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  <title>Elizabeth Leahy's blog</title>
  <link rel="alternate" type="text/html" href="http://www.rhrealitycheck.org/blog/elizabeth-leahy"/>
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  <id>http://www.rhrealitycheck.org/blog/43/atom/feed</id>
  <updated>2007-05-01T11:05:08-04:00</updated>
  <entry>
    <title>Demographic Security and the CIA</title>
    <link rel="alternate" type="text/html" href="http://www.rhrealitycheck.org/blog/2008/05/29/demographic-security-and-cia" />
    <id>http://www.rhrealitycheck.org/blog/2008/05/29/demographic-security-and-cia</id>
    <published>2008-05-30T08:00:00-04:00</published>
    <updated>2008-05-30T11:48:12-04:00</updated>
    <author>
      <name>Elizabeth Leahy</name>
    </author>
    <category term="Leading Voices" />
    <category term="Contraception" />
    <category term="Maternal Health" />
    <category term="Sexuality Education" />
    <category term="STI/HIV/AIDS Prevention" />
    <category term="Women’s Rights" />
    <category term="CIA" />
    <category term="demographics" />
    <category term="family planning" />
    <category term="Michael Hayden" />
    <category term="population" />
    <category term="population and environment" />
    <category term="population and security" />
    <summary type="html"><![CDATA[CIA Director Gen. Michael Hayden recently identified population growth as one of three top destabilizing trends currently facing the world.    ]]></summary>
    <content type="html"><![CDATA[<p>
CIA Director Gen. Michael Hayden's recent <a href="http://www.washingtonpost.com/wp-dyn/content/article/2008/04/30/AR2008043003258.html">identification of
population growth</a> as one of three top destabilizing trends currently facing the
world has received <a href="http://dotearth.blogs.nytimes.com/2008/05/01/cia-chief-lists-population-as-a-top-concern/">extensive media coverage</a>. The director's comments seem to
have taken many by surprise by singling out demographic trends, rather than
religious extremism or the proliferation of weapons of mass destruction, as
meriting a top spot on the intelligence community's radar screen.
</p>
<p>
Speaking in the Landon Lecture Series at Kansas State
University, the same forum where Secretary of Defense Robert Gates last fall
advocated for increasing the use of &quot;soft power,&quot; <a href="http://www.time.com/time/health/article/0,8599,1739253,00.html">Gen. Hayden highlighted the
challenges</a> that will be faced by some of the poorest and weakest states in the
world-among them Afghanistan, the Democratic Republic of the Congo, Nigeria and
Yemen-in providing for the needs of their citizens, particularly young people,
in the coming years. The populations of these countries are projected to double
and in some cases triple by mid-century, magnifying already heavy demands on
health care, education facilities and the job market.
</p>
<p>
PAI and others have been studying the connections between
demographics and security for a number of years. Our 2007 report <em><a href="http://www.populationaction.org/Publications/Reports/The_Shape_of_Things_to_Come/Summary.shtml">The Shape of Things to Come: Why Population
Age Structure Matters to a Safer, More Equitable World</a> </em>found that 80
percent of all outbreaks of civil conflict between 1970 and 1999 occurred in
countries in which at least 60 percent of the population was younger than age
30. These linkages are complex, and PAI does not posit a direct cause and
effect relationship between youthful age structures and political instability.
However, as Gen. Hayden discussed in his speech, population trends can
exacerbate the underlying factors that contribute to conflict and strife, as
well as poverty and inequity.
</p>
<p>
For these reasons, we at PAI were heartened to see Gen.
Hayden's recognition of the importance of demographics to a comprehensive
assessment of broader trends in security and development. However, absent from
his speech was a discussion of the policies that affect population trends,
which are very dynamic. Progress toward more balanced age structures occurs
when health care improves, leading to lower mortality rates and longer life
expectancies, and when fertility rates fall, which happens when women and men
have access to the services needed to choose their own family size. Chief among
these are rights-based <a href="http://www.populationaction.org/Issues/Reproductive_Health/Index.shtml">reproductive health</a> care and family planning programs.
In countries as diverse as Mexico and Tunisia where these comprehensive
programs have been made available, infant mortality and fertility rates today
are roughly one-third of their 1975 levels while life expectancies have
increased by at least a decade.
</p>
<p>
Unfortunately, funding for and access to these services is
still very limited in many parts of the world. Although Gen. Hayden did not
cite it in his speech, Uganda is one of the countries whose population is
projected to triple by 2050-and this assumes that women will be having fewer
than three children on average, dropping from nearly seven children per woman
today. However, <a href="http://www.measuredhs.com/pubs/pub_details.cfm?ID=681&amp;ctry_id=44&amp;SrchTp=ctry&amp;flag=sur">recent survey data</a> reveal that 41 percent of women of
reproductive age in Uganda have an unmet need for family planning, one of the
highest levels in the world. Meanwhile, the annual U.S. contribution to
international family planning programs <a href="http://www.populationaction.org/blog/2008/02/bush-slashes-funding-for-women.html">lags far behind global needs</a>. If Gen.
