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Task Example Exceptionally referencing, the above portrayed ââ¬Å"soft sideâ⬠of venture the executives would bolster in disco...
Wednesday, January 29, 2020
Macbeth Essay Example for Free
Macbeth Essay In Shakespeares famous play, Macbeth, the themes of murder, guilt, ambition and the ruthless pursuit of power is explored. He does this through the characters of Macbeth and Lady Macbeth who are tied together in an eerie search for absolute power. Throughout the play, Macbeth reveals many traits that have horrible consequences for Macbeth himself and for Scotland. In the beginning of the play, Macbeth portrays himself as a noble, sincere man who would die for his country but as the play moves forward we discover that we may have been misled. At first it seems that Macbeth is a noble warrior, but as time goes on it becomes apparent that he is a cruel, heartless tyrant, particularly when he murders Duncan and Macduffsââ¬â¢ wife and babes. At the start of the play, Macbeth believes the witchesââ¬â¢ prophesies which foretell that he will become king. After he tells Lady Macbeth ââ¬ËMy dearest partner of greatnessââ¬â¢ of the witches prophesies, Lady Macbeth hatches a plan to kill the king of Scotland, which eventually results in horrible consequences for Macbeth and Scotland. Lady Macbeth explains her plan to Macbeth and her vision for his accession to the throne which would require the removal of Duncan. She suggests the murder of Duncan. Macbeth begins to feel weary and starts to have doubts. Lady Macbeth is insanely ambitious for her husband to become king, so much so that she states ââ¬ËI would, while it was smiling on my face, have pluckââ¬â¢d my nipple from his boneless gums, and dashââ¬â¢d the brains outââ¬â¢ rather than go back on her word like her husband has just done. However, little did either of them know that the repercussions for the killing of the king would lead to their own deaths. The people of Scotland were living in fear of an uncertain future, which influenced them to turn against their new king. Lady Macbeth is the driving force behind the murder of Duncan. She is ruthless. She was prepared to kill Duncan herself but found that he reminded her of her father and failed to go through with it only to find a few hours later, that Macbeth had carried out the deed. From there on it was a downhill slide into insanity for Macbeth as he could not live with the guilt. After murdering King Duncan, Macbeth fears he will never sleep again ââ¬ËMethought I heard a voice cry ââ¬Å"Sleep no more! Macbeth does murder sleepâ⬠ââ¬â¢. The consequences for Scotland were catastrophic as they lost their noble king and instead found themselves being ruled by a psychopathic tyrant. Macbeth became paranoid and suspicious of everyone around him. Macbeth and Lady Macbeth could never have envisaged the consequences for themselves and their plans for the future began to fall apart. Keeping the murder of Duncan a secret tormented the couple, leading Macbeth to commit further murders. Banquo posed a threat because Macbeth feared he would get in the way of accession to the throne. He decided to hire assassins to kill Banquo and his son Fleance. Banquo is murdered and Fleance flees. That night, Macbeth is crowned and a banquet is held to celebrate. During the banquet Macbeth seeââ¬â¢s the ghost of Banquo and has a breakdown. Lady Macbeth comes to his rescue. She tells his guests that he is having hallucinations which he has suffered from since childhood. In this scene we see Macbeth being driven mad with guilt. ââ¬ËIt will have blood; they say, blood will have bloodââ¬â¢. Behind Macbeths back, somewhere in Scotland, Lennox is walking with another lord discussing the consequences the death of Duncan will have on Scotland. Both suspect Macbeth whom they have called a ââ¬Ëtyrantââ¬â¢, of the murder of Banquo even though Fleance has been blamed. The lord tells Lennox that Macduff has gone to England, where he will join Malcolm in pleading with Englandââ¬â¢s King Edward for aid. News of these plots prompted Macbeth to prepare for war. When Macbeth realised that Macduff had gone to England, he brutally murders Macduffsââ¬â¢ wife and babes who were left unprotected. All sympathy for Macbeth vanishes and is seen as a cold-blooded murderer. Macbeth reaches his lowest ebb after the murder of Macduffââ¬â¢s wife and babes. When Lady Macbeth commits suicide he is left with no alternative but to face his demons. Macbeth now faces the consequences of the murders alone. He goes into battle defiant and is determined not to give up. Going into war, Macbeth is faced with the prospect that he might die. He then recites his famous last words ââ¬ËYet I will try the last. Before my body I throw my warlike shield. Lay on, Macduff, and damnââ¬â¢d be him that first cried, ââ¬Å"Hold, enough! â⬠ââ¬â¢ and is killed by Macduff in battle. The question remains, was Macbeth a tragic hero or was he in fact an overly ambitious, ruthless tyrant? The killing of Duncan does have terrible consequences for Macbeth and for Scotland, but after Macbethsââ¬â¢ death, Scotlandââ¬â¢s reputation was restored. Freed from tyranny, the rightful king, Feance, took Macbeths place and descended the throne.
Tuesday, January 21, 2020
Teens And Smoking Essay -- essays research papers
Teens and Smoking Abstract Cigarette smoking is of interest to the National Institute on Drug Abuse both because of the public health problems associated with this form of substance abuse and because this behavior represents a prototypic dependence process. In the past few years the government has made every effort to reach the masses, in an attempt to curb the exploitation of tobbacco use, and its acceptance among Americas Youngsters. However, cigarette smoking among adolescents is on the rise. The premise that the behavior of adolescents is influenced by the behavior of their parents is central to many considerations of health and social behavior (Ausubel, Montemayor, & Svajiian, 1977; Bandura & Walters, 1963). Many young people between 10-18 years of age experiment with smoking, smoking is a personal choice, and usually exploratory in nature. Typically, it takes place in rather young people and is largely dependent on: first, the availability of opportunity to engage in the behavior, second, having a fairly high degree of curiosity about the effects of the behavior; third, in finding it a way of expressing either conformity to the behavior or others (such as parents, older siblings or peers), forth, as in "Miller and Dollar's" explanation of Observational Learning, The Copying behavior effect. This research is to examine the effects of parental smoking (behavior), has, on the decision of teens to smoke cigarettes. Due to prior studies using global measures that may or may not include South Eastern North Carolina. The Fayetteville/Fort Bragg area was chosen for this study to pinpoint the effects in this particular locale. Fort Bragg and Pope Air Force Base have a very diverse socieo-economic and culturally diverse population, which will have a positive effect on randomness of sample selection. With this association in mind, this researcher is interested in knowing if there is a relationship of Parental influence on Teen Smoking within this Military Community. Introduction The prevalence of cigarette smoking among young teenagers is a growing problem in the United States, many young people between the ages of 10-18 are experimenting with tobacco. During the 1040's and 50's smoking was popular and socially acceptable. Movie stars, sports heroes, and celebrities appeared in cigarette advertisements that ... ...ribution statistics will be used to identify significant differences between sub samples. References Bauman, K. E., Foshee, V. A., Linzer, M. A., Koch, G. G. (1990). Effect of parental smoking classification on the association between parental and adolescent smoking. Addictive-behaviors, 15,(5), 413-422. Horevitz, M. J., (1985). Disasters and psychological responses to stress. Psychiatric Annals, 15, 161-167. Hu, F. B. Flak, B. R., Hedeker, D. (1995). The inlfuence of friends and parental smoking on adolescent smoking behavior. Journal of Applied Social Psychology, v4 (3), 215-225. Jessor, R. (1993). Successful adolescent development among high-risk settings, American Psychologist, 48, 117-126. Johnston, L., O'Malley, P., Bachman, J. (1988). Drug use among American high school students, College students and other young adults. National trends through 1991. National Institute on Drug Abuse. Research Monograph Series, (1979). Cigarette Smoking as a dependence Process. National Institute on Drug Abuse. 23
Sunday, January 12, 2020
India’s Population Growth
