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DP IITED LTIONS Distr. Executive Board G~N-.~ of the Dp/FPA/CP/ZZ5 United Nations 7 April 1994 Development Programme and of the ORIGINAL: ENGLISH United Nations Population Fund First annual session 1994 6-17 June 1994, Geneva Item 7 of the provisional agenda UNFPA UNITED NATIONS POPULATION FUND PROPOSED PROJECTS AND PROGRAMMES Recommendationby the Executive Director Assistance to the Governmentof the Republic of Chad Support for an interim population programme Proposed UNFPAassistance: $3.5 million, of which $2.3 million would be programmedfrom UNFPA regular resources. UNFPAwould seek to provide the balance of $1.2 million from a combination of UNFPAregular resources and other resources, including multi-bilateral resources, whenand to the extent such additional resources becomeavailable. Estimated value of the Government’scontribution: To be determined Duration: Twoyears Estimatedstarting’date: January 1994 Executingagencies: Governmentof the Republic of Chad United Nations and United Nations agencies and organizations National and international non-governmentalorganizations (NGOs) Governmentcoordinating agene~ Ministry of Planning and Cooperation ooo 94-17484 D DP/FPA/CP/135 English Page 2 Chad Demographicfacts Population (000) Total ............................ 6,351 Averageannual change (000) Males ........................... 3,141 Population increase .................... Females .......................... 3,220 Births .............................. Sex ratio (/100 females) .............. 97.6 Deaths .............................. Urban ........................... 2,350 Net migration ........................ Rural ........................... 4,001 Annual population total (% growth) ............ Per cent urban ..................... 37.0 Urban ............................... Population in year 2000 (000) ......... 7,307 Rural .................................. Functional age groups (%) .......... Crude birth rate (/1000) ..................... Young child: 0-4 ................... 17.4 Crude death rate (/1000) ..................... Child: 5-14 ....................... 26.0 Net migration rate (/1000) .................. Youth: 15-24 ..................... i8.8 Total fertility rate (/woman) ................. Elderly: 60+ ...................... 5.7 Contraceptive prevalence rate (% 15-44) ....... 65+ ............................. 3.6 Gross reproduction rate (/woman) ............ Percentage of womenaged 15-49 ......... 44.9 Net reproduction rate (/woman) .............. Median age (years) ................... 18.3 Infant mortality rate (/1000) ................. Dependency ratios: total ............... 88.7 Maternal mortality rate (/100,000) ............ (/100) Aged 0-14 ................... 81.9 Life expectancyat birth (years) Aged 65 + ........................ 6.8 Males ............................... Agricultural population density Females ............................. (/hectare of arable land) ................ 13 Both sexes ........................... Population density (/sq. kin.) ............ 5.0 GNPper capita (U.S. dollars, 1991) .......... Sources: Population density on arable land is derived from The State of Foodand Agriculture 1991 issued by the and Agriculture Organization of the United Nations; gross national product per capita: WorldBank, WorldDevek Report 1993, Figures for population, total population by sex, population by age group, age indicators, urba population, and population density (/sq. Ion.) refer to the year 1995; figures for average annual change, rate change, and fertility and mortality are the five-year averages for 1990-1995.These data are from the Population D Departmentof Economicand Social Information and Policy Analysis of the United Nations, WorldPopulation Pro The 1992 Revision. Figures for urban-rural average annual change are from WorldUrbanization Prospects 1992 a five-year averagesfor 1990-1995.Figures for maternalmortality are for 1980-1990;figures for contraceptiveprevalenc are for currently married womenaged 15-44. Both are from table 5 of World’sWomen: Trends and Statistics, 197( NewYork, United Nations, 1991 (ST/ESA/STAT/SER.K.8).Two dots (..) indicate that data are not DP/FPA/CP/135 English Page 3 I. EXECUTIVE PROGRAMME SUMMARY 1. The United Nations Population Fund (UNFPA)proposes to support a bridging population programmein the amountof $3.5 million, of which $23 million wouldbe programmedfrom UNFPA’sregular resources, over a two-yearperiod, starting January 1994, to assist the Governmentof Chadin achieving its population and developmentobjectives. UNFPAwould seek to provide the balance of $1.2 million from a combinationof UNFPAregular resources and other resources, including multi-bilateral resources, whenand to the extent such additional resources