Showing posts with label MDGs. Show all posts
Showing posts with label MDGs. Show all posts

Monday, June 8, 2015

Pakistani Democracy's Disappointing Report Card On Education

Data and graphs presented in Economic Survey of Pakistan 2014-15 show that the country has fallen considerably short of achieving UN Millennium Development Goals 2015 (MDG 2015), a set of goals agreed by UN member nations in the year 2000. Key MDG 2015 goals included: halving extreme poverty and hunger from 1990 levels, reducing by two-thirds the child-mortality rate and slashing maternal mortality by three-quarters and achieving universal primary education.

Economic Survey of Pakistan 2014-15 Education Report also shows that the country was poised to achieve MDG goals in years 2001-2008 during President Musharraf's rule. Then came "democracy" in 2008 and human development progress dramatically slowed down.

Primary Enrollment Source: Economic Survey of Pakistan

Youth Literacy Rate Source: Economic Survey of Pakistan



Human development index reports on Pakistan released by UNDP confirm the ESP 2015 human development trends.Pakistan’s HDI value for 2013 is 0.537— which is in the low human development category—positioning the country at 146 out of 187 countries and territories. Between 1980 and 2013, Pakistan’s HDI value increased from 0.356 to 0.537, an increase of 50.7 percent or an average annual increase of about 1.25.

Pakistan HDI Components Trend 1980-2013 Source: Human Development Report 2014


Overall, Pakistan's human development score rose by 18.9% during Musharraf years and increased just 3.4% under elected leadership since 2008. The news on the human development front got even worse in the last three years, with HDI growth slowing down as low as 0.59% — a paltry average annual increase of under 0.20 per cent.

Going further back to the  decade of 1990s when the civilian leadership of the country alternated between PML (N) and PPP,  the increase in Pakistan's HDI was 9.3% from 1990 to 2000, less than half of the HDI gain of 18.9% on Musharraf's watch from 2000 to 2007.
South Asia HDI Trends 1980-2013 Source: Human Development Report 2014


Who's to blame for this dramatic slowdown in the nation's human development? Who gave it a low priority? Zardari? Peoples' Party? Sharif brothers? PML (N)? PML (Q)? Awami National Party? Muttahida Qaumi Movement? The answer is: All of them. They were all part of the government. In fact, the biggest share of the blame must be assigned to PML (N). Sharif brothers weren't part of the ruling coalition at the center. So why should the PML (N) share the blame for falling growth in the nation's HDI? They must accept a large part of the blame because education and health, the biggest contributors to human development, are both provincial subjects and PML(N) was responsible for education and health care of more than half of Pakistan's population.

Why is it that "democratic" governments fail to deliver on human development? Is it just a matter of allocating insufficient funds? Or is it poor governance? Corruption? The answer is "all of the above". Ghost schools that exist only on paper are quite common, especially in Sindh, according to multiple credible reports. The funds allocated for building and staff salaries of these ghost schools are siphoned off by politicians and bureaucrats. Where school buildings do exist, the teachers draw salaries but are often absent. Such teaching positions are filled by untrained people in return for bribes. Many of these allegations against predecessors have been confirmed by by Sindh Education Minister Nisar Kuhro.

Actions of Pakistani politicians of all parties are discrediting democracy and endangering Pakistan's future. They are their own and the country's worst enemies. They must find a way to deliver on socio-economic development to restore ordinary Pakistanis' faith in democracy before it's too late.


Related Links:

Haq's Musings

Pakistan's Lost Decades

Saving Pakistan's Education, Airline and Railway

Asian Tigers Brought Prosperity; Democracy Followed

Pakistan Democracy: Neither Democracy Nor Development

Challenges of Indian Democracy

Pakistan's Economic History

Comparing Bangladesh with Pakistan

Economic and Human Development in Musharraf Years

India's Share of World;s Poor Up from 22% to 33%

Why is Democracy Failing in Pakistan?

