techniques at the service of family-planning administrators in
developing countries, and an effort to bring professional advice to
the field of population communications.
By the end of
the 1970s limitations on world population growth had become a major
objective of international development assistance
efforts—budgeted at some $500 million a year. Two or three
times that amount was contributed by the developing countries to
their own family-planning programs. Together with others, the
Foundation had succeeded in building strong organizations like the
Population Council, and had helped developing countries build
substantial expertise in the social and biomedical sciences and in
family-planning administration. Accordingly, the Foundation shifted
its population activities to other areas.
Our new
course was influenced by the knowledge that improved contraceptives
and their availability through effective family-planning programs
could not by themselves reduce excessive rates of population
growth. It had become increasingly clear that the success of
population programs would depend on millions of individual
decisions by men and women making personal choices about sexual
activity, contraception, and childbearing. These choices would be
profoundly influenced by how family members make a living, by
adults' concerns for old-age security, and especially by such
factors as a woman's education and parental expectations of their
children's life chances. The Foundation's work, therefore,
emphasized four lines of activity that address these influences on
population growth.
The
Crucial Role of Women
The first,
pursued both in the United States and in developing countries,
focused on women's incomes, education, and health. Improving
women's education and broadening their options for economic
activity and security are universally regarded as powerful
influences in bringing about long-term reductions in fertility.
A second,
related, area is work with high-risk mothers and children. They are
the primary focus of a Foundation program called Child
Survival/Fair Start for Children, which aims to improve the health,
nutrition, and early intellectual development of infants and very
young children. This program is based on the assumption that as
more children survive, and as their growth and development needs
are recognized, parents will want fewer children so that they can
provide them with better nutrition and education.
The third
area is the development of effective population policy through
continued funding of policy-related research. The Institute of
Population Studies at the University of Nairobi, for example,
received a grant this year for seminars to deepen government
officials' understanding of the enormous population problems facing
Kenya and for