[Continued from
HERE.]

Birthing children is clearly no problem in Rwanda: staying alive long enough to actually raise, protect and support them IS a problem. Forget about malaria and the perpetual threat of re-emerging violence, perhaps even war. Forget about poor safe water sources and basic hygiene facilities/infrastructure. Let’s talk about HIV/AIDS, the leading cause of death in Rwanda. According to the most updated figures (2005)
- The total population of Rwanda is 9,038,000.
- There are more than 210,000 AIDS orphans under 17 years old.
- 160,000 adults (ages 15-49) are living with HIV/AIDS
- 21,000 people were confirmed to have died from HIV/AIDS in 2005, though many more were believed to have died from related complications, for example, pneumonia.
[Source of statistics: UNAIDS and the HIV Insite website.
]
The majority of orphans are taken in by extended family members, but as is the case in many places where HIV/AIDS is re-writing the family compostion, extended families are stretched beyond capacity already. Now we get to segue into the inter-relatedness of all things. While encouraging smaller families will not stop the spread of HIV/AIDS, as more and more adults contract the disease, pass it on to their children and/or die from it, if families are smaller, extended families may have a better chance at being able to support those left behind. Of course, comprehensive HIV/AIDS education including the use of condoms for prevention can also have a positive impact on family planning.
Round and round and round she goes, where she stops, nobody knows… and it won’t be here...
... Because now it is time to look at other issues that I feel need to be addressed simultaneously with keeping families small. In addition to Rwandan tradition being predicated upon the fact that children are an indicator of wealth (children and cows and, pre-colonialism/missionaries, wives) there are a couple of modern factors that have compelled people to continue having large families. Rich countries, like those in North America and Europe, have social systems that, while inadequate in many ways, do provide for some level of security in old age. Social security is a mess in our country and only getting messier, but at least it exists. In countries like Rwanda,

social security is created by having children that, after investing your entire life in their care, will give you a return on that investment by taking care of you.
It’s actually quite a beautiful thing, in many ways, as old people aren’t considered old people so much as elders. Their opinions are usually valued and they are considered important members of the family and community, even as their roles change in response to their physical strength doing the same.
The trick, then, for a good ‘social security’ program Rwandan style is not only in staying alive yourself, but in keeping your children alive. Rwanda has the twelfth highest infant mortality rate (death of children under 1 year old) in the world at nearly 102 (101.68) per 1000 children while the probability of dying before the age of five is indicated by 109 out of 1000 children. The rate does go down as the child gets older, stronger, but life in a country like Rwanda is not easy, hence the short life expectancy (approximately 47 years old.)
Even if a couple is able to keep their child alive until adulthood, they still have to contend with the worldwide trend of young people going to cities in order to look for jobs. One way or another, the more children a family has the better the chance that one or two of them will both survive and stick around long enough to take care of their parents in their old age.
If family sizes are decreased, I believe there needs to be a simultaneous, concentrated program focused on health education and increasing both the quality and availability of health care so that those three children actually have a chance to make it to adulthood. I also believe that some of the great brainpower focusing on the over-population problem needs to extend their focus to include the evolution of the traditional ‘social security’ system provided by a large family … and how it can grow as families shrink.
Otherwise, hold on folks, fore I fear backlash and the resulting media frenzy are but a decade away…
At any rate, while I do understand why 'population control' can be scary and is in no way clearly or simply 'right'... it is also in no way clearly nor simply 'wrong' when manifesting in terms of family planning, not prohibition. It’s fine to pooh pooh a plan… as a matter of fact I think it is healthy and can only strengthen the plan to poke holes in it where they exist… but THEN, as I am often saying, offer options to fix those holes and/or suggest alternatives where the plan is not satisfactory.
There is a world-wide problem with over-population. We now know, for a fact, that there are not enough resources to maintain the population growth. How can consumption be decreased in this ever gluttonous human diaspora if we keep increasing the numbers of the human species exponentially, without check? If a country like Rwanda is making an effort to be pro-active about a difficult issue, who are we to categorically dismiss their programs and with that dismissal, once again deny that there is an issue to be addressed?

If anyone is interested in sharing an opposing view, I would like to know why offering incentives for having less than three children would be a bad thing in any way? For those that believe the whole program is misguided, I would be very interested in other ideas to address the issues on the table … or even just suggestions for improvements. So many great minds working together constructively rather than just mobilizing to deconstruct each other endlessly, could probably come up with some very interesting options.
Come on … give it a try … ya know ya wanna …
In case you would like to read the original media coverage, here are the links:
New York Times
Kaiser Net
CNN and Reuters
BBC International