Population and Demography
Nutritional status of children in north-east India
Undernutrition in children is the consequence of a range of factors which are often related to insufficient food intake, poor food quality, and severe and repeated infectious diseases. The inadequacy is relative to the food and nutrients needed to maintain good health, provide for growth and allow a level of physical activity (National Nutrition Policy, Government of India, 1993). Widespread poverty resulting in chronic and persistent hunger is the biggest scourge of the developing world today. Poverty, in turn, is closely linked to the overall standard of living and whether a population can meet its basic needs, such as access to food, housing, health care and education. This intersectoral and interrelated cause of undernutrition operates at many levels from the community at large to the household and children within households. Undernutrition is often cited as an important factor contributing to high morbidity and mortality among children in developing countries (Sommer and Loewenstein, 1975; Chen, Chowdury and Huffman, 1980; Vella and others, 1992a, 1992b). Undernutrition during childhood can also affect growth potential and risk of morbidity and mortality in later years of life.
Fertility decline, family size and female discrimination: A study of reproductive management in East and South Asia
Contrary to demographic expectations and in defiance of historical experience elsewhere, widespread and continuing son preference in much of Asia has not proved to be an impediment to progressive or rapid fertility decline. Indeed, one of the most significant features of the twentieth century has been the dramatic decline in fertility and explicit preference for smaller families in much of East and South Asia which, far from reducing, has exacerbated son preference leading to increased discrimination against daughters. An examination of the masculinity rates, sex ratios at birth and gender-disaggregated infant and child mortality rates, all point to excess female mortality in most East and South Asian societies. A study of demographic narratives for each country suggests that, region-wide, there is an increasing tension or conflict between preferred family size and preferred family-sex composition which is only resolved by intensified reproductive management, technological intervention and excess female mortality. Simultaneously, ethnographic studies in villages and cities across the region suggest that beliefs and behaviours associated with the management of reproduction are rooted in notions of gender difference, complementarity and unsubstimtability. Within the new and now preferred smaller families, daughters, rarely able to substitute for sons, are subject to new trade-offs with daughters more than ever before “taking the place of’ or “limiting opportunities for” sons. This paper summarizes demographic trends in and patterns of female discrimination associated with fertility decline and smaller family size in East and South Asia, before turning to ethnographic voices in China and India to investigate and identify the premises or rationales underlying family management of reproduction. Combined demographic and anthropological approaches suggest that there is a demographic, development and gendered coherence in East and South Asia combining rapid or progressive fertility decline, rising and sometimes rapid economic development and common cultures of gender which have all contributed to an intensification of daughter discrimination.
CNN vs. ABC: A debate not worth continuing!
The debate between the protagonists of the Condoms, Needles and Negotiating Skills (CNN) and the Abstinence, Be Faithful and Use Condoms (ABC) approaches could go on forever. It is time for the proponents on each side to put aside their differences and begin working together to address the HIV/AIDS pandemic. To claim that ei ther approach is superior to the other is to fail to rec ognize the potential benefits that each approach can have for various individuals, communities and cultures. We must recognize that all individuals are different. It is therefore foolish to limit our selves by this “either-or” way of thinking.
Recent trends in international migration in Asia and the Pacific
When the twentieth century came to a close, international migration had become part of the region’s economic, social and political fabric. As of 2000, there were 49.9 million international migrants in Asia and 5.8 million in Oceania, accounting for 29 and 3 per cent, respectively, of the 175 million international migrants worldwide. Excluding refugees, the International Labour Organization (ILO) estimates that of the 86 million migrant workers worldwide (ILO, 2004:7) some 22. million were economically active in Asia and some 2.2 million in Oceania (27 and 4 per cent, respectively).2 Those numbers reflect the relentless migration that accompanied regional integration and the broader process of globalization on the move since the 1970s. By the end of the century, several migration systems had become firmly established in South-East Asia, East Asia, South South-West Asia, and North and Central Asia (Battistella, 2002; ESCAP, 2002). In the Pacific, migration from the Pacific Islands to core countries, notably Australia and New Zealand, has also been a recurrent pattern in the past decades. Thus in the Asian and the Pacific region, alike elsewhere in the world, international migration has become a structural reality, setting in motion the dynamics for further migration in the years to come. As noted by the participants of the Berne Initiative regional consultation for Asia, held in Guilin, China, on 29-30 July 2004, “The debate in Asia, of course, differs from the one in other regions of the world, not least of which is due to the predominant interest on the continent in the issues surrounding labour migration”.
Changing age structure
Two or three decades ago, when birth rates were high in most of the countries and areas of the Asian and Pacific region, the major emphasis of population policies was on reducing fertility. Government family planning programmes introduced in the 1950s and 1960s combined with sustained socio-economic development resulted in reduced birth rates. The crude birth rate for the region as a whole is estimated to have declined from 40 to 36 per thousand in the period 1970-1975 and to 27 per thousand in the period 1980-1985.
