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Foreword
Excessive
population growth is an extremely serious problem facing the contemporary
world. Each minute, the earth's population is increased by 160 people. In
face of this problem, the UN Population Fund sounded a warning to the
international community: Lacking prompt and determined moves to control
population and maintain a balance between consumption and development, the
world population would be 12.5 billion people by the middle of the next
century and humanity be unable to develop further.
The global emergence of the population question
poses a serious challenge to many countries and regions. For a populous
developing country like China the challenge posed by the population
question not only has a bearing on the survival and development of the
Chinese nation but also affects the stability and prosperity of all human
society.
How is China taking up the challenge to deal with
this problem? Why has China adopted the strategic policy of carrying out
family planning? What policies and measures has it taken to implement its
family planning programme and what results has it achieved? We shall
introduce the problem and provide some answers.
I. A
Strategic Policy That Suits National Conditions
The population problem is an important
question that touches upon the survival and development of the Chinese
nation, the success or failure of China's modernization drive as well as
the coordinated and sustained development between the population on one
hand, and the economy, society, resources and environment on the other. It
is a natural choice that the Chinese government has made to implement
family planning, control population growth and improve the life quality of
the population a basic state policy on the basis of a wish to make the
state strong and powerful, the nation prosperous and the people happy.
After the founding of the People's Republic of China, due to the
stability of the society, the development of production and the
improvement of medical and health care conditions, the people lived and
worked in peace and happiness. The death rate was reduced markedly, while
the population increased rapidly, thus the situation then was
characterized by more births, fewer deaths and high growth. It should be
pointed out that this was an inevitable phenomenon at that time. But, just
as the international community then was not responding promptly to the
question of swelling global population, China lost the chance to solve the
problem of over-rapid population growth in the first birth peak period
after the founding of New China.
In the 1960s, China's population entered its second peak birth period.
From 1962 to 1972, the annual number of births in China averaged 26.69
million, totalling 300 million. In 1969, China's population exceeded 800
million. Beginning from the 1960s, the contradiction between the
population on one hand, and the economy, society, resources and
environment on the other had become gradually apparent. In view of the
situation, the Chinese government issued a call for family planning and
advocated the use of contraceptives. However, as there was still the lack
of a deep understanding of the seriousness of the population problem and
the government still had not worked out a clear population policy, family
planning was not effectively carried out throughout the country.
From the early 1970s, the Chinese government had become increasingly
deeply aware that the over-rapid growth of population was unfavourable to
economic and social development and decided to energetically carry out
family planning in both urban and rural areas and integrated the plan for
population development into the plan of national economic and social
development. Consequently, family planning work entered a new phase of
development.
At the end of the 1970s, Deng Xiaoping, the chief architect of China's
reform and opening to the outside world, made an in-depth analysis of
China's basic national conditions on the basis of the experience and
lessons of socialist construction since the founding of the People's
Republic, pointing out that, to accomplish the goal of the four
modernizations in China, it was imperative to take into consideration the
basic features of the Chinese environment, that is, the vast scale of the
country, its weak foundation, its massive population and the low ratio of
cultivated land, and this demonstrated the objective need for the
development of population to be coordinated with the development of the
economy, society, resources and environment. The major contribution Deng
Xiaoping made to the solution of China's population problem is: To study
and deal with the population problem in the overall context of the
national economic and social development and clearly point out that
China's population policy is an important policy of strategic
significance. In accordance with Deng Xiaoping's thinking, the Chinese
government has made it a basic state policy to carry out family planning
and population control and to improve the life quality of the population,
and has clearly incorporated it in the Constitution of the People's
Republic of China, thus establishing the important position of family
planning programme in China's overall task of national economic and social
development.
By February 15, 1995, China's population had reached 1.2 billion. Over
the past few years, the annual births have averaged about 21 million, with
a net annual increase of 14 million. Such massive total population and
annual population growth constitutes a heavy burden for China, a country
that has a weak foundation and little cultivated land, whose economic and
cultural level is rather backward and where development is regionally
imbalanced. The negative impact of China's overabundance of population has
permeated all aspects of social and economic life; in fact, many
difficulties China has encountered in its economic and social development
are directly related to the problem of population.
Over the vast territory of China, the space suited for people to live
and engage in economic activities is limited and population distribution
is extremely uneven. Plains and hilly land account for 12.0 percent and
9.9 percent respectively of China's total land area, totalling only 21.9
percent, while basins, mountains and plateaus account for 18.8 percent,
33.3 percent and 26.0 percent each, adding up to 78.1 percent. Many of the
mountain, plateau, hilly and basin areas are unsuited for living. China's
humid and semi-humid areas, appropriate for living, account for only 47
percent of the total land mass, while the arid and semi-arid areas account
for 53 percent. Now, 94 percent of China's population live in the eastern
part, which accounts for 46 percent of the country's territory,
particularly in the southeastern region where the natural environment is
better and the economy is relatively developed. The State Statistical
Bureau estimates, on the basis of data collected in the third national
census in 1982, that 20.3 percent of China's population live in areas over
500 metres above sea level, whereas in the world's population as a whole,
only 10 percent live in areas over 400 metres above sea level. At present,
there are still 70 million people in China living below the poverty level,
of which the majority live in the western region where the geographic
environment is harsher. Obviously, the poverty of the population is
closely related to their poor living conditions. Besides this, China's
per-capita average of forested land, grassland and freshwater resources
amounts to only one-ninth, one-third and one-fourth of the respective
world averages. "Food is the first necessity of the people." To solve the
problem of feeding a population of 1.2 billion is a big challenge to
China. Now, cultivated area in China accounts for only onetenth of its
territory. In contrast, cultivated land in India accounts for 55 percent
of its territory, with a per-capita average twice that of China. Although
cultivated land in the United States makes up for only 20 percent of its
territory, still its per-capita average is nine times that of China. The
greatest pressure on China's agriculture, particularly grain production,
is the continuous growth of the population and incessant shrinkage of the
cultivated land. The United States and India, as well as China, are all
major grain-producing nations in the world. Though its cultivated land is
less than the United States and India, China ranks the first in the world
in terms of grain output; its per-unit grain yield is much higher than the
world average. But, as China's population is almost five times that of the
United States, its per-capita share of grain is less than one-fourth of
the latter. In 1993, despite a bumper harvest witnessed in China's grain
production, the per-capita share of grain was only 387.3 kilogrammes.
