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

95-04: Population Today, April 1995

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The electronic version of this newsletter is being made available

by the Population Information Network (POPIN) Gopher of the United

Nations Population Division, Department for Economic and Social

Information and Policy Analysis, in collaboration with the

Population Reference Bureau and with funding from the Andrew W.

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                        Population Today

                           April 1995 



Please note: The graphics that appeared in the printed copy of

Population Today have not been included here. For a complete copy

of Population Today, send $2.00 to Population Reference Bureau,

1875 Connecticut Ave., NW, Suite 520, Washington, D.C. 20009.





Multiracial Births Increase as U.S. Ponders Racial Definitions



By Susan Kalish



        A few days after Hannah Spangler started the first grade at

Watkins Elementary School in the District of Columbia, she brought

home a school survey form that her mother had difficulty filling

out. The form asked parents to check off the race of the child.

The choices: 1) White; 2) Black; 3) Indian, Eskimo, or Aleut; or

4) Asian or Pacific Islander. The problem? Hannah fits none of

these categories. Her father is white. On her mother's side, her

grandfather is black and her grandmother is Japanese. "I just

checked off all of them," laughs Hannah's mother, Rika Clark,

"black, white, and oriental. No one has ever called me up to say,

`Hey! What does this mean?"



        Schools have been collecting information on race and

ethnicity since the early 1970s, and combining it with other

information_such as data on participation in  special education,

gifted and talented programs, high school graduation rates,

services to pregnant students, and advanced placement courses_in a

civil rights compliance report, which is sent to the federal

government.



        As a multiracial child in America, Hannah's situation is

unusual, but not as anomalous as it used to be. An examination of

U.S. birth data from the National Center for Health Statistics

(NCHS) shows that interracial births more than doubled between

1978 and 1992, rising from about 63,700 to almost 133,200. Over

the same period, total births increased from about 3,333,300 to

4,065,000 in 1992, or by 22 percent. 



        During these years, interracial births increased from 2.1

percent to 3.9 percent of all births. These figures may understate

the number of 

interracial births since the father's characteristics are not

recorded for about 16 percent of U.S. births.



        Interracial births rose sharply between 1978 and 1992 for

almost every possible combination (see figure, next page). Births

with one white and one black parent, the largest group, more than

doubled, increasing from 21,400 to 55,900 per year. Births with

one white and one Asian parent doubled, to about 42,000. Births

with one white and one Native American parent (including Indian,

Eskimo, and Aleut) increased 70 percent to 21,800. As has been the

case since 1980, there were more births in which one parent was

white and the other Native American than those for which both

parents were Native American (about 14,600 in 1992). Although the

numbers involved for other racial combinations are considerably

smaller, the upward trend is similar.



Race concepts in flux



        The current race and ethnicity classification system used

in U.S. statistics, formalized in OMB Directive 15, was adopted by

the Office of Management and the Budget (OMB) in 1977. Its purpose

was to create a uniform standard of racial and ethnic

classification in order to have "compatible, nonduplicated,

exchangable racial and ethnic data" among federal agencies. Since

the late 1970s, however, several trends have blurred U.S. ideas

about race. 



        The key trend probably has been immigration_between 500,000

and 800,000 legal immigrants per year since 1980. The composition

of these immigrants from many different countries in Latin

America, the Caribbean, and Asia has complicated the U.S. minority

picture. Hispanics now form nearly 10 percent of the U.S.

population and are expected to replace blacks as the largest

minority group by the year 2010. But since Hispanics may be of any

race, the U.S. "minority question" is less and less a "racial

question." 



        Another trend is economic. Although 27 percent of African-

American families and 46 percent of African-American children

remain in poverty, the growth of a black middle class has weakened

somewhat the stereotype of blacks in poverty. In 1989, nearly 1 in

7 black families had incomes of over $50,000, compared with just 1

in 17 in 1970 (in constant dollars). And, increasing public

disfavor toward affirmative action shows that a large segment of

the public no longer sees the need for leveling the playing

field_even through such measures as voluntary goal setting and

negotiated agreements. 



        On a social level, interracial marriage has become more

common in recent years. There were 1.2 million interracial couples

in the United States in 1992, according to the Census Bureau.

