U.S. DEPARTMENT OF STATE DISPATCH SUPPLEMENT
VOLUME 5, NUMBER 8, SEPTEMBER 1994
UN INTERNATIONAL CONFERENCE ON POPULATION AND DEVELOPMENT
PUBLISHED BY THE BUREAU OF PUBLIC AFFAIRS
UN International Conference on Population and Development
Cairo, Egypt
September 5-24, 1994
ARTICLES IN THIS ISSUE:
1. International Conference on Population and Development--Vice
President Gore
2. Defining a Global Approach Toward Stabilizing The World Population--
Vice President Gore
3. Focus on Population and Development: The U.S. and the UN
International Conference On Population and Development
4. Fact Sheet: UN Conferences on Socioeconomic Issues
5. Fact Sheet: Global Environmental Issues
ARTICLE 1:
International Conference on Population and Development
Vice President Gore
Remarks at the opening session of the UN International Conference on
Population and Development, Cairo, Egypt, September 5, 1994
Good morning. I am honored to join you as we begin one of the most
important conferences ever held.
On behalf of President Clinton and the people of the United States, I
would like first of all to express my thanks and appreciation to our
host, President Mubarak. His leadership has been marked by a continuing
commitment to building a better future for his people, this region, and
the world. This conference is dedicated to helping achieve the same
ends. I can think of no better or more fitting setting than Cairo for
the work we begin today.
I would also like to thank Secretary General Boutros Boutros-Ghali and
Dr. Nafis Sadik for their inspired leadership in shepherding this
conference from a concept to a reality. Allow me to also thank Prime
Minister Brundtland and Prime Minister Bhutto for their leadership and
their contributions to the world's efforts to deal with this vital
issue.
Most importantly, I want to acknowledge the enormous contributions of
government officials, non-governmental organization representatives, and
private citizens toward addressing one of the greatest challenges--and
greatest opportunities--of the coming century. We owe all of you who
have been involved in this process a debt of gratitude.
We would not be here today if we were not convinced that the rapid and
unsustainable growth of human population was an issue of the utmost
urgency. It took 10,000 generations for the world's population to reach
2 billion people. Yet over the past 50 years, we have gone from 2
billion to more than 51/2 billion. And we are on a path to increase to
9 or 10 billion over the next 50 years. Ten thousand generations to
reach 2 billion and then in one human lifetime--ours--we leap from 2
billion toward 10 billion.
These numbers are not by themselves the problem. But the startlingly
new pattern they delineate is a symptom of a much larger and deeper
spiritual challenge now facing humankind. Will we acknowledge our
connections to one another or not? Will we accept responsibility for
the consequences of the choices we make or not? Can we find ways to
work together, or will we insist on selfishly exploring the limits of
human pride? How can we come to see in the faces of others our own
hopes and dreams for the future? Why is it so hard to recognize that
we are all part of something larger than ourselves?
Of course, these are timeless questions that have always characterized
the human condition. But they now have a new urgency, precisely,
because we have reached a new stage of human history--a stage defined
not just by the meteoric growth in human numbers but also by the
unprecedented Faustian powers of the new technologies we have acquired
during these same 50 years--technologies which not only bring us new
benefits, but also magnify the consequences of age-old behaviors to
extremes that all-too often exceed the wisdom we bring to our decisions
to use them.
For example, warfare is an ancient human habit, but the invention of
nuclear weapons so radically altered the consequences of this behavior
that we were forced to find new ways of thinking about the relationship
between nuclear states in order to avoid the use of these weapons.
Similarly, the oceans have always been a source of food, but new
technologies like 40-mile-long driftnets coupled with sophisticated
sonar equipment to precisely locate fish have severely depleted or
seriously distressed every ocean fishery on our planet. Thus, we have
begun to curtail the use of driftnets.
But it is becoming increasingly clear that our margin for error is
shrinking as rapid population growth is combined with huge and
unsustainable levels of consumption in the developed countries, powerful
new tools for exploiting the earth and each other, and a willful refusal
to take responsibility for the future consequences of the choices we
make. Economically, rapid population growth often contributes to the
challenge of addressing persistent low wages, poverty, and economic
disparity.
Population trends also challenge the ability of societies, economies,
and governments to make the investments they need in both human capital
and infrastructure. At the level of the family, demographic trends have
kept the world's investment in its children--especially girls--
unacceptably low. For individuals, population growth and high fertility
are closely linked to the poor health and diminished opportunities of
millions upon millions of women, infants, and children. Population
pressures often put strains on hopes for stability at the national and
international level. Look, for example, at the 20 million refugees in
our world who have no homes.
The delegates to this conference have helped create a widely shared
understanding of these new realities. But what is truly remarkable
about this conference is not only the unprecedented degree of consensus
about the nature of the problem, but the degree of consensus about the
nature of the solution. A real change has occurred during the last
several years in the way most people in the world look at and understand
this problem. The change is part of a larger philosophical shift in the
way most people have begun to think about many large problems. There
used to be an automatic tendency--especially in the developed world--to
think about the process of change in terms of single causes producing
single effects. Thus, when searching for the way to solve a particular
problem--however large--it seemed natural enough to search for the
single most prominent "cause" of the problem and then address it
forcefully. Many divisive arguments resulted between groups advocating
the selection of different causes as the "primary" culprit deserving
full attention.
Thus, when it became clear that new medical technologies were bringing
dramatic declines in death rates but not in birth rates, many pioneers,
in the effort to address the population question, settled on the notion
that the lack of contraceptives was the primary problem and argued that
making them widely available everywhere would produce the effect we
desired--the completion of a demographic transition with the achievement
of low birth rates as well as low death rates. But as it became clear
that contraception alone seldom led to the change nations were seeking
to bring about, other single causes were afforded primary attention.
For example, in the historic Bucharest conference 20 years ago, when
thoughtful people noticed that most of the societies which had
stabilized their population growth were wealthy, industrial, and
"developed," it seemed logical to conclude--in the phrase common at the
time--"development is the best contraceptive."
