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The Institutional Argument: the MDG
OVC support has been confirmed as a Bank priority for Sub-Saharan Africa
as indicated in the Social Protection Sector Strategy. In "Dynamic
Risk Management and the Poor: Developing a Social Protection Strategy
for Africa" it is pointed out that OVC are "at the heart
of the human development challenge in Africa", and it is stressed
that "this group constitutes the first-order priority target group
for social protection in Africa". The World Bank Africa Region
has responded so far through studies, lending and grants. The attached
table shows the status of World Bank involvement in 2003.
The World Bank has also adopted the Millenium
Development Goals (MDGs) and the delivery of quality, cost-effective
and financially sustainable services to OVC is critical to the attainment
of many of the MDGs. (For more detail on indicators for the MDG, see the Millennium Indicators Database) In fact, the inclusion and protection of OVC will
be directly or indirectly necessary in order to reach at least 6 of
the 8 MDGs.
Direct importance:
- Goal
2: Achieve universal primary education by 2015
Currently, the net school enrollment rate in SSA is approaching 60%.
Only 66% of those who enroll - or 40% of all children - complete 5th
grade. OVC in general, have considerably lower enrollment rates than
their local peers. For example, orphans' enrollment rate is 82% of
that of their peers (State
of the World's Children, table 5), while street children and children
in the worst forms of child labor rarely go to school at all. If OVC
indeed constitute 20% of SSA children, and assuming that they on average
have 1/3 the enrollment rate of non-OVC (20%), OVC would represent
40% of the 120 million children who are not currently enrolled. In
addition, OVC are likely to have higher dropout rates than average
due to poverty, heavy workloads, or lack of parental follow-up. Because
educational programs often overlook the particular needs of OVC, specific
interventions targeted to OVC are required if to achieve UPE by 2015
(see education section).
- Goal
4: Reduce child mortality by 2/3 by 2015
Under-five mortality rates (U5MR) in SSA are currently averaging 175 (per 1000) ,
and will need to be reduced to 58 in accordance with the MDGs.
OVC generally have higher mortality rates than average due to greater
exposure to diseases and accidents, neglect, abandonment and even
infanticide. In the case of OVC under 5, we only include the sub-groups of children living with a disability, and those affected by AIDS and
war for our estimate because street children and
child laborers normally are older than 5. Assuming that 15% of SSA
children under 5 are OVC, and also assuming that their U5MR is 400 (a figure
found in post-conflict countries), they would represent 1/3 of U5
deaths (see OVC PowerPoint presentation).
Indirect importance:
- Goal
1: Halve the proportion of people who live on less than $1 a day by
2015
Currently 43% of SSA's population lives on less than $1 per day, and
at least half of them are children. If no adequate interventions are
developed today to support the most vulnerable children and their
families, OVC will have slim chances to escape from extreme poverty
in the future (see section on Economic Argument).
In addition, because poverty is often transmitted from one generation
to another, intervening now is crucial to achieving and sustaining
a long-term poverty reduction.
- Goal
3: Eliminate gender disparity in primary and secondary education by
2005
Being an OVC and a girl is by many perceived to be a double stigma,
multiplying the risk of educational loss and exposure to abuse. Because,
child domestic service is the largest commercial workplace for female
children in the region, a special focus on reducing child domestic
servitude and increasing the schooling of the many girls who are likely
to become or remain servants will be necessary to close the gender
gap.
- Goal
5: Reduce maternal mortality rate by 3/4 by 2015
Teen mothers are twice as likely as older women to die of pregnancy-related
causes, and their own children are at higher risk of illness and death
(see Adolescent
Health at a Glance). With limited information, protection and
supervision, OVC girls are at a very high risk for early pregnancy.
They are often in poor health, and their economic situation strongly
reduces the likelihood that they will seek medical assistance during
pregnancy and delivery, all factors which increase their already high
risk of maternal mortality.
- Goal
6: Halt and begin to reverse the spread of HIV/AIDS, malaria, and
other major diseases by 2015
High risk of sexual abuse and unsupervised, irresponsible sexual behavior
make many OVC a special public health risk group. OVC are also believed
to be neglected in many health immunization campaigns, maintaining
the livelihood of viruses and the continued dependency on immunization.
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