becomeavailable. This wouldbe UNFPA’ssecond cycle of assistance in Chad. 2. The proposedbridging programmeis based on: (a) the objectives and strategies of Chad’sNew Policy for Health Development;(b) the country’s draft Population Policy Declaration; (c) the findings recommendationsof the ProgrammeReview and Strategy Development(PRSD) mission that visited Chad June 1993; (d) the experience gained from UNFPA’sfirst programmeof assistance; and (e) consultations discussions with senior officials of concernedministries, as well as with representatives of UNDP,UNICEF, the World Bank, WHOand concerned non-governmental organizations (NGOs). This bridging programme wouldenable UNFPAto synchronizeits programmingcycle with those of its partner organizations in the Joint Consultative Groupon Policy (JCGP). 3. Theprogramme’s long-term objective is to help improvethe socio-economicconditions of the Chadian population by gradually bringing the population growthrate in line with available resources. The two main immediate objectives of the programmeare to help: (a) reduce the high levels of maternal and child morbidityand mortality, primarily by improvingand extendingfamily planningservices; and Co)create national awareness, using culturally sensitive information, education and communication(IEC) activities, about the linkages between population, women’ssocio-economic status, environmental issues and the development process. 4. Accordingto preliminary estimates of the 1993 census, the population of Chadis 6.3 million, an increase of 40 per cent since 1980. If the annualgrowth rate of 2.36 per cent is sustained, the populationwill doublein 29 years. Thetotal fertility rate of 5.9 is quite high but is somewhatlower than that in neighbouring countries, perhapsbecause of the widespreadprevalence of infertility. Infant and maternalmortality rates are also very high, 122per 1,000and 860 per 100,000live births, respectively, and life expectancyat birth is only 47.5 years. Chadis also one of the poorest countries in the world, with an average gross national product (GNP)of $210 in 1991. This has been exacerbatedby two decades of political instability and domesticstrife. 5. Family planning is in the early stages in Chad. It is estimated that the moderncontraceptive prevalence rate (CPR)is only 1.2 per cent. However,the large and increasing numberof abortions (which are illegal in the country) showsthat there is a great unmetneed for reliable contraception. TheGovernment indicated its understandingof this problemwhen it adopted its NewPolicy for Health Developmentin 1988, whichsets a target of increasing the CPRto 10 per cent by the year 2000and whichaims to integrate family planning (FP) services into the maternal and child health (MCH)programme nationwide. 6. UNFPA’sassistance to Chad began in 1986; $3.5 million was spent during the first country programme,which covered the period 1989-1993.The main results were the developmentof MCH/FPservices in the large cities in the three prefectures wherethe Fundconcentrated its activities; the training of about30 health personnel in family planning in the same three prefectures; the drafting of a Population Policy Declaration; and assistance with the country’s first population census in 1993. Theseefforts were hampered by political turmoil and the ongoingstate of war, by the lack of awarenessof populationissues by the country’s leaders, and by the meagernessof other external assistance for populationactivities. 7. In the past, UNFPAwas by far the larg6st international funder of family planningactivities in Chad. Other multilateral and bilateral agencies have provided assistance to related areas, such as building or °.. DP/FPA/CP/135 English Page 4 repairing the health care infrastructure and conductingthe census, but until nowthere has been almost no fundingfor specific family planningactivities. Recently, however,the WorldBank has proposeda "Population and Health" project that wouldprovide $20 million over the period 1994-1998. 8. The PRSDmission estimated that Chadwould require a total of $20.8 million in population assistance for the period 1994-2000. This is far beyond UNFPA’sresources. The proposed bridging programme, therefore, has limited short-term aims. The most important of these, and the one to which most resources would be directed, is to continue MCH/F~and Safe Motherhoodactivities in the capitals of the three prefectures in whichUNFPA has been operating, to expandthese activities to smaller centres in these three prefectures, and to start activities in three newprefectures. Familylife educationactivities that have been started on a pilot basis wouldbe expandedmodestly. A major objective wouldbe to collect moredata on current family planning practices and to arrive at an accurate estimate .of the country’s contraceptive