Meanwhile, some insights from developing countries were given
insufficient attention. For example, some African leaders were arguing
30 years ago that "the most powerful contraceptive in the world is the
confidence of parents that their children will survive." And in places
like Kerala, in southwestern India, local leaders were making economic
development more accessible by giving women as well as men access to
education and high levels of literacy, while at the same time providing
good child- and maternal-health care as well as widespread access to
contraception. In the process, they found that their population growth
rate fell to nearly zero.
The world also has learned from developing countries that the wrong kind
of rapid economic development--the kind that is inequitable and
destructive of traditional culture, the environment, and human dignity--
can lead to the disorientation of society and a lessened ability to
solve any problems, including population. But here, in Cairo, there is
a new and very widely shared consensus that no single one of these
solutions is likely to be sufficient by itself to produce the pattern of
change we are seeking. However, we also now agree that all of them
together, when simultaneously present for a sufficient length of time,
will reliably bring about a systemic change to low birth and death rates
and a stabilized population. In this new consensus, equitable and
sustainable development and population stabilization go together. The
education and empowerment of women, high levels of literacy, the
availability of contraception, and high-quality health care--these
factors are all crucial. They cannot be put off until development takes
place; they must accompany it--and, indeed, should be seen as part of
the process by which development is hastened and made more likely.
This holistic understanding is representative of the approach we must
take in addressing other problems that cry out for attention.
Recognizing connections and interrelationships is one of the keys. For
example, the future of developed countries is connected to the prospects
of developing countries. It is partly for this reason that we in the
United States wish to choose this occasion to affirm, unequivocally, all
human rights, including the right to development.
Let us be clear in acknowledging that persistent high levels of poverty
in our world represent a principal cause of human suffering,
environmental degradation, instability, and rapid population growth.
But the solution--like the solution to the population challenge--will
not be found in any single, simplistic answer. It will be found in a
comprehensive approach that combines democracy, economic reform, low
rates of inflation, low levels of corruption, sound environmental
stewardship, free and open markets at home, and access to markets in the
developed countries. We must also acknowledge--in developed and
developing countries alike--the connection between those of us alive
today and the future generations that will inherit the results of the
decisions we make. Indeed, a major part of the spiritual crisis we face
in the modern world is rooted in our obstinate refusal to look beyond
the immediacy of our own needs and wants and instead invest in the kind
of future our children's children have a right to expect. It should be
obvious that we cannot solve this lost sense of connection to our future
merely through appeals to reason and logic.
Personally, I am convinced that the holistic solution we must seek is
one that is rooted in faith and a commitment to basic human values of
the kind enshrined in all of our major religious traditions and
principles increasingly shared by men and women all around the world:
-- The central role of the family;
-- The importance of community;
-- The freedom of the human spirit;
-- The inherent dignity of every individual woman, man, and child on
this planet;
-- Political, economic, and religious freedom; and
-- Universal and inalienable human rights.
Will we draw upon the richness of these shared principles and values as
we embark on our efforts today, or will we allow ourselves to be divided
by our differences? There are, of course, differences that will be
extremely difficult to ever fully resolve. For example, we are all well
aware that views about abortion are as diverse among nations as among
individuals. I want to be clear about the U.S. position on abortion so
that there is no misunderstanding. We believe that making available the
highest quality family planning and health care services will,
simultaneously, respect women's own desires to prevent unintended
pregnancies, and reduce population growth and the rate of abortion.
The United States Constitution guarantees every woman within our borders
a right to choose an abortion, subject to limited and specific
exceptions. We are committed to that principle. But let us take a
false issue off the table: The United States does not seek to establish
a new international right to abortion, and we do not believe that
abortion should be encouraged as a method of family planning.
We also believe that policy-making in these matters should be the
province of each government, within the context of its own laws and
national circumstances and consistent with previously agreed-upon human
rights standards. In this context, we abhor and condemn coercion
related to abortion or any other matters of reproduction.
We believe that where abortion is permitted, it should be medically safe
and that unsafe abortion is a matter of women's health that must be
addressed. But as we acknowledge the few areas where full agreement
among us is more difficult, let us strengthen our resolve to respect our
differences and reach past them to create what the world might remember
as the "spirit of Cairo"--a shared and unshakable determination to lay
the foundation for a future of hope and promise.
This is the opening session. Each of us plays a crucial role in
ensuring the success of this historic endeavor. The essential
ingredient we all must bring to it is our commitment to make it work.
The Scottish mountain climber W.H. Murray wrote early in this century:
Until one is committed there is hesitancy, the chance to draw back,
always ineffectiveness. Concerning all acts of initiative . . . there
is one elementary truth, the ignorance of which kills countless ideas
and splendid plans: that the moment one definitely commits oneself,
then providence moves too.
I saw this truth in operation earlier this year at the southern end of
this continent when I represented my country at the inauguration of
Nelson Mandela. As he raised his hand to take the oath, I suddenly
remembered a Sunday morning four years earlier when he was released from
prison and my youngest child, then seven, joined me to watch live
television coverage of the event and asked why the entire world was
watching this person regain his freedom.
After I explained as best I could, my son asked again, "Why?" After a
series of "whys," I began to feel frustrated--but I suddenly realized
what a rare privilege it was to explain to a child the existence of such
an extraordinary positive event when I, like other parents, had so often
been confronted with the burden of explaining to my children the
existence of evil and terrible tragedies and injustices in our world.
So as President Mandela completed his oath, I resolved that I would
spend the next several days in South Africa trying to understand how
this wonderful development had occurred. And what I found--in addition
to the well-known courage and vision of both Mandela and De Klerk--was
the key ingredient that had not received emphasis in the news coverage:
Ordinary men and women of all ethnic backgrounds and all walks of life
quietly had made up their minds that they were going to reach across the
barriers that divided them and join hands to create a future much
brighter than any they had been told was possible to even imagine.
We here today face the same choice and the same opportunity: Will we
give to our children's children the burden of explaining to their
children the reason why unspeakable tragedies that could have been
avoided occur in their lives? Or will we give them the privilege and
joy of explaining the occurrence of unusually positive developments--the
foundations for which were laid here at this place at this time? The
choice is ours. Let us resolve to make it well.
(###).