Committee on population
Human resources development and the implications of the changing age structure in the Asian and Pacific region were among the major issues covered at the fifth session of the ESCAP Committee on Population during its meeting at Bangkok from 17 to 21 August 1987.
Female autonomy and fertility: An overview of the situation in South Asia
Fertility in the Asian and Pacific region has been falling with notable uneveness over the past one and half decades and there has been considerable variability in the decline among the subregions. Fertility in the region declined 36.8 per cent from 1960-1965 to 1980-1985 and most of the decline (30.8 per cent) occurred during the period 1970-1975 to 1980-1985.
Menstrual regulation practices in Bangladesh: An unrecognized form of contraception
Menstrual regulation (MR) refers to any chemical, mechanical or surgical process used to induce menstruation and thus to establish non-pregnancy either at the time of, or within a few weeks of, the due date of the menstruation (Population Information Programme, 1973; Tietze and Murstein, 1975; Dixon-Muller, 1988). It involves the vacuum aspiration of the uterine lining and is usually done within few weeks (preferably eight weeks or less) following a missed menstrual period.
Tsunami versus HIV/AIDS: Perception dictates response
On 26 December 2004, a magnitude 9.0 earthquake struck off the coast of Indonesia, generating a widespread tsunami. The resulting waves, some up to 15 meters high, reached the heavily populated shores of Indonesia, Thailand, Sri Lanka, India and the east coast of Africa, leaving a path of death and destruction in their wake. The final death toll may never be known, but it is likely that at least 200,000 people lost their lives on that fateful day, with some estimates running as high as 280,000. Along with lives lost, the tsunami destroyed countless livelihoods and made millions of people homeless. Soon after the event, in an interview with CNN, United Nations Emergency Relief coordinator Jan Egeland summarized the situation: “This may be the worst natural disaster in recent history because it is affecting so many heavily populated coastal areas... so many vulnerable communities”.
Readiness, willingness and ability to use contraception in Bangladesh
In his frequently quoted article, Coale (1973) proposes that one weakness of the demographic transition theory is that it indicates a high degree of modernization as sufficient to cause a fall of fertility, without indicating the degree of modernization that is necessary. By summarizing the findings of historical studies of European communities, Coale proposed three broad conditions necessary for fertility transition. He argued that modernization ultimately establishes these conditions, but that they can also occur in communities that have undergone little modernization. Lesthaeghe and Vanderhoeft (1998) later described the three conditions for fertility transition under the heading “readiness”, “willingness” and “ability”. Economic readiness means that fertility control must be advantageous to the actor so that fertility is within the calculus of conscious choice. Willingness means that fertility control must be legitimate and normatively acceptable. The basic question addressed by “willingness” is to what extent fertility control runs counter to established traditional beliefs and codes of conduct, and to what extent there is a willingness to overcome objections and fears. Ability refers to the availability and accessibility of contraceptive techniques. Similarly, Ahmed (1987: 363), applying Easterlin’s supply-demand theory of fertility observes that “studies on contraceptive use most often view three variables-motivation, attitude, and access-as the key determinants”. Motivation stems from having or expecting to have too many children or having them too soon. Although this has similarity with Coale’s notion of “economic readiness”, it does not necessarily capture whether fertility control is economically advantageous to an individual. In this paper the authors name Easterlin’s notion of motivation as simply “readiness” to distinguish it from Coale’s broader notion of “economic readiness”. Attitude refers to broad notions of acceptability of family planning in general and feelings about specific contraceptive methods in particular and is similar to Coale’s notion of willingness. Access or the “costs of fertility regulation”, as described by Easterlin (1975) pertains to the availability of contraceptives and selected services and is similar to Coale’s notion of ability.
Barriers to family planning service use among the urban poor in Pakistan
Although fertility has shown some decline in Pakistan in recent years, contraceptive use remains low. Despite high knowledge of modern methods of contraception (94 per cent of married women know of a modern method of contraception) only 17 per cent of married women of reproductive age currently use a modern method of contraception (Pakistan Reproductive Health and Family Planning Survey, 2001; Sathar and Casterline, 1998). This is in part a product of poor physical access to family planning services. The coverage and quality of family planning services is poor, with only 10 per cent of the population living within easy walking distance of government-operated family planning services (Rosen and Conly, 1996). Consequently, there exists a large unmet need for family planning services in Pakistan (Mahmood and Ringheim, 1997). Previous research, however, into the barriers to family planning service use has highlighted the importance of looking beyond physical access to examine barriers that arise from the socio-economic and cultural environment in which an individual lives (Bertrand and others, 1995; Foreit and others, 1978). Pakistan presents an interesting context for examining the range of potential barriers to the use of family planning services, with a low level of economic development and strict cultural norms that may inhibit service utilization. This paper identifies the barriers to family planning service use among women in urban slum areas. The paper also examines the characteristics of urban poor women who report different types of barriers to using family planning services. Gaining a better understanding of the types of women who are likely to experience particular barriers to family planning services is valuable for developing service promotion strategies and for informing service delivery protocols.
