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Population ageing in the Pacific Islands: emerging trends and future challenges. 太平洋岛屿人口老龄化:新趋势和未来挑战。
Pub Date : 2009-04-25 DOI: 10.18356/4C49839B-EN
G. Hayes
At the beginning of the twentieth century, most Pacific islands were still recovering from the high death rates that followed from the introduction of new diseases into the region in the eighteenth and nineteenth century and therefore had low rates of population growth. Some countries did not recover from high mortality until the 1930s, and colonial authorities were content with increasing fertility as it signalled a return to population health. However, fertility rates accelerated for several decades until by the 1970s the total fertility rate (TFR) had reached 7 children per woman or even higher in some countries/areas. Rapid social
在20世纪初,大多数太平洋岛屿仍在从18和19世纪新疾病传入该地区后的高死亡率中恢复过来,因此人口增长率很低。一些国家直到20世纪30年代才从高死亡率中恢复过来,殖民当局对生育率的提高感到满意,因为这标志着人口健康的恢复。然而,生育率加速了几十年,直到20世纪70年代,总生育率达到每名妇女生育7个孩子,在一些国家/地区甚至更高。快速的社会
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引用次数: 5
Levels and trends in child malnutrition in Bangladesh. 孟加拉国儿童营养不良的水平和趋势。
Pub Date : 2009-04-25 DOI: 10.18356/6EF1E09A-EN
Sumonkanti Das, Z. Hossain, Mossamet Kamrun Nesa
Malnutrition is a persistent problem for both children and mother throughout the world. In developing countries malnutrition is an important root of infant and young child mortality, morbidity and reduced life span. It is considered that if malnutrition cannot be reduced and prevented, it will be impossible to achieve many of the Millennium Development Goals (MDGs) including the goals on extreme poverty and hungry, primary education, child mortality, and incidence of infectious diseases. The World Summit for Children in 1990 recognized malnutrition as a contributing factor in half of all deaths occurring among young children. The nutrition goals for the decade 1990-2000 include reduction of both moderate and severe protein-energy malnutrition among children under five years of age by one half of the 1990 levels (UNICEF, 1990). However, the reduction of child malnutrition by half in a decade was one of the most ambitious goals set by the various summits convened during the 1990s. As a result, all of the nutrition goals were not successfully achieved during the period 1990-2000. As a step towards building a strong foundation for attaining the internally agreed development goals, including the MDGs, a consistent set of intermediate targets and benchmarks during the course of the decade (2000-2010) were set to help the unmet goals (UNICEF, 2003; United Nations, 2001). One of the most important goals regarding nutrition during the period 2000-2010 was the one on reducing child malnutrition among children aged under five by at least one third of the 2000 levels, with special attention paid to children under two years of age—especially reduction of stunted and underweighted children by at least one third during the period 2000-2010 (UNICEF, 2002).
