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These are the user uploaded subtitles that are being translated: 1 00:00:00,725 --> 00:00:04,015 For most of our history, the human population grew slowly, 2 00:00:04,020 --> 00:00:06,740 until new discoveries brought us more food, 3 00:00:06,740 --> 00:00:08,000 and made us live longer. 4 00:00:08,400 --> 00:00:12,240 In just a hundred years, the human population quadrupled. 5 00:00:12,700 --> 00:00:16,300 This led to apocalyptic visions of an overcrowded earth. 6 00:00:16,840 --> 00:00:20,700 But the population growth rate actually peaked in the 1960s. 7 00:00:21,440 --> 00:00:26,060 Since then, fertility rates have crashed as countries industrialize and develop. 8 00:00:26,660 --> 00:00:31,900 The world population is now expected to balance out at around 11 billion by the end of the century. 9 00:00:32,900 --> 00:00:35,940 But the big picture conceals the details. 10 00:00:35,940 --> 00:00:38,320 Let's look at one region in particular. 11 00:00:38,320 --> 00:00:40,220 Sub-Saharan Africa. 12 00:00:40,220 --> 00:00:44,940 In 2019, it was home to a billion people living in 46 countries. 13 00:00:44,940 --> 00:00:48,360 Although its growth rate has slowed down in the last few decades, 14 00:00:48,360 --> 00:00:51,420 it's still much higher than in the rest of the world. 15 00:00:51,420 --> 00:00:55,460 While some projections expect around 2.6 billion people, 16 00:00:55,460 --> 00:00:59,420 others reckon with up to 5 billion by 2100. 17 00:00:59,420 --> 00:01:03,240 Such growth would be a huge challenge for any society. 18 00:01:03,240 --> 00:01:07,360 But Sub-Saharan Africa is also the poorest region on earth. 19 00:01:07,360 --> 00:01:10,320 So, is Sub-Saharan Africa doomed? 20 00:01:10,320 --> 00:01:14,760 And, why did the projections vary by 2.4 billion people? 21 00:01:14,760 --> 00:01:17,300 As always, it's complicated. 22 00:01:17,300 --> 00:01:20,240 Sub-Saharan Africa is a made-up idea, 23 00:01:20,240 --> 00:01:21,900 and in many ways, unhelpful one. 24 00:01:22,380 --> 00:01:25,120 Botswana is as far away from Sierra Leone, 25 00:01:25,120 --> 00:01:27,220 as Ireland is from Kazakhstan. 26 00:01:27,220 --> 00:01:28,920 And they have about as much in common. 27 00:01:29,340 --> 00:01:31,740 But without generalizing a little bit, 28 00:01:31,740 --> 00:01:33,340 this video would be an hour long! 29 00:01:34,020 --> 00:01:37,000 We've also talked to many different scientists for this video, 30 00:01:37,000 --> 00:01:39,100 and they disagreed on a lot of things. 31 00:01:39,580 --> 00:01:43,040 Mainly, on how much fertility matters to poverty. 32 00:01:43,900 --> 00:01:47,140 We've done our best to summarize our research and what they told us, 33 00:01:47,140 --> 00:01:48,520 but take it with a grain of salt, 34 00:01:48,520 --> 00:01:51,780 and check out our sources when we discussed this in more detail. 35 00:01:52,540 --> 00:01:55,660 Okay, let's zoom out to the global perspective again. 36 00:01:56,460 --> 00:02:01,980 A few decades ago, many countries in Asia were at a similar point to Sub-Saharan Africa today. 37 00:02:02,460 --> 00:02:05,440 Large parts of the population were living in extreme poverty, 38 00:02:05,440 --> 00:02:07,300 and birth rates were very high. 39 00:02:07,680 --> 00:02:09,220 Take Bangladesh. 40 00:02:09,220 --> 00:02:13,260 In the 1960s, the average woman had 7 children in her lifetime. 41 00:02:13,700 --> 00:02:16,355 25% of them died before they turned 5, 42 00:02:16,360 --> 00:02:18,320 and of the ones that survived, 43 00:02:18,320 --> 00:02:21,200 only one of five would learn to read and write. 44 00:02:21,200 --> 00:02:23,500 Life expectancy was about 45, 45 00:02:23,500 --> 00:02:26,420 and per capita income was among the lowest in the world. 46 00:02:27,180 --> 00:02:29,220 So, beginning in the 1960s, 47 00:02:29,220 --> 00:02:32,060 Bangladesh started a family planning program, 48 00:02:32,060 --> 00:02:33,640 based on three main pillars. 