Forecasts show that China's per-capita share of grain will remain at the
low level of less than 400 kilogrammes of crude grain for a long time due
to the continued growth of the population size in the future. If China
fails to effectively check the over-rapid growth of the population and
alleviate the great pressure wrought by the population growth on
cultivated land, forests and water resources, an ecological and
environmental deterioration will become inevitable in the coming decades,
profoundly endangering the minimum living conditions of the overwhelming
majority of the Chinese people as well as the sustainable development of
their society and economy.
On one hand, China's abundant labour force is of course conducive to
development. On the other, however, it will be considerably difficult to
tackle the problem of employment of a continuously growing labour force
under the shortage of funds and the relative insufficiency of resources.
Now, nearly 20 million young people reach working age in China every year,
and most of them need jobs. The surplus labour force in China's rural
areas has reached 120 million, and by the year 2000 the rural surplus
labour force will exceed the 200 million mark. Although the state has
adopted various measures to open up channels for employment and
satisfactory results have been achieved, there are still considerably
large amounts of people who are in the plight of job-waiting or recessive
unemployment. Only by resolutely controlling the population growth while
making energetic efforts to develop the economy and create new employment
opportunities can it be possible to make the growth of the work force fall
in step with the demand of the economic development for the work force.
Despite the rapid pace of economic development, continuous improvements in
China's overall national strength, and the leap of China to the world's
front rank in gross national product since the adoption of reform and
opening to the outside world, the country's per-capita gross national
product still lags behind in the world and remains lower than the average
level of the developing countries because of its huge population. Owing to
the excessively rapid population growth, the state's accumulation has
become relatively less, funds that can be invested in educational, medical
and health care and other social services are limited, and there are
significant difficulties in further improving the people's cultural
quality and health level, particularly the life quality of the massive
rural population and the population living in areas haunted by poverty.
It is precisely for bringing about a sustained economic growth and
sustainable development, satisfying the daily increasing material and
cultural demands of the whole people, and guaranteeing the fundamental and
long-term interests of the current generation and their posterity, that
the Chinese government has chosen the strategic policy of family planning.
Facts have proved and will continue to prove that, while making energetic
efforts to develop the economy, the comprehensive promotion of family
planning was the correct policy decision, taken in China since the latter
half of the 20th century, which bring benefits to the present and
constitutes a meritorious service for the future.
II. A Social Undertaking That
Benefits the People
China's reform and opening
to the outside world as well as its economic development have created a
favourable socioeconomic environment for family planning, while the
achievements of family planning have in turn created a favourable
population environment for the continuous development of the economy, the
improvement of the people's living standards as well as the overall
progress of society.
1. Family planning has effectively checked the trend of over-rapid
population growth.
In the 15 years from the founding of the People's Republic to 1964,
China's population increased from 500 million to 700 million, and on
average 7.5 years were needed for the population to increase by 100
million. The 1964-74 period was one of high-speed growth where China's
population increased from 700 million to 900 million in ten years, and the
time needed for the population to increase by 100 million was shortened to
five years. In 1973, China began to promote family planning throughout the
country. China's population increased from 900 million to 1.2 billion in
the period from 1973 to February 1995, and the time needed for the
population to increase by 100 million was again lengthened to around seven
years. China has been through the third post-1949 peak period of births
from the beginning of the 1990s, the community of women in their prime of
fertility (aged 20 to 29) has exceeded 100 million each year on average,
and such a huge child-bearing community has a great birth potential still.
But, because China's current population and family planning programmes and
policies have won understanding and support from the people, the fertility
level of the population has steadily reduced and the trend of overrapid
population growth has been effectively checked along with the country's
economic and social development. Compared with 1970, in 1994 the birth
rate dropped from 33.43 per thousand to 17.7 per thousand; the natural
growth rate, from 25.83 per thousand to 11.21 per thousand; and the total
fertility rate of women, from 5.81 to around 2. Now, China's urban
population has basically accomplished the change-over to the population
reproduction pattern characterized by low birth rate, low death rate and
low growth; and the rural population is currently in this process of
change-over. According to statistics supplied by the United Nations,
China's population growth rate has already been markedly lower than the
average level of other developing countries. According to calculation by
experts, if China had not implemented family planning but had all along
kept the birth rate at the level of the early 1970s, its population would
possibly have passed the 1.5 billion mark by now. Over the past two
decades and more, China's promotion of family planning has created a
population environment conducive to reform and opening to the outside
world and socioeconomic development as well as the population conditions
for safeguarding the survival and development of China.
2. Family planning has promoted the change of people's concepts
regarding marriage, birth and family.
Since the implementation of the policy of family planning in China,
profound changes have been taking place in people's concepts of marriage,
birth and family along with the reform and opening to the outside world as
well as socio-economic development; the traditional ideas of "early
marriage and early births," "more children, greater happiness," and
"looking up on men and down on women" are being discarded by more and more
people at the child-bearing ages. Late marriage and late births, fewer and
healthier births, viewing male and female children as the same,
establishing happy, perfect and harmonious small families and seeking a
modern, scientific and civilized way of life have become an irresistible
trend of the times. The rate of early marriage for women has come down and
their average age at first marriage has gone up. In 1992, the proportion
of women entering first marriage before the age of 20 dropped to 12.9
percent of the total number of firstmarriage women. In 1970, women's
average age at first marriage was 20.2 years, while in 1993 it was 22.67
years, up 2.47 years. The family size has become gradually smaller and
nucleus family is becoming the major form of modern Chinese families.
According to China's fourth national census, the average size of families
in 1990 was 3.96 persons, 0.88 person less than the 4.84 persons in 1971.