CHAPTER ââ¬â 1 INTRODUCTION ââ¬â POPULATION GROWTH The world experienced dramatic population growth during the twentieth century, with the number of inhabitants doubling from 3 to 6 billion between 1960 and 2000. India, too, saw very rapid population growth during this period ââ¬â from 448 million to 1. 04 billion ââ¬â and to 1. 21 billion in 2010. The effects of past and projected future demographic change on economic growth in India is the main focus of this chapter.Figure 1 plots world population from 1950 to 2050, and shows the share of world population attributable to India; post-2010 data are United Nations (UN) projections. Global population grew at roughly 2% per annum from 1960-2000, a level that is unsustainable in the long term, as it translates into population doubling every 35 years. Indiaââ¬â¢s population is currently growing at a rate of 1. 4% per year, far surpassing Chinaââ¬â¢s rate of 0. 7%. The differential between India and China will result in India surpassing China with respect to population size in less than 20 years.While a cause for concern, global population growth has not met Malthusââ¬â¢ pessimistic predictions of human misery and mass mortality. During the past few decades, rapid population growth has been accompanied by an unparalleled decline in mortality rates and by an increase in income per capita, both globally and in India. GLOBAL WORLD POPULATION In 1901 the world population was 1. 6 billion. By 1960, it became 3 billion, and by 1987, 5 billion and in 1999, 6 billion.Currently, one billion people are added every 12 ââ¬â 13 years. During the last decade there has been substantial decline in birth rate. The reasons for decline vary from society to society; urbanization, rising educational attainment, increasing employment among women, lower infant mortality are some major factors responsible for growing desire for smaller families; increasing awareness and improved access to contraception have made it possible for the majority of the couple to achieve the desired family size.In some countries slowing of the population growth has been due to an increase in mortality (e. g. HIV related mortality in sub-saharan Africa). As a result of all these the decline in the global population growth during the nineties is steeper than the earlier predictions. Currently, the annual increment is about 80 million. It is expected to decrease to about 64 million by 2020 -25 and to 33 million by 2045 -50; 95 % of the growth of population occurs in developing countries.Most demographers believe that the current accelerated decline in population growth will continue for the next few decades and the medium projections of Population Division of United Nations, that the global population will grow to 8. 9 billion by 2050 is likely to be achieved (Figure 1) POPULATION PROJECTION The Technical Group on Population Projections set up by the National Commission on Population has recently come out with popu lation projections for India and states. As per this report, Indiaââ¬â¢s population is expected to reach 1. 2 billion by 2011 and 1. billion by 2006 (see Table 5). According to this projection, population would grow by 1. 4 percent during the Eleventh Five-Year Plan period (more precisely during 2006-11). Even by 2021-26, the population is expected to have a growth rate of 0. 9 percent (see Table 6). An important assumption underlying this projection is that the total fertility rate would reach replacement level (approximately 2. 1) only by 2021. The reason behind this gloomy expectation is the slow pace of fertility transition in several large, north Indian states.In fact, according the Technical Group, TFR would not reach the replacement level in some of these states even by 2031. Although the Technical Group did not carry forward the projection till the date of stabilization, the projected delay in reaching the replacement-level fertility would imply that Indiaââ¬â¢s popula tion would not stabilize before 2060, and until population size nears 1. 7 billion. One of the most chilling results of this exercise is the wide geographical disparity in the projected population growth.If the total population of the country is expected to grow by 36 percent between 2001 and 2026, in southern states, the growth is expected to be around 15-25 percent only, whereas in northern parts of the country, the growth is expected to be in the range of 40-50 percent (see Table 7). Of the expected addition of 370 million to Indiaââ¬â¢s population during 2001-26, Uttar Pradesh alone would account for a whopping 22 percent, and the other three northern states ââ¬â Bihar, Madhya Pradesh and Rajasthan ââ¬â would account for another 22 percent.The population growth in these regions is also expected to cause population pressure in major migration destinations, chiefly Delhi and Maharashtra. Clearly, something urgent needs to be done to check population growth in these stat es. CHAPTER ââ¬â 2 DEMOGRAPHIC TRANSITION DEMOGRAPHIC SCENARIO Demographers refer to these changes from stable population with high fertility and mortality to a new stability in population due to low fertility and mortality patterns as demographic transition.Demographic transition occurs in four phases; of these the first three phases are characterized by population growth. In the first phase there is a fall in death rate and improvement in longevity; this leads to population growth. In the second phase there is a fall in birth rate but fall is less steep than fall in death rates and consequently there is population growth. In the third phase death rates plateau and replacement level of fertility is attained but the population growth continues because of the large size of population in reproductive age group.The fourth phase is characterized by fall in birth rate to below replacement level and reduction in the proportion of the population in reproductive age group; as a result o f these changes population growth ceases and population stabilizes. Experience in some of the developed countries suggest that in some societies even after attainment of stable population there may be a further decline in fertility so that there is a further reduction in the population- so called negative population growth phase of the demographic transition.Different countries in the world have entered the demographic transition at different periods of time; there are also substantial differences in the rate of demographic transition and time taken to achieve population stabilization. CURRENT DEMOGRAPHIC SCENARIO India, currently the second most populous country in the world, has 17 percent of worldââ¬â¢s population in less than three percent of earthââ¬â¢s land area. India began the 20th century with the population about 238 million and by 2000 it ended up with 1 billion. According to estimates, India added another 100 million by 2006 when its population reached 1. 1 billion .The country added 16 million people annually in the1980s and 18 million annually in the 1990s until the present. While the global population has increased threefold during the last century, from 2 billion to 6 billion, India has increased its population nearly five times during the same period (Table-1). Indiaââ¬â¢s population is expected exceed that of China before 2030 to become the most populous country in the world. India is in the middle of demographic transition. Both fertility and mortality have started declining throughout the country, though the pace and magnitude of the decline varies considerably across the states.Like many countries of the world, the onset of mortality decline preceded the onset of fertility decline by few decades. The country has witnessed significant improvements in demographic and health indicators since Independence. But an accurate assessment of India's demographic achievements is hampered by data deficiencies, particularly for the period before the 1970s. The official estimates of fertility and mortality levels at the time of independence are believed to be gross underestimates. Nonetheless, even they suggest significant achievements in this field.The crude birth rate, which was officially put at 42 per 1,000 in 1951-61, has declined to 24 in 2004, as per the estimates available from the sample registration system (SRS). The life expectancy at birth, which was about 32 years at the time of independence, has doubled. Infant mortality rate has come down from about 150 in 1951 to 58 by 2004. Considering the size and diversity of Indiaââ¬â¢s population, the decline in both fertility and mortality is a significant achievement. Nearly one-third of Indiaââ¬â¢s population has lowered its fertility to replacement level.Fertility in India has come down under a wide range of socio-economic and cultural conditions. Despite this achievement, many are concerned with the pace of fertility decline, particularly in the large, north Indian states. To overcome this, the northern region of India will need much more focused programmes and more investment not only in the provision of family welfare services but also for the overall socio-economic development. CHANGE IN THE AGE ; STRUCTURE Indiaââ¬â¢s demographic changes are also manifest in its age structure.The population pyramids below show the share of population in each age group, separately for males and females. In 1950, India had a very young population, with many children and few elderly; this gave Indiaââ¬â¢s age distribution a pyramidal shape. Moving forward in time, the base of the population pyramid shrinks as the number of working-age individuals increases relative to children and the elderly. Following charts depict Indiaââ¬â¢s population pyramids: In developed countries the reproductive age group population is relatively small; their fertility is low and the longevity at birth is high.Population profiles of these countries resemble a cylinde r and not a pyramid. These countries have the advantages of having achieved a stable population but have to face the problems of having a relatively small productive workforce to support the large aged population with substantial non-communicable disease burden. Some of the developing countries have undergone a very rapid decline in the birth rates within a short period. This enabled them to quickly achieve population stabilization but they do face the problems of rapid changes in the age structure and workforce which may be inadequate to meet their manpower requirements.In contrast the population in most of the developing countries (including India) consist of a very large proportion of children and persons in reproductive age. Because of the large reproductive age group (Population momentum) the population will continue to grow even when replacement level of fertility is reached (couples having only two children). It is imperative that these countries should generate enough employ ment opportunities for this work force and utilise the human resources and accelerate their conomic growth. Planners and policy makers in developing countries like India have to take into account the ongoing demographic changes (number and age structure of the population) so that available human resources are optimally utilised as agents of change and development to achieve improvement in quality of life. This chart illustrates several critical points. First, the ratio of working-age people to dependents has been lower in Sub-Saharan Africa than in East Asia throughout the entire period shown.This means that East Asia has had higher numbers of people in the prime years for working and saving. The difference between the two lines is primarily a reflection of a relatively high burden of youth dependency in Sub-Saharan Africa, due to its long history of high fertility. By contrast, East Asia, with a precipitous decline in fertility, experienced the most rapid demographic transition in history. Today, East Asia has more than 2. 