Unit 4: AOS 2 - Population Issues and Challenges Flashcards

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1
Q

Japan: An Ageing Population

Population Trends

A
  • Total Population -123.9 mill (2022)
    • Makes up 1.62% of global population
    • 11th most populated country
  • Population Growth
    • Began declining in 2010
    • 2022 0.53% decline from 2021
    • ⅓ to 85 million by 2100
  • Population density - 347/km2
  • Ageing population
    • Classified as hyper - ageing population
    • Average age 48.4 - world 31
    • 1950 - 5% of pop over 65
    • 2020 - 28.4% of pop over 65
    • 2054 - 36% of pop over 65
  • Dependency
    • Dependents - 69
    • Youth - 21
    • Old - 49
  • CBR - 7.3
    • WW2 baby boom in late 1940’s to 1950’s - 1950 CBR 27
    • Dip in 1967 due to the superstition around the fire and horse year
    • 1960’s and 1970’s second baby boom (pop momentum) - smaller as the generation became of child bearing age
    • Continued to fall since 1970
  • CDR 10.8 (2020)
    • Between 1950 (~11) and 1975 the CDR was decreasing due to increased access to health services - decreased by 5
    • Little change between 1975 and 1987 - sense has increased due to ageing pop
  • TRF - 1.4
    • 1950 - 3.56
    • Declining since 1970’s
  • IMR 1.6 (2020)
    • 1950 - 40
  • CMR - 2.5 (2020)
    • 1971 - 16.5
  • LE - 85.03
    • Hightest LE in world
    • Steady increase since 1950 where LE = 60
    • ~78 years good health for women - ~ 72 for men
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2
Q

Japan: An Ageing Population

Reasons For Population Trends

A
  • TRF
    • TFR remained low due to:
      • Education → women careers
        • 99.90 adult literacy rate - world is 86.3
        • 2015 - 78% of women of working age were employed - 1990 60%
      • 50% of women stop working after having children
      • Difficulty returning to work for mothers
    • TFR is declining due to:
      • Later age of marriage - 29.6 → ↓ reproductive years
      • Children outside of marriage - 2.3% parents not married
      • 60.4% - surveyed people listed as factor - child care expensive
      • 11% of employees work 60+ hour weeks
      • Males do 4 hours of domestic work compared to 29 hours for women
      • Education fees are expensive
      • High cost of living in high density cities
  • CDR + LE
    • Healthy diet
    • Post WW2 government invested in public health, insurance and education
    • Emphasis on hygiene and regular health check ups
    • Retirees lead an active and healthy lifestyle
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3
Q

Japan: An Ageing Population

DMT

A
  • Currently stage 5 due to
    • Higher death rate than birth rate
    • Pop falling as no longer replacing itself
    • Ageing pop
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4
Q

Japan: An Ageing Population

Immigration

A
  • 2020 - 2.29% of pop born overseas
  • Since Russia’s invasion of Ukraine, refugee averse Japan has accepted more
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5
Q

Japan: An Ageing Population

Issues and Challenges

A
  • High dependency ratio
    • Loss of tax
    • Benefits for the aged accounts for 70% of Japan’s social security
    • Japan tax income 2021 - 39% spent on pensioners
    • Intergenerational conflict - gold plan funded over angel plan
  • Shrinking populations
    • ↓ supply and demand - ↓ GDP
    • Labour shortage ↑ labour costs - ↑ inflation
    • Threat to Japanese culture
  • Change in Household Composition
    • ↑ in single person households from 3.87 mill in 2005 and 7.17 mill in 2030
  • Urbanising Population
    • 92% of pop live in urban environment
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6
Q

Japan: An Ageing Population

National Response: The Angel Plan

Overview

A
  • 1994 ‘The Angel Plan’
  • 1999 ‘New Angel Plan’
  • 2009 ‘Plus One Proposal’
  • “1.57 shock” in Japan in 1989
  • Strategies
    • Improve maternity leave and workforce re-entry after child birth
    • Create family friendly work conditions
    • More convenient day care - eg. at train stations
    • Counselling services encouraging men to raise children
    • Payments form government - $100/month
    • Change to retirement age from 65 to 70
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7
Q

