the birth rate in most developed countries is predicted to begin to fall over the next 50 years. By 2030 it is estimated that over one third of the population in most developed countries will be aged 65 and over. What effects will these predictions have on developed countries if they prove true? what can be done now to deal with this situation?

The Total
Fertility
Rate
of a population is the average number of children that would be born to a woman over her lifetime if she were to experience the exact current
age specific
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fertility
rates
through
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throughout
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her
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lifetime
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life time
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lifetime
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and she were to survive from birth through the end of her reproductive
life
. It is obtained by summing the single year
age specific
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rates
for a given time point. Perhaps more relevant to the current debate is the replacement
fertility
rate
which is the total
fertility
rate
in which women would have only enough children to replace themselves and their partners. Effectively it is the total
fertility
rate
at which newborn girls would have an average of exactly 1 daughter over their lifetimes. By
definition
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,definition
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replacement is only considered to have occurred when the offspring reach 15 years of age. The replacement
fertility
rate
is roughly 2.1 live births per woman for most industrialised countries. Due to increased mortality
rates
, the approximate average for developing regions of the world is 2.3. At
this
rate
, population growth through reproduction will be approximately 0
,
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but
still
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,still
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be affected by male-female ratios and mortality
rates
. There is an urgent need to initiate strategies at
local
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the local
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/national and international
level
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levels
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to prevent infertility and protect human
fertility
. The government should prioritise the provision of safe, mild and cost-effective assisted reproduction treatments with single embryo transfer so that more treatment cycles could be offered within the available health budget.
This
would save costs associated with drugs, hospital admissions for OHSS and multiple pregnancies. “Strategy for Reproduction and Family
life
” should replace “
Fertility
treatment” as a government policy and it should be dealt with across many departments as indicated in Figure 1 to boost the birth
rate
and national economy, employment, family
life
and societal growth. A separate department must be established to promote family
life
.
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