ARTICLE 2:
Defining a Global Approach Toward Stabilizing the World Population
Vice President Gore
Statement released by the White House, Washington, DC, September 13,
1994
The approval of the Program of Action in Cairo today marks a tremendous
achievement for the delegations present, but more importantly for the
world's future. I want to commend the delegations for their work and
their dedication in achieving a consensus which, although difficult in
some areas, has created a new framework for action on population and
development issues. For the first time in a UN conference dealing with
population issues, all participating nations have joined in agreement on
a large portion of the Program of Action.
I wish to especially commend the Government of Egypt and President
Mubarak. Not only a wonderful and gracious host for the conference,
Egypt was also a key actor in negotiations surrounding some of the
ICPD's most difficult issues.
In addition, I wish to thank the United Nations, and especially the ICPD
Secretary General, Dr. Nafis Sadik, for her untiring and successful
efforts in building consensus in Cairo. I also want to specifically
thank the United States delegation, led by Under Secretary of State Tim
Wirth. The United States, under his leadership, was able to contribute
effectively to bringing the world to this important consensus.
Finally, the NGO community throughout the world--and, I would add,
especially women's groups--have played a historic role in helping to
bring their knowledge and expertise into the debate and moving the ICPD
from a concept at Rio to a reality at Cairo. The Program of Action is
better informed for it.
This Program of Action is a watershed in defining a global approach
toward stabilizing the world's population--encompassing increased
availability of family planning, sustainable economic development, the
empowerment of women--to include enhanced educational opportunities, and
a reduction in infant and child mortality. All of these are important
goals in their own right that work best when joined together into a
comprehensive program. No single solution will be sufficient by itself
to produce the patterns of change so badly needed. But together, over a
sufficient length of time, a broad-based strategy will help us achieve a
stabilized population and thereby improve the quality of life for our
children. The Program of Action just adopted in Cairo offers us a plan
that will work and that has the full support of the United States.
(###).
ARTICLE 3:
Focus on Population And Development: The U.S. and the UN International
Conference on Population and Development
World leaders gathered in Cairo, Egypt, in September 1994 to address
crucial problems facing humanity at the third decennial UN conference on
population. The International Conference on Population and Development
(ICPD) presented a critical opportunity to develop a program of action
to address problems that cause immeasurable human suffering in all parts
of the world.
Delegates to the ICPD agreed on a Program of Action that will help guide
the population programs of the United Nations and national governments
into the next century. The Program of Action is not a binding treaty,
but it will serve as a benchmark and standard toward which governments
and agencies should strive.
The U.S. Government fully participated in both the preparations for
Cairo and the conference itself--and in articulating a new approach to
population policy. The new approach enjoys the support of a majority of
the world's nations. Grounded in a commitment to health, development,
and empowerment, the new approach strengthens families and communities,
promotes economic and social development, and affirms, in the words of
the UN Charter, "the dignity and the worth of the human person."
An Emerging Consensus
The new international consensus on population policy is a recent
development, but it has been decades in the making. Since they were
implemented on a broad scale in the 1960s, population and family
planning programs have enabled millions of men and women to plan the
size and spacing of their families. In large part, these services have
improved the lives of millions of people, but they have periodically
drawn criticism for narrowly focusing on lowering birthrates and
insufficiently addressing human rights, women's health, and cultural
differences. Previous UN conferences on population were marked by
heated debates on how to address population growth and, indeed, whether
population growth is a problem at all.
At the World Population Conference in Bucharest in 1974, the U.S. and
other industrialized countries advocated programs to slow growth rates,
while the developing countries countered that "development is the best
contraceptive." By 1984, when the UN held its second conference on
population in Mexico City, many positions were reversed. The developing
countries acknowledged the need for population programs, but the U.S.
delegation pronounced population a "neutral factor" and scaled back
family planning efforts worldwide. During the 1992 earth summit in Rio
de Janeiro, delegates vigorously debated the role of population in
sustainable development.
In welcome contrast, the Cairo conference was characterized by an
extraordinary degree of international agreement. The new consensus
reflects, in part, the degree to which population professionals have
responded to concerns voiced by women's groups and the citizens of
developing countries. It also is a product of improved understanding of
the complex context in which decisions about childbearing are made.
There is now broad agreement that development and family planning can
work separately to slow population growth but that they work most
effectively when pursued together. There also is increasing recognition
that population growth is part of a constellation of factors that can
cause environmental degradation. And it is widely acknowledged that
family planning should be provided as part of broader primary and
reproductive health initiatives, that population policy should encompass
economic opportunity for women, and that legal and social barriers to
gender equality should be eliminated.
The preparatory process for the Cairo conference also benefited from a
high level of citizen participation. More than 1,200 representatives of
citizens' groups attended the last preparatory meeting in New York and
more than 2,000 attended the conference. They played an important role
in drafting conference documents. Many of the representatives were
women from diverse backgrounds and all regions of the world. The U.S.
delegation included 15 citizen representatives, including women's health
experts, environmentalists, and population experts.
The Administration actively sought the input of citizens and
organizations in the development of its new policies. State Department
representatives participated in town meetings from coast to coast and
conducted meetings encouraging participation in document drafting.
Continuous outreach for input has been at the crux of U.S. preparations.
The increased international involvement of citizen groups signals an
important shift--from top-down imposition of "population control"
measures to community-based programs that are crafted to respond to the
needs of individuals and families.
North-South Agreement
At previous UN population conferences, the fault lines of debate tended
to separate industrialized and developing countries. The Cairo process,
in contrast, has prompted far more cooperation between North and South.
This may imply a greater understanding that political boundaries are
porous--that modern-day plagues of environmental devastation and disease
do not respect national borders and that increasing globalization has
drawn more tightly the bonds that connect us. The problems facing the
human community--although they differ greatly in magnitude--are the same
the world over. We all aspire to have strong families, secure
livelihoods, high-quality health care, and a healthy environment. We
share a concern about the world that our children will inherit and
struggle to maintain our moral compass in a world that is rapidly
changing.