Adolescent reproductive health in Asia
The reproductive health of adolescents is of growing concern today. The Programme of Action adopted at the International Conference on Population and Development, held at Cairo in 1994, stresses the importance of addressing adolescent sexual and reproductive health issues and promoting responsible sexual and reproductive behaviour (United Nations, 1994). The reproductive health needs of adolescents have been largely ignored by the existing health services. Therefore, there is a need to provide such services and to undertake research in understanding adolescent sexual behaviour and reproductive health.
The ‘Unreached’ in family planning: A case study of the Republic of Korea
The family planning programme of the Republic of Korea has been quite successful, yet it has not been able to extend its services to all couples of childbearing age. For example, there still exists a group of couples who want no more children and yet are not currently using any contraceptive method. The word “pong-eem “, which literally means “being neglected”, i.e. untouched by the family planning programme, was coined to describe this group (Park et al.).
Family transition in South Asia: Provision of social services and social protection
Family may be defined as a group of persons related to a specific degree, through blood, adoption or marriage. The difficulty is that comparative data on the family in the broad definition of the term are not available. The available statistics relate to households, defined by location, community or living arrangements. Surveys and censuses usually cover all households, not merely family households. Nevertheless, the latter type constitutes a major proportion enabling the characteristics of the totals to be identified as those of family households. For many demographic, socio-economic and political reasons, family members may disperse and consequently, the size of the household could be reduced although the size of the family would remain unchanged. In Asian countries, most young people live with their parents after marriage and later move to another place whenever custom imposes or the economic condition of the new couple permits. Lloyd and Duffy (1995) believe that, beyond this natural ebb and flow of family members, families are becoming more dispersed. Young and elderly adults, spouses and other relatives who might otherwise have shared a home are now more likely to live apart from one another. In 2004, the United Nations observed the tenth anniversary of the International Year of the Family. Thus, it appears timely to review some of the trends, such as fertility, marriage dissolution, migration, urbanization and ageing, that affect the family in the region.
Growing old in Asia: Declining labour supply, living arrangements and active ageing
Several decades ago, the discussion on population and development focused on the large size and high growth rate of the population, resulting from rapidly declining mortality rates and continuing high fertility which leads to population explosion. Controlling of infectious diseases through the diffusion of public health programmes and the availability of modern antibiotics invented in Western countries were some of the key factors in declining mortality rates in developing countries including those in Asia (Hirschman, 2005).
Gender, leisure and empowerment
In this paper, the author looks at one important but usually sidelined aspect of gender equity and female empowerment: the access that women have to leisure. Much of the research on empowerment is about women having the resources, technical, material and physical, to take decisions, to be physically mobile and to manipulate their larger environment. In turn, this empowerment is valorized because of all the good uses to which it is typically put according to the large and growing literature on female empowerment. The autonomous or empowered women is supposed to be good for society and for the family because her autonomy results in lower fertility, lower infant and child mortality, better household welfare, higher contributions to economic development, and other benefits. But there is much less concern with what autonomy and empowerment can do for women themselves, with the exception of the demographic outcomes like better health.
Translating pilot project success into national policy development: Two projects in Bangladesh
Prescriptions for policy change pervade the research literature on population programmes. While the audience for such conclusions may be receptive to the wisdom imparted, established bureaucracies resist systemic renewal and reform. Even if policies are modified in response to research, the promulgated changes often fail to influence what public-sector programmes actually do, since bureaucratic traditions outweigh reasoned responses to research outcomes.
Social issues in the management of labour migration in Asia and the Pacific
Any discussion of the mobility of labour across borders in a region as huge and complex as Asia is bound to do no more than provide a sketch of a few idiosyncrasies and peculiarities. With a combined population of 3.6 billion, the Asian and Pacific region accounts for almost three fifths of the world’s total population. The region’s land mass and innumerable islands have been partitioned into over 50 independent States, dividing people usually along lines of ethnicity, common language, religion and shared recent history. Each one is pursuing independent national policies for political and economic development with varying success, creating in the process differentials in standards of living within and between States that often drive people to move. Those differentials have been magnified by the forces of globalization which have spurred the economies of the region, but favouring the open and politically-stable countries more than others.
Women’s perceptions of the pill’s potential health risks in Sri Lanka
The birth control pill has been in use for three decades. By the early 1980s, an estimated 50 million women worldwide were using the pill and approximately three times as many had used it at some time in their reproductive years (Kols et al.,1982).
Why are population and development issues not given priority?
From the time of Adam Smith onward, economists have recognized important linkages between population trends and economic development. Yet, the attention given to these linkages in international conferences and other venues where policy is debated has varied enormously over time, and also according to the issues being discussed: women, environment, poverty and sustainable development, for example. Looking back over recent decades, it is hard to escape two conclusions: (a) politics sometimes plays a more important role than dispassionate academic discourse at such meetings, and this greatly influences the attention given to population matters; and (b) fads are almost as ubiquitous in international thinking on development issues as they are in matters of dress, eating habits and youth culture.