The major reason for the reduction of family size is a reduction in the
number of births. Compared with 1970, of the babies born in 1993 the
first-birth rate and second-birth rate increased from 20.7 percent and
17.1 percent to 61.3 percent and 27.5 percent respectively, and the
multiple-birth rate dropped from 62.2 percent to 11.2 percent. By 1994, a
total of 46.76 million couples had volunteered to give birth to only one
child throughout the country, accounting for 20.3 percent of the total
married women at child-bearing age. At the current level of economic
development and living standards in China, the reduction of family size
and fewer children to support have obviously reduced the economic burden
and the burden of family chores on the families and improved their quality
of life.
3. Family planning has created favourable conditions for the
development of China's economy and the improvement of people's living
standards.
In vigorously promoting family planning, China strives to make the
speed of population growth much lower than the speed of growth in the
gross national product, thus gradually raising the per-capita level. A
part from the reform and opening to the outside world, family planning has
been a factor for the sustained economic development of China and the
steady improvement of its people's living standards over the past ten
years and more. From 1952 to 1978, China's gross domestic product (GDP)
increased 4.7-fold. The per-capita GDP, however, increased by only
2.8-fold. From 1978 to 1994, while upholding reform and opening to the
outside world and making great efforts to develop the economy, China
persisted in doing a good job in family planning. In this period, the GDP
went up 4.2-fold and the per-capita GDP increased 3.4-fold. During the
same period, thanks to improvements in the quality of people's lives and
the rise in their purchasing power, China's consumer goods market expanded
13.7-fold, and the total retail sales volume of consumer goods increased
by an annual average of 17.2 percent. In 1994, the total volume of retail
sales of consumer goods in China was 1,605.3 billion yuan. China has
become a market with the greatest potential in the world. Compared with
1978, living standards have markedly improved, the urban people's
per-capita incomes for living expenses increased 10-fold, at an annual
increase of 15.5 percent; the per-capita net incomes for rural families
went up 9-fold, at an annual increase of 14.8 percent. In Chinese cities
and towns, the per-capita housing increased from 3.6 square metres to 7.5
square metres, and in the rural areas it increased from 8.1 square metres
to 20.8 square metres. For the overwhelming majority of families, the
basic needs of living, such as food, clothing, daily-use articles and
housing, were met. The possession rate of durable goods, such as TV sets,
cassette tape recorders, refrigerators and washing machines, approached
the level of the moderately developed countries.
4. Family planning has promoted the improvement of the quality of the
Chinese population in terms of education and health as well as the overall
development of the people.
China's family planning has always included the two aspects of
controlling the population size and improving the population quality in
terms of education and health. While making efforts to control the
population at an appropriate size, the Chinese government has devoted
great attention to developing educational, medical and other services in
order continuously to improve the quality of the population in terms of
education and health. Prior to 1949, the mortality rate was as high as 20
per thousand, while by the end of the 1970s it had dropped to below 7 per
thousand. From 1949 to 1990, the life expectancy rose from 35 years to
68.55 years--66.84 years for males and 70.47 years for females, making
China a country where the life expectancy increased the most rapidly.
Great improvements have been witnessed in the basic facilities for public
health in China. Throughout the country, the average number of hospital
beds for every 10,000 people increased from 13.3 in 1970 to 23.6 in 1994,
and the average number of professional medical workers and technical
workers in the field of medicine for every 10,000 people went up from 17.5
in 1970 to 35 in 1994. The incidence of various contagious diseases has
markedly dropped. The diet of urban and rural people throughout the
country has greatly improved, the per-capita daily calorie intake has
reached 2,600 Kcal. and that of protein has reached 75 grammes, having
reached or approaching the world average levels. Health care for women and
children has continuously expanded. Now, family planning as well as
maternity and child care networks have been basically formed in China's
urban and rural areas. The mortality rate for babies dropped from 200 per
thousand prior to the founding of the People's Republic to 35 per thousand
in 1990, the death rate of expectant and new mothers was 94.7 per 100,000,
and the rate of planned immunity for new-born babies reached 85 percent.
The major indexes of people's medical care and health have already far
outstripped countries at the same level of economic development, and the
gap with the developed countries is being gradually narrowed.
The Chinese government has taken education as a strategic key for the
country's development, and great progress has been made in this field.
China is now accomplishing the goal of nine-year compulsory education in a
planned and systematic way. In 1994, the enrolment at schools, at various
levels and of various kinds throughout the country, already reached 270
million, the schooling rate of school-age children reached 98.4 percent,
the illiteracy rate of young and middle-aged people dropped to 7 percent,
primary education was made universal in areas with 91 percent of the
country's population, the major cities and some of the developed regions
basically popularized junior middle school education, and infant education
as well as the special education for handicapped children developed
steadily. Secondary vocational and technical education developed quickly,
and enrolment has reached 8.446 million, accounting for 56 percent of the
total number of students at the level of senior middle school.
Countrywide, over 200 million farmers have received various kinds of
education in general knowledge and practical skills.
5. Family planning has further liberated the female productive forces
and helped improve the status of women.
Family planning in China has extricated women from frequent births
after marriage and the heavy family burden, further liberated and expanded
the social productive forces latent in women, and provided them with more
opportunities to learn science and general knowledge and take part in
economic and social development activities, hence greatly promoted the
improvement of the Chinese women's status in economic and social affairs
as well as in their families.
The employment rate of women has steadily increased and sphere of
employment has continuously expanded. By the end of 1992, the number of
female staff and workers had reached 56 million in China, accounting for
38 percent of the national total of staff and workers and representing a
24.1 percent increase over the 45 million in 1985. In the 1979-88 period,
the growth rate of employment for urban women had always been higher than
that for men, with the average annual increase standing at 4.9 percent,
1.27 percentage point higher than the average annual increase of all staff
and workers countrywide. The overwhelming majority of Chinese women are
located in the countryside, and they are the major force of the
agricultural production and diversified economy in the country. They are
that part of the population to benefit most from the policy of family
planning. In 1989, a move of "double learnings" (of general knowledge and
techniques) and "double competitions" (in achievements and contributions)
was launched in China's rural areas, appealing to 120 million rural women.
