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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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