营养不良对全世界的儿童和母亲都是一个长期存在的问题。在发展中国家,营养不良是婴幼儿死亡率、发病率和寿命缩短的一个重要根源。据认为,如果不能减少和预防营养不良,就不可能实现许多千年发展目标,包括关于赤贫和饥饿、初等教育、儿童死亡率和传染病发病率的目标。1990年世界儿童问题首脑会议承认,营养不良是造成幼儿死亡的一半原因。1990-2000年十年的营养目标包括将5岁以下儿童的中度和严重蛋白质能量营养不良减少到1990年水平的一半(儿童基金会,1990年)。然而,在十年内将儿童营养不良减少一半是20世纪90年代召开的各种首脑会议制定的最雄心勃勃的目标之一。因此,1990-2000年期间并没有成功地实现所有营养目标。作为为实现包括千年发展目标在内的内部商定发展目标奠定坚实基础的一个步骤,在十年(2000-2010年)期间制定了一套一致的中间目标和基准,以帮助实现未实现的目标(儿童基金会,2003年;联合国,2001年)。2000-2010年期间营养方面最重要的目标之一是将五岁以下儿童的营养不良情况至少减少2000年水平的三分之一,并特别关注两岁以下儿童,特别是在2000-2010年期间将发育迟缓和体重不足的儿童减少至少三分之一(联合国儿童基金会,2002年)。
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引用次数: 29
HIV and AIDS Stigma and Discrimination in China: Results from a National Survey 中国艾滋病污名化与歧视:一项全国性调查的结果
Pub Date : 2009-04-25 DOI: 10.2139/SSRN.1008834
K. Hardee, T. Manchester, V. Yuan, Benjamin Y. Clark, Amy Qi, S. Bradley, Z. Shen
In order to combat stigma and the associated discrimination against HIV-positive people, it is important to understand the knowledge, beliefs and attitudes among groups in a country. A recent nationally representative opinion survey in China included questions on knowledge of HIV and AIDS and stigma and discrimination towards HIV-positive co-workers and family members. The paper shows remarkable consistency of views. Fully 60 percent of all respondents said that an HIV-positive co-worker should not be allowed to continue working. Regarding family members, 50 percent of respondents said they would be willing to care for a sick family member. At the same time, 44 percent of the respondents said they would want the HIV status of the family member to remain secret. Multivariage models related to stigma and discrimination against a co-worker and a family member showed little variation by background characteristics. The findings also reveal ambivalence among a substantial minority of Chinese about people living with HIV. These findings are important for the Chinese HIV and AIDS Program. This study reinforces that views held by HIV-related stigma and discrimination are pervasive and that interventions to reduce stigma and discrimination need to reach all Chinese people, particularly the majority of Chinese who live outside of China's cities.
为了消除对艾滋病毒阳性者的污名和相关歧视,重要的是要了解一个国家各群体之间的知识、信仰和态度。最近在中国进行的一项具有全国代表性的民意调查包括关于艾滋病毒和艾滋病知识以及对艾滋病毒阳性同事和家庭成员的羞辱和歧视的问题。这篇论文显示出观点的显著一致性。60%的受访者表示,不应允许艾滋病毒阳性的同事继续工作。关于家庭成员,50%的受访者表示他们愿意照顾生病的家庭成员。与此同时,44%的受访者表示,他们希望家庭成员的艾滋病毒状况保密。与同事和家庭成员的耻辱和歧视相关的多变量模型显示,背景特征的差异很小。研究结果还揭示了相当一部分中国人对艾滋病毒感染者的矛盾心理。这些发现对中国艾滋病防治项目具有重要意义。这项研究进一步表明,与艾滋病相关的污名和歧视普遍存在,减少污名和歧视的干预措施需要覆盖所有中国人,特别是居住在中国城市以外的大多数中国人。
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引用次数: 4
Towards gender equality in Asia and the Pacific: response, progress and challenges. 亚太地区实现性别平等:应对、进展和挑战。
Pub Date : 2009-04-01 DOI: 10.18356/122CE8FA-EN
T. Osteria
The Millennium Development Goals and the Plan of Action on Population and Poverty adopted at the Fifth Asian and Pacific Population Conference in 2002 provide a broad framework for assessing the progress made towards attaining gender equality in the region. Within this purview issues and challenges confronting countries are identified and the trajectory is prognosticated based on current levels and trends. Although there has been progress in narrowing the gender gap in many countries of the region results were uneven and in many cases the education levels remained relatively low. There has been a significant increase in the number of Governments that have developed and institutionalized mechanisms for addressing gender inequality and promoting womens empowerment. This was done through the establishment of national machineries and focal points for gender-sensitive policy development incorporating gender into sectoral and local plans promulgating laws dealing with violence against women and initiating poverty alleviation measures directed towards poor women. Increasing concern has been expressed over the marginalization of women in the midst of globalization and trade liberalization; the feminization of migration poverty and ageing; girl child labour exploitation; insufficient male responsibility and involvement in reproductive health; lack of capacity to generate and analyse sex-disaggregated data and translate gender-based research findings into policy and programme inputs. Recognizing that gender equality is vital to the attainment of the Millennium Development Goals Governments are enjoined to enhance efforts in translating commitments into concrete actions.
