AS ONE DRAMATIC NEWS HEADLINE QUERIES--'EAT UP THE

WORLD' within the next three decades?  American resources specialist

Lester Brown contends that it will.  Experts both in and out of China

tend to brush off the prediction as unnecessarily alarmist.  Brown,

president of the Washington-based Worldwatch Institute, argues that

the Chinese's newly-developed taste for untraditionally large

helpings of pork, chicken, beer and other grain-based dietary items--

as opposed to the traditional rice-based diet--will require more

wheat and corn to feed livestock than China can possibly produce.

As recently as the 1959-62 period, some 20 million Chinese died in

one of the world's worst recorded famines.  But today's booming

economy has raised the standard of Chinese living and dining.  Brown

points out that to meet the growing demand, China already has turned

from a grain exporter to the world's second-largest grain importer.

Eventually, he argues, Beijing will import so much grain that the

total international supply would be exhausted.  But Song Guoqing of

the Chinese Center for Economic Research calls the forecast "somewhat

exaggerated."  He contends that contrary to Brown's contention,

within the next few years agricultural production will "increase

quickly."  Nicos Alexandratos of the United Nations' Food and

Agriculture Organization, shares Song's view.  He says Brown bases

his calculations on a China diet consumption equal to Europe's--a

state which, he adds, "will still take many years to come about."

     (World Press Review, March 1996; from NRC Handelsblad,

     Rotterdam)



                          *   *   *   *   *



     QUALITY OF LIFE EMERGES AS THE PIVOTAL RECOMMENDATION of a study

commission comprising seven governments, three international

agencies, and five major private foundations.  The group's most

recent conference report, described as the outline of a "radical

agenda," deals with the economic, human and environmental crises

facing the world.  In one key finding, the conferees agreed that

development assistance is inadequate for the people and countries

that need it most, calculating that the poorest countries with an

average real annual income of US$2,000 per person received only $8.23

per capita in aid in 1991.  By contrast, those with a yearly per

capita income between US$4,000 and $5,000 received aid assistance

worth nearly $100, or 12 times the share of the poorest.  In its

report, Caring for the Future, the Independent Commission on

Population and the Quality of Life questions whether the market

economy alone is the panacea to the world's ills.  In fact, it

asserts that in most countries, the emphasis on the free market,

economic stability and growth in material consumption has taken

precedence over the quality of life. While conceding a role to the

free market, the report contends: "The greatest challenges to modern

government arise from problems that markets either help to create or

cannot deal with," notably environmental damage, social breakdown,

unemployment and crime.



     THE COMMISSION CALLS FOR 'A NEW SOCIAL CONTRACT' for

governments.  Most urgently, it advocates a new balance between

market, society and environment; between efficiency and equity, and

between wealth and welfare.  On specific major points, the contract

advocates:



     * Strong participation and democracy at all levels of

government.  It says people should have the right to influence or

decide policy not only through representatives but directly.



     * A concept of security that covers not only military but human

security. Disapprovingly, the report points out that among 94

countries surveyed, at least 52 spent more in 1990 on the military

than on health.



     * National accounting systems that include environmental costs

and the depreciation of natural capital.



     The contract emphasizes the needs and rights of the family,

including the rights to maternal nutrition, pre-natal and post-natal

care, access to family planning, maternal leave and gender equality.

Summing up, it says: "Development assistance should concentrate

increasingly on sustainable improvement in the quality of life."

     (Caring for the Future, 26 June 1996, The Independent Commission

     on Population and Quality of Life, Oxford University Press)



                          *   *   *   *   *





     IN-DEPTH REPORTS ON FAMILY PLANNING AND CONTRACEPTIVE PRACTICES

IN A DOZEN COUNTRIES ARE CONTAINED in a series of three working

papers published by the New York-based Population Council.  The

conclusions--some of them unorthodox and challenging of mainstream

views--cover the demographic spectrum of such diverse cultures and

political orientations as those in China, the Philippines, Thailand

and Bangladesh.  For example, the authors of the Philippines study

express doubt that the principal cause of women's unmet needs are

necessarily a lack of family planning services and information.

Planning services, they argue, appear to carry little weight in the

Philippines.  Rather, they contend: "The most important factors are

the strength of women's reproductive preferences, the fertility

preferences of the husband and the perceived detrimental health side

effects of contracepting."  In the working paper titled

"Contraception and Religious Practices in Bangladesh," the authors

assert that the effect of Qur'anic teachings is subject to varying

interpretations on the issue, with the Holy Book's stand on family

planning used to bolster both pro and con arguments.  The study says

that varying views stem in part from the Qur'an's silence on the

contraception issue.



     THE MOST DIRECT CHALLENGE TO CONVENTIONAL FAMILY PLANNING

RESEARCH IS CONTAINED in the 1996 Working Paper No. 85, titled

"Governance of Fertility Transition: Regularity and Duress."  Here,

the study focuses on the intrusive government policies that have

resulted in dramatic population declines in China and Indonesia.

