to secure the future population’s well-beingand productivity. This relocation <strong>of</strong> resourcestowards the young, who consume but do notproduce, may not be conducive to immediateimprovements in economic growth rates(Coale and Hoover, 1958). But after fertilityrates steadily decline over the course <strong>of</strong> 20 or30 years, the number <strong>of</strong> income-generatingadults grows relative to the number people whodepend on them for support, thus creating morefavourable conditions for economic growth andsustainable development.One <strong>of</strong> the key drivers <strong>of</strong> improved economicgrowth during the demographic transition is theincrease in the level <strong>of</strong> savings and investment inthe economy. Adults with fewer children may beable to reallocate more <strong>of</strong> their resources towardssaving for their own retirement. This increasesthe amount <strong>of</strong> capital available for investment.Improvements in general health and reductionin the burden <strong>of</strong> disease also increase theattractiveness <strong>of</strong> investment opportunities.Declines in dependency ratios in East Asia sincethe 1960s, for example, increased savings ratesRatio <strong>of</strong> Working Age to Dependent <strong>Population</strong>Sub-Saharan AfricaEast AsiaSouth Asia3Ratio <strong>of</strong> working age to dependents2101950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060 2070 2080 2090 2110YearSource: United Nations <strong>World</strong> <strong>Population</strong> Prospects 2010 Medium Fertility Variant84 CHAPTER:4: THE SOCIAL AND ECONOMIC IMPACT OF FAMILY PLANNING
substantially, created new opportunities forinvestment and helped Asian countries reducetheir reliance on foreign capital (Higgins andWilliamson 1996; Higgins and Williamson,1997). The rise in savings rates also contributedto the establishment <strong>of</strong> pension systems andsocial welfare systems: ever-increasing populations<strong>of</strong> working-age adults were able to financethe benefits <strong>of</strong> a relatively small group <strong>of</strong> elderlycitizens (Reher, 2011).Improved health, improved investments inschooling, higher savings rates and more investmentultimately translate into economic growth.The rapid growth <strong>of</strong> East Asian economies since1975 has been shown to be related to its demographicdividend. One study finds that changesin age structure account for as much as one-third<strong>of</strong> the Asian “tiger” economies (Bloom, Canningand Malaney, 2000; Williamson, 2001).Research also shows that the initial health<strong>of</strong> a population is one <strong>of</strong> the most robust andpotent drivers <strong>of</strong> economic growth. One studyfound that one extra year <strong>of</strong> life expectancyraises GDP per capita by about 4 per cent(Bloom, Canning and Silva, 2001; Bloom,Canning and Silva, 2003).ConclusionGreater access to family planning can improvethe well-being <strong>of</strong> women, men, children, theirhouseholds and communities by increasing lifeexpectancy, decreasing morbidity and improvinghealth more broadly. It increases opportunitiesto invest in schooling and other forms <strong>of</strong> humancapital and to participate in labour markets,increasing productivity and raising incomes,savings, investment and asset accumulation.Declines in mortality, followed by declinesin fertility, lead to changes in the age-structure<strong>of</strong> the population and also produces anaggregate “demographic dividend” at the level<strong>of</strong> countries. This leads to improvements ineconomic growth and development.Three main conclusions emerge from thisliterature. First, improvements in reproductivehealth not only ensure rights and improvethe lives <strong>of</strong> women and children, but alsoalleviate poverty and promote economicgrowth. Second, integrated programmesaimed at improving reproductive health—maternal health, child health, nutrition, andfamily planning programmes—can resultin demographic change as well as economicchange. Third, these programmes shouldnot be regarded as substitutes for any othertype <strong>of</strong> policy aimed at increasing growth orsustainable development in a society. Rather,family planning should be regarded as onecomponent <strong>of</strong> broader strategies to invest inhuman capital, particularly for women.tYouth-friendly servicesin Egypt.© <strong>UNFPA</strong>/Matthew CasselTHE STATE OF WORLD POPULATION <strong>2012</strong>85
