The Child Developmentindex 2012Progress, challenges and inequality
The story                                                                                                                 ...
DEVELOPMENT INDEX 2012                                                                                                    ...
Save the Children works in more than 120 countries.We save children’s lives. We fight for their rights.We help them fulfil...
contentsExecutive summary	iv	   Box: Measuring children’s well-being	                                vi1	 A decade of prog...
Executive summary     During the last decade, the world witnessed              and primary school enrolment was even more ...
loss, which is commonly used to indicate the severity     We call on developing country governments to:                   ...
Box: measuring children’s     well-being     The Child Development Index (CDI) is based on                                ...
1	 A DECADE OF PROGRESS	 IN CHILD WELL-BEINGSave the Children’s 2012 Child Development                Developing countries...
the child development index 2012                                    Figure 2: CDI Performance over Time                   ...
1  A DECADE OF PROGRESS IN CHILD WELL-BEINGIndonesia – a work in progressIndonesia climbed six places up the CDI ranking  ...
the child development index 2012                                   Tanzania – the highest climber continued               ...
At the other end, Equatorial Guinea fell as many places    Bank and Gaza) all feature among the biggest fallers in        ...
Inequalities between                                    Map B at the back of this report (pages 26–27)the child developmen...
that Niger has experienced a substantial improvement         Indeed, it masks a huge variety, since the strongest         ...
Box: The child development index    and the human development index    The Child Development Index follows in the         ...
Box: T heFigure 3: CDI and HDI compared  CDI       Low                            Medium                       High       ...
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
Child development index 2012
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Child development index 2012

  1. 1. The Child Developmentindex 2012Progress, challenges and inequality
  2. 2. The story THE CHILDin numbers127 Greenland (Denmark)countries improved their scores Canadaon the Child Development Indexin the period of 2005­ 10 – United States9,000 Bermuda (UK)fewer children under-five died Cuba Bahamasper day on average in the period Hawaiian Islands (USA) Revilla Gigedo Is Mexico Cayman Is Turks & Caicos Is (UK) Dominican Rep. (Mex)of 2005–10 than in 1995–99 Puerto Rico (US) Jamaica Haiti Anguilla (UK) Belize St Kitts Antigua & Barbuda Honduras & Nevis Guadeloupe (Fr) Dominica Guatemala Martinique (Fr) El Nicaragua Curaçao St Lucia Barbados Salvador50 million Trinidad & Tobago Costa Rica Kingman Reef (US) Venezuela Panama Guyana Palmyra Is (US) Suriname Cocos French (CR) Guiana Colombiamore children were in primary Jarvis Is (US) Line Galapagos Is (Ecu) Ecuadorschool in the period of 2005–10 Islands (Kiri)than in 1995–99 Marquesas Islands Brazil (Fr) Peru36 million Cook Islands (NZ) Society Islands (Fr) Boliviafewer children were underweight in Tubai Is (Fr) Gambier Islands Sala-y-Gómez(Chile) S Felix Paraguay (Fr) Pitcairn Is2005–10 than 1995–99 (UK) (Chile) S Ambrosio Easter Is (Chile) (Chile) De Bass (Fr) Chile Juan Fernandez Is Argentina MAP A (Chile) UruguayBut… Countries’ progress in child well-being between 1995–99 and 2005–101.5 million VERY HIGH HIGH MEDIUM LOW NOT INCLUDED IN THE INDEX Falkland Is (UK) South Georgia (UK)more children suffered from acutemalnutrition in 2005–10 than in thefirst half of the 2000s.