These shared concerns are each, in some way, enmeshed with the issue of
population growth. The size and rate of growth of the human population
certainly affects the quality of public health, opportunities for
employment, and the ability of families and societies to provide for
their members. But there are other, equally important factors: the way
resources are used and distributed and the economic, political, and
social factors that moderate access to opportunity. Participants in the
Cairo conference addressed population growth not simply as a problem of
numbers but as one of many factors that shape the human prospect. The
conference's guiding vision was stabilized population growth and
sustainable development to meet the needs of current generations without
compromising the ability of future generations to meet their needs.
Successfully realized, this goal will assure broad-based economic
growth; protect the environment; and enhance human rights, health, and
potential.
The theme of the Cairo conference, "Choices and Responsibilities,"
encapsulated the new approach to population issues. This emphasis
reinforced the U.S. conviction that the decision to bear a child is a
profoundly personal one and that men and women have the right to decide
freely the number and spacing of their children. With choice, however,
comes responsibility. The Cairo conference underscored the
responsibilities of parents to their children, of men and women to each
other, of governments to their citizens, of caregivers to their clients,
and of current to future generations.
A Program of Action
Following is a broad outline of the Program of Action that was approved
by consensus in Cairo. The U.S. Government supports the programs and
policies embodied in this document. Therefore, the following also is a
statement of U.S. population policy. U.S. domestic policies in this
area are identical to those it supports internationally.
Principles. The Program of Action is guided by a set of principles
agreed to by 180 countries. These call for full respect for religious
diversity, critical values, and cultural backgrounds; international
human rights standards; and national laws when implementing population
and development programs. They are based on the interrelationship
between population and sustainable development.
The Family. Families are the basic unit of society. They are the
nurturers, caregivers, role models, and teachers who instill shared
societal values. Around the world, they also are challenged as never
before. The number of single-parent homes has soared to as many as one
in three worldwide. Families are sundered for many reasons--divorce,
death, war, or migration in search of economic opportunity. But the
result is often the same: Most single-parent families are headed by
women, many are desperately poor, and children are denied the benefits
of an intact family.
The Cairo Program of Action seeks to preserve the integrity of families
and help those that face special challenges, such as single-parent
families and extended families caring for the elderly. Improved health
care and greater economic security, which are discussed in detail, are
recommended to bolster the capacity of family members to sustain and
care for each other. The Program of Action asks governments to ensure
that men shoulder their full share of responsibility as parents, for
example, through the enforcement of child support laws. Governments are
urged to help increase the earning power of poor women, especially those
with children, through training and self-help programs. The Program of
Action also calls for measures that enable parents to combine family
responsibilities and labor-force participation. An example of such
policies is the Family and Medical Leave Act, signed into law by
President Clinton in 1993, which guarantees that no worker will have to
choose between keeping his or her job and caring for a new child or sick
family member.
Elderly men and women are valued members of the family. In the
developed countries, falling birth rates and medical advances have
created a sharp increase in the number of elderly men and women. By the
year 2025, people over 60 years of age are expected to comprise nearly
one-fourth of the population. Sadly, the erosion of extended family
networks has left many older men and women without adequate care and
support. The Cairo Program of Action seeks to repair frayed support
networks by promoting the strengthening of social security systems and
enhancing the ability of families to care for elderly members.
Sustainable Development. Despite the great technological advances of
the last half-century, a global chasm of inequity still separates rich
and poor. While a billion of the world's people live in relative
affluence, an- other billion exist on the knife-edge of survival; one
person in five does not have enough to eat. Despite decades of
development efforts, the gap between rich and poor nations--and
inequalities within nations--remains wide.
In much of the developing world, poverty is both a cause and effect of
population growth. Mortality rates have fallen steeply due to public
health advances, but fertility remains high, in part, because poor
families rely on children for social and economic security. A
destructive synergism takes hold: Rapid population growth perpetuates
poverty by straining the ability of families and societies to support
their members, and economic uncertainty, in turn, fosters rapid
population growth.
Among the greatest challenges we face as a global community is that of
assuring secure livelihoods for the world's people. This problem is
acute in the developing countries, where the UN estimates that a half-
billion people currently are unemployed or underemployed. To
accommodate their growing populations, those countries must create 30
million new jobs each year to maintain current employment levels. Few
consider it likely that the strained governments of the developing world
can generate increases of that magnitude.
At the UN Conference on Environment and Development (UNCED) in Rio in
1992, world governments agreed to "Agenda 21"--a worldwide blueprint for
sustainable development. The ICPD Program of Action reinforces many of
the UNCED objectives, without rewriting Agenda 21. The Program of
Action recommends steps to both stabilize population growth and foster
broad-based economic development. It asks the international community
to rethink trade policies to maximize job creation in the industrial,
agricultural, and service sectors; to seek methods of reducing the debt
burden on developing countries; and to promote development strategies
that enhance the personal and economic potential of the world's poorest
citizens through health care, education, and training. For their part,
developing country governments are urged to create and sustain
democratic institutions, curtail corruption, and redirect domestic
budget priorities to human resource development.
Gender Equity. Another inequitable divide separates boys and girls, men
and women. In many parts of the world, girls are fed less, given less
medical care, withdrawn from school earlier, and forced into hard labor
sooner than boys. Women, who perform an estimated 60% of the world's
work, own only 1% of the world's land and earn just 10% of the world's
income. This inequity exacts another toll in women's lives, health, and
potential and is closely associated with high fertility. Where they are
denied education, secure livelihoods, and the full legal and social
rights of citizenship, women depend on children as their only means of
attaining status and security. Efforts to increase women's self-
determination have been shown to improve the health and well- being of
women and their children and to slow the pace of population growth. For
example, women with even a primary school education have fewer,
healthier, and better-educated children and are far less likely to die
in childbirth than their uneducated peers.
Improving the status of women is a core objective of the Program of
Action, which urges governments to close the gender gap in education and
political life and to eliminate all forms of institutionalized
discrimination against women, for example, in hiring practices, access
to credit, and property-ownership laws. It condemns the preferential
treatment of boys and encourages affirmative measures to improve the
health, nutritional status, and self-esteem of girls.
Health. In the past 50 years, global life expectancy has increased by
nearly 20 years, and the risk of dying in the first year of life has
fallen by almost two-thirds. While these gains are significant and
encouraging, they mask persistent disparities between rich and poor.
