AFRICA’S POPULATION CHALLENGE J. Joseph Speidel MD, MPH Bixby Center for Global Reproductive Health, University of California, San Francisco, 3333 California Street, Suite 335, Box 0744, San Francisco, CA 94118
[email protected] August 8, 2018 “Perhaps the greatest threat to Africa’s peace and security is the very rapid rate of population growth.” ––John Dramani Mahama, former president of Ghana, April 20, 2018 Introduction: Africa has enormous potential but at the same time is facing unprecedented and dire threats to its prospects for a peaceful and prosperous future. Although there is considerable variation in the status of family planning and population growth rates among African countries, predominant among Africa’s challenges is extremely rapid population growth. This is holding back desperately needed social and economic progress in most of the more than 50 countries in Africa. Africa’s problems include extreme poverty, inadequate infrastructure, weak governments and institutions, over exploitation and degradation of natural resources, food insecurity, insufficient energy resources and lack of basic services. These difficulties threaten the region’s ecosystem integrity and hamper economic development. Continuing rapid population growth and climate change will place additional pressure on the natural resource base of the region with heat waves and water shortages causing serious impacts on the rain-fed agriculture that most Africans rely on for food. Over the 20th century, the population of sub-Saharan Africa increased an amazing seven-fold. In 1950, the population of Africa was 229 million, by 2017 it had increased to 1.26 billion and is projected to double to 2.53 billion in just the 32 years to 2050––and possibly higher if projected declines in birth rates do not occur.