Quality Education
Poverty and mortality in the context of economic growth and urbanization
Asia has always been a demographic giant, but in the second half of the twentieth century it also became an economic giant. In those 50 years, real per capita income (expressed in purchasing power parity) in Asia multiplied by more than five, compared with a multiplication in Western countries of little more than threefold, and in Latin America and Africa by 2.3 and 1.6 times, respectively (Maddison, 2001). During this half century, the world GDP in fixed United States dollars multiplied six times but that of Asia did so by more than 12 times, taking the continent’s proportion of the world economy from 18 to 36 per cent. That growth was fundamental to the mortality revolution outlined here but it was also achieved by massive urbanization, producing huge cities with savage contrasts between the living conditions of the poor and the rich. Asian urban population multiplied over eightfold from under one quarter of a billion to over two billion, and will by 2020 constitute half the population. This was partly the product of hundreds of millions of poor villagers streaming into illegal shanty towns, especially around the largest cities.
Female labour migration to Bangkok: Transforming rural-urban interactions and social networks through globalization
Recent globalization processes have changed significantly the conditions and features of female rural-to-urban labour migration in Thailand, particularly in terms of social networks and rural-urban interactions. The Thai case is specifically interesting because the Thai societal model is often said to support female migration better than other cultures. Thai female migrants encounter globalization, especially when they search for employment in the industries of Bangkok and its vicinity, the site of condensing economic globalization. The “feminization of urban employment” and the “feminization of labour migration” actually represent two sides of the same coin.
Knowledge of sexual health issues among unmarried young people in Nepal
Early and universal marriage has traditionally been the norm in Nepalese culture, although the practise of delayed marriage appears to be on the increase. In 1961, nearly 75 per cent of young women aged 15 to 19 years were married; this figure declined to just under 50 per cent by 1991 and to a low of 40 per cent in 2001 (Mehta 1998; Khanal 1999; NDHS 1996 and 2001). This, along with the advent of reducing age at first menarche due to improved nutritional status, has led to an increase in the window of opportunity for premarital sexual activity to occur.
Demographic impact of AIDs on the Thai population
Thailand continues to feel the impact of a long-standing acquired immunodeficiency syndrome AIDS epidemic. Encouraged by the ready availability of epidemiological and behavioural data, a number of modelling efforts have been undertaken in an attempt to understand the impact of the epidemic since 1990. However, as better models are developed and the course of the epidemic changes, owing to behaviourial modifications as well as advances in therapy, there remains an ongoing need to provide new estimates and projections of the impact of AIDS on the Thai population. This paper projects the important demographic parameters of population size and annual growth rate. In addition, mortality indicators such as the crude death rate, agespecific death rate, infant mortality rate, child mortality rate (1-4 years) and life expectancy at birth are projected. These projections are made through a comparison of two scenarios: in the absence of AIDS and with AIDS. The paper concludes with a discussion of some of the potential social and economic impacts of AIDS.
Gender and fertility strategy in a Yi community
Studies of Chinese ethnic minorities, especially of women’s experiences, are few and it would appear to be worth probing what is behind the “voluntary” nature of birth control. Demographic literature tends to emphasize macro policy-making and management of birth control, but the subjects (or objects depending on the perspective one holds) of birth control policies — the experiences of husbands and wives — are often ignored. This paper intends to explore reproductive dynamics in a Yi village at a particular point in time (two decades after the two-child policy) by demonstrating how people respond to and deal with birth control policies, and how micro-level fertility in individual households is affected.
