Sunday, October 11, 2009

Food, Clothing and Shelter in India and Pakistan

There is nothing more basic in terms of human necessities than the adequate availability of roti, kapra aur makaan. Going beyond these bare essentials of food, clothing and housing, one can add sanitation, health care and education. Let's examine how the two biggest nations in South Asia are coping with such fundamental necessities of their population:

1. Food:

Food is the most basic necessity of all. In terms of being better fed, Pakistanis consume significantly more dairy products, sugar, wheat, meat, eggs and poultry on a per capita basis than Indians, according to FAO data. Average Pakistani gets about 50% of daily calories from non-food-grain sources versus 33% for average Indians.

There is widespread hunger and malnutrition in all parts of India. India ranks 66th on the 2008 Global Hunger Index of 88 countries while Pakistan is slightly better at 61 and Bangladesh slightly worse at 70. The first India State Hunger Index (Ishi) report in 2008 found that Madhya Pradesh had the most severe level of hunger in India, comparable to Chad and Ethiopia. Four states — Punjab, Kerala, Haryana and Assam — fell in the 'serious' category. "Affluent" Gujarat, 13th on the Indian list is below Haiti, ranked 69. The authors said India's poor performance was primarily due to its relatively high levels of child malnutrition and under-nourishment resulting from calorie deficient diets.

Last year, Indian Planning Commission member Syeda Hameed acknowledged that India is worse than Bangladesh and Pakistan when it comes to nourishment and is showing little improvement.

Speaking at a conference on "Malnutrition an emergency: what it costs the nation", she said even Prime Minister Manmohan Singh during interactions with the Planning Commission has described malnourishment as the "blackest mark".

"I should not compare. But countries like Bangladesh, Pakistan and Sri Lanka are better," she said. The conference was organized last year by the Confederation of Indian Industry and the Ministry of Development of Northeastern Region.

According to India's Family Health Survey, almost 46 percent of children under the age of three are undernourished - an improvement of just one percent in the last seven years. This is only a shade better than Sub-Saharan Africa where about 35 percent of children are malnourished.

India has recently been described as a "nutritional weakling" by a British report.

2. Clothing:

According to Werner International, Pakistan's per capita consumption of textile fibers is about 4 Kg versus 2.8 Kg for India. Global average is 6.8 Kg and the industrialized countries' average consumption is 17 Kg per person per per year.

3. Shelter:

There is widespread homelessness in India, with a population 7 times larger than Pakistan's, with the urgent need for 72 million housing units. Pakistan, too, has a housing crisis and needs about 7 million additional housing units, about a tenth of India's shortage, according to the data presented at the World Bank Regional Conference on Housing last year.



4. Sanitation:

India might be an emerging economic power, but it is way behind Pakistan, Bangladesh and even Afghanistan in providing basic sanitation facilities, a key reason behind the death of 2.1 million children under five in the country.

Lizette Burgers, chief of water and environment sanitation of the Unicef, recently said India is making progress in providing sanitation but it lags behind most of the other countries in South Asia. A former Indian minister Mr Raghuvansh Prasad Singh told the BBC that more than 65% of India's rural population defecated in the open, along roadsides, railway tracks and fields, generating huge amounts of excrement every day.

While a mere 14 percent of people in rural India - that account for 65 percent of its 1.1 billion population - had access to toilets in 1990, the number had gone up to 28 percent in 2006. In comparison, 33 percent rural Pakistanis had access to toilets in 1990 and it went up to an impressive 58 percent in 2006, according to UNICEF.

Why is it that Pakistan has had more success than India in improving sanitation?

Both India and Pakistan have Community-Led Total Sanitation (CLTS) campaigns supported by UNICEF, with the aim of creating open defecation free villages through education and funding. For reasons which are not obvious, it seems that the strategy has produced better results in Pakistan than in India so far. One possible reason may be that CLTS India is state driven versus CLTS Pakistan is driven by community champions, according to a paper by Lyla Mehta that sheds light on how the CLTS campaigns work in India and Pakistan.

As an example, let's compare India's largest slum Dharavi with Pakistan's Orangi Town. The fact is that Orangi is nothing like Dharavi in terms of the quality of its housing or the services available to its residents. While Dharavi has only one toilet per 1440 residents and most of its residents use Mahim Creek, a local river, for urination and defecation, Orangi has an elaborate sanitation system built by its citizens. Under Orangi Pilot Project's guidance, between 1981 and 1993 Orangi residents installed sewers serving 72,070 of 94,122 houses. To achieve this, community members spent more than US$2 million of their own money, and OPP invested about US$150,000 in research and extension of new technologies. Orangi pilot project has been admired widely for its work with urban poor.

5. Healthcare:

A basic indicator of healthcare is access to physicians. There are 80 doctors per 100,000 population in Pakistan versus 60 in India, according to the World Health Organization. For comparison with the developed world, the US and Europe have over 250 physicians per 100,000 people. UNDP recently reported that life expectancy at birth in Pakistan is 66.2 years versus India's 63.4 years.

Access to healhcare in South Asia, particularly due to the wide gender gap, presents a huge challenge, and it requires greater focus to ensure improvement in human resources. Though the life expectancy has increased to 66.2 years in Pakistan and 63.4 years in India, it is still low relative to the rest of the world. The infant mortality rate remains stubbornly high, particular in Pakistan, though it has come down down from 76 per 1000 live births in 2003 to 65 in 2009. With 320 mothers dying per 100,000 live births in Pakistan and 450 in India, the maternal mortality rate in South Asia is very high, according to UNICEF.

