19th November 2009 19th November 2009 11

Highlights of PHDR 09Highlights of PHDR 09Cluster IICluster II

22

OverviewOverview MKUKUTA Cluster II – Broad Outcomes MKUKUTA Cluster II – Broad Outcomes

• Improved quality of life and social well Improved quality of life and social well being with particular focus on the poorest being with particular focus on the poorest and most vulnerable groupsand most vulnerable groups

• Reduced inequalities (including survival, Reduced inequalities (including survival, health and education) across geographical health and education) across geographical areas, income, gender) areas, income, gender)

The presentation The presentation • Organized around five goals Organized around five goals • A review of progress on key MKUKUTA A review of progress on key MKUKUTA

indicators under each goalindicators under each goal

33

Goal 1 Goal 1 Equitable access to quality primary and Equitable access to quality primary and

secondary education for boys and girls, universal secondary education for boys and girls, universal literacy among men and women and expansion literacy among men and women and expansion of higher, technical and vocational training of higher, technical and vocational training • Positive trends recorded Positive trends recorded - - e.g Enrolment in e.g Enrolment in

pre-primary, secondary and tertiary educ. - pre-primary, secondary and tertiary educ. - increased access to poor ruralincreased access to poor rural %age of teachers %age of teachers with relevant qualifications,with relevant qualifications,

• Challenges remain Challenges remain - - e.g e.g Retention, pupil Retention, pupil teacher ratio, Students passing PSLE, Students teacher ratio, Students passing PSLE, Students passing Form IV exams, transition from Std VII to passing Form IV exams, transition from Std VII to Form IForm I

Technical and vocational training Technical and vocational training

44

55

58

69.273.1

85.690.1

90

40

60

80

100

2004 2005 2006 2007 2008 2009 MKUKUTA2010

Years

% o

f Tea

cher

s

Percentage of primary school teachers with relevant qualification, 2004 and 2006-2009

66

27.1

52.7

60

54.2

70.5

61.8

48.7

40.1

28.6

0

10

20

30

40

50

60

70

80

2001 2002 2003 2004 2005 2006 2007 2008 2009 MKUKUTATarget2010Years

% o

f chi

ldre

n

• Percentage of primary cohort completing Standard VII

•78.5% in 2006 to 62.5% in 2008

• Percentage of children passing PLSE 2001-2008

77

Goal 2Goal 2 Improved Survival, health and well being of all Improved Survival, health and well being of all

children and women and especially vulnerable children and women and especially vulnerable groups groups

Positive trends Positive trends • Infant and U-5 mortality decline –On track to meet Infant and U-5 mortality decline –On track to meet

MKUKUTA (2010) and MDG (2015) goalsMKUKUTA (2010) and MDG (2015) goals• Nutrition Nutrition • HIV prevalence rates declineHIV prevalence rates decline• HIV/AIDS care and treatment support, PMTCTHIV/AIDS care and treatment support, PMTCT• TB treatment completion TB treatment completion

ChallengesChallenges • Neonatal mortality declined only marginallyNeonatal mortality declined only marginally• vaccination (DPTHB)vaccination (DPTHB)• Maternal mortality still high Maternal mortality still high - ‘One Plan’ - ‘One Plan’

88

Infant and U-5 mortality

99

%age of births taking place in a health facility by region 2007

1010

Goal 3Goal 3 Increased access to clean affordable and safe Increased access to clean affordable and safe

water, sanitation, decent shelter and safe ans water, sanitation, decent shelter and safe ans sustainable environment sustainable environment

Positive trends Positive trends • Household Latrine coverage (according to the Household Latrine coverage (according to the

current definition) current definition)

Challenges Challenges

• Downward trend in access to clean and safe Downward trend in access to clean and safe water (both urban and rural) water (both urban and rural)

• School sanitationSchool sanitation• Poor households are paying more than wealthier Poor households are paying more than wealthier

hhs (as a proportion of total hh expenditure)hhs (as a proportion of total hh expenditure)

1111

Progress towards minimum standard in school sanitation

2025

5858

646261

60

60

7467

0

10

20

30

40

50

60

70

80

2003 2004 2005 2006 2007 2008 2009 2010

pu

pil

s p

er l

atri

ne

Girls Boys All target (girls) target (boys)

School latrine (Pupils per Latrine)

1212

Goal 4 & 5Goal 4 & 5 Adequate social protection and provision of Adequate social protection and provision of

basic needs and services for the vulnerable and basic needs and services for the vulnerable and needyneedy

Effective systems to ensure universal access to Effective systems to ensure universal access to quality and affordable public services quality and affordable public services

• Overall attendance rate for orphans similar to Overall attendance rate for orphans similar to that of other children (87% OVC vs 89% others). that of other children (87% OVC vs 89% others). More disparity in urban than rural, and in girls More disparity in urban than rural, and in girls than boys. than boys.

• Only 40% of children with disabilities attend Only 40% of children with disabilities attend primary school, with half the attendance rate of primary school, with half the attendance rate of all childrenall children

• 25.2% of rural children and 7.7% of urban 25.2% of rural children and 7.7% of urban children engaged in child labour (ILFS, 2006)children engaged in child labour (ILFS, 2006)

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conclusionsconclusions Positive trends recorded, however, there are Positive trends recorded, however, there are

significant challengessignificant challenges

Design and pay attention to appropriate Design and pay attention to appropriate qualitative indicators and data (in addition to qualitative indicators and data (in addition to quantitative) quantitative)

Monitoring system need to be kept Monitoring system need to be kept manageable-practical but sufficient for manageable-practical but sufficient for strategic planning and national reportingstrategic planning and national reporting