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KenyaPopulation Factors and the National Vision

Presenter:

2

Ph

oto

by Fe

lix M

asi

Outline

3

The Kenyan Vision and Population Situation

Population and Social and Economic Development

Family Planning and Unmet Need for FP Services

Policy Response

2

4

3

1

Ou

tlin

e

KenyaNational Vision

4

Vision 2030

“To transform Kenya into a globally competitive, newly industrializing, middle-income country and provide a high quality of life to all of its citizens in a clean and secure environment.”

Ph

oto

by C

hu

bb

y C

han

dru

Vis

ion

Economy and Society

5

How will population growth affect Kenya’s economic growth and social development in the coming decades?

5

Ph

oto

by Z

ori

ah

PopulationPopulation

1999Kenya’s Population Po

pula

tion

6

28.8 Million

Source: 1999 Census

2008

Kenya’s Population Popula

tion

7Source: CBS Population Projections

38.3 Million

Current SituationPopulation Statistics

8

38 million people (2008)

4.6 births per woman (2008)

23% teens ages 15–19 bear children

40% population under age 15

Popula

tion

Sources: Spectrum; DHS 2003, 2008

Photo by Felix Masi

Trend in FertilityKenya, 1989–2008

Popula

tion

9Sources: Kenya Demographic and Health Surveys

Fert

ility

Rate

-20% -10% 0% 10% 20%

40% of the population is under age 15

Population PyramidKenya’s Youth Bulge

Popula

tion

10

80+75–7970–7465–6960–6455–5950–5445–4940–4435–3930–3425–2920–2415–1910–14

5–90–4

Age (

Years

)

Per cent of the Population

FemaleMale

Source: Spectrum

Under Current Fertility Rate

Population Explosion by 2040

Popula

tion

11

Pop

ula

tion (

Mill

ions)

High Fertility

Low Fertility

Source: Spectrum

82 Million People …

Demographic TransitionBy Assuming a Decline in Fertility

65 Million People

Popula

tion

12

Pop

ula

tion (

Mill

ions)

High Fertility

Low Fertility

Source: Spectrum

Outline

13

The Kenyan Vision and Population Situation

Population and Social and Economic Development

Family Planning and Unmet Need for FP Services

Policy Response

2

4

3

1

Ou

tlin

e

Africa can learn from East Asia on economic growth

Develo

pm

ent

14

Economic BenefitSlower population growth increases the opportunity for economic growth.

A decline in fertility can be a way out of poverty for many families.

15

Sources: Population Matters: Demographic Change, Economic Growth, and Poverty in the Developing World and Population Dynamics and Economic Development: Filling the Research Gaps. P

hoto

by M

oth

ers

Fig

hti

ng

for

Oth

ers

Success StoryThailand, An Asian Tiger

Develo

pm

ent

Source: The World Bank. World Development Indicators, February 3, 2008 16

GD

P P

er

Cap

ita (

US$

2000) Fe

rtility R

ate

Declining FertilityThe “Asian Miracle”

Develo

pm

ent

17

Population quality versus size

Better education

More investment in modern agriculture

More savings and investment, lower dependency ratios

Ph

oto

by U

gg

boy

Outline

Ou

tlin

e

18

The Kenyan Vision and Population Situation

Population and Social and Economic Development

Family Planning and Unmet Need for FP Services

Policy Response

2

4

3

1

Social PillarVision 2030

“Kenya’s journey towards widespread prosperity involves the building of a just and cohesive society that enjoys equitable social development in a clean and secure environment.”

19

Ph

oto

by C

en

ter

for

Com

mu

nic

ati

on

s Pro

gra

ms

Population GrowthTwo Scenarios

Popula

tion

20

Pop

ula

tion (

Mill

ions)

High Fertility

Low Fertility

Source: Spectrum

Education

Educa

tion

21

Ph

oto

s b

y Z

ori

ah

; C

en

ter

for

Com

mu

nic

ati

on

s Pro

gra

ms

“The education and training of all Kenyans is fundamental to the success of the Vision.” Vision 2030

Source: Spectrum

Primary StudentsFewer Students, More Resources Available per Child

Educa

tion

22

High Fertility

Low Fertility

Pri

mary

Stu

dents

(M

illio

ns)

Sources: Spectrum; Ministry of Education

Primary TeachersFewer Students, Fewer Teachers Required

Educa

tion

23

High Fertility

Low Fertility

Teach

ers

Needed (

Th

ousa

nds)