Poor people worldwide--particularly women and children--sicken and die
by the thousands from health problems that are readily preventable and
curable.
Every year, 500,000 women die of pregnancy-related causes. The vast
majority of those deaths take place in the developing world. An African
woman, for example, is 200 times more likely than a European woman to
die in childbirth. The infant mortality rate in the developing
countries is six times higher and the child mortality rate is seven
times higher than in developed countries. Disparities exist within
countries as well. In the U.S., infant mortality among whites is at 8
per 1,000 births, while African-American infant mortality is at 18 per
1,000--a rate higher than that in Cuba or Poland.
Maternal and child mortality is closely associated with insufficient
family planning services and reproductive health care. At least 100
million women in the developing world--one in six married women outside
China--wish to avoid or postpone pregnancy but lack access to modern
contraception. Even where family planning and reproductive health
services are available in developing countries, the quality of care is
often poor. When couples lack the ability to plan and space their
pregnancies, high fertility takes a great toll on women's lives and
health. The leading causes of maternal deaths are postpartum
hemorrhage--which is most common among poor women who have had several
closely spaced pregnancies--and unsafe abor- tion. Between 50 and 60
million abortions are performed each year, nearly half of which are
illegal and often unsafe.
High fertility takes a toll in children's lives as well. A child born
less than two years after a previous birth is more likely to die before
his or her fifth birthday. Child mortality and high fertility form
another destructive synergism: Where infant and child mortality rates
are high, parents tend to have more children in the hope that some will
survive, yet high fertility results in an even greater number of infant
and child deaths in the absence of necessary health services.
The ominous advance of AIDS and other sexually transmitted diseases
(STDs) poses another threat to global health. The World Health
Organization estimates that, in 1994 alone, approximately 2 million
people will become infected with HIV, the virus that causes AIDS. Women
are the fastest-growing population of persons living with AIDS and HIV
infection. In some U.S. cities, AIDS already has become the leading
cause of death among vulnerable groups of women, especially those
between the ages of 15 and 45.
The Cairo Program of Action recommends several measures to halt these
pandemics of disease and death. It calls for extending integrated
primary, maternal, and child health services to all, and ensuring
universal access to prenatal care, immunization coverage, and programs
to combat malnutrition. Such programs are urged to pay particular
attention to the most vulnerable and under-served groups in the
population and to remove barriers to access. The Program of Action asks
governments to develop multisectoral strategies to combat AIDS and other
STDs, particularly through early diagnosis and treatment and public
education campaigns stressing the importance of safe and responsible
sexual behavior.
Improved family planning and reproductive health services are a
cornerstone of the Program of Action's recommendations to improve
health. The Program of Action asks governments to assess the extent of
unmet need for family planning services and to provide universal access
to the full range of safe contraception and reproductive health
services. It rejects the use of incentives, such as cash gifts to those
who agree to use contraception, as well as disincentives, such as
policies that punish families for having more than a certain number of
children.
The Program of Action does not promote abortion, but it does recognize
the need to address unsafe abortions as a critical public health
concern. This issue also generated controversy at the conference,
because although abortion is permitted under some circumstances in 173
of 190 countries, national laws on abortion vary. The Program of Action
will be implemented by each country in accordance with national law and
international human rights standards. Nearly all countries at the
conference agreed on reducing the need for abortion through the
provision of safe and effective family planning services. The Program
of Action urges governments to consider including a commitment to
women's health and well-being in their policies. It supports women's
access to quality health care services, including reliable information,
counseling, and medical care to enable them to terminate their
pregnancies in those cases allowed by law, as well as access to services
to provide for the management of complications of unsafe abortions.
Adolescents. Adolescent sexual activity and fertility pose a special
set of problems and challenges. Adolescents often are directly or
indirectly coerced into early sexual activity, either through forced
marriage or the seemingly inexorable forces of peer pressure. Although
men and women are marrying later in many parts of the world, adolescent
marriages are still common in some areas. In Mali, for example, the
average age for marriage is 16. And in the U.S., one in five 15-year-
old girls has had sex at least once; the comparable figure for boys is
two in five. Many adolescents lack the emotional and cognitive maturity
to enter into responsible sexual relationships.
Whether it takes place within or outside marriage, early sexual activity
risks the lives and well-being of young women and their children.
Adolescent mothers are twice as likely to die in childbirth as mothers
aged 20-24, and their babies are more than twice as likely to die in
their first year of life. Moreover, adolescent motherhood--particularly
among the unmarried--can sharply limit a young woman's education and
earning potential, as well as her children's horizons. And sexually
active adolescents risk exposure to deadly STDs, including increased
incidence of AIDS among teenagers. Among unmarried teens, STDs and
unplanned pregnancies may reflect their lack of access to family
planning and reproductive health services, which are often limited to
married couples.
These problems are expected to grow along with the burgeoning world
population of adolescents which, by the year 2000, is expected to number
1 billion. Accordingly, the Program of Action offers several strategies
to address sexual activity and fertility. It asks governments to
enforce laws governing the minimum age of consent and age at marriage.
The Program of Action also recommends programs to curtail adolescent
pregnancy by encouraging young teens to delay the initiation of sexual
activity. In addition to emphasizing the importance of interpersonal
relationships and responsibilities of sexuality, the Program of Action
advocates measures to ensure that adolescent girls have alternatives to
early childbearing, such as educational and employment opportunities.
Governments are asked to ensure that those teens who are sexually active
have access to appropriate counseling, family planning, and reproductive
health services. The Program of Action recognizes that parents have a
central role in teaching their adolescent children about moral and
responsible behavior and recommends programs that support and strengthen
that role.
The Environment. Our planet's thin layer of life is threatened as never
before. Ozone depletion, climate change, and species loss are all red
alerts that we have strained the regenerative capacity of ecological
systems. These problems have deeply disturbing implications for future
generations. As the U.S. National Academy of Sciences and the Royal
Society of London warned in 1992, "If current predictions of population
growth prove accurate and patterns of human activity on the planet
remain unchanged, science and technology may not be able to prevent
either irreversible degradation of the environment or continued poverty
for much of the world."
