Report No. 5446-CV Cape Verde Economic Situation and Prospects (In Three Volumes) Volume II: The Social Sectors January 30, '1985 Western Africa Regional Office FOR OFFICIAL USE ONLY Document of the World Bank This report has a restricted distribution and may be used by recipients oniy in the performance of their official duties. Its contents may not otherwise be disclosed without World Bank authorization. CURRENCY EQUIVALENTS (as of August 1, 1984) Currency Unit = Cape Verdean Escudo (CV Esc.) US$1.00 = CV Esc. 80 CV Esc. 1,000 = US$ 12.5 WEIGHTS AND MEASURES 1 meter (m) = 3.28 feet (ft) 1 kilometer (km) 2 = 0.62 mile (mi) 1 square kilometer (km ) = 0.386 square mile (sq. mi.) 1 metric ton (m ton) = 2,204 pounds (lb) 1 hectare (ha) = 2.47 acres 1 cubic meter (m3) = 1.308 cubic yards FISCAL YEAR January I - December 31 FOR OMCIAL USE ONLY LIST OF ACRONYMS BADEA - Arab Bank for Economic Development in Africa BCV - Bank of Cape Verde CABNAVE - Estaleiros Navais de Cabo Verde (Shipyard Company) CNA - National Handicraft Center DGIE - General Directorate of Ine-&stry and Energy DGP - General Directorate of Planning ECOWAS - Economic Community of West African States ELECTRA - Power Generation and Water Desalinatlon Utility EMEC - State Construction Enterprise EMPA - Empresa PuTblica de Abastecimento (Commercial Network Company) ENACOL - National Enterprise for Fuels and Lubricants ENAPOR - National Ports Administration Agency ENAVI - National Agricultural Company FAMA - Pasta Factory FAP - Fomento Agro-Pecuario (Commercial Agricultural Goods Company) GDP - Gross Domestic Product GNP - Gross National Product ICS - Cape Verdean Solidarity Institute IMF - International Monetary Fund INC - National Cooperatives Institute INIT - National Technological Research Institute INTERBASE - Cape Verdean Enterprise for Fishing Infrastructure MAC - Public Construction Materials Enterprise MHOP - Ministry of Housing and Public Works MOAVE - Mill Company MORABEZA - Garment Factory NDF - National Development Fund OECD - Organization for Economic Cooperation and Development OPEC - Organization of Petroleum Exporting Countries PAICV - African Party for the Independence of Cape Verde PAIGC - African Party for the Independence of Guinea-Bissau & Cape Verde SCAPA - Company for Marketing and Support for Artisanal Fishing SIDA - Swedish International Development Authority SOCAL - Shoe Factory TACV - Cape Verde Airline Company UNDP - United Nations Development Programme USAID - United States Agency for International Development Tbis documcnt has a restricted distnbution and may be used by recipiets onb in the performneeof their ofral duties. Its contents may not otherwise be disclosed without World Bank autontioo. Contents Page Number I. Introduction and Overview ............................. ......... 1 Health ......o....... Educationo.o.-oo......... 1 Demographys e.e.oooo......oo*eooeooooooo 2 Employment ........ 2 Emigrationo ................ 3 Population Projections .................................. 3 II. Health .......................... 3 Causes of Death andMorbidity............................... 4 Malnutrition. -..0 .............. .....0-.....-.*.. ... & 5 Health Physical Infrastructureo.....oo..................... 5 III. Housing and Sanitary Facilities............................ 6 IV. Education .............o ............. 7 Organization of the National Education System............... 7 School, Enrollments, Facilities and Quality of Education. .. .... ....... ........ .me ........ Os...... ..... 8 Adult Literacy.o-.... ...................................... 10 Educational Prospects......-o. . ........ 11 V. Demographic Situation .................. 12 Age Structure and Dependency Ratios.......................-. 12 Regional Population Growth and Urbanization.....o..oo e..... . 13 VI. Demographic Situation,........................................... 15 Female Employment .................................. se...... 16 Sectoral Composition.......o..oo...oo...eo..........p...... 16 Employment Prospects............................... .....*... 17 VII. Population Policy, Family Planning and Prospects for Fertility Decline .......... .......................... 17 Population Plc ....... @@17 Recent Fertility Trends............................ ......... 19 Family Planning ........ 20 Family Institutions and Family Formation.................... 21 Normative Changes Related to Fertility Declineooo........... 23 Induced Abortion ...Poa..........ses 2 Fertility Reduction: Prospects and Policy Recommendations ........-.P..00.0... 24 VIII.Eierto ................ 26 Countries of Destination .......... . 27 Recent Emigration Trends ....................... * . 27 Permanent and Temporary Emigration .......................... 28 Remittances .................................................e 29 Costs of Emigration..................................... .... 30 Emigration Policies......................................... 31 Protection of Emigrants Abroade........................... 32 Egmigration Outlets ................................ ............. 32 Channeling of Remittances to Productive Investments.......... 34 Emigration: Prospects and Recommendations................... 35 IX. Population Projections... ....... ................................ 36 LIST OF TABLES Page Number HEALTH II. 1 CAPE VERDE: Percent Distribution of Causes of Death; All Ages and Children under one year of Age, 1980, .................................................. . .. 38 II. 2 CAPE VERDE: Health Personnel, as of June 1982 ........ 39 II. 3 CAPE VERDE: Hospital Beds per 1000 inhabitants, 1980 40 II. 4 CAPE VERDE: Percent Distribution of Malnourished Children Examined in Mother-Child Health Units by Degree of Malnutrition (Welcome Classification); by Regional Units, 1982 ....O..e ....... 41 II. 5 CAPE VERDE: Provisional Results of the Anthropometric (Torso and Arm) Nutrition Survey of Children conducted by the Health and Social Affairs Ministry; by Island, 1983 .................................................. 42 II. 6 CAPE VERDE: Physical Health Infrastructure; 1982 and Projected for 1985.................................... 43 HOUSING AND SANITARY FACILITIES III. 1 CAPE VERDE: Percent of the Urban and Rural Population with Access to Water and Waste Disposal Facilities, 1980................................... ............ 44 EDUCATION IV. I CAPE VERDE: Primary Cycle Educational Statistics; 1982-83 School Year.......... * ......**.*r..... 45 IV. 2 CAPE VERDE: Enrollment Trends in Basic and Complementary Elementary Education; 1973-74 to 1982-83 School Yeas......a...... rs........ 0 46 DEMOGRAPHIC SITUATION V. 1 CAPE VERDE: Decennlal Population Census Counts and Intercensal Average Annual Rates of Population Growth, 1878 to 1980 ........... *.0.................. . 47 V. 2 CAPE VERDE: Quinquennial Vital Rates; 1931-35 to 1976-80 ............ ......*... ......... *. .......... 48 V. 3 CAPE VERDE: Annual Vital Rates; 1961 to 1980 ......... 49 V. 4 CAPE VERDE: Age and Sex Distribution and Sex Ratios Males per 100 Females); 1980.......................... 50 V. 5 CAPE VERDE: Dependency Ratios and Percent of the Population in Productive and Dependent Ages; 1950 to 1980...... 51 v. 6 CAPE VERDE: Population, Average Annual Rates of Population Growth, and Population Density; by Islands, 1970 to 198 ...................... 52 EMPLOYMENT VI. 1 CAPE VERDE: Sex Distribution of the Population over 15 Years of Age by EcorLomic Activity; Provisional Results of the 1980 Census ............................ 53 VI. 2 CAPE VERDE: Urban-Rural Distribution of the Population over 15 Years of Age by Economic Activity;Provisional Results of the 1980 Census ..................................................... 54 VI. 3 CAPE VERDE: Distribution of the Economically Active Population in 1980 and Projected in 1985 ..............* 55 VI. 4 CAPE VERDE: Urban Employment Situation; 1978 ......... 56 VI. 5 CAPE VERDE: Percent Distribution of the Economically Active Population by Industry; Provisional Results of the 1980 Census ....................................... 57 VI. 6 CAPE VERDE: Percent Distribution of the Permanently Employed Labor Force by Level of Skills; Provisional Results of the 1980 Census ............................ 58 POPULATION POLICY, FAMILY PLANNING AND PROSPECTS FOR FERTILITY DECLINE VII. 1 CAPE VERDE: Summary of Family Planning Statistics; 1980 ard 1982, percent change ................................ 59 EMIGRATION VIII. 1 CAPE VERDE: E3timates of Net International Migration; by period 1906 through 1973 ........................... 60 VIII. 2 Rough Estimates of Cape Verdean Emigrants and Descendents living abroad, circa 1980... 61 VIII. 3 Cape Verdean Immigrants Admitted to the United States; by year; 1954 wo 1980................................. 62 VIII. 4 CAPE VERDE: Worker's Remittances by Country of Origin, 1978 to 1982 (in millions of Cape Verdean Escudos).... 63 VIfT. 5 Cape Verdean Immigrants Admitted to the United States by Major Occupation Group; Absolute Number and Percent Distribution, Fiscal Years 1977 to 1979............... 64 VIII. 6 Cape Verdean Immigrants Admitted to the United States by Age; Absolute Number and Percent Distribution, Fiscal Years 1978 to 1980............................. 65 VIII. 7 Cape Verdean Immigrants Admitted to the United States by Sex and Marital Status; Absolute Number and Percent Distribution, Fiscal Years 1977 to 1979..........7 66 VIII. 8 Age Distributions of Cape Verdean Emigrants to all Destination Countries and of Cape Verdean Immigrants Admitted to the United States; 1980................... 67 VIII. 9 Monthly Salaries of Temporary Cape Verdean Workers in Angola, as Agreed in the 1978 Bilateral Labor Accord.. 68 POPULATION PROJECTIONS IX. 1 CAPE VERDE: Projected Vital Rates under 'jarious Fertility Assumptions and no Emigration; 1980-85 to 2 0 1 0 - 1 5 ............................................... 69 IX. 2 CAPE VERDE: Projected Population Growth Rates under Various Emigration Assumptions and Declining Mortality; 1980-85 to ..................... ..... .............. 70 IX. 3 CAPE VERDE: Projected Population Size under Various Combinations of Fertility and Emigration Assumptions and Declining Mortality; 19B0 to 2015 ..................... 71 IX. 4 CAPE VERDE: Population Projection by Age and Sex; Gradual Fertility Decline and Declining Emigration Assumptions, 1980 to 20150........... . 0................ 72 IX. 5 CAPE VERDE: Population Projection by Age and Sex: Gradual Fertility Decline and Constant Emigration Assumptions, 1980 to 2015............... ............ 73 ItX. 6 CAPE VERDE: Population Projection by Age and Sex, Rapid Fertility Decline and Declining Emigration Assumptions, 1980 to 2015 .......... .......74 IX. 7 CAPE VERDE: Projected Working Age Population (both sexes, Ages 15-64) under Various Combinations of Fertility and Emigration Assumptions and Declining Mortality, 1980 to 2015. ...o. ..o..........*.e.. .... 75 IX. 8 CAPE VERDE: Projected Primary School Age (both sexes, Ages 6-12) Population under Various Combinations of Fertility and Emigration Assumptions and Declining Mortality, 1980 to 2015o....... ..... ...o..e.......... .. .. 76 IX. 9 CAPE VERDE: Projected Number of Women in Reproductive Ages (15-49) under Various Combinations of Fertility and Emigration Assumptions and Declining Mortality, 1980 to 2015 ........... .. .............o 77 I. INTRODUCTION AND OVERVIEW 1. The Government of Cape Verde has assigned high priority to social de- velopment. National efforts in these regards, supplemented by sizable inputs of financial and technical assistance from the world community, already have had significant payoffs. These accomplishments are all the more commendable when considering the precariousness of the Cape Verdean economy. They under- score the commitment of the Cape Verdean authorities to the welfare of their people. The Mission was favorably impressed with what has been done nnd by the careful and realistic approach the Cape Verdeans have followed in improv- ing some of the more pressing social needs of the country. Health 2. Cape Verde's achievements since 1975 in the health area are noto- worthy. In this brief period of timo a basic health infrastructure han beon created whose current coverage is nearly universal. The number of physical health facilities hns grown at a phenomenal rate ns has the stock of health personnel, although the country still depends highly on the services of ex- patriate physicians. Remaining shortages are gradually being reduced no addi- tional physical facilities continue to be built and existing ones expandod and modernized, and as the training of health personnel, both domestically and in- ternationally, proceeds. Results of all these efforts have besn fast in com- ing. Notable increases in life expectancy and substantial declinen in infant mortality have been recorded, and the incidence of many infectious diseases has declined, in some ca3es dramatically. Malnutrition, especially of young children, remnains a considerable public health problem, but there nre several programs in place to reduce its prevalence and its most serious consequences. Imaginative uses of foreign food a33istance are at the center of the nutri- tional programs. Free distribution of food to particularly vulnerablte grollps, and work programs financed with the sale of foreign food aid have helped satisfy most basic alimentary needs of a majority of underprivileged Cape Verdeans. Education 3. Educational accomplishments have been equally impressive, even mr-re so when account is taken of the deplorable conditions inherited frorm the pant. Illiteracy levels, while presently very high - about 70 % of the adult poipulq- tion - are certain to be reduced 3ince school enrollment rates of chiliren in basic primary education now exceed 80 %. Adult educatiGnal programs will h1no lead to reductions in illiteracy, although theae programns have yet tca reach their full potential. Enrollments at higher levels of education have in- creased sub-tsntially. At all levels of education, however, the problem of low educaticnal productivity persists due to low quality of instruction, high enrollment attrition rates, and high repetition rates. Nevertheless, qualita- tive improvements in education are taking place a3 better facilities and better trained teachers become available. Through specialized training abroad the number of highly skilled Cape Verdeans is increasing rapidly, but there i3 some concern about a snortage of mid-level technicians. These deficits are being reduced, and will decline further in the future, as additional educa- tional facilities come into line and as 3tadents on scholarship abroad are channeled into priority areas. Progress ill this regard may be slowed down by continued high emigration rates among the more skilled, and by the failure of -2- many scholarship students abroad to return to Cape Verde once their studies are completed. Demography 4. The demographic situation in Cape Verde is serious. The most recent statistical data show that natural incroase rates are in the order of 2.3 % per year. At this rate of natural population increase, a doubling of the population will occur in the next 30-odd years. Population growth rates, how- ever, are substantially lower because of sizeable emigration. 5. The Cape Verdean governmont is fully aware of the implications of such high natural increase rator and has expressed its intent of taking the necessary measures to reduce fertility levels. This objective will not be easy to accomplish given present socio-economic conditions and the normal cultural resistance encountered by fertility reduction programs. The Cape Verdean authorities are well aware of the difficulties associated with the population issue, perhaps the most crucial in Cape Verde's future development. 6. The essential infrastructure for an effective family planning program and for an equally effective contraceptive distribution network already exist - a national system of Mater-al-Child Health/Family Planning units - and edu- cational and other programs reared to increase the appeal of fertility control have either been initiated or are at different stages of preparation. In addition, there are stronr indications that even more drastic measures - measures contemplated by few other deveLoping countries - are under study to deal with the issue nf unwanted pregnancies. This strong commitment on the part of the governmert to a well defined population policy - to be fully arti- culated in the next development plan - and an ongoirng process of socio-econo- mic change may result in significant fertility declines before the end of the century. 7. A serious conntraint facing the family planning efforts is the lack of relevant information to g-uide programmatic actions. While forelgn assist- ance is already substantinl in family planning, there is considerable scope for more donor input, in pe-ticular as it applies to a comprobensive under- standing of Cape Verde's demographic dynamics. This minsion recommends that immediate consideration be given to fertility studies, including aurveys, and to the improved collection and processing of family planning information. Sex ana family planning education too are high priorities, as is increasing the availability of family planning supplies. especially to groups of women - such as young teenage girls - who up to now have had only limited access to them. Employment 8. The employment situation is grim: over 50 % of the economically ac- tive population is either unemployed or underemployed. Temporary work pro- grams, conducted under the auspices of the National Development Fund, current- ly account for approximately one-quarter of total employment. In the absence of these programs, primarily financed by the proceeds of the commercial domes- tic retailing of foreign food aid, the situation would be far worse. nigh rates of population growth in the past will aggravate further the employment situation in years to come: in light of the existing age structure employment pressures will persist well into the Nlenty-First century. While precarious -3- throughout the country, the lack of employment opportunities in some of the islands, and in most rural areas, in much worse. The ourrent drought il par- tially reaponsible for this, as the rural population encounters increasing difficulties in pursuing traditional subsistence agricultural activitien. One indication of these difficulties is the rapid population growth experienced by the country's principal cities, Praia and Mindelo, an the rural exodus inten- sfine. Unleas more determined efforts are made to correct regional imbal- ances - and this may prove to be very difficult as long an the drought conti- nueo - someday Cape Verde will have to come to terms with the problems anno- ciatod with disproportionate and unbalanced urban growth. Emigr tion 9. Emigration and the remittances forwmrded by emigrants abroad nrn of crucial significance to Cape Verde. Emigration helps reduce unemployment presnure., lowers population growth rates, and remittances account for about 40 t of Cross Domestic Product. In the absence of these remittancen tho ex- ternal dependency of Cape Verde on foreign financial assistance would be even greater, end living conditions for a substantial proportion of the population far vorse. 10. Future levels of emigration are highly unpredictable. Uany countries that have welcomed Cape Verdean immigrants in the past seem to be committed to reduce immigration levels from all source countriea. However, the ongoing international economic recovery may again met in motion high levels of inter- national labor transfers from which Cape Verde may benefit. In any case, the future cour3e of emigration iR unpredictable and largely b-yund the control of Cape Verde. ;opulation Projections 1I. The population projections includol in this report show that the tn.- got popiialtion size favored by the Cftpe Verdean Covernment by the year 2000 in attainable if relatively rapid fertility declines occur and as long an emigra- t'Ion continuen up to the end of' the century. Hligh levels of eamigration nlone ean msnnge to hold population size by the yoar 2000 at desired leveln. A big unknown in whether or not poat high levels of emigration cnn be au.ntained. Vigorous efforta will be required to bring about gradual to rapid f"rtility declinen and to ensure that fiture emigration outlets are available. I I. {EAJTH 12. One of the foremost priorities of the Cape *erde -overnment since independence has been to improve the health standards of the country. The achievement of this goal has been hindered by a de.ficient health infra3truc- ture. the dispersion of the population in nine inhabited islands. a poorly developed transportation system, and a scarcity of trained personnel. 