Child Poverty in Mozambique. A Situation and Trend ... - Unicef

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lower than in Mozambique in 2004 (102 per 1,000 live births compared to 104 per 1,000 live births) (UNICEF 2006). In the world, the average under-five and infant mortality rates were estimated at 79 per 1,000 live births and 54 per 1,000 live births respectively in 2004. The emerging trends in relation to under-five mortality reflect the trends in relation to other indicators of children’s well-being in Mozambique, i.e. persisting geographical and residential disparities, with the northern part of the country and rural areas still far behind the southern parts of the country and urban areas (despite marked improvements in rural areas), and improvement in all segments of the population but little reduction of the gaps between the poorest and the best-off. This reflects the prevalence and depth of child poverty at the end of the civil war. During the period 1987-1997 and 1993-2003, the under-five mortality rate decreased more in rural areas than urban areas, falling by about 20 per cent in rural areas (from 237 to 192) compared with a reduction of approximately 5 per cent in urban areas (from 150 to 143). The marked improvement in rural areas can be attributed to a poor initial base, increased security in rural areas (after the end of the civil war in 1993) and improved access to health facilities over the reference period. Children in rural areas remain more likely to die before reaching the age of five than those living in urban areas. Geographical disparities also remain acute, with a child in Cabo Delgado province being almost three times more likely to die before reaching age five than a child in Maputo City. Figure 3.8: Under-five mortality rate: comparison between 1987/1997 and 1993/2003 280 240 200 237 219 deaths per 1,000 live births 160 120 80 40 150 143 192 178 0 Urban Rural Total 1987/1997 1993/2003 Source: DHS 2003 All of the available evidence shows that malaria and acute respiratory infection (ARI) are the two major immediate causes of mortality among young children in Mozambique. AIDS is also emerging as a major killer. Malnutrition is a major underlying cause of child mortality, as are diarrhoeal illnesses and measles. Many of these conditions are preventable by either vaccination or other simple prophylactic measures. Accurate and comprehensive information on the causes of death among children, however, is scarce. The first reason for this is that most deaths among children occur outside the health system and are therefore not recorded. CHILDHOOD POVERTY IN MOZAMBIQUE: A SITUATION AND TRENDS ANALYSIS 83
The second reason is that deaths occurring within the health system are not captured comprehensively by the national health information system (HIS), which records less than 5 per cent of all deaths among children in Mozambique. 84 CHILDHOOD POVERTY IN MOZAMBIQUE: A SITUATION AND TRENDS ANALYSIS
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CHILDHOOD POVERTY IN MOZAMBIQUE A S
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ACKNOWLEDGEMENTS This report on the
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CONTENTS ACKNOWLEDGEMENTS………
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4. Access to schooling and attendan
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TABLES AND FIGURES List of tables T
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Figure 4.20: Estimated spending on
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GBS GDP GER GNI GoM HAART HDI HIPC
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MAP OF MOZAMBIQUE Zumbu Magoe M
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een strongly positive in recent yea
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Child protection concerns Chapter F
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vaccination or malaria campaigns, w
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1. Objective of the Situation Analy
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Box 1.1: Human rights conventions r
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of poverty, defined as: “Impossib
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Table 1.1: Deprivation-based indica
Page 33 and 34: The Ministries of Planning and Deve
Page 35 and 36: 34 CHILDHOOD POVERTY IN MOZAMBIQUE:
Page 37 and 38: 1. Introduction This chapter focuse
Page 39 and 40: Table 2.1: Progress towards the MDG
Page 41 and 42: 3. Economic growth and macroeconomi
Page 43 and 44: Evidence as to what extent these
Page 45 and 46: The percentage of the population li
Page 47 and 48: Arndt et al. (2005) show that, on a
Page 49 and 50: B. Assessing childhood poverty In a
Page 51 and 52: Figure 2.9: Households living below
Page 53 and 54: severe deprivation. In the poorest
Page 55 and 56: The second PARPA for the period 200
Page 57 and 58: Box 2.3: Civil society engagement i
Page 59 and 60: A key cause of these weaknesses is
Page 61 and 62: One possible way forward in tacklin
Page 63 and 64: Box 2.4: Corruption and its impact
Page 65 and 66: (vi) Analysis of monitoring and rev
Page 67 and 68: There are two principal drivers beh
Page 69 and 70: This has troubling implications for
Page 71 and 72: 70 CHILDHOOD POVERTY IN MOZAMBIQUE:
Page 73 and 74: 1. Introduction Every child has the
Page 75 and 76: B. Severe nutrition deprivation amo
Page 77 and 78: Zambezia and Tete provinces. Severe
Page 79 and 80: If this downward trend continues, M
Page 81 and 82: Figure 3.5: Percentage of women rec
Page 83: Mozambique has achieved a continual
Page 87 and 88: 5. Childhood illnesses A major publ
Page 89 and 90: Figure 3.9: Malaria prevention: use
Page 91 and 92: The 2005 Nutrition Survey conducted
Page 93 and 94: Box 3.3: Combating measles and poli
Page 95 and 96: (ii) Stunting prevalence (chronic m
Page 97 and 98: Alarmingly high levels of stunting
Page 99 and 100: Figure 3.16: Underweight prevalence
