Poverty and Human Development Report 2009 - UNDP in Tanzania
Poverty and Human Development Report 2009 - UNDP in Tanzania
Poverty and Human Development Report 2009 - UNDP in Tanzania
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<strong>in</strong> poverty. Nonetheless, the challenge rema<strong>in</strong>s to l<strong>in</strong>k poor households, particularly smallholder<br />
farm<strong>in</strong>g households, to the national growth story by enhanc<strong>in</strong>g their capabilities <strong>and</strong> accessibility<br />
to <strong>in</strong>puts <strong>and</strong> technological improvements for <strong>in</strong>creased productivity.<br />
Improvement <strong>in</strong> Quality of life <strong>and</strong> Social well-be<strong>in</strong>g<br />
eXeCUtiVe sUMMarY<br />
Education<br />
Overall results for the education sector show cont<strong>in</strong>ued expansion <strong>in</strong> access to pre-primary,<br />
secondary <strong>and</strong> tertiary education. Poor rural children especially have benefited from improved<br />
access to primary <strong>and</strong> secondary education. Nonetheless, the enrolment of the poorest children<br />
<strong>in</strong> secondary <strong>and</strong> higher levels of education – <strong>and</strong> hence the benefit they derive from government<br />
spend<strong>in</strong>g for education – rema<strong>in</strong>s far beh<strong>in</strong>d that of the least poor. Exp<strong>and</strong>ed efforts will be<br />
required to ensure poor <strong>and</strong> disadvantaged children are enrolled <strong>in</strong> <strong>and</strong> attend school. Key<br />
<strong>in</strong>dicators – <strong>in</strong>clud<strong>in</strong>g exam<strong>in</strong>ation pass rates <strong>and</strong> primary to secondary transition rates – have<br />
also deteriorated recently, highlight<strong>in</strong>g the persistent challenges of achiev<strong>in</strong>g educational quality.<br />
Moreover, <strong>in</strong>creases <strong>in</strong> education fund<strong>in</strong>g <strong>in</strong> recent years have not flowed through to technical <strong>and</strong><br />
vocational tra<strong>in</strong><strong>in</strong>g so that young people develop the skills required to secure decent livelihoods.<br />
Health<br />
The rate of <strong>in</strong>fant <strong>and</strong> under-five mortality has cont<strong>in</strong>ued to decl<strong>in</strong>e, <strong>and</strong> <strong>Tanzania</strong> is on track to<br />
meet the MKUKUTA goal <strong>in</strong> 2010 <strong>and</strong> even the MDG for under-five mortality <strong>in</strong> 2015 (MDG 4). The<br />
extraord<strong>in</strong>ary improvement <strong>in</strong> child survival s<strong>in</strong>ce 1999 is most likely expla<strong>in</strong>ed by ga<strong>in</strong>s <strong>in</strong> malaria<br />
control. However, neonatal mortality has decl<strong>in</strong>ed to a much smaller extent <strong>and</strong> now accounts<br />
for a grow<strong>in</strong>g share of under-five deaths. Maternal mortality has also rema<strong>in</strong>ed exceed<strong>in</strong>gly high<br />
over the past decade with no improvement. Encourag<strong>in</strong>gly, HIv prevalence rates have decl<strong>in</strong>ed<br />
for both men <strong>and</strong> women, <strong>and</strong> across all age groups, <strong>in</strong>clud<strong>in</strong>g among youth (15-24 years),<br />
which is a key <strong>in</strong>dicator of new <strong>in</strong>fections. Care <strong>and</strong> treatment services for HIv <strong>and</strong> tuberculosis<br />
have also shown performance improvements, follow<strong>in</strong>g major <strong>in</strong>creases <strong>in</strong> external support.<br />
Indicators of general health service delivery, however, do not exhibit significant improvement.<br />
HBS 2007 data show that distance to the nearest health facility has marg<strong>in</strong>ally decreased, <strong>and</strong><br />
the proportion of <strong>Tanzania</strong>ns consult<strong>in</strong>g healthcare providers when ill has rema<strong>in</strong>ed almost the<br />
same. However, f<strong>in</strong>d<strong>in</strong>gs show a remarkable shift <strong>in</strong> utilisation away from private providers <strong>and</strong><br />
towards government facilities, which will place <strong>in</strong>creas<strong>in</strong>g pressure on the public health system.<br />
Water <strong>and</strong> Sanitation<br />
The new Water Sector <strong>Development</strong> Programme promises positive change <strong>in</strong> the water<br />
sector, but improvements <strong>in</strong> water coverage are not yet evident. The latest survey data show a<br />
downward trend <strong>in</strong> access to clean <strong>and</strong> safe water <strong>in</strong> both urban <strong>and</strong> rural areas. At the current<br />
rate of progress MKUKUTA <strong>and</strong> MDG targets for water supply are out of reach. HBS 2007 data<br />
also show that poorer households are pay<strong>in</strong>g more for water than wealthier households as a<br />
proportion of total household expenditure.<br />
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