13. Despite these problems, the country -- by West African standards -- is doing well. By 1980 life expectancy at birth was estimated to have reached 58.B years and infant mortality rate had declined from t2a in 1971 to 6o in 1980. (Some work done at the World Bank before the computation of population projections suggests that infant mortality may be somewhat higher, between 80 -4- and 90 infant deaths per thousand live births in 1980). In 1982 there were 6,120 inhabitants per physician and one nurse for every 1670 inhabitants, ra- tios wvll above what countries at similar levels of per capita income have generally reached. Of the 51 physicians in the country over half are nalio- nals. The Ministry of Public Health employs 39 physicians of which 35 are general practionors. Expatriate physicians and some nationala provide more specialized medical services. Current projections assume that by 1990 the physician neoda of thc country wvil bo covered with nationals presently study- ing medicine abroad. Nurses and other lower level health specialists are being trained domestically at generally satisfactory rates. Efforts are being made to provide a minimum or training to traditional midwives -- so as to in- corporate them into the modern health sector -- althc'tgh it is eventually planned to completely phase them out. At present (1984) there is at least a resident physician in all but two islands, and the basic health infrastruc- tural network has been extonded to most of the country. Returning national medical graduates should soon take residence in the islands not currently served. In 1980 there were 596 hospital beds in the country, or 2 per 1,000 inhabitants, 202 less than the minimum internationally recommended stpndard for a population of this size. Despite these significant advances, many deficiencies remain. 14. Among the principal health problems facing Cape Verde are those rela- ted to post-neonatal mortality and morbidity and the relatively high preval- ence of infectious disease. These problems are largely derived from the acar- city and quality of water in the country, poor environmental sanitation, mal- nutrition, and a inadequate health infrastructure. The latter is manifested through quantitative and qualitative deficits in personnel and physical faci- lities, a weak but improvine system of nealth statistics and administration, and insufficient sectoral planning. Efforts are underway to considerably strengthen the scope and quality of health statistics, to improve planning and to train additional health personnel. Causes of death and morbiditv 15. Examination of the existing statistics on causes of death indicates that the diatribution of principal causes of mortality for all age groups, while approximating those found in developed countries (heart disease, malig- nant and oaign tumors, accidents), also encompass some of those more preval- ent in countries with poor health standardn, such as diarrheal diseases and protein-calorie malnutrition. Among children under one yoar of age the prin- cipal causes of death are diarrhea, congenital causes, malnutrition and sever- al infectious diseases that today can be easily controlled with modern public health and medical means. This mixed profile of cause-specific mortality is suggestive of the successes achieved in public health within a rather diffi- cult natural and socio-economic environment. 16. An indication of these difficulties was provided by an epidemic out- break of measles in 1982. This outbreak afflicted over t000 children and pro- duced nearly 120 deaths. There is evidence that many of the children suffer- ing and dying from measles had been vaccinated against the disease; it is be- lieved that they contracted measles since some of the dossages were spoiled because of poor storage and refrigeration. An outbreak of malaria in 1982 has been blamed on the Lax enforcement of the larvicidal campaign at a time when the country had already reached the containment phase of the anti-malarial -5- efforts. The origin of the outbreak was traced to some imported cases of the disease. This is a constant problem in Cape Verde; in the first half of 1983, 3 imported cases of malaria were identified -- 2 from Guinea-Bissau and one from Angola. Aircraft arriving from African countries with high malaria pre- valence are routinely disinfected, but the probabilities for the reintroduc- tion of the malaria parasites remain high. Cases of neo-natal tetanus mortal- ity are still reported and efforts are underway to eliminate this cause of infant mortality through the universal vaccination of expectant mothers. Lepra has a high prevalence, primarily in the Sotavento islands, particularly in Fogo. Thirty-two cases are hospitalized in the Fogo leprosorium and about 600 cases are receiving ambulatory care. The means are currently available to bring these diseases under control. As the full effects of preventive mea- sures take hold, their incidence should decline further. Malnutrition 17. The high levels of mortality associated with the 1982 measles epide- mic are indicative of the malnutrition problem in Cape Verde since the lethal- ity of this disease is greatest in poorly nourished populations. However, nu- tritional standards at the present time are considerably better in Cape Verde than in other African countries with similar per capita income levels. Accord- ing to recent statistics and preliminary findings from a malnutrition survey conducted in 1983, about 20 % of the children suffer from some degree of mal- nutrition. Severe malnutrition affects about five % of the children, although significant variations are observed from island to island. Of all cases of malnutrition diagnosed in the Maternal-Child Health/Family Planning units in 1982, 2.3 % were suffering from kwashiorkor, 13.4 % from marasmos, and the remainder from more moderate forms of malnutrition. Free food distribution programs are targeted to the most vulnerable population groups - children, expectant mothers, households headed by women, the elderly - and plans are underway to produce enriched food supplements in the MOAVE flcur facility in Sgo Vicente. Diagnosed cases of malnutrition are supposed to be monitored and, when necessary hospitalized. Nutrition education campaigns are under- way. Despite these efforts, deaths from protein-calorie malnutrition are frequent (in 1980, 65 deaths from malnutrition were reported, 24 of them among children under age one). Thanks to the high levels of foreign food assistance (over 90 % of the grain consumed in Cape Verde comes from abroad) the malnu- trition problem is not much more severe. Cape Verde has historically been subjected to periodic faminss. During the most recent period of famines, the 1940s, tens of thousands of people died of malnutrition. Health Physical infrastructure 18. Health policies and activities place increasing emphasis on disease prevention although significant investments are being made towards the devel- opment of the necessary facilities to satisfy the curative needs of the popu- lation. These include the modernization and enlargement of the central hospi- tals in Praia (Santiago) and Mindelo (Sao Vicente) and of the regional hospi- tals at Ribeira Grade (Santo Antao) and Sao Felipe (Fogo). Plans are also underway for the construction of a new regional hospital on the island of Sal. This hospital will serve the needs of the population of the islands of Sal and Boa Vista. In addition, the Sal regional hospital will satisfy the requirements of the international airport Amilcar Cabral in its transit/tour- ism functions. -6- 19. The Health Ministry anticipates that between 1982 and 1965 the number of Basic Sanitary Units will increase from 31 to 44 and the number of Sa.itary Posts will remain at 32. Two additional Health Centers are planned for Santo Antao, bringing the national total to four (with the construction of the Sal regional hospital, the Espargas Health Center will be phased out). The Basic Sanitary units and the Sanitary Posts are the primary health care units for the rural and dispersed population. Together with the Maternal-Child Health/- Family Planning (MCH/FP) Units, they constitute the backbone of the country's preventive medicine system. 20. In 1982 there were operating in the country eleven NCiI/FP units, two each in Santo Antao and Santiago, and one in every other island. The MCH/FP system, first established in Sao Vicente and, since 4ts inception, with finan- cial and technical support from the Swedish foundation Radda Barnen, is at the core of the Primary Health Program. The system consiLts of permanent posts and mobile units that travel regularly over the areas under their supervision (generally once a month). The MCH/FP units monitor maternal and child health, including nutritional status and weight control, provide inmunization ser- vices, sanitation and nutritional education, and are responsible for sex edu- cation and the provision of contraceptive supplies and services. III. HOUSING AND SANITARY FACILITIES 21. It is estimated that 47 % of the housing stock in Cape Verde (26,416 out of a total of 52,206 dwellings) fails to meet the minimum requirements of habitability. While the quantitative housing deficit is relatively small - 347 units - overcrowding is common. A fair amount of new housing is being built under private initiative - primarily financed by emigrants' remit- dances. Most government housing efforts, concentrated in and around Praia - the country's capital - are geared to the construction of housing for public servants, many of them returning Cape Verdeans who had been pursuing studies abroad. The rapid growth of Praia since independence largely accounts for the disproportionate housing deficit there. 22. Some of the principal bottlenecks in the housing sector are associa- ted with poorly developed financial instruments, a shortage of construction materials, low productivity in the sector, use of inappropriate technologies, and lack of proper planning. A further aggravatir.- condition is the consider- able resources allocated to development projects which draw scarce materials and personnel from the housing sector; shortages of skilled workers and a dearth of construction materials are known to exist. 23. Several projects and studies currently underway seek to rationalize urban land use through urban planning, including zoning regulations. One pro- posal is under consideration to initiate a housing financing scheme with the cooperation of the Banco de Cabo Verde, by which loans will be provided to qualified applicants. Repayment conditions for these loans and the ir..erest rates at which they will be provided are under study. A Housing Development Institute will be organized to assist the construction sector. Also under consideration is a "self-construction" support program for urban and rural areeb; this program will provide subsidized construction materials. -7- 24. The vast majority of the population of Cape Verde lacks adequate ac- cess to potable water and sewage services. Piped water and public sewage are limited to the cities of Praia and Mindelo. Only 8.4 % of the urban popula- tion of the country receives piped water while 4 % is connected to public sew- age. But even the supply of water to the urban population served by pipes is erratic, with interruptions in services occurring frequently or water supplied for only a few hours a day. An additional 28 % of the urban population has reasonable access to public water taps; only 13.5 % of the rural population has satisfactory access to potable water. The %ages of urban and rural popu- lation with access to septic tanks, letrines and other such sanitary facili- ties are low: 8.4 and 6.0 %, respectively. 25. These highly unsatisfactory conditions represent what is perhaps the most serious public health problem in the country, and are closely associated with the high prevalence of diarrheal and other infectious diseases. Several projects are planned during the 1980-90 period - the International Water and Sanitation Decade - to substantially improve the rural and urban coverage of the water and waste disposal facilities. A number cf feasibility studies fi- nanced with international assistance are underway but it can be anticipated that the severe water shortage associated with the prolongued drought will make the achievement of the desired objectives even more difficult than under more normal conditions. Unavailability and high costs of potable water in public health, as in many other sectors of the Cape Verdean economy, are severe constraints in the country's development efforts. Some of the negative implications of water shortages are discussed in more detail elsewhere in the Mission's report. IV. EDUCATION 26. It is estimated that in 1982 about 70 % of the population of Cape Verde was illiterate: twenty % of males and 40 % of females over 15 years of age in urban areas, and between 60 and 80 % of rural household heads could not read and write. Because of these high levels of illiteracy, the Cape Verdean educational authorities have assigned a high priority to raising basic educa- tional standards. Considerable efforts have been undertaken to expand the national school system, including new teacher training, and programs of adult literacy have been established. School overcrowding and low levels of in- struction continue to plague these efforts, although significant improvements have been achieved. Educational improvements have also been evident at higher levels of education despite a lack of proper physical facilities and trained staff. The national school system continues to suffer from low productivity, with low retention and high repetition rates. Organization of the national education system 27. The national education system is organized in various tiers. There is a semi-autonomous kindergarten network, administered by the Instituto Cabo- verdeano de Solidariedade and the national Red Cross intended to serve the pre-primary needs of children ages 4 to 6. Elementary education is organized into two cycles: four years of basic elementary education for 7 to 10 year old children, and two years of complementary elementary education for children 11 to 12. Secondary education can follow several ti.acks. One is the lyceums, or high schools, with five years of formal training and also divided into two cycles, three years of general training and two of complementary training. -8- 28. Facilities for technical and commercial studies are available. Train- ing in technical and commercial fields generally last from two to three years and is given in several areas including mechanics, electricity, civil con- struction, administration and commerce, home economics and rural extension services. There are also teacher training schools in Praia, Mindelo and Santa Catarina requiring for admission completion of the first cycle of secondary education. Training in the teaching schools last for a two-year period. More specialized training is available at the Naritime Training Center at Mindelo, currently undergoing expansion with World Bank support. Study courses actual- ly provided or planned at this center last from one to three years and include coastal navigation officer/fishing skipper, coastal/fishing vessel engineer officer, able seaman, mechanic, radio maintenance technician and port adminis- trator. Admission requirements vary in accordance with the field of study being pursued. Professional education is also available at the Center for Administrative Training and Promotion since 1978. With courses lasting two years and divided into three cycles this center offers training in general administration, economics, finance and labor administration. 29. The Ministry of Health and Social Affairs conducts on an irregular basis - as needs are identified and resources become available - training courses for nurses, laboratory technicians, and social workers. Length of training varies from field to field. At present there is no university in Cape Verde, and no plans to establish one. All Cape Verdeans pursuing uni- versity studies do so abroad. School enrollments, facilities and quality of education 30. The expansion in the coverage of Cape Verde's elicational system, already described in the 1980 World Bank Mission to Cape Verde report, has continued into the 1980's. In the 1982/83 school year, enrollments in basic elementary education reached 47,000 children almost equally divided between boys and girls. This represents a decline in relation to the mid-1970's, when there was a spur in enrollments. Higher enrollments at that time can be at- tributed in part to demographic factors (larger cohorts of elementary educa- tion age children), and partly to overambitious attempts to enroll as many children in school as possible following independence. The students were distributed in 436 schools with a total of 761 classrooms and 1447 teachers. Of the total number of classrooms, 63 % were expresively built or adapted for educational purposes. These facilities are owned by the Ministry of Education and Culture and are considered to be generally adequate. The remaining class- rooms were rented or borrowed quarters, most of which fail to meet desirable standards. The current distribution represents a considerable improvement over the 1978/79 school year when over half of the classrooms did not meet minimum standards. In complementary elementary education in 1979/80 there were 15 schools with a total of 108 classrooms. Enrollments at this level more than doubled between 1973-74 and 1982-83. 31. According to data provided in the First National Development Plan, 80 % of basic elementary education school children (ages 7 to 10) were enrolled in school. Only 12 % of children in ages 11 to 12, however, were attending the second cycle of elementary education. It is estimated, however, than less than 50 ° of children enrolled in basic and complementary primary education complete the respective cycle. Government plans call for increasing basic elementary educational enrollments to 100 % and of complementay elementary -9- education to 30 % by 1985. Although these objectives are commendable, it would seem more desirable to allocate greater efforts towards reducing the prevailing high attrition rates if overall educational standards are to be raised and the productivity of primary education increased. In all likelihood most children attending primary schoo' for only a limited time are function- ally illiterate. 32. Overcrowding in elementary schools, although declining, continues to be a problem. The number of students per classroom has dropped from 78 to 71 between 1978/79 and 1982/83 and the number of students per teacher from 39 to 32. In 1982/83, 307 teachers, or some 21 % of basic elementary education tea- chers, -i'ere instructing three groups of students a day. This represents an improvemient fro= 1975/76 when 400 teachers were using the three shifts a day system. In the schools where three shifts are used, some of the children (usually in the first two grades) spend on the average only 2.5 hours in class a day. The goal of educational authorities is to raise the average minimum number of class hours to 4.5. Considerable amounts of foreign financial assistance have had a substantial role in promoting these improvements. USAID and other donors, for example, have helped finance the construction of over 100 schools. 33. Some improvemente have also been registered in quality of instruction but staadards are still very low. In 1981/82 only 9.8 % of primary school instruc.ors had received standard zeacher training, 80 % had obtained some pedagogical training after completing the two basic cycles of elementary edu- cation, and the remainder were classified as "monitors". Monitors are spe- cially trained paraprofessionals who follow two months of teaching instruction but who have only completed the first four years of elementary education. A teachers training center at Santa Catarina with a capacity of 300 students was slated to begin its activities in 1982. This school will help increase sub- stantially the number of trained Cape Verdean teachers. Special courses and training opportunities are being offered to upgrade teacher's qualifications. 34. The network of kindergarten facilities is estimated to be serving only 10 to 15 % of the children 5 to 6 years of age. Some preliminary evalu- ations of the school performance of children who have gone through the kinder- garten system when reaching elementary levels are very positive, since these children do better than children who did not receive pre-elementary instruc- tion. Reportedly, the currant number of kindergarten applicants exceeds the number of available positions by a two to one margin. Despite this high demand, however, only a very gradual expansion of the kindergarten network is anticipated given the higher priority assigned by the government to other educational areas, competition for scarce resources, and high operating and construction costs of kindergarten facilities. 35. There are two high schools in Cape Verde, one located in Praia and one in Mindelo, plus an extension facility in the island of Sal. In total, the high schools have 51 classrooms and 132 teachers. Overcrowding is par- ti:LJarly acute in the Praia high school since the facility is also being used to train secondary school teachers. The total number of students enrolled in high school in 1983 approximates 3200. At the Escola Industrial e Comercial de Mindelo, established in 1956, there are some 500 day students (length of studies is three years) and an additional 200 evening students (for four years, on the average). The dropout rate at this scholl is about 30 %. When -1 0- admitted day students must be 17 years of age or younger. The school has about 40 teachers, some on a part-time basis. Belgium recently provided a 1.2 million US dollars grant to upgrade the workshops and curriculum of the school. The school provides 28 scholarships for needy students - mainly from Santiago, the most populated island - but has no boarding accomodations. 