Of this total, more than 90 million received training in practical
techniques, over 15,000 were cited as model women workers at and above the
provincial level, more than 510,000 were given the title of farmer
technician, and 1.067 million scientific and technological demonstration
households, with women as the major body, came to the fore. In China's
rural areas, some 40 million women are employed in township enterprises,
accounting for 47 percent of the total work force in these enterprises.
Family planning has provided women with more opportunities to receive
education and is conducive to raising their educational qualities. At
present, the average schooling for adult women in China's urban areas
totals 9.97 years. Of these women, those who have received education of
senior middle school or higher account for 56.3 percent; those who have
received junior middle school education account for 33.3 percent; those
who have received primary school education account for 8.3 percent; and
those who are illiterate and semi-illiterate account for only 2.1 percent.
For the previous generation, however, those with senior middle school
education and higher account for only 9.1 percent; those with junior
middle school education, 11.1 percent; those with primary school
education, 24.5 percent; and illiterates and semi-illiterates, 55.3
percent. For adult women in the rural areas, those with senior middle
school education or higher make up 8.9 percent; those with junior middle
school education, 26.6 percent; those with primary school education, 27.9
percent; and illiterates and semi-illiterates, 36.6 percent. For the
previous generation, those with senior middle school education or higher
account for only 0.5 percent; those with junior middle school education,
1.9 percent; those with primary school education, 9.0 percent; and
illiterates and semi-illiterates, 88.6 percent.
6. Family planning has accelerated the process of eradicating poverty
in rural China.
In China's poor areas, economic and cultural backwardness and too many
births often interact as both cause and effect. The Chinese government has
taken an important step in giving support to the development of poor areas
to alleviate poverty by promoting family planning, holding population
growth under control, and raising the life quality of the population in
those areas. Since 1978, the state has adopted a series of measures to
make those living below the poverty line drop from 250 million to 70
million in 1995. The Chinese government has combined the solution of the
problem of the portion of society living under the poverty level with
family planning to free families from the vicious cycle of "the poorer
they are, the more children they give birth to, and the more children they
give birth to, the poorer they become." In this respect, marked
achievements have been obtained. In the community that have extricated
themselves from poverty, farming households that have implemented family
planning are often in a clearly advantageous position.
The positive impact produced by family planning on Chinese society is
wide and profound. With the passing of time, the benefits of family
planning, for the people and for posterity, are bound to be more
apparent.
III.
Combination of State Guidance with Voluntary Participation by the Masses
Due to its vast territory, large population
and the great differences between regions, urban and rural areas and
ethnic groups, the promotion of family planning in China is a highly
complicated task. When working out the policies of population and family
planning, and the objectives of population control in accordance with the
actual conditions in the country, the Chinese government took into
consideration the needs of the social and economic development of the
state and its longrange interests, as well as the actual conditions of
different regions, ethnic groups and social strata, the people's wishes
and attitudes, to combine state guidance with voluntary participation by
the masses.
The combination of state guidance with voluntary participation is an
important principle China has always followed since the implementation of
the family planning policy, and is the fundamental guarantee of success
for the family planning programme as well. The main manifestations of
state guidance include: The central and local governments, in accordance
with the national conditions and people's will, and through legislative
procedures, have formulated the policies, laws and regulations concerning
the control of population growth, the improvement of the life quality of
population and the optimization of the population structure; worked out
the macro population development plan, and integrated it in the overall
plan for national economic and social development; placed population
control and family planning in the government's major agenda, organized
and coordinated all relevant departments and mass organizations to draw up
and implement the programmes on population and family planning, and
provided necessary funds and conditions to guarantee the needs of both
causes; and, through extensive and in-depth publicity and education all
over the country, provided guidance and services to all couples and
individuals in terms of reproductive health care, contraception and birth
control, healthy child birth and rearing to help them in proper
arrangement of family planning.
Voluntary participation is mainly manifested in the fact that, under
the guidance of the state's relevant policies and legislation, the right
of all couples and individuals to carry out family planning is protected
and respected. While exercising their right of child bearing, couples and
individuals must take into account their responsibilities and duties to
the state and community, and the health and happiness of the family and
all its members. On the basis of effective information, advice and
services and in accordance with the age, health, work and family economic
conditions, couples and individuals can arrange for pregnancy and child
bearing in a responsible and planned way, and select proper contraceptive
methods so as to have healthy children and happy, progressive families.
A family planning policy that conforms to the state's actual conditions
and embodies classified guidance is an important component part of
exercising state guidance. The main contents of the current family
planning policy in China are: Advocating delayed marriage and delayed
child bearing, fewer and healthier births; and advocating one child for
one couple. Some rural couples with actual difficulties are allowed to
give birth to a second child a few years after the birth of the first
child. The national minorities are also required to practise family
planning, and concrete demands and approaches to the policy are decided by
each autonomous region or the province in which the national minorities
live. There are practical differences in the family planning policy
between urban and rural areas, and between the Han and the ethnic
minorities, i.e., the policy for rural areas is more flexible than for
urban areas; for national minorities more flexible than for the Han
people. Each province (autonomous region or municipality) will formulate
the corresponding policy and regulations in accordance with the state's
policy and the actual local conditions and form its local legislation
through legal procedures.
One child for one couple is a necessary choice made under China's
special historical conditions to alleviate the grim population situation.
One child for one couple does not mean to "have one child" under all
circumstances, but rather, while encouraging couples to have only one
child, to plan arrangements for couples who have real difficulties and
need to have a second child to do so. In China's cities and towns where
family planning was introduced earlier and the economic, cultural,
educational, public health and social security conditions are better, the
overwhelming majority of couples of child-bearing age who are pleased with
a small family have responded to the government's call and volunteered to
have only one child. In 1990, of the non-agricultural population in
China's urban localities, the total fertility rate of women dropped to
1.26, or 1.05 lower than the nation's average figure. In the countryside,
the total fertility birth rate of women was 2.8.