3 workers for every non-worker, dwarfing Sub-Saharan Africaââ¬â¢s 1. 2 workers per non-worker.This difference translates into households having an entire extra worker for every non-worker, which in turn results in a commensurately large increase in income per household, ultimately aggregating upward to increased country- level growth. Fertility decline lowers youth dependency immediately, but does not appreciably affect the working-age population for 20-25 years. But when the working-age population does increase as a share of the total population, there is an opportunity for economic growth. Figure 3 suggests that the superior economic performance of East Asia since the mid-1970s is related to East Asiaââ¬â¢s demographics.Indeed, using rigorous theoretical and statistical tools and appropriate data,2 economists have spent the past decade garnering evidence that East Asiaââ¬â¢s rapid economic growth was spurred by its demographic tr ansition, during which East Asiaââ¬â¢s age structure has evolved in a way that has been highly favorable for economic growth. The resulting body of work suggests that demographic change accounts for approximately 2 percentage points of the growth rate of income per capita in East Asia, representing one-third of the supposed miracle.Labeling the economic growth East Asia as a miracle, therefore, was partly a reflection of a failure to consider the implications of demographics. Figure 4 plots several aspects of Indiaââ¬â¢s demographic profile over time, revealing significant improvements in basic health indicators. The interplay of these mortality and fertility changes implies sizable changes in the age structure of Indiaââ¬â¢s population. Since 1950, India has experienced a 70% decline in the infant mortality rate, from over 165 deaths per thousand live births in the 1950s to around 50 today. Indiaââ¬â¢s child (i. e. under age 5) mortality rate has fallen from 138 deaths per thousand in the early 1980s to 75 today. Life expectancy has increased at an average pace of 4. 5 years per decade since 1950. The fertility rate has declined sharply from approximately 6 children per woman in the 1950s to 2. 7 children per woman today. Figure 4 shows three trends that fertility may follow in the future, based on the assumptions the United Nations makes in publishing low-, medium-, and high-fertility scenarios. The population growth rate, after peaking in the late 1970s at about 2. 3% per year, has fallen to 1. % in 2010. In spite of the decline in fertility and the population growth rate, Indiaââ¬â¢s population is still projected to increase (based on the UNââ¬â¢s medium-fertility scenario) from about 1. 2 billion today to an estimated 1. 6 billion by 2050 due to population momentum (i. e. , the large cohort of women of reproductive age will fuel population growth over the next generation, even if each woman has fewer children than previous generations di d). Finally, the decline of crude birth and death rates shows that India is well along in its demographic transition. The sex ratio at birth in India is 1. 2 males for each female ââ¬â one of the highest ratios in the world. The corresponding figure for 2003 was 1. 05 (United States Central Intelligence Agency, 2010). Sex-selective abortions, although illegal, are thought to be a prime reason for this high ratio. Indian families have long shown favoritism toward boys, and new technologies are allowing that preference to be expressed in differential birth rates. As in virtually all countries, life expectancy at birth in India also differs by sex. In the period 2005-2010, female life expectancy was 65. 0 years, and male life expectancy was 62. years ââ¬â very similar to the differences that are seen in developing countries as a whole and in the world. However, India differs from the world and from developing countries as a whole in the manner in which sex differences in life e xpectancy have evolved since 1950. In most countries, women lived longer than men in 1950, whereas in India female life expectancy, at 37. 1 years, was 1. 6 years less than that of men. This differential has reversed in the intervening years. (United Nations, 2009) Indiaââ¬â¢s demographic changes are also manifest in its age structure.The population pyramids of Figure 5 show the share of population in each age group, separately for males and females. In 1950, India had a very young population, with many children and few elderly; this gave Indiaââ¬â¢s age distribution a pyramidal shape. Moving forward in time, the base of the population pyramid shrinks as the number of working-age individuals increases relative to children and the elderly. The ratio of working-age to non-working-age people in India mirrored the corresponding ratio in East Asia from 1950 to 1975. Since then, it has been lower than that of East Asia ââ¬â corresponding to a higher burden of youth dependency.In deed, Indiaââ¬â¢s demographic cycle now lags roughly 25 years behind that of East Asia. A purely demographic perspective suggests that the next three decades will be a period of catching up for India with respect to per capita income in East Asia. While these fertility scenarios have very different implications for the future age structure of Indiaââ¬â¢s population, all three suggest further growth in the working-age share. Under the low- fertility scenario, according to which the total fertility rate will drop to 1. 4 by 2030, India is expected to reach a higher working-age ratio than ever seen in East Asia.The medium scenario shows India reaching a ratio nearly as high as East Asiaââ¬â¢s high point, and the high scenario shows a very modest increase over todayââ¬â¢s ratio in India. In sum, the medium- and low-fertility scenarios bode well with respect to Indiaââ¬â¢s potential for realizing a sizable demographic dividend, representing what could amount to an addition al percentage point or more of per capita income growth, compounded year after year. This is not an insignificant amount, given that the annual rate of growth of Indiaââ¬â¢s real income per capita averaged a little over 4% during the past three decades (World Bank, 2010).As an aside, it should be noted that Indiaââ¬â¢s demographic indicators are similar to those of the South Asian region as a whole. Compared with the two other large South Asian countries, it is ahead of Pakistan in the demographic transition, but behind Bangladesh. An additional demographic fact deserves mention: there are an estimated 11. 4 million Indians living outside of India. The countries to which Indians have emigrated in largest numbers, as of 2010, are United Arab Emirates (2. 2 million), the United States (1. 7 million), Saudi Arabia (1. 5 million), and Bangladesh (1. 1 million).In 2000, 57,000 Indian physicians were living overseas. In 2010, Indian emigrants are estimated to be sending home remitta nces totaling $55 billion, the most of any country, constituting about 4. 5% of GDP. (Ratha, Mohapatra, and Silwal, 2011) The number of Indian immigrants in the United States has grown rapidly in recent years (there were 1. 0 million in 2000). Their median age is 37, and just over half are female. Nearly three-quarters have at least a bachelorââ¬â¢s degree, and nearly half work in professional occupations. Mean personal income (in 2008 dollars) is $53,000, and median household income is $92,000. United States Bureau of the Census, International Data Base (2008 midyear estimates). As political, economic, and social conditions change over time in India and its neighbors, the number of migrants, the skills they take to other countries, and the value of the remittances they send may change significantly. DEMOGRAPHIC REPRESENTATION * INTERSTATE DIFFERENCE The projected values for the total population in different regions is shown in the Figure 2. 10. 3. There are marked differences be tween states in size of the population, projected population growth rates and the time by which TFR of 2. 1 is likely to be achieved.If the present trend continues, most of the southern and the western states are likely to achieve TFR of 2. 