Author Geoffrey McNicoll contends that for China, foreign

demographers' data show "a blanket avoidance of the role of politics

in the spectacular drop in birth rate."  He explains that researchers

are intimidated by the fear that Beijing will discourage their

further visits.  Therefore, McNicoll says, the politics of

international population activities are largely--as at the Cairo

population conference--about declarations rather than about their

implementation.  Nevertheless, he concedes, there have been instances

where direct government action has had a major effect on fertility.

The classic case is China, with its one-child policy.  But the study

also refers to India's 1975-77 Emergency period under Prime Minister

Indira Gandhi, when discipline was imposed and civil liberties

curtailed to promote lower population growth.  The targeted

population consisted of families with three or more children.  At the

Emergency's peak, government and party pressures resulted in 8

million sterilizations; contrasting with some 1.7 million in the

preceding 10 years.  The study also found varying degrees of

government persuasion and intrusion sometimes bordering on coercion

in Indonesia and, to a lesser extent, in Thailand.  In fact, in

Thailand's case, the study concluded that the dramatic scale of

decline "offered plenty of kudos to be claimed" in light of its

generally benevolent approach to family planning.

     (Working Papers, Numbers 83, 84 and 85, 1996, The Population

     Council Research Division, One Dag Hammarskjold Plaza, New York,

     NY 10017, USA)



                          *   *   *   *   *



     DESPITE A DECLINE IN FERTILITY RATES, INDIA'S POPULATION

CONTINUES TO GROW AT AN ALARMING RATE, according to a recent report

published by the Population Reference Bureau (PRB).  For the past

three decades, India's population has been growing at 2 percent

annually.  But in the early 1990s, the growth rate dropped below that

figure.  Nevertheless, by 1995, the population stood at 931 million

and was continuing to grow.  In a search for clues to India's

Population in Transition--the title of the new report--two Indian

demographers examined the factors involved in the decline.  In the

demographic context, the term "transition" as used throughout the

report refers to the process during which mortality and fertility

rates fall from high to low levels.  Among other things, the

researchers considered differences between states, religions and

ethnic groups as well as between urban and country living and the

status of women in the society.  But one factor is paramount among

their findings.  As the published report put it: "Indians must face

the fact that their population will exceed 1 billion by the end of

the century and that their country is likely to surpass China, to

become the world's most populous country by the middle of the next

century."



     THE REPORT ON INDIA'S DEMOGRAPHIC TRANSITION IS A 50-PAGE

COMPENDIUM of text bolstered by tables, graphs and charts and

illustrated by maps and photographs.  Topics range from the history

of India's diversity, age composition and family planning programs

to the effect of modernization on fertility decline.  It ends with

half a dozen pages of reference sources, suggested reading and

questions for discussion.  The authors of the report are Leela

Visaria, a professor at the Gujarat Institute of Development Research

in Ahmedabad, India, and Pravin Visaria, the institute's director.

In a discussion of social issues, the authors point out that while

the easing of controls and regulations with emphasis on economic

growth are welcomed by India's middle class, a quarter of all Indians

still live below the official poverty level.  At the same time,

efforts to raise living standards for the masses are frustrated by

the rapid population rise.  As has happened in the newly-

industrialized countries of East and Southeast Asia, India's

fertility decline is attributed in large part to "modernization."

The term includes urbanization, industrialization and the rise in the

status of women.  Yet even if, under the influence of modernization,

all young Indians decide to have only two or fewer children, the

population would continue to grow for the next 60 to 70 years.  In

absolute terms, the United Nations projects that with a replacement

level of 2.1 children per woman, India's population will exceed 1.6

billion by the year 2045--less than 50 years from now.



     A WALLCHART ENTITLED "INDIA: HEALTH AND FAMILY WELFARE" was

published by PRB in May 1996, prepared in collaboration with the U.S.

Agency for International Development/Delhi and the International

Institute for Population Sciences in Mumbai (Bombay).  The chart

highlights India's dramatic decrease in fertility rates and

significant progress in improving the health of children.  Based on

the results of the 1992-93 National Family Health Survey, the chart

marks the fall in average fertility from more than 6.0 children in

1951 to 3.4 children today, as well as health indicators such as

infant mortality rates, vaccination coverage and child

undernutrition.



     Contact PRB for ordering information: Population Reference

Bureau, 1875 Connecticut Ave. NW, Suite 520, Washington, DC 20009-

5728, USA.

     (Population Bulletin, October 1995, Population Reference Bureau,

     Washington)



                          *   *   *   *   *





NGO SUPPLEMENT   NOVEMBER 1996



                  For and About NGOs and their Work





     THE RESULTS OF A RECENT STUDY ON PROMOTING VASECTOMY IN MEXICO,

BRAZIL AND COLOMBIA suggests that the procedure's low acceptance rate

may have more to do with an inadequate supply of services than an

especially low demand.  Throughout the 1980s and into the 1990s in

both Mexico and Colombia, Ricardo Vernon, author of the recent study,

notes that the number of vasectomies rose as both trained physicians

and clinics became more accessible to men.  Friends, relatives and,

especially, wives were extremely influential in men's decision to

have a vasectomy.  Vernon asserts that vasectomy promotion efforts

should therefore involve wives, and further suggests that vasectomy

could be presented to women as an alternative to female

sterilization.