49 00:02:34,440 --> 00:02:37,600 1. Education helped to change women's outlook. 50 00:02:38,180 --> 00:02:40,980 Women with a higher education tend to want fewer kids, 51 00:02:40,980 --> 00:02:42,620 and become mothers later in life. 52 00:02:43,620 --> 00:02:46,480 2. Better health care lowered child mortality, 53 00:02:46,480 --> 00:02:48,620 leading to parents' wanting fewer children, 54 00:02:48,620 --> 00:02:51,040 because they could expect them to survive. 55 00:02:51,840 --> 00:02:56,380 3. Field workers brought contraceptives even to the remotest areas, 56 00:02:56,380 --> 00:03:00,020 which drove contraceptive use from 8% in 1975, 57 00:03:00,020 --> 00:03:02,360 to 76% in 2019. 58 00:03:02,900 --> 00:03:06,940 Together, these measures greatly slowed down population growth. 59 00:03:07,420 --> 00:03:11,380 In 1960, the average Bangladeshi women had 7 kids. 60 00:03:11,380 --> 00:03:13,280 In 1995, 4, 61 00:03:13,280 --> 00:03:16,080 and, in 2019, it was down to 2. 62 00:03:16,340 --> 00:03:20,360 This also changed the country's demographics and the economy. 63 00:03:20,360 --> 00:03:22,480 Before, many children were born, 64 00:03:22,480 --> 00:03:24,820 but died before they got to contribute to society. 65 00:03:25,160 --> 00:03:29,360 As far fewer kids die and fewer kids are born, things change. 66 00:03:29,360 --> 00:03:30,740 Kids get an education, 67 00:03:30,740 --> 00:03:32,520 and turn into productive adults. 68 00:03:33,120 --> 00:03:35,300 The government was able to shift some of their resources 69 00:03:35,300 --> 00:03:38,520 from lowering child mortality to boosting the economy. 70 00:03:39,320 --> 00:03:45,160 By 2024, Bangladesh is expected to graduate from the category of least developed countries 71 00:03:45,160 --> 00:03:47,160 to the status of a developing economy. 72 00:03:47,960 --> 00:03:52,120 Other Asian countries like South Korea, India, Thailand or the Philippines 73 00:03:52,120 --> 00:03:53,880 have gone through a similar process, 74 00:03:53,885 --> 00:03:55,345 often even faster. 75 00:03:55,680 --> 00:03:59,140 Investment in health and education led to lower birth rates, 76 00:03:59,140 --> 00:04:01,380 which changed the composition of the population, 77 00:04:01,380 --> 00:04:03,940 and enabled governments to boost the economy. 78 00:04:04,440 --> 00:04:08,020 Why didn't the same thing happen everywhere in Sub-Saharan Africa? 79 00:04:08,580 --> 00:04:13,000 Africa, as a whole, has made considerable progress with childhood mortality. 80 00:04:13,000 --> 00:04:15,020 but especially in Sub-Saharan Africa, 81 00:04:15,020 --> 00:04:18,260 education has improved slower than in other parts of the world. 82 00:04:18,680 --> 00:04:22,640 And, while in total, contraceptive use has doubled in the region since 1990, 83 00:04:22,640 --> 00:04:27,840 the unmet need for modern contraception among adolescents is still at about 60%. 84 00:04:28,240 --> 00:04:30,400 The reasons for this are complicated, 85 00:04:30,400 --> 00:04:32,500 and it's impossible to give a single answer here. 86 00:04:33,115 --> 00:04:36,105 Africa is a big place with diverse cultures and people. 87 00:04:36,105 --> 00:04:38,520 But there are a few main factors. 88 00:04:38,520 --> 00:04:43,680 Many Sub-Saharan Nations have suffered under colonization until only a few decades ago, 89 00:04:43,680 --> 00:04:46,880 and had rough transition periods towards independence. 90 00:04:47,460 --> 00:04:51,640 The young nations were often ethnically heterogeneous and lacked unity. 91 00:04:51,920 --> 00:04:54,800 Some areas have been repeatedly racked by civil wars, 92 00:04:54,800 --> 00:04:58,040 military conflicts or suffered under unstable governments, 93 00:04:58,040 --> 00:05:01,280 which made it really hard to expand infrastructure and health care. 94 00:05:01,685 --> 00:05:04,765 So, Africa had a worse starting point than Asia. 95 00:05:05,040 --> 00:05:08,420 Foreign aid and how it was applied, especially during the cold war, 96 00:05:08,420 --> 00:05:10,400 is also a contentious issue. 