36. The government is giving serious consideration to opening a second technical school at Praia. The proposed school would satisfy an important national need, since students from the Leeward islands find it very difficult to attend the Mindelo school. There is high demand for the Mindelo graduates. The nearly completed Mindelo shipyard, for example, has recruited or is in the process of recruiting 100 of the scnool graduates and is providing them with additicnal training. More recently, since July 1982, the Centro de Formacao Profissional e Artesanal e Promocao Rural de Sao Jorge, just outside of Praia, has begun to train artisans. This center, run by the Instituto Cabo Verdiano de Sol-daridade, trains students in various trades (carpentry, electricity, rural extension, automobile mechanics). The current capacity of the center is for 100 boarders, but its capacity will be increased to 300 resident stu- dents. Students are selected on the basis of need and through national com- petitions. The Center receives financing from several 1GO's and from FAO (through the Ministry of Agriculture) for the training of agricultural exten- sion agents. 37. The Ministry of Education and Culture estimates that in 1982/83 approximately 1000 Cape Verdeans were pursuing university and technical stu- dies abroad. Of these some 100 were pursuing medical studies. Students from Cape Verde can be found in countries all over the world. In 1980 the corres- ponding figure was 688 - 85 % of which enrolled in aivanced studies. One alarming trend is that the ratio of students in professional fields greatly outnumbers the number of students in para-professional and mid-level studies. The government is making efforts to correct this inbalance by assigning a larger number of scholarships in priority areas more in accord with the nation's needs. Some concern has been expressed by the authorities about the relatively large number of scholarship students failing to return to Cape Verde. Adult Literacy 38. In the area of literacy training for adults the government has set what apl?ears to be an unrealistic goal of eradicating illiteracy by the year 1990. In 1982, 148 cultural centers for literacy instruction were function- ing. They were serving a student population of 2147 students, with 120 liter- acy tra:.ners, including 40 volunteers and other officers from the Ministry of Educaticn and Culture. The number of cultural centers, students and teachers in 1982 represents a significant increase over 1980 when only 88 such circles were available, with 1253 students and 80 teachers. Within the Ministry, a Department of Educapao Extra-Escolar was created to administer the adult literacy program. The National Commission on Literacy, established at the same time, is composed of representatives from the various ministries and political organizations dealing directly with socio-economic development issues. The literacy progam is facing many difficulties: it appears highly unlikely that the 1990 goal of eliminating illiteracy will be reached. Some of these difficulties are related to shortages of financial, physical, and human resources and to the fact that instruction is provided in Portuguese, -11- being Creolo the vernacular of the country. The high dropout rates among school age children are also indicative of the poor prospects for the elimi- nation of illiteracy by 1990. Educaticnal Prospects 39. In this Mission's opinion, the government of Cape Verde merits high marks for its commitment to education. The quality of the country's principal resource - its people - is gradually been improved through the efforts of Cape Verdeans and the generous assistance of the international donor community. The progress made is evident in enrollment growth and also in the composition of the school population. While in 1973/74, 91.5 % of all students were in basic elementary education, 5 % in complementary elementary education, and .5 in technical/professional education, by 1980/81. 83.2 % of the students were en- rolled in basic elementary education, 11.5 % in complementary elementary edu- cation, 3.8 % in high school, and 1.2 % in techuical professional education. 40. The Natianal Development Plan realistically identifies the short term needs of the country and takes into account the major limitations hindering national educational goals. Cape Verde seems to be well underway in reducing a severe shortage of qualified teaching personnel and in improving the physi- cal educational infrastructure. Illiteracy will remain a serious concern well into the future, although its overall prevalence will decline as better educa- ted cohcrts of young children reach adulthood and the adult literacy programs expand. It is evident, nevertheless, that educational progress is hampered by the low productivity of the national schools and by low quality of instruc- tion. It will be many years before the corrective actions currently planned will improve this situation, although there is hope for the future as the educational physical plant is improved and better trained staff is educated. Improvements in socio-economic conditions would also assist as the intrinsic value of education is internalized by Cape Verde's population. Continued high rates ol' population growth are a problem since the number of school age children will continue to rise. 41. Given the large number of Cape Verdeans pursuing studies abroad it is to be ex-pected that some of the bottlenecks associated with shortages of high- ly skilled personnel will ease in the future, although the loss of students trained abroad may retard progress in this area. The concern expressed by the government about increasing the available pool of mid-level technical person- nel, through training abroad and in the country, is shared by the Mission. The Mission reinforces the government's perception that vocational and tech- nical education is an unmet need, and thus strongly recommends that measures be taken to expand the national technical school system. The establishment of the technical school at Praia should be a top priority. V. DEMOGRAPHIC SITUATION 42. It is generally believed that at the time of discovery, in the mid- fifteenth century, the Cape Verdean archipelago was uninhabited. The islands were initially populated by the Portuguese and by African slares forcibly brougth into the colony. The present ethnic composition of the population, as well as the country's culture, reflects the intermingly of these two popula- tion stocks over the centuries. Since it was settled Cape Verde's demographic -12- history has been characterizod by marked fluctuations in population growth rates. In three decades since 1878, negative population growth rates were actuall:, recorded. These periods of population decline were associated with famines produced by recurrent droughts, the latest during the 1940'.. This famine .slone led to the death of some 30,000 persons. Heavy emigration from the arciipelago, of varying intensity from period to period, is also associa- ted withl the decadal fluctuations in population growth rates. It can be esti- mated, although with some uncertainty, that during this century alone over 120,"nn persons permanently emigrated. 43. As a result of this emigration, changes in mortality, and occasional fertility swings the size of the Cape Verdean population has increased at an erratic pace. Between 1878 and 1950 - a 70-odd year period - the size of the population increased by 50 %, from 99,000 to 150,000 people. Between 1900 and 1930, however, the absolute size of the population hardly changed, although in the interval there were notable changes in population size. After 1950, as in most other developing countries, the rate of population increase accelerated because of declining mortality and, in the case of Cape Verde, rising fertili- ty following the 1940's famine. Between 1950 and 1970 the population grew at an apprcximate rate of three % per year, the growth rate declining between 1970 and 1980. Population size almost doubled between 1950 and 1980. This doubling of the population occurred despite the fact that between 1970 and 1980 the growth rate declined to less than .9 % per year, largely because of emigration. The decadal average growth rate mask significant fluctuations in annual population growth rates resulting from age structure changes associated with var7ring levels of emigration, fertility, and mortality (discussed in some detail eLaewhere in this report), and with emigration itself. 44. Rates of natural population increase have declined since the 1950's when ther exceeded 30 per thousand. Natural growth rates reached their lowest levels in recent years during the first half of the 1970's decade when they hovered around 20 per thousand. The rate of natural increase has apparently been on ,;he ri3e 3ince 1976; by 1979 and 1980 it seemed as if the historically high levels of the 1950's were about to be reached again. Marked swings in the birth rate and a constant trend of declining mortality are associated with these trends. Note, however, that the population growth rate as oppossed to the rate of natural increase was below one (0.83 per year) during the 1970-80 decade. In the absence of emigration the population of Cape Verde would have increaseci much faster. One reason partially accounting for the erratic course of the birth rate may very well be a statistical artifact resulting from a changing and uneven completness of birth registration. Until careful studies are conducted, deficiencies in v tal registration should not be ruled out as possible culprits behind the rather uncharacteristic birth rate fluctuations. However, it appears not to be accidental that the late 1970's birth rate in- crease coincided with reportedly higher than ordinary levels of return migra- tion, ani the arrival at reproductive ages of the larger birth cohorts born since the early 1950's. These changes in the birth rate reflect short-term compositional a.e-structure effects, and zhus are not necessarily the result of fluctaations in age-specific fertility among women in reproductive unions with spouse present. Age structure and dependency ratios 45. The distinctive demographic history of Cape Verde is reflected in the -13- 1980 census age-sex population pyramid. The base of the pyramid is very wide, an indication of the high fertility levels prevailing since the 1950's, and the rapLd infant mortality decline recorded in recent years. The indentation at ages 30 to 39 denotes the impact of the high mortality and lower fertility associa:ed with the 1940's famine, and that between ages 5 and 9 the temporary birth rite decline during the first half of the 1970's. Particularly notice- able in the population pyramid is the deficit of males in relation to females, more marked between ages 20 and 55 because of the emigration of working age men. Age-heaping, because of faulty age reporting, can also be observed. Age-heaping appears to be less severe than in other African countries because of the pervasive influence of Portuguese culture, and hence of the importance attached to age in Western countries. 46. The considerable fluctuations in mortality and emigration - and to a lesser clegree, of fertility - have had a substantial effect in the dependency ratios recorded in the Cape Verdean censuses since 1950. According to the 1950 census there were 62 dependent individuals (below age 15 and above age 65) for every 100 persons of working age (ages 15 to 64). By 1960 the depend- ency rat;io had risen to 91 dependent persons per 100 persons in working ages. This dramatic changes is associated with the aging of the much reduced 1940-50 birth cohort. By 1970 the dependency ratio stood at 111, declining to 109 by 1980. This decline can be largely explained by the temporary birth rate decline of the early 1970's and by the arrival at working ages of the larger birth cchorts born since the 1950's. While the dependency ratios computed by relatine exclusively the population under age 5 to the population in working ages declined somewhat between 1970 and 1980, the relative weight of older persons rose during the same period. This change has important social impli- cations. For example, it will affect the necessary mix of health care facili- ties sirce those required by the elderly are different from those required by infants. In both 1970 and 1980 only about 47 % of the population was in the prime working ages. 47. The dependency ratios recorded for Cape Verde at the3e two dates are are amor.gst the highest in Africa. In all of Africa there are about 100 per- sons of working age for every 92 dependent individuals. In West Africa the comparable ratio approximates unity. In developed countries, in contrast, the usual ratio is of about two productive individuals for each dependent person. The impl.ications of such high dependency ratios for Cape Verde are even more negative! when one considers the high levels of unemployment and underemploy- ment prevalent in the country. Regional. population growth and urbanization 48. Population growth in all the islands of the Cape Verdean archipelago has not followed a similar pace. Since the 1970's, and particularly since independence in 1975, there has been considerable internal migration. Most population gains resulting from internal migration have accrued to the islands of Santiago and Sio Vicente, where the two largest cities in the country - Praia and Mindelo - are located. The growth of Praia during the 1970's aver- aged 5.2 % per year. This rapid growth is partly associated with government activities and employment, much expanded since independence, which are concen- trated -there. Between 1970 and 1980 four of the islands (Boa Vista, Brava, Santo Aatao and Sso Nicolau) lost population, both because of internal and international migration. -14- 49. Population densities vary significantly from island to island. These variations are closely associated with the natural endowment of each island. In 1980 population densities ranged from 5.4 persons per square kilometer in Boa Vista, the least densely populated island, to 183.2 in Sao Vicente, the most densely populated (although the vast majority of the population of this island lives in the city of Mindelo). Nearly half of the country's population resides on the island of Santiago. About 90 % of the total population of the country can be found in only four of the islands (Santiago plus Fogo, Santo Antao and Sso Vicente). The population of no other island, except for Sso Nicolau, exceeds 10,000. 50. Preliminary results of the 1980 census indicate that 27 % of the country's population resides in urban areas, 8.5 % in semi-urban areas, and 64.5 % in rural areas. Despite this relatively low level of urbanization city growth is ocurring rapidly. Recent trends in population distribution are wor- risome since they indicate that Cape Verde may be beginning to develop a high degree of primacy, a problem that plagues many developing countries. It must be noted, however, that the rapid growth of a few urban centers may have res- ponded more to poor agricultural conditions produced by the drought than to uneven patterns of government investments favoring cities. The rural develop- ment efiforts being carried out by the Cape Verdean government have been sub- stantial, as have the activities associated with the equitable distribution of health establishments, schools, and other social facilities. The rural work programs sponsored by the National Development Fund probably also act as a break to rural to urban migration. VI. SPL MENT 51. High levels of unemployment and underemployment historically have been and continue to be some of the most serious problems characterizing the economy of Cape Verde. In the foreseable future the employment situation is likely to aggravate further given the prevailing high rates of population growth and the relatively larger size of younger population cohorts arriving at working ages. 52. According to provisional results of the 1980 census, 53.8 % of the population over 15 years of age was economically active (employed, self-em- ployed, or looking for work), or 91,300 our of 169,800. Of the total economi- cally active population, 28.8 % (26,300) were recorded as unemployed. In ur- ban areas unemployment affected 27.1 % of the economically active population: in rural areas the comparable figure was 29.9 %. Only 31.4 % of the economi- cally active population was permanently employed; the remainder, 39.8 %, were temporarily employed during the year for various lengths of time. Underem- ploymenr- levels, therefore, are very high. It can be estimated that between 40 and 45 % of the potential labor force (the population in working ages, many in the inactive population who would seek paid employment if it were avail- able, and those involved in non-wage subsistence activities) is underemployed: 60 % in rural areas and nearly 20 % in cities and semi-urban areas. 53. Employment surveys carried out by ILO in 1978 in the cities of Praia and Mindelo found that 23.9 and 29.3 % of the labor force, respectively, were unemployed. More than 5 % of the inactive and unemployed population in Praia -15- and 17.0 % in Mindelo were supported by remittances received from abroad. In both cities high levels of unemployment were attributed in part to consider- able rural to urban migration ( and to migration from other islands) because of the drought. Some of the unemployment in Mindelo was also related to re- duction in bunkering activities at the port. Jobs generated by the public sector represented 61 % of total employment in Praia, but only 47 % in Mindelo. These differences in public sector employment are believed to account for the unequal unemployment rates between the two cities. The high levels of public sector employment in Praia are indicative of the primate role of that city in the administrative affairs of the country. 54. Because of these high levels of unemployment and underemployment the productivity of the Cape Verdean economy is very low, as are average income levels. These characteristics, together with the high dependency ratios dis- cussed oarlier, suggest that average household income is barely at a subsist- ence level for the vast majority of Cape Verdeans. Further aggravating this situation are the poor agricultural prospects of the counzry, since the rural population can only engage in limited non-market, subsistence economic activi- ties. 55. As severe as the unemployment situation is, it would be much more acute were it not for the infrastructural development work programs organized by the Cape Verdean government through the National Development Fund. By the early 1980s these programs provided temporary employment of various durations to between 20,000 and 25,000 workers. In 1q80, 84 % of these jobs were in rural areas. The two principal goals of the 1982-85 Development Plan in the employment sector are increasing the current levels of temporary employment through the work programs and achieving a limited increase in the number of permanent jobs. The plan anticipates that the number of temporary jobs will increase about 45 %, employing some 10,000 sore additional workers. It also foresees an increase in permanent employment of 6000 jobs by 1985. The plan assumes that the estimated unemployment rate will decline from 29 to 21 %, while the absolute number of unemployed workers will drop by 4,000. In the interval it is assumed that the economically inactive population will increase by 14 %. These projections are, of course, contingent on the realization of the investment goals of the plan, and only take into account the population over age 15 currently working or seeking work and do not consider changes in productivity and income. As noted, the potential labor force is much larger. 