  3. 3. DEVELOPMENT INDEX 2012 Finland Norway Iceland Faeroe Is Sweden (Den) Russia Estonia United Latvia Kingdom Lithuania Denmark Rep of Netherlands Poland Belarus Ireland Germany Belgium Lux. Cze. Slovakia Ukraine Kazakhstan Lie. Swi. AustriaHungary Moldova France Slov. Romania Mongolia Cro. Serbia Monaco San Marino Bos. Bulgaria Andorra Mon. Kos. FYR Georgia UzbekistanThe Azores (Port) Alb.Mac. Kyrgyzstan Democratic Italy Spain Turkey Armenia People’s Rep Portugal AzerbaijanTurkmenistan of Korea Tajikistan Republic of Korea Japan Greece Malta Cyprus Syria China Tunisia Lebanon Iran Afghanistan Madeira (Port) Morocco Israel Iraq OPT. OPT. Jordan Midway Is (US) Canary Is (Sp) Algeria Kuwait Pakistan Bhutan Libya Nepal Egypt Bahrain Qatar Western Oman Bangladesh Sahara UAE Saudi Arabia Republic of China Myanmar (Taiwan) India (Burma) Wake Is Mauretania Lao (US) Mali Chad PDR Niger Northern Eritrea Mariana IsCape Verde Thailand Vietnam (US) Senegal Sudan Yemen Kampuchea The Gambia Burkina Philippines Faso Djibouti Socotra (Yem) Guinea-Bissau Benin Laccadive Is Andaman Is (Ind) (Ind) Marshall Islands Guinea Nigeria Ethiopia Sierra Leone South Nicobar Is Côte Central (Ind) African Republic Sudan Micronesia dIvoire Liberia Togo Somalia Sri Lanka Brunei Ghana Cameroon Bioko (Eq G) The Malaysia Uganda Maldives Equatorial Guinea Democratic Sao Tomé Republic Kiribati Sao Paulo (Br) e Principé of Congo Gabon Kenya Rwanda Nauru Annabón (Eq G) Burundi Papua Congo New Guinea Indonesia Cabinda (Angola) Seychelles Chagos Tanzania Archipeligo (UK) Ascension (UK) Providence Is Solomon Is Aldabra Is (Sey) Tuvalu (Sey) Agalega Is Comoros Farquhar Is (Maur) Angola (Sey) Christmas Is Malawi (Aus) Mayotte Western Samoa Keeling Is Zambia (Fr) (Aus) St Helena (UK) Vanuatu Fiji Mozambique Zimbabwe Madagascar Rodriguez Is (Maur) Tonga Mauritius Namibia Reunion New (Fr) Caledonia Botswana Australia (Fr) Swaziland Lesotho Christmas Is Kermadec Is South Africa (Aus) (NZ) Amsterdam Is (Fr) St Paul (Fr) New Zealand Chatham Is (NZ) Krozet Is Bounty Is Prince Edward Is (Fr) (S Afr) (NZ) Kerguelen Is (Fr) Auckland Is Antipodes Is (NZ) (NZ) Heard Is (Aus) Campbell Is Macquarie Is (NZ) (Aus) South Sandwich Is (UK)
  4. 4. Save the Children works in more than 120 countries.We save children’s lives. We fight for their rights.We help them fulfil their potential.AcknowledgementsThe Child Development Index 2012 was made possible by the extensivecontributions of Terry McKinley and Giovanni Cozzi of the Centre forDevelopment Policy and Research at the School of Oriental and African Studies,University of London.This paper was written by Alex Cobham, Nuria Molina and Maricar Garde atSave the Children UK, with support from Brendan Cox, Liam Crosby, ShaniWinterstein, Simon Wright, Michel Anglade, John Lundine, Patricia Norimarna,Elizabeth Hughes, Melinda van Zyl, Karen Allan, Madhuri Dass and Dragana Strinic.Without implication, we are grateful for comments from Terry McKinley, IsabelOrtiz and Michael Klosson.The report, data and maps of The Child Development Index 2012 are available onlineat www.savethechildren.org.uk/onlinelibraryPublished bySave the Children1 St John’s LaneLondon EC1M 4ARUK+44 (0)20 7012 6400savethechildren.org.ukFirst published 2012© The Save the Children Fund 2012The Save the Children Fund is a charity registered in England and Wales (213890)and Scotland (SC039570). Registered Company No. 178159This publication is copyright, but may be reproduced by any method without fee orprior permission for teaching purposes, but not for resale. For copying in any othercircumstances, prior written permission must be obtained from the publisher, and afee may be payable.Typeset by Grasshopper Design CompanyPrinted by Page Bros Ltd.
