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review-of-the-literature-on-basic-education-in-nigeria-june-2014-3-1

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Review <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> <str<strong>on</strong>g>literature</str<strong>on</strong>g> <strong>on</strong> <strong>basic</strong> educati<strong>on</strong> <strong>in</strong> Nigeriaattendance as reported <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> 2004 ESA (FME 2005) – malaria, typhoid and diarrhoea – are all related towater and sanitati<strong>on</strong> issues.9.5.2 Intest<strong>in</strong>al parasitesOne <str<strong>on</strong>g>of</str<strong>on</strong>g> <str<strong>on</strong>g>the</str<strong>on</strong>g> results <str<strong>on</strong>g>of</str<strong>on</strong>g> this poor water and sanitati<strong>on</strong> is high prevalence rates am<strong>on</strong>g children <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>in</strong>test<strong>in</strong>alparasites (Igagb<strong>on</strong>e and Olagunju 2006; Olaniyi et al. 2007; Opara et al. 2012). Children liv<strong>in</strong>g <strong>in</strong> rural orurban slum areas are particularly affected (Olaniyi et al. 2007). Studies across several states reportedtwo-thirds or more <str<strong>on</strong>g>of</str<strong>on</strong>g> children be<strong>in</strong>g <strong>in</strong>fected (and <str<strong>on</strong>g>of</str<strong>on</strong>g>ten re-<strong>in</strong>fected) with various <strong>in</strong>test<strong>in</strong>al parasites(Igagb<strong>on</strong>e and Olagunju 2006; Opara et al. 2012). These high prevalence rates have showed little sign <str<strong>on</strong>g>of</str<strong>on</strong>g>improvement over <str<strong>on</strong>g>the</str<strong>on</strong>g> last 50 years, yet <str<strong>on</strong>g>the</str<strong>on</strong>g> persistence <str<strong>on</strong>g>of</str<strong>on</strong>g> parasites arrests children’s physical andcognitive development as well as leav<strong>in</strong>g <str<strong>on</strong>g>the</str<strong>on</strong>g>m pr<strong>on</strong>e to disease and malnutriti<strong>on</strong> (Igagb<strong>on</strong>e andOlagunju 2006; Opara et al. 2012).9.5.3 MalariaMalaria is endemic <strong>in</strong> Nigeria but <str<strong>on</strong>g>the</str<strong>on</strong>g>re are limited data available <strong>on</strong> its impact <strong>on</strong> children’s andteachers’ school attendance. In <str<strong>on</strong>g>the</str<strong>on</strong>g> 2004 ESA, however, malaria was overwhelm<strong>in</strong>gly identified as <str<strong>on</strong>g>the</str<strong>on</strong>g>ma<strong>in</strong> health reas<strong>on</strong> for miss<strong>in</strong>g school (by over 80% <str<strong>on</strong>g>of</str<strong>on</strong>g> pupils and just under 50% <str<strong>on</strong>g>of</str<strong>on</strong>g> staff) (FME 2005).In additi<strong>on</strong>, <str<strong>on</strong>g>the</str<strong>on</strong>g> recent nati<strong>on</strong>al survey <strong>on</strong> malaria found that a quarter <str<strong>on</strong>g>of</str<strong>on</strong>g> all household members hadhad a fever <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> two weeks prior to <str<strong>on</strong>g>the</str<strong>on</strong>g> survey, with <str<strong>on</strong>g>the</str<strong>on</strong>g> highest figures <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> North West, where overa third had reportedly been ill. For children aged 5 to 9 <str<strong>on</strong>g>the</str<strong>on</strong>g> figure was 26.6%, while 10 to 14-year oldswere slightly less affected (19.3%) (NPC, NMCP and ICF Internati<strong>on</strong>al 2012).9.5.4 HIV and AIDSAno<str<strong>on</strong>g>the</str<strong>on</strong>g>r major health challenge is HIV and AIDS; although overall nati<strong>on</strong>al HIV prevalence is estimatedto have stabilised at around 3.3% (Samuels et al. 2012), an estimated 2.8 milli<strong>on</strong> children