China is a multi-ethnic country, the population of the national
minorities making up about 8 percent of the country's total. To raise the
economic and educational levels of the national minority areas and improve
the life quality of the population, since the early 1980s the Chinese
government has also advocated family planning in the areas inhabited by
national minorities, except for Tibet and sparsely populated minority
areas. The concrete policies are worked out by the national minority
autonomous areas and the relevant provinces and autonomous regions
according to specific local conditions. In general, a couple in
agricultural and pastoral areas is allowed to have two children; and a
more flexible policy is adopted to farmers and herdsmen with actual
difficulties. Since the founding of New China, the population growth rate
of the national minorities has been not only higher than that before
Liberation, but also higher than that of the Han people in the
corresponding period. The total population of the national minorities
increased from 35 million in 1953 to 91.32 million in 1990. Between 1982
and 1990 after the practice of family planning in the areas inhabited by
minority people, the population of the national minorities increased by
35.81 percent, or 3.27 times the growth of the Han population in the same
period.
The state has imposed no specific requirements on Tibet in family
planning. In 1985, the People's Government of the Tibet Autonomous Region,
in view of the actual population growth there, began to advocate family
planning among Tibetan cadres, workers and staff, encouraging each couple
to voluntarily space two births at reasonable intervals. Among the broad
masses of farmers and herdsmen, the government has mainly educated them in
child-bearing knowledge, advocated healthier birth and child-rearing
practices, improved health care for women and children, and provided
contraceptives and birth control technical services to those who volunteer
to practise birth control. No policy restrictions have ever been imposed
on the number of births in the agricultural and pastoral areas. The fourth
national population census in 1990 revealed that Tibetan people in the
Tibet Autonomous Region numbered 2.0967 million, making up 95.48 percent
of the total population in Tibet.
China encourages fertile married couples to select contraceptive
methods of their own accord under the guidance of the state; and offers
various preferential treatments in daily life, work and many other aspects
to families who volunteer to have only one child, helps them to solve
difficulties in their lives and work and creates conditions for them to
become better off as soon as possible. Assessments are imposed on
multi-birth families to enable society to bring up their children. This
represents both a restriction on having too many childbirths and an
obligation of those responsible to pay a certain compensation to society.
Assessments for this purpose are made according to local legislation, but
the amounts thus collected must in no way affect the family's basic
livelihood and their needs in keeping up production and management. All
funds so collected will be used to further family planning.
Practice has proved that China's current policy on family planning
conforms to the fundamental interests of the people throughout the
country; meanwhile it also takes into account part of the people's wishes
and attitudes. Hence the policy has won understanding and support from the
people of the whole country and has guaranteed the success of the family
planning work.
IV.
Bringing the People to a Common Level of Understanding
The traditional child-bearing viewpoints
formed in long years of Chinese history still profoundly affect people's
attitudes to child-bearing; in particular a certain distance still exists
between the viewpoints and will of a number of rural people and the
state's demands for controlling population growth. Without the people's
awareness, family planning can hardly be practised. Therefore, the Chinese
government attaches great importance to educating the people to practise
family planning of their own free will and strives to create the economic
and cultural conditions for people to change their child-bearing
viewpoints.
The publicity and education of family planning conducted in China
according to its actual conditions and the population situation have made
the whole society see that to control the rapid population growth is its
responsibility and its urgent task. From the 1980s, all regions of China
began one after another the activity of "doing accounts and making
contrasts," during which people were organized to do accounts and make
contrasts of the national and local changes after the founding of New
China in terms of the population growth, per-capita cultivated land, grain
supply and income, education, employment, housing and transportation, the
differences in living standards between the families with more children
and those with fewer children, and the benefits of family planning to the
state and people. The activity has played an active role in helping people
see clearly the nation's actual situation and practise family planning of
their own accord.
Since 1987, China has put into practice the plan on popularizing the
basic knowledge of population and family planning, with the rural areas as
the key points. At present, a number of villages and neighbourhoods have
set up population or marriage education schools. The people at different
childbearing ages and those in different situations may obtain scientific
knowledge of population, childbirth, contraception and birth control,
maternity and child care through the lectures or advice given by doctors,
teachers and cadres. Then they may practise family planning more
conscientiously. For instance, in Tieling City located in the northern
mountain areas of Liaoning Province, whose agricultural population makes
up 80 percent of the total, more than 700,000, or 95 percent, of the
couples of child-bearing age received education from 1987 to 1991. In the
past, of the city's annual newly born babies, about 10 percent were born
to parents who married early and had children early; and the rate of
births with genetic defects reached nearly 15 per thousand because of the
marriage between close relatives, or hereditary and endemic diseases.
After education, the percentage of the people who married early and had
children early dropped to below 1 percent and the birth defect rate, to
below 8 per thousand in 1991. Now 92 percent of the couples of
child-bearing age in the city have adopted birth control measures of their
own accord.
Cadres at all levels taking the lead in practising family planning has
exerted great influences among the people all over the country. For
instance, each of over 50,000 cadres and Party members in Rudong County,
Jiangsu Province has exemplarily implemented the state's family planning
policy. Under their influence, the broad masses of the people actively
respond to the government's call and practise family planning of their own
free will.
The activities of family planning associations in all areas have also
played an important role in publicity and education. Consisting of people
from all walks of life who are interested in family planning, these
associations are mass organizations with an extensive social basis. Up to
now, all 30 provinces, autonomous regions and centrally administered
municipalities as well as the overwhelming majority of the cities,
counties and grass-roots units have set up their family planning
associations, totalling more than one million with approximately 80
million members. Their members keep in close touch with the broad masses
of the couples of child-bearing age. A family planning work situation with
self-education and self-management as the mainstay is being formed step by
step.