1 by 2010. Urgent energetic steps to assess and fully meetin availability and access to service are needed in the unmet needs for maternal and child health Rajasthan, Orissa, Uttar Pradesh, Madhya Pradesh (MCH)care and contraception through improvement and Bihar (before division) in order to achieve a faster decline in their mortality and fertility rates. The performance of these states would determine the year and size of the population at which the country achieves aster decline in their mortality and fertility rates.The performance of these states would determine the year and size of the population at which the country achieves replacement level of fertility. It is imperative that special efforts are made during the next two decades to break t he vicious self- perpetuating cycle of poor performance, poor per capita income, poverty, low literacy and high birth rate in the populous states so that further widening of disparities between states in terms of per capita income and quality of life is prevented. An Empowered Action Group has been set up to provide special assistance to these states.The benefits accrued from such assistance will depend to a large extent on the statesââ¬â¢ ability to utilize the available funds and improve services and facilities. * GENDER BIAS The reported decline in the sex ratio during the current century has been a cause for concern (Figure 2. 10. 4). The factors responsible for this continued decline are as yet not clearly identified. However, it is well recognised that the adverse sex ratio is a reflection of gender disparities. There is an urgent need to ensure that all sectors collect and report sex disaggregated data.This will help in monitoring for evidence of gender disparity. Continue d collection, collation, analysis and reporting of sex disaggregated data from all socialoffence. However, unless there is a change in social sectors will also provide a mechanism to monitorattitudes, these legislations cannot achieve the whether girls and women have equal access todesired change. Intensive community education these services. In the 0-6 age group show massive inter-state differences (Figure 2. 10. 5). In addition, data indicate that over the last three decades there has been a decline in the 0-6 sex ratio . Table 2. 10. 2) There had been speculation as to whether female sex determination tests and selective female feticide are, at least in part responsible for this. The Government of India has enacted a legislation banning the prenatal sex determination and selective abortion while female infanticide is a cognizable efforts to combat these practices, especially in pockets from where female infanticide and foeticide have been reported, are urgently required. The Nati onal Family Health Survey clearly brought out the sex differentials in the neonatal, post neonatal, infant and under five mortality rates .As there is no biological reason for the higher mortality among the girl children these differences are an indication of existing gender bias in caring for the girl child (Figure 2. 10. 5a). In the reproductive age-groups, the mortality rates among women are higher than those among men. The continued high maternal mortality is one of the major factors responsible for this. Effective implementation of the RCH programme is expected to result in a substantial reduction in maternal mortality. Currently, the longevity at birth among women is only marginally higher than that among men.However, the difference in life expectancy between men and women will progressively increase over the next decade. Once the reproductive age group is crossed, the mortality rates among women are lower. Women will OUTNUMBER men in over 60 age group Departments of Health, F amily Welfare and Women and Child Development are initiating steps to ensure that these women get the care they need. CHAPTER ââ¬â 3 CAUSES OF POPULATION GROWTH BIRTH RATE * POVERTY According to ABC News, India currently faces approximately ââ¬Å"â⬠¦ 33 births a minute, 2,000 an hour, 48,000 a day, which calculates to nearly 12 million a yearâ⬠.Unfortunately, the resources do not increase as the population increases. Instead the resources keep decreasing, leading to making survival for a human being more and more competitive even for the basic necessities of life like food, clothing and shelter. ?à à à à India currently faces a vicious cycle of population explosion and poverty. One of the most important reasons for this population increase in India is poverty. According to Geography. com, ââ¬Å"More than 300 million Indians earn less than US $1 everyday and about 130 million people are jobless. The people, who have to struggle to make two ends meet produce mor e children because more children mean more earning hands. Also, due to poverty, the infant mortality rate among such families is higher due to the lack of facilities like food and medical resources. Thus, they produce more children assuming that not all of them would be able to survive. The end result is a mounting increase in the population size of India. Due to the increase in population, the problems of scarce resources, jobs, and poverty increases.Thus the cycle continues leading to an ever-increasing population that we see today. This cycle in fact might be considered as a positive feedback, in that the increase in one results in the increase of the other factor. As the poverty and the population both increase, the development of the country and the society seems even more far-fetched.? * Religious beliefs, Traditions and Cultural Norms? Indiaââ¬â¢s culture runs very deep and far back in history. Due to the increased population, the educational facilities are very scarce.As a result, most people still strictly follow ancient beliefs. According to ABC News, the famous Indian author, Shobha De said, ââ¬Å"God said ââ¬ËGo forth and produceââ¬â¢ and we just went ahead and did exactly that. â⬠In addition, a lot of families prefer having a son rather than a daughter. As a result, a lot of families have more children than they actually want or can afford, resulting in increased poverty, lack of resources, and most importantly, an increased population. ?à à à à Another one of Indiaââ¬â¢s cultural norms is for a girl to get married at an early age.In most of the rural areas and in some urban areas as well, families prefer to get their girls married at the age of 14 or 15. Although child marriage is illegal in India, the culture and the society surrounding the girls in India does not allow them to oppose such decisions taken by their family. For many, giving a girl child in marriage is done not by choice, but rather out of compulsion. The poor economic status of tribal villagers is attributed as one of the primary factors responsible for the prevalence of child marriages in India.An example of one such incident was reported in Indiainfo. com. According to an article written by Syed Zarir Hussain on October 16th, 2000, ââ¬Å"Forty-two-year-old Rojo Tok, a tribal peasant in Arunachal Pradesh, was all decked up in local finery to wed Mepong Taku, a girl who will turn 14 this winter. â⬠? I was brought up in a very different environment and never had to worry about getting married at the age of 14 or 15. However, my parents turned their eyes away, when my maidservantââ¬â¢s daughter was being married off when she was only 13 years old.I was very young, but my parents simply said, ââ¬Å"Thatââ¬â¢s just how things are with poor peopleâ⬠and I did not have a say in it. Due to the young age of these girls, they have more potential of bearing children, that is, since they start bearing children at a very ear ly age, they can have more children throughout their lifetime. This results in the increase of the global fertility rate. Since these girls get married at a very early age, they do not have the opportunity to get educated. Therefore, they remain uneducated and teach the same norms to their own children, and the tradition goes on from one generation to the other. DEATH RATE Although poverty has increased and the development of the country continues to be hampered, the improvements in medical facilities have been tremendous. This improvement might be considered positive, but as far as population increase is considered, it has only been positive in terms of increasing the population further. The crude death rate in India in 1981 was approximately 12. 5, and that decreased to approximately 8. 7 in 1999. Also, the infant mortality rate in India decreased from 129 in 1981 to approximately 72 in 1999 (Mapsindia. com, Internet).These numbers are clear indications of the improvements in the medical field. This development is good for the economy and society of India, but strictly in terms of population, this advancement has further enhanced the increase in population. ?à à à à The average life expectancy of people in India has increased from 52. 9 in 1975-80 to 62. 4 in 1995-00. Although our near and dear ones would live longer, due to the increase in the population, the resources available per person would be much less, leading to a decrease in the curvature of the slope of development instead of a higher gradient.In addition, abortion is not allowed by several religions that are followed in India. In fact, in Islam, one of the leading religions of India, children are considered to be gifts of God, and so the more children a woman has, the more she is respected in her family and society. As a result, although the measures to control birth are either not available or known to the public, the facilities to increase birth through medical facilities are available. ? MIGRATION? In countries like the United States (U. S. ), immigration plays an important role in the population increase.However, in countries like India, immigration plays a very small role in the population change. Although people from neighboring countries like Bangladesh, Pakistan and Nepal, migrate to India; at the same time Indians migrate to other countries like the U. S. , Australia, and the U. K. During the 1971 war between India and Pakistan over Bangladesh, the immigration rate increased tremendously. However, currently the migration in India is ââ¬â0. 