population and health

population and health Sec. 104. (a) Section 104 of the Foreign Assistance Act of 1961 is amended to read as follows: “Sec. 104. Population and Health.— (a) Findings.— The Congress recognizes that, poor health conditions and uncontrolled population growth can vitiate otherwise successful development efforts. “Large families in developing countries are the result of complex social and economic factors which change relatively slowly among the poor majority least affected by economic progress, as well as the result of a lack of effective bi r th control. Therefore, effective family planning depends upon economic and social change as well as the delivery of services and is often a matter of political and religious sensitivity. While every country has the right to determine its own policies with respect to population growth, voluntary population planning programs can make a substantial contribution to economic development, higher living standards, and improved health and nutrition. “Good health conditions are a principal element in improved quality of life and contribute to the individual’s capacity to participate in the development process, while poor health and debilitating disease can limit productivity. “(b) Assistance for Population Planning.— In order to increase the opportunities and motivation for family planning and to reduce the rate of population growth, the President is authorized to furnish assistance, on such terms and conditions as he may determine, for voluntary population planning. In addition to the provision of family planning information and services and the conduct of directly relevant demographic research, population planning programs shall emphasize motivation for small families. “(c) Assistance for Health and Disease Prevention.— In order to contribute to improvements in the health of the greatest number of poor people in developing countries, the President is authorized to furnish assistance, on such terms and conditions as he may determine, for health programs. Assistance under this subsection shall be used primarily for basic integrated health services, safe water and sanitation, disease prevention and control, and related health planning and research. This assistance shall emphasize self-sustaining community-based health programs by means such as training of health auxiliary and other appropriate personnel, support for the establishment and evaluation of projects that can be replicated on a broader scale, measures to improve management of health programs, and other services and supplies to support health and disease prevention programs. “(d) Integration or Assistance Programs.— (1) Assistance under this chapter shall be administered so as to give particular attention to the interrelationship between (A) population growth, and (B) development and overall improvement in living standards in developing countries, and to the impact of all programs, projects, and92 STAT. 946 activities on population growth. All appropriate activities proposed for financing under this chapter shall be designed to build motivation for smaller families through modification of economic and social conditions supportive of the desire for large families, in programs such as education in and out of school, nutrition, disease control, maternal and child health services, improvements in the status and employment of women, agricultural production, rural development, and assistance to the urban poor. Population planning programs shall be coordinated with other programs aimed at reducing the infant mortality rate, providing better nutrition for pregnant women and infants, and raising the standard of living of the poor. “(2) Since the problems of malnutrition, disease, and rapid population growth are closely related, planning for assistance to be provided under subsections (b) and (c) of this section and under section 103 shall be coordinated to the maximum extent practicable. “(3) Assistance provided under this section shall emphasize low-cost integrated delivery systems for health, nutrition, and family planning for the poorest people, with particular attention to the needs of mothers and young children, using paramedical and auxiliary medical personnel, clinics and health posts, commercial distribution systems, and other modes of community outreach. “(e) Research and Analysis.— (1) Health and population research and analysis carried out under this Act shall— “(A) be undertaken to the maximum extent practicable in developing countries by developing country personnel, linked as appropriate with private and governmental biomedical research facilities within the United States; “(B) take account of the special needs of the poor people of developing countries in the determination of research priorities; and “(C) make extensive use of field testing to adapt basic research to local conditions. “(2) The President is authorized to study the complex factors affecting population growth in developing countries and to identify factors which might motivate people to plan family size or to space their children. “(f) Prohibition on Use of Funds for Abortions and Involuntary Sterilizations.— (1) None of the funds made available to carry out this par t may be used to pay for the performance of abortions as a method of family planning or to motivate or coerce any person to practice abortions. “(2) None of the funds made available to carry out this part may be used to pay for the performance of involuntary sterilizations as a method of family planning or to coerce or provide any financial incentive to any person to undergo sterilizations. “(g) Authorization of Appropriations.— There are authorized to be appropriated to the President, in addition to funds otherwise available for such purposes— “(1) $224,745,000 for the fiscal year 1979 to carry out subsection (b) of this section; and “(2) $148,494,000 for the fiscal year 1979 to carry out subsection (c) of this section. 92 STAT. 947 Funds appropriated under this subsection are authorized to remain available until expended.”. (b) Section 114 and title X of chapter 2 of part I of such Act are repealed.