Since 1970, the number of black-white couples, the largest group,

quadrupled to 246,000. Although interracial dating is now a

subject for talk show chatter, as many as 38 states once had

statutes forbidding interracial marriage. The Supreme Court struck

down the last of these laws in 1967.



Official definitions under review



        OMB is reviewing current racial definitions. The agency

published a Federal Register notice last June and held several

hearings. The federal government will pursue this inquiry with a

second OMB Federal Register notice this spring, special questions

on the May Current Population Survey, and the 1996 National

Content Test and other tests for the 2000 Census. No decision will

be made on changing_or not changing_OMB Directive 15 until 1997.



        Advocacy groups for multiracial individuals and families

are actively pushing for adoption of a multiracial category on the

2000 Census. Critics point out, for example, that if significant

numbers of people who previously categorized themselves as African

American opted for the new multiracial check-off option, this

could have implications for congressional redistricting under the

Voting Rights Act and a number of federal program benefits.



        Meanwhile, a February Newsweek poll found considerable

public support for adding a multiracial category to the statistical

system. When asked, "should the U.S. Census add a multiracial

category so people aren't forced to deny part of a family member's

heritage by choosing a single racial category," almost half (49

percent) of blacks and more than one-third (36 percent) of whites

said yes. But many people, 42 percent of blacks and 51 percent of

whites, opposed the move. 



        A large proportion, however, balked at collecting

statistics by racial categories at all. Almost half of blacks (48

percent) and whites (47 percent) said the census "should stop"

collecting information on race and ethnicity.



        Juanita Tamayo Lott, a Washington, D.C.-based consultant on

diversity policy, disagrees. Although the United States has come a

long way since the days of legal segregation in schools, housing,

and public accommodations, racial statistics are still crucial for

tracking the effects of discrimination. "There are indications

that racial discrimination is not as blatant as in the past," she

commented. "But, race and color still matter, as evidenced by the

current anti-immigration sentiment, which is directed to Hispanics

and Asians but not to Canadians and Europeans." 





*****



Women, Children, and AIDS



        AIDS is taking a growing toll on the world's women,

according to the Global AIDS Policy Coalition. At the beginning of

this year, an estimated 17.6 million adults were infected with

HIV_the human immunodeficiency virus, which causes AIDS. During

1994, an estimated 3.6 million adults contracted HIV, 1.4 million

of them women. About 44 percent of these new infections (1.6

million) occurred in sub-Saharan Africa with an equal number (1.6

million) in Southeast Asia. The industrialized world accounted for

about 222,000 new adult infections.



        Around the world, there are 73 women infected with HIV for

every 100 infected men. But different regions have very different

gender patterns of HIV infection. In the United States and Canada,

AIDS is primarily a disease of men, transmitted mainly by

homosexual contact and intravenous drug use, with 17 infected

women for every 100 infected men (see table). In South and

Southeast Asia, this ratio rises to 50 women per 100 men. In the

Caribbean, it is higher still: 67 women per 100 men. And, in sub-

Saharan Africa, more women than men have the disease. There are

110 infected women per every 100 infected men. 



        In 1994, out of a worldwide AIDS death toll of 1.5 million,

an estimated 500,000 were women. A comparison of patterns of AIDS

deaths shows the extent to which, in some regions of the world,

HIV/AIDS has become a disease of heterosexual transmission with a

heavy impact on women and children (see figure).



        In sub-Saharan Africa, where about 1,268,000 people died of

AIDS in 1994, women accounted for a larger proportion of deaths

(40 percent) than men (37 percent), with child deaths adding

another 23 percent of all AIDS fatalities. In Southeast Asia,

where the epidemic is relatively new, fully 45 percent of the

115,000 AIDS deaths occurred to children. Thirty-seven percent

were to men and 18 percent to women. Adults infected with HIV

survive, on average, 10 years before succumbing to AIDS, whereas

children survive about 2 years. Since children primarily contract

HIV at birth from infected mothers, the large child death toll in

this region is probably an early indicator of a rising death rate

for women.



        The epidemic is spreading at different rates in different

regions as well. The number of adults becoming newly infected with

HIV has (at least temporarily) reached a plateau in Western

Europe, the Caribbean, and sub-Saharan Africa. In some areas_such

as North America and Oceania_it has declined. But in recently

affected areas of the world, such as Southeast Asia, HIV incidence

is rising sharply. 



