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Global Study On Child Poverty And Disparities (PDF) - Social Policy ...

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Education trends are more positive, suggesting<br />

that a decline in the net enrolment ratio in primary<br />

school in the 1990s was reversed after 2000, and<br />

that there was an increase in the proportion of<br />

students reaching year eight. There also appear<br />

to have been large increases in the literacy rates<br />

of young adults. Gender equity trends are also<br />

positive, showing increases in the ratio of girls to<br />

boys in secondary and tertiary education.<br />

There also appear to be improvements in relation<br />

to child mortality, with the under-five mortality rate<br />

and the infant mortality rate each nearly halving<br />

since 1990, and with substantial increases in<br />

immunisation rates against measles. Maternal<br />

mortality trends also show an improvement, with<br />

the mortality ratio falling even if the number of<br />

maternal deaths increased. Both the proportion<br />

of births attended by skilled personnel and the<br />

contraceptive prevalence rate appear to have<br />

improved, and the teenage birth rate is falling.<br />

There also have been dramatic improvements<br />

in combating malaria, both in relation to its<br />

incidence and the associated death rate, as<br />

well as in the proportion of children sleeping<br />

under treated bed nets. Finally, there have been<br />

substantial improvements in the percentage of<br />

households using improved water sources, and<br />

even higher increases in the proportion using<br />

improved sanitation facilities.<br />

While many social outcomes have improved,<br />

it is clearly not possible to ascribe these<br />

improvements solely to the better economic<br />

performance over the past seven or eight years.<br />

In part this is due to limitations of the available<br />

data – for example, the lack of reliable trend<br />

data on household incomes and expenditures<br />

means that it is not possible to see whether the<br />

aggregate trends in national income have been<br />

mirrored in improvements in household incomes,<br />

particularly at lower income levels.<br />

Moreover, some improvements (for example,<br />

the increase in literacy rates of 15- to 24-yearolds<br />

and the improvements in infant and child<br />

mortality) were more rapid between 1990 and<br />

2000 than subsequently – that is, when rates<br />

of economic growth were lower. This suggests<br />

that policy changes could have been more<br />

influential in this earlier period. It is plausible that<br />

improvements in some of these indicators could<br />

be expected to slow down over time, and that<br />

achieving further improvements will become more<br />

challenging. Having said this, the fact that recent<br />

economic trends have been favourable and a<br />

wide range of social outcomes have improved<br />

over the same or longer periods is grounds<br />

for cautious optimism. Similarly, the fact that<br />

telecommunications reforms appear likely to have<br />

dramatically reduced information deprivation<br />

in a relatively short time demonstrates that<br />

policy reform can have a substantial impact on<br />

deprivation.<br />

Provincial disparities<br />

Preceding sections have made it clear that<br />

regional differences make a major contribution<br />

to disparities in child well-being in Vanuatu.<br />

Given the significance of location as a source<br />

of disparities, it is worthwhile bringing together<br />

as many dimensions of well-being as possible<br />

and summarising these findings. Table 4.2<br />

reviews the relative performance of different<br />

provinces. The ratio is calculated based on the<br />

Vanuatu national average Figure which is set at<br />

one. This allows us to understand how better or<br />

worse each province performs in relation to the<br />

national average. Provinces in which indicators<br />

are significantly worse than average (1.5 times<br />

the average or more) are shaded in red, average<br />

results (between 0.5 and 1.5 times the average)<br />

in blue, and better than average results (less<br />

than half the average) in green. All rankings are<br />

relative to the indicators chosen and give the<br />

same weight to each indicator (for example, the<br />

proportion of the child population below 50 per<br />

cent of median income is treated in the same way<br />

as the proportion who are severely underweight).<br />

Torba does significantly worse than the Vanuatu<br />

average in 11 of the 22 indicators, and Tafea<br />

does worse than average for nine indicators.<br />

Penama does worse than average in five<br />

indicators and Sanma in four, with no other<br />

province or location doing so poorly. However,<br />

Torba does better than average for three<br />

indicators, while Tafea does better than average<br />

in only one category.<br />

Malampa performs around the average or better<br />

in all categories, and overall appears to have the<br />

best outcomes for children. Shefa also performs<br />

relatively well in nearly all categories, except the<br />

proportion of children living below $1.25 a day.<br />

Luganville and Port Vila also perform better than<br />

average in many dimensions, but Luganville does<br />

very poorly in two categories (food and health)<br />

and Port Vila in three (regionally disaggregated<br />

poverty, food deprivation and severe stunting).<br />

71

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