Japan: An Ageing Population

National Response: The Angel Plan

Aims

A
  • Pro-natalist policy - encourage women to have more children
  • Increase labour force participation by women
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8
Q

Japan: An Ageing Population

National Response: The Angel Plan

SWOT

3,5,3,3,3

A
  • Strengths
    • Has successfully increased BR in one region (Shimojo)
    • Some companies have more freedom for women in workforce
    • Privatisation of day care centres has allowed access for more families without large government spending
  • Weaknesses
    • Gold plan (elderly policy) at its peak during 1994, the same time the angel plan was announced - government spending was minimal → angel plan not properly implemented
    • Ineffective childcare centre - lack of funding - not widely accessible
    • Only 4% of social service funding set aside for services for children
    • Men need to embrace working mothers and increase their role in child rearing - unlikely to happen quickly
    • Not enough childcare support - 50,000 nurseries provided - 20,000 children still in need of care
  • Opportunities
    • Immigration - ↑ nursing - fix unbalanced worker-retiree ratios
    • National surveys - 90% of couples did not want to marry and want at least two children when they do marry which world raise the TFR 1.8
    • Increase child payments → ↓ cost of childcare (education + medical fees) → relieve financial burden on families
  • Threats
    • Japanese men are “workaholics” and not accepting of working mothers
    • Spending on aged care ↑ → less money for Angel Plan
    • Social norms of small families ingrained in the culture
  • Evaluation
    • Aims not met - TFR 1.4 - down from “1.57 shock”
    • In order to ↑ women participation in workforce - must change public opinion
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9
Q

Japan: An Ageing Population

Local Response: Yamatsuri Township

Overview

A
  • Where
    • Fukushima (north-east of Tokyo)
  • Strategies
    • Cut child care fees
    • Extended hours of schools and daycares
    • Amalgamate administrations such as nurseries, playgroups and Kinders to make it easier for families to send children of multiple ages to care
    • Cash donations
      • $12,000 - 3rd child
      • $18,700 - 4th child
    • Matchmaking services
    • Created youth infrastructure - eg. Library
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10
Q

Japan: An Ageing Population

Local Response: Yamatsuri Township

Aims

A
  • To create a sustainable town by launching a 5 year plan called “creating a town filled with the happy voice of children”
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11
Q

Japan: An Ageing Population

Local Response: Yamatsuri Township

SWOT

A
  • Strength
    • Matchmaking has been well attended
    • Slight increase in BR initially
  • Weaknesses
    • Pop fell
      • 2009 - 7,000
      • 2015 - 6,000
      • 2020 - pop 5,702
  • Evaluation - aims
    • Not sustainable town as pop declining
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12
Q

Japan: An Ageing Population

GIS Technology

A
  • 600,000 workers visit households - COVID-19 encouraged more online submissions
  • Strengths
    • Create of GIS maps based
      • Inform government policies
      • Comparison and analysis of data
      • Distribution of ageing pop - enable facilities to be erected in most convenient location
    • Supplemented with other data from a range of ministries
      • Conducts nationwide surveys annually on alternating topics - eg National Fertility Survey (2015)
        • Allows targeted responses to low TFR
  • Weaknesses
    • Response rate in 2020 - 81.3 despite being mandatory
    • Takes months to process data
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13
Q

Bangladesh: A Growing Population

Population Trends

A
  • Population - 168 mill
    • Steadily increased by 2.5 times since 1971 (independence)
    • 8th most populated country in the world
    • 2050 - 231 mill
    • Projected to increase until 2070
  • Population density - 1116 people/ km2
    • 90% of land has average elevation of 10m
  • Population growth rate
    • 1967 - 3.3% - peak
    • 1980 - 2.7%
    • 2022 - 1.01%
    • Pop momentum means despite falling growth rate - pop will increase
  • Dependency
    • Dependency ratio - 45.1
    • Old age dependency ratio - 7.7
    • Youth dependency ratio - 37.4
  • TFR - 1.9
    • 1971 - 7
    • Projected to continue to decline until 2100
    • Despite TFR below replacement (2.1) - still pop increase due to pop momentum
  • CBR - 17.5 (2020)
    • 1971 - 47
    • Expected to continue declining until 2100
  • CDR - 5.5 (2020)
    • 1971 - 19.2
    • Expected to continue falling
  • MMR - 173 (2017)
    • 2000 - 434
  • IMR - 22.6
    • 1961 - 170
    • 2022 - 4.47% decline from 2021.
    • Below world average
    • Declining steadily
  • CMR - 31 (2019)
    • 1961 - 250
    • World - 26.71
    • Declining steadily
  • LE - 72.8 (2020)
    • 1972 - 41.8
    • World - 73
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14
Q