Population growth per se is not a direct cause of environmental
problems; the effect of any given population on the environment can be
magnified or mitigated by patterns of resource consumption and
technology. The industrialized world has the most environmentally
damaging habits and technology, and, therefore, contributes the lion's
share to trends attributed to global environmental degradation.
Estimates show that, with only 22% of the world's population, the
developed countries use two-thirds of all resources consumed and
generate 75% of all pollutants and wastes. Many analysts believe that
the earth cannot support all of its current--much less future--
inhabitants at contemporary developed-country levels of consumption. A
central challenge for the international community is, therefore, to
craft a paradigm of development that meets human needs at lower
environmental cost.
The Program of Action emphasizes the role of unsustainable resource use
as a cause of environmental problems and urges the development and
sharing of environmentally sustainable technologies and practices. It
also calls for the integration of population dynamics into planning for
sustainable development and asks governments to integrate women into
matters of natural resource protection and management.
Urbanization-Migration. Whether from country to city or from one
country to another, many people have traditionally moved in search of
improved opportunities--a better job; better surroundings; a better
quality of life. In recent decades, millions have sought better lives
by moving to urban areas, and cities have mushroomed. The number of
cities with populations of more than 1 million rose from 111 in 1960 to
288 in 1990, more than two-thirds of which are in the developing world.
Building capacity to provide housing, employment, and sanitation for
growing urban populations is a major challenge for many countries. To
meet that challenge, the Program of Action promotes urban development
that is both participatory and environmentally sustainable. It also
urges governments to provide services for migrants from rural areas, in
order to improve their health and earning potential.
Other migrants seek better lives across national boundaries.
International migration encompasses two distinct phenomena: the
voluntary movements of people which are beneficial to both migrants and
host countries, such as family reunification and legal labor migration;
and what has been called "irregular" migration--those flows which are
involuntary (refugees) or illegal (undocumented labor migration). While
reliable global statistics are hard to come by, it is safe to say that
international migration is increasing. Refugee flows, which take place
mostly within and between developing countries, also have escalated in
size and volatility in recent years. Data linking population growth to
migration outflows are inconclusive because it is difficult to isolate
the role of population growth from other variables influencing
migration. But it is clear that the combined effects of rapid
population growth, poverty, resource depletion, and human rights
violations can fuel political unrest and drive population growth
movements, particularly irregular migration, which can destabilize both
sending and receiving countries.
The Cairo Program of Action reflects a growing awareness that more must
be done to address the root causes of irregular migration. Stepped-up
border control measures, while necessary, will not be sufficient to cope
with illegal immigration; nations need to address the panoply of social
and environmental problems that impel people to leave their homes.
Governments are asked to take measures to improve the quality of life in
migrant-sending countries by, for example, fostering employment, opening
markets, promoting good governance, and preventing land degradation.
The Program of Action also urges governments to adopt effective
sanctions against those who profit from smuggling aliens and to
safeguard the human rights of undocumented migrants. The international
community is asked to continue to protect refugees and asylees, to seek
to reduce the pressures that fuel refugee movements, and to support
international refugee assistance.
Investments. The Cairo Program of Action represents more than agreement
in principle. Both developed and developing countries have renewed
their commitment to provide resources for family planning, health, and
human development programs. In the U.S., the President's budget request
for family planning and reproductive health programs for fiscal year
1995 is $585 million, an $83-million increase over the previous year.
Additional resources also are needed for child health, education, and
development programs. Japan has agreed to spend $3 billion over seven
years on a broad package that includes family planning, reproductive
health, AIDS prevention, maternal and child health, and basic education-
-a tenfold increase over current spending. Germany has indicated that
it will significantly increase its current contribution, after doubling
its investment over the past four years, and the European Union
announced recently that its contributions will increase tenfold to $350
mil- lion by the year 2000. Australia and the United Kingdom also are
reported to be planning significant increases. Developing countries,
which provide at least two-thirds of the financing for population
programs, will foster local partnerships with non-governmental
organizations to make optimal use of those resources.
Conclusion
The International Conference on Population and Development is a crucial
milestone on our long journey toward population stabilization and
sustainable development. The challenges before the global community are
great, but we are compelled to act by moral imperatives to alleviate
human suffering and to safeguard our collective future.
There are many sound reasons for hope. For all the difficulties we
face, we can still say that in the last 50 years we have made more
progress in alleviating human misery than in the previous two millennia.
Life expectancy in the developing countries grew by one-third, death
rates for infants and children were cut in half, and real incomes more
than doubled. If we could do all that while burdened with the political
and economic costs of the Cold War, how much greater should be the goals
we set for ourselves now?
The Cairo conference provided an unparalleled opportunity to define
those goals, and the Program of Action approved at the conference
provides a firm basis for action in support of those goals. The Clinton
Administration intends to carry on the leadership role evidenced in
Cairo in support of the programs and policies of the Program of Action.
(###).
ARTICLE 4:
Fact Sheet: UN Conferences on Socioeconomic Issues
Since 1990, a series of UN conferences has focused the UN system on
pragmatic strategies to address development problems. These conferences
demonstrate the links among development and population, environment,
poverty, universal basic education, and gender equity and the need to
address them in terms of sustainability.
The first such meeting was the Education Conference in Jomtien,
Thailand, in March 1990; followed by the Children's Summit in New York
City in September 1990; the UN Conference on the Environment and
Development in Rio de Janeiro, Brazil, in June 1992; the Human Rights
Conference in Vienna, Austria, in June 1993; and the International
Conference on Population and Development in Cairo, Egypt, in September
1994.
The next two conferences will be the World Summit for Social Development
in Copenhagen, Denmark, March 1995 and the Fourth World Conference on
Women in Beijing, China, September 1995.
International Conference On Population and Development
The International Conference on Population and Development (ICPD) took
place in Cairo, Egypt, on September 5-13, 1994. A forum for non-
governmental organizations also took place in parallel with the
conference. With the world's population at 5.7 billion--and expected to
increase at a rate of nearly 1 billion per decade--this conference
occurred at a critical time for global commitment to population
stabilization. Preparations for the conference and the conference
itself increased global awareness of population and development issues.
