The birth rate (technically, births/population rate) is the total number of live births per 1,000 in a population in a year or period. The rate of births in a population is calculated in several ways: live births from a universal registration system for births, deaths, and marriages; population counts from a census, and estimation through specialized demographic techniques. The birth rate (along with mortality and migration rate) are used to calculate population growth. The crude birth rate is the number of live births per year per 1,000 mid-year population. Another term used interchangeably with birth rate is natality. When the crude death rate is subtracted from the crude birth rate, the result is the rate of natural increase (RNI). This is equal to the rate of population change (excluding migration). The total (crude) birth rate (which includes all births)—typically indicated as births per 1,000 population—is distinguished from an age-specific rate (the number of births per 1,000 persons in an age group). The first known use of the term 'birth rate' in English occurred in 1859. The average global birth rate is 18.5 births per 1,000 total population in 2016.The death rate is 7.8 per 1,000 per year. The RNI is thus 1.06 percent.In 2012 the average global birth rate was 19.611 according to the World Bank and 19.15 births per 1,000 total population according to the CIA, compared to 20.09 per 1,000 total population in 2007. The 2016 average of 18.6 births per 1,000 total population is estimated to be about 4.3 births/second or about 256 births/minute for the world. The birth rate is an issue of concern and policy for national governments. Some (including those of Italy and Malaysia) seek to increase the birth rate with financial incentives or provision of support services to new mothers. Conversely, other countries have policies to reduce the birth rate (for example, China's one-child policy which was in effect from 1978 to 2015). Policies to increase the crude birth rate are known as pro-natalist policies, and policies to reduce the crude birth rate are known as anti-natalist policies. Non-coercive measures such as improved information on birth control and its availability have achieved good results in countries such as Iran and Bangladesh. There has also been discussion on whether bringing women into the forefront of development initiatives will lead to a decline in birth rates. In some countries, government policies have focused on reducing birth rates by improving women's rights, sexual and reproductive health. Typically, high birth rates are associated with health problems, low life expectancy, low living standards, low social status for women and low educational levels. Demographic transition theory postulates that as a country undergoes economic development and social change its population growth declines, with birth rates serving as an indicator. At the 1974 World Population Conference in Bucharest, Romania, women's issues gained considerable attention. Family programs were discussed, and 137 countries drafted a World Population Plan of Action. As part of the discussion, many countries accepted modern birth control methods such as the birth control pill and the condom while opposing abortion. Population and the need to incorporate women into the discourse were discussed; it was agreed that improvements in women's status and initiatives in defense of reproductive health and freedom, the environment, and sustainable socioeconomic development were needed.