        From: The World's Women: 1995, a PRB data sheet, containing

information on demographics, education, labor force participation,

participation in public life, and reproductive health. Cost:

$3.00, bulk discounts available. To order, contact PRB, 1-800-877-

9881. Source of basic data: Status of the HIV/AIDS Pandemic as of

January, 1995, by the Global AIDS Policy Coalition, Harvard School

of Public Health, Francois-Xavier Bagnoud Center for Health and

Human Rights, 8 Story Street, Cambridge, MA 02138, 617-496-4380.





Table: People Infected with HIV/AIDS, 1995



        Men     Women   Gender

Region  (1000s) (1000s) Ratio*



Sub-Saharan Africa      5,447   4,952   110

South & SE Asia 1,374   2,748   50

Latin America   197     791     25

North America   129     773     17

Western Europe  105     525     20

Caribbean       133     198     67

Northeast Asia  21      107     20

SE Mediterranean        10      50      20

Eastern Europe  2       27      7

Oceania 3       21      10



* Number of women per 100 men.

Source: The Global AIDS Policy Coalition.





*****



Chinese Youth Favor One-Child Families



By Ping Yu



        Chinese teenagers show little of the traditional attitudes

regarding early marriage and a large family, according to a 1988

survey. High school students in China have apparently largely

embraced the concept of the one-child family, want to delay

marriage, and are eager to pursue higher education. Surprisingly,

there was not much difference in attitudes between rural and urban

teens. Most students expect to use birth control when they marry,

but their current knowledge about sexuality and contraceptive

methods tends to be low. 



        These are some of the findings of a random survey of 6,000

secondary school students (grades 7 through 12) in Sichuan

Province, People's Republic of China, in 1988. Sichuan, the

largest province in China, has 109 million people, more than 40

percent the population of the United States. More than two-thirds

(69 percent) of students in the survey were from rural villages or

small towns, with over one-third of the students' fathers and one-

half of their mothers engaged in agriculture. Most lived in

moderate circumstances by Chinese standards. Although more than

four-fifths of households owned bicycles and radios, fewer than

one-fourth had any of the more recently available consumer goods

such as a motorcycle, camera, or refrigerator. More than one-half

felt their families had "the necessities," though one-quarter

thought they lived "comfortably" and one-seventh said they were

"well-to-do." Four percent reported their families as "barely able

to make a living." Almost all the students, 92 percent, felt their

family economic well-being had improved over the past five years.



Student attitudes



        Traditionally, marriage is considered extremely important

in Chinese culture. Yet, when asked "how important is it to you to

get married," only 1 in 10 responded "very important." Less than

one-half agreed with the statement, "everyone should get married."

Only 28 percent agreed that "married people are happier than those

who are unmarried." 



        Marriage age



        When asked what would be the ideal age for their own

marriage, the responses averaged 24.3 years for young women and

25.4 for young men. Another gender difference was perceptible

here: men thought that, on average, women should get married at

age 22, about two years younger than the age reported by the

women. Ideal marriage ages rose as students grew older. Family

socioeconomic status had no relation to attitudes toward ideal age

at marriage. All these ideal ages are considerably older than the

legal minimum age at marriage stipulated in the 1980 Marriage Law,

which was 20 for women and 22 for men, suggesting that government

efforts have been successful in educating China's young people to

adopt a marriage age much older than traditional norms. 



        The ideal age at marriage of Chinese teens was higher than

the ideal age for Costa Rica (23.1 years) and Iran (22.4), but

somewhat lower than that found in Japan (25.5), Korea (26.2), and

Thailand (25.3). 



        Family size



        Attitudes about family size also suggest a fast pace of

social change. Although 90 percent of the surveyed teens in this

largely rural province had at least one brother or sister, there

was overwhelming consensus that the one-child family would be

ideal for their own future families. More than three-fourths (78

percent) considered one child as their ideal family size. About

the same proportion (74 percent) thought that this number was

desired by their friends. Older students, however, reported

somewhat less enthusiasm for the one-child family. While 43

percent of those in 7th grade said they would feel "very happy"

about having one child, only 31 percent of those in 12th grade

thought so. Similarly, 65 percent of the 7th graders but only 43

percent of 12th graders saw the one-child family as ideal for the

nation. 