The United States supported the ICPD's objective to establish a program
of action for the next two decades. Global consensus was achieved on
the following key objectives:
-- Establishing a long-term goal of stabilizing population growth
levels consistent with sustainable development;
-- Establishing an international partnership for sustainable
development that recognizes the responsibility of the North to address
wasteful resource use in conjunction with the South's addressing high
rates of population growth;
-- Developing a comprehensive approach for national efforts and
international assistance programs that includes:
--Addressing the unmet need and demand for family planning and
reproductive health services;
--Strategies for preventing HIV/AIDS infection;
--Child survival and women's health needs;
--The need to advance the rights and economic, political, and social
roles of women;
--Improving the education of girls and women; and
--Increasing male responsibility in family planning and child rearing.
-- Mobilizing institutional capability and financial resources
necessary to implement the above goals.
World Summit for Social Development
The World Summit for Social Development will be held March 11-12, 1995,
at the Bella Center in Copenhagen, with pre-summit meetings March 6-10,
1995. UN General Assembly Resolution 47/92 and the summit's Preparatory
Committee identify the summit's three core issues as:
-- Reduction and elimination of widespread poverty;
-- Expansion of productive employment and reduction of unemployment;
and
-- Enhancement of social integration.
The summit will provide a forum to underscore the transboundary nature
of many of the social problems facing countries today, and to integrate
the multiple commitments of previous UN meetings into a coherent
framework. The United States will work toward achieving global consensus
in summit documents that focus on specific objectives with cross-
sectoral impact such as:
-- Emphasizing that good governance and democratic structures that
foster broad-based grass-roots participation are fundamental to social
development;
-- Taking specific steps to attain full equality between women and men;
-- Entering into a global compact to eliminate severe malnutrition and
ensure universal access to primary health care, safe water and
sanitation, primary education, and voluntary family planning and
reproductive health services by early in the next century; and
-- Renewing global commitments to protect and promote human rights, end
all forms of discrimination, and promote the full participation in
society of all individuals, especially minorities, women, and people
with disabilities.
Fourth World Conference On Women
The Fourth World Conference on Women will be held in Beijing, China,
September 4-15, 1995, at the Beijing International Conference Center.
The conference will produce a platform for action document and agreement
on the means to implement it. The platform is intended to accelerate
the implementation of the document adopted at the 1985 Nairobi World
Conference. A parallel forum for NGOs will be held at the Beijing
Workers' Sports Service Center from August 30 to September 8, 1995.
The United States will work to ensure that the platform reflects the
concerns and priorities of its citizens and is a concise, action-
oriented document. The Women's Bureau of the Department of Labor and
the Department of State are jointly convening 10 regional meetings
within the United States in 1994 to discuss topics related to the draft
platform. Some of these topics include:
-- Women in leadership positions;
-- Knowing and exercising legal rights;
-- Overcoming poverty among women; and
-- Education and training for women and girls.
(###).
ARTICLE 5:
Fact Sheet: Global Environmental Issues
The environmental challenges confronting the world today are greater
than at any time in recent history. Threats to the global environment--
such as climate change, increasing population growth, stratospheric
ozone depletion, and the loss of biological diversity and forests--
affect all nations, regardless of their level of development. As a
result, the environment is becoming an increasingly important part of
the foreign policy agenda. The U.S. accords high priority to addressing
global environmental problems and is pursuing a wide-ranging agenda of
action to protect the environment and promote the goal of sustainable
development.
Global Climate Change
The possibility that human activities may cause climate change is one of
the most serious international environmental concerns. The U.S. has
been a leader in the effort to respond to this threat. Negotiations on
a Framework Convention on Climate Change (FCCC), which began near
Washington, DC, in early 1991, culminated in an agreement that received
more than 150 signatures at the UN Conference on Environment and
Development (UNCED) in Rio de Janeiro in June 1992. The convention
entered into force on March 21, 1994.
The climate change convention establishes an effective process for
dealing with this global issue. Industrialized countries are developing
specific action plans to limit their emissions of greenhouse gases and
enhance forests and other greenhouse gas "sinks." Other countries are
to take similar actions in the future. In April 1993, President Clinton
announced that the U.S. intends to return its greenhouse gas emissions
to their 1990 levels by the year 2000.
In October 1993, the President presented a National Climate Change
Action Plan, containing nearly 50 domestic measures designed to meet
this U.S. commitment. In addition, it includes a U.S. initiative on
joint implementation to promote cooperation between countries on
projects that will reduce or sequester greenhouse gas emissions. This
initiative can serve as a model for an international joint
implementation regime. By September 1994, the U.S. will make its
national submission under the climate change convention detailing the
actions it is taking in all areas to address the threat of global
climate change.
To assist developing countries and countries with economies in
transition to market economies in establishing analytical foundations
for addressing the threat of climate change, the U.S. offered $25
million in financial support and technical assistance for country
studies in fiscal years 1993 and 1994. Eligible efforts included
inventories of greenhouse gas emissions, vulnerability studies, and
analyses of options to address vulnerabilities and reduce greenhouse gas
emissions. The U.S. is working with more than 50 countries on such
studies.
All Group of Seven (G-7) countries agree that the FCCC does not
adequately address the post-2000 era. The U.S. urges that suitable
measures for next steps be proposed and discussed at the upcoming
preparatory session in February 1995. The first Conference of Parties
to the convention is scheduled to take place in late March 1995 in
Berlin, Germany.
Protection of the Ozone Layer
There is scientific consensus that the depletion of the ozone layer
continues to be a serious problem. The U.S. has led efforts to address
this threat to the atmosphere, beginning with a decision in 1978 to ban
the use of chlorofluorocarbons (CFCs) in nonessential aerosols. Because
protection of the ozone layer is possible only with participation by all
countries, the U.S. urged the conclusion of an agreement to restrict the
use of CFCs and other ozone-depleting substances.