2002年第五届亚洲及太平洋人口会议通过的《千年发展目标》和《人口与贫困问题行动计划》为评估本区域在实现性别平等方面取得的进展提供了一个广泛的框架。在这一范围内,确定了各国面临的问题和挑战,并根据目前的水平和趋势预测了发展轨迹。虽然该区域许多国家在缩小性别差距方面取得了进展,但结果是不平衡的,在许多情况下,教育水平仍然相对较低。为解决性别不平等问题和促进赋予妇女权力而制定机制并使之制度化的政府数目显著增加。为此,设立了国家机构和协调中心,制订对性别问题敏感的政策,将性别问题纳入部门和地方计划,颁布处理对妇女的暴力行为的法律,并发起针对贫穷妇女的减轻贫穷措施。在全球化和贸易自由化的过程中,妇女被边缘化的问题日益受到关注;移徙妇女化、贫穷和老龄化;剥削女童劳动;男性对生殖健康的责任和参与不足;缺乏产生和分析按性别分列的数据以及将基于性别的研究结果转化为政策和方案投入的能力。认识到两性平等对实现千年发展目标至关重要,要求各国政府加强努力,将承诺转化为具体行动。
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引用次数: 1
The Fifth APPC Plan of Action, the ICPD Programme of Action and the Millennium Development Goals: linkages, progress and challenges. 《亚太经合组织第五个行动计划》、《人发会议行动纲领》和千年发展目标:联系、进展和挑战。
Pub Date : 2009-04-01 DOI: 10.18356/4C7965AA-EN
R. Desiderio
This paper highlights the various linkages between the Plan of Action on Population and Poverty of the Fifth Asian and Pacific Population Conference (Fifth APPC) the Programme of Action of the International Conference on Population and Development (ICPD) and the Millennium Development Goals (MDGs). It presents the progress achieved and challenges faced by countries in the Asian and Pacific region in areas relating to poverty reduction maternal and reproductive health education and gender equality among others. While the region has forged ahead towards achieving development goals the global financial crisis compounded by the food-fuel crises and climate change have exposed the region to enormous human and environmental costs and unprecedented threats with adverse effects particularly on poor countries and disadvantaged populations.
本文强调了第五届亚太人口会议《人口与贫困行动计划》、国际人口与发展会议《行动纲领》与千年发展目标之间的各种联系。它介绍了亚洲及太平洋区域各国在减贫、孕产妇和生殖健康教育以及性别平等等领域取得的进展和面临的挑战。虽然该区域在实现发展目标方面取得了进展,但全球金融危机加上粮食燃料危机和气候变化,使该区域面临巨大的人力和环境成本以及前所未有的威胁,特别是对贫穷国家和弱势群体产生了不利影响。
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引用次数: 0
Progress towards achieving the Fifth APPC plan of action goals on international migration. 在实现亚太经合组织第五次行动计划关于国际移民的目标方面取得的进展。
Pub Date : 2009-04-01 DOI: 10.18356/F9F0A9DF-EN
J. W. Huguet
The Plan of Action on Population and Poverty adopted by the Fifth Asian and Pacific Population Conference contained seven recommendations on international migration addressed to Governments civil society organizations and international community and three recommendations on data collection research and training to be implemented in support of the first seven. Substantial progress has been accomplished towards achieving the goals of the Fifth APPC related to international migration. Many countries have continued to develop and strengthen policies aimed at regularizing labour migration. The volume of remittances has increased rapidly. Countries in the region have made concerted efforts to address irregular migration and trafficking in persons although significant challenges remain in these areas. Data collection research and information dissemination have also greatly expanded. Areas in which inadequate progress has been achieved include: (a) the ratification of international instruments related to international migration; and (b) regional cooperation on both labour and highly-skilled migration. Development strategies such as five-year development plans or poverty reduction strategy papers do not adequately integrate migration issues. More research is needed on migration and development migration mechanisms and several social issues associated with international migration.