  5. 5. contentsExecutive summary iv Box: Measuring children’s well-being vi1 A decade of progress in child well-being 1 Developing countries accelerate progress 1 Inequalities between developed and developing countries remain 6 Box: The Child Development Index and the Human Development Index 82 Undernutrition: holding back progress 10 Under-five mortality 10 Primary school enrolment 12 Undernutrition 14 Box: The uncounted 153 Food and financial crises threaten increased undernutrition 16Conclusions 19Recommendations 20Appendix 21Endnotes 25
  6. 6. Executive summary During the last decade, the world witnessed and primary school enrolment was even more unprecedented progress in child survival impressive, as the rate of improvement more than and children’s well-being. Millions of children doubled during the 2000s (from 11% to 23%; and were able to go to school for the first time, from 14% to 32% respectively). and many more were given a chance at life In addition to the accelerating progress it is clear as mortality rates in most countries that – since the 2000s – developing countries dropped dramatically. experienced higher rates of progress on average than developed countries. While the In the year 2000, world leaders met in New York at world’s poorest countries, mostly in sub-Saharan the Millennium Summit and laid the foundations for Africa and south Asia, tend to show the lowest child the international Millennium Development Goals well-being, the gaps at the top of the Index narrowed (MDGs). These included universal access to primary at the end of the 2000s. education and a dramatic reduction of child mortality rates, to be achieved by 2015. In turn, developed In Africa, Tanzania stands out, moving up 30 places in countries committed to increase much-needed their CDI ranking. The country’s success is based on development aid to enable poorer countries to two remarkable achievements: it more than halved achieve the MDGs. its child mortality, and almost halved the proportion of underweight children. Angola, Benin, Maldives, In 2008, in order to monitor progress in child Rwanda and Madagascar are the other African well-being, Save the Children launched the Child countries moving rapidly up in the ranking. Three Development Index (CDI), a global tool to assess central-American countries, El Salvador, Nicaragua the performance of 141 world countries on child and Guatemala, are also among the fast movers up mortality, nutrition and access to primary education. the ranking. The 2012 edition of the Child Development However, not all the news is good. When we break Index tells a story of success. This edition of the down the different components of the index – Index shows that substantial progress has been made health, education and nutrition – data shows that in addressing the most basic threats to child survival undernutrition has consistently lagged behind and well-being. On average, the lives of children and remains one of the major factors holding around the world in the indicators we measured back further progress on children’s well-being. improved by more than 30%. This means that the Whereas health and education have improved well chances of a child going to school were one-third above the average of the Index, when progress higher, and the chances of an infant dying before accelerated in the second half of the 2000s (at a their fifth birthday were one-third lower at the rate of 23% and 32% respectively), in comparison end of the 2000s than a decade before. During this child undernutrition performed very poorly, period child well-being improved in 90% of the improving at the much lower rate of 13%. In the countries surveyed.1 world’s poorest countries, progress was even Even more encouragingly, this historic progress weaker, at just below 10%. has been dramatically accelerating in recent years. Even more concerning is that the already slow From the first half of the 2000s to the second, progress in tackling undernutrition has been overall rates of progress in child well-being jeopardised by the effects of the global food and almost doubled compared to the end of the 1990s financial crises. This study finds that the proportion (an average improvement of 22%, up from 12%). of wasted children (suffering from acute weight Acceleration of progress in under-five mortalityiv
  7. 7. loss, which is commonly used to indicate the severity We call on developing country governments to: Exof food crises), actually rose in the second half • Build on the target recently approved by the Worldof the 2000s. Increases in wasting are worrying in Health Organization for a 40% reduction in thetheir own right, and also because they could be an number of children who are stunted by 2015, by ecutiveearly warning sign of further deteriorations setting up national policies and specific targets forin chronic undernutrition if the situation is not reducing child stunting.quickly reversed. • Strengthen social transfer programmes (such as cash transfers) as a key policy tool to combat hunger and undernutrition, both in times of summaryRECOMMENDATIONS stability and as an effective crisis response tool that is easily scalable.The recent G8 agreement on the New Alliance • Ensure that national nutrition policies and socialon Food Security and Nutrition; the World Health transfers are aimed at reducing inequalities and theAssembly support for a global target to reduce disproportionate impact of undernutrition amongchild stunting by 40% by 2025; and