     THE LATIN AMERICAN MEN WHO CHOSE VASECTOMY IN THE STUDY WERE

GENERALLY URBAN, AGED 28-40, MARRIED and had completed at least some

secondary schooling.  Most were practicing contraception at the time

of their decision to have a vasectomy and, Vernon says, appear to

feel comfortable talking with their wives about contraception.  He

also suggests that the men generally show "a high sense of family

responsibility and concern for their wives' health and well-being."

Vernon says that vasectomy programs should therefore target both

promotion strategies and service delivery to meet the needs of this

specific population.



     THE VASECTOMY STUDY ALSO SUGGESTS THAT MEN WHO CHOOSE THE METHOD

COULD BE ITS MOST EFFECTIVE PROMOTERS.  Only 1 percent of the

Colombian men studied and 2 percent of acceptors from one Mexico City

clinic regretted electing the procedure, while 82-96 percent said

they would recommend vasectomy to other men.  Vernon says that

mechanisms for maintaining contacts with these acceptor-promoters and

for handling their referrals need to be developed.  He also notes

that health care personnel--among the most consulted sources when men

evaluate whether to undergo a vasectomy--need to be well-trained in

counselling techniques, and more involved in promotion and referral.

Vernon says that providing minimal training to all clinic staff

appears to be more effective than just training providers.  Mass

media strategies are also effective, Vernon says, particularly in

large cities where there are high quality clinics.

     (International Family Planning Perspectives, March 1996, The

     Alan Guttmacher Institute, New York)



                          *   *   *   *   *



     DESPITE FEARS OF CANCELLATION DUE TO GOVERNMENT PRESSURE, MORE

THAN 350 REPRESENTATIVES of non-governmental organizations (NGOs)

participated in the first Asia-Europe NGO conference under the theme,

"Beyond Geo-Politics and Geo-Economics: Towards a New Relationship

between Asia and Europe."  The NGO meeting paralleled the Asia-

European Ministers Meeting, the first such gathering of government

leaders from 25 nations in Asia and Europe, held March 1-2 in Bangkok

Thailand.  Besides calling on Asian and European governments to cease

and withdraw from a number of military situations, the NGOs

criticized the governments for ignoring the human costs and

dimensions of economic growth.  Citing examples from both regions,

presenters listed a number of converging social problems related to

economic expansion, including: widening income disparities;

environmental degradation; the exploitation of workers--especially

women, children, and migrants; discrimination against women, and the

marginalization of small-scale agricultural production.  NGO

representatives also noted that international trade agreements

threaten both community rights and traditional systems of land

management.

     (DAGA Info, March 1996, Documentation for Action Groups in Asia,

     Hong Kong)



                          *   *   *   *   *



     A REPRODUCTIVE HEALTH MANUAL FOR NGOs WORKING WITH REFUGEES has

been published by the United Nations High Commissioner for Refugees

(UNHCR), in cooperation with a range of agencies and NGOs.  Entitled

"Reproductive Health in Refugee Situations," the manual describes the

elements of a comprehensive reproductive health program for refugees,

stressing the importance of a "minimum initial services package" of

activities and materials considered to be the minimum necessary to

reduce death and disability from poor reproductive health--especially

in the chaos of an emergency or while refugees are still on the move.

Included in this minimum package are basic mid-wifery kits, delivery

kits for self-use, emergency post-coital contraception, and--

hopefully--information about a referral system available for cases

of obstetric complications.  For refugees settled in camps or other

more stable situations, the UNHCR minimum program includes the

provision of antenatal, delivery, and post-partum care.



     BESIDES BASIC REPRODUCTIVE HEALTH INFORMATION, THE UNHCR MANUAL

OUTLINES WAYS OF DEALING WITH SEXUAL AND GENDER-BASED VIOLENCE,

sexually transmitted diseases, family planning, the reproductive

health needs of adolescents and other health concerns such as unsafe

abortion and female genital mutilation.  UNHCR notes that pregnancy

is a risky venture even in normal conditions and is far worse in

times of war and catastrophe.  Written for the field staff of NGOs

and other agencies, the UNHCR manual gives guidance on implementing

what they define as essential reproductive health services--including

both preventive and educational measures--among refugee populations

and also outlines information on the  reproductive health rights of

refugees.



     Copies of "Reproductive Health in Refugee Situations" can be

obtained from the Programme and Technical Support Section, UNHCR

Headquarters, Casa Postale 2500, CH-1211 Geneva 2 Depot 2,

Switzerland. Fax: 41-22-739-7371.

     (Safe Motherhood, Issue 20, 1996 (1), World Health Organization,

     Geneva)



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