China makes full use of newspapers, radio, television, publication,
theatre, music, local performances and schools to educate people about
family planning. In addition, it has also set up a family planning
publicity and education network reaching all parts of the country. In the
late 1980s, all provinces, autonomous regions and centrally administered
municipalities and the cities with economic planning directly supervised
by the State Council (except Tibet Autonomous Region) set up regional
family planning publicity and education centres one after another, which
produced more than 1,600 television programmes and video tapes, and
numerous publicity materials of various kinds. By 1994, two administrative
officials' colleges, eight secondary professional schools and 26
provincial training centres had been founded as part of the national
family planning system. Each city, county and township has a family
planning service station focused on publicity and education; and all
residents' and villagers' committees have a member responsible for
propagating birth control education. Educational institutions of higher
learning and research institutes in China also take an active part in
training and research in population and birth control. The China
Population Society, the China Population Culture Promotion Society and
other organizations have also played an active role in organizing
demographers, literary and art workers and people from all walks of life
to participate in family planning work.
Publicity and education, which has resulted in the common understanding
and conscientious participation of hundreds of millions of people, is the
fundamental guarantee of the successful implementation of family planning
in China.
V.
Satisfying the Reproductive Health Needs of People of Child-bearing Age
While advocating family planning, China has
mainly focused on contraception. Providing family planning information,
consultation and services is an important measure in promoting family
planning. The Chinese government attaches great importance to meeting the
various and multi-level needs of people of child-bearing age by relying on
progress in science and technology, and the study and development of the
methods of family planning and contraception. In addition, the government
has also established family planning and maternity and child care service
networks throughout the country to provide people of child-bearing age
with safe, effective and convenient services of family planning and
reproductive health care, thus ensuring the smooth expansion of family
planning.
Back in the 1960s, China embarked on scientific research on
contraception, and soon made a large number of achievements, which were
popularized all over the country. In the 1980s, China formulated the
programme for the scientific and technological development of family
planning, and has formed an initial, geographically rationally distributed
system for family planning scientific research and the production of
contraceptives. China has produced contraceptive and birth control
technological services providing a great variety of methods for people to
select as they wish. China leads the world in the research on male
contraception techniques, some of which have been listed as the ones to be
promoted by the World Association of Voluntary Surgical Contraception
(AVSC). China has also made quite a number of important achievements in
research of female contraception techniques, some of which have been
extensively used in China and abroad. China has been included among those
advanced countries in the development of contraceptives. While improving
the quality of existing contraceptives, China is sparing no effort to
develop safer, more effective, more convenient and cheaper contraceptives.
To meet the demands of people of child-bearing age for contraceptives, the
state has organized more than 40 factories and invested nearly 200 million
yuan in the production of various contraceptives every year. Now the
production of contraceptives in China has basically become
self-sufficient.
To ensure that people of child-bearing age can receive required
services at any time and in any place, China has established countrywide
family planning service networks consisting of hospitals, maternity and
child care centres and family planning service stations. Following the
principle of catering to grass-roots units, going deep into the
countryside, offering services to people's doorsteps and providing
conveniences to the people, family planning workers provide people of
child-bearing age with guidance, advice and services, and help them select
favourable contraceptive methods according to their health and needs. In
light of the actual conditions in rural areas, women of child-bearing age
there with one child are encouraged to use intrauterine device and either
the wife or husband of a couple with two children is encouraged to undergo
sterilization, which are safe and effective contraceptive measures
favourable to the protection of women's health. Therefore they are more
easily accepted by rural couples of child-bearing age. As to those couples
who are unsuitable or unwilling to accept such measures, family planning
workers guide them to select other contraceptive measures according to
their needs. At present, more than 200 million married couples of
child-bearing age in China have adopted contraceptive measures, making up
about 80 percent of the country's total.
Starting from the 1960s, China distributed contraceptives free of
charge, and exempted and reduced the fees for birth control technical
services. Since 1988, China has implemented the system of combining the
supply of free contraceptives with retail sales in the market, thus
widening the supply channels, providing conveniences to the people,
satisfying their needs and raising the utilization rate of contraceptives.
To ensure that people can get contraceptives in time, specialized organs
have been set up or special personnel assigned for this purpose from the
provincial and city down to the township and village levels.
The Chinese government is against promoting induced abortion as a means
of family planning. China allows women who require induced abortion to
have such an operation under safe and reliable conditions. Along with the
popularization of the scientific knowledge of family planning and the
extensive adoption of contraceptive measures, the number of induced
abortions has been on the decline in many places. When China's birth rate
drops sharply, the annual ratio between the number of newly born babies
and that of induced abortions has retained at around 1:0.3, equivalent to
the medium level in the world.
To guarantee the health of babies and mothers, China has made efforts
to improve medical and health care conditions and strengthen health care
services for women and children while doing a job in family planning.
Consequently, the improvement of women's and children's health has also
promoted family planning. China has set up health care networks for women
and children all over the country. Several thousand maternity and child
care centres provide various services, including the general survey,
prevention and treatment of women's diseases, consultation on hereditary
diseases, examination before marriage, health care for pregnant and
postpartum women, new delivery methods, health care for babies and young
children, etc. The family planning departments in many places have
initiated health-care-at-childbirth services for couples of child-bearing
age. In spite of their comparatively backward medical and health care
conditions, the health care and family planning departments in some
economically underdeveloped regions have organized people to provide
services to the people at their doorsteps to protect women and children's
health, so that they are highly acclaimed by the people.
VI. Optimization Through Reform and
Development
Practice has shown that China's
population and family planning programme has been crowned with success.
But we should also clearly see that there is still imbalance in
development in various areas, instability in fertility levels in many
regions, and the high birth rate in others. The working style and service
level concerning family planning in most rural regions, especially in some
economically underdeveloped areas, remain to be improved. In the process
of establishing the socialist market economic system, family planning work
is faced with new situations and new problems. There are also problems in
the quality and structure of population that should not be neglected.
These problems include the high sex ratio and the growing population
aging. Therefore, China is still confronted with a severe challenge on
issues of population and development. To carry out family planning and
population control, and improve population quality remain an arduous and
urgent task of strategic significance.