the commitment the poorest and most vulnerable groups in society.of the UK Prime Minister David Cameron to hold ahunger summit during the 2012 Olympic Games in We call on bilateral and multilateral donors to:London are all welcome steps in putting the critical • Maintain the recent focus on these issues.issues of hunger and undernutrition higher on the The hunger crisis can be dealt withinternational agenda. But this report highlights the but it will need a concerted effort, notscale of the challenge. a stand-alone moment. • Scale up multi-year funding for nutrition,The updated index shows the full impact of the drag putting in place outcome targets to reducethat a failure to tackle undernutrition is having on child undernutrition and to supportchild well being. It also shows the early signs of what the establishment of social transfercould be a new burgeoning crisis. In this context, programmes – above all for those countriesbusiness as usual will not suffice. that will find it most difficult to reduce stunting.Save the Children is calling on the international • Address the underlying drivers of high foodcommunity to seize the forthcoming opportunities prices which are at the root of ever moreto redouble its efforts to create the biggest-ever frequent food crises, such as the ones thatpush against world hunger. It will need to target we are currently witnessing in the Sahel and theits efforts into support for direct interventions Horn of Africa. In particular, invest in smallholder(such as breastfeeding and food fortification), to agricultural development, prioritising support forbattle ongoing crises and to tackle the global women smallholder producers and sustainabledrivers of undernutrition – such as high food prices farming approaches.and inequality. • Commit to support the generation and use of better data, to improve transparency and accountability around these vital issues. This report has also highlighted the weaknesses in basic child well-being data; the same data is, of course, crucial to effective policy responses. v
  8. 8. Box: measuring children’s well-being The Child Development Index (CDI) is based on more important to look at their score rather than an aggregate of three indicators that contribute their place in the ranking. Their movement across the to children’s wellbeing and development: health, rankings does not necessarily reflect the same degree education and nutrition. Countries are ranked of underlying change in child well-being. according to their scores in terms of a child’s Data are drawn largely from UN and World Bank chances of dying before her or his fifth birthday, of sources, supplemented by some national statistics. not enrolling in school and of being underweight. A lack of high-quality data makes it impossible to These three indicators are aggregated by simply calculate the index on an annual basis, so instead we calculating the average score between them for each work with periods of multiple years to ensure that period under review, meaning that they each have reliable trends for each indicator and each country equal weighting in the index scores. are identified. The Child Development Index 2012 Countries are then ranked according to their CDI therefore draws on data for the period 2005–10. scores. The lower the country’s score the better. Data limitations also restrict comparisons of country A zero score would mean that all children survive performance over time. We set aside from the main beyond their fifth birthday, all under-fives are well- analysis an early period (1990–94) for which data nourished, and all primary school-age children are are only available for 88 countries. We therefore enrolled in primary school. Conversely, a maximum present data for three periods (1995–99, 2000–04 score of 100 would represent a situation where all and 2005–10), which allows us to create the index children under five were underweight, all primary consistently for 141 countries in each. Increasing school children were out of school, and under-fives country coverage over time reflects improvements were dying at the highest rate on the scale – that in data collection. For further discussion of the is, 340 per 1,000 live births. For countries starting problems posed by data availability, see the Box on with already high CDI scores in the first period, it is ‘The uncounted’ on page 15. Figure 1. Indicators for child development Child development Health Education Nutrition Under-five mortality rate* Percentage of primary-age Percentage of under-fives children not in school who are underweight * The health indicator is expressed on a scale of 0 to 100 that corresponds to 0 to 340 deaths per 1,000 live birthsvi