56. The uncertainty of the plan projections can be underscored by point- ing out that some of the anticipated development projects upon which the em- ployment forecasts were based have been either cancelled or postponed - the Maio cement plant, for example. It was projected that the cement plan would generate over 100 direct jobs and many more indirectly because of its economic linkages. The ever present but highly unpredictable possibility that the drought may end, to cite another example, could affect the work employment programs if the volume of foreign food assistance is reduced. Of course, the end of the drought would improve employment and income prospects in rural areas. The important point is that future fulfillment of employment projec- tions is heavily dependent on maintenance of foreign assistance at anticipated levels. But even under the most optimistic scenario employment issues are likely to dominate the economic thinking of Cape Verdean planners well past 1985. -16- Female employment 57. Female labor force participation rates were only half as high as they were for males (35.2 % and 77.7 %, respectively). Of the economically active females, a much greater %age were classified as being unemployed, 40 % of the women and 20.6 % of the men. While lower female than male labor force parti- cipation rates are the norm in moot countries, these findings suggest that many women in Cape Verde do not attempt to enter the employment market given the prevailing high levels of unemployment. Many women are being employed an wage laborers in rural work programs; it is reported that they are paid sub- stantially less than male workers. Among women not classified as economically active, especially in rural areas, a substantial number are engaged in non- wage subsistence activities. The potential for future increases in female labor force participation rates is high given low income levels in Cape Verde, considerable social changes taking place, and high prevalence of female headed households. One important constraint to female participation rate increanes is the fragile state of the Cape Verdean economy. Further entry of women into the economically active population will add more pressures to the already bur- dened employment market. Sectoral componition 58. The distribution of the economically active population by industrial activity clearly reflects the sectorial structure of the Cape Verdean economy. Over 47 % of the economically active population is engaged in agriculture, fishing and extractive activities. Approximately 60 % of the Cape Verdean population derives some income from these sectors. Manufacturing and con- struction accounts for 9.4 % of employment, trade and banking for 9.8 % and services for the remainder (33.4 %). Services, of course, is largely a residual category that inicludes many of the underemployed (e.g., peddlers) with very low income I'vels. 59. The skill composition of the permanentiy employed workforce is like- wise symtomatic of Cape Verde&s low development levels; even among this group of workers 40 % are classified as unskilled, with high level personnel and technicians representing only four % of the total. The urban employment sur- veys referred to earlier found that over 70 % of jobs in Praia and Mindelo were in services, with Mindelo having over twice as high a %age of jobs in industry as Praia (9.6 % versus 4 %). 60. In urban areas a considerable portion of those engaged in economic activities hold occupations with only minimal productivity. In some regards, these vorkers may be seen as belonging in the informal sector, but in the Cape Verdean context this label may be somewhat of a misnomer. There are very few enterprises in the country - outside of government related activities - that can be described as modern. The exception is a limited number of small and medium size publicly-owned, mixed or private enterprises, such as Morabeza, the clothing manufacturer. Most other enterprises in urban areas would fall into the category of firms with less than 10 employees, many of whom are only occupied on a part-time basis, an increasingly common limit being used to des- cribe the informal sector. Most of the smaller business enterprises engage in marginally productive activities such as retail sales and services, although a few are found in manufacturing. Outside of the government sector, then, most economic activity in urban areas of Cape Verde fits into what in other coun- -17- tries is deacribed as the informal sector. The lack of alternative productive options elsewhere in the economy forces many workers into the:e marginally productive occupations. Employment Prospcta 61. I1p to the end of this century there is little that Cape Verde camn do to slow-down the growth of the labor force since future labor force entrants have n ready beon horn. The maintenance of emigrit.ion rates at the }igh levels of the rocont past can help amelliorate employment preseureon substnn- tially. Naturally, the future course of emigration can hardly bo predicted and in always fraught with uncertainty. This is specially true today when many countries that have beon favorite destination of Cape Vordean workers in the past, such as liolland, are taking steps to curtail labor migration. In addition, the country faces serious constraints concerning the potential ex- pansion of productive employment in agriculture. Thus, it seems evident that future employment generation efforts must place heavier reliance in the nrean of fisheries, small industry, tourism, and in the establishment of selected but economically viable medium to large Industrial projects. Thsce re-:om- mendations of the M'ission are discussed in some detail elsewhere in thin report. 62. Given the poor resource base of Cape Verde it is inescapable to con- clude t nat one of the most important solutions to the problems of development, including employment, is demographic. Population and labor force growth rates must be reduced if employment and income prospects are to brighten over the medium to long term. VII. POPULATION POLICY, FAMILY PLANNING AND PROSPECTS FOR FERTILITY DECLINE 63. The government of Cape Verde is fully aware of the country's demogra- phic prospects and of the deleterious effects of a rapidly growing population in an environment with a very limited resource base. According to figures presented in the First National Development Plan, were the estimated current rate of natural increase to remain unchanged for the remainder of the century, the population of Cape Verde would increase from 296,000 in 1980 to 535,000 by the year 2000. At this rate of natural increase, even assuming a continuation of emigration at the levels prevailing during the 1970-80 decade, the Covern- ment estimates that the population would reach 485,000 in the next 20 years. (See Section IX on population projections in this report for an a3sessment of the government's projections and somewhat different conclusions). Thi3 is a population size well in excess of the 420,000 people at which the government would like to limit population growth by the end of the century. The latter population size is consistent with the government's goal of reducing the rate of natural population increase to 1.7 % a year by the year 2000. This goal can be reached by achieving substantial fertility decline, although population growth rates may remain low due to emigration. Population Policy 64. As seen by the government of Cape Verde (as stated in the First National Development Plan), a national population policy should be comprehen- -18- Sive. It should take into account not only the objectives of achieving a desired population size and a given rate of population growth, but it muat also consider a multiplicity of social objectivea associated with this ulti- mate population size. These include, aside from the obvious goal of reducing fertility, those associated with mortality, population distribution, emigra- tion objectives, and the walfare of Cape Verdeans abroad. Numerous obatmolon are recognized as facing a national population polioy, in particular an they relate to fertility reductions. Foremost among these are traditional values associated with desires for a numerous progeny - or a reliance on fato - usu- ally found in conjunction with conditiona of economic subsistence, high mor- tality, and low lovals of education. The government ham stated that it plans to incorporate into its noxt development plan a fully articulated populatlon policy. This policy will be doveloped after a careful eoxminaition of Cape Verde's aocio-ecor.v.atc prospects, and nfter the detailed evaluation of exist- ing statistical sources (the 1980 cannus sand other data). 65. Fertility reduction policies, at their most basic level, may be con- ceived of as having two basic components. The rirst one addresses the ques- tion of the factors that motivate women, or couple., to want to limit their fertility. The second has to do with the availability of modern contraceptive means to do so. There is general consensus today that a multiplicity of vanr- ablea associated with the socio-economic development process nre important pre-requisites for, or at ]east are closely ansociated with, fertility de- clines. The following merit special rtention: increases in per capita income and attendant improvements in standards of living; literacy and increased edu- cational attainment, including sex and family education; declines in infant and general mortality; the substitution of traditional family and old age sup- port systems by support systems associated with socio-economic development and social security networks; increased urbanization; and, in general, a reduction of life's vicissitudes that permit people to plan their lives over a pro- longued time horizon. 66. Present conditions in Cape Verde are far short of satisfying these pro-requisites. Most of the country's population livea at a level of subsist- ence, with about 50 % of the economically active population being unemployed or underemployed. Per capita income is amongst the lowest in the world. Mal- nutrition in widespread. About 60 % of adults over age 20 are illiterate. Health levels, while improving, still rem%in relatively low. Women live in a subordinate position to men, their main functione being those of mothers, and burdened by subsistence shores, such as ca:rying water and collecting fire- wood. 67. Yet, many of the social and economic prograsw being institued by the government most likely will radically alter many of these conditions within the next two or three decades. In 1980, 80 % of children in ages 7 to 10 were attending elementary schoois. The infant &ortality rate is estimated to have declined to about 60 per thousand live births. Considerable efforts have been made to improve nutritional standards. A very active and dynamic national Organization of Women is gradually raising the levels of female consciousness and education. While much remains to 'S done, things are happening and the government is mobilizing its available resources with a high degree of commit- ment to improve the socio-economic conditions of the Cape Verdean people. Nevertheless, it is inescapable to conclude that under conditions such as the one prevailing in the country, only a very gradual and slow fertility decline -19- should be anticipated, unless increased prograw=atic efforts are initiated and some relatively radical measures instituted. Some of the reasons behind this assesstment are reviewed below. Recent Fertility trends 68. Fertility does not appear to have yet entered into a sustained phase of decline. The estimated crude birth rates between 1970 and 1980 show a rather erratic course. They suggest a steep fertility decline from 1970 to about 1975, followed by an equally rapid increase from the latter date to 1980. There are some indications suggesting that these fluctuations in the birth rate are primarily the result of changing patterns of emigration and population age-structure, rather than because of marked fluctuations in mari- tal age-specific fertility rates among women with spouse present. It is known that during the early years of the decade emigration reached very high levels, partly in response to the economic deterioration experienced as the country began to feel the severe effects of the drought. Emigration is believed to have peaked in 1972 when about 8,500 people left the country. By 1975, the year Cape Verde gained its independence, to the contrary, there was substan- tial return migration. Since then emigration has continued but reportedly at lower levels, some 1,500 to 2,500 net emigrants per year as of 1980. Some Cape Verdean emigrants continue to return. While it is impossible to verify with exactitude these trends, they suggest that the noted birth rate decline during the early part of the decade was partly induced by increased emigra- tion. Emigration from Cape Verde, largely male selective, would induce a birth rate decline primarily through mechanisms associated with mating pat- terns, largely cohabitation and a lack of potential mates. As the intensity of emigration declined, and as many earlier emigrants returned, it is plausi- ble that cohabitation and union-formation rates rose, influencing the birth rate back towards its historically higher level. 69. Changes in age structure may have been equally significant, or more important, factors associated with the 1970-80 birth rate fluctuations. The cohorts born during the 1940-50 decade were depleted by the he&vy mortality and lower fertility induced by the famine of those years, as reflected in their relatively smaller size recorded in successive censuses. By the 1960s and early 1970s, these cohorts were in some of their most potentially fertile years, but their relative size in relatio:z to other cohorts (and in relation to the total population) was small. Thus, it can be advanced that at least part of the birth rate decline during the early 1970s resulted from a relative decline in the number of mothers in some of their most potentially fertile years. By the late 1970s, to the contrary, the larger cohorts born since 1950 were in or entering their peak childbearing ages. In other words, the number of women in their reproductive years was, in relation to the base population, relatively greater. Another aampening effect in the birth rate results from the considerable infant mortality reductions, especially since the beginning of the decade, as the base population has been increasing at a faster rate. All these considerations suggest that the birth rate decline during the early part of the decade resulted primarily from changes in age-structure produced by emigration, the differential relative size of successive cohorts, and a rapid infant mortality decline. Age-specific fertility rates of women cur- rently exposed to conception are likely to have remained unchanged or to have experienced only minor changes. -20- Family Planning 70. The increased availability of fertility regulation mea.;s sill be in- strumental in accelerating the fertility decline. The basic institutional mechanism for the distribution of family planning supplies and services is already in place - the Maternal-Child Health/Family Planning units. The first such unit, operating in Mindelo, Sao Vicente since 1978, is now complemented by 10 other such units distributed throughout the country. The coverage of these units is nearly universal, with fixed locations and mobile units. Aside Zrom their important health functions (described elsewhere in this report), the MCH/FP units are responsible for the provision of family planning services and supplies. As they are now constitited, one of the explicit primary func- tions of the family planning services is to enhance maternal and child health by promoting longer intervals be-cween successive births. Of course, these efforts have some direct demographic impacts by extending the length between successive births, and thus by increasing the intsrval between generations. A second objective of the family planning services is reducing the birth rate. The activities of the MCH/FP units up to now, on balance, however, are likely to have contributed to a rise in the natural increase rate; the programs to improve child care have been successful in lowering infant mortality rates. This is a very positive development with a direct impact on the welfare of the Cape Verdean people. It represents a substantial initial step towards fulfil- ling one of the pre-requisites for lowering fertility, declines in infant mor- tality. 71. Since 1978 the MCH/FP units have been keeping records on the extent of use of modern family planning methods. These statistics, while inadequate for a refined analysis of the prevalence of contraceptive use, are of some value in assessing the extent to which family planning is being practiced. They show that very few women practice contraception, although the number is on the rise. The number of first consultations for farily planning increased by about 170 % betwen 1980 and 1982, from 1806 visits to 3131. The number of first tin_ users of the contraceptive pill rose from 1618 in 1980, to 2706 in 1982, or by 167 %. Intrauterine device insertions went from 163 in 1980 to 377 in 1982. Follow-up consultations for users of these contraceptive devices rose at an even faster pace. 72. In addition to the Pill and IUD, the MCH/FP units dispense diaphragms (how many was not reported) and a small number of women have been given anti- conceptive injections, such as Noristerat. Many of the women receiving in- jectables are those whose mates are oppossed to the practice of contracep- tion. A substantial increase in female sterilization has also been recorded (from 10 in 1980 to 189 in 1982). Most of these increases in contraceptive use can be traced to the expansion of the national coverage of the KCH/FP units, with a much higher prevalence uZ f'c.zily planning use in those islands where the NCRHIP units have operated the longest time. The number of women receiving contraceptive supplies and services from other sources is probably insignificant, although some sterilizations are probably performed in the cen- tral and regional hospitals. 73. On the basis of the available family planning statistics and several assumptions, it is possible to roughly estimate a contraceptive use rate (the % of women in reproductive unions practicing contraception) for Cape Verde in the early 1980's. It was assumed that all women 20 to 44 years of age enumer- -21- ated in the 1980 census were exposed to the risk of conception (that is, that they were sexually active). Then, it was assumed that all first Pill users consultations, IUD insertions, and all women using injectables represented current contraceptors. One-sixth of follow-up visits (since check-ups are presumably conducted at two month intervals) were assumed to represent conti- nued contraceptive users. Further, all women sterilized since 1978 were added to the numerator. This gives a total estimated number of current contracep- tive users in 1982 of 3672, plus an unknown, but probably not very large, number of women using other less effective methods. 74. With these figures it is possible to estimate that between 9 and 15 % (a wide range to allow for unreported contraceptors and an unknown number of women not currently exposed) of the assumed number of exposed women are cur- rent users of some modern contraceptive method. This level of current contra- ceptive use has only moderate effects in inducing birth rate declines. This conclusion follows from the regression equations calculated by the Population Council and others that have related known national contraceptive prevalence rates and crude birth rates for many countries around the world. Based on these same regression equations it can be estimated that in order for Cape Verde's natural increase rate to reach 1.7 % by the year 2000 - as desired by the government - the contraceptive use rate must be raised to about 50 (assum- ing a death rate of 6 or 7 and a birth rate in the neighborhood of 24). At present, such an increase in the contraceptive use rate seems to be beyond the reach of Cape Verde, if one considers the experience of other countries at similar levels of socio-economic development. Of course, the actual future course of the birth rate will also be determined by a myriad of other factors some of which are discussed below. Family institutions and family formation 75. The extent to which women are exposed to the risk of conception dur- ing their reproductive years, the average age at which they initiate sexual activities, the % of women in reproductive unions, and prevailing family structures and institutions play important roles in determining fertility and birth rate levels. These are important determinants of fertility since the number of years a woman is likely to bear children, and hence the average num- ber of children she may have, are partly a function of the age at which she initiates sexual activities. Likewise, how many of her childbearing years she spends in a reproductive union is associated with her fertility history, espe- cially in populations were the practice of contraception is limited. Age at marriage is a particularly important parameter since in certain circumstances it can be manipulated by legislative and other means - by setting a minimum age at marriage or by raising it - and thus represents a potentially effective policy measure to induce fertility declines. The effectiveness of minimum age at marriage measures in reducing fertility, however, may be limited due to cultural resistance and not to have significant results in societies in which sexual activities begin and/or take place outside of legally sanctioned repro- ductive unions, as is the case in Cape Verde. 