Hayden and other government officials are serious about viewing population as a
factor in international security, their response should start with better
funding and policies for family planning and reproductive health.
</p>
<blockquote>
	<p>
	This article originally appeared at <a href="http://www.populationaction.org/blog/2008/05/demographic-security-and-the-c.html">the Population Action International Blog</a>. 
	</p>
</blockquote>    ]]></content>
  </entry>
  <entry>
    <title>Complex Demographic Impact of HIV/AIDS</title>
    <link rel="alternate" type="text/html" href="http://www.rhrealitycheck.org/blog/2008/01/11/complex-demographic-impact-of-hiv-aids" />
    <id>http://www.rhrealitycheck.org/blog/2008/01/11/complex-demographic-impact-of-hiv-aids</id>
    <published>2008-01-11T09:05:00-05:00</published>
    <updated>2008-01-11T09:14:11-05:00</updated>
    <author>
      <name>Elizabeth Leahy</name>
    </author>
    <category term="Leading Voices" />
    <category term="International Organizations" />
    <category term="STI/HIV/AIDS Prevention" />
    <category term="demographics" />
    <category term="HIV/AIDS" />
    <category term="population" />
    <summary type="html"><![CDATA[ <p>Despite the major effects of the HIV/AIDS epidemic on mortality and life expectancy, populations are continuing to grow even in the hardest-hit countries. With so much uncertainty about the number of people living with HIV/AIDS, the demographic impact is still incompletely understood.</p>
     ]]></summary>
    <content type="html"><![CDATA[ <p>Despite the major effects of the HIV/AIDS epidemic on mortality and life expectancy, populations are continuing to grow even in the hardest-hit countries. With so much uncertainty about the number of people living with HIV/AIDS, the demographic impact is still incompletely understood. Late last year, UNAIDS estimates of the global scope of HIV/AIDS were significantly revised. As we know from the <a href="http://www.unaids.org/en/KnowledgeCentre/HIVData/EpiUpdate/EpiUpdArchive/2007default.asp">2007 AIDS Epidemic Update</a>, the number of people living with HIV/AIDS globally is now estimated at 33 million (down from 40 million) and annual infections are now assumed to number about 2.5 million (half the previous estimate). Recent revisions to United Nations population projections and HIV/AIDS prevalence estimates have rendered much of the previous data outdated (such as the data used in an earlier<a href="/blog/2008/01/02/a-growing-population-and-hiv-aids-0"> post on RH Reality Check</a>).  </p>
<p>The 2006 revision of the UN Population Division&#39;s projections (<a href="http://www.un.org/esa/population/publications/wpp2006/WPP2006_Highlights_rev.pdf">PDF</a>) includes more recent HIV prevalence survey data, showing lower prevalence rates in some countries than was previously believed, and also assumes greater access to treatment than the 2004 version. This means that the projected demographic impact of HIV/AIDS is slightly less according to the newer 2006 data. As the methodology of estimating HIV prevalence continues to be refined, the 2008 UN population estimates may show an even smaller demographic impact due to the epidemic. </p>
<p>Therefore, from 2005 through the foreseeable future, HIV/AIDS is not projected to lead to either negative population growth rates or shortened life expectancy in any country. As the <a href="http://www.un.org/esa/population/publications/wpp2006/WPP2006_Highlights_rev.pdf">UN report summary for the 2006 estimates says</a>, </p>
<blockquote><p><em>All the countries with the highest prevalence in 2005 are expected to experience positive population growth rates between 2005 and 2050. This trend marks a reversal from previous projections which expected outright reductions of population (that is, negative population growth rates) in countries such as Botswana, Lesotho or Swaziland.</em></p>
</p></blockquote>
<p>For those of us working to ensure that sexual and <a class="glossary-term" href="/glossary/term/131"><acronym title="Reproductive Health: Auto generated by glossary_taxonomy_nodetitle, for Reproductive Health">reproductive health</acronym></a> are well integrated into HIV/AIDS prevention and treatment programs, it is important to stay on top of these shifting numbers and their meaning in the lives of real people. In particular, as the UN Population Division makes clear in its printed materials, these estimates rely on optimistic policy assumptions. Fertility rates in less developed countries are assumed to decline to below replacement level by 2045-2050, a dramatic change from current levels that will require greater investments and a sustained effort to achieve the Millennium Development Goals target of universal access to reproductive health by 2015. As the data have shown, sexual and reproductive health services still need strong financial and human support.  For more information, read PAI&#39;s new analysis &quot;<a href="http://www.populationaction.org/Issues/U.S._Policies/fprhassist.shtml">U.S. HIV/AIDS and Family Planning/Reproductive Health Assistance: A Growing Disparity Within PEPFAR Focus Countries</a>.&quot;</p>
     ]]></content>
  </entry>
  <entry>
    <title>The Shape of Things to Come: Why Age Structure Matters To a Safer, More Equitable World</title>
    <link rel="alternate" type="text/html" href="http://www.rhrealitycheck.org/blog/2007/04/11/the-shape-of-things-to-come-why-age-structure-matters-to-a-safer-more-equitable-world" />