  9. 9. 1 A DECADE OF PROGRESS IN CHILD WELL-BEINGSave the Children’s 2012 Child Development Developing countriesIndex (CDI) presents a success story of accelerate progressprogress in children’s well-being across allworld regions, richer and poorer. Perhaps one of the greatest successes is that – since the 2000s – developing countries experienced fasterSince the end of the 1990s child well-being improved than average rates of progress, increasing the chancesin 90% of the countries assessed in the CDI.2 On of poor children in poor countries reaching theiraverage, the lives of children around the world fifth birthday or being able to go to school (seeimproved by more than 30%. This means that the Figure 2). The overall picture is encouraging; notchances of a child going to school were one-third only has great progress been made, but it has beenhigher, and the chances of an infant dying before their especially powerful in those countries that hadfifth birthday were one-third lower, at the end of the previously lagged behind.2000s than ten years before. While the world’s poorest countries (low-incomeDeveloped and developing countries substantially countries) and the regions of sub-Saharan Africa andimproved child well-being. However, whereas the south Asia had the weakest performance, the gapsrate of progress was faster in developed countries in child well-being narrowed in the 2000s as theseat the turn of the century (16%, compared to 12% in countries enjoyed significantly higher rates of progress.developing countries), during the decade of the 2000sdeveloping countries accelerated progress (up to In Africa, one of the world regions with the weakest22%) and overtook rich countries (where the rate of performance in child well-being, progress in individualimprovement was only 9%). This has helped to bridge countries presents a fragmented picture. While fivepart of the gap between developed and developing of the top 11 countries where improvements havecountries; however, inequalities remain, with children been greatest are in Africa, six of the bottom tenborn in rich countries eight times better off than countries are also in Africa (see Table 3 on page 7).those in developing countries. Tanzania stands out; it moved up 30 places fromThis is important news as poorer countries, starting the second half of the 1990s to the second half offrom a much lower base, were able to decrease the the 2000s. The country’s success is based on twogap in children’s well-being that separates them from remarkable achievements: Tanzania more than halvedricher countries – hence, decreasing world disparities. its child mortality rate (from 159 per 1,000 birthsUnfortunately, the gap is still far from being closed. in 1995, to 76 per 1,000 births in 2010), and almostWorld inequalities in child well-being remain a halved the proportion of moderately or severelychallenge in giving every child a fair chance at life. underweight children (falling from 30.6% in 1996 to 15.8% in 2010).Moreover, as we show in the sections below, theseaggregate figures mask important disparities amongcountries and regions, as well as uneven progress indifferent dimensions of child well-being measured bythe Index – namely, access to primary education,child mortality and undernutrition. 1
  10. 10. the child development index 2012 Figure 2: CDI Performance over Time By region 1995–99 2000–04 2005–10 0 5 10 15 20 CDI score 25 30 East Asia CEE and CIS 35 Latin America and the Caribbean Middle East and 40 north Africa South Asia 45 Sub-Saharan Africa By income level 1995–99 2000–04 2005–10 0 5 10 15 CDI score 20 25 30 Low income 35 Low-middle income Upper-middle income 40 High income 2
  11. 11. 1  A DECADE OF PROGRESS IN CHILD WELL-BEINGIndonesia – a work in progressIndonesia climbed six places up the CDI ranking population and one-third of the rural populationbetween1995–99 and 2005–10, giving it a lead have access to adequate sanitation,8 and moreover other big middle-income countries such as than 50,000 Indonesian children per year die fromIndia and South Africa. Under-five mortality fell diarrhoea.9 Indonesia also has one of the highestdramatically from 91 per thousand live births maternal mortality rates in south-east Asia (228 perin 1990 to 35 per thousand births in 2010. Net 100,000 live births),10 and nearly half of all underprimary school enrolment went up from 89% to five deaths occur during the first 28 days of life.1196%, and the proportion of under-fives who are Less than half of young learners in Indonesia attendunderweight went down from 38% in 1990 to preschool and only about two-thirds of students20% in 2007. enrol in secondary school.12 Finally, Indonesia has the highest number of children in institutions in theMuch of this is down to improved access to health, world – an estimated 500,000.13education and other services. For example, 89%of children received measles immunisation in 2010 As in many other countries, recent years havecompared to 60% two decades ago.3 Trained health seen growing income inequality,14 creating bigprofessionals are bringing services to more people disparities in children’s well-being. The poorestand over 80% of the population now has access to children are more than twice as likely to die beforeimproved drinking water, up from around 60% in the their fifth birthday as those born into the richest1990s.4 Spending on education, a key element in the households,15 and with more than a third of under-government’s development plan, doubled between fives stunted,16 children in the poorest households2000 and 2006.5 Efforts are now aimed at improving are also the most vulnerable to this condition.17the quality of health and education services. The government committed to reduce stuntingHowever, children’s well-being is still a work in prevalence among under-fives to 32% in 2014 in itsprogress. More than one-third of Indonesian National Mid-term Development Plan. It must alsochildren are stunted,6 and breastfeeding rates have ensure that the country’s economic growth bringssteadily declined over the past two decades, with further improvements in health, protection andjust 32% of mothers exclusively breastfeeding for education for all children, including the poorest.the first six months.7 Only about half of the totalTanzania – the highest climberTanzania has made impressive progress in its CDI • Budgetary allocations to the health sectorscore over the past decade, from 42.6 in 1995–99 have been growing at an average rate of 21.8%to 16.7 in 2005–10, moving up 30 places in the between 2005/06 and 2010/11, increasing fromcountry rankings. Progress has been particularly TZS 446 billion (US$279 million) in 2005/06fast between 2006 and 2010, when the under-five to TZS 1193 bn (US$745 m) in 2010/11.19mortality rate dropped by 28%, from 112 per 1,000 The government has also made several stronglive births to 81.18 The number of out-of-school commitments as part of the UN Secretarychildren fell from 3.2 million in 1999 to 33,000 in General’s Every Woman, Every Child initiative.2008. The proportion of underweight children, as is These include a commitment to increase healthtrue for the index in general, fell less dramatically – sector spending from 12% to 15% of the nationalfrom 16.4% in 2004–05 to 15.8% in 2010. budget by 201520 and double the number of trained health workers.21Different factors have contributed to Tanzania’s • On the education front, the Complementaryimpressive improvements in children’s health Basic Education in Tanzania project providesand education. For instance: continued overleaf 3
  12. 12. the child development index 2012 Tanzania – the highest climber continued alternative education to 8–13-year-olds and Budgeting Guidelines 2012/13 include nutrition helps them re-enter formal education. Also, the interventions. The civil society Partnership for Grade 4 exam, which often acted as a barrier to Nutrition in Tanzania (PANITA)24 is successfully educational progress, has been removed.22 influencing policy – for example: • the establishment of a budget line specifically With 42% of under-fives stunted, Tanzania is one for nutrition in 2012/1325 of the ten countries worst affected by chronic • the implementation of the National Nutrition undernutrition. To tackle this, the government has Strategy recently introduced a number of measures and is • ensuring that nutrition interventions reach taking an active role in the Scaling up Nutrition local communities. (SUN) movement.23 It has established a Multi- Institutional/Multi-Sectoral High Level Nutrition Provided that funding is maintained, many of these Steering Committee composed of public, private, policies and processes will continue to improve civil society and development partners and children’s wellbeing. But greater transparency and chaired by the Permanent Secretary in the Prime sustained consultation and policy dialogue between Minister’s office. A National Nutrition Strategy the government, civil society and development has been launched, and the National Planning and partners is essential.26 South Africa – a mixed picture South Africa’s CDI scores indicate that children’s poverty. Estimates indicate that about two-thirds of wellbeing fell between 1995–99 and 2000–04, but children lived in households with per capita incomes slightly improved between 2000–04 and 2005–10. below the poverty line (set at R552 per month in Its ranking fell 24 places between the first and 2009).30 Access to health facilities and education the last period, which is mainly a consequence of vary greatly across provinces, with some children other countries overtaking it in terms of advancing in remote areas unable to go to school due to children’s well-being. inadequate or unaffordable transport.31 The HIV and AIDS epidemic is badly affecting the lives of children To understand the country’s performance, it is who are already vulnerable. In 2009, it was estimated important to look at what has happened to the three that 330,000 children were living with HIV and indicators in the index. Under-five mortality saw a nearly 2 million were orphaned due to AIDS.32 slight decline from 60 per thousand live births in 1990 to 57 per thousand births in 2010, but some The government is implementing a large-scale social years in between actually saw increases in the rate security programme that includes a Child Support of children dying. South Africa is one of the few Grant to help improve the conditions of children countries that hasn’t registered progress in both child who live in poverty. The grant, which is about R280 and maternal mortality.28 Primary school enrolment (US$33) per month, reaches 11 million children.33 was at 90% in 1990 and remains the same in 2010, A study evaluating its impact has shown that but again this has seen dips in the years in between.29 those who get the grant do better across several The proportion of underweight children below five measures of children’s wellbeing. For example, years has remained at 9% over the decades. they complete more grades in school and girls achieve higher maths scores.34 Children receiving There are multiple causes of children’s deprivation the grant are also less likely to be ill or stunted.35 but poverty, income inequality – which affects poor The programme is a step in the right direction. people’s access to good quality services – and Economic growth may not automatically lead to the AIDS epidemic are some of the key reasons better outcomes, but investing in children and behind the poor quality of children’s health and implementing policies that address their needs help education in South Africa. Economic growth brought to improve children’s lives. This and other efforts great benefits to certain sectors of society, but it are crucial to reversing deprivation and improving has increased inequality, and many children live in children’s well-being in South Africa. 4