The impact of maternal work participation on duration of breastfeeding among poor women in South India
Breastfeeding is important because of its relationship to child health and birth spacing. It has been well documented that mother’s milk is the best food for the newborn child and that it has a significant impact on reducing infant mortality. In developing countries, breastfed infants experience substantially lower morbidity and mortality risks than infants who are not breastfed, particularly in the first year of life (Knodel and Kinter, 1977; Palloni and Millman, 1986: Pebley and Stupp, 1987: Retherford and others, 1989; Shall and Khanna, 1990). The advantage of breastfeeding in terms of savings on expenditures on alternative food is also important in poor families. There are advantages for the mother too. Not only does breastfeeding help to establish a closer relationship between the mother and infant, but it also helps to delay the resumption of ovulation and thus promotes spacing of births (Van Esterik and Greiner, 1981). Bongaaits and Potter (1983) have pointed out that in populations without access to modern forms of contraception, birth intervals are determined primarily by duration of breastfeeding.
Promoting knowledge of sexual illnesses among women in Bangladesh: Can non-governmental organizations play a role?
The sexually transmitted infections (STIs) are significant causes of morbidity and mortality among women of reproductive age. Not only do some of the STI-related complications result in spontaneous abortion, infertility, ectopic pregnancy and cervical cancer, but common STIs can also cause long-term impairment of reproductive health and in crease the risk of HIV transmission from one person to another (Cameron, Simonsen and D’Costa, 1989; Wasserheit, 1992; Population In formation Program, 1993). It has been estimated that sexually transmitted infections and their complications collectively rank second in importance in the world among diseases in women of reproductive age (World Bank, 1993). Ignorance of and misinformation on sexual illnesses are of ten considered power fulbarriers to resolving such health problems in the traditional communities (UNAIDS, 1998).
Book review
This new textbook of demography combines a discussion of methods of analysis of demographic data with explanation of demographic concepts and research issues.
Census data for studying elderly populations
As fertility and population growth rates decline in the Asian and Pacific region, populations of the elderly (people age 65 years and older) are growing rapidly. Increasing attention is being devoted to the issue of aging, and censuses have a role to play in providing information to policy makers as they prepare to accommodate their aging populations.
Male sexual debut in Orissa, India: Context, partners and differentials
First sexual intercourse is a significant event in a man’s life, whether or not it happens within the context of marriage. In the wake of the HIV pandemic, sexual initiation before marriage has become a focus of attention. From an intervention point of view, the proportion of young people who are sexually active, especially before they form stable partnerships, is an important area of concern. Early age at sexual debut and the number of pre-marital partners have been shown to be correlated with risk behaviour later in life (White and others, 2000). Contextual data on sexual partners and circumstances are needed to understand and assess the risk associated with early sexual experiences, and thereby design appropriate policies and programmes.
Socio-economic determinants of induced abortion in China
China, which has the world’s largest population and the most stringent family planning programme, has experienced one of the world’s most remarkable fertility declines. A number of censuses and surveys in China, plus an extensive body of international studies, have consistently documented and examined the rapid fertility transition in the country over the last 30 years (see for example Lin, 1986; Peng,1991; Hull and Yang, 1991; Liu, 1992; Gu, 1994; Chen, 1995; Zha, 1996; Feeney, 1994 and Yu 2000). Explanations of the Chinese fertility decline have concentrated on the dominant role of China’s family planning programme, and to a lesser extent on social and economic development (see for example Birdsall and Jamison, 1983; Poston and Gu, 1987; Liu, 1992; Peng and Huang, 1993; Yang, 1994 and Poston 2000). China’s family planning programme is directly related to changes in the proximate determinants of fertility and induced abortion is recognized as a major contributor to the fertility decline.
Ethnic models of fertility behaviour in Sri Lanka
Ethnic differences in fertility behaviour have become increasingly important and of much concern to policy makers, programme planners and managers in many pluralistic societies of the Asian and Pacific region.
Knowledge and beliefs about HIV/AIDS among young people in Urban Nepal
Until recently, little information has been available on sexually transmitted infections (STIs) in the Nepalese population. Prior to the recognition of HIV/AIDS as a national health problem in the mid-1990s, health authorities in Nepal paid little attention to STIs. Few hospitals or clinics collected statistical information on cases or treatment.