Primary Education Expenditures

Educa

tion

24

Cumulative Savings US$772 Million

Expendit

ure

s ($

US M

illio

ns)

Sources: Spectrum; Economic Survey 2009

High Fertility

Low Fertility

Savings with Slower Population Growth

143

176

144

222

Better EducationWith Less Population Pressure

Educa

tion

25

More resources for training and teacher incentives

More resources for classrooms and educational material

Smaller classrooms and better learning environments

Progress on MDGs2: Achieve universal primary education

Ph

oto

by R

eb

ecc

a M

bu

y_B

row

n

Health

Healt

h

26

Ph

oto

by M

oth

ers Fig

htin

g fo

r Oth

ers (to

p) a

nd

the D

ep

artm

en

t for In

tern

atio

nal D

evelo

pm

en

t (D

FID) (b

otto

m)

Kenya’s vision for health is to provide “equitable and affordable health care at the highest affordable standard” to her citizens. Vision 2030

Sources: Spectrum; Economic Survey 2009

NursesLess Pressure on Health Providers

Healt

h

27

Nurs

es

Needed (

Thousa

nds)

High Fertility

Low Fertility

Sources: Spectrum; Health Sector Facts and Figures

Health CentresLess Pressure on Health Facilities

Healt

h

28

High Fertility

Low Fertility

Healt

h C

entr

es

Needed

Health ExpendituresIncrease in Savings

Healt

h

29

Cumulative SavingsUS$500 million

Expendit

ure

s (U

S$ B

illio

ns)

High Fertility

Low Fertility

Sources: Spectrum; Economic Survey 2009

2.2

2.2

2.0

2.7

0.34

Birth SpacingReduces Infant Deaths

Healt

h

30Source: 2003 Kenya Demographic and Health Survey

Infa

nt

Death

s per

1,0

00 B

irth

s

Months Since Last Birth

Improved HealthWith Less Population Pressure

Healt

h

31

More resources to train staff and retain staff

Fewer maternal and child deaths

Longer life expectancy

Progress on MDGs4: Reduce child mortality5: Reduce maternal mortality6: Combat HIV/AIDS and malaria

Ph

oto

by M

oth

ers Fig

htin

g fo

r Oth

ers (to

p), A

ng

ela

Sevin

(botto

m)

WaterSustainability

32

Ph

oto

by F

elix

Masi

The Vision for the water and sanitation sector is “to ensure water and improved sanitation availability and access to all by 2030.”

Water Consumption

Wate

r

33

Wate

r C

onsu

mp

tion (

Bill

ion

Lite

rs)

Low Fertility

High Fertility

Less Consumption with Lower Fertility

Sources: Spectrum; Water Services Strategy

Urbanisation

34

Photo by Mark Auer

“Kenya has so far been unable to plan adequately in order to accommodate her increasing urban population. It must now do so under the Vision 2030.”

Urb

anis

ati

on

Urban PopulationUrbanisation Trend

Urb

anis

ati

on

35

Urb

an P

opula

tion (

Mill

ions)

High Fertility

Low Fertility

Sources: Spectrum; Vision 2030

Rapid growth puts increasing pressure on urban infrastructure.

36

Ph

oto

by F

elix

Masi

Urban HousingFewer New Units Required by 2040

Urb

anis

ati

on

37

New

Hou

sing U

nit

s R

equir

ed

(Mill

ions)

Sources: Spectrum; KDHS 2003

High Fertility

Low Fertility

Economic PillarVision 2030

“To maintain sustained economic growth of 10% per annum until 2030.”

Eco

nom

y

38

Ph

oto

s by K

Bu

rns, Le

ila D

ara

bi, K

Bu

rns (to

p to

b

otto

m)

EconomySix key sectors have been identified to deliver the economic growth envisaged under the economic pillar: tourism, agriculture, manufacturing, wholesale and retail trade, business process outsourcing (BPO), and financial services.

Eco

nom

y

39

Ph

oto

s b

y M

ead

uva,

David

Blu

me,

An

geli

Kir

k (t

op

to b

ott

om

)

Economic View

Eco

nom

y

40Source: Kenya Vision 2030

GD

P G

row

th R

ate

(%

)

GDP Growth Rate

GDP Per Capita10% Growth Rate

Eco

nom

y

41

Const

ant

Year

2008 U

S$

High Fertility

Low Fertility

Source: Spectrum

Better EconomyWith Less Population Pressure

Eco

nom

y

43

More funding for social sector

Greater disposable family income for education and health

Lower youth unemployment

Greater stability

Progress on MDGs1: Eradicate extreme poverty and hunger

Ph

oto

s by K

arl M

uelle

r, Hod

ag

, Th

e W

orld

Ban

k (top

to

botto

m)

Agriculture and the Environment

44

Ph

oto

by F

elix

Masi

“Agriculture is a mainstay of the Kenyan economy.”

