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Benin report - Institut Africain de la Gouvernance

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EXECUTIVE SUMMARY__________________________________________________________________________3.69 As regards access to basic social services, the CRM is pleased with theefforts ma<strong>de</strong> by the government of <strong>Benin</strong> to provi<strong>de</strong> affordable access for thepoor – especially those in rural areas – to essential services like education,health, social security, drinking water, sanitation, electricity, arable <strong>la</strong>nd,housing and micro-finance. This encouraging observation should, however,not conceal the difficulties that continue to be encountered in these sectors –difficulties that will continue to slow down progress if some relevant measuresare not taken in time.3.70 Concerning education, it should be noted that in primary and secondaryeducation, the gross enrolment rates increased at all levels of the educationsystem over the past two <strong>de</strong>ca<strong>de</strong>s. With respect to the girls-boys ratio atprimary and secondary levels, the indicators showed a ratio of 0.75% (3:4) in2004 for an MDG target of 1 (1:1) in 2015. The level remains low and thecauses are generally linked to socio-cultural traditions concerning the role ofgirls in the family unit (house help); problems of sexual <strong>de</strong>linquency, whichoften leads to early pregnancies and therefore drop out from school; andproblems of poverty, which make parents prefer to send boys to school ratherthan girls if the family has many children. This <strong>de</strong>monstrates that povertyremains the backdrop of some problems in the school system.3.71 Another serious problem in education is that of an insufficient number ofteachers, whose level of training is at the same time steadily <strong>de</strong>clining. Thistrend is mainly a result of the freeze on recruitment into the public service,which arose due to structural adjustment measures. The shortage, <strong>de</strong>spite usingteachers on contract, was estimated at more than 8,000 teachers for publicprimary education for the 2004-2005 aca<strong>de</strong>mic year. Lastly, stakehol<strong>de</strong>rsconsi<strong>de</strong>r the productivity of the education system to be very low.3.72 As far as health is concerned, <strong>Benin</strong> has a high mortality rate and a steadily<strong>de</strong>teriorating health environment. Although several programmes exist andsome progress has been ma<strong>de</strong>, the health sector has weaknesses that seriouslyun<strong>de</strong>rmine its performance. This is evi<strong>de</strong>nt in a few key indicators, like thegross <strong>de</strong>ath rate, which ranged from 12.3/1000 to 10.5/1000 between 2002 and2005; the infant mortality rate of 90/1000 to 65.6/1000; the child mortality rateof 146.4/1000 to 102.9/1000; and the maternal mortality rate of 474.4 to 485<strong>de</strong>aths for 100,000 live births – all estimated over the 2002-2005 period(according to INSAE /DED/ RGPH3 2002 and popu<strong>la</strong>tion projections 2005).3.73 Furthermore, the coverage rate of health infrastructure is 82%, with wi<strong>de</strong>regional disparities, low quality of services in rural centres and a lowinfrastructure utilisation rate (34% of the popu<strong>la</strong>tion in 2002). This reflects theina<strong>de</strong>quacy of the services offered, as well as the obstacles to access,particu<strong>la</strong>rly economic (occasional expenses). Wi<strong>de</strong>spread poverty of <strong>la</strong>rgecategories of the popu<strong>la</strong>tion is a<strong>la</strong>rming. Consequently, access by women toobstetrical services remains limited, and a<strong>de</strong>quate management ofcommunicable diseases is also difficult. Malnutrition is also a key healthproblem, and maternal and infant mortality rates are high. If current trendspersist and no well-targeted and strong corrective measures are taken, theMDGs in health could be difficult to achieve in terms of the reduction of22

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