Yesterday at the UK Houses of Commons, PSN co-hosted the launch of an update of the 2009 Return of the Population Growth Factor report of the All Party Parliamentary Group (APPG) on Population, Development and Reproductive Health.
Continued relevance and urgency
The event, co-hosted by the APPG on Population, Development and Reproductive Health, PSN and Marie Stopes International, drew members of the House and the Lords, press representatives, NGO and other representatives of civil society to mark the release of the update of the 2007 report The Return of the Population Growth Factor: its Impact on the MDGs.
The update undertaken by PSN and the APPG consists of an updated summary report, and new and updated charts from the original full report. These show continued and significant under-spend on global family planning services, underlining the on-going relevance and urgency of the 2007 findings that; "the current rates of population growth will make the MDGs difficult or impossible to achieve."
The event proceedings
Christine McCafferty MP, Chair of the APPG chaired the event. Richard Ottaway MP, Chair of the Parliamentary Hearings which led to the 2007 report, and Professor Anthony Costello, Director of the UCL Global Health Institute and Chair of the recent Lancet commission on climate change and health delivered compelling key-note speeches.
Costello drew on his own experience of working with maternal and newborn health across South Asia and many parts of Africa, and spoke of the staggering benefits that quality voluntary family planning services can offer to individuals, families and communities. Additionally, he drew the audience's attention to the situation in some of the northern states of India that are experiencing very rapid population growth.
Costello painted a picture that illustrated the enormous challenges that lay ahead for administration and service delivery in States where it is likely that the population will quadruple in size by 2050.
Family planning expenditure per capita has declined by 50% since the mid-1990s, despite the rising need. Baroness Jenny Tonge, during the lively question and answer session, urged political leaders to turn their attention to this global situation since it would be possible to reverse the downward trend with the necessary political will.
The original 2007 report
The original Report was published in 2007 by the All Party Parliamentary Group on Population, Development and Reproductive Health.
The report collated the findings of the series of hearings at Westminster examining the impact of population growth on the attainment of the Millennium Development Goals. Initially proposed by PSN to the APPG, these hearings received written evidence from some 50 bodies across the world, including UNFPA, World Bank, World Health Organisation, governments and NGOs. PSN served on the Steering Group and submitted both written and oral evidence to the APPG for the original report.
The findings of the report show unequivocally that unless population growth is effectively addressed, especially in a range of poorer countries in sub Saharan Africa and parts of South Asia, the MDGs will be difficult or impossible to achieve.
Further information about the launch of the original report in 2007 is available in PSN’s 2007 newsletter.
PSN has made a presentation on advancing voluntary family planning as part of a Guardian-sponsored event on solutions to climate change at Manchester International Festival.
Investing in family planning: a strategy for reducing climate change vulnerability
Back in May Manchester International Film Festival and The Guardian invited scientists, engineers, campaigners and members of the public to submit their climate-saving ideas.
PSN was among the 20 invited to present to the public and the panel and contribute to The Manchester Report on climate change solutions in July 2009. PSN's recommendation for universal access to voluntary family planning subsequently was chosen as one of the top ten strategies for responding to climate change.
Chairing the panel was Lord Bingham, formely Lord Chief Justice, Dan Reicher, head of energy and climate change at Google, author Chris Goodall and campaigner Briony Worthington.
Population left out in the cold?
PSN's Louise Carver delivered a presentation called Climate Change and Global Warming: Population Left Out in the Cold?, which illustrated the way in which population growth will contribute to green house gas emissions and inhibit adaptation in the world's poorest countries.
Louise also described to the panel how access to family planning in developing countries is at an all time low, while demand is simulatanously increasing and how this access to family planning will dictate whether we reach a medium or higher population pathway in 2050.
The Manchester Report
The Manchester Report was published at the end of Festival drawn from the panel's reactions and selection of the top ten solutions.
The report will be made available to the world online but will also be printed and distributed to policymakers in advance of the critical Copenhagen summit in December. Recipients will include British MPs, American members of Congress and policymakers in India, China and other regions; business leaders, think tanks and many others.
400,000 copies of the report was also distributed to Guardian readers in a special supplement in July.
The report is available on the Guardian website.
This year the world reaches an invisible but momentous milestone: for the first time in history, more than half its population will be living in urban areas. In Kenya, rapid urbanisation is creating deepening poverty among urban residents.
According to the United Nation's Population Fund State of the World Population report published last year, poor people will make up a large part of future urban growth. Most urban growth in developing countries now stems from natural increase (more births than deaths) rather than migration from rural areas.
"But wherever it comes from, the growth of urban areas includes huge numbers of poor people. Ignoring this basic reality will make it impossible either to plan for inevitable and massive city growth or to use urban dynamics to help relieve poverty," states the report.
The UN Human Settlements Programme (UN Habitat) estimates that more than half of the residents the Kenyan capital, Nairobi, are living in slums, where unemployment is high, livelihoods are unreliable, housing is poor, and basic amenities such as running water and proper sanitation are lacking.