The reform targeted at establishing a socialist market economic system
is further promoting the development of social productive forces. At the
same time, it has created favourable social and economic conditions for
optimizing the family planning work. The Chinese government will
unswervingly continue to carry out the basic national policy of family
planning, and promote a coordinated development between population on one
hand and the economy, society, resources and environment on the other. On
one hand, we will adhere to and continually improve the basic experience
that suits China's specific conditions and that has proved effective in
practice; on the other, we should adapt ourselves to the new situation,
emancipate the mind, seek truth from facts and unceasingly deepen the
reform, to improve the level of family planning work. The practice of
pursuing family planning mainly through administrative means and campaigns
in some areas must be resolutely changed. The emphasis should be put on
the publicity and education, contraception and regular work. Quality
service in family planning should be provided to the people of
child-bearing age, particularly the reproductive health care for women, to
protect their health. The publicity and education and the management of
family planning programme should serve the purpose of serving people's
production, livelihood and fertility. With this in mind, the "Programme of
China's Family Planning Work (1995-2000)" was formulated by the Chinese
government at the end of 1994, setting clear demands on the task, target,
principle and measures in deepening the development of family planning
work.
The Chinese government holds that the issue of population is
fundamentally one of development. Population is closely and inseparably
related to economic and social development. Therefore, China always
considers population and family planning an important component part of
the strategy for the substained national economic and social development,
and they are planned and implemented together with economic and social
issues.
Since China's reform and opening to the outside world, the development
of national economy, science, technology, education, public health and
social welfare has played an active and promotive role in changing
people's concept of fertility and in lowering the birth rate. This role is
particularly evident in areas where the economy has developed rapidly. As
economic development and population control promote each other, these
areas have seen a transition, in a relatively short period of time, to the
modern population reproduction pattern characterized by a low birth rate,
low death rate and low natural growth rate. As for poverty-stricken areas
where the economy is relatively backward, since the 1980s, the Chinese
government has formulated a comprehensive strategy in regard to the
overall planning, comprehensive management and coordinated development in
population, grain, ecology and resources. It has carried out extensive
activities to help the poor in their development and integrated these
activities with family planning, vigorously accelerating the economic and
social development in these areas.
On the basis of summing up experiences of history and the innovations
of the people, the Chinese government in recent years has put forward that
the rural areas should combine family planning with developing economy,
helping peasants to become better off through hard work, and building
progressive and happy families. Through providing service to peasants in
production, livelihood and fertility, and above all through helping
families practising family planning to become better off, more and more
families were guided to have less children and to improve their financial
situation as soon as possible. This practice has won warm support from
governments at all levels, cadres at grass-roots level and the people. In
a relatively short period of time, this work has been implemented in most
of the provinces, autonomous regions and municipalities throughout the
country. This is not only good for accelerating rural economic
development, increasing peasants' income, and improving their living
standard, but it can also make them realize from their immediate interests
the benefit of having less children, gradually changing their attitudes
towards fertility, hightening their awareness of and enthusiasm for
carrying out family planning. Rural women not only take an active part in
these activities but they also benefit mostly from them. Through these
activities, they have enhanced their enthusiasm for production, increased
their income from labour, improved their status in both the family and
society and obtained greater independence in marriage and childbirth.
In order to fundamentally and comprehensively solve China's population
problem, comprehensive measures have to be adopted. Such measures include
vigorously developing the economy, getting rid of poverty, protecting the
ecological environment, rationally developing and utilizing resources,
popularizing education, developing medical service and maternal and child
health care, improving the social security system --especially the
insurance system for the aged, steadily advancing urbanization, improving
women's status, and guaranteeing the legal rights and interests of women.
Over the past few years, the Chinese government has formulated plans,
policies and measures in these fields, providing a more favourable
environment for the implementation of family planning.
The Chinese government and the society as a whole have paid close
attention to the recent tendency of the high sex ratio. The problem will
be gradually solved through heightened publicity and education, and
measures have been taken to guarantee the legal rights and interests of
women and children; to severely prohibit, except when called for
medically, the technical examination of fetus for determining sex followed
by selective abortion; and to improve birth report and statistical system.
The Chinese government strongly believes that the problems that have
appeared in the course of implementing China's family planning programme
will be solved steadily in the process of reform and development, before
it can be gradually improved and perfected.
VII. The Correct Choice for Human
Rights Protection
In the practice of carrying
out family planning programme, whilst persistently proceeding from its
reality and taking into full account and observing principles and
regulations concerning population and family planning formulated by
international institutions and organizations, the Chinese government has
gradually set up guiding principles, policies, measures and methods that
reflect the basic interests and various rights and interests of the
people, and has continuously improved these as the actual situations
change, so as to better safeguard the right to subsistence and development
of the Chinese nation.
It has been China's consistent stand and principle in international
exchange and cooperation to fully respect the sovereignty of all nations,
and not to interfere with the internal affairs of other nations. The
"Programme of Action" adopted by the International Conference on
Population and Development by that conference in Cairo, 1994, pointed out:
"The formulation and implementation of population-related policies is the
responsibility of each country and should take into account the economic,
social and environmental diversity of conditions in each country, with
full respect for the various religious and ethical values, cultural
backgrounds and philosophical convictions of its people, as well as the
shared but differentiated responsibilities of all the world's people for a
common future." Only by proceeding from the reality of the country,
independently setting up its population policy and target, as well as
plans and measures to realize this target, can the population problem of
each country be effectively solved. Positive results of solving population
problem through international cooperation can only be achieved under the
premise of respecting the sovereignty of each country, and by adopting the
attitude of mutual understanding and the seeking of common ground while
preserving differences. As the national situation, the degree and pattern
of social and economic development, cultural habits and values, and the
specific characteristics of the population problem in each country differ,
there will be differences in the plan and dynamics of problem solving in
each country, which is a normal phenomenon. Not only has China never
imposed its ways and ideas of solving its own population problem on anyone
else, but it has, instead, always understood and welcomed all
good-intentioned criticism and useful suggestions from outside. However,
some people, distorting or disregarding the basic facts, have made
improper comments on China's family planning programme, criticizing it as
a "violation of human rights," and denouncing it as "inhumane." They have
even tried to impose their values and ideas on China, using the excuse of
"protecting human rights" to put pressure on China and to interfere in
China's internal affairs. This is totally unacceptable. Any such practice
of interfering in China's internal affairs has not only deviated from the
basic principle set up in the field of population by the international
community, but it has also violated the established principles of
international law, which will neither help promote a healthy development
of China's family planning programme nor the stability of the world's
population.