第五次亚洲及太平洋人口会议通过的《人口与贫穷问题行动计划》载有向各国政府、民间社会组织和国际社会提出的关于国际移徙的七项建议,以及为支持前七项建议而将执行的关于数据收集、研究和培训的三项建议。在实现第五届亚太经合组织首脑会议有关国际移民的目标方面取得了实质性进展。许多国家继续制定和加强旨在使劳工移徙正规化的政策。汇款额迅速增加。该区域各国为解决非正常移徙和贩运人口问题作出了协调一致的努力,尽管这些领域仍然存在重大挑战。数据收集、研究和信息传播也大大扩大。进展不足的领域包括:(a)批准有关国际移徙的国际文书;(b)在劳动力和高技能移民方面进行区域合作。诸如五年发展计划或减贫战略文件等发展战略没有充分纳入移徙问题。需要对移徙和发展、移徙机制以及与国际移徙有关的若干社会问题进行更多的研究。
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引用次数: 1
HIV/AIDS prevention among young people in East and South-East Asia in the context of reproductive and sexual health. 在生殖和性健康方面预防东亚和东南亚青年中的艾滋病毒/艾滋病。
Pub Date : 2009-01-15 DOI: 10.18356/2F9CF12D-EN
Peter F. Chen
Half of all new HIV infections in East and South-East Asia occur among young people below 25 years of age with the epidemic impacting on more women than men. HIV transmission generally happens through sex and the exchange of needles0; to a lesser extent it is transmitted from an HIV infected mother to her newborn child. While most countries in the region have national HIV prevalence rates of less than 1 per cent vulnerable populations especially youths are much more prone to HIV infection owing to a lack of access to adequate reproductive health services and correct health information as well as poverty and gender discrimination and indulgence in risky behaviour. This article presents the findings of a systematic review of programmes in East and South-East Asian countries aimed at preventing HIV/AIDS infection among young people in the context of their reproductive and sexual health. The objective of the study was to assess whether countries in the subregion are doing enough to stem the tide of the HIV epidemic among young people. After analysing the various programmes the article recommends a number of strategic actions to improve adolescent reproductive health and move forward in the battle against the epidemic.
在东亚和东南亚,一半的艾滋病毒新感染病例发生在25岁以下的年轻人中,受这一流行病影响的女性多于男性。艾滋病毒一般通过性行为和交换针头传播;在较小程度上,它是从感染艾滋病毒的母亲传染给新生儿的。虽然该区域大多数国家的全国艾滋病毒流行率不到1%,但由于缺乏获得适当生殖健康服务和正确健康信息的机会,以及贫穷和性别歧视以及纵容危险行为,弱势群体,特别是青年,更容易感染艾滋病毒。本文介绍了对东亚和东南亚国家旨在从生殖健康和性健康的角度预防年轻人感染艾滋病毒/艾滋病的方案进行系统审查的结果。这项研究的目的是评估该分区域各国在遏制艾滋病毒在年轻人中的流行趋势方面是否做得足够。在分析了各种方案之后,文章建议采取一些战略行动,以改善青少年生殖健康,并在防治艾滋病的斗争中取得进展。
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引用次数: 15
Maternal mortality in rural Bangladesh: lessons learned from Gonoshasthaya Kendra Programme villages. 孟加拉国农村孕产妇死亡率:从gonoshastaya Kendra方案村庄吸取的经验教训。
Pub Date : 2009-01-15 DOI: 10.18356/DBE9EBA2-EN
R. H. Chaudhury, Z. Chowdhury
The present study examines the experiences and health care strategies of Gonoshasthaya Kendra (GK) the first NGO to tackle rural health care delivery in Bangladesh in reducing maternal mortality. A close scrutiny of the GK experience shows that reduction in maternal mortality in rural Bangladesh is possible even while keeping the place of delivery at home and at a low cost with the support of trained traditional birth attendants provided (a) they are integrated into the formal rural health delivery system through which they are linked with local-level-government trained health workers for effective supervision and referrals and (b) a system of accountability is institutionalized by which trained 4 traditional birth attendants along with health workers are accountable to their supervisors and the community they serve through village health committees and local government. The GK experience of involving village-level trained paramedics and trained traditional birth attendants in the rendering of maternal and child care services can be replicated by the Government through improving skills of traditional birth attendants in pregnancy management through continuing in-service training and linking them with the existing reproductive health care systems. The finding calls for a fundamental shift in the current nature of public service provision in Bangladesh to make public service providers directly accountable at the local level. Further reduction in maternal mortality is possible in rural Bangladesh through vigorous campaigns against smoking prevention of births to women with four or more children the delay of births to primigravidas prevention and treatment of anaemia and promotion of full doses of tetanus vaccines for pregnant women.