According to Dr Alex Ezeh, executive director of the African Population and Health Research Centre in Nairobi, poor people in urban areas cannot afford formal housing, so they gravitate to slum settlements, where unsanitary conditions mean they have poorer health outcomes than people living elsewhere.
"If you look at infant mortality rates, out of every 1,000 live births in the slum areas, 91 will die before their first birthday, compared to 67 in Nairobi as a whole, and 79 in rural areas. For under-five mortality, at least 151 infants die before their fifth birthday in the slums compared to the national average of 115, 117 in rural areas, and 95 in Nairobi as a whole."
The UNFPA report, however, states that the potential benefits of urbanisation far outweigh the disadvantages: the challenge is in learning how to exploit its possibilities. It recommends that approaches should aim to reduce the major component driving urban population growth, which is natural increase. Such approaches, the report says, should aim to reduce poverty levels, promote women's rights, and better reproductive health services.
"Once policymakers and civil society understand and accept the demographic and social composition of urban growth, some basic approaches and initiatives suggest themselves.
"Advances in social development, such as promoting gender equity and equality, making education universally available and meeting reproductive health needs, are important for their own sake. But they will also enable women to avoid unwanted fertility and reduce the main factor in the growth of urban populations-natural increase," states the report.
Barriers to family planning
To Ezeh the initiative that suggests itself is family planning programmes targeted at urban poor communities: "Large proportions of poor urban women who either do not want any more children or want to delay their next birth for at least two years, are at risk of getting pregnant because they are not using any method of family planning."
Ezeh says that across sub-Saharan Africa, the urban poor are far less likely than other city dwellers to access family planning services. The factors underlying a woman's decision to use contraception are complex, and a five year study, entitled 'Educational outcomes in health and fertility', is currently under way to unravel these factors. The study, which is being conducted in Kenya, Ghana, India and Pakistan, is coordinated by the University of Cambridge with funding from the UK government's Department for International Development.
It examines the link between schooling and reproductive decisions in poor households. It focuses on questions relating to women's agency and decision making power in poor communities. Other questions it seeks to answer are whether schooling 'works' by influencing the individual or the community, and how many years of schooling are required to enable women to take more independent decisions and to access a wider range of external resources.
Fatma*, a 32-year-old resident of the Korogocho slum in Nairobi has eight children. Apart from attending a madrassa (an Islamic religious school) when she was a young girl, she has had no other form of schooling. Fatma believes that children are a gift from God and so any attempt to stop conception is a sin. This is deeply rooted in her religious beliefs.
She got married at the age of 14 and has since been bearing children after every one and a half to two years. Apart from avoiding sex on her 'unsafe days', something she was taught in madrassa, she has never used any form of modern contraception and she says she does not need it.
"Using contraceptives is killing something... but children are gifts from God," she says. "Many young girls who use contraceptives are unable to conceive when they get married, because they are now barren as they have already killed all their children."
Increasing access to contraceptive choices
This is in contrast to the attitude of Jane*, a 37-year old mother of seven also from Korogocho. Jane is unemployed and she lives with her husband, a casual worker. They only wanted to have four or five children, she says.
After delivering her fourth child, she decided to get the three-month contraceptive injection, which she had to pay for, at a nearby clinic. This method caused excessive bleeding, so she stopped it, and she got pregnant.
After their fifth child, she opted for the pill, which she bought from a local chemist. But this method too gave her severe side effects. "Whenever I took the pill, I would feel nausea, weak and would sometimes get fever," she said. She abandoned this method too.
Following this, she gave birth to their sixth and then their seventh children. Now, her last born child is six months old and Jane is yet to start using a modern contraceptive method.
Jane says she would like these services to be made more easily accessible and free of charge, especially for poor women. She would also like women to be given proper education on all the methods available and their side effects.
The environmental dimension is one that has largely been ignored from conflict literature and policy making to date, yet a new report launched by the UN Environment Program (UNEP) uses a series of case studies to examine the role that environmental stressors play in conflict zones around the world today.
Population growth and environmental stress
Environmental stress is compounded by population growth, resulting in declining resources and higher demand, and this will be a likely factor that intensifies conflict over the coming decades, the United Nation's Environment Programme (UNEP) argues.
Environmental factors are rarely, if ever the sole cause of conflict, the reportFrom conflict to peacebuilding: the role of natural resources and the environment, outlines. Ethnicity, poverty, conflict in neighboring countries and low levels of international trade as critical factors. However the exploitation of natural resources and other environmental stressors can be implicated in all phases of the conflict cycle.
The onset of climate change will also serve to exacerbate resource scarcity.
“Addressing the issue of the environment in the context of conflict resolution, conflict prevention, peacekeeping, [and] peacebuilding becomes ever more important because we know from everything we have learned—and are learning every day—about climate change that one thing is for certain: The world is going to be under more stress,” says UNEP Director, Achim Steiner.