China has always held that concepts of human rights are a product of
historical development, closely related to social, political and economic
conditions, as well as the individual nation's particular history, culture
and concepts. The realization and optimization of human rights is a
historical process. A citizen's right of choice in reproduction is also
part of this process.
The great changes in the world population situation in the
mid-twentieth century, the rapid world population growth and the severe
consequence ensuing have aroused increasing attention from the
international community and various countries. The contradiction between
population on one hand and survival and development on the other is
especially sharp in developing countries with a fast population growth.
Irrational international economic order, stagnant economic and social
development, and the pressure of a large population have continually
widened the gap between developed and developing countries in terms of
welfare and living conditions, increasing rather than decreasing the
number of those living below the poverty line. With recognition of the
seriousness of the population problem and the urgent need to control
population growth, people's understanding and attitudes towards
reproduction and other associated rights have changed, responding to new
historical conditions, becoming more comprehensive. The "World Population
Plan of Action," approved at the International Population Conference held
in Bucharest in 1974, states: "Individual reproductive behaviour and the
needs and aspirations of society should be reconciled.... All couples and
individuals have the basic right to decide freely and responsibly the
number and spacing of their children and to have the information,
education and means to do so; the responsibility of couples and
individuals in the exercise of this right takes into account the needs of
their living and future children, and their responsibilities towards the
community." The "Recommendations on Further Implementing the World
Population Plan of Action," approved at the 1984 International Population
Conference held in Mexico City, again emphasized that "Any recognition of
rights also implies responsibilities." Accordingly, when couples and
individuals exercise their right to the choice of reproduction, they
should "take into consideration their own situation, as well as the
implications of their decisions or the balanced development of their
children and of the community and society in which they live." The
"Recommendations" point out that "governments can do more to assist people
in making their reproductive decisions in a responsible way." The
"Programme of Action" adopted at the International Conference on
Population and Development held in Cairo in 1994 once again points out
that "these [reproductive] rights rest on the recognition of the basic
right of all couples and individuals to decide freely and responsibly the
number, spacing and timing of their children and to have the information
and means to do so, and the right to attain the highest standard of sexual
and reproductive health.... In the exercise of this right, they should
take into account the needs of their living and future children and their
responsibilities towards the community. The promotion of the responsible
exercise of these rights for all people should be the fundamental basis
for government- and community-supported policies and programmes in the
area of reproductive health, including family planning."
Family planning in China is pursued in complete accordance with the
relevant principles and human rights requirements designated by the
international community. China's family planning policies and programmes
combine citizens' rights and duties, joining the interests of the
individual with those of society. These conform to the basic principles
outlined at the various international population conferences and have been
established on the basis of the relationship of interpersonal interests
under socialism. Never in any country are rights and duties absolute, but
rather, they are relative. There are no duties apart from rights, or
rights apart from duties. When there is conflict between social needs and
individual interests, a means has to be sought to mediate it. This is
something that the government of every sovereign country is doing. As
China has a large population, the Chinese government has to limit the
number of births of its citizens. This is a duty incumbent on each citizen
as it serves the purpose of making the whole society and whole nation
prosperous, and it is not proceeding from the private interest of some
individuals. This is wholly justifiable and entirely consistent with the
moral concepts of Chinese society. To talk about citizens' rights and
duties out of reality in an abstract and absolute way does not hold water
either in China or in any other country. In a heavily populated developing
country like China, if the reproductive freedom of couples and individuals
are unduly emphasized at the expense of their responsibilities to their
families, children and societal interests in matters of child bearing,
indiscriminate reproduction and unlimited population growth will
inevitably ensue. The interests of the majority of the people, including
those of new-born infants, will be seriously harmed.
We should see that in China, especially in rural, backward and remote
areas, there is a gap between the desire for childbirth of some couples of
child-bearing age and the demand of the present family planning policy,
and shortcomings of one kind or another are unavoidable in family planning
work. However, as the family planning policy fundamentally conforms to the
interests of the majority of the Chinese people and, during its actual
implementation, the actual difficulties and reasonable demands of some
people have been taken into consideration and the legal rights and
interests of the citizens are strongly protected, the family planning
policy has won understanding and recognition from the broad masses of the
people. Through long period of practice, the Chinese people have realized
more and more deeply from their practical interests that family planning
is a cause that benefits the nation and the people, and they have
increasingly come to understand and support this cause. After unremitting
efforts, including drawing useful experience from other countries, the
management level and service quality of China's family planning programme
have continually been improved and the shortcomings and problems in its
actual work has been remarkably reduced. We believe that all those who do
not seek to hold prejudice will respect this basic fact.
Concluding Remarks
China is home to more than one-fifth of the
world's population. It thoroughly understands the responsibility it bears
in stabilizing world population growth and the essential role it should
play. Family planning as an effective solution to China's population
problems is more than just responsibility towards the well-being of the
Chinese people and future generations; it is a duty owed to maintaining
the stability of the world population. Working for the common interests of
all of humanity, at the same time working for individual interests of each
nation, the international community and each nation should work together
to solve the population problems facing individual nations and the entire
world. This will promote development and progress in every country and
throughout human society.
Twenty-one years have passed since the First International Population
Conference was held in Bucharest in 1974. The government of each nation
and the international community as a whole have made new progress in
implementing the "World Population Plan of Action" and the "Mexico City
Declaration." The rate of increase in world population has been further
slowed. Still, world population continues to increase by 90 million per
annum, and it will reach 6.25 billion by the end of the century and 8.4
billion by 2025. Control of world population remains an urgent and
difficult task. China, as always, will continue to work in concert with
all the nations of the world to carry out the "Programme of Action of the
International Conference on Population and Development" and make positive
contributions to stabilizing world population and ensuring a happier
future for mankind.
Information Office of the State
Council of the People's Republic of China
August 1995,
Beijing
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