08 migrants per 1000 population (AskJeeves. com, Internet), and is decreasing further.This is definitely good for India. This way, the population might eventually come close to being under control and more people may get better job opportunities and further education. For example, the students in my university from India, like myself, have better chances for job opportunities and better education outside India than we would have had in India. CHAPTER ââ¬â 4 IMPACT OF POPULATION GROWTH ECONOMIC GROWTH During the past decade, there have been two significant breakthroughs regarding the impact of demographics on national economic performance.The first has to do with the effect of the changing age structure of a population. The second relates to population health. Demographers use the ââ¬Å"demographic transitionâ⬠as a starting point for explaining this effect. The demographic transition refers to the nearly ubiquitous change countries undergo from a regime of high fertility and high mortality to one of low fertility and low mortality. As this phenomenon tends to occur in an asynchronous fashion, with death rates declining first and birth rates following later, countries often experience a transitional period of rapid population growth.This period has traditionally been the main focus of economists interested in demographics. But population growth is not the only major consequence of the de mographic transition. The age structure is also transformed. This happens initially as a consequence of a baby boom that occurs at the beginning of the transition. The baby boom is not caused by an increase in births, but rather by the sharply reduced rates of infant and child mortality that are characteristic of the beginning of a demographic transition, mainly due to increased access to vaccines, antibiotics, safe water, and sanitation.This type of baby boom starts with higher survival rates and abates when fertility subsequently declines as couples recognize that fewer births are needed to reach their targets for surviving children, and as those targets are moderated. Baby booms are very consequential economically, because the presence of more children requires that there be more resources for food, clothing, housing, medical care, and schooling. Those resources must be diverted from other uses such as building factories, establishing infrastructure, and investing in research and development.This diversion of resources to current consumption can temporarily slow the process of economic growth. Of course, babies born in such a boom will invariably reach working ages within a period of 15-25 years. When this happens, the productive capacity of the economy expands on a per capita basis and a demographic dividend may be within reach. Environmental and ecological consequences The already densely populated developing countries contribute to over 95% of the population growth and rapid population growth could lead to environmental deterioration.Developed countries are less densely populated and contribute very little to population growth; however, they cause massive ecological damage by the wasteful, unnecessary and unbalanced consumption the consequences of which could adversely affect both the developed and the developing countries. The review on ââ¬Å"Promotion of sustainable development: challenges for environmental policiesâ⬠in the Economic Survey 1998- 99 had covered in detail the major environmental problems, and policy options for improvement; the present review will only briefly touch upon some of the important ecological consequences of demographic transition.In many developing countries continued population growth has resulted in pressure on land, fragmentation of land holding, collapsing fisheries, shrinking forests, rising temperatures, loss of plant and animal species. Global warming due to increasing use of fossil fuels (mainly by the developed countries) could have serious effects on the populous coastal regions in developing countries, their food production and essential water supplies. The Intergovernmental Panel on Climate Change has projected that, if current greenhouse gas emission trends continue, the mean global surface temperature will rise from 1 to 3. degrees Celsius in the next century. The panel's best estimate scenario projects a sea-level rise of 15 to 95 centimeters by 2100. The ecological impact of rising oceans would include increased flooding, coastal erosion, salination of aquifers and coastal crop land and displacement of millions of people living near the coast. Patterns of precipitation are also likely to change, which combined with increased average temperatures, could substantially alter the relative agricultural productivity of different regions.Greenhouse gas emissions are closely linked to both population growth and development. Slower population growth in developing countries and ecologically sustainable lifestyles in developed countries would make reduction in green house gas emission easier to achieve and provide more time and options for adaptation to climate change. Rapid population growth, developmental activities either to meet the growing population or the growing needs of the population as well as changing lifestyles and consumption patterns pose major challenge to preservation and promotion of ecological balance in India.Some of the major ecological adverse effe cts reported in India include: severe pressure on the forests due to both the rate of resource use and the nature of use. The per capita forest biomass in the country is only about 6 tons as against the global average of 82 tons. adverse effect on species diversity: conversion of habitat to some other land use such as agriculture, urban development, forestry operation. Some 70-80 % of fresh water marshes and lakes in the Gangetic flood plains has been lost in the last 50 years.Tropical deforestation and destruction of mangroves for commercial needs and fuel wood. The countryââ¬â¢s mangrove areas have reduced from 700,000 ha to 453,000 ha in the last 50 years. Intense grazing by domestic livestock Poaching and illegal harvesting of wildlife. Increase in agricultural area, high use of chemical fertilizers pesticides and weedicides; water stagnation, soil erosion, soil salinity and low productivity. High level of biomass burning causing large-scale indoor pollution. Encroachment on habitat for rail and road construction thereby fragmenting the habitat. ncrease in commercial activities such as mining and unsustainable resource extraction. Degradation of coastal and other aquatic ecosystems from domestic sewage, pesticides, fertilizers and industrial effluents. Over fishing in water bodies and introduction of weeds and exotic species. Diversion of water for domestic, industrial and agricultural uses leading to increased river pollution and decrease in self-cleaning properties of rivers. Increasing water requirement leading to tapping deeper aquifers which have high content of arsenic or fluoride resulting health problems.Disturbance from increased recreational activity and tourism causing pollution of natural ecosystems with wastes left behind by people. The United Nations Conference on Environment and Development (1992) acknowledged population growth, rising income levels, changing technologies, increasing consumption pattern will all have adverse impact on env ironment. Ensuring that there is no further deterioration depends on choices made by the population about family size, life styles, environmental protection and equity.Availability of appropriate technology and commitment towards ensuring sustainable development is increasing throughout the world. Because of these, it might be possible to initiate steps to see that the natural carrying capacity of the environment is not damaged beyond recovery and ecological balance is to a large extent maintained. It is imperative that the environmental sustainability of all developmental projects is taken care of by appropriate inputs at the planning, implementation, monitoring and evaluation stages. UrbanizationThe proportion of people in developing countries who live in cities has almost doubled since 1960 (from less than 22 per cent to more than 40 per cent), while in more developed regions the urban share has grown from 61 per cent to 76 per cent. Urbanization is projected to continue well int o the next century. By 2030, it is expected that nearly 5 billion (61 per cent) of the world's 8. 1 billion people will live in cities. India shares this global trend toward urbanization. Globally, the number of cities with 10 million or more inhabitants is increasing rapidly, and most of these new ââ¬Å"megacitiesâ⬠are in developing regions.In 1960, only New York and Tokyo had more than 10 million people. By 1999, the number of megacities had grown to 17(13 in developing countries). It is projected that there will be 26 megacities by 2015, (18 in Asia; of these five in India); more than 10 per cent of the world's population will live in these cities (1. 