1. USE OF INDICATORS IN POLICY CONTEXT BY DR. WILLIAM P. O’HARE The Annie E Casey Foundation (WOHARE@AECF.ORG)WOHARE@AECF.ORG Child Poverty and Disparities: Public Policies and Social Justice Conference Cairo, January 20, 2009

2. WHAT DO WE MEAN BY “INDICATORS OF CHILD WELL-BEING” PROBLEMS OF LANGUAGE INDICATORS MEASURES STATISTICS VARIABLES DATA CONDITIONS

3. MY DEFINITION OF AN INDICATOR “THERE MUST BE WIDESPREAD AGREEMENT THAT IF THE VALUE OF AN INDICATOR GOES UP OR GOES DOWN, THAT IS A GOOD THING OR A BAD THING.”

4. EXAMPLES INFANT MORTALITY AND CHILD POVERTY ARE INDICATORS OF WELL-BEING PERCENT OF A POPULATION IN A GENDER, RACE OR ETHNIC GROUP IS NOT PERCENT RECEIVING PUBLIC BENEFITS? –PHILOSOPHY –MEANING – MORE POOR OR MORE HELP?

5. MANY WAYS TO USE CHILD INDICATORS USE OF SINGLE INDICATOR LIKE POVERTY CLUSTER OF INDICATORS IN ONE DOMAIN – LIKE HEALTH USE OF MULTIPLE INDICATORS ASSESSING OVERALL CHILD WELL- BEING – SEE INNOCENTI REPORT BY JOHNATHAN BRADSHAW

6. USING INDICATORS IN POLICY ARENA TRYING TO REACH POWERFUL PEOPLE/ELECTED OFFICIALS THESE PEOPLE HAVE LOTS OF DEMANDS ON THEIR TIME AND ATTENTION CHILD ADVOCATES DO NOT HAVE –VOTES –MONEY NEED PUBLIC ATTENTION - MEDIA

7. WHAT IS THE POLICY ARENA ? VERY SPECIFIC POLICY OR PROGRAM VERSUS BROADER USES LIKE SHAPING THE POLICY-MAKING CLIMATE CHANGE PRIORITIES OF PEOPLE IN POWER CREATING A CLIMATE FOR CHANGE RAISING AWARENESS

8. QUESTIONS?

9. WHAT IMPACTS CHILD WELL- BEING? PUBLIC POLICY INCOME/ECONOMICS DEMOGRAPHICS (RACE/URBANIZATION) CULTURE

10. TWO STUDIES KIDS COUNT CHILD WELL-BEING ACROSS STATES CHILD POVERTY ACROSS COUNTRIES

11. Values of Indicators in Best and Worst States Best State Worst State New Hampshire Mississippi Percent Low birth-weight babies7 11.8 Infant Mortality rate5.3 11.3 Child Death rate8 33 Teen Death rate55 101 teen Birth Rate18 61 High school Dropout rate4 10 Percent Idle teens4 12 Children with underemployed parents26 42 Child Poverty Rate10 30 Percent in Single parent Families25 45

12. WHAT EXPLAINS STATE DIFFERENCES? 90% OF VARIANCE EXPLAINED MOST IMPORTANT MEASURE –PERCENT BLACK SECOND MOST IMPORTANT MEASURE –NET WORTH (ASSETS) OTHER IMPORTANT MEASURES –WELFARE PAYMENTS/STATE EXPENDITURE –HEALTH INSURANCE –FAMILY INCOME –FOREIGN-BORN POPULATION –PERCENT HISPANIC

13. 2 CAVEATS –PUBLIC POLICIES NOT MEASURED WELL – NOT ONE HOLISTIC MEASURE –STUDY SHOULD FOCUS ON WELL-BEING OF LOW-INCOME KIDS BECAUSE THAT IS WHERE PUBLIC POLICY IS MORE IMPORTANT

14. Child poverty before and after cash benefits 2005

15. WHAT IS POVERTY? WORLDWIDE MOVEMENT FROM NARROW CONCEPTION TO BROADER CONCEPTION (CHILD WELL-BEING) TWO STREAMS OF THOUGHT –BEYOND ECONOMICS –BEYOND SURVIVAL

