Demographic Trends and Prospects Presented by: Eduard Bos Health, Nutrition, and Population The World Bank John Bongaarts, Population Council, contributed slides
Demographic Trends and Prospects 1)Past trends in population size 2)Projections 3) Determinants of population change: fertility, mortality, and migration 4) Impact of AIDS epidemic 5) Changing age structures 6) Population policy options
China 1,2621,50519% India 1,0161,56154% Indonesia % Brazil % Pakistan % Bangladesh % Nigeria % Population size (millions) Increase Country Projections of Population Size Selected Countries: Russia % Japan % Germany %
How Reliable are Demographic Projections Cohort component methodology: trends in vital rates projected separately Baseline data: accurate data determine short- term accuracy Assumptions about the future: past trends; no “unusual” events Longer term: increasing uncertainty Global, regional, country, subnational
The Next Billion
2) Determinants of population change: fertility and mortality
Why Population Growth in LDCs Continues Fertility remains above the replacement level Declining mortality Population momentum due to a young age structure
3) Impact of AIDS epidemic
Global Estimates of HIV Prevalence Number infected with HIV 936 million Percent of adults infected %
Demographic impact of AIDS
How does HIV/AIDS affect demographic trends Mortality of adults (mostly 20-50) increases death rates Mortality of adults reduces number of women of childbearing age: fewer births Mortality of children increases death rates, reduces future size of adult population Mortality indicators much worse Dependency ratios not greatly affected
4) Changing age structure Population Council
Age Structures
5) Population policy options
1)Unwanted fertility and unmet need for contraception and abortion u Strengthen family planning programs u Improve fertility regulation technology Causes of Population Growth Policy Options
2) High desired Family size u Emphasize human development 1)Unwanted fertility and unmet need for contraception and abortion u Strengthen family planning programs u Improve fertility regulation technology Causes of Population Growth Policy Options
Socioeconomic Factors Affecting Demand for Births u Level of education u Status of women u Infant Mortality
1) Unwanted fertility and unmet need for contraception and abortion u Strengthen family planning programs u Improve fertility regulation technology Causes of Population Growth Policy Options 2)High desired family size u Emphasize human development 3)Momentum of population growth u Delay childbearing