        Rural-urban differences were minimal and in the opposite

direction than would be expected. On average, the desired family

size for "self" was higher for urban teens than for rural teens:

1.2 compared with 1.0 children. About nine-tenths agreed with the

statement that "in this province there is really a problem of

population growth" and felt that China's population should be

smaller.



        When asked "would it matter very much if you had two

children more than you want" 92 percent responded affirmatively (54

percent said "yes, very much" and 38 percent, "yes, but not much").

Students were also asked "if you were married, how would you feel

about having one child only?" Over 90 percent chose "very happy"

or "happy." Questions that probed student attitudes toward large

families reinforced this picture. More than nine-tenths of the

students in the survey disagreed with the statement that "having

many children is a sign of a man's manliness." More than four-

fifths disagreed that "more children mean more happiness," and

over one-half disagreed that "children provide old age security."

Three-fifths did not feel it was "important to have a son."

Chinese students' ideas about gender roles within marriage also

suggested a high degree of modernity. Almost 9 in 10 disagreed

with the statements "a man has the right to be in command and the

woman must obey," and "a woman's place is at home." In contrast,

fewer than two-thirds of Costa Rican students disagreed with these

two statements. 



        The remarkable consensus on the desirability of the

one-child family among Chinese adolescents demonstrates that

government campaigns and school education have had a strong effect

on students' attitudes. It is possible that student attitudes could

change as marriage and family become real life issues, rather than

abstractions learned in a school setting. However, it is also

possible that these responses suggest a real revolution underway

in attitudes toward family size: small families might become a

desired norm for this generation. In fact, the average ideal

family size for Chinese teenagers was the smallest compared with

surveys of teens in many other countries, including Costa Rica

(2.8 children), Iran (4.1), Japan (2.3), Korea (1.8), Thailand

(2.1), and the United States (2.1). 



Sexuality and family planning



        Teenagers' attitudes toward family planning were quite

positive: more than three-quarters said they would use

contraception, and about the same proportion approved of married

couples who did. About one-fifth said they would never use

contraception and about 1 in 10 disapproved of married couples

doing so. One in twenty thought no one had the right to use family

planning methods.



        On the whole, the attitudes of Chinese teenagers with

regard to premarital sex tend to be conservative and traditional.

Almost three-quarters (71 percent ) were opposed to sexual

relations before marriage. A much greater range of opinion,

however, was expressed regarding the statement "no decent man can

respect a woman who has had sexual relations before marriage." Only

29 percent of the students agreed and 49 percent disagreed. These

responses suggest that this generation of young students may not

ascribe to virginity the importance it has traditionally carried

in Chinese society.



        Contraception



        Despite the strong attitudes toward later age at marriage

and small family size, Chinese teenagers had little knowledge of

human sexuality or of family planning. For example, only about 18

percent of students could identify the woman's fertile period.

Books and magazines were cited as the most important source of

information on sexuality and reproduction: close to 40 percent

used these printed materials as their primary resource. Less than

one-tenth had received information on sexuality or reproduction

from their parents or talked to their parents about having

children. A relatively small proportion (18 percent) reported

learning something about sexual matters from their peers. 



        A high proportion (62 percent) knew almost nothing about

family planning. They not only knew little about contraception but

they also learned about it at a relatively older age: less than 10

percent of Chinese 11-year-olds, but close to one-half of Costa

Rican students, knew of at least one method of contraception. Only

one-tenth of Chinese students, but 40 percent of Costa Rican

students, said they could offer a friend some information on

family planning.        



        The amount of knowledge increased with grade, from a little

over 3 percent who knew three or more methods in 7th grade to more

than 16 percent in 12th grade. By contrast, 70 percent of Costa

Rican 12th graders said they knew three methods. Chinese teenage

boys knew more about avoiding pregnancy than did girls, and this

gender gap got wider by grade (see figure). 



        No data were collected on the sexual behavior of these

teenagers, however. At the insistence of school authorities,

direct questions on sexual relations were excluded.



        Students with more formal education (not just students who

were older) and those with a more modern outlook generally were

most likely to have greater knowledge of sexual matters and more

positive attitudes toward delayed marriage, smaller family size,

and the use of family planning. The influences of these

characteristics persist even controlling for family socioeconomic

status, rural-urban status, and other background characteristics.



        Population education in school was found to have a

significant impact on knowledge about contraception and attitudes

favorable to small family size and the use of family planning. The

effect was strongest on students from the rural and poorer areas

of the province. However, the curriculum of population education

in China tends to emphasize the social aspects of population,

rather than sexuality and reproductive content. 