Musharraf Era Higher Education Reforms in Pakistan

Comparing 30-Year Dictatorships in Indonesia and Pakistan

Democracy vs. Dictatorship in Pakistan



Monday, November 28, 2011

Pak Lady Health Workers "Best in the World"!

“It’s one of the best community-based health systems in the world,” said Dr. Donald Thea, a Boston University researcher, talking about Pakistan's Lady Health Workers Program. Thea is one of the authors of a recent Lancet study on child pneumonia treatment in Pakistan. He talked with the New York Times about the study.

Published in British medical journal "The Lancet" this month, the study followed 1,857 children who were treated at home with oral amoxicillin for five days and 1,354 children in a control group who were given standard care: one dose of oral cotrimoxazole and instructions to go to the nearest hospital or clinic. The home-treated group had only a 9 percent treatment-failure rate, while the control group children failed to improve 18 percent of the time.



Launched in 1994 by former Prime Minister Benazir Bhutto's government, Pakistan’s Lady Health Workers’ program has trained over 100,000 women to provide community health services in rural areas. The program website introduces it as follows: "This country wide initiative with community participation constitutes the main thrust of the extension of outreach health services to the rural population and urban slum communities through deployment of over 100,000 Lady Health Workers (LHWs) and covers more than 65% of the target population. The Programme contributes directly to MDG goals number 1, 4, 5 & 6 and indirectly to goal number 3 & 7. The National Programme for Family Planning and Primary Health Care is funded by the Government of Pakistan. International partners offer support in selected domains in the form of technical assistance, trainings or emergency relief."



A recent comprehensive review of the program found that as compared to communities not served by the LHWs, the served households were 11% more likely to use modern family planning methods, 13% were more likely to have had a tetanus toxoid vaccination, 15% more were likely to have received a medical check-up within 24 hours of a birth, and 15% more were likely to have immunized children below three years. The improvements in health indicators among the populations covered by the LHWs were not entirely attributable to the program alone; researchers noted that other positive changes such as economic growth, increased provision of health services and better education services helped to enhance the impact. While the program had managed to sustain its impact despite its large expansion, evaluators found that serious weaknesses in the provision of supplies, and equipment and referral services need to be urgently addressed.

The program is now a major employer of women in the non-agricultural formal sector in rural areas, and is being more than doubled in size if budget allocations can be sustained. If universal coverage is achieved, every community in the country will have at least one lady health worker, one working woman and potential leader, who could serve as a catalyst for positive change for women in her community. The health officials say that unlike the mid-1990s when it was difficult to recruit women because of the minimum 8th grade education requirement, now there are large numbers of women who meet the requirement lining up for interviews in spite of low stipend of just Rs. 7000 per month.

Private sector is also helping the LHW program. Mobile communications service provider Mobilink has recently partnered up with the United Nations Population Fund (UNFPA), Pakistan's Ministry of Health (MoH) and GSMA Development Fund in an innovative pilot project which offers low cost mobile handsets and shared access to voice (PCOs) to LHWs in remote parts of the country. Mobilink hopes to bridge the communication gap between the LHW and their ability to access emergency health care and to help the worker earn extra income through the Mobilink PCO (Public Call Office).



Due to economic downturn and security challenges in several conflict areas since 2008, Pakistan's chances of achieving its Millennium Development Goals (MDGs) by 2015 appear to be slim. However, significant timely expansion in the LHW program and making it more effective can still help Pakistan get close to its MDGs on important health indicators like the infant mortality rate (IMR) and the maternal mortality rate (MMR).

Related Links:

Haq's Musings

Government to Hire 300,000 Lady Health Workers

South Asia Lags in Millennium Development Goals

Disease Burdens in Pakistan

MDGs in Pakistani Village

Explore the World--Gapminder.org

UN Millennium Development Goals Report 2010

India Poorer Than Africa

India and Pakistan Off-Track, Off-Target

India is Home to the World's Largest Population of Poor, Hungry and Illiterate People

Can Global Pakistanis Invest $10 billion in Reconstruction?