76. Due to the absence of a census distribution of the population by age and marital status for Cape Verde it is not possible to estimate standard mea- sures, such as the singulate mean age at marriage, that provide an indication of the age at which women enter into reproductive unions. During the Mis- sion's visit to Cape Verde and in conversations with observers familiar with -22- these issues, it was learned that in the country women become sexually active relatively early in life. According to information furnished by a representa- tive of the national Organization of Women, females in urban areas become sex- ually active by about age 15, many outside established marital unions. Since independence, especially in cities and largely because of modernizing influ- ences equally affecting most other regions of the world, sexual mores have weakened and sexual relations have become freer and are beginning earlier in life. Reportedly, teenage pregnancy out of wedlock, by no means a new devel- opment in Cape Verde, has become a more frequent occurrence in recent years. In rural areas more traditional standards seem to prevail, many of them re- lated to standard Catholic teachings, the religion of the vast majority of Cape Verdeans. Initiation of sexual relations among rural women is reputed to usually coincide with the establishment of marital unions, usually around age 16 or 17. 77. These same observers suggest that most women are sexually active at one point or another in their lives. However, there is enough evidence indi- cating that a high degree of marital instability and a high frequency of tem- porary liasons and spouse separation tend to reduce fertility. This is be- cause many women are not sexually active during prolongued periods of their reproductive years. In no small measure this is a product of the peculiar history of the country, as it relates to the family institutions brought to Cape Verde from continental West Africa, those that evolved under colonial rule, and in part because of the large volume of emigration - particularly male emigration - that has characterized Cape Verde throughout its history. 78. As shown by the sex-ratios by age computed with data from the 1980 census, there are only about 6 to 7 men for every 10 women in reproductive years. The low sex ratios reflect the heavy male selectivity of emigration, and are also consistent with the fact that most males emigrate during the peak economically active years. As indicated earlier, many women in permanent unions are separated from their spouses, thus reducing their probabilities of becoming pregnant. Others are unable to find suitable mates. Associated with these phenomena is the reportedly common occurrence of short-term or intermit- tent sexual liasons. In this regard, the Cape Verdean mating patterns are somewhat similar to those prevailing in Caribbean societies with comparable colonial histories, slavery in the past and heavy male emigration. Many women have children by different fathers, and the incidence of female headed house- holds is high. These family structure patterns undoubtedly tend to reduce fer- tility. 79. The national Organization of Women and the government are conducting intense efforts to alter this situation, although cultural resistance is strong, in order to alleviate some of the more serious social consequences of unstable family patterns. The recently approved Family Code, for example, has eliminated the concept of illegitimacy (highly prevalent in the past). All children born at present must have a legally recognized biological father who is partly responsible - at least in principle - for their support. The impor- tant implication of existing family structures and unbalanced sez-ratios is that they tend to maintain fertility and the birth rate below theoretically possible higher levels. This consideration, together with the earlier assess- ment of trends in the birth rate and on contraceptive use, suggests that, among women currently in union with spouse present, fertility is probably near a biological maximum (natural fertility). -23- Normative changes related to fertility decline 80. One of the most important issues related to fertility reductions has to do with how to increase women's motivation to plan their families. As discussed earlier, this is a very difficult objective to meet in Cape Verde given the saliency of traditional values and the subsistence conditions in which the majority of the population lives. The younger generations of Cape Verdean women passing through the expanded educational system will in all likelihood aaquire a more modernized outlook in which high fertility may not be regarded as desirable or unavoidable. Educational efforts outside the for- mal school system are also likely to contribute to changing fertility norms. Of note in this regard are the activities conducted by the national Organiza- tion of Women through the labor of hundreds of volunteers and the paid "Anima- doras Sociais", whose number is increasing, and by the health and sex educa- tion efforts of the MCH/FP network personnel. 81. There is evidence suggesting that normative value changes as well are occurring in rural areas of Cape Verde. Some of these changes are attributed to some of the development programs currently in place. The Mission was in- formed, for example, of important modifications in the family division of labor. The rural work programs instituted by the National Development Fund have led to an increased monetization of the economy as the wages earned in these programs are used to purchase grain (as noted elsewhere, domestic food production has declined dramatically because of the drought. Most of the grain consumed in the country presently comes from foreign donor sources. Proceeds from the sale of this food aid are used to finance the work programs of the National Development Fund). Under these programs, both men and women are employed as wage earners, thus altering many of the traditional activities associated with a subsistence economy. As a result, it is reported that past male opposition to female work outside the home has declined, since women's employment is regarded by many male family heads as an important source of household income. Many males, in fact, are said to be encouraging their mates to seek employment in the work programs. Tncreased female labor force parti- cipation is generally found to be associated with fertility declines, partly because of the normative changes it induces and partly because work outside the home is incompatible with child bearing and rearing. Induced abortion 82. Clandestine induced abortions are reported to be a serious and grow- ing concern of the Cape Verdean Health authorities. To deal with this problem the National Directorate of Health has stated that it is ready to "realisti- cally face the question of interruptions of undesired pregnancies and clandes- tine abortion through legislation soon to be enacted following consultations with the country's physicians" 1/. This forthcoming legislation, soon to be approved by the National Popular Assembly, (probably in December 1984) will provide a legal foundation to what already appears to be a rather liberal approach to induced abortion. According to several informers contacted by the I/ Direcpso Geral da Saside, Ministerio da Sa'ude e Assuntos Sociais, Textos de Protecsao Infantil, Mindelo, 1982, p.13. -24- Mission, a "do facto" situation already exists in Cape Verde by which induced abortions are performed in several facilities of the Ministry of Health on a variety of grounds. Abortions are being performed for socio-economic reasons and to protect the health of women. 83. Statistical data to quantify the extent to which induced abortions are being performed are sparce, being limited to those collected by the MCH/FP units. The Sao Vicente KCH/FP unit reports that abortions have been carried out since 1978; in that year 47 abortions were performrid, with 45 in 1979, 30 in 1980, 48 in 1981, and 106 in 1982. Most of these abortions are reported to have been performed as a back-up service, following contraceptive failures. In 1982, the newly established Praia MCH/FP unit, reported that 144 pregnan- cies were interrupted. The large increase in the number of abortions reported in the Sao Vicente unit in 1982 was attributed to an exceedingly liberal in- terpretation on the part of some health workers of the Health Ministry guide- lines regarding the conditions under which abortions can be performed. Over- all, the number of abortions between 1980 and 1982 increased by 850 %, from 30 in 1980 to 256 in 1982. Even larger number of abortions are performed in national hospitals, as reported by various observers, but no statistical data are available to quantify its extent. 84. Legalization of induced abortion, particularly if done in a framework that allows abortion for health and socio-economic reasons, can have a power- ful impact on the course of the birth rate. The experience of many countries suggests that legal induced abortion is one of the more effective mechanisms to reduce fertility. Implicit, rather than explicit, demographic objectives can be partially served with a liberal orientation to abortion. This is ap- parently the approach that Cape Verde will take in years to come, as one of the most potentially viable ways in which the national objective of reducing fertility can be accomplished. It can be anticipated that the National Popu- lation Policy to be fully formulated and included in the next Development plan will incorporate, al least implicitly, the option of induced abortion as a means to fertility reduction. 85. Within the West African context this implicit demographic policy will constitute a unique development, partly arising from the country's serious demographic pressures and its poor resource base. It is even more significant given the predominance of Catholicism in the country and its close cultural ties to Portugal, a country in which abortions were illegal until very re- cently. Some resistance on the part of the Church authorities may be antici- pated. The reportedly high incidence of clandestine abortions suggests, sig- nificantly, that legalization of induced abortion will satisfy a latent de- mand, and will contritute to the alleviation of health, social and demographic problems. The reported high incidence of clandestine abortion also suggests that, at least among some sectors of society, there is a budding demand for access to fertility regulation methods (e.g., modern contraceptives), that the expanded network of MCH/FP units may be able to satisfy. Fertility reduction prospects and policy recommendations 86. The justifiable concern expressed by the Cape Verdean authorities about the demographic prospects of the country and the initial steps taken to cope with them, are indicative of the pragmatic way with which Cape Verde approaches its development problems. Realistically, however, it would appear -25- that more concerted and directed actions are necessary if the country is to accomplish its goal of reducing natural increase rates to 1.7 % by the year 2000. The health policies thus far instituted are producing satisfactory results as evidenced by the levels of life expectancy and infant mortality already acnieved, although much still remains to be done. The expansion of the medical infrastructure, both in its preventive and curative dimensions, the increasing training of health personnel, and the efforts in nutrition and health education should be commended and with certainty will have significant payoffs in years to come. Further mortality reductions, as desirable as they are, will tend to intensify demographic pressures already at work in Cape Verde 87. From the above it follows that much greater efforts will be necessary to induce population growth rate declines by reducing fertility. The diffi- culties facing Cape Verde in this regard are many; the yet to be formulated national population policy should take these difficulties into account. The basic infrastructure for the distribution of family planning supplies and services is already there; renewed efforts are necessary to expand it even further as well as to expand the demand for their services. The rapid process of socio-economic development taking place in Cape Verde should in and of it- self contribute to a greater demand for family planning but several specific recommendations are presented below that may contribute to accelerate the growth in demand for family planning. 88. Foremost among these is the strenghtening and expansion of sex and family education. Efforts are already under way to better educate the popula- tion about these matters, but in the Mission's opinion much more can be done. Thus far these educational efforts are being largely conducted outside the formal education channels and place primary, if not exclusive, emphasis on the beneficial health effects of family planning. This mission recommends that the scope of sex and family education be enlarged and placed within a broader nontext by which the people of Cape Verde become better sensitized to the broader implications of high rates of population growth within the limited economic-environmental possibilities of the country and the nation's aspira- tions and needs. 89. Educational efforts along the lines suggested can be adapted and adopted even at the primary education level, thus making Cape Verdeans aware since an early age of some of their country's constraints. Greater educa- tional efforts can be planned and implemented utilizing such means as the radio, posters and other public venues. The educational efforts of the MCH/FP units and the national Organization of Women can also be strenghtened by rely- ing more on trained professionals and "animadoras sociais", particularly edu- cated on the health, social, economic and demographic consequences of rapid population growth. These professionals should place apecific emphasis on the implications of declining infant mortality for child survival and the eventual economic security of the family unit. 90. Another policy recommendation relates to efforts to increase the age at which conception begins to reduce the incidence of teenage pregnancies out of wedlock. Efforts along these lines inc'ude, for example, the provision of contraceptive services to teenage girls prior to their first pregnancies, raising - as the government is already doing - a greater concern about respon- sible paternity, and considering enforceable legislation to appreciably raise -26- the minimum age at which marital unions can be formalized for both men and women. These are highly sensitive issues that no one better than the Cape Verdean authorities should decide since they imply considerable changes in cultural traditions. 91. Present indications are that the government of Cape Verde has the disposition to approach the question of clandestine abortion in a very sensi- ble and pragmatic way. What to do with such a sensitive topic is the exclu- sive concern of the Cape Verdean authorities, but suffice here to note that the legalization of abortion for health and socio-economic reasons can have some very salutary social consequences. It can also be a powerful instrument in leading to a much faster fertility decline, a high priority in the agenda of Cape Verde development planners. 92. The tentative nature of much of the preceding analysis is indicative of the many data shortcomings in Cape Verde. This is a serious limitation in Cape Verde - and not only as demographic data are concerned. The results of the 1980 census should alleviate this dearth of knowledge, as are the consi- derable efforts being made by the public health authorities to improve the collection of sanitary and demographic statistics. Further efforts are needed in this regard (e.g., collection and tabulation of births by age of mother, by parity, by weight of infant), as are specific surveys and studies to shed light on fertility and other demographic variables. World Fertility type and other more comprehensive surveys should be planned as soon as possible, and anthropological - social studies carried out in order to investigate the atti- tudes of Cape Verdeans towards the family, childbearing and contraception. These studies will allow a more precise formulation of an effective population policy. 93. This mission is fully aware of the sensitive nature of some of the issues reviewed above. However, the conclusions that emerge from our review of Cape Verde's development prospects, the First National Development Plan, and the demographic situation is that the country's development objectives will prove to be unattainable in the absence of a determined demographic policy to reduce population growth rates. VIII. EMIGRATION 94. It is not possible to determine with any precision the magnitude of Cape Verdean emigration throughout the centuries. What is unquestionable is that the historical dependence of Cape Verde on emiiration continues to be an important socio-economic characteristic of the country. Estimates indicate that between 1906 and 1973 the population of Cape Verde declined by at least 123,000 people because of emigration. If allowance is made for the descend- ants of the migrants born abroad, the demographic impact of emigration is far more substantial. Emigration has continued unabated in more recent years. In the last intercensal period, 1970 to 1980, it can be roughly estimated that the net demographic loss associated with emigration amounted to approximately 42,000 persons. This figure represents about 15 % of the average total popu- lation of the country during the intercensal period. -27- Countries of destination 95. As a consequence of a long emigration history spanning several centu- ries, ethnic colonies of Cape Verdeans and their descendants are found in many parts of the world. By far the largest enclave is located in the United States, its size variously estimated as ranging between 200,000 and 300,000 peopie. It should be pointed out, however, that even the lower figure may overstate the actual size of the Cape Verdean origin population in this coun- try (emigration estimates should always be regarded with extreme care since they are notorious for the ease with which they are inflated). Additional large concentrations of Cape Verdeans are found in other countries in Europe and North and West Africa, and in Brasil, Uruguay and Argentina in South America. Overall, the number of Cape Verdeans and descendants living abroad is generally believed to range between 340,000 and 500,000, the actual number depending on the estimates chosen. Even if the lover figure is accepted as the best estimate it is striking to see that it exceeds the size of the 1980 population of Cape Verde. 96. As sizeable as the above figures are, they only convey part of the emigration story. It is entirely plausible that short term emigration fol- lowed by return migration was juYt as significant. Available estimates sug- gest that between 1906 and 1973 total departures from the country approximated 259,000, while reentries neared 136,000 persons. These short-term emigration patterns are still prevalent today. It is claimed that during the late 19605 and early 1970s the levels of departures were exceptionally high, reaching in some years 8,500. At the time of independence it is reputed that considerable return migration took place. More recently, during the late 1970s and early 1980s departures are believed to have declined to lower levels (approximately between 1,500 and 2,500 annually). Little is known about the extent of return migration for these years. The implications of different levels and trends of permanent and temporary emigration for Cape Verde's social and economic aevel- opment are varied. They are discussed elsewhere in this report. Recent emigration trends 97. The frequency of Cape VYrdean illegal or clandestine emigration to host countries, a feature typical of emigration from many other countries, is believed to be low. In part this is a function of the isolated geographical character of Cape Verde; this isolation permits more stringent entry controls in countries of destination. In addition, the Cape Verdean authorities dis- courage clandestine emigration. 98. Despite the low levels of clandestine emigration, it is difficult to describe recent trends of global Cape Verdean emigration. A limited perspec- tive can be gained by the inspection of United States immigration data for the period 1954 to 1980. After years in which immigration to the United States was drastically curtailed (since the 1920s) because of legal restrictions on immigration from many countries (including Cape Verde), the number of Cape Verdean immigrants began to rise after 1965. This increase resulted from changes in American immigration legislation that eliminated highly restrictive national origin immigration quotas formerly in effect. Portugal benefitted from this change, and so did Cape Verde as a Portuguese overseas territory. An even greater increase in Cape Verdean immigration took place in 1975 when Cape Verde gained its independence. Uron independence the United States -28- assigned to Cape Verde its own immigration quota, thus more immigrants were allowed admission. Between 1974 and the end of the decade the annual number of Cape Verdean immigrants quadrupled; approximately 5,000 immigrants gained admission between 1976 and 1980. This figure represents approximately 1.7 % of the population of Cape Verde in 1980. 