7% in 1950). Indiaââ¬â¢s urban population has doubled from 109 million to 218 million during the last two decades and is estimated to reach 300 million by 2000 AD. As a consequence cities are facing the problem of expanding urban slums. Like many other demographic changes, urbanization has both positive and negative effect s.Cities and towns have become the engines of social change and rapid economic development. Urbanisation is associated with improved access to education, employment, health care; these result in increase in age at marriage, reduction in family size and improvement in health indices. As people have moved towards and into cities, information has flowed outward. Better communication and transportation now link urban and rural areas both economically and socially creating an urban-rural continuum of communities with improvement in some aspects of lifestyle of both. The ever increasing reach of mass media communicate new ideas, points f reference, and available options are becoming more widely recognized, appreciated and sought. This phenomenon has affected health care, including reproductive health, in many ways. For instance, radio and television programmes that discuss gender equity, family size preference and family planning options are now reaching formerly isolated rural population s. This can create demand for services for mothers and children, higher contraceptive use, and fewer unwanted pregnancies, smaller healthier families and lead to more rapid population stabilisation. But the rapid growth of urban population also poses some serious challenges.Urban population growth has outpaced the development of basic minimum services; housing, water supply, sewerage and solid waste disposal are far from adequate; increasing waste generation at home, offices and industries, coupled with poor waste disposal facilities result in rapid environmental deterioration. Increasing automobiles add to air pollution. All these have adverse effect on ecology and health. Poverty persists in urban and peri-urban areas; awareness about the glaring inequities in close urban setting may lead to social unrest. Rural population and their developmentOver seventy per cent of Indiaââ¬â¢s population still lives in rural areas. There are substantial differences between the states in the proportion of rural and urban population (varying from almost 90 per cent in Assam and Bihar to 61 per cent in Maharashtra). Agriculture is the largest and one of the most important sector of the rural economy and contributes both to economic growth and employment. Its contribution to the Gross Domestic Product has declined over the last five decades but agriculture still remains the source of livelihood for over 70 per cent of the countryââ¬â¢s population.A large proportion of the rural work force is small and consists of marginal farmers and landless agricultural labourers. There is substantial under employment among these people; both wages and productivity are low. These in turn result in poverty; it is estimated that 320 million people are still living below the poverty line in rural India. Though poverty has declined over the last three decades, the number of rural poor has in fact increased due to the population growth. Poor tend to have larger families which puts enormous burden on their meagre resources, and prevent them from breaking out of the shackles of poverty.In States like Tamil Nadu where replacement level of fertility has been attained, population growth rates are much lower than in many other States; but the population density is high and so there is a pressure on land. In States like Rajasthan, Uttar Pradesh, Bihar and Madhya Pradesh population is growing rapidly, resulting in increasing pressure on land and resulting land fragmentation. Low productivity of small land holders leads to poverty, low energy intake and under nutrition, and this, in turn, prevents the development thus creating a vicious circle.In most of the states non-farm employment in rural areas has not grown very much and cannot absorb the growing labour force. Those who are getting educated specially beyond the primary level, may not wish to do manual agricultural work. They would like better opportunities and more remunerative employment. In this context, it is imperat ive that programmes for skill development, vocational training and technical education are taken up on a large scale in order to generate productive employment in rural areas.The entire gamut of existing poverty alleviation and employment generation programmes may have to be restructured to meet the newly emerging types of demand for employment. Rural poor have inadequate access to basic minimum services, because of poor connectivity, lack of awareness, inadequate and poorly functional infrastructure. There are ongoing efforts to improve these, but with the growing aspirations of the younger, educated population these efforts may prove to be inadequate to meet the increasing needs both in terms of type and quality of services.Greater education, awareness and better standard of living among the growing younger age group population would create the required consciousness among them that smaller families are desirable; if all the felt needs for health and family welfare services are fu lly met, it will be possible to enable them to attain their reproductive goals, achieve substantial decline in the family size and improve quality of life. Water Supply In many parts of developed and developing world, water demand substantially exceeds sustainable water supply.It is estimated that currently 430 millions (8% of the global population) are living in countries affected by water stress; by 2020 about one fourth of the global population may be facing chronic and recurring shortage of fresh water. In India, water withdrawal is estimated to be twice the rate of aquifer recharge; as a result water tables are falling by one to three meters every year; tapping deeper aquifers have resulted in larger population groups being exposed to newer health hazards such as high fluoride or arsenic content in drinking water.At the other end of the spectrum, excessive use of water has led to water logging and increasing salinity in some parts of the country. Eventually, both lack of water and water logging could have adverse impact on India's food production. There is very little arable agricultural land which remains unexploited and in many areas, agricultural technology improvement may not be able to ensure further increase in yield per hectare. It is, therefore, imperative that research in biotechnology for improving development of foodgrains strains that would tolerate salinity and those which would require less water gets high priority.Simultaneously, a movement towards making water harvesting, storage and its need based use part of every citizens life should be taken up. Food security Technological innovations in agriculture and increase in area under cultivation have ensured that so far, food production has kept pace with the population growth. Evolution of global and national food security systems have improved access to food. It is estimated that the global population will grow to 9 billion by 2050 and the food production will double; improvement in purchasi ng power and changing dietary habits (shift to animal products) may further add to the requirement of food grains.Thus, in the next five decades, the food and nutrition security could become critical in many parts of the world especially in the developing countries and pockets of poverty in the developed countries. In India one of the major achievements in the last fifty years has been the green revolution and self- sufficiency in food production. Food grain production has increased from 50. 82 in 1950-51 to 200. 88 million tons in 1998-99 (Prov. ). It is a matter of concern that while the cereal production has been growing steadily at a rate higher than the population growth rates, the coarse grain and pulse production has not shown a similar increase.Consequently there has been a reduction in the per capita availability of pulses (from 60. 7 grams in 1951 to 34 grams per day in 1996) and coarse grains. Over the last five decades there has been a decline in the per capita availabil ity of pulses. During the last few years the country has imported pulses to meet the requirement. There has been a sharp and sustained increase in cost of pulses, so there is substantial decline in per capita pulses consumption among poorer segment of population.This in turn could have an adverse impact on their protein intake. The pulse component of the ââ¬Å"Pulses and Oil Seeds Missionâ⬠need to receive a major thrust in terms of R;D and other inputs, so that essential pulse requirement of growing population is fully met. Rising cost of pulses had a beneficial effect also. Till eighties in central India wages of landless labourers were given in the form Kesari Dal which was cheaper than cereals or coarse grains. Consumption of staple diet of Kesari Dal led to crippling disease of neuro lathyrism.Over the last three decades the rising cost of pulses has made Kesari Dal more expensive than wheat or rice and hence it is no longer given to labourers as wages for work done; as a result the disease has virtually disappeared from Central India. Over years the coarse grain production has remained stagnant and per capita availability of coarse grain has under gone substantial reduction; there has been a shift away from coarse grains to rice and wheat consumption even among poorer segment of population. One of the benefits of this change is virtual elimination of pellagra which was widely prevalent mong low income group population in Deccan Plateau whose staple food was sorghum. Coarse grains are less expensive than rice and wheat; they can thus provide higher calories for the same cost as compared to rice and wheat. Coarse grains which are locally produced and procured if made available through TPDS at subsidised rate, may not only substantially bring down the subsidy cost without any reduction in calories provided but also improve ââ¬Å"targettingâ⬠ââ¬â as only the most needy are likely to access these coarse grains.Another area of concern is the l ack of sufficient focus and thrust in horticulture; because of this, availability of vegetables especially green leafy vegetables and yellow/red vegetables throughout the year at affordable cost both in urban and rural areas has remained an unfulfilled dream. Health and nutrition education emphasizing the importance of consuming these inexpensive rich