Tuesday, April 5, 2011

Brits Offer $1 Billion to Aid Schools in Pakistan

A new British aid package for Pakistan, announced by Prime Minister David Cameron in Islamabad, is worth $1,055 million over four years. The money will fund education for up to 4 million students, train 9,000 teachers, purchase 6 million new text books and build 8,000 schools by 2015, according to various media reports.

Announcing new aid, Cameron said, “I struggle to find a country that’s more in our interest to progress and succeed than Pakistan." “If Pakistan succeeds then we will have a good story ... if it fails we will have all the problems of migration and extremism, all the problems", he added.



With growth in the last decade, a number of countries like China, India and Pakistan have transitioned from low- to middle-income status under World Bank classifications. But China and India together still account for about half of the world's poor, and most of the illiterates, according to The Guardian. The focus of the OECD nations and the World Bank should be on helping all of the poor people regardless of whether they live in low-income or middle-income countries. Such help needs to be specifically targeted toward human development programs like education and healthcare.



Earlier this year, a Pakistani government commission on education found that public funding for education has been cut from 2.5% of GDP in 2005 to just 1.5% - less than the annual subsidy given to the PIA, the national airline that continues to sustain huge losses.

The commission reported that 25 million children in Pakistan do not attend school, a right guaranteed in the country's constitution, and three million children will never in their lives attend a lesson, according to the BBC.

The report added that while rich parents send their children to private schools and later abroad to college or university, a third of all Pakistanis have spent less than two years at school.

Among the key findings of the commission are the following:

* 30,000 school buildings are so neglected that they are dangerous
* 21,000 schools do not have a school building at all
* Only half of all women in Pakistan can read, in rural areas the figure drops to one third
* There are 26 countries poorer than Pakistan which still manage to send more of their children to school
* Only 65% of schools have drinking water, 62% have latrines, 61% a boundary wall and 39% have electricity

The report concluded that Pakistan - in contrast to India, Sri Lanka and Bangladesh - has no chance of reaching the UN's Millennium Development Goals for education by 2015.



Will the additional British aid bring new focus on education in Pakistan? Is it still possible for Pakistan to achieve the UN's Millennium Development Goals for education by 2015? I certainly hope so, but it will take a renewed national focus in both public and private sectors of the country.

Fortunately, there are a number of highly committed individuals and organizations like The Citizens Foundation (TCF) and the Human Development Foundation (HDF) which are very active in raising funds and building and operating schools to improve the situation in Pakistan. It is important that all of us who care for the future of Pakistan should generously help these and similar other organizations.

Related Links:

Haq's Musings

Pakistan Must Fix Primary Education

Teach For Pakistan

Developing Pakistan's Intellectual Capital

Intellectual Wealth of Nations

Resilient Pakistan Defies Doomsayers

Student Performance By Country and Race

India Shining and Bharat Drowning

South Asian IQs

Low Literacy Rates Threaten Pakistan's Future

Pakistan Education Emergency

Light a Candle, Don't Curse Darkness

Mobile Phones For Mass Literacy in Pakistan

Poor Quality of Higher Education in South Asia

Teaching Facts vs Reasoning

Friday, September 24, 2010

South Asia's Progress Lags in Meeting UN Millennium Development Goals

In year 2000, leaders of rich and poor nations pledged to build a better world by 2015. Among their key goals now called Millennium Development Goals: halving extreme poverty and hunger from 1990 levels, reducing by two-thirds the child-mortality rate and slashing maternal mortality by three-quarters and achieving universal primary education.

The good news is that the share of people living on less than $1.25 a day seems on track to meet the goal of halving the extreme poverty rate. However, the bulk of those gains have occurred in China and other East Asian countries. In fact, East Asia, Southeast Asia and North Africa are all on track to achieve almost all of the MDGs by 2015, but South Asia and the rest of the developing world have made insufficient progress so far, according to the current assessment by UN agencies.