99. In addition, in recent years Cape Verdean migrants have departed in relatively large numbers to Portugal, the Netherlands, France and Italy. Sma- ller contingents of emigrants are flowing to several African countries, such as Angola, primarily on a temporary basis. Actual flows of Cape Verdean emi- grants to historically important countries of destination in Africa (such as Sao Tome and Principe and Senegal) and South America (Argentina, Brasil) are minor. Permanent and temporary emigration 100. In the absence of adequate statistics it is not possible to determine how recent Cape Verdean emigrants are distributed in terms of the likely dura- tion of their residence abroad. In many European countries, for example, for- eign workeres are accepted for only limited periods of time (e.g. Switzerland, France), the guest workers not having the right to stay indefinitely. Under certain conditions residence permits may be extended provided work contracts are available. Immigrant admission to other countries, such as the United States, automatically grants indefinite residence status, and eventual citi- zenship, if so desired. In the latter case the effects of emigration are more pronounced 3ince many of these migrants stay for a lifetime. Such is not obviously the case for migrant workers on short term contracts elsewhere. 101. The differential ramifications of permanent versus short term emigra- tion are considerable for various reasons. First, because of their demogra- phic effects: emigrants admitted as permanent immigrants are less likely to return, at least during their economically active years, and hence represent a net population loss to Cape Verde. Temporary migrants, on the other hand, eventually must return to Cape Verde upon the expiration of their work permits. Furthermore, the demographic effects of permanent emigration are magnified because migrants with permanent residence status tend to depart with their immediate families or are reunited with them following emigration. 102. The nature of emigration, second, is likely to affect the long terz prospects for financial remittances. Short term migrants are likely to save a disproportionate amount of disposable income by minimizing living expenses while in the host country. Savings are accumulated for consumption upon re- turn or are used to support relatives left behind. Permanent emigrants are less prone to save and more likely to expend a greater proportion of dispos- able income in countries of settlement as they establish roots. Family reuni- fication legislation in force in most countries accepting permanent imigrants leads, over time, to a reduction in the volume of remittances since family members also emigrate. The actual amount of remittances sent from any given country will vary, of course, as a function of the recensy of emigration, average income levels, and other factors. These are important issues whose short and long term implication need to be understood. At present there are few studies shedding light on these issues. Thie knowledge constitutes a priority in the Cape Verdean context given the country's high dependency on foreign remittances. -29- 103. The ebbs and flows of temporary emigration, likewise, can have marked short-term economic and demographic impacts. Changes in immigration regula- tions overseas or the effects of recessionary or expansionary periods in the world economy can suddenly and dramatically affect the volume of temporary emigration and of remittances from year to year as the number of Cape Verdeans abroad fluctuates. As discussed elsewhere in this report, some of the more notable birth rate swings observed in the country during the 1970s were partly produced by changes in emigration and return migration rates. Variability in emigration and return rates also induces significant changes in the size of the domestic economically active population, with a direct short-term effect on employment and unemployment rates. Remittances 104. The importance of emigrant remittances to the Cape Verdean economy can not be overstated. Between 1978 and 1982 remittances accounted for more than 40 % of GDP, over 40 % of private consumption, and for nearly 50 % of the total value of imports, exclusive of foreign aid. During the period in question the total amount of remittances from all source countries rose from 838 to 1619 million Cape Verde escudos. In nominal terms remittances in- creased in value from practically every country. In 1982, remittances from five countries - United States, Netherlands, Portugal, France and Angola - re- presented 86 % of the total. Among the most significant increases recorded were those from Angola, France and the United States, rising by 300, 200 and 181 %, respectively, between 1978 and 1982. 105. Several specific reasons explain the remittance increases from some of these countries. The most obvious one is inflation. Increases from the United States appear to be a direct result of the growth in emigration to that country since 1975. In the case of Angola the increase i3 explained by the signing of a bilateral agreement regulating the conditions under which Cape Verdean labor migrants would work in Angola. This agreement has apparently led to an increase in Cape Verdean temporary emigration to Angola. It speci- fies that 50 % of the monthly salaries earned by temporary Cape Verdean mi- grants in that country are to be paid to the Banco de Cabo Verde in U.S. dol- lars. Increases in the volume of remittances from the Netherlands may have partly resulted from an agreement with Cape Verde by which social security contributions formerly being paid by Cape Verdean workers to the Dutch govern- ment are currently being transferred to the Cape Verdean Instituto de Seguros e Previdencia Social. In all likelihood the transference of social security contributions only applies to Cape Verdean in the Netherlands with temporary work permits, and not to those living there as permanent immigrants. 106. The high levels and extreme dependency of Cape Verde on remittances, the less than optimistic potential for increasing employment opportunities over the short term, the high rates of population and labor force growth rates, and the limited natural resource base of Cape Verde indicate thet re- mittances will continue to be crucial for years to come. The government of Cape Verde is aware of this and is conscious of the necessity of creating proper conditions to maintain foreign remittances at present levels or to increase them in the future. Wdhat policies the government of Cape Verde is currently pursuing and what additional policy initiatives it may want to im- plement are discussed under the heading of emigration policies. -30- Cost of emigration 107. Although emigration brings many benefits to Cape Verde it also en- tails some costs. From the evidence presently available, it is not totally clear what these costs are. It is evident, however, that emigration siphons away an undue proportion of individuals in their most productive ages, as shown by the data on the migrants age distribution. In view of the prevailing high levels of labor underutilization this would seem to be a minor negative consequence, were it not for evidence suggesting that the occupational compo- sition of the emigrants is tilted towards the high end of the occupational continuum. 108. Some Cape Verdean government officials are of the opinion that, con- trary to the situation in most other countries with substantial emigration, emigration from Cape Verde is not unduly selective of the more skilled. They point out, for example, that most of the emigrants going to Italy are poorly educated females that seek employment as domestic servants. These officials also indicate that a vast majority of emigrants in Portugal engage in con- struction and service trades requiring a bare minimum of skills. A sample of Cape Verdean workers in P^rtuga. confirms the latter assertion since over 80 % of them were barely literate or illiterate. 109. More recent data on the occupational composition of immigrants admit- ted to the United States provides a somewhat different picture. Of all immi- grants admitted between 1977 and 1979 reporting an occupation (the rest were mainly housewives, children or elderly) about 33 % indicated having relatively high skills (ranging from professionals to craftsmen). Although in absolute terms their number is small, these emigrants represent a disproportionate pro- portion of the domestic workers with such skills, given the low average skill levels of the Cape Verdean labor force. Temporary emigration to Angola under the agreement signed in 1979 is another case in point. Considerable numbers of teachers and other professionals are working under this agreement in Angola, although the government is acutely aware of a severe domestic shortage of such personnel. Low quality of instruction, for instance, is partly blamed on the dearth of qualified teachers. In essence, difficult trade-offs are involved. What gains accrue to Cape Verde from the remittances .ent back by skilled emigrants must be discounted by the significant, but difficult to quantify, domestic costs associated with lower quality of services. In the long run the loss of skilled emigrants may affect the development prospects of the country. 110. The very different occupational compositions of migrants in different destinations suggest that the attributes of the domestic labor markets in im- migration countries determine the type of workers that are admitted. Many countries, such as the United States and several in Western Europe, allow the entry of some low skilled immigrants to help fill acute labor shortages in specific segments (e.g., domestic service, unskilled labor in restaurants and construction) of the employment market shunned by native workers. There is little doubt that Cape Verde gains from this type of emigration, since the economic and employment benefits greatly outnumber the costs, other considera- tions aside (e.g., the social marginalization of the Cape Verdean workers abroad, the effects of family separations). -31- 111. In many of these same countries, likewise, the vast majority of immi- grants admitted, by law, must meet certa.n basic eligibility requirements (al- though there are exceptions) that unly those Cape Verdeans with above average socio-economic characteristics (in relation to those of Cape Vordeans as a whole) have. Why the number of Cape Verde emigrants to the United State. remains below 1000 per year is largely explained by the aelection of migrants. This, despite the fact that the United States remains as one of the favored migrant destinations from countries all over the world. Under current Ameri- can immigration regulations, the number of potential Cape Verdean immigrants could be much higher, up to 20,000 annually, the maximum quota allowed from any given country. Thus, the tendency for high skill selectivity among Cape Verdean immigrants in many countries. It is also true, conversely, that highly skilled emigrants can command higher wages than those with few skills and are therefore able to forward larger amounts of remittances. 112. The case can be made, of course, that given the present situation in Cape Verde, the costs of emigration are insignificant because the benefits received from it more than offset tie costs. Striking a proper balance re- quires some careful study and a comprehensive evaluation of the national pool of talent, domestic requirements, emigration propensities among certain occu- pational groups, and the extent to which the government of Cape Verde can institute measures to manipulate emigration rates for diverse occupational groups. It is not inconceivable that Cape Verde may even want to train workers in specific occupations to serve the needs of labor markets abroad, as long as other national interests are served. Other countries (e.g., Barbados, Cuba) have pursued this course of action, both to ease domestic unemployment pressures and to augment the flow of foreign remittances. Countries with such clearly defined emigration policies are, however, much more advanced economic- ally than Cape Verde and can therefore afford the expense of training emi- grants for employment abroad. It remains an open question whether or not this is an economically effective alternative for Cape Verde. These issues aro discussed more fully under the heading of emigration policies. Emigration policies 113. Given that emigration affects not only Cape Verde but also the coun- tries accepting Cape Verdean emigrants, emigration policy initiatives must be generally formulated in a framework of international cooperation. In a number of limited areas, n"netheleas, the Cape Verdean government may act indepen- dently. Emigration policies should be formulated to consider, among other objectives: 1. Protection of the welfare of Cape Verdeans abroad and means to facilitate their return; 2. Measures to increase emigration rates to countries already accepting Cape Verdean emigrants, and efforts to develop new emigration outlets at least for a time, until there are sufficient employment opportunitf_es at home; 3. Balancing the benefits and costs of emigration; and 4. Chauneling emigrant remittances to productive domestic invest- ments. Some of the considerations related to these topics are discussed below. -32- Protection of emigrants abroad 114. While the protection of the soci%l, economic and political rights of guest and immigrant workers falls primarily within the purview of receiving countries, the Cape Verdean government can, through bilateral agreements, contribute to the welfare of its citizens in other oountries. Bilatoral agreements, for instance, are negotiated to regulate the number and functions of consulates and other diplomatic missiona abroad that cater to the needs of emigrant communities. Agreements of this sort also facilitate family rounifi- cations. Cape Verdean embassies and consulates already serve theas functions in countries where large concentrations of emigrants are found, and negotia- tions are underway to increase their number further. These diplomatic ai3- sions help minimize immigrants adjustments problems, assist in the return of Cape Verdeans back home, and can help channel emigrants' remittances. 115. Other more comprehensive bilateral agreements regulate the conditions under which Cape Verdeans work abroad. The one most fully articulated is the 1978 agreement between Cape Verde and Angola. This agreement includes the recruitment of Cape Verdean workers by the government upon the request of Angola. The agreement regulates the type of workers that go to Angola, in- cluding their technical and occupational qualifications, the work they ought to do, lengt'. and location of employment, and such other considerations. Under this accord, salary levels have been set (in US dollars) according to skill leVel3, and conditions regulating travel expenses, social security and other benefits (home visits, family members accompanying the workers) fixed in advanced. In addition, half of the salaries earned by the workers In Angola are paid to the Banco de Cabo Verde in dollars. The workers receive the bal- ance in local Angolan currency on the basis of the prevailing exchange rate. This accord apparently has been implemented successfully. It has led to a significant increase In Cape 'Verdean temporary emigration to Angola and re- sulted in a rapid rise in the volume o! remittances received from that coun- try. Most of the temporary migrants thus far involved appear to te highly skilled. 116. Loes comprehensive bilateral agreements have been signed with Portu- gal and the Federal Republic of Cexiaany. The Netherlands has an innovative program by which social security 2ontributions of temporary Capt Verdean workers in Holland are transferred to the Cape Vordean social security insti- tute. This program was unilaterally initiated by the Dutch sinc, several other emigration countrieo are also participating. Before the independence of Cape Verde these transfers accrued to the Portuguese Government. Comparable agreements are being negotiated with France and Portugal. Other immigration countries have resisted efforts to conclude bilateral agreements although fur- ther attempts continue to be made. These efforts on the part of Cape Verde are facilitated by the good political relations maintained by its governments with the international community of nations. Emigration outlets 117. The Cape Verde-Angola labor agreement is indicative of the existing potential for the expansion of Cape Verdean emigration. The case of Angola among the Portuguese speaking African countries is rather unique, however, since t.his country has significant oil revenues with which to pay its foreign workers. Other Portuguese-speaking African countries are not as fortunate and -33- are therefore less likely to absorb Cape Verdean emigrants. Nevertheless, the Cape Verdean workers are highly regarded in much of Africa and some potential exist for exporting workers to some of these countries. 118. There are other migration policy issues that may greatly influence Cape Verde's fiture emigration prospects over which the government can hardly do anything. These have to do with domestic considerations in labor receiving countries that currently favor a restricted access to their labor markets by foreign workers. Cape Verde already began to feel the consequences of these restrictionist sentiments at the time of independence, when, because of the international recession, many labor importing countries began to implement measures to repatriate foreign workers. This situation, of course, may change in the future, but every present indication is that the magnitude of interna- tional labor flows will never again reach the extent it did in the post-war period. France and the Netherlands, just to cite two examples, have embarked in a rethinking of their labor immigration policies. The new policies enacted by these two countries share several similarities. One is to regularize and guarantee the status of foreign workers already in the countries. The second is to make entry for foreign workers increasingly difficult. The latter ob- jective is particularly troublesome to Cape Verde since the country will re- main dependent on labor exports for years to come. Prospects for labor emi- gration to Western Europe are less than optimistic and certainly have been far worse since the 1970s recession. 119. Changes in American immigration regulations presently being debated in the United States Congress - the Simpson - Mazzoli Bill - do not augur well either for future Cape Verdean emigration to that country. One of the provi- sions of this bill purports to restrict the number of immigrants arriving in the country under the fifth preference. At present, of the global immigration quota, 24 % or more is assigned to migrants accepted under this preference. The fifth preference applies to "aualified immigrants who are the brothers and sisters of citizens of the United States". Twenty-five % of Cape Verdean immigrants to the United States in 1918 fell into this category. The intent of the legislative change is to reduce future immigration flows. Because of extended family linkages the number of potential immigrants under this prefer- ence is regarded as endless. If this bill is passed with those provisions, Cape Verdean immigration to the United States is likely to diminish. 120. Increased Cape Verdean emigration to Portugal may come about if the latter country, as expected, becomes a member of the European Common Market. It is presently foreseen that Portuguese labor will take advantage of the free labor movement provisions associated with membership, and will go to member countries with higher wage rates. Presumably, Cape Verdean workers, because of the country's special relationship with Portugal, will help fill the labor void created by the emigration of native workers. Similar developments were observed in the past as Portuguese workers migrated to France, Germany and other countries. It should be noted, however, that the process of acceptance to the REC is a slow one: it may take up to ten years for Portugal to become a full member. In addition, some of the major reservations of EEC member coun- tries towards the acceptance of Portugal have to do with the labor migration issue. Transitional agreements limiting the free flow of Portuguese workers may dampen the prospects for potentially large scale Cape Verdean emigration to Portugal. Delays in the acceptance of Greece to the EEC were also caused by the free labor migration issue, and similar reservations might come to the -34- fore with Spain. These developments suggests that prospects for labor migra- tion from outside the EEC will be more limited than in the past. Channeling of remittances to productive investments 121. Studies from many parts of the world have found that recipients of emigrant remittances (or the migrants themselves upon return), use remittances primarily for consumption purposes. Remittances are used to acquire basic essentials, purchase durable goods and often to improve or buy housing. Sel- dom are productive investments made with emigrants' remittances, although, as has been noted, housing investments do carry some economic benefits because of the linkages the housing industry has with many domestic economic activities. Limited evidence suggests that Cape Verde fits the above patterns. 