5278.0: Wednesday, November 15, 2000: 4:30 PM-6:00 PM

Conflict and Consensus: Balancing USAID Priorities in Population and Reproductive Health, 1984 - 2000

[Double-session title: "From 'World Population Crisis' to 'Equity in Reproductive Health': 35 Years of Continuity and Change in U.S. Overseas Assistance"] Consensus in Washington on high priority for fertility reduction and access to contraception evaporated in 1980 with the Reagan administration. Anti-abortion groups, social policy conservatives, and neoclassical economists came together to try to end US population assistance. Congressional support continued in the face of rising concerns about infant/child mortality, complaints of over-emphasis on contraception and claims of risks of contraception, assertions of the primacy of women's issues and reproductive health, calls for integration of services in primary health care, and determined efforts to orient support to and through the NGO and private sectors. These concerns shaped the 1994 International Conference on Population and Development in Cairo and changed U.S. and other donors' objectives and programs towards more accent on women’s and children’s health. Soon after Cairo, the 1994 elections shifted opposition to population assistance to Capitol Hill and the White House became more strongly supportive. Funding peaked at $576 million in 1995, declining 30% to $394 million in 2000. Despite tempests over the years, most aspects of the original USAID program remain intact. Fertility in most countries around the world is falling rapidly. APHA conferees have a rare opportunity to listen to and question past and present leaders and operatives of the program as they describe environments in which they worked, and highlight aspirations, disappointments, and achievements over this extraordinary period. What evolutions can be envisioned?
See individual abstracts for presenting author's disclosure statement.
Learning Objectives: Refer to the individual abstracts for learning objectives
Discussant(s):James Bond, LLB
Sarah Clark, PhD
Moderator(s):Joyce Holfeld, MPH
Organizer(s):Gary Merritt, PhD
4:30 PMFrom Bipartisan Support and Program Growth to Political Conflict and Program Preservation: Holding the Fort
Steven Sinding, PhD
5:00 PMThe 1990's and Beyond: New Challenges for U.S. Population Assistance
Duff Gillespie, PhD, Elizabeth Maguire, MA, Margaret Neuse, MPH
Sponsor:Population, Family Planning, and Reproductive Health
Cosponsors:Environment; International Health

The 128th Annual Meeting of APHA