This effort led to a succession of landmark international agreements
since 1985 designed to protect the ozone layer, including the 1985
Vienna Convention and the 1987 Montreal Protocol. Based on an amendment
under which countries will completely phase out the production of CFCs
and most other ozone-depleting substances by the end of 1996, President
Clinton announced in April 1993 that the U.S. will reach the phase-out
target for most substances by the end of 1994.
UNCED and the Commission On Sustainable Development
UNCED was a landmark event in addressing the global environment. Unlike
other environmental conferences, UNCED focused on "sustainable
development," i.e., economic growth that takes into account
environmental concerns. UNCED resulted in adoption of three key
documents:
-- Agenda 21, an action program to guide national and international
environmental and development efforts into the 21st century;
-- The Rio Declaration, a statement of principles regarding the
environment and development; and
-- A statement of principles for the conservation and sustainable use
of forests worldwide.
Based on UNCED recommendation, the UN established the Commis- sion on
Sustainable Development (CSD) to monitor implementation of Agenda 21
recommendations. The U.S. strongly supports the CSD as a primary
international body for promoting sustainable development world- wide.
The CSD, which last met in May 1994, will continue to meet annually to
pursue follow-up to the Rio Conference. At the May 1994 meeting, the
CSD discussed the role of official development assistance in
implementing Agenda 21 goals and ways in which UN system support for
Agenda 21 could be made more effective.
The U.S. is working domestically to implement the recommendations made
at the Rio Conference. On June 14, 1993, President Clinton announced
the formation of the President's Council on Sustainable Development
(PSCD), which will develop specific policy recommendations for a
national strategy for sustainable development that can be implemented by
the public and private sectors. The PSCD represents a ground-breaking
commitment to explore and develop policies that encourage economic
growth, job creation, and effective use of our natural resources.
In addition to the treaties on biodiversity and climate change, UNCED
also endorsed the Convention to Combat Desertification, particularly in
Africa. Negotiation of this new treaty in the "Rio Family" was
completed in Paris on June 18, 1994.
Conservation of Biological Diversity
The U.S. is party to a large number of bilateral and multilateral
agreements designed to protect endangered species and ensure wildlife
conservation. One of the most important is the Convention on
International Trade in Endangered Species of Wild Fauna and Flora
(CITES), which enables the 122 CITES signatories to monitor and control
international trade in wild species. CITES was crucial in efforts by
the U.S. and other countries to protect the African elephant by banning
trade in elephant ivory, and it is now involved in efforts to protect
the rhinoceros and tiger. The ninth CITES Conference of Parties will be
held in Fort Lauderdale, Florida, on November 7-18, 1994.
While CITES has been effective in protecting species that are threatened
as a direct result of international trade, the main cause of species
loss is habitat destruction. The U.S. seeks to address this issue
through a variety of means, such as increased funding for forest
conservation programs, the establishment of protected areas under the
World Heritage Convention and other agreements, and the Ramsar Treaty on
International Wetlands. The U.S. Agency for International Development
currently provides more than $160 million a year in assistance for
tropical forestry and biological diversity programs.
On June 4, 1993, the U.S. signed the UN Convention on Biological
Diversity, which establishes a framework for countries to work together
to protect the earth's species. The treaty is now before the U.S.
Senate for ratification. The U.S. believes that the convention presents
a unique opportunity for nations not only to conserve the world's
biological diversity but also to realize economic benefits from the
conservation and sustainable use of its genetic resources.
Population and Environment
During the 1990s, the increase in the size of the world's population
will be greater than ever, with annual increases between 90 and 100
million. Unaddressed, global population will almost certainly double
and could triple before the end of the next century. The implications
of such growth for global economic, political, social, and environmental
security are profound.
The third UN International Conference on Population and Development
convened in Cairo, Egypt, September 5-13, 1994. The Cairo conference
provided a once-in-a-decade opportunity to marshal resources behind a
global comprehensive effort to stem rapid population growth. The U.S.
worked with its international partners to develop comprehensive programs
which include addressing the unmet need and demand for family planning
and reproductive health services; developing strategies for improving
women's health needs and improving child survival; improving the social,
economic, and political status of women; and mobilizing institutional
and financial resources to meet these goals. All these initiatives
influence population growth and are most effective when pursued
together; efforts in this regard will continue.
Financing Environmental Protection
The U.S. supports effective use of resources and institutions to promote
sustainable development and environmental protection. It has been a
leader among bilateral donors in supporting environmental programs
abroad and ensuring that environmental considerations are taken into
account in assistance programs. The U.S. foreign assistance budget
gives priority emphasis to sustainable development, including programs
for reducing natural resource degradation, reducing greenhouse gas
emissions, and supporting biological diversity, among other areas.
Multilateral institutions remain essential to efforts to promote
economic reforms and development in a rapidly changing world; they also
are important instruments to promote sustainable development and
environmental protection. The U.S. works to ensure that the
multilateral development banks take environmental considerations into
account in all their lending programs. It also strongly supported
creation of the Global Environmental Facility (GEF), which helps fund
projects that provide global environmental benefits, such as those
related to climate change, ozone-layer depletion, biodiversity
conservation, and protection of international waters.
Marine Conservation and Pollution
The world's oceans face a number of threats as a result of human
activities such as unsustainable resource use and pollution. The U.S.
has played an active role in ocean conservation, from efforts in the
early 1980s to protect whales to a UN-sponsored moratorium in 1992 on
the destructive practice of driftnet fishing. Work also is underway to
ensure that fishing practices by tuna and shrimp fleets minimize impacts
on dolphin and sea turtle populations.
The U.S. has been a major proponent of two major international
agreements to address marine pollution: the Convention for the
Prevention of Pollution from Ships, which regulates discharges of
harmful substances during the normal operation of ships at sea; and the
London Convention, which bans the ocean disposal of a number of wastes
and lists others that may be disposed of only with special care.
Because pollution from land-based sources presents the most serious
threat to the marine environment, the U.S promotes efforts to address
this concern. Delegates to UNCED adopted a U.S. proposal calling for an
intergovernmental conference to consider effective ways for dealing with
these land-based sources. This important conference will be hosted by
the United States in Washington, DC, in 1995.
(###).
[END OF DISPATCH SUPPLEMENT VOL 5, N0 8]
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