1. 19th November 20091 Highlights of PHDR 09 Cluster II

2. 2 Overview MKUKUTA Cluster II – Broad Outcomes MKUKUTA Cluster II – Broad Outcomes Improved quality of life and social well being with particular focus on the poorest and most vulnerable groupsImproved quality of life and social well being with particular focus on the poorest and most vulnerable groups Reduced inequalities (including survival, health and education) across geographical areas, income, gender)Reduced inequalities (including survival, health and education) across geographical areas, income, gender)

3. The presentation The presentation Organized around five goalsOrganized around five goals A review of progress on key MKUKUTA indicators under each goalA review of progress on key MKUKUTA indicators under each goal 3

4. Goal 1 Equitable access to quality primary and secondary education for boys and girls, universal literacy among men and women and expansion of higher, technical and vocational training Equitable access to quality primary and secondary education for boys and girls, universal literacy among men and women and expansion of higher, technical and vocational training Positive trends recorded - e.g Enrolment in pre-primary, secondary and tertiary educ. - increased access to poor rural %age of teachers with relevant qualifications,Positive trends recorded - e.g Enrolment in pre-primary, secondary and tertiary educ. - increased access to poor rural %age of teachers with relevant qualifications, Challenges remain - e.g Retention, pupil teacher ratio, Students passing PSLE, Students passing Form IV exams, transition from Std VII to Form IChallenges remain - e.g Retention, pupil teacher ratio, Students passing PSLE, Students passing Form IV exams, transition from Std VII to Form I Technical and vocational training Technical and vocational training 4

5. 5 Percentage of primary school teachers with relevant qualification, 2004 and 2006-2009

6. 6 Percentage of primary cohort completing Standard VII 78.5% in 2006 to 62.5% in 2008 Percentage of children passing PLSE 2001-2008

7. 7 Goal 2 Improved Survival, health and well being of all children and women and especially vulnerable groups Improved Survival, health and well being of all children and women and especially vulnerable groups Positive trends Positive trends Infant and U-5 mortality decline –On track to meet MKUKUTA (2010) and MDG (2015) goalsInfant and U-5 mortality decline –On track to meet MKUKUTA (2010) and MDG (2015) goals NutritionNutrition HIV prevalence rates declineHIV prevalence rates decline HIV/AIDS care and treatment support, PMTCTHIV/AIDS care and treatment support, PMTCT TB treatment completionTB treatment completion Challenges Challenges Neonatal mortality declined only marginallyNeonatal mortality declined only marginally vaccination (DPTHB)vaccination (DPTHB) Maternal mortality still high - ‘One Plan’Maternal mortality still high - ‘One Plan’

8. 8 Infant and U-5 mortality

9. 9 %age of births taking place in a health facility by region 2007

10. 10 Goal 3 Increased access to clean affordable and safe water, sanitation, decent shelter and safe ans sustainable environment Increased access to clean affordable and safe water, sanitation, decent shelter and safe ans sustainable environment Positive trends Positive trends Household Latrine coverage (according to the current definition)Household Latrine coverage (according to the current definition) Challenges Challenges Downward trend in access to clean and safe water (both urban and rural)Downward trend in access to clean and safe water (both urban and rural) School sanitationSchool sanitation Poor households are paying more than wealthier hhs (as a proportion of total hh expenditure)Poor households are paying more than wealthier hhs (as a proportion of total hh expenditure)

11. 11 School latrine (Pupils per Latrine)

12. 12 Goal 4 & 5 Adequate social protection and provision of basic needs and services for the vulnerable and needy Adequate social protection and provision of basic needs and services for the vulnerable and needy Effective systems to ensure universal access to quality and affordable public services Effective systems to ensure universal access to quality and affordable public services Overall attendance rate for orphans similar to that of other children (87% OVC vs 89% others). More disparity in urban than rural, and in girls than boys.Overall attendance rate for orphans similar to that of other children (87% OVC vs 89% others). More disparity in urban than rural, and in girls than boys. Only 40% of children with disabilities attend primary school, with half the attendance rate of all childrenOnly 40% of children with disabilities attend primary school, with half the attendance rate of all children 25.2% of rural children and 7.7% of urban children engaged in child labour (ILFS, 2006)25.2% of rural children and 7.7% of urban children engaged in child labour (ILFS, 2006)

13. 13 conclusions Positive trends recorded, however, there are significant challenges Positive trends recorded, however, there are significant challenges Design and pay attention to appropriate qualitative indicators and data (in addition to quantitative) Design and pay attention to appropriate qualitative indicators and data (in addition to quantitative) Monitoring system need to be kept manageable-practical but sufficient for strategic planning and national reporting Monitoring system need to be kept manageable-practical but sufficient for strategic planning and national reporting