6. Education:

India's literacy rate of 61% is well ahead of Pakistan's 50% rate. In higher education, six Indian universities have made the list of the top 400 universities published by Times Higher Education Supplement this year. Only one Pakistani university was considered worthy of such honor.

Pakistan has consistently scored lower on the HDI sub-index on education than its overall HDI index. It is obvious from the UNDP report and other sources that Pakistan's dismal record in enrolling and educating its young people, particularly girls, stands in the way of any significant positive development in the nation. The recent announcement of a new education policy that calls for more than doubling the education spending from about 3% to 7% of GDP is a step in the right direction. However, money alone will not solve the deep-seated problems of poor access to education, rampant corruption and the ghost schools that only exist on paper, that have simply lined the pockets of corrupt politicians and officials. Any additional money allocated must be part of a broader push for transparent and effective delivery of useful education to save the people from the curses of poverty, ignorance and extremism which are seriously hurting the nation.

In spite of deficiency in education, how is it that Pakistanis can maintain better standards of living in terms of food, clothing, shelter, sanitation and healthcare than their neighbor India? The first answer is that, according to the 2009 UN Human and Income Poverty Report, the people living under $1.25 a day in India is 41.6 percent, about twice as much as Pakistan's 22.6 percent. The second answer can be found in the fact that Pakistanis' real per capita incomes are actually higher than reported by various agencies. The most recent real per capita income data was calculated and reported by Asian Development Bank based on a detailed study of a list of around 800 household and nonhousehold products in 2005 and early 2006 to compare real purchasing power for ADB's trans-national income comparison program (ICP). The ICP concluded that Pakistan had the highest per capita income at HK$ 13,528 among the largest nations in South Asia. It reported India’s per capita as HK $12,090.

Conclusion:

Clearly, the status of an average Indian is not only worse than an average Pakistani's, the abject deprivation in India is comparable to the nations in sub-Saharan Africa. However, Pakistanis do need to worry about their woefully inadequate state of education and literacy. They must find a way to develop the skills, grow the economy and create opportunities for their growing young population. As Pakistan's former finance minister Salman Shah recently told the wall Street Journal, "Pakistan has to be part of globalization or you end up with Talibanization. Until we put these (Pakistan's) young people into industrialization and services, and off-farm work, they will drift into this negative extremism; there is nothing worse than not having a job." Unless Pakistanis heed Shah's advice, there is real danger that Pakistan will slip into total chaos and violence, endangering the entire nation in the foreseeable future.

To summarize, this post has discussed six different indicators of life in any nation: Availability of food, clothing, shelter, sanitation, health care and education. The published data that I have shared with you shows that PAKISTAN IS AHEAD OF INDIA IN FIVE OF THE SIX INDICATORS. In education, however, Pakistan is marginally behind India, which itself suffers from low levels of literacy and wide gender gap resulting in very poor showing on the UNDP HDI this year, and in prior years. In spite of heavy visa restrictions and quotas imposed by many nations around the world, about a million Indians manage to leave India in search of a better life. In fact, India dropped six places on the world rankings from a low of 128 to an even lower 134. Unfortunately, Pakistan has also slipped three ranks on the list, down from 138 to 141, mainly due to its deficit in literacy and gender discrimination.

Here are some more recent comparative indicators in South Asia:

One out of every three illiterate adults in the world is an Indian, according to UNESCO.

One out of very two hungry persons in the world is an Indian, according to World Food Program.

Almost one out of two Indians lives below the poverty line of $1.25 per day.

And yet, India spends $30 billion on defense, and just increased the defense budget by 32% this year.

Poverty:

Population living under $1.25 a day - India: 41.6% Pakistan: 22.6% Source: UNDP

Underweight Children Under Five (in percent) Pakistan 38% India 46% Source: UNICEF

Life expectancy at birth (years), 2007 India: 63.4 Pakistan: 66.2 Source: HDR2009

Education:

Youth (15–24 years) literacy rate, 2000 to 2007, male Pak istan: 80% India 87% Source: UNICEF

Youth (15–24 years) literacy rate, 2000 to 2007, female Pak istan 60% India 77% Source: UNICEF

Economics:

GDP per capita (US$), 2008 Pak:$1000-1022 India $1017-1100

Child Protection:

Child marriage under 15-years ; 1998–2007*, total Pak istan - 32% India - 47% Source: UNICEF

Under-5 mortality rate per 1000 live births (2007), Value Pakistan - 90 India 72 Source: UNICEF

Here's recent video of Prof Jayati Ghosh of Nehru University debunking the myth of the "Indian Miracle":




Related Links:

Syeda Hamida of Indian Planning Commission Says India Worse Than Pakistan and Bangladesh

Global Hunger Index Report 2009

Grinding Poverty in Resurgent India

WRI Report on BOP Housing Market

Food, Clothing and Shelter For All

India's Family Health Survey

Hunger and Undernutrition Blog

Pakistan's Total Sanitation Campaign

Is India a Nutritional Weakling?

Asian Gains in World's Top Universities

South Asia Slipping in Human Development

What Does Democracy Deliver in Pakistan

Do South Asian Slums Offer Hope?

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