The three-day summit to press world leaders to meet U.N. MDGs by significantly reducing poverty by 2015 concluded Wednesday with new financial pledges from countries but no guarantee that there will be enough money and political will to meet the targets. With many countries under financial stress from the effects of the global economic crisis as well as rising food and energy prices, Secretary-General Ban Ki-moon has asked member nations not to abandon the 1 billion people living on less than $1.25 a day. While the MDG goals encompass a variety of areas including education, health and gender parity, the first and the most important of these goals is to reduce poverty

With South Asia as the region with the largest share of the one billion global poor, the world will not meet its targets unless there is much greater focus and strong commitment to meet MDG goals in India, Pakistan and Bangladesh. In fact, even South Asia has a better chance of meeting the poverty and hunger reduction goals excluding India. Let's discuss the status of South Asian nations to assess where they are and what needs to be done.



India alone has the world's largest population of poor, hungry and illiterate people living within its borders. A new multi-dimensional measure of poverty confirms that there is grinding poverty in resurgent India. It highlights the fact that just eight Indian states account for more poor people than the 26 poorest African countries combined, according to media reports. The Indian states, including Bihar, Uttar Pradesh and West Bengal, have 421 million "poor" people, compared to 410 million poor in the poorest African countries.

OPHI 2010 country briefings on India and Pakistan contain the following comparisons of multi-dimensional (MPI) and income poverty figures:

India
MPI= 55%,Under$1.25=42%,Under$2=76%,India_BPL=29%

Pakistan
MPI=51%,Under$1.25=23%,Under$2=60%,Pakistan_BPL=33%

Lesotho MPI=48%,Under$1.25=43%,Under$2=62%,Lesotho_BPL=68%

China
MPI=12%,Under$1.25=16%,Under$2=36%,China_BPL=3%

Among other South Asian nations, MPI index measures poverty in Bangladesh at 58 per cent and 65 per cent in Nepal.

On poverty in Pakistan, World Bank economist Sanket Mohapatra has said in a recent post that remittances by overseas Pakistanis have played a significant role in Pakistan's economic improvement. Not only have such remittances contributed to significant poverty reduction in Pakistan "by an impressive 17.3 percentage points between 2001 and 2008 (from 34.5 percent in 2001-02 to 17.2 percent in 2007-08)", but "continued strong growth in worker’s remittances in the past few years has also contributed to improvements in the external current account balance” and “have facilitated improvement in the country’s external position”, according to a World Bank report released on July 30, 2010.

There are now fears, however, that some of the gains made in poverty reduction have reversed due to widespread devastation in massive floods and Pakistan's economic woes since 2008 for which the poverty rate of 17% was reported by the World Bank. Thousands of schools and clinics have been destroyed in the recent deluge, setting back Pakistan's efforts toward meeting health and education related millennium development goals by 2015.

In addition to lagging in poverty reduction, South Asians are also doing poorly in terms of hunger and health indicators.

According to a recently-released FAO report's highlights as published in The Guardian, there are 847.5 million undernourished people in the world. India tops the list with 237.7 million, followed by China with 130.4 million, Pakistan 43.4 million, Democratic Republic of Congo 41.9 million, Bangladesh 41.7 million, Ethiopia 31.6 million and Indonesia 29.9 million.

A recent report by World Health Organization (WHO) claims that India accounts for most maternal deaths in the world, with at least 63,000 such deaths taking place in 2008 alone. In fact, India fared worse than even Nigeria (50,000 maternal deaths in 2008), Congo (19,000), Afghanistan (18,000), Ethiopia (14,000), Pakistan (14,000), Tanzania (14,000), Bangladesh (12,000), Indonesia (10,000), Sudan (9,700) and Kenya (7,900). An estimated 65% of maternal deaths globally occurred in these 11 countries in 2008, with India contributing the most.

As South Asians lurch toward the 2015 deadline for meeting the MDG goals, it is important to recognize their governments' role and the need for help from rich donor nations to significantly increase spending on human development for poverty reduction. However, the South Asian governments alone can not do it. The private sector organizations, NGOs and civil society have to come forward to make their contribution toward meeting the important MDG goals to reduce poverty and hunger and improve health and literacy.