Page 101 and 102: There are 86 known salt producers r
Page 103 and 104: Among children, there were no varia
Page 105 and 106: Box 3.5: Infant feeding in the cont
Page 107 and 108: highly in PARPA II, which sets a ta
Page 109 and 110: Table 3.3: Overview of PMTCT progra
Page 111 and 112: The reduction of mother-to-child tr
Page 113 and 114: It is only recently that paediatric
Page 115 and 116: 100 Figure 3.22: Use of safe water
Page 117 and 118: A. Inequitable access to and fundin
Page 119 and 120: The 2004/2005 IFTRAB survey also su
Page 121 and 122: provincial level reported that only
Page 123 and 124: Table 3.4: Ministry of Health budge
Page 125 and 126: Figure 3.29: Total sector resources
Page 127 and 128: Figure 3.31: Indicative per capita
Page 129 and 130: The agenda for expanding water supp
Page 131 and 132: and was revised in 2005. The on-bud
Page 133 and 134: supported by key sector stakeholder
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1. Introduction Education is a fund
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B. Severe information deprivation a
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Secondary education consists of fiv
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Table 4.3: Gross and net enrolment
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Table 4.4: Gross enrolment ratio, a
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57 per cent, compared with a NER of
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DHS data show that the wealth level
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Figure 4.11: Distribution of 11-yea
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Lack of literacy is directly correl
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In addition, there is a serious gap
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The IAF showed that in 2002/3 expen
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Absenteeism is also common among te
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to the need for two or even three s
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The system is faced with a number o
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• The school represents or is a l
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(iv) Impact of natural disasters In
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The associated large off-budget res
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The Ministry of Education and Cultu
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sense of providing education for ev
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172 CHILDHOOD POVERTY IN MOZAMBIQUE
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I. Introduction All children have t
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involving children. 45 per cent of
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Box 5.1: Street children in Maputo:
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Girls at greatest risk of abuse wer
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The aspirations expressed by the yo
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Against this background, Caia and C
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“Trafficking in women and childre
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Mozambique, girls aged 15-19 in the
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The survey indicates that 32 per ce
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Figure 5.5: School attendance among
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• Labour law does not define the
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- To use child labour (children age
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from their parents. Thus, the law d
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C. Birth registration - guaranteein
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such as hospitals and schools for b
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Sofala province also accounts for t
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Evidence points to worrying increas
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Figure 5.9: Primary school attendan
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activities to strengthen the capaci
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The responsibility for implementing
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214 CHILDHOOD POVERTY IN MOZAMBIQUE
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Conclusions Mozambique is one of Af
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planning in Mozambique, and has the
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7- Implementing social communicatio
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Form of Severe Deprivation Food Wat
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ANNEX II Calendar of the planning,
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ANNEX IV State Budget recurrent and
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REFERENCES AND MATERIALS CONSULTED
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Deaton, A., Ruiz-Castilo, J., and T
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Klasen, S. and Woltermann, S., ‘T
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Government of Mozambique, ‘Progra
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World Bank (WB), ‘World Developme
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World Bank (WB), ‘Mozambique Publ
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Ministry of Women and Co-ordination
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United Nations Children’s Fund (U
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Child Poverty in Mozambique. A Situation and Trend ... - Unicef

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