Notes



        Data on Costa Rica and Thailand are from surveys of

adolescents conducted between 1982 and 1987 by the Population and

Development Program, Cornell University. Data on Iran are from A.

Tashakkori, V.D. Thompson, and A.H. Mehryar, "Iranian Adolescents'

Intended Age of Marriage and Desired Family Size," Journal of

Marriage and the Family, 49:917-27, 1987. Data on Japan are from

The Eighth National Fertility Survey, 1982: Views About Marriage

and Children Among Single Young People, Tokyo, Japan: Institute of

Population Problems, 1983. Data on Korea are from Knowledge and

Attitudes on Population and Sex Among Unmarried Females in Korea:

A Research Report to WHO, Seoul, Korea: Korea Institute for

Population and Health, 1984. For more information on the survey of

Chinese adolescents, contact Ping Yu, CSR Incorporated, 1400 Eye

Street, N.W., Suite 300, Washington, DC 20005, 202-842-7600 





*****





Morocco



Population: 28.6 million

Land area : 172,320 square miles

Births: 30 per 1,000 population

Deaths: 7 per 1,000 population

Infant deaths: 57 per 1,000 live births

Natural increase: 2.3 percent per year

Total fertility: 4.0 births per woman

Life expectancy: 69(female)/65(male)

Capital city: Rabat



By Rafael Obregon



        Morocco lies on the northwestern edge of the African

continent, only eight miles from Europe across the Strait of

Gibraltar. Slightly larger than California, it borders the

Mediterranean Sea on the north, the Atlantic Ocean on the west,

and Algeria on the east. Morocco's coastal region slopes upward

into the hilly El Rif area inland, while the high Atlas Mountains

separate the fertile coastal areas from desert-like sub-Saharan

land.

        Most Moroccans are Sunni Muslims of Arab, Berber, or mixed

Arab-Berber descent. About 1 percent of the population is

Christian and 0.2 percent Jewish. Arabic is the official language,

but French is widely used in government and commerce. Spanish is

spoken in the northern areas.



        Agriculture plays a leading role in the Moroccan economy,

generating between 15 and 20 percent of GDP and employing half the

labor force. Morocco exports fruits and vegetables, and is

Africa's largest exporter of phosphate, which accounts for more

than a quarter of exports. Morocco also mines copper, iron,

cobalt, manganese, and zinc. 



        Urbanization has increased rapidly in Morocco, rising from

29 to 47 percent of the population between 1960 and 1990.

Unemployment rose from 23 percent in 1983 to 31 percent in 1987,

then dropped to 19 percent by 1992. In the 1980s, the Moroccan

government launched an economic reform program supported by

international financial organizations, to raise per capita

incomes, lower inflation, and narrow deficits. Some of the

measures included restraining spending, reforming tax and bank

systems, lifting import restrictions, and liberalizing the foreign

exchange regime in an attempt to stabilize the Moroccan economy

and to attract foreign investors.



        Because of its strategic location, Morocco has been

colonized by many countries. In 1912, the country was split between

a Spanish and French protectorate. The country gained independence

in 1956 under the leadership of King Muhammad V. The government is

a monarchy, with a 333-seat unicameral, two-thirds of its members

chosen directly by universal suffrage. King Muhammad V's son, King

Hassan II, succeeded to the throne in 1961.



        Morocco's population is growing rapidly, and if its current

growth rate of 2.3 percent per year were to remain unchanged, the

population would double from 28 million to 56 million in only 30

years.



        Since the late 1970s, Morocco's total fertility rate (TFR,

or average births per woman) has decreased from nearly 7.0 to 4.0

births per woman. Contraceptive use increased from 25.5 in 1983 to

42 percent in 1992, and is now one of the highest rates in the

Arab world, just behind Tunisia and Egypt. Delayed marriage (the

average marriage age for women rose from 17.2 years in 1980 to

18.5 years in 1987) has also contributed to fertility drops.

Although female literacy has increased in recent years, it still

lags behind that of men: 61 percent of Moroccan men and 38 percent

of women can read. 