Bangladesh: A Growing Population

Reasons for Population Trends

A
  • TFR
    • Contraceptive use increased from 0 in 1974 to over 66% in 2022
    • Education around family planning increased - programs such as MHC FP Extension Project
    • Literacy increased among women
      • 1991 - 36%
        • Females - 27%
      • 2019 - 74%
        • Females - 72%
    • Early marriage age = higher TFR
      • The marriage age is under review - official legal age is 18
      • 65% of women get married before 18 years
      • 29% of marriages occur with girls being aged under 15 years
      • Bangladesh in top 10 countries in the world for child marriage
      • COVID-19 led to an increase in child marriages
    • Previously high IMR’s led to families having more children in case some died
    • Increase in income - prevent poverty and high TFR
      • GNI/capita
        • 1972 - US$600
        • 2020 - 2,364 USD
    • Globalisation provided job opportunities for women in the textiles industry
  • CDR
    • Vaccination rates for children have increased
      • Measles vaccination (children 2-23 months) increased from close to 0% in 1982 to nearly 100% in 2022
    • Access to clean water and sanitation
    • Pre-natal and neo-natal care of women has improved
    • 2000 56% of children under 5 were considered stunted in their growth - 2020 30.3%
    • Skilled attendance at birth - increased from 10% in 1994 to 68% in 2017
  • LE
    • Lower CBR and CDR
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15
Q

Bangladesh: A Growing Population

DTM

A
  • Stage 2
    • Rapid decrease CDR while CBR remains high
    • Population will rise because births outnumber deaths, not because the birth rate is rising
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16
Q

Bangladesh: A Growing Population

Migration

A
  • Immigration
    • 2018 - 1.1 million Rohingya refugees
  • Emigration
    • 2018 - 1 mill annual emigrants - rapidly increasing
    • Employment
      • Mainly Middle East, including Saudi Arabia, UAE, Oman and Qatar
    • Study
      • 80% do not return - ‘brain drain’
17
Q

Bangladesh: A Growing Population

Issues and Challenges

A
  • Pressure on resources
    • Population density
    • Predominantly agrarian country – cant expand productive land due to climate change
      • 2010 more than 1 million hectares of land had been affected by salinity.
    • Increase in fertiliser use and intensive farming - environmental damage and degradation
    • Challenge is to provide adequate food and living conditions for the population.
    • Challenge of accepting Rohingya refugees from Myanmar
  • Poor living conditions
    • Internal Migration
      • Rural to Urban - increasing from 7.9% urban pop in 1971 to 38.9% in 2021
      • Pull Factors
        • 55% due to search for better employment
        • 10% is to reunite with family
      • Push factors
        • 27% due to environmental reasons such as river erosion and soil salinity (50% in slums)
        • 20 million may be displaced by 2050 due to climate change
    • Urban regions
      • 80% have no sewer connection
      • ⅔ have no piped water
    • Slums
      • High rates of disease in slums
      • 18% of children attend schools
      • Poor nutrition
      • Lack of garbage disposal
      • High birth rates - 50% higher than rural - rural higher than urban
      • Higher criminal activity
  • Enhanced inequality
    • Child malnutrition
      • Urban - 23%
      • Rural - 29%
    • Skilled attendance at birth
      • Urban - 73%
      • Rural - 54%
    • Education still not equal - rapidly becoming so
  • High dependency ratio
    • 27% of the population under 15
    • Pressure on those working to provide resources
    • Extreme overcrowding in schools and a shortage of teachers
    • Educational outcomes are limited and the dropout rate is high
      • Can’t engage in the knowledge economy
18
Q