16. BEYOND ECONOMICS MEASURING POVERTY CASH INCOME ONLY –DOLLAR A DAY – THIRD WORLD –PERCENT OF MEDIAN INCOME THRESHOLD – EUROPE –ABSOLUTE THRESHOLD – U.S. BROADER CONCEPTIONS –NOT JUST GNP - DISTRIBUTION OF TOTAL DOLLARS IMPORTANT –OVERALL WELL-BEING –SOCIAL EXCLUSION –DOMAINS OF CHILD WELL-BEING

17. Examples of Indicators of Material situation Child deprivation –Lacking car, own bedroom, holidays last year, a computer –Lacking a desk, quiet for study, a computer, calculator, dictionary, text books –Less than ten books in the home Parental worklessness COMMUNITY CHARACTERISTICS

18. BEYOND SURVIVAL EARLIER WORK LOOKED ONLY AT MORTALITY NOW MANY OTHER FACTORS TAKE INTO CONSIDERATION –CHILD HEALTH –EDUCATION –OPPORTUNITIES THE NEW EMPHASIS IS REFLECTED IN MOVEMENT FOR DHS TO MICS

19. QUESTIONS?

20. USES OF INDICATORS IN THE POLICY CONTEXT 1.Description 2.Monitoring 3.Setting Goals 4.Outcomes-based accountability 5.Evaluation 6.Distribution of Funds

21. DESCRIPTION TYPICALLY INVOLVES SOME SORT OF COMPARISONS VERY WIDELY USED WITH CHILD INDICATORS –RAISES THE TOPIC IN PUBLIC WAY –LIKELY TO INCREASE CHILDREN AS A PRIORITY –INFLUENCES POLICYMAKERS INDIRECTLY

22. MONITORING REPEATED MEASUREMENT OVER TIME –INDICATES IF THINGS ARE GETTING BETTER OR WORSE FOR CHILDREN –CAN ISOLATE WHAT AREAS ARE GETTING BETTER AND WHAT AREAS ARE GETTING WORSE –MAY CREATE PROBLEMS IF YOU SAY HEALTH IS GETTING WORSE, HEALTH MINISTER WILL NOT BE HAPPY.

23. SETTING GOALS USUALLY DONE WITH ONE INDICATOR GREAT BRITAIN CHILD POVERTY GOAL IS A GOOD EXAMPLE U.S. CONTEXT SIMILAR --- BUT HIGHLIGHTS LIMITATIONS OF THE WAY THE INDICATOR IS MEASURED.

24. Using Indicators for Goal Setting In March 1999 in a speech at Toynbee Hall Prime Minister Tony Blair announced, “Our historic aim, that ours is the first generation to end child poverty forever… It’s a 20-year mission, but I believe it can be done.” He also said that it was the Government’s intention to monitor progress towards that end. MILLINNIUM DEVELOPMENT GOALS

25. MILLENNIUM DEVELOPMENT GOALS 1.ERADICATE EXTREME POVERTY AND HUNGER 2.ACHIEVE UNIVERSAL PRIMARY EDUCATION 3.PROMOTE GENDER EQUALITY 4.REDUCE CHILD MORTALITY 5.IMPROVE MATERNAL HEALTH 6.COMBAT HIV/AIDS 7.ENSURE ENVIRONMENTAL STABILITY 8.DEVELOP A GLOBAL PARTNERSHIP FOR DEVELOPMENT

26. EVALUATION USED TO DETERMINE IF A POLICY IS WORKING DIFFICULT BECAUSE MANY FACTORS TYPICALLY AFFECT ONE INDICATOR

27. OUTCOMES BASED ACCOUNTABILITY TIES TRENDS IN INDICATORS TO SANCTIONS AND/OR REWARDS –NO CHILD LEFT BEHIND ACT IN U.S.

28. DISTRIBUTION OF PUBLIC FUNDS IN U.S. $400+ BILLION DISTRIBUTED EACH YEAR BASED ON STATISTICAL DATA FROM THE CENSUS BUREAU

29. QUESTIONS?