Going Beyond National Averages: The Egypt governorates’ equity profiles and the study on child poverty in slums
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Going Beyond National Averages: The Egypt governorates’ equity profiles and the study on child poverty in slums

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Présentation de Lenardo Menchini, Spécialiste politiques sociales et suivi & évaluation, UNICEF Egypte, à la Conférence Internationale d'Experts sur la mesure et les approches politiques pour ...

Présentation de Lenardo Menchini, Spécialiste politiques sociales et suivi & évaluation, UNICEF Egypte, à la Conférence Internationale d'Experts sur la mesure et les approches politiques pour améliorer l'équité pour les nouvelles générations dans la région MENA à Rabat, Maroc du 22 au 23 mai 2012.o

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Going Beyond National Averages: The Egypt governorates’ equity profiles and the study on child poverty in slums Going Beyond National Averages: The Egypt governorates’ equity profiles and the study on child poverty in slums Presentation Transcript

  • Going Beyond National Averages:The Egypt governorates’ equity profiles and the study on child poverty in slums Leonardo Menchini, UNICEF Egypt Conference on Measurement and Policy Approaches to Enhance Equity for the New Generation in MENA Rabat, 22 May 2012
  • Egypt: 2000-2010: a decade of mixed resultsfor children Infant and under-5 mortalityMarked improvements in manykey child indicators• Child mortality: MDG4 target met around 2005)• Young child health (more than ANC, SBA, immunization 90% of children of children fully immunized)• Education: MDG 2 likely to be met by 2015, with gender parity in enrollment in basic education Source: EDHS, various editions
  • Egypt: 2000-2010: a decade of mixed results for children Undernutrion (children<5)… but also stagnation or deteriorationin some others …• Growingly high levels of chronic malnutrition• Growing number of adolescents at risk of obesity• Continuous increase in monetary poverty (despite the sustained economic growth, and high spending in social Source: EDHS various editions protection) Monetary poverty• High levels of youth unemployment• Challenging education qualityPersisting high levels of:• Child labour, children living on the street, FGM/C (despite the decrease in prevalence among young women)
  • Persistent high levels of disparities (geographical and by socio-economic status) Child income povertyRegional and socio-economicdisparities are still large, even if therewere some signs of convergence inthe last decade:• Upper Egypt and rural zones are the areas were disadvantage is more concentrated (including poorer economic and social infrastructure) Under-5 mortality rate, by region, 2008• In part the convergence of well- 45.7 50 being was due to the stagnation or Under-5 mortality rate, per thousand 40 34.4 33.5 32.2 27.6 deterioration of indicators in urban 30 18 20 areas (rapid growth in the population 10 live births living in slums and informal settlement) 0
  • Available statistical data sources and theirlimitations• Census, 2006• Administrative data (demographic, education …)• Household Income, Expenditure, and Consumption Survey, 1999-2000, 2004-05, 2008-09, 2010-11• Labour Force Survey• Demographic and Health Survey (2000, 2003, 2005, 2008 … the next planned for late 2012- early 2013)• Survey on Young People in Egypt, 2010• IDSC Family Conditions Survey 2008-2010Egypt is relative data rich, but for some key child indicators the most recentstatistics are from 2008. Most sources report national averages, and datafor macro-regions, but not for governorates, districts etc.
  • Main data initiatives of UNICEF EgyptToofula Info (database on child rights indicators developed incollaboration with the Child Rights Observatory)EgyInfo (with CAPMAS)Monitoring Results for Equity System (for thePerinatal Care Programme in Upper Egypt, in collaboration withMoHP)Governorate Equity Profiles (secondary analysis ofexisting survey, including DHS and FCS)Survey on child multidimensional poverty inslums and unplanned urban areas
  • The Governorate Equity ProfilesBased on the secondary analysis of existinghousehold surveys (with data representative atgovernorate level), Census and Administrative data.To respond to the lack of subnational data, makingmore extensive and efficient use of the existing datasourcesThe current (still internal) version includesdemographic and economic/poverty data fromCAPMAS, and the elaboration of the last EDHS. Thedisaggregated results from Family Conditions Surveyis being included now
  • Contents of the Governorate Profiles• Demography• Nutrition• Maternal and New Born Health Care• Immunization• HIV/AIDS• FGM/c• Education• Water and Sanitation• Employment and Poverty
  • Example of section of the governorate profile Maternal and newborn health, CairoMATERNAL AND NEWBORN HEALTH CAIRO (EDHS, 2008) Coverage along the continuum of care (%)Proportion of mothers who consumed vitamin A- 51 rich foods Pre-pregnancy Proportion of mothers who consumed iron-rich foods 88 Antenatal care coverage for at least four visits 49 Pregnancy Antenatal care coverage for at least one visit (ANC) 91 Births attended by skilled health personnel 92 Birth Caesarean deliveries 38 Proportion of last births who had any postnatal care 32 Neonatal periodEarly initiation of breastfeeding (within one hour of birth) 49 Children 1 year-old immunized against measles 98 Infancy 0.0 20.0 40.0 60.0 80.0 100.0
  • Example of section of the governorate profile Maternal and newborn health, AssiutMATERNAL AND NEWBORN HEALTH ASSIUT (EDHS, 2008) Coverage along the continuum of care (%)Proportion of mothers who consumed vitamin A- 54 rich foods Pre-pregnancy Proportion of mothers who consumed iron-rich 80 foods Antenatal care coverage for at least four visits 56 Pregnancy Antenatal care coverage for at least one visit (ANC) 72 Births attended by skilled health personnel 56 Birth Caesarean deliveries 14 Proportion of last births who had any postnatal care 30 Neonatal periodEarly initiation of breastfeeding (within one hour 56 of birth) Children 1 year-old immunized against measles 97 Infancy 0.0 20.0 40.0 60.0 80.0 100.0
  • Visualising disparities among governorates Ante-natal care Ante-natal care Lowest level 48 Lowest level 48 Monufia Monufia Damietta Damietta Highest level 95 Highest level 95 Cairo 91.0 Menia 61.0 Egypt 73.6 Egypt 73.6 Sohag 56% Upper Egypt 66% Births attended by skilled health 52% 98% personnel Fayum Port Said Egypt Average 79%
  • Equity profiles: visualizing disparities using maps(DevInfo) Kafr El-Shkh 92 Dakahlia Port-Said 96 Alexandria 95 98 Behra 84 Sharkia 91 85 Menoufia 73 Kalyoubia 93 Ismailia North Sinai Proportion of births assisted 82 87 Cairo 92 by skilled health personnel Suez Matrouh Fayoum 95 (%) 52 Giza Beni-Suef South Sinai 83 67 Menia 58 Assyout 56 Suhag 56 Quena 74 Luxor 93 New Valley Red Sea Aswan 89 Source: EDHS 2008
  • Survey on child multidimensional poverty inslums and unplanned urban areasStudy started in late 2011, aiming to better understandinequalities in urban areas, and in particular povertyand vulnerabilities of children living in slums andunplanned areas.Ongoing research, based on a household surveydesigned specifically to collect data on childmultimensional poverty and wellbeing6000 households (14000 children) in 4 major Egypt’scities (Cairo, Alexandria, Port Said and Sohag)Preliminary results: early June
  • Thank youUNICEF Egyptwww.unicef.org/EgyptMay 2012