Bangladesh: A Growing Population

Local Response: Matlab

Overview

A
  • When
    • 1963
  • Who
    • Originated from the International Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B) but turned into maternal and child health - family planning (MCH-FP) programme
  • Where
    • Began as small scale in a region 55km south-east of Dhaka
  • Strategies
    • The Matlab study area was split into regions;
      • MCH-FP treatment area - 70 villages
      • Comparison area original government program - 79 villages
    • In the treatment area - women (from high status families) went door-to-door twice a month distributing contraceptives and educating married women on family planning
    • Over the years expanded to include vaccines and training of midwives
19
Q

Bangladesh: A Growing Population

Local Response: Matlab

Aims

A
  • To increase contraceptive use and decrease birth rates
20
Q

Bangladesh: A Growing Population

Local Response: Matlab

SWOT

A
  • Strengths
    • Government wanted to expand Matlab - but to utilise government resources, mechanisms and procedures
    • Increased contraceptive use
      • From 0 in 1974 to over 66% in 2022
    • Reduced fertility rates
      • By 1981 fertility declined by 25%
    • TFR sunk from 7 in 1971 to 1.9 in 2022
    • Reduced MM and CMR
  • Threat
    • Government take over make less effective - change strategies
  • Evaluation - aims
    • Successfully achieved aims of lowering TFR
21
Q

Bangladesh: A Growing Population

National Response: MCH-FP Extension Project

Overview

A
  • When
    • 1982 - After Matlab released its annual report
  • Who
    • The Bangladeshi government requested Matlab be expanded nationally using government resources, mechanisms and procedures where possible
  • Strategies
    • Extensive Vaccination program
    • MCH support, interventions and local training
    • Oral rehydration therapy provision
    • Safe birth kit distribution
    • Training of local midwives
22
Q

Bangladesh: A Growing Population

National Response: MCH-FP Extension Project

Aims

A
  • Aims of Matlab: increase contraceptive use thus lower TFR
  • Added;
    • Taylor the Matlab program to specific regional needs
    • Then broadened to lower MMR, IMR and CMR
23
Q

Bangladesh: A Growing Population

National Response: MCH-FP Extension Project

SWOT

5,4

A
  • Strengths
    • Worked at grass roots level
    • Contraceptive use increased from 0 in 1974 to over 66% in 2022
      • Previous Contraceptive Distribution Project failed as they simply gave out pills
    • Vaccinations
      • Measles vaccination (children 2-23 months) increased from close to 0% in 1982 to nearly 100% in 2022
        • World - 83%
      • Hepatitis B and DPT vaccinations have also increase
    • 2000 56% of children under 5 were considered stunted in their growth - 2020 30.3%
    • Skilled attendance at birth - increased from 10% in 1994 to 68% in 2017
  • Evaluation
    • TFR - declined from 6.22 in 1981 to 1.9 in 2022
    • IMR - declined from 120 in 1983 to 22.6 in 2022
    • MMR - declined form 434 in 2000 to 173 in 2017
    • Used globally - further evidence of efficacy
24
Q

Bangladesh: A Growing Population

GIS Technology - HDSS

A
  • 1966 - began collecting information on the effectiveness of the Matlab program
    • Included: births, marriages, deaths, divorces and migration in Matlab region
    • Enabled effectiveness to be evaluated
  • 1978 - introduced a record keeping service (RKS) for treatment area
    • 2001 - extended to comparison area
  • 1994 - geographic information system (GIS) was introduced
    • Allowed locations to be recorded along with data - produce maps
  • 1996 - the Matlab Heath and Socioeconomic Survey (MHSS) was conducted on 141 villages
    • 2012 - surveyed again
    • Each person has a permanent ID number - allowing the matching, tracking and comparison of data collected over time
  • 2000 the DSS, RKS and GIS were merged to create the HDSS
    • Maps are auto generated and;
      • Are a tool for policy planners
      • Local health policy managers use HDSS maps during annual planning and quarterly program reviews
      • Are helpful for better stakeholder engagement, prioritisation and resource allocation
    • HDSS has evaluated programs - informs on which to scale up (eg. MCH FP Extension Project)
    • Has been successfully implemented in Chakaria (south-eastern coast of Bangladesh) - found that due to salinity in water source
      • 11.3% of women living within 20km of coast have a miscarriage
      • 8.7% of women living more than 20km from coast have a miscarriage
      • 13% of children malnourished within 15km of coast
      • 7% of children malnourished more than 20km from coast