- Page 6 and 7:
OverviewOne hundred seventy-nine go
- Page 8 and 9:
The report is structured to answer
- Page 10 and 11:
viiiCHAPTER 1: THE RIGHT TO FAMILY
- Page 12 and 13:
“All human beings are born free a
- Page 14 and 15:
Treaties, conventions and agreement
- Page 16 and 17:
Health: a social and economic right
- Page 18:
“Everyone has the right to educat
- Page 21 and 22:
designing and delivering accessible
- Page 23 and 24:
use, and reduces unintended pregnan
- Page 26 and 27:
16 CHAPTER 2: ANALYSING DATA AND TR
- Page 28 and 29:
Change in Age-Specific Fertility Ra
- Page 30 and 31:
Sexuality, sexual and gender stereo
- Page 32 and 33:
not necessarily associated with a d
- Page 34 and 35:
METHOD EFFECTIVENESSMethod, rankedf
- Page 36 and 37:
tCouple visiting a ruralfamily plan
- Page 38:
Demand and supply over time5 per ce
- Page 41 and 42:
contribute to high unmet need (Sing
- Page 43 and 44: abortions in the region lead to mor
- Page 45 and 46: (as stated in the Convention on the
- Page 47 and 48: arriers prevent individuals from ac
- Page 49 and 50: CHAPTERTHREEChallenges in extending
- Page 51 and 52: sources of sexual and reproductive
- Page 53 and 54: messages were delivered via a numbe
- Page 55 and 56: Ricardo, 2005). Moreover, young and
- Page 58 and 59: per cent in Guatemala. Across all c
- Page 60 and 61: tTeenager inMadagascar listens toa
- Page 62 and 63: Consensual unions account for an in
- Page 64 and 65: when. The proportion of never-marri
- Page 66 and 67: 63 per cent to 93 per cent of young
- Page 68 and 69: Family planning in humanitariansett
- Page 71 and 72: Studies suggest that HIV may have a
- Page 73 and 74: with a public health challenge (Wor
- Page 75 and 76: State-run family planning programme
- Page 77 and 78: people in mobile, temporary, and re
- Page 79 and 80: systems and civic participation to
- Page 81 and 82: CHAPTERFOURThe social and economici
- Page 83 and 84: tCommunityeducation inCaracas, Vene
- Page 85 and 86: Estimates of Total Fertility2010-20
- Page 87 and 88: children, and healthier women also
- Page 89 and 90: empirical evidence supporting this
- Page 92 and 93: tRicardo and Sarain Mexico City say
- Page 96 and 97: 86 CHAPTER 5: THE COSTS AND SAVINGS
- Page 98 and 99: Unintended Pregnancies and outcomes
- Page 100 and 101: tDonor Commitmentspanel at the Lond
- Page 102 and 103: UNFPA supports the Health for All c
- Page 104 and 105: tDr. BabatundeOsotimehin, Executive
- Page 106 and 107: 96 CHAPTER 6: MAKING THE RIGHT TO F
- Page 108 and 109: When individuals are able to exerci
- Page 110 and 111: Family planning programmes must ref
- Page 112 and 113: Family planning programmes reinforc
- Page 114: tPresident of NigeriaGoodluck Jonat
- Page 117 and 118: Monitoring Monitoring ICPD ICPD Goa
- Page 119 and 120: Monitoring Monitoring ICPD ICPD Goa
- Page 121 and 122: Monitoring Monitoring ICPD ICPD Goa
- Page 123 and 124: Monitoring ICPD Goals Demographic -
- Page 125 and 126: Monitoring ICPD Goals - Selected In
- Page 127 and 128: BibliographyAbbasi-Shavazi, Mohamma
- Page 129 and 130: Monitoring ICPD Goals - Selected In
- Page 131 and 132: Monitoring ICPD Goals - Selected In
- Page 133 and 134: Monitoring ICPD Goals - Selected In
- Page 135 and 136: Monitoring ICPD Goals - Selected In
- Page 137 and 138: Monitoring ICPD Goals - Selected In
- Page 140: Delivering a world where every preg