It can be difficult to the make the links between “environment” and “conflict” since it will take more than environmental issues to spark a security threat, but also because it can be seen to challenge the sovereign rights of countries that seek to use their natural resources according to their national interest. UNEP therefore should be congratulated for taking the lead in this contentious area and for arguing that a greater breadth of conflict analysis should include environmental and resource planning.
PSN will build on this thesis in arguing that in line with a multi sector approach addressing environmental factors, security policy makers should also consider matters of population planning.
Out of the 20 states defined as "failing" by the UN, 17 have the highest rates of population growth in the world. Knock on effects of rapid population growth, not least a very young age structure and high incidence of poverty are numerous, but there are also important environmental considerations with respect to declining land or water availability and other natural resource management.
SOURCE: MOJ News Agency (Iran)
The world population is projected to reach seven billion early in 2012, up from the current 6.8 billion, and surpass nine billion people by 2050, reveals the 2008 Revision of the official United Nations population estimates and projections.
In July 2009, the world population will reach 6.8 billion, 313 million more than in 2005 or a gain of 78 million persons yearly. Assuming that fertility levels continue to decline, the world population is expected to reach 9.1 billion in 2050 and to be increasing by about 33 million persons yearly at that time, according to the medium variant. Most of the additional 2.3 billion people will enlarge the population of developing countries, which is projected to rise from 5.6 billion in 2009 to 7.9 billion in 2050, and will be distributed among the population aged 15-59 (1.2 billion) and 60 or over (1.1 billion) because the number of children under age 15 in developing countries will decrease.
In contrast, the population of the more developed regions is expected to change minimally, passing from 1.23 billion to 1.28 billion, and would have declined to 1.15 billion were it not for the projected net migration from developing to developed countries, which is projected to average 2.4 million persons annually from 2009 to 2050.
Another recent UN report, World Population Policies 2007, says that many governments continue to be concerned about the consequences of excessive population growth for economic growth and sustainable development. High population growth remains a salient concern in the developing world. Half of the developing countries viewed their population growth as too high in 2007 although rates of population growth in developing countries continue to decline, from an average annual rate of 2.4 per cent in 1970-1975 to 1.4 per cent in 2000-2005. Among the 50 least developed countries, the percentage of countries that viewed population growth as too high rose from 50 per cent in 1986 to 78 per cent in 2007.
Pressures on resources
Many developing countries have realized the importance of reducing high rates of population growth in order to ease mounting pressure on renewable and non-renewable resources, combat climate change, prevent food insufficiency and provide decent employment and basic social services to all their people.
Africa is the region with the highest percentage of countries viewing population growth as too high: 66 per cent of countries did so in 2007, up from 35 per cent in 1976. In Asia, which has experienced substantial declines in fertility, 45 per cent of countries viewed population growth as too high. Moreover, the adverse effects of climate change cannot be bound within any administrative boundaries.
Climate change poses a grave challenge for the whole world and has wide ranging implications for human well-being as well as for security, including the risk of armed conflict over resources and large-scale migrations of population within nations and across national borders. It has been estimated that 150 million environmental refugees will exist in 2050, due mainly to the effects of coastal flooding, shoreline erosion and agricultural disruption. "A range of development policies are urgently needed to address this situation, including renewed commitment to meeting the globally agreed Millennium Development Goals (MDGs).
Investing in family planning
Investments in family planning and reproductive health, girls education, economic opportunities and empowering of women, and in youth could help least developed and developing countries to speed up their demographic transition, enabling them to achieve demographic windows of opportunity which may contribute to economic growth.
Louise Carver, Population and Sustainability Network Communications Officer had delivered an address to the Anglo-Ethiopian Society on the impact of population growth in Ethiopia.
The event held by the Anglo-Ethiopian Society at the Royal Asiatic Society in London was attended by a mixed group of UK and Ethiopian colleagues, including Ethiopia Embassy representatives.PSN address on population growth in Ethiopia
Louise's address was called Population Growth in Ethiopia, Causes, Impacts and Wider Areas of influence.
The population of Ethiopia is projected to more than double in size before 2050. Eight million Ethiopians are estimated to be living on permanent food aid and many more live in a state of constant food insecurity. Available land holdings and arable land is compromised through exploitation of resources and poor conservation methods.
At the same time fertility remains high and access to sexual and reproductive health services including family planning limited. Unique challenges in providing these services are presented by the geographically difficult environment, however conservation projects that have incorporated voluntary family planning services have recieved positive uptake.Read the presentation
Population and Sustainability Network coordinator Karen Newman addressed Commonwealth Health Ministers at a meeting in Geneva exploring the interface between health and climate change.
The Population and Sustainability Network provided an expert session that addressed the ethical considerations of approaching the links between population growth and climate change at the meeting on the 17th May 2009. Other topics included the relationship between rapid population growth in the Least Developed Countries and adaptation to climate change.
Building upon the Commonwealth Health secretariat’s ongoing work on health and climate change, the meeting provided an opportunity for delegations from Commonwealth countries to share their experiences of the issue and discuss policy and technical solutions and cooperation.
PSN’s presentation on the ethical aspects of linking population with climate change is available here.