sources of micronutrients will not result in any change in food habits unless there is harnessing and effective management of horticultural resources in the country to meet the growing needs of the people at affordable cost.States like Tamil Nadu and Himachal Pradesh have initiated some efforts in this direction; similar efforts need be taken up in other states also. Nutrition At the time of independence the country faced two major nutritional problems; one was the threat of famine and acute starvation due to low agricultural production and lack of appropriate food distribution system. The other was chronic energy deficiency due to pov erty, low-literacy, poor access to safe-drinking water, sanitation and health care; these factors led to wide spread prevalence of infections and ill health in children and adults.Kwashiorkor, marasmus, goitre, beri beri, blindness due to Vitamin-A deficiency and anaemia were major public health problems. The country adopted multi-sectoral, multi-pronged strategy to combat the major nutritional problems and to improve nutritional status of the population. During the last 50 years considerable progress has been achieved. Famines no longer stalk the country. There has been substantial reduction in moderate and severe undernutrition in children and some improvement in nutritional status of all segments of population.Kwashiorkor, marasmus, pellagra, lathyrism, beri beri and blindness due to severe Vitamin-A deficiency have become rare. However, it is a matter of concern that milder forms of Chronic Energy Deficiency (CED) and micronutrient deficiencies continue to be widely prevalent in adults and children. In view of the fact that population growth in India will continue for the next few decades, it is essential that appropriate strategies are devised to improve food and nutrition security of families, identify individuals/families with severe forms of CED and provide them assistance to over come these problemOperational strategy to improve the dietary intake of the family and improve nutritional status of the rapidly growing adult population would include: â⬠¢Ensuring adequate agricultural production of cereals, pulses, vegetables and other foodstuffs needed to fully meet the requirement of growing population. â⬠¢ Improving in purchasing power through employment generation and employment assurance schemes; â⬠¢Providing subsidised food grains through TPDS to the families below poverty line. Exploring feasibility of providing subsidized coarse grains to families Below Poverty Line (BPL) Operational strategies to improve health and nutritional status of the growing numbers of women and children include: * Pregnant and lactating women ââ¬â screening to identify women with weight below 40 Kgs and ensuring that they/ their preschool children receive food supplements through Integrated Child Development Services Scheme (ICDS); adequate antenatal intrapartum and neonatal care. 0-6 months infants ââ¬â Nutrition education for early initiation of lactation protection and promotion of universal breast feeding, exclusive breast feeding for the first six months; unless there is specific reason supplementation should not be introduced before 6 months and immunisation, growth monitoring and health care. * Well planned nutrition education to ensure that the infants and children do continue to get breasted, get appropriate cereal pulse vegetable based supplement fed to them at least 3 ââ¬â 4 times a day , appropriate help in ensuring this through family/community/work place support and immunisation and health care. Children in the 0 ââ¬â 5 age group ââ¬â screen by weighment to identify children with moderate and severe undernutrition , provide double quantity supplements through ICD , screening for nutrition and health problems and appropriate intervention. * Primary school children ââ¬â weigh and identify those with moderate and severe chronic energy deficiency, improve dietary intake to these children through the mid-day meal. Monitor for improvement in the identified undernourished infants, children and mothers; if no improvement after 2 months refer to physician for identification and treatment of factors that might be responsible for lack of improvement. * Nutrition education on varying dietary needs of different members of the family and how they can be met by minor modifications from the family meals. Intensive health education for improving the life style of the population coupled with active screening and management of the health problems associated with obesity. chapter ââ¬â 5 Strategi es to Achieve Population StabilizationFertility decline in India has been the effect of various socio-economic developments as well as government sponsored family welfare programme. Rising levels of education, increase in female age at marriage, influence of mass media, economic development, gender empowerment and measures for equality, continuing urbanization, diffusion of new idea, and declines in infant and child mortality have all contributed in lowering the levels of fertility. These factors, along with strong health infrastructure and focused family welfare programme, will continue to be driving the fertility transition.Even at the national level, the views regarding the ideal number of children are fast approaching the two child norm. But at the same time, preference for sons is clearly evident in many parts of India. The regional difference in fertility level is also likely to continue for many more years. Given this context, what are the strategies that can be adopted to ac hieve the population stabilization within a reasonable time period? National Rural Health Mission (NRHM) Recognizing the importance of health for social and economic development and for improving the quality of life, the Govt. f India launched the National Rural Health Mission (NRHM) in 2005 to carry out the necessary correction and strengthening of basic health care delivery system. The Plan of Action of NRHM envisages increasing public expenditure on health, reducing regional imbalances in health infrastructure, pooling resources, integration of organizational structures, optimization of health manpower, decentralization and district management of health programmes, community participation and ownership of assets and providing public- private partnership.The goal of the mission is to improve the availability of and access to quality health care of the people, especially for those residing in rural areas, the poor, woman and children. The expected outcomes from the Mission as refle cted in statistical data are: IMR reduced to 30/1000 live births by 2012. Maternal Mortality reduced to 100/100,000 live births by 2012. TFR reduced to 2. 1 by 2012. Malaria Mortality Reduction Rate ââ¬â 50% up to 2010, additional 10% by 2012. Kala Azar Mortality Reduction Rate ââ¬â 100% by 2010 and sustaining elimination ntil 2012. * Filarial/Microfilaria Reduction Rate ââ¬â 70% by 2010, 80% by 2012 and elimination by 2015. * Dengue Mortality Reduction Rate ââ¬â 50% by 2010 and sustaining at that level until 2012 * Cataract operations-increasing to 46 lakhs until 2012. * Leprosy Prevalence Rate ââ¬â reduce from 1. 8 per 10,000 in 2005 to less than 1 per 10,000 thereafter. * Tuberculosis DOTS series ââ¬â maintain 85% cure rate through entire Mission Period and also sustain planned case detection rate. â⬠¢ Upgrading all Community Health Centers to Indian Public Health Standards. tilization of First Referral Units from bed occupancy by referred cases of les s than 20% to over 75%. * Engaging 4,00,000 female Accredited Social Health Activists (ASHAs). The NRHM (2005-12) seeks to provide effective health care to rural population throughout the country with specific focus on 18 states that have weak public health indicators and poor health infrastructure. National Population Policy The immediate objective of the National Population Policy is to meet all the unmet needs for contraception and health care for women and children.The medium-term objective is to bring the TFR to replacement level (TFR of 2. 1) by 2010 and, the long-term objective is to achieve population stabilisation by 2045. The Policy has set the following goals for 2010: * universal registration of births and deaths, marriages and pregnancies; * universal access to information/counselling and services for fertility regulation and contraception with a wide basket of choices; * to reduce the IMR to below 30 per 1,000 live births and a sharp reduction in the incidence of low b irth weight (below 2. kg. ); * universal immunisation of children against vaccine preventable diseases; * promote delayed marriage for girls, not earlier than the age of 18 and preferably after 20 years; * achieve 80 per cent institutional deliveries and increase the percentage of deliveries conducted by trained persons to 100 per cent; * containing of STD reduction in MMR to less than 100 per 100,000 * universalisation of primary education and reduction in the drop-out rates at the primary and secondary levels to below 20 per cent for both boys and girls.Several states/districts have demonstrated that the steep reduction in mortality and fertility envisaged in the National Population Policy are technically feasible within the existing infrastructure and manpower. All efforts are being made to provide essential supplies, improve efficiency and ensure accountability ââ¬â especially in the states where performance is currently sub- optimal ââ¬â so that there is incremental imp rovement in performance.An Empowered Action Group attached to the Ministry of Health and Family Welfare has been constituted in 2001 to facilitate capacity building in poorly performing states/districts so that they attain the goals set in the