本研究考察了Gonoshasthaya Kendra (GK)的经验和保健战略,这是孟加拉国第一个解决农村保健提供问题以降低孕产妇死亡率的非政府组织。仔细的GK经验表明,降低孕产妇死亡率在孟加拉国农村甚至是可能的,同时保持交货地点在家和一个低成本的支持下提供培训传统的助产士(A)集成到正式的农村医疗输送系统通过它们与local-level-government有效监督和训练有素的卫生工作者推荐系统和(b)问责的制度化经过培训的传统助产士和卫生工作者通过村卫生委员会和地方政府对其主管和所服务的社区负责。政府可以通过持续的在职培训和将传统接生员与现有的生殖保健系统联系起来,从而提高传统接生员在妊娠管理方面的技能,从而借鉴英国让村一级训练有素的护理人员和训练有素的传统接生员参与提供妇幼保健服务的经验。调查结果呼吁从根本上改变孟加拉国目前提供公共服务的性质,使公共服务提供者在地方一级直接负责。通过大力开展禁烟运动、预防生育四个或四个以上子女的妇女生育、推迟初产妇生育、预防和治疗贫血以及促进孕妇接种全剂量破伤风疫苗,孟加拉国农村地区的孕产妇死亡率有可能进一步降低。
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引用次数: 15
Urban migration and urbanization in Nepal. 尼泊尔的城市移民和城市化。
Pub Date : 2009-01-15 DOI: 10.18356/7132F3DF-EN
I. P. Tiwari
The objective of this paper is to assess analyse and explain the structures and processes of migration and urbanization in Nepal from a development perspective based on secondary sources of data. For the purpose of diagnosis analysis and description of migration and urbanization in the country data were drawn from published sources including censuses and surveys. Historical trends of migration to urban areas were based on data and information gathered from other secondary sources. To assess the level of migration and urbanization relevant quantitative analyses such as correlation and regression were performed. The article concludes that migration in Nepal like elsewhere is a strong phenomenon but that the pattern is predominantly rural-to-rural rather than rural-to-urban. The study also concludes that while urbanization in Nepal remains low it is becoming recognized as one of the engines of growth and development. The notion of urbanization along with planned migration to a certain extent is one of the most viable processes of development for which immediate intervention is warranted. Long-term policies and short-term strategies on national urbanization and migration are required as part of overall national development.
本文的目的是基于二手数据来源,从发展的角度评估、分析和解释尼泊尔移民和城市化的结构和过程。为了诊断、分析和描述该国的移徙和城市化,数据来自包括人口普查和调查在内的公开来源。向城市地区迁移的历史趋势是根据从其他二手来源收集的数据和资料编制的。为了评估移民和城市化水平,进行了相关的定量分析,如相关和回归。这篇文章的结论是,尼泊尔的移民和其他地方一样,是一种强烈的现象,但这种模式主要是农村到农村,而不是农村到城市。该研究还得出结论,尽管尼泊尔的城市化水平仍然很低,但它正被视为增长和发展的引擎之一。城市化的概念以及在一定程度上有计划的移徙是最可行的发展进程之一,需要立即加以干预。国家城市化和移徙的长期政策和短期战略需要作为国家整体发展的一部分。
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引用次数: 9
The Japanese elderly as a social safety net 日本将老年人视为社会安全网
Pub Date : 2009-01-15 DOI: 10.18356/F9851A41-EN
N. Ogawa
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引用次数: 6
期刊
Asia-Pacific population journal
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