  13. 13. At the other end, Equatorial Guinea fell as many places Bank and Gaza) all feature among the biggest fallers in 1  A DECADE OF PROGRESS IN CHILD WELL-BEINGas Tanzania rose, while the West Bank and Gaza fell even the ranking.further – nearly 50 places, with children’s net school Of those making the most progress in percentageenrolment rates in particular showing a sharp decline terms, the top six countries are the same as those(from 97% in 1999 to less than 80% since 2005).27 moving up fastest in the ranking, except that CroatiaThe pattern looks broadly similar if we consider replaces Angola. Angola’s strong improvements overchanges in percentage scores, rather than ranking. the period saw it move from the 140th in 1995–99One important difference is Somalia. Although only – almost at the bottom of the table – where smallerfalling seven places from the second half of the 1990s percentage improvements can result in a greaterto the second half of the 2000s, Somalia was one of improvement in ranking. Croatia, by dint of startingonly six countries to actually see a fall in index score higher up the index in the second half of the 1990s,over the period. The others (Central African Republic, saw a higher percentage improvement in scoreSouth Africa, Equatorial Guinea, Paraguay and West translate into a smaller shift in ranking.Table 1: Top ten and bottom ten developing countries by CDI progress,1995–99 to 2005–10 Top ten Rank by progress Country Change in index rank 1995–1999 2005–2010 1 Tanzania 30 42.6 16.7 2 Turkey 25 15.2 5.7 3 Angola 21 59.6 28.2 4 El Salvador 20 14.7 5.9 5 Nicaragua 20 17.1 7.4 6 Maldives 20 23.5 9.2 7 Benin 20 43.2 22.8 8 Georgia 18 12.6 5.3 9 Rwanda 18 39.3 19.9 10= Guatemala 17 21.1 9.4 10= Madagascar 17 41.0 22.2 Bottom ten Rank by progress Country Change in index rank 1995–1999 2005–2010 109 Albania -16 10.8 10.2 110 Côte d’Ivoire -16 37.1 34.4 111 Jamaica -17 9.1 8.5 112 Togo -17 26.8 23.3 113 Lesotho -18 28.4 25.0 114 Central African Republic -18 40.4 41.5 115 South Africa -24 11.5 12.2 116 Paraguay -25 6.2 7.5 117 Equatorial Guinea -32 28.3 32.9 118 West Bank and Gaza -49 5.8 10.6 5
  14. 14. Inequalities between Map B at the back of this report (pages 26–27)the child development index 2012 developed and developing shows country index scores according to whether they achieve low, medium, high or very high child countries remain well-being. Table 2 (below) gives average scores by Despite striking progress both globally and in region of the world and by income level, with lower developing countries, the world still remains a very scores indicating stronger child development. The unequal place. Being born in a developed or in a average score for high-income countries is less than 2, developing country still makes a big difference in compared to nearly 17 for developing countries as determining children’s chances at life. Whereas a group. developed countries are very close to the highest As in the first edition of the index, Japan is the score of the ranking, the average child in developing best performer, with an improved score of 0.35, countries is almost eight times worse off than he which represents the highest achieved level of child or she would be if they had been born in a rich well-being. country. The lowest child well-being is found in the regions of sub-Saharan Africa and south Asia, and – At the bottom of the scale, Niger was previously well unsurprisingly – among the lowest income countries. adrift of all other countries. We see now, however, Table 2: The Child Development Index, by region and income level Sample size Child Development Index 2005–10 Developed countries 24 1.69 Developing countries 117 16.86 By region: East Asia 11 6.62 CEE and CIS 15 5.84 Latin America and the Caribbean 25 5.62 Middle East and north Africa 14 10.11 Sub-Saharan Africa 45 30.38 South Asia 7 24.11 By income level: Low income 50 26.31 Lower-middle income 49 6.14 Upper-middle income 18 5.01 High income 24 1.69 World 141 15.54 6
  15. 15. that Niger has experienced a substantial improvement Indeed, it masks a huge variety, since the strongest 1  A DECADE OF PROGRESS IN CHILD WELL-BEINGin its index score (from 70 in the second half of the improvements are also seen in Africa.1990s and 62 in the first half of the 2000s, to 49 in Map A, at the very start of this report, shows thethe second half of the 2000s) and caught up with the world map, with countries coloured according to thetrailing pack. However, it is against this background of extent of their progress on the CDI from 1995–99relative progress that the country is once again facing to 2005–10. It is noticeable that a range of coloursa desperate food crisis.36 Niger is replaced, predictably, appears in each region. Africa in particular includesby a country that has been sliding backwards on countries with low, medium, high and very high ratesmultiple indicators: Somalia, with a score of 55 of progress.(worsening from 50 in 1995–99 as civil conflict hastaken its toll). Map B, at the very end of this report, has countries shaded to reflect their CDI scores, from the lowest-As shown in table 3 below, all ten of the bottom scoring quarter of countries to the highest. Thecountries in the Child Development Index for pattern of progress by region is clearly seen.the most recent period assessed (2005–10)37 areAfrican. However, this does not necessarily providea fair picture of progress across the continent.Table 3: Top ten and bottom ten countries by CDI 2012 rank Top ten Bottom ten Rank Country Index Rank Country Index 1 Japan 0.35 132 Eritrea 39.39 2 Spain 0.55 133 Mali 39.53 3 Germany 0.64 134 Sierra Leone 39.71 4 Italy 0.70 135 Djibouti 40.03 5 France 0.74 136 Central African Republic 41.47 6 Canada 0.74 137 Congo, Dem. Rep. 43.01 7 Switzerland 0.82 138 Burkina Faso 43.93 8 Norway 0.89 139 Chad 44.11 9 United Kingdom 0.92 140 Niger 48.73 10 Netherlands 0.93 141 Somalia 54.50 7