122. Many countries (Portugal, Greece, Turkey) have implemented policies to channel emigrant remittances for investment purposes. Some of these poli- cies have included the establishment of foreign currency accounts with compe- titive interest rats for emigrants at home and tOe development of schemes to pool the financial resources of emigrants for joint investments. Generally these efforts have had only limited success although new approaches are con- tinuosly been proposed. Currently the Cape Verde government is considering one of these alternatives, specifically that of establishing foreign currency accounts for emigrants at the Banco de Cabo Verde. A detailed discussio0 of the proposed foreign currency program is provided elsewhere i:n the Mi&eion's report. 123. Some remittance investment schemes attempt to facilitate the assimi- lation of migrants upon their return to the home country. As a rule, these efforts focus on the establishment of production enterprises (urbpn or rural) capable of employing return migrants, either by pooling their resources or by combining the migrants' resources with additional financing provided by the governments of host countries. Host country governments interested in repa- triation of guest workers often provide financial assistance as part of incen- tive packages used to encourage immigrants to return to their countries of birth. Little is known about the potenitial applicability of some of these programs in Cape Verde. The potential must be high since it is known that there are Cape Verdean emigrants in many of the countries implementing these schemes, and since it is equally known that rates of return migration to Cape Verde are high. The Netherlands, for example, initiated such a program and specifically named Cape Verdean immigrants as possible beneficiaries. 124. Foreign currency inflows many also be increased by enhancing the opportunities for profitable investments in the country by Cape Verdeans per- manently residing abroad who, for cultural and other reasons, are interested in contributing to the development of their ancestral country, but without incurring financial losses. The potential in this respect is significant, particularly with the relatively wealthy, large and well established Cape Verdean commanity in the United States. Efforts to tap the resources of this community (other than the remittances voluntarily sent by emigrants to rela- tives left behind) in an organized fashion have been limited, poorly coordi- nated and generally not responsive to the advice received from representatives of this community. A better coordination with key members of the Cape Verdean community in the U.S. and other countries to channel increased amounts of for- eign investment to the country is strongly recommended by this Mission. -35- Emigration: Prospects and Recommendations 125. For the foreseable future emigration will continue to serve its his- torical function as an economic and social safety valve. Were it not for large scale emigration, unemployment pressures would be even higher and the economic situation and dependence on external aid worse: remittances from emi- grants average 50 % of GDP. While these immediate beneficial effects of emi- gration are necessary and substantial, the government of Cape Verde recognizes that emigration forced on the people by a lack of domestic alternatives is not desirable, and that it also entails certain costs. Although the evidence on the social and economic costs of emigration is sparse, it would appear that the loss of scarce skilled human resources could undermine Cape Verde's devel- opment efforts. It is unlikely that the marginally productive population is that which is most likely to emigrate, since even a minimum of skills (e.g., language, literacy) are essential for a migrant to be successful and produo- tive abroad, and since recipient countries are likely to only admit as immi- grants those individuals meeting minimum requirements. In addition, many of these immigrants are forced to return to Cape Verde during periods in which host countries experience internal economic difficulties. Nevertheless, the Mission, as well as the government of Cape Verde, recognizes that over the short to medium-term emigration will remain a very important factor in the national economy, both because of the importance of remittances and the poor employment prospects. 126. Some critical questions associated with the problematic of emigration are how to best harness emigration to serve the welfare of Cape Verdeans at home and abroad, how to channel emigrants' remittances to productive invest- ments domestically, whether through private initiatives or government spon- sored schemes and how to develop innovative approaches to increase the inflow of remittances, whether by expanding the number of opportunities for emigra- tion to countries that in the past have welcomed Cape Verdeans, by seeking new emigration alternatives or by other means. In order for these efforts to suc- ceed. the Cape Verdean government must secure the enhanced cooperation of im- migration countries. This is being done already, as for example -with the Netherlands and Angola, but it seems that there is scope for greater interna- tional cooperation. 127. One constraint that the authorities of Cape Verde must resolve if an effective emigration policy is to be formulated is the general lack of infor- mation on emigration. In the Mission's opinion, generating this information on an ongoing basis is a top priority. Better and more detailed data on Cape Verdeans who emigrate and return, on their individual characteristics, their destinations, the extent to which they send remittances, and how these remit- tances are ased, are necessary. Careful and detailed emigration studies are non-existent. Future studies should include surveys of emigrants, both in Cape Verde (return and prospective migrants) and abroad. Equally essential is detailed and updated knowledge of what immigration and labor policies present or potential immigration countries are pursuing and what they intend to do in the future. The cooperation of international institutions such as the Inter- national Committee on Migration, the International Labor Office, the World Bank, and several of United Nations specialized agencies would assist in these regards. Achieving these objectives would be well served by the creation of a small but specialized National Emigration Institute. Such an institute could -36- routinely study the thematic of emigration, and could assist in the determi- nation of how to best balance the specialized manpower needs of the country vis-a-vis the potential pool of prospective emigrants and their skill mix. IX. POPULATION PROJECTIONS 128. Nine sets of population projections were prepared for this report by the World Bank's Population, Health and Nutrition Department. The assumptions underlying these projections are given below: 1. Mortality Assumptions: All projections assume a similar mortality trend. At the starting point of the projection period (1980-85) life expectancy at birth for both sexes combined is assumed to be 61.04 years (Coale and Demeny Model Life Tables, South family) rising to 71.34 by 2010-15. 2. Fer'.Iity Assumptions: a. Constant fertility: the total fertility rate (TFR, UN broad peak) is fixed at 4.50 throughout the projection period. b. Gradual fertility decline: The TFR declines from 4.50 in 1980-85 to 2.26 by 2010-15. c. Rapid fertility decline: The TFR declines from 4.50 in 1980-85 to 2.09 in 2010-15. 3. Net Emigration Assumptions a. No emigration b. Annual net emigration throughout the projection period equal to that observed in the 1970-80 in- tercensal period (difference between intercensal natural increase and intercensal population in- crease) distributed by age and sex according to United Nations' age-sex emigration model. c. Same as "b" but emigration gradually declines to zero by the year 2000. The crude birth and population growth rates implied by the various assumptions are shown in the statistical appendix (tables IX.1 and IX.2). Of particular note are the birth rate fluctuations observed with the constant fertility assumptions.. These fluctuations are the result of changes in age structure. 129. Table IX.3 summarizes the results of the nine projections. The figures are self-explanatory but it should be noted that the projection com- bining a gradual fertility decline and declining emigration leads to a popula- tion of almost the same size as that desired by the Cape Verde government by the year 2000. It is also of interest to observe that fertility declines alone - in the absence of some level of net emigration - are uncapable of leading to a population size corresponding to that which the government desires. It is also feasible to attain the desired population size by the year 2000 through the maintenance of emigration levels durig the remainder of the century at more or less the same levels as during the 1970-80 period, without any fertility reduction. Any other combination of declining fertility -37- and some emigration significantly reduces the expected population size in 2000, in all cases substantially below the government's target size. It is questionable, of course, whether or not such high levels of emigration can be maintained and whether or not fertility can be made to decline as rapidly as the projections assume. The importance of emigration is, however, underscored by the results of the projections, and so is the need to reduce fertility. 130. The three projections most likely to approximate the future evolution of Cape Verde's population are included in full in the appendix (tables IX.4 IX.5 and IX.6), as are tables summarizing the effects of all nine projections on the eventual size of the working age population, the primary school age population, and the number of women in reproductive ages. - 38 - Table I1.1 CAPE VERDE:-Percent Distribution of Causes of Death All Ages and Chi'.xren Under One Year of Age, 1980 ALL AGES UNDER ONE YEAR OF AGE Cause of Death Cause of Death (International Classification) Percent (International Classification) Percent Code Code Heart Disease 29.9 Diarrheal Diseases 26.9 (B 27-30) (B 2-4) Senility and Ill-Defined Causes 24.9 Congenital Causes 11.0 (B 45) (B 42-43) Diarrheal Diseaaes 13.2 Ill-Defined Causes 10.5 (B 2-4) (B 45) Malignant and Benign Tumors 6.4 Pneumonia 8.3 (B 19-20) (B 32) Congenital Causes 4.3 Tetanus 7.1 (B 42-43) (B 18) All Accidents 4.0 Bronquitis 3.8 (BE 47-50) (B 33) Pneumonia 3.9 Protein-Calorie Malnutrition 3.6 (B 32) (B 22-23, 46) Bronquitis 2.9 Measles 1.6 (B 33) (B 14) Protein-Calorie Malnutrition 2.8 Mental Causes 1.5 (B 22-23, 46) (B 46) Tetanus 2.4 Heart Disease 1.4 (B 18) (B 46) Tuberculosis 1.7 All Accidents .2 (B 5-6) (BE 47-50) All Others 3.6 All Others 24.2 All Causes 100.0 All Causes 100.0 Source: Ministerio da Sauide e Assuntos Sociais, Boletim Estatlstico, Vol. I, Praia, 1982. - 39 - Table II.2 CAPE VERDE: Health Personnel, as of June 1982 Physicians 51 Dentists 3 Dental Assistants 3 Pharmacists 8 Pharmaceutical Assistants 9 Laboratory Assistants 26 Radiology Technicians 2 Sanitary Engineers 1 Sanitary Auxiliaries 1 Midwives 10 Traditional Midwives 223 Nurses 187 Basic Sanitary Agents 485 Social Assistants 8 Social Auxiliaries 5 Infant Trainers 1 Infant Monitors 2 Source: Ministerio da Sau'de e Assuntos Sociais, Boletim Estatistico, Vol. II, Praia, 1983. - 40 - Table I1.3 CAPE VERDE: Hospital Beds per 1000 Inhabitants, 1980 ISLAND NUMBER OF BEDS BEDS PER 1000 INHABITANTS Boa Vista 6 1.7 Brava 10 ].4 Fogo 36 1.1 Maio 5 1.2 Sal 7 1.1 Santiago 303 2.0 Santo AntSo 76 2.0 Sao Nicolau 12 0.8 Sao Vicente 141 3.3 TOTAL 596 2.0 Source: Ministerio da Saide e Assuntos Sociais, Boletim Estat!stico, Vol. II, Praia, 1983. Table 11.4 CAPE VERDE: Percent Distribution of Halnourished Children Examined in Mother-Child Health Units by Degree of Malnutrition (Welcome Classification) by Regional Units, 1982 Mother-Child Degree of Malnutrition Health Units 60-80% 60-80% 60% 60% TOTAL (without edema) (with edema) (without edema) (with edema) Boa Vista 18.0 - - - 10.0 Brava 19.0 - 0.6 - 19.6 Fogo 31.7 - 5.9 - 37.6 Maio 16.2 - 1.1 - 17.2 Sal 7.1 - 1.7 0.4 9.2 Santiago Santo AntAo Ribeira Grande e Patl 26.5 1.3 0.5 27.8 Porto Novo 10.0 - 0.5 - 10.5 Praia 16.3 0.2 1.4 - 17.9 Santa Catarina 7.8 1.5 2.5 0.5 12.4 Sao Nicolau 9.7 - 0.7 - 10.4 Sao Vicente 9.9 0.04 3.0 12.9 Source: DirecgAo Geral da Sadde, Ministerio da Sadde e Assuntos Sociais, Relat6rio das Actividades do Projecto de PMI/PF referente ao ano de 1982 e perspectivas para 1983, Mindelo, Sao Vicente, 1983. - 42 - Table 11.5 CAPE VERDE: Provisional Results of the Anthropometric (Torso and Arm) Nutrition Survey of Children Conducted by the Health and Social Affairs Ministry; by Island, 1983 NUTRITIONAL STATUS Poor Mediocre Satisfactory Boa Vista 0.0 7.0 92.9 Brava 0.0 7.6 92.3 Fogo 2.7 25.6 71.6 Maio 6.0 15.2 78.2 Sal 3.7 3.7 92.6 Santiago Urban Praia 2.7 20.3 77.0 Rural Praia 6.0 19.0 75.0 Santa Catarina 2.5 14.2 83.2 Tarrafal 5.4 19.8 74.8 Santa Cruz 15.3 34.2 50.5 Santo Antao 3.2 18.6 78.2 S&o Nicolau 1.9 16.3 81.7 Sao Vicente 1.5 4.8 93.7 CAPE VERDE 3.6 16.2 80.2 Source: Provisional data furnished to the July 1983 World Bank Mission to Cape Verde. Table 11.6 CAPE %ERDEz Physical Health Infrastructure, 1982 and Projected for 1985 Boa Vista Brava Fso -at0 Sal Santiago Santo Aztao Sao Ntcolau Sao Viceete Cape Verde 19J2 1985 1982 1985 1982 1985 1982 1985 1982 1985 1982 1985 1962 1985 1982 1985 1982 19BS 1982 1985 Basic Sanitary Units 2 3 2 2 1 5 - - 2 2 11 13 6 iO 1 3 4 31 4& Health Posts 2 2 2 2 3 3 2 2 2 1 12 12 7 7 2 3 32 32 Maternal-Chtld Care Units I I I 1 1 1 1 1 1 1 2 2 2 2 I I 1 1 11 it Health Centers - I - - 2 1 1 - 3 6 Regional Hospitals - - - - I I - - - I I 1 1 1 - - - 3 1 Central Hospitals - - _ 1 1 2 2 Source: MInisterto da Sauje a Assuntos Soctlis, Eolett- Estatiatico, Vol. 11, iraia, 1983. I XI - 44 - Table 11I.1 CAPE VERDE: Percent of the Urban and Rural Population with Access to Water and Waste Disposal Facilities, 1980 Water Facilities Number Percent (in thousands) a) Urban population with access to piped water 24 8.4 b) Urban population with access to public water taps 84 28.0 c) Rural population with satisfactory access to potable water 39 13.5 Waste Disposal Facilities a) Public sewerage (parts of Praia and Mindelo) 12 4.0 b) Urban population with access to septic tanks, latrines, etc. 25 8.4 c) Rural population with access to septic tanks, latrines. etc. 19 6.0 Source: Decennie Internationale de l'Fau Potable et de l'Assainissement, Apercu du Secteur par Pays, Rgpublique du Cap Vert, dgcembre 1980. Table IV.1 CAPE VERDE: Primary Cycle Educationa; Statistics, 1982-83 School Year ___SIL)DNTS IEACHERS STtDEITS CLASSROOtS Percent Students Teachin1. Ist 2nd 3rd 4th Sch per Adequate Inadeqgute TOTAL of class- per shifts per teachor rce±s that class- c'aZsrTc are adequate *: Reglons/Conce lho: Pral '26b2 2189 1677 1478 8206 '26 36 56 60 116 LB 71 2.6 Santa Catarina 1507 1370 11.06 Isis 5801 203 29 46 60 106 43 55 2.2 Tarrafal 1147 846 782 990 3765 133 28 33 26 64 59 59 2.3 Santa Crux 959 1003 792 679 '463 128 27 52 10 62 84 S6 2.2 alao 144 183 208 195 730 27 27 14 1 15 93 49 1.9 Foso 1419 1105 966 910 '400 160 28 34 41 75 45 59 2.3 Brava 321 276 273 245 1115 41 27 17 7 24 71 46 1.8 Leeward Islands 5189 6972 6304 6015 27480 915 30 257 205 462 56 60 2.3 Sao Vicente 2399 19S7 1758 1394 7498 159 47 69 17 e6 s0 87 2.5 !llbeirs Grande 1178 994 886 884 3942 128 31 35 ?9 64 55 72 2.1 Paul 432 345 345 ' 214 13(6 36 38 16 5 21 76 65 2.1 u Porto, Nnvo 744 681 629 514 2568 74 35 33 12 45 73 57 2.1 Sao Nicolau 736 655 492 5 VS 2421 77 31 39 7 46 F85 53 1.9 Sal 311 289 266 250 1116 33 .14 15 5 23 78 48 1.6 Boa Vlsta 101 167 1If 1'8 560 22 26 13 1 14 93 40 1.7 Windward Islands 5901 5075 4,40 3952 19471 5:9 37 223 76 299 75 65 2.2 Cape Verde 14090 12050 10844 9967 46951 1447 32 480 281 761 63 62 2.3 sourcv: Data furnished to the Mission by the 4Intstcrto da Educacao e Cultura. - 46 - Table IV.2 - CAPS VERDE : Enrollment Trends in Basic and Complementary Elementary Education; 1973-74 to 1982-83 School Years Basic Elementary School Year Male Female TOTAL 1973-74 24256 22308 46564 1974-75 25236 23333 48569 1975-76 31584 28811 60395 1976-77 28883 27158 56041 1977-78 29377 27029 56406 1978-79 23764 22775 46539 1979-80 26535 25673 52208 1980-81 25985 24839 50824 1981-82 24810 23908 48718 1982-83 23948 23003 46951 Complementar Elementary Male Female TOTAL 1973-74 1875 1095 2970 1974-75 1987 1564 3551 1975-76 2179 2118 4297 1976-77 2356 1988 4344 1977-78 2163 1929 4092 1978-79 2293 2035 4333 1979-80 3148 2753 5901 1980-81 3650 3131 6781 1981 -82 4048 3602 7650 1982-83 4088 3637 7725 Source: Data Furnished to the Mission by the Ministerio de Educa;io e Cultura - 47 - Table V.1 CAPE VERDE: Decennial Population Census Counts and Intercensal Average Annual Rates of Population Growth, 1878-1980 Census Year Population Intercensal Average Annual Rate of Growth 1878 99,317 1890 127,390 2.1 1900 147,424 1.5 1910 142,552 -0.3 1920 159,675 1.1 1930 146,299 -0.9 1940 181,740 2.2 1950 149,971 -1.9 1960 199,902 2.9 1970 270,999 3.1 1980 295,703 0.9 Source: Custodio Conim, "Aspects Generaux de la Demographie au Cap Vert", Sixi4me Reunion sur le Programme de Recherche Demo- graphique pour le Sahel, Praia, June 29 - July 4, 1983. - 48 - Table V. 2 CAPE VERDE: Quinquennial Vital Rates, 1931-3; to 1976-80 Period Crude Birth Crude Death Natural Rate Rate Increase Rate 1931-35 42.4 24.3 18.1 1936-40 43.7 22.7 21.0 1941-45 32.7 49.0 -16.3 1946-50 31.1 50.0 -18.9 1951-55 49.0 16.3 32.7 1956-60 47.2 13.8 33.4 1961-65 42.6 12.0 3V.6 1966-70 38.7 10.9 27.9 1971-75 31.4 11.4 20.0 1976-80 33.2 9.3 23.9 Source: Cust6dio Conim, "1Aspects Generaux de la Dfmographie au Cap Vert", Sixiame Reunion sur le Programme de Recherche Demo- graphique pour le Sahel, Praia, June 29 - July 4, 1983. - 49 - Table V.3 CAPE VERDE: Annual Vital Rates, 1961-1980 Period Crude Birth Crude Death Natural Infant Rate Rate Increase Rate Mortality Rate 1961 39.8 12.4 27.4 - 1962 42.2 11.1 31.0 - 1963 44.3 14.6 29.6 - 1964 43.3 10.1 33.1 - 1965 41.3 10.7 30.6 - 1966 40.0 10.3 29.7 - 1967 41.0 10.7 30.3 - 1968 39.6 9.4 30.2 - 1969 39.8 13.2 25.6 - 1970 36.1 10.6 25.5 - 1971 36.2 15.5 20.8 128.8 1972 34.7 10.4 24.3 91.9 1973 31.5 12.4 19.1 111.9 1974 30.6 9.5 21.2 79.3 1975 29.3 10.5 18.8 108.6 1976 34.4 10.0 24.3 99.6 1977 34.4 8.9 25.6 85.4 1978 34.5 11.0 23.5 93.9 1979 34.8 8.4 26.4 59.7 1980 37.4 7.5 29.9 60.0 Source: Minist6rio da Sauide e Assuntos Sociais, Boletim Estatfstico, Vol. I, Praia, 1982. Table V.4 CAPE VERDE: Age and Sex Distribution and Sex Ratios (males per 100 females) 1980 AGE GROUP BOTH SEXES MALES FEMALES SEX RATIOS 0-4 50041 24478 25563 95.8 5-9 41556 20650 20906 98.8 10-14 44347 21928 22419 97.8 15-19 40200 19737 20463 96.4 20-24 26639 11408 15231 74.9 25-29 15023 5671 9352 60.6 30-34 7500 2914 4586 63.5 35-39 7857 2833 5042 56.2 40-14 11529 4281 7248 59.1 45-49 10930 4432 6498 68.2 50-54 9',18 4173 5545 75.3 55-59 5950 2665 3285 81.1 60-64 6289 2802 3387 80.4 65-69 6450 2927 3523 85.1 70-74 5767 2644 3123 84.7 75+ 5889 2152 3737 57.6 All Ages 295703 135695 160008 84.8 - 51 - Table V. 5 CAPE VERDE: Dependency Ratios and Percent of the Population in Productive and Dependent Ages, 1950 to 1980 Dependency Ratios Percent Distribution Census Year 0-14 65+ 0-14,65+ 0-14 15-64 65+ 15-64 15-64 15-64 1950 55.5 6.6 62.1 34.2 61.8 4.0 1960 82.8 8.9 91.7 43.2 52.2 4.0 1970 100.1 10.7 110.8 47.5 47.4 5.1 1980 96.0 12.8 108.8 46.0 47.9 5.1 Table V.6 CAPE VERDE: Population, Average Annual Rates of Population Growth, and Population Density; by Islands, 1970-1980 Annual Averate Density Island Population Growth Rate (in square Kilometers) 1970 1980 1970 - 80 1970 1980 Boa Vista 3463 3397 -0.6 5.8 5.4 Brava 7858 6984 -1.1 121.2 109.1 Fogo 29692 31115 0.5 61.8 65.1 Maio 3451 4103 1.8 12.9 15.2 Sal 5642 6006 0.6 25.5 27.0 Santiago 129508 145923 1.3 130.0 147.3 Santo Antao 45051 43190 -0.3 - 57.3 55.6 Siao Nicolau 16320 13575 -1.9 47.5 39.6 Sao Vicente 31586 41792 3-0 139.1 183.2 CAPE VERDE 272571 296093 0.9 68.0 74.2 Source: Custodio Conim, "Aspects Generaux de la Demographie au Cap Vert," Sixieme Reunion sur le Programme de Recherche Demographique pour le Sahel, Praia, June 29 - July 4, 1983 and Secretaria de Estado e Cooperagio e Planeamento and Republica de Cabo Verde, Primeiro Plano Nacional de Desenvolvimento, 1982-1985, Volume I, Praia, 1982. - 53 - Table VI.1 CAPE VERDE: Sex Distribution of the Population Over 15 Years of Age by Economic Activity; Provisional Results of the 1980 Census Both Sexes Males Females Population over 15 years of age 169800 74300 95500 Economically Active Population 91300 57700 33600 Permanently Employed 28700 21000 10000 Temporarily Employed 32900 22900 10000 Undetermined 3400 1900 1500 Unemployed 26300 11900 14400 Looking for first job (11500) (5000) (6500) Looking for new job (14800) (6900) (7900) Economically Inactive Population 78500 16600 61900 Housewives 35300 - 35300 Students 11400 5700 5700 Disabled 8800 3100 5700 Pensioners 4300 2400 1900 Not specified 18700 5400 13300 Source: Republic of Cape Verde, Secretaria de Estado de Cooperaggo e Planeamento, Primeito Plano Nacional de Desenvolvimento, 1982-1985, Volume I, Praia, 1982, p. 12. - 54 - Table VI.2 CAPE VERDE: Urban-Rural Distribution of the Population Over 15 Years of Age by Economic Activity; Provisional Results of the 1980 Census Urban & Semi-Urban Rural Population over 15 years of age 62,200 107,600 Economically Active Population 34,700 56,600 Permanently employed 15.000 13,700 Employed in Public Investment Programs 3,800 19,900 Underemployed 6,500 6,100 Unemployed 9,400 16,900 Economically Inactive Population 27,500 51,000 Source: Republic of Cape Verde, Secretaria de Estado de Cooperaco e Planeamento, Primeiro Plano Nacional de Desenvolvimento, 1982-1985. Volume I, Praia, 1982, p. 13. - 55 - Table VI.3 CAPE VERDE: Distribution of the Economically Active Population in 1980 and Projected in 1985 1980 1985 Number Percent Number Percent Population over 15 years of age 170,000 - 195,000 - Economically active population 91,000 100 105,000 100 Permanently employed 29,000 32 35,000 33 Temporarily emeloyed 36,000 39 48,000 46 Development projects (23,000) (25) (33.000) (32) Other (13,000) (14) (15,000) (14) Unemployed 26,000 29 22,000 21 Economically inactive population 79,000 - 90,000 - Source: Republic of Cape Verde, Secretaria de Estado de Cooperacao e Planeamento, Primeiro Plano Nacional de Desenvolvimento. 