Migration and mobility: The critical population issues of our time
We have come a long way since 1960 when the American sociologist, the late Dudley Kirk, called migration the “stepchild of demography”. In the intervening 45 years, that stepchild has become richly endowed indeed with, particularly since the late 1980s, a torrential outpouring of articles, books and research on the topic. Our empirical knowledge has certainly expanded greatly, but whether theoretical and conceptual understanding has seen equivalent refinement might be a matter of some debate. Unquestionably, today, migration has gained a much greater public awareness with government departments in countries in both the developed and the developing worlds, as well as several international organizations, moving the subject towards the top of the political and the policy agenda. Developing countries fear that the loss of their educated and skilled citizens will prejudice their chance of reaching higher levels of development. Developed countries need labour to do certain types of jobs but fear that importing labour will create both social stress at home and conflict with their development policy abroad by “poaching” the best and the brightest. International organizations try to work out how best to manage the flows in the interests of both countries of origin and countries of destination, as well as of the migrants themselves.
Does retirement affect healthy ageing? A study of two groups of pensioners in Mumbai, India
The World Health Organization (WHO) defines health as a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity. Among the many concerns of humankind, the ability to lead a life free from illness or disability during old age is a dominant one. Health is thus a key factor to livability. For older persons, health determines their ability to perform the tasks that facilitate their participation in society. Society for its part depends on the good health of its members to enable them to perform their roles adequately, be they of an economic, community or family nature.
Will HIV/AIDS levels in Asia reach the level of sub-Saharan Africa?
The short answer to the question posed by the paper’s title is “no”, although any disease that kills millions should be combated with all the means available. I first addressed this question in an editorial in Social Science and Medicine a decade ago (Caldwell, 1995) and little has changed since then. That view is supported by the evidence found in major recent reports upon which this viewpoint is based (Stanecki, 2004; UNAIDS/WHO, 2004; USAID/US Census Bureau, 2004).
Islam and family planning
The world’s 1.2 billion Muslims comprise about 20 per cent of the total population of the world. The majority of Muslim populations have high fertility rates coupled with high infant, child and maternal mortality, and low rates of life expectancy. As a result, close to 50 per cent are below 15 years of age. In economic terms, this means a very high dependency ratio.
Enhancing the development impact of migrant remittances and diaspora: the case of Viet Nam
In a traditional viewpoint, migrants are both pushed by lack of opportunities at home and pulled by the hope of economic gain. A search for a better life is often underlying the movements. Development processes affect and are affected by migration flows. Migration can help to achieve this by associating people more closely with available economic opportunities, employment and services. This thesis remains relevant today. Both internal and international migration is on the whole contributing to development and poverty reduction (IOM, 2003). The monies sent back by migrants contribute more to national and local economies than trade in several countries. Registered remittances to the countries of origin were estimated at US$100 billion in 2004. It represents roughly one and a half times official development assistance (Newland, 2004). In addition, a large, unknown amount is transferred through informal channels or to countries that do not report statistics on remittances. A major reason to transfer money through informal channels is the still inadequately developed banking systems in countries of origin. The effects of remittances on development are often complex and contradictory, but seen in a positive light by a majority of researchers.
Projecting complete cohort fertility in Singapore
The discussion concerning fertility in Singapore during the post-Second World War period has been confined to consideration of the reduction in total period fertility. Although a focus on period fertility makes good sense in planning for school and university admissions, for maternal and child health care services, for future national service intakes and so on, it is easy, yet potentially misleading, to go one stage further and deduce that since total period fertility has been below the replacement level for a few years, the population is not replacing itself.
Community-based incentives: Increasing contraceptive prevalence and economic opportunity
One promising approach to encouraging contraceptive acceptance and practice has been initiated by a non-governmental organization (NGO) in Thailand, the Population and Community Development Association (PDA). Community-level incentives, directed to the village as a unit and to individuals as isolates, are thought to put less direct pressure on the individual. In addition, the locus of power in such plans may be placed at the community level, as opposed to some higher administrative stratum far removed from the people the programme was meant to serve.
