A case study of a youthful population UGANDA Table 1. Uganda’s age-sex structure: % of population 0-14 years – 51.08% 15-64 years – 46.78% 65 years and over – 2.14% male 6,150,038 5,613,499 244,216 female 6,100,880 5,607,526 269,553 Table 1 shows that over 50% of Uganda’s population is under 15 years of age. The dependency ratio has increased significantly over the years from 100 in 1969 to 122 in 1995. This trend can be explained by i) a very high fertility rate (7.1 children per woman in 1991) and ii) a very low contraceptive prevalence rate – 16%. The two population pyramids show a significant increase in population between 1970 and 2001. The population has always had a large % of the population under 15, however Uganda’s population has now become significantly youthful (50%+ under 15) as reflected in the steep concave sides of the population pyramid. Demographic Characteristic Crude BR Crude DR Total Fertility Rate Infant Mortality Rate Dependency 1970 2001 50 19 7.1 120 100 47.52 17.97 6.88 91.3 113 The country does have a high incidence of aids, which results in excess mortality and lower life expectancy rates than otherwise would be expected. The reproductive behaviour of individual families influences the nations population as a whole and the impact of population size, growth and structure is felt in the level of welfare of individuals and the family. To a great extent what families do is determined by their income earning and knowledge, factors that are not necessarily completely in their control. The high fertility rate and youthful age structure in Uganda has resulted in the build up of a population momentum. Even if fertility were to drop drastically to replacement levels, the population of Uganda would still continue to grow for at least 40-50 years. This has far reaching implications for the development of the individual within the family and the nation as a whole, particularly considering its low level of development and technology. Socio-economic and environmental implications of Uganda’s Youthful Population Uganda’s youthful population has presented its government, economy and society with a number of problems and opportunities as summarised below: i) Family Welfare health of mothers and children is adversely affected by high fertility; early child-bearing has a number of socio-economic and health consequences teenage pregnancies increases the number of young mothers who lack material ii) resources to support their children – can affect the initial development and growth of their children. encourages school drop-out which then acts as a barrier to the educational and career advancement of women and their future independence. exposure to aids is increased with early pregnancies. Increased demand for Health services Demand for health services is rising due to high fertility (and increased further by the recent AIDS epidemic) but the health infrastructure is insufficient to cope with this and is characterised by uneven distribution and poor access to facilities and low per capita expenditure. iii) Increased demand for education services the government has set itself to achieve universal primary education by 2003 but the high birth rate may hinder this. The population of primary school age is expected to grow from 3.3 million (1991) to 7.2 million by 2021. Much larger expenditures will be needed to pay for an increasing number of teachers, classrooms and materials and equipment. iv) Labour force and employment the youthful population accounts for a substantial expansion of the labour force, which is mainly engaged in agriculture and the informal sector. The potential labour force is expected to double between 1991-2021 to reach 16.8million. Very few employment opportunities can be generated in the formal sector and these limited opportunities for growth in the economy increase problems of unemployment, underemployment, rural-urban migration and crime. v) vi) Urbanisation and Housing / Related Services. Housing is a basic human need and has implications for health and productivity of a population. Rapid increase in population has not been matched by the growth and development in basic physical infrastructure and the provision of adequate housing and social amenities is not keeping pace with demand. Outcomes include over-crowding, growth of slums and deterioration. Very low numbers have access to electricity and safe drinking water and pit latrines are the dominant form of toilet facility. Demand for Social Security although the proportion of elderly is fairly low, the youthful population and its associated problems, such as unemployed and general poverty result in high dependency. There is no comprehensive social security policy and individual household have to become responsible. vii) Demand for Environmental Resources. The following are all environmental challenges that Uganda faces: high population growth is resulting in degradation of the environment increasing land fragmentation and decrease in soil fertility causing crop yields to fall increasing use of marginal lands which can’t support agriculture sustainably depletion of wetlands to expand agricultural lands and forest depletion to gain land use firewood for fuel.