Vision 2030

Food Requirements Agri

cult

ure

45

* Assumes consumption per capita stays at 2007 levelsSources: Spectrum; MOA: Economic Review of Agriculture

Maiz

e R

equ

ired (

Bill

ion T

on

nes) High Fertility

Low Fertility

Less Food Required at Lower Fertility Rate

Actual Production

Land FragmentationHigher Population, Less Land per Holder

Land holdings divided among more family members

Lower productivity from small farms—less food security

Less food per person

Agri

cult

ure

46

Ph

oto

by T

he C

urt C

arn

em

arkW

orld

Ban

k

Issue #1

Lower Productivity

EnvironmentalDegradationHigher Population Leads to Overuse

Overexploitation

Deforestation

Erosion

Less soil fertility

47

Issue #2

Ph

oto

by C

hu

bb

y C

han

dru

Better AgricultureLess Pressure on Resources Used to …

Modernise

Fertilise for higher yields

Improve family nutrition

Reduce environmental degradation

Progress on MDGs1: Eradicate extreme poverty and hunger

7: Ensure environmental sustainability

Agri

cult

ure

48

Ph

oto

by T

he W

orld

Ban

k

Political Pillar

49

Ph

oto

by Z

ori

ah

“… moving to the future as one nation.”

Vision 2030

Population and Stability Youth

Bulg

e

Links between population growth and stability

Conflict over resources

Equity issues

Research has found that:

Youth bulges and armed conflict are strongly correlated

50

Conflict and Equity

Photo by Eirasinn

New Job Requirements

Eco

nom

y

New

Jobs

Requir

ed

(Thousa

nds)

51

Fewer Jobs Needed

High Fertility

Low Fertility

Sources: Spectrum; World Development Indicators

Outline

52

The Kenyan Vision and Population Situation

Population and Social and Economic Development

Family Planning and Unmet Need for FP Services

Policy Response

2

4

3

1

Ou

tlin

e

Family PlanningKenya

53

Primary factor to lower growth

Many women want to delay or limit births but are not using family planning.

Fam

ily P

lannin

g

Almost 1 in 2 births are

unintended or arrive too soon

Photo by Gunnar Salvarsson

Source:  2003 Kenya Demographic and Health Survey

Family PlanningEmbedded in the Culture

46% of married women of reproductive age use family planning.

Fam

ily P

lannin

g

Source: 2008 Kenya Demographic and Health Survey 54

Photo by Kitui

Trends in Family PlanningUse Over Time

Fam

ily P

lannin

g

Sources: Kenya Demographic and Health Surveys 55

Perc

ent

Family PlanningUnmet Need

56

Fam

ily P

lannin

g

Sources: Demographic and Health Surveys

Perc

ent

1 in 4 women want to space or limit births but are not using family planning

Outline

57

The Kenyan Vision and Population Situation

Population and Social and Economic Development

Family Planning and Unmet Need for FP Services

Policy Response

2

4

3

1

Ou

tlin

e

25% of married women want to space or limit births but are not using family planning.

Polic

y R

esp

onse

Unmet NeedHigh Demand in Kenya

58

Source: 2003 Kenya Demographic and Health Survey

Improving access to and use of high-quality, affordable FP services:… will help satisfy unmet need…

… resulting in lower fertility and a lower rate of population growth…

… thereby contributing to social and economic development and achievement of the national vision

ConclusionsFP and the National Vision

59

Ph

oto

by W

en

dy M

cNau

gh

ton

Why and How to ActCost of Inaction Increases with Time Po

licy R

esp

onse

60

There is high population growth, an unbalanced age distribution, and high unmet need for family planning

46% of women already use family planning

Potential for increased use is large (25% unmet need)

Political will is present

Service networks are established and developing

Increase funding for family planning

Ensure the availability of family planning commodities

Expand access via community-based distribution and public and private clinics

Improve information, education, and communication around family planning

ISSUE

OPPORTUNITY

READINESS

ACTIONS

Thank You

61

Population Factors and the National VisionKenya

61Photo by Zoriah

Support for this presentation was provided by the USAID | Health Policy Initiative, Task Order 1

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