Yesterday, 11th
July, 2013 was World Population Day. Commemorating the day, Zodiak Broadcasting
Station, a local FM radio station, broadcast a live panel discussion today, 12th
July starting from 19:30 hours local time (17:30 GMT) from one of the leading
hotels in Lilongwe, the capital of Malawi. The discussion that drew panelists
from the Ministry of Health, some sexual and reproductive health NGOs, and the
UNFPA, the sponsor of the programme, was lively and interesting. The audience comprised
mainly local nursing and medical university and college students.
The theme of the
discussion was “No Children by Children”. Discussants were asked to illuminate the problems Malawi is facing as a result of rapid population growth, in
general, and adolescent child bearing, in particular. They also sought to
suggest strategies that would address these challenges. It is important to
mention that Malawi is a small poor country (118,000 square kilometers) with a
population size of 14 million people and an annual population growth rate 2.8 percent.
I found the absence of
a criminological perspective in explicating the consequences of teenage
pregnancies and rapid growth intriguing, but not surprising, considering
that the panelists and most of the audience came from nursing and medical
professional and academic backgrounds. The common thread in their arguments was
that teenage child bearing and rapid population growth generates violations of
girls’ rights, exacerbates poverty and retards development. If I was present at
this debate I would argue that teenage pregnancies reduce girls’ life chances
by diminishing both their marriageability and employability. This predisposes
girls to prostitution, an illegitimate way of meeting socially valued ends.
Once girls choose prostitution as a means of livelihood, the likelihood of
entering the criminal justice system and acquiring a criminal record, becomes
high, which nearly dooms any chances of future employment and/or marriage. This entrenches such
girls and their offspring into a vicious cycle of social deprivation, an
acknowledged cause of criminality.
The discussants also
failed to see that rapid population growth would result in increase in
conflicts as resources became scarce despite all the evidence in the media.
People have already started fighting over land, water and fishery resources in many
parts of the country. Xenophobic violence against foreign business persons over
economic opportunities has also been reported in the mass media. For instance,
recently, Malawians working for a Brazilian rail construction company, Vale,
attacked Thai nationals for taking up semi-skilled work which, they argued,
should be done by Malawians.
It was surprising that
although most discussants came from the health sector, none of them suggested
the three-tier model of primary, secondary and tertiary prevention, which they
have used for many years to control diseases. This, in my view, offers a clever
organizing tool for a robust response to the problem of teen pregnancies. For
instance, under primary prevention of early pregnancies we could include
untargeted girl empowerment strategies such as compulsory girl education or a raised
marriage age. Under secondary prevention would come interventions that target
areas where the risk of teenage marriage and teenage sex is high. It is easy to
isolate such areas by using mapping techniques and by analyzing cultural
practices that fuel early pregnancies. In fact, in the case of Malawi such places are well known. Tertiary prevention would be exacted at
young girls who become pregnant, men who make them pregnant or parents who
force immature girls into marriage. These strategies would include sending
girls back to school after child birth or stiff, swift and certain penalties
for men who make girls pregnant. Indeed, this is the time to slow the population growth.
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