        As late as the early 1960s, Morocco had criminal sanctions

on contraception. Active government support for family planning

began in 1966. Pills are the most widely used method, accounting

for 68 percent of contraceptive use, according to the 1992

Demographic and Health Survey. IUDs and sterilization have more

limited use: 8 and 7 percent respectively. There is a significant

unmet need for family planning: among married women who were not

using contraception, 49 percent did not want more children and 24

percent wanted to wait at least two years before having their next

child.





*****



News and Resources



U.S. contraceptive update 



        Between 1988 and 1990, condom use rose slightly, while the

pill dipped, according to findings from the 1990 Telephone

Reinterview of the National Survey of Family Growth. Among women

of reproductive age (15 to 44 years), the proportion relying on

male condoms for birth control increased from 9 to 11 percent. The

proportion using the pill declined slightly, from 19 to 17

percent. The increase in condom use was mainly among black women. 



        In 1990, 59 percent of U.S. women ages 15 to 44 were using

contraception_an increase over 56 percent in 1982, but slightly

down from 60 percent in 1988. Among sexually experienced teens,

current contraceptive use declined slightly, from 61 to 58

percent.



        During this period, the proportion of women who had been

surgically sterilized edged up to 30 percent, mostly the result of

the aging of the baby boom generation. More than half of women

using contraception in the 40 to 44 age group were sterilized,

compared with only 8 percent among women in their early 20s.

["Contraceptive Use in the United States: 1982-1990," by Linda S.

Peterson, Advance Data, no. 260, February 14, 1995.]



More and better statistics from INS?



        Among the $1 billion increases requested for improved

immigration control in President Clinton's budget is a $10 million

proposal for a new Center for Immigration Statistics. The proposed

center would collect, evaluate, and disseminate high quality

immigration data to Congress, state and local governments, and the

public. It would also coordinate and serve as a clearing house for

private sector research on immigration. The proposal faces a

Congress that is skeptical about spending, but has high interest

in immigration. 



Wanted: student-made population films



        The 1995 World Population Film+Video Festival will feature

films by secondary and college level students about population

growth, resource consumption, the environment, and the global

future. Population Communications International and The Sporis

Foundation are sponsoring the event. Entries must be cosigned by a

teacher, postmarked by June 1, 1995, and accompanied by an entry

fee of $10. Winners will be announced September 15, with cash

prizes awarded to winners in both secondary and college student

groups ($1,500 first place; $1,000 second place; $500 third

place). For more information, contact Searchlight Films, Rawn

Fulton, Producer, 46 Fox Hill Road, Bernardston, MA 01337, 413-

648-9464.



New books and resources



        Anatomy of a Public Policy: The Reform of Contemporary

American Immigration Law. Michael C. LeMay. Westport, CT: Praeger,

1994. 203 pages. 



Asia's Recent Fertility Decline and Prospects for Future

Demographic Change. Ronald Freedman. East-West Center, Asia-

Pacific Population Research Reports, January 1995. 28 pages. ISSN

1079-0284. 



        The Black Population in the United States: March 1994 and

1993. Claudette E. Bennett. U.S. Bureau of the Census, Current

Population Reports, P20-480. Washington, DC: U.S. Government

Printing Office, 1995.



        Ecotheology: Voices from South and North. David G. Hallman,

ed. New York: Orbis Books, 1994. 316 pages. 



        Faith, Justice, and a Healthy World. Patricia Waak,

National Audubon Society, 1995. 38 pages. 



        Families in Multicultural Perspective. Bron B. Ingoldsby

and Suzanna Smith, eds. New York: The Guilford Press, 1995. 432

pages. $45.00. ISBN 0-89862-307-3.



        Five Years After: The Long-Term Effects of Welfare-to-Work

Programs. Gary Burtless and Daniel Friedlander. New York: Russell

Sage Foundation, 1995. 256 pages. $34.95. ISBN 0-87154-266-8. 



        Listening to Women Talk About Their Health: Issues and

Evidence from India. Joel Gittelsohn, et al., eds. New Delhi: Har-

Anand Publications, 1994. 238 pages. ISBN 81-241-274-0. 



        Population and the American Future: Twenty Years Later.

National Audubon Society, 1994. 86 pages.



        Quality Management for Family Planning Services: Practical

Experiences from Africa, by Joseph Dwyer and Terrence Jezowski,

AVSC Working Paper no. 7, February 1995. 79 Madison Avenue, New

York, NY 10016, 212-561-8000.           








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