1982-1985, Volume I, Praia, 1982, p. 102. - 56 - Table VI.4 CAPE VERDE: Urban Employment Situation, 1978 Praia Mindelo Population 39,400 33,200 Active populpion (15 + years) 21,300 18,308 Labor force. 1,230 8,024 Participation rate, % 52.7 43.8 Employment 8,543 5,670 Private, Z 39.1 53.4 Public, % 60.9 46.6 Agriculture and fisheries, % 5.2 2.8 Industry, X 4.0 9.6 Construction, X 20.0 13.4 Services, X 70.8 74.2 Unemployment 2,687 2,354 % of labor force 23.9 29.3 Inactive and Unemployed Supported by Emigrants, X 5.2 17.0 a Computed by adding employment and unemployment figures. Sources: J.A. Sonsa Fialho (ILO Consultant), InquErito As Fam!lias Sobre Emprego e Desemprego, Geneva, 1978 and World Bank, Th'e Republic of Cape Verde: Economic Development in a Small Archipelago, Washington, D.C., May 30, 1980, p. 66 (Report No. 2730-CV). - 57 - Table VI.5 CAPE VERDE: Percent Distribution of the Economically Active Population by Industry; Provisiona]. Rebults of the 1980 Census Agriculture and livestock 38.4 Artisanal fishing 7.9 Extractive industries 1.1 Manufacturing industries 5.5 Construction 3.9 Production and distribution of water and energy 1.1 Wholesale and retail trade 9.2 Bank, insurance 0.6 Transport, storage and communication 6.1 Administration 15.2 Hotels and restaurants 0.5 Other activities and services not clearly defined 10.5 Source: Republic of Cape Verde, Round Table of Development Partners, Praia, June 1982. Volume I, p. 9. - 58 - Table VI.6 CAPE VERDE: Percent Distribution of the Permanently Employed Labor Foce by Level of Skill.; Provisional Results of the 1980 Census High level personnel and technicians 4.0 Intermediate technical personnel 3.0 Highly skilled personnel 6.3 Skilled personnel 12.7 Specialized personnel 33.9 Unskilled personnel 40.0 Source: Republic of Cape Verde, Round Table of Development Partners, Praia, June 1982. Volume I, p. 9. - 59 - Table VII.1 CAPE VERDE: Sumuary of Family Planning Statistics. 1980 and 1982; Percent Change Family Planning Consultations Percent Change First Consultat ions 1980 1806 +173.4 1982 3131 Follow-up Consultations 1980 7835 +214.3 1982 16794 Contraceptive Pill Use First Time Uscrs 1980 1618 +167.2 1982 2706 Follnw-up Consultations 1980 4864 +304.0 1982 14788 Intrauterine Device Use Insertions 1980 163 +213.3 1982 377 Follow-up Consultations 1980 843 +168.2 1982 1418 Injectables (Depo-Provera and Noristerat) use 1980 194 - 37.1 1982 122 Fcuile Sterilizations 1980 40 -472.5 1982 189 Interrurtions of Pregnancy 1980 30 +853.3 1982 256 Source: Direccio Geral da SaGde. Ministerio da Safide e Assuntos Sociais, Relat6rio das Actividades do Projecto de PMI/PF Referente ao Ano de 1982 e Perspectivas para 1985. Mindelo, Sao Vicente, 1983. - 60 - Table VIII.1 CAPE VERDE: Estimates of Net International Migration, by Pf,riods; 1906 through 1973 Emignta Return Migrants Balance and Immigranta 1906-18 31399 6593 24806 1919-32 15615 3123 12492 1933-42 7147 6958 189 1943-52 38425 13612 24813 1953-62 48988 32481 16507 1963-73 117511 731?8 44383 1906-73 259085 135895 123190 SourcQ: Ant6nio Carreira, The PeIople of the Cape Verde Islands: Exploitation and Emigration, Archon Book3, Hamden, Conn., 1982, Table 43, p. 184. - 61 - Table VIII.2 - Rough Estimates of Cape Verdean and Descendants Living Abroad, Circa 1980 Countries Cape Verdean Emigrants and descendants United States 200,000 - 300,000 Portugal and Spain 40,000 Angola 35,000 Senegal 22,000 - 25,000 France 10,000 - 15,000 Netherlands 8,000 - 10,000 Siao Tome and Principe 8,000 Italy 8,000 - 10,000 Luxembourg 3,000 Brasil 3,000 Switzerland 2,500 - 3,000 Argentina 2,000 Other countries (United Kingdom) (Yugoslavia, etc). ? All countries 341,500 - 454,000 Source: Antonio Carreira, The People of the Cape Verde Islands: Exploitation and Emigration, Archon Books, Hamden, Conn., 1982; and estimates provided to this mission by Dr. Josue Eduardo Barbosa, Director General, Emigration and Consular Services, Ministry of Foreign Relations, Republic of Cape Verde. - 62 - Table VIII.3 Cape Verdean Immigrants Admitted to the United States by Fiscal Year, 1954 to 1980 YEAR NUMBER YEAR NUMBER 1954 70 1968 417 1955 41 1969 206 1956 20 1970 168 1957 15 1971 183 1958 19 1972 248 1959 19 1973 214 1960 9 1974 122 1961 5 1975 196 1962 13 1976 1110 1963 16 1977 964 1964 14 1978 941 1965 18 1979 765 1966 132 1980 788 1967 335 -Source: Unpublished data courtesy of Roger Kramer, Immigration and Naturalization Service, United States Department of Justice, Washington, D.C. Table VIII.4 CAPE VERDE: Workers' Remittances by Country of Origin, 1978 - 1982 (in millions of Cape Verdean Escudos) 1978 1979 1980 1981 1982 Value Percent Value Percent Value Percent Value Percent Value Percent United States 218 26 219 24 346 21 402 26 394 24 Netherlands 241 29 253 28 350 21 330 21 340 21 Portugal 122 15 125 14 265 16 234 15 199 12 France 47 6 71 8 129 8 140 9 265 16 Angola 35 4 40 4 60 4 118 8 166 13 Germany, Fed. Rep. of 34 4 35 4 111 7 83 6 86 5 United Kingdom 42 5 42 5 82 5 66 4 41 2 Italy 17 2 21 2 72 4 38 2 33 2 Others 82 9 93 11 195 14 128 9 95 5 TOTAL 838 100 899 100 1610 100 1539 100 1619 100 I 07% As percent of GDP 44 40 62 48 35 Private consumption 38 40 54 47 47 Imports excluding aid 51 48 60 41 39 Source: IMF, Cape Verde: Recent Economic Development, August 5. 1982 and data provided by Cape Verdean authorities to the Mission. Table VIII.5 Cape Verdeam Immigrants Admitted to the United States by Major Occupation Group, Absolute Number and % Distribution, Fiscal Years 1977-1979 1977 1978 1979 Occupational Group Number % Number % Number Professional, Technical and kindred workers 17 1.8 23 2.5 20 2.6 Managers and administrators except farm 22 2.3 10 1.1 19 2.5 Sales Workers 2 .2 2 .2 - - Clerical and kindred workers 18 1.9 18 1.9 8 1.1 Craftsmen and kindred workers 63 6.5 53 5.6 29 3.8 Operatives except transport 41 4.2 46 4.9 53 6.9 Transport equip. operatives 16 1.7 17 1.8 4 .5 Laborers except farm 55 5.7 66 7.0 63 8.2 Farmers and farm managere 2 .2 1 .1 - - Farm laborers and farm foremen 29 3.0 15 1.6 8 1.0 Service workers except private household 14 1.4 19 2.0 9 1.2 Private household workers 72 7.5 55 5.8 21 2.8 Housewives, children & others with no occupation reported 613 63.6 616 65.5 531 69.4 TOTAL 964 100.0 941 100.0 765 100.0 Source: Unpublished data Courtesy of Roger Kramer, Immigration and Naturalization Service, United States Department of Justice, Washington, D.C. Table VIII.6 Cape Verdean Immigrants Admitted to the United States by Age, Absolute Number and % Distribution, Fiscal Years, 1978-1980 1978 1979 1980 AGE Number % Number % Number % 19 and under 414 44.0 341 44.6 332 42.1 20-59 472 50.2 392 51.2 406 51.5 60 and over 55 5.8 32 4.2 50 6.4 ALL AGES 941 100.0 765 100.0 788 100.0 Source: Unpublished data Courtesy of Rogor Kramer, Immigration and Naturalization Service, United States Department of Justice, Washington D.C. lJ Table VIII.7 Cape Verdean Immigrants Admitted to the United States by Sex and Marital Status, Absolute Number and % Distribution Fiscal Years, 1977-1979 1977 1978 1979 Number % Number _ Number % MALES Single 289 62.0 305 63.9 210 57.5 Married 171 36.7 167 35.0 149 40.8 Widowed, divorced and unknown 6 1.3 5 1.1 6 1.7 TOTAL 466 100.0 477 100.0 365 100.0 FEMALES Single 292 58.6 282 60.8 237 59.2 a Married 185 37.2 165 35.5 146 36.5 Widowed, divorced and unknown 21 4.2 17 3.7 17 4.3 TOTAL 498 100.0 464 100.0 400 100.0 Both Sexes 964 - 941 - 765 _ Source: Unpublished data Courtesy of Roger Kramer, Immigration and Naturalization Service, United States Department of Justice, Washington, D.C. Table VIII.8 Age Distribution of Cape Verdean Emigrants to all Destination Countries and of Cape Verdean Immigrants to the United States, 1980 1/ Cape Verde United States 2/ Emigration Statistics Immigration Statistics AGE Number % Number Under 15 3 .3 234 29.7 15 - 29 763 71.4 287 36.4 30 - 49 183 17.1 175 22.2 50 and over 119 11.2 92 11.7 ALL AGES 1068 100.0 788 100.0 Souroe: For Cape Verde, Direcgao Geral de Estatistica, Boletim Trimestral de Estatistica, 1981, Vol. II, No. 4, Table 5, p.7; and for the United States, Unpublished data courtesy of Roger Kramer, Immigration and Naturalization a Service, United States Department of Justice, Washington D.C. 0 21 Note that the figures for the population under age 15 differ substantially in the two sources. It is likely that the Cape Verdean emigration authorities do not register children who are leaving the country. 2/ U.S. Fiscal year runs from October 1979 through September 1980. - 68 - Table VIII.9 Monr..dy Salaries of Temporary Cape Verdean Workers in Angola, As Agreed in the Bilateral Labor Accord of 1978 Category Skill Level Monthly Salary (in U.S. dollars) 1 Personnel with high qualifications 1,302 working as consultants at the central level 2 Peraonnel with high qualifications 1,140 teaching in universities or scientific institutes 3 Per3onnel with high qualifications engaged in technical pursuits e.g., surgeons, chief engineers, etc. 1,092 4 Personnel with high qualifications employed as physicians, agronomistu veterinaries, engineers, jurists, economists, arquitects 960 5 Middle-level technicians 860 8 Specialized operaries employed as mechanics, electricians, masons, painters, machinists 730 9 Unskilled workers 400 Source: Data provided to the Mission Table IX.1 CAPE VERDE; PROJECTED VITAL RATES UNDER VARIOUS FERTILIT? ASSURPTIONS AND NO M!IGATION; 1980-85 TO 2010-'5 Period Constant FertilitY Craldual Fe rtiuit ERaid Fertility _ Crude birth Crude death Naturel Crude birth ru death Crude birth Crude death Natural rate rate increase rate rate rate increase rate rate rate inareame rate 1980-85 35.3 11.3 2.41 35.3 11.3 2.41 35.3 11.3 2.41 1965-90 44.0 10.3 3.37 39.6 10.0 2.97 35.4 9.7 2.57 1990-95 46.5 9.0 3.76 37.3 8.4 2.89 30.8 8.0 2.28 1995-00 44.9 7.6 3.73 33.2 7.0 2.61 25.0 6.6 1.84 2000-05 42.1 6.5 3.56 28.7 '.0 2.27 20.0 5.8 1.42 2005-¶0 40.7 5.8 3.49 25.3 5.5 1.99 1.9 5.7 1.42 2010-15 41.4 5.2 3.62 22.7 5.0 1.77 19.7 5.5 1.42 t. Table 11.2 CAPU 2RD2, FROJICTID PFULASIOX CGRO RAYI.UNDE DI"VUINI FERTILITY AID IRNIQATICI LSASU IOXS UD D&CLIIIUUQ NOALITI 1 96-2015 Constant hertility 0raiual Fertility Denl.ne e3pid Frtility Declino lo. bigration Eigration Migration No. Emigration Bigration ftigrotion lo. Eigration 1kigrution hIigratioa at 1970-80 rates deoltning to at 1970-80 rates decliani to at 1970-0 rates declinin. to z_ ero by 2000 to sero by 2000 zero by 2000 1960-85 2-34 1.04 1.41 2.41 1.06 1.36 2.34 1.04 1.31 1965-90 3-43 1.76 2.38 2.96 1.39 2.00 2.54 .99 1.60 1990-95 3.74 2.05 3.06 2.88 1.18 2.19 2.27 .55 1.57 1995-00 3.73 2.06 3.42 2.60 .88 2.2S 1.84 .05 1.4t 2000-05 3.55 2.02 3.44 2.26 .60 2.32 1.42 -.36 1.45 2005-10 3.48 2.06 3.58 1.97 .34 2.04 1.42 -.39 1.47 2010-15 3.60 2.25 3.67 1.76 .13 1.82 1.41 -.40 1.46 a table 1X.3 CAPE VERDE. POPULATION ESTIMATED UNDER VARIOUS FE TILITY AND LUI'RATIOI A5SUSPrIONS, 19S0 TO 2015 Constant FertilUty Cradual Fertility Decline R pil Fertility Decline No. Emigration Emigration Nigration No. ELigration ?tzgratlon Eilgration No. Emigration Emigration Emigration at t970-80 rmtes declining to at 1970-80 rates declining to at 1970-80 rates dealining to year zero bs 2000 to zero by 2000 zero by 2oD0 1 980 -1Fi-293290 294987 294626 295703 295703 295073 293290 294937 294M2 1985 529666 310680 314496 333506 312178 316453 329666 310680 314496 1990 389377 339323 354168 386662 334614 349793 374370 326455 340685 1995 469485 375897 412659 446561 354902 390338 419368 335643 368594 2000 565657 416657 489667 506678 370865 437430 459697 356411 396959 2005 675657 4601865 5S7452 569659 382169 491317 493506 330096 426842 2010 804058 510868 702693 628702 388800 544123 529694 323743 459356 2015 962827 571924 844364 686667 391343 595845 568368 317384 494124 -. table IX.4 CAPE VERDE, POPULATION PROJECTION BY AG! AND SEX: 'RADUAL FERTILI?T DECLINE AND DECLI!1NIN NOT E!IIGRATION (TO !ERO BY THE YEAR 200M) ASSUMPTIONS; 1980 T0 2015 AGE GROUP CALENDAR YEAR 1980 1985 1990 1995 2000 2005 2010 2015 Male. 0-4 25579 23689 29170 31337 32238 32366 32128 31755 5-9 20919 2t146 22606 28230 30632 31827 32022 31848 10-14 22433 20316 23654 22252 27972 30531 31739 31948 20-24 15241 19057 20593 19017 22785 219902 27745 30321 25-29 9358 13339 17264 19259 18276 22641 21783 27619 30-34 4589 7599 11441 15597 18244 18137 22491 21660 35-39 5045 3410 6335 10181 14704 18 570 17995 22325 40-44 7253 4398 2917 5859 9746 14514 17862 17804 45-49 6502 6699 4105 2798 5647 9559 14262 17585 50-54 5548 6029 6308 3898 2678 5479 9295 13907 55-59 3287 5104 5597 5921 3687 2555 5245 8930 60-64 3389 2942 4626 5120 5466 3430 2388 4925 65-69 3525 2907 2550 4057 4534 4885 3086 2163 70-74 3125 2773 2321 2064 3330 3767 4098 2615 75 3739 3699 3527 3213 2954 3804 4592 5300 ALL AGES 160008 167891 182905 202084 224907 251336 277161 302362 le sles 0-4 24478 23262 28580 30676 31542 31647 31397 31016 5-9 20650 23158 22231 27691 30025 31176 31343 31151 10-14 21928 20089 22705 21905 27463 29951 31114 31293 15-19 19737 21357 19659 22392 21711 27394 29889 31061 20-24 11408 18587 20313 18947 21974 21632 27311 29815 25-29 5671 10038 17036 19074 18273 21871 21547 27222 30-34 2914 4631 8705 15642 18191 18170 21767 21462 35-39 2833 2292 3911 7829 14916 18067 18065 21660 40-44 4281 2535 2067 3640 7542 14753 17927 17943 45-49 4432 4074 2425 19'2 3560 7450 14622 17754 50-54 4173 4244 3933 2353 1943 3496 7329 14409 55-59 2665 3976 4066 3791 2255 18s1 3412 7168 60-64 2802 2484 3738 3849 3589 2161 1819 3293 65-69 2927 2509 2245 3416 3549 3336 2020 1710 70-74 2644 2423 2107 1913 2951 3102 2943 1799 750 135695 148562 166887 188254 212523 239981 266962 293483 Both Soxes Total 295703 316453 349793 390338 437430 491317 544123 595845 Table IX5 CA?P VERDE. POPILATION PROJECTION BY ASE AND S9E: GR.A:UJAL PE?ILITY DW LINE AND CO3lANT WI' ELMIGRAtION ASSUPTIOS3; 191) TO 2015 AGE OROUP CALENDAR YEAR 9g)o 1995 1990 1995 2000 2005 2010 2015 Rales 0-4 25579 23333 27811 28333 2'72M 25240 23392 21306 5-9 21919 23374 21915 26340 26908 25933 24075 22354 10-14 22433 202)4 23259 21209 25"1 26147 25135 23416 15-19 23-176 21646 i9485 22530 2)459 24815 25343 24411 20-24 15241 19761 19944 17732 20746 13673 22893 23286 25-19 9358 12315 15946 169 'm 14955 t73D7 15654 19638 30-34 4599 7192 9960 12373 13114 11153 14)301 11716 35-39 5045 3136 5259 7365 9312 1)310 S084 10323 40-44 7253 4265 2503 4 354 4185 7911 S604 6717 45-4Q 6502 6615 3870 2212 3971 5622 7234 7296 50-54 5548 5332 6147 3592 2027 3697 5249 6782 55-57 3287 531 5590) 5657 3332 1869 345D 4913 60-64 33d) Z332 4578 4)317 5210 3)59 1712 3189 65-69 3525 2903 2533 4X3MO 4393 4625 2733 1536 10-74 3125 2771 2315 2045 33 3633 5 3 5965 23D6 759 57f39 3697 3521 3201 232a 3740 4451 5349 ALL ADE9 W6rAV5 165423 174466 18291? 183532 1)331) 195924 195S64 0-4 24479 22)13 27241 27721 266S3 24644 22346 21256 5-9 20653 22M1 21553 25923 26359 25351 23544 21846 10-14 21929 19375 22319 20883 25108 25636 24669 2?916 15-19 19137 21249 19334 21633 2)244 24427 24923 23W3 20-24 11408 18346 19627 17762 2309' 1363) 22693 23D75 25-29 5671 9727 159O ! 6eeo6 1535 17345 157B5 19625 30-34 2914 4338 7634 12957 13427 1169' 13934 12234 35-39 2833 214? 3274 573) 10252 13653 8992 t1156 40-44 4291 2471 1812 276) 4323 9049 9452 7304 45-49 4412 4044 2324 1631 2593 4621 86)1 9935 50-54 4173 4227 3877 2227 1617 248' 44) 5321 55-59 2665 3963 4334 3719 2133 1555 2393 4292 60-64 2d02 245) 372) 3802 3524 2034 1432 2296 65-69 2927 2505 2235 3388 3489 3257 1l89 133 70-74 2644 2421 2100 298 2916 3034 28S6 1672 750 2152 2900 3158 3119 30D1D 39?3 4342 4596 ALL AaGS 135695 14674? 160143 1713'0 18'353 138253 192375 195490 ath Soesom Total 295703 312178 334614 )54902 370885 392169 38338) 391343 Table 11.6 CAFl VERDI, FOP'JLAtIIO PFOJECTION ST AGE AID SE2: RAPID ftUTILITY DWCLINE AND COUS3ANT 116? IOIAIO1 AASSUIYIOQS5 19 70 TO 2015 Ao0l GOUp CALEXDAR TEAR -- 1980 1985 1990 i5 2000 2005 2010 2015 h1.. 0-4 2S794 22814 24279 22427 19064 15635 15735 15649 5-9 20661 24187 21447 22996 21304 18151 14a85 1503I 10-14 22648 19945 23472 20171 22343 2071S 17657 14458 iS-19 20371 21879 19232 2274S 20075 21659 20067 17099 20-24 14954 18669 20053 17483 20965 18309 19935 16407 25-29 9087 12670 15s7 17109 14614 18033 15792 17074 70-34 4405 6983 976. 12317 13309 10915 14238 11598 75-39 5269 281M 5102 7211 9253 10201 7858 11059 40-44 7612 4470 2372 4251 5049 7953 8792 6498 45-49 6492 6949 4063 20?, 3e50 5497 7177 8110 50-54 5510 5969 6459 3775 19i2 3584 5130 6726 55-59 3159 5046 S485 5968 3504 1761 3344 4803 60-64 3434 2817 4548 4972 5476 3216 1612 391 65-69 3s58 2942 2433 3973 4379 4865 2875 1446 70-74 3159 2e20 2346 19"4 3251 3622 40Y4, 2427 750 3743 3722 3566 3243 2990 3706 4427 5183 ALL 01E3 159857 164871 170510 173320 172239 WM7723 163190 15%56 Veu le Table IX.7 CAPE VERDE: Projected Working Age Population (both sexes, ages 15-64) Under Various Combinations of Fertility and Emigration Assumptions and Declining Mortality 1980 to 2015 -------Constant Fertility------- --Gradual Fertility Decline-- ---Rapid Fertility Decline-- Emigration at levels Emigration at levels Emigration at levels observed in 1970-80 observed in i970-80 observed in 1970-80 No No No Emigration Declining Constant Emigration Declining Constant Emigration Declining Constant to zero emigration to zero emigration to zero emigration Period by 2000 up to 2015 by 2000 up to 2015 by 2000 up to 2015 1980 141933 141798 141765 141933 141798 141765 141933 141798 141765 1985 177042 162806 159597 177042 162806 159597 177042 162806 159597 1990 209757 181710 171027 209757 181710 171027 209757 181710 171027 1995 246406 205902 182180 246406 205902 182180 246406 205902 182180 2000 280593 229872 186271 280593 229872 186271 280593 229872 186271 2005 329159 271479 198473 323737 266752 194309 314872 259074 187566 2010 393139 326679 218968 373525 309726 205167 344397 284565 184776 2015 466670 391815 242688 423514 354440 214978 375026 312230 184219 Table IX.8 CAPE VERDE: Projected Primary School Age (both sexes, ages 6-12) Population Under Various Combinations of Fertility and Emigration Assumptions and Declining Mortality 1980 to 2015 …-----Constant Fertility…- - --Gradual Fertility Decline-- ----Rapid Fertility Decline---- Emigration at levels Emigration at levels Emigration at lcvels observed in 1970-80 observed in 1970-80 observed in 1970-80 No No No Emigration Dec!.Jning Constant Emigration Declining Constant Emigration Declining Constant to zero emigration to zero emigration to zero emigration Period _ by 2000 up to 2015 by 2000 up to 2015 by 2000 up to 2015 1980 59582 59567 59563 59582 59567 59563 59582 59567 59563 1985 62926 61371 60999 62926 61371 60999 62926 61371 60999 1990 67094 62527 61005 67094 62523 60999 67094 62516 60988 154c, 76375 67340 63245 83708 72366 64668 61591 53244 47654 2000 98445 85123 76040 96954 84476 75620 80241 69852 62522 2005 112645 97822 81698 84698 73677 61537 54617 47510 39570 2010 125058 110429 86081 83590 74144 57893 60510 53482 41858 2015 137193 122450 89114 80005 71817 52350 61860 55320 40137 Table IX.9 CAPE VERDE: Projected Number of Women in Reproductive Ages (15-49) Under Various Combinations of Fertility aaid Emigration Assumptions and Declining Mortal5ty 1980-85 to 2010-15 …------ Constant Fertility------- --Gradual Fertility Decline-- ----Rapid Fertility Decline---- Eml.gration at levels Emigration at levels Emigration at levels observed in 1970-80 observed in 1970-80 observed in 1970-80 No No No Emigration Declining Constant Emigration Declining Constant Emigration Declining Constant to zero emigration to zero emigration to zero emigration Period by 2000 up to 2015 by 2000 up to 2015 _ by 2000 up to 2015 1980 68606 68557 68544 68606 68557 68544 68606 68557 68544 1985 83629 78493 77270 83629 78493 77270 83629 78493 77270 1990 96580 86622 82535 96580 86622 82535 96580 86622 82535 1995 115607 101302 92207 115607 101302 92207 115607 101302 92207 2000 133433 115441 98869 133433 115441 98869 133433 115441 98869 _ 2005 154011 133854 106859 151323 131509 104785 146927 127700 101427 2010 175341 153338 114655 165618 144931 107709 151178 132454 97436 2015 196709 '73478 121883 175320 154948 107704 151282 134017 91800