    <id>http://www.rhrealitycheck.org/blog/2007/04/11/the-shape-of-things-to-come-why-age-structure-matters-to-a-safer-more-equitable-world</id>
    <published>2007-04-11T09:00:00-04:00</published>
    <updated>2007-05-01T11:05:08-04:00</updated>
    <author>
      <name>Elizabeth Leahy</name>
    </author>
    <category term="Leading Voices" />
    <category term="Contraception" />
    <category term="Sexuality Education" />
    <category term="Women’s Rights" />
    <summary type="html"><![CDATA[ <blockquote><p>Elizabeth Leahy is a Reseach Assistant at <a href="/www.populationaction.org">Population Action International</a> (PAI) and lead author of &quot;The Shape of Things to Come: Why Age Structure Matters To a Safer, More Equitable World&quot; which is being released today.</p>
</p>
</p></blockquote>
<p>As the lead author of PAI&#39;s new report &quot;The Shape of Things to Come: Why Age Structure Matters to a Safer, More Equitable World,&quot; I was interested to read Eesha Pandit&#39;s <a href="/blog/2007/04/09/young-people-make-strife-problems-with-the-youth-bulge-theory">recent blog post</a> about an article profiling the report appearing last week in <em>The New York Times</em>. I am glad that Ms. Pandit is considering the complexities of the linkages between youthful populations and civil conflict. However, she based her analysis on a single news article that covered one aspect of what is a complex, multi-faceted piece. </p>
<p>The report aims to provide valuable new insights into the programs and investments that can make countries &quot;healthier&quot;—more peaceful, more democratic, and better able to provide for the needs of their citizens.  Far from &quot;scapegoating young people...for the problems of developing nations,&quot; youth are a tremendous asset for any society, especially if they are educated, healthy, and living in a safe and equitable world.  PAI&#39;s report shows why investments in programs that respond to their needs are so important.</p>
     ]]></summary>
    <content type="html"><![CDATA[ <blockquote><p>Elizabeth Leahy is a Reseach Assistant at <a href="/www.populationaction.org">Population Action International</a> (PAI) and lead author of &quot;The Shape of Things to Come: Why Age Structure Matters To a Safer, More Equitable World&quot; which is being released today.</p>
</p></blockquote>
<p>As the lead author of PAI&#39;s new report &quot;The Shape of Things to Come: Why Age Structure Matters to a Safer, More Equitable World,&quot; I was interested to read Eesha Pandit&#39;s <a href="/blog/2007/04/09/young-people-make-strife-problems-with-the-youth-bulge-theory">recent blog post</a> about an article profiling the report appearing last week in <em>The New York Times</em>. I am glad that Ms. Pandit is considering the complexities of the linkages between youthful populations and civil conflict. However, she based her analysis on a single news article that covered one aspect of what is a complex, multi-faceted piece. </p>
<p>The report aims to provide valuable new insights into the programs and investments that can make countries &quot;healthier&quot;—more peaceful, more democratic, and better able to provide for the needs of their citizens.  Far from &quot;scapegoating young people...for the problems of developing nations,&quot; youth are a tremendous asset for any society, especially if they are educated, healthy, and living in a safe and equitable world.  PAI&#39;s report shows why investments in programs that respond to their needs are so important. </p>
<p>&quot;The Shape of Things to Come&quot; does not propose a direct causal relationship between demographics and civil instability, but does find that it is an important element of a country&#39;s development. However, demography is not destiny. Government capacity, policies and political commitment matter more than absolute numbers. Countries willing to make investments in <a class="glossary-term" href="/glossary/term/122"><acronym title="family planning: Auto generated by glossary_taxonomy_nodetitle, for family planning">family planning</acronym></a> and <a class="glossary-term" href="/glossary/term/131"><acronym title="Reproductive Health: Auto generated by glossary_taxonomy_nodetitle, for Reproductive Health">reproductive health</acronym></a> and rights, infant and <a class="glossary-term" href="/glossary/term/134"><acronym title="Maternal Health: Auto generated by glossary_taxonomy_nodetitle, for Maternal Health">maternal health</acronym></a>, and education and economic opportunities for girls, women and young people can vastly change the shape of things to come. </p>
<p>On page 79 of our report, we write that, </p>
<blockquote><p>The education of children and employment of young adults are the foundation of a country&#39;s development. A country may be less vulnerable to political instability when young men perceive that the government is working to improve their employment opportunities and to overcome economic barriers to starting a family. Governments are better able to meet those expectations when demographic conditions such as balanced age structure support a focus on the young. </p>
</p></blockquote>
<p>I encourage Ms. Pandit and all of RH Reality Check&#39;s readers to take the time to read our report, available online at <strong><a href="http://www.populationaction.org/SOTC">www.populationaction.org/SOTC</a></strong><strong>.</strong>   </p>
     ]]></content>
  </entry>
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