Population
Programmes in the New Millennium
The Millennium of
Choice!
One or another of our
Pacific Islands will be the first to witness the dawn of the new millennium. The previous
issue of this bulletin (Vol. 7, No. 1, June 1999) gave advance notice of the worlds
population reaching 6 billion come 12 October 1999. Evidently demographic dynamics in the
Pacific island countries will have important implications for these countries
ability to realize sustainable development in the new millennium. Countries now accept
that population concerns are at the heart of sustainable development strategies.
But after the International Conference on
Population and Development (ICPD), held in Cairo in 1994, population concerns have
broadened beyond the old concept of "population control". So, as we enter the
new millennium, population programmes are in a state of transition. "Choice" is
the underlying concept of the new generation of population programmes inspired by the
values and principles of the ICPD Programme of Action.
The dawn of the new millenium, what does it hold for the
Pacific populations?
|
In most cases high fertility and rapid population
growth impede social and economic development. They also help to perpetuate poverty.
Slower population growth aids development; it also helps to protect the environment.
Hence, family planning benefits individuals and countries.
But the concept of "choice" in the new
population and development paradigm is borne out of 30 years of experience that most
women, given the choice, will have fewer children than their mothers did. Yet, choice
requires access to reproductive health care.
Broader
Programmes Beyond Family Planning
Evidently, in the transition
to the new generation of population programmes, population concerns beyond the confines of
traditional family planning will figure significantly, depending on the particular
national context and the resources available. Among the broader concerns in the post-ICPD
period, one would expect the following differences from population programmes in the
previous two decades. (See Table below).
| Parameter |
Pre-ICPD |
Post-ICPD |
| Services |
Family Planing |
Reproductive Health |
| Goal |
Targets |
Quality of Care/Service |
| Clientele Focus |
Women & Men |
Women, Men, Adolescent |
| Driving Force |
Agency Driven |
People's needs |
| Locus |
Government vs NGOs |
Partnership between government & civil
society |
| Funding |
Government & External Donors |
Government, users, private sector |
| Source: adapted from Managing a New
Generation of Population Programmes (ICOMP, Kuala Lumpur, 1993). |
Population
and Development Linkages
Many development managers
believe that the ICPD-PoA requires that the issue of population should be viewed in the
context of sustainable development concerns. In this holistic paradigm, the alleviation of
poverty, social development, environmental degradation, the status of women, education,
employment, youth and adolescents, ageing, migration and a host of other development
issues and linkages need to receive the attention of population programmes and their
managers. Indeed, in the new generation of population programmes, the development of new
institutional and infrastructural capacity and the improvement of managerial practices
will be the critical ingredients for success.
Contrary to those who see that the job has been done
because of the worldwide decline in fertility, we view the problem as continuing and,
indeed, requiring renewed commitment to achieve population stability and sustainability of
the quality of life. Consider that:
-
Of the world's 6 billion people, more than 1 billion are
teenagers;
- More than 95% of those teens live in less-developed nations;
- The world must somehow provide for 78 million more people every year for
another generation;
- One in 7 people in the world does not have enough to eat; and
- A fifth of the 4.4 billion people in developing nations have no access to
modern health services, including reproductive health care.
There is, clearly, still much to do. The recent ICPD+5
review process showed that the ICPD approach has taken hold and generated much momentum.
Government policies are changing and national programmes are being redesigned to reflect
the ICPD PoA. To reach the ambitious goals of the ICPD, participating governments agreed
to increase spending on population and related programmes to $17 billion a year by 2000,
increasing to $22 billion by 2015. How optimistic is this funding scenario?
Top of page
|