By Brenda Zulu
The Zambian population has been growing
rapidly for a long period of time.
According to the Zambia Population Factors and National Development
under the Ministry of Finance and National Planning, the population grew from
only about 2.3 million persons in 1950 to 9.9 million at the time of 2000 census.
According to the 2010 census report, the
population of Zambia is now at 13.4 million. Third high population growth is in
part due to Zambia’s high fertility rate as Zambian women have 6.2 children
each, on average one of the higher
levels of fertility in Africa. Because fertility has been high for a long time,
Zambia has a very young population. About 46 % of the population is under the
age of 15.
The health sector already faces severe
human resource and infrastructure shortages. Zambia aims to reduce the
population growth. For example, the long term goal is one nurse for everyday
700 persons in the population. In that case, the nursing cadre would need to increase
from 9 200 in 2007 to 47 100 in 2037 a fivefold increase if high fertility
continues.
Declining fertility would reduce the severity
of the nursing shortages in 2037, 33, 700 nurses would be required be required
with declining fertility. The country would also need fewer health centers and
other facilities and could save in health expenditures. If saving is
reinvested, Zambia could move closer to achieving a level of health expenditure
per capita comparable with middle income economies.
What
does a growing population mean to a Zambian family?
A rapid population increase will place a
greater burden at a household in terms of housing and the need for employment
to help sustain a family. In particular this pressure will exacerbate the
already poor living conditions for low income populations and people in urban
slums, who face overcrowding, inadequate shelter, lack of clean water and
adequate sanitation and increased vulnerability to exploitation and abuse.
As evidenced in other countries
declining fertility and a slower rate of population growth can contribute to
economic transformation by creating conditions for greater saving and
investment, more educational
opportunities, and modernized
agriculture. The Zambian vision to becoming a middle income country can best be
achieved a combination of fast economic growth and slower rate of population
growth.
In terms of policy response there is
need for family planning education to help couples voluntarily plan and space
birth as an important intervention to reduce fertility. However, contraceptive
use in Zambia needs to increase and at the same time Zambia Demographic Health
Survey reports a high level of unmet need for family planning. About 26.5 % of
married women of reproductive age want to space or limit birth but were not
using contraceptives.
To satisfy unmet need, Zambian couples
who want to space or limit their birth needs access to choice of contraceptive
consistently available at affordable prices. Public policies and programmes can
be adopted to help satisfy unmet need. Political and other leaders, planners
and programme implementers can all contribute to these efforts. By moving to
satisfy current unmet need, Zambia will be on track to achieve lower fertility.
In the end, good demographic outcomes depend on good policies that empower
individuals and couples to make free choices.
Zambia’s
young population
The young population age structure
means, on the one hand, than the dependency burden will continue to be high as
the working age population has to support large number numbers of child, young
and old age dependents. This can retard the process of economic growth and
present challenges for achieving poverty reduction and other MDGs. The youthful
structure also means that demographic momentum is likely to continue to swell
population numbers while spurring massive migration within and between
countries. This has implications for environmental depletion, political
stability and the inception.
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