under 17 areliv<strong>in</strong>g with HIV, many <str<strong>on</strong>g>of</str<strong>on</strong>g> whom are not attend<strong>in</strong>g school (BUCGHD 2009). Additi<strong>on</strong>ally, latest figuresfrom <str<strong>on</strong>g>the</str<strong>on</strong>g> NEDS reported that around 7% <str<strong>on</strong>g>of</str<strong>on</strong>g> adults knew <str<strong>on</strong>g>of</str<strong>on</strong>g> children <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> community <str<strong>on</strong>g>the</str<strong>on</strong>g>y believed wereabsent from school because a parent or guardian was ill with ei<str<strong>on</strong>g>the</str<strong>on</strong>g>r HIV or AIDS, a figure which washighest for <str<strong>on</strong>g>the</str<strong>on</strong>g> North Central and South East z<strong>on</strong>es, both at over 12%. Moreover, rural communitieswere affected more than urban <strong>on</strong>es (NPC and RTI Internati<strong>on</strong>al 2011). A recent study <strong>on</strong> HIVvulnerabilities <strong>in</strong> four states (Adamawa, Benue, Edo and Lagos) highlighted work<strong>in</strong>g-age and youngchildren and youth, especially OVCs and young women, as be<strong>in</strong>g especially vulnerable to HIV <strong>in</strong>fecti<strong>on</strong>(Samuels et al. 2012). Young women (aged 14 to 24) were three times more likely to be HIV positivethan young men. Inevitably, poverty was also a factor. Households <strong>in</strong> difficult ec<strong>on</strong>omic circumstanceswith high numbers <str<strong>on</strong>g>of</str<strong>on</strong>g> dependents are more at risk <str<strong>on</strong>g>of</str<strong>on</strong>g> poverty, food <strong>in</strong>security and malnutriti<strong>on</strong> and<str<strong>on</strong>g>the</str<strong>on</strong>g>refore at fur<str<strong>on</strong>g>the</str<strong>on</strong>g>r risk <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>in</strong>fecti<strong>on</strong> by engag<strong>in</strong>g <strong>in</strong> risky practices such as transacti<strong>on</strong>al sex <strong>in</strong> exchangefor food (ibid.). The study also highlighted <str<strong>on</strong>g>the</str<strong>on</strong>g> limited awareness <str<strong>on</strong>g>of</str<strong>on</strong>g> HIV preventi<strong>on</strong>, accord<strong>in</strong>g to 2008NDHS data, especially <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> three nor<str<strong>on</strong>g>the</str<strong>on</strong>g>rn z<strong>on</strong>es and am<strong>on</strong>g poor, rural women (Samuels et al. 2012).9.5.5 Family members’ ill healthAdult ill health can also have an impact <strong>on</strong> children; <strong>in</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> 2004 ESA pupil survey car<strong>in</strong>g for sick parentswas identified as a major c<strong>on</strong>stra<strong>in</strong>t <strong>on</strong> school attendance by over 10% <str<strong>on</strong>g>of</str<strong>on</strong>g> pupil resp<strong>on</strong>dents (FME 2005).Some children not <strong>on</strong>ly have to look after sick parents but may also sometimes have to go out to earnm<strong>on</strong>ey, to make up for <str<strong>on</strong>g>the</str<strong>on</strong>g> lack <str<strong>on</strong>g>of</str<strong>on</strong>g> household <strong>in</strong>come (Samuels et al. 2012). In so do<strong>in</strong>g, <str<strong>on</strong>g>the</str<strong>on</strong>g>y are at risk<str<strong>on</strong>g>of</str<strong>on</strong>g> fur<str<strong>on</strong>g>the</str<strong>on</strong>g>r impoverishment (with its associated health risks) because <str<strong>on</strong>g>the</str<strong>on</strong>g>ir <strong>in</strong>come-earn<strong>in</strong>g potential isless than that <str<strong>on</strong>g>of</str<strong>on</strong>g> an adult (ibid.).EDOREN – Educati<strong>on</strong> Data, Research and Evaluati<strong>on</strong> <strong>in</strong> Nigeria 107

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