In Pakistan's case in particular, the overseas Pakistanis and Pakistan's middle class need to step forward to do their part in rebuilding the shattered lives of millions of their poor fellow citizens affected by the recent floods.

Related Links:

Haq's Musings

MDGs in Pakistani Village

Explore the World--Gapminder.org

UN Millennium Development Goals Report 2010

India Poorer Than Africa

India is Home to the World's Largest Population of Poor, Hungry and Illiterate People

Can Global Pakistanis Invest $10 billion in Reconstruction?

Thursday, October 2, 2008

UN Millennium Goals in Pakistani Village


"We need a hospital," one man said, "and a school for girls. If something could be done about the drinking water, we'd be grateful."

"One day it's diarrhea, the next day it's fever, the next day, vomiting" said a village woman, speaking about her children.

These villagers reluctantly spoke to their feudal prince of Ratrian, a poor village in north of Pakistan, highlighted by TVE and BBC recently. The young prince is Rafeh Malik, the son of the feudal lord Malik Atta Mohammad, whose family's vast land holdings include this village. The prince took the initiative to ask for his villagers' opinions about what needs to be done to improve their lives.

Apparently, Prince Rafeh Malik has been influenced by the United Nations Millennial Development Goals (MDGs) and he wants to try and implement them within his domain. He has taken the initiative by convincing his father that it must be done.

Here's a brief overview of the UN MDGs:

1 Eradicate extreme poverty and hunger
2 Achieve universal primary education
3 Promote gender equality and empower women
4 Reduce child mortality
5 Improve maternal health
6 Combat HIV/Aids, malaria, and other diseases
7 Ensure environmental sustainability
8 Develop a global partnership for development

These goals can not be achieved by governments alone. In spite of Pakistani government's efforts and international assistance, Pakistan does not have a lot to show in terms of real progress toward UN MDGs. Ranked at 136 on a list of 177 countries, Pakistan's human development ranking remains very low. Particularly alarming is the low primary school enrollment for girls which stands at about 30% in rural areas, where the majority of Pakistanis live. In fact, the South Asia average of primary school enrollment is pulled down by Pakistan, the only country in all of Asia and the Pacific with the lowest primary enrollment rate of 70 per cent in 2005. This is 12 percentage points lower than that of Maldives, which, at 80 per cent, has the second lowest rate in Asia and the Pacific. However, whereas Pakistan is rapidly reducing the proportion of children out of primary school - the net enrollment rate was just 60 per cent in 2003 - the rate in Maldives actually dropped 18 percentage points between 1999 and 2005.

The government effort is necessary but the real success will require active participation of private Pakistani citizens of all classes in society. People, including young, educated and enlightened feudal princes, need to come together to light candles rather than curse darkness.

The mission that Rafeh Malik has embarked on is an extremely welcome and necessary effort to change the feudal attitudes toward the poor in Pakistan. There are obviously risks and fears associated with any change. But Rafeh Malik's work should be an inspiration to other young men and women of the feudal class in Pakistan. "I am scared," Rafeh told his friend Shehryar Mufti, a Dawn TV journalist, "but I'm willing to take the risk."

Let's hope Rafeh Malik, and others like him, succeed in bringing about peaceful and positive changes in Pakistani feudal-tribal society that will ultimately benefit all Pakistanis, including the villagers, the middle class and the feudal and tribal chiefs. It has been shown in many developed nations that peaceful transitions from traditional feudal societies to modern democratic, successful, industrialized societies have brought wealth, peace and prosperity for all. The children of the feudal lords in Europe benefited from better education and lucrative business investments to remain rich and powerful, without keeping their people impoverished and illiterate. The transitions were clearly win-win situations for both the rulers and the ruled. The alternatives to peaceful transitions will be far worse for the big zamindars and sardars in Pakistan. Resistance to change by of the feudal-tribal leaders will prove dangerous and futile over the long run.

Related Links:

Light a Candle, Do Not Curse Darkness

BBC News

Lifeline

United Nations Report on School Enrollment

Volunteerism in Pakistan