  16. 16. Box: The child development index and the human development index The Child Development Index follows in the countries may be storing up trouble for the future. footsteps of the UNDP’s Human Development It is additionally a concern that a number of the Index (HDI), pioneered by the economist Mahbub countries in this category (from UAE to Equatorial ul Haq. This index established the importance of Guinea) are highly dependent on natural resource measuring human well-being beyond simple national extraction, which offers only finite development income measures. The two indices each have three possibilities. components with broadly common aims: The countries below the diagonal, in contrast, score more highly on the CDI than the HDI and can be Element of HDI CDI thought of as investing relatively strongly in their well-being component component children. Sub-Saharan Africa is particularly strongly Health Life expectancy Under-five represented at the bottom of the figure, with low rate mortality HDI countries in the medium CDI quartile – including, Education An education Net enrolment for example, the noted strong performer Tanzania. index (changed rate This should be seen as encouraging news. in 2011 from combining However, some caution is required in interpreting literacy and these results. Since the CDI refers to a longer period, gross enrolment, while the HDI data relate to the most recent year, to years of schooling) a country which has gone backwards in the CDI ranking – such as Zimbabwe – can still appear to Basic needs Average per Nutrition outperform on the CDI. Differences will therefore not capita national (under-weight always reflect the relative intensity of child-centred income, as a prevalence among proxy for the under-fives), as development efforts. ability to meet perhaps the most basic needs basic need Finally, it is worth drawing attention to the BRICS nations, often highlighted as emerging global powers. Three – Brazil, South Africa and Russia – are on the It is interesting to see where there are major diagonal (that is, they occupy the same quartiles of differences in countries’ performance between the the CDI and the HDI). China and India both qualify two indices. Following the HDI, we can divide each as of medium development on the HDI; but while index into four quartiles, indicating low development, China is in the highest quartile of the CDI, India is in medium, high and very high development. Figure 3 the lowest. shows, as would be expected, that the majority of countries that feature in both indices fall into the In fact, China is the only country which scores not same quartile in both: this is the grey shaded diagonal one, but two quartiles higher in the CDI than the running from the top right (very high development on HDI. The implication is that, in relative terms, China both indices) to the bottom left (low development is heavily prioritising investment in children. Both on both indices). score highly on net enrolment rates, but more than 40% of India’s children are moderately or severely The countries off the diagonal are perhaps of greater underweight, compared to less than 5% of China’s; interest. Those above the diagonal, shaded in yellow, and India’s under-five mortality rate exceeds 60 out demonstrate better performance on the HDI than of 1,000, while China’s is below 20. on the CDI. The risk here is that by failing to invest in child well-being to a commensurate level, these8
  17. 17. Box: T heFigure 3: CDI and HDI compared CDI Low Medium High Very highHDI Qatar Argentina IcelandVery high UAE Australia Ireland child Austria Italy Bahrain Japan dev Belgium Luxembourg Canada Netherlands Chile Norway Croatia Spain Czech Sweden Republic Switzerland elopment Denmark United Finland Kingdom France United States Germany inde x Albania Armenia Russian BelarusHigh and Azerbaijan Brazil Federation Belize Oman Colombia Saudi Arabia Costa Rica Ecuador Trinidad Cuba the Georgia and Tobago Macedonia Iran Turkey Mexico Jamaica Venezuela Romania Kazakhstan Tunisia human Kuwait Uruguay Lebanon dev Malaysia Mauritius Panama Peru elopment Congo Bhutan South Africa Algeria ChinaMedium Equatorial Guinea Botswana Sri Lanka Bolivia Ghana Cambodia Swaziland Egypt India Dominican Tajikistan El Salvador inde x Lao PDR Republic Vietnam Honduras Gabon West Bank Jordan Guatemala and Gaza Kyrgyzstan Guyana Moldova Indonesia Mongolia Iraq Nicaragua Maldives Paraguay Morocco Suriname Namibia Syria Philippines Thailand Angola Lesotho BeninLow Bangladesh Liberia Cameroon Burkina Faso Mali Comoros Burundi Mauritania Kenya Central Mozambique Madagascar African Nepal Malawi Republic Niger Myanmar Chad Nigeria Rwanda Côte d’Ivoire Pakistan Sao Tome and Principe Djibouti Senegal Tanzania DR Congo Sierra Leone Uganda Eritrea Sudan Zambia Ethiopia Timor-Leste Zimbabwe Gambia Togo Guinea Yemen Guinea-Bissau Haiti 9

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