97 00:05:10,900 --> 00:05:14,040 But this topic is too complex to summarize in a few sentences, 98 00:05:14,040 --> 00:05:16,600 so we'll make a whole new video about it in the future. 99 00:05:17,600 --> 00:05:19,740 And lastly, there are cultural aspects that 100 00:05:19,740 --> 00:05:23,360 make talking about family plan in the context of Africa difficult. 101 00:05:23,900 --> 00:05:28,460 Critics say that trying to bring fertility down is an intrusion into culture and tradition. 102 00:05:29,040 --> 00:05:32,500 But not speaking about an issue will not help solve it. 103 00:05:32,840 --> 00:05:35,740 Not all of these things apply to every country in the region. 104 00:05:35,740 --> 00:05:38,300 We're talking about 46 countries after all, 105 00:05:38,300 --> 00:05:39,700 some of them deeply troubled, 106 00:05:39,700 --> 00:05:41,280 others already flourishing, 107 00:05:41,280 --> 00:05:44,160 all different and facing unique problems. 108 00:05:44,160 --> 00:05:46,980 If population growth continues at its present rate, 109 00:05:46,980 --> 00:05:52,080 then Sub-Saharan Africa could grow to more than 4 billion people by 2100. 110 00:05:52,760 --> 00:05:54,620 Okay. So, what can be done? 111 00:05:55,000 --> 00:05:56,660 Actually, a lot! 112 00:05:56,660 --> 00:06:01,180 Especially, investment and aid that helped to build systems for education, 113 00:06:01,180 --> 00:06:03,040 family planning, and health care. 114 00:06:03,480 --> 00:06:07,460 Surprisingly small changes could have an extreme impact. 115 00:06:07,760 --> 00:06:10,300 For example, if women get a better education, 116 00:06:10,300 --> 00:06:13,240 and have their first child just two years later in life. 117 00:06:13,660 --> 00:06:16,880 This tiny gap between this generation and the next one 118 00:06:16,880 --> 00:06:20,280 would lead to 400 million fewer people in 2100, 119 00:06:20,280 --> 00:06:22,660 with 3.6 billion in total. 120 00:06:23,840 --> 00:06:28,060 If education and family planning are made available to every African women, 121 00:06:28,060 --> 00:06:32,320 universal access to contraception makes having kids a decision. 122 00:06:32,320 --> 00:06:35,220 If families get to choose how many kids they want, 123 00:06:35,220 --> 00:06:39,480 birth projections fall by 30%, to 2.8. billion people. 124 00:06:40,380 --> 00:06:42,240 This isn't just theory. 125 00:06:42,240 --> 00:06:45,520 There are already examples that are reason for optimism. 126 00:06:45,520 --> 00:06:48,620 Ethiopia, the African country with the second-biggest population, 127 00:06:48,620 --> 00:06:51,975 has made a lot of progress in a relatively short amount of time. 128 00:06:51,980 --> 00:06:55,320 Improving health services lead to a drop in child mortality 129 00:06:55,320 --> 00:06:58,800 from 20% to 7% since 1990. 130 00:06:59,280 --> 00:07:03,440 And up to 30% of the annual budget was invested in education, 131 00:07:03,440 --> 00:07:07,620 and the number of schools increased 25-fold over two decades. 132 00:07:07,920 --> 00:07:09,900 So, summarizing, 133 00:07:09,900 --> 00:07:11,700 there are serious challenges ahead, 134 00:07:11,700 --> 00:07:13,580 but they are far from unsolvable. 135 00:07:14,060 --> 00:07:16,855 Sub-Saharan Africa does not need pity or gifts, 136 00:07:16,860 --> 00:07:19,340 but attention and fair investment. 137 00:07:19,340 --> 00:07:23,300 It's a region rich in resources, culture, and potential. 138 00:07:23,300 --> 00:07:24,520 If things go right, 139 00:07:24,520 --> 00:07:28,240 we'll see a turn-around similar to the one we've seen across most of Asia 140 00:07:28,240 --> 00:07:30,040 in the last 30 years. 141 00:07:32,715 --> 00:07:33,945 (quack)11794

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