Policy. If all these efforts are vigorously pursued it is possible that the ambitious goals set for 2007/2010 may be achieved. National Commission on Population The National Commission on Population adopting the small family norm; was constituted on 11 May 2000 under the chairmanship of the Prime Minister. The Deputy Chairman of the Planning Commission is the vice chairman.The Commission has the mandate to: * review, monitor and give direction for the implementation of the National Population Policy with the view of achieving the goals it has set; * promote synergy between health, educational, environmental developmental programmes so as to hasten population stabilization; * promote inter-sectoral coordination in planning and implementation of the programmes through different agencies at the Centre and in the states; and * develop a vigorous peopleââ¬â¢s programme to support this national effort.A Strategic Support Group consisting of secretaries of concerned sectoral ministries has been constituted as a standing advisory group to the Commission. Nine working groups were constituted to look into specific aspects of implementation of the programmes aimed at achieving the targets set in the National Population Policy. NCP has allocated funds for action plans drawn up by district magistrates in poorly performing districts to implement programmes aimed at accelerating the pace decline in fertility.Meeting the unmet demand for contraception The NPP document lays great stress on meeting the unmet need for contraception as an instrument to achieve population stabilization. The presence of high level of unmet need for contraception in EAG states is not a myth, as it is supported by data from both NFHS and DLHS. But it would b e a mistake to assume that inadequate access to services should be the dominant, or even a major, explanatory factor for its presence.As a carefully conducted in depth investigation in the Philippines had shown, unmet need for contraception could arise from several reasons, such as weak motivation, low female autonomy, perceived health risks, and moral objection to the use of contraception. The elimination of these factors, and thus the unmet need, could prove to be as difficult as generating fresh demand for contraception. According to the DLHS Round 2 (2002-2004) 21 percent of women in India have an unmet need for family planning.The unmet need for limiting is higher (13 percent) as compared to unmet need for spacing (9 percent). Total unmet need is highest among the younger women an
Saturday, January 4, 2020
Movie Analysis The Movie Crash - 1662 Words
When watching a film you see the same structure going on where you see the a basic storyline heading towards the plot in the middle and then unveiling the huge climax at the end. Typically you see a variation within the narrative structure it al depending on the length of the film as well as the genre. Hollywood is best known to keep their films short about an hour to two hours long but enticing enough where it gives you exactly what you need to know in a short amount of time.When it comes to the textual analysis of it all it all depends on how the script is written not only that but how the script is played out in the film. In the textual analysis of a film you have to really pay attention to the environment during the film. You have to pay attention to the race in the film, the themes throughout the film and the gender roles played in the film. In the movie Crash we see many pairs where they each have their own different points of views on things and often bump heads due to their different opinions. When watching the film Crash you see the complete opposite of what you are used to and see that the film starts off in the middle of the plot and later on starts revealing the events that lead to the plot. For example, in the beginning you see different cultures interacting with each other on a certain level being very cautious about what a person does. You can immediately see the distinction between the different social and racial class. Where we see an exactShow MoreRelatedMovie Analysis : Crash 1362 Words à |à 6 Pagescalled ââ¬Å"Crashâ⬠, this movie basically talks about racism and the impact it has on the lives of people in Los Angeles. This movie got a good response from the viewers, as it concentrated on some real harsh realities of racism and asked some hard questions which are generally avoided in movies. This movie clearly promotes the a very delicate issue, and hence requires some detailed assessment. I personally feel the movie was good and it portrayed some very common events of racism, I think ââ¬Å"Crashâ⬠showsRead MoreMovie Analysis : Crash 1055 Words à |à 5 Pages1108 23 November 2015 Movie Analysis Although the movie Crash aired in 2004, the movie does a phenomenal job at depicting social conflicts that are still evident in 2015. Crash, also deals with wide range of controversies and offers multiple narratives. And since narrative is always a two-way street, the movie does a great job of showing two perspectives of everything. More specifically, it challenges our ethical and moral beliefs in a sense that many of the scenes in the movie reside in the grey areaRead MoreMovie Analysis : Crash 1853 Words à |à 8 Pages GENRE I RACE IN THE FILM CRASH DEPARTMENT OF FILM AND CREATIVE WRITING INTRODUCTION TO FILM STUDIES B MODULE CODE: 09 24802 STUDENT ID: 1613440 MICHELE AARON UNIVERSITY OF BIRMINGHAM 1. Introduction This paper is a critical analysis of the American film Crash, directed by Paul Haggis which was performed for the first time in 2004. This essay will therefore deal with Gender I and Race, two of the approaches discussed in the subject Introduction to Film Studies B in the secondRead MoreMovie Analysis : The Movie Crash1926 Words à |à 8 PagesThe Movie Crash takes place in Los Angeles, California in the winter time. Throughout this movie, all of the stories connect in one way or another. This movie shows the lives of a diverse population of people, they have different race and social classes. In one of the first parts of the movie, they show a racist pawn shop owner that refuses to sell a gun to a man, simply because he is speaking to his daughter in another language, he generalizes all people of that race and accuses the man of ââ¬Å"killingRead MoreDepth Analysis of the Movie Crash2037 Words à |à 7 Pagespaper will provide a broad analysis of the movie Crash, and yet a specific picture of visual narrative techniques and audio techniques. The categories contributing to the nucleus and major movie components are theatrical elements, cinematography, editing, and sound. The Academy Award winning movie Crash is a story about society s controversial subjects projected in an in your face depiction of lives that in some way or another, cross. Depth Analysis of the Movie Crash The over-all theme ofRead MoreAnalysis Of The Movie Crash 963 Words à |à 4 Pagesindividual, for instance the way they perceive others and also the way they perceive themselves. Paul Haggisââ¬â¢s movie ââ¬Å"Crashâ⬠conceptualize on this idea and interpret it in an in entirely different way; so that we can see that there are reasons and motives to why our society is separated this type of way. The movie is full of many sociological issues, such as gender, race, and social class. The movie is centralize around racism, and wants to give its own interpretation on racism, the reasons why it happensRead MoreMovie Analysis : Crash 1606 Words à |à 7 Pagesare many movies out there that take a viewpoint form so many angles, this movie Crash does this that. Watching this movie brought about many emotions from my own life but to get a sense of what other people in the world go through when it comes to interacting with other races, the experiences weââ¬â¢ve had with them and also the perspectives we hold inside of us overall. This chapter will look at three scenes form the move crash and break each one of them down to showcase the significance of what individualRead MoreAnalysis Of The Movie Crash Essay1448 Words à |à 6 PagesWriting Inquiryà à September 29, 2106à à à à à à Crash Movie Essayà à Since the beginning of time, the world has been intolerant of people that are different or stand out. People have an issue accepting others that have contrasting views, values, opinions, beliefs, and even appearances. Whether we like it or not, there is a little bit racism in all of us, although it may not be as evident in one person as it is in another. In the 2004 film,à Crash, race is portrayed as being an abnormality that negativelyRead MoreAnalysis Of The Movie Crash 1394 Words à |à 6 PagesCRASH! This was the last sound Tim Horton heard before he crashed into the woods. His drunk body made the violent rolling of the car feel like nothing. His mind still back at the bar, crying for a better life. He wanted this attempt to be painless and quick, but was depressed to see his immaculated body upside down in his turnovered car. The drunk had no more tears to shed, he had no screams to let out; all he could do was hit his head against the seat. He wanted something to break ,bu t his mindRead MoreAnalysis Of The Movie Crash 1174 Words à |à 5 Pages Crash, a movie released in 2004, was set during what seemed to be quite a short time after the incident of 9/11. The entirety of this film paints such an emotional and touching portrait of racism within our seemingly modern society. It shows quite a few ethnic stereotypes that many people still will witness today; an older man who must obviously be Muslim because he s from the Middle East, and a Latino gang member who bears an assortment of tattoos and sports a shaved head. The interactions
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