Population Growth and Age Distribution
The population of El Salvador increased from 1.9 million inhabitants in 1950 to 4.1 million in 1975 and 4.7 million in 1984. It was projected to increase to 8.8 million by the year 2000. In other words, the population would have doubled in each quarter-century since 1950. This high growth rate was a result of three main factors characteristic not only of El Salvador but also of Central America as a whole: a rapidly falling death rate, a continued high birth rate, and a very young population, i.e., a high proportion of the national population under age twenty.
Although there was some variance in figures between El Salvador's census reports and estimates by the United Nations Latin American Center for Demography (Centro Latinoamericano de Demografia--CELADE), there was agreement on basic birth and death statistics. The annual death rate per 1,000 inhabitants, however, declined by approximately one-third during the same period, falling from 21.3 to 13, and this decline contributed to the high rate of national population increase.
From 1970 to 2000, a continuing decline in both birth rates and death rates was anticipated. Studies projected a gradual fall in the crude birth rate from 42.2 in 1970-75 to 33.5 in 1995-2000 and in the crude death rate from 11.1 in 1970-75 to 7.2 in 1985- 90 and 5.6 in 1995-2000. These two trends would operate more or less in tandem, however, so that the rate of natural increase, though declining, would still hover at around 3 percent. The overall population was very young; the median age in the country declined from nineteen in 1950 to seventeen in 1975, and 41.3 percent were projected to be under age fifteen by the year 2000. It is noteworthy here that life expectancy at birth improved from approximately forty-six years in the 1950s to fifty-nine years in 1977 and to sixty-five years in 1984 (sixty-three years for males and sixty-six for females), largely as a result of mass immunization schemes and control of disease-bearing insects. Life expectancy was expected to reach sixty-nine to seventy years in 1995-2000.
Birth rates showed that total fertility rates (the number of children a woman would bear in her lifetime if she experienced average fertility) ranged from approximately 6.1 to 6.3 in the mid-1970s, down from 6.7 in 1961. Analysts projected that this rate would drop to 4.4 in 1995-2000. The decrease in the level of fertility since 1961 was seen in the twenty-to thirty-nine-year- old age-group.
Family planning programs of both the privately organized Salvadoran Demographic Association, which was founded in 1962 and began operations in 1967, and (after 1971) government agencies under the Ministry of Public Health and Social Services probably contributed to this decline in fertility rates. The groups lobbied for family planning programs, provided family planning clinics, and dispensed birth control information and devices. Female sterilization was the most common birth control method because it is final and does not require frequent checkups or visits to clinics for additional supplies. The need for clinic visits has associated use of oral contraceptives in the popular mind with illness. In addition, there were fewer religious objections to sterilization. At the same time, abortions also were widely practiced. Abortion was illegal in El Salvador, and improperly performed abortions were common. They were the third leading cause of hospital admissions in 1975, constituting 24 of every 1,000 admissions, according to a sample survey.
Fertility rates showed significant contrasts between urban and rural settings. In 1975 the birth rate per 1,000 women in rural areas was estimated at 46 to 47, whereas in urban areas it stood at approximately 34 to 35 (31 to 33 for the San Salvador metropolitan area). On average, by age thirty-five, rural women had seven children while urban women had only five. By the end of their childbearing years, rural women, on average, had eight children, and urban women had six. Given the markedly inferior health conditions of the countryside, however, of the two additional children born to rural women, only one would survive. The number of children under age one per 1,000 women between ages fifteen and forty-four declined by 16.5 percent in urban areas from 1961 to 1971, while it remained essentially unchanged over that same time period in rural areas.
Disparate fertility rates underscored the point that El Salvador continued to be a rural country in the late 1980s, "rural" in this context including all population in towns of less than 20,000. In fact, El Salvador showed the highest rural population increase--82 percent from 1961 to 1980--in Latin America.
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