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Working Towards Equity for Children




                                  1
2   Working Towards Equity for Children
Contents
Progress for Children in Numbers .................................................................................................................4
Introduction ......................................................................................................................................................6


1.       MOTHER AND CHILD HEALTH ..............................................................................................................8
1.1      Veles at the Forefront of UNICEF’s Immunization Program ............................................................. 10
1.2      Safe Motherhood: Baby Friendly Hospitals.......................................................................................12


2.       EARLY CHILDHOOD DEVELOPMENT AND QUALITY EDUCATION .................................................14
2.1      Early Childhood Development: Preparing Children for School .......................................................16
2.2      Child-Friendly Schools: Multiculturalism and Respect for Children’s Rights .................................18
2.3      Child-Friendly Schools: Thinking Mathematics .................................................................................20


3.       CHILD PROTECTION ............................................................................................................................22
3.1       A Family for the Most Forgotten Children ........................................................................................24
3.2      More Care, Less Paperwork: A Day in the Life of a Social Worker ..................................................26
3.3      Building a justice system for children................................................................................................28


4.       CHILD FOCUSED GOVERNANCE .......................................................................................................30
4.1      Invisible to the State: The Birth Registration Problem ......................................................................32
4.2      Building a Child-Friendly Municipality ..............................................................................................34


5.        MONITORING CHILD RIGHTS............................................................................................................36
5.1      Strengthening the Role of NGOs in Monitoring Child Rights ..........................................................38


6.       PARTNERSHIPS FOR CHILDREN ........................................................................................................40
6.1      Child Friendly Journalism ...................................................................................................................42


                                                                                                                                                                       3
Progress for Children in Numbers
                                          The following provides a snapshot of indicators highlighting encouraging progress at the aggregate level for children in the former Yugoslav
                                          Republic of Macedonia over the last couple of decades – a period that witnessed both economic and political transition and a brief internal conflict.

                                           Country Basics                                                                                                  Earliest Available   Latest Available
                                                                                                                                                           1990*                2008*
                                           GNI per capita in US$ (Earliest 1994)                                                                                   820                4140
                                           Total population in thousands                                                                                           1895               2041
                                           Population in thousands, under 18                                                                                       595                 469
                                           Population in thousands, under 5 (Earliest 1991)                                                                        154                 112
                                           Public expenditure in health as a % of GDP (Earliest 1995; Latest 2006)                                                5.5%                5.9%
                                           Public expenditure in education as a % of GDP                                                                          5.9%                5.7%
                                           Public expenditure in social protection as a % of GDP                                                                     -                 5%
                                           Health and Nutrition
                                           Under-five mortality rate (per 1,000 live births)                                                                         36                 11
                                           Infant mortality rate (per 1,000 live births)                                                                            32                 10
                                           Perinatal mortality (early neonatal and still births) per 1,000 births                                                    -                14.6
                                           Immunization percentage, 1-year-old children immunized against: BCG                                                      93                 94
                                           Immunization percentage, 1-year-old children immunized against: DPT 1                                                    94                 98
                                           Immunization percentage, 1-year-old children immunized against: DPT 3                                                    94                 95
                                           Immunization percentage, 1-year-old children immunized against: Polio 3                                                  94                 96
                                           Immunization percentage, 1-year-old children immunized against: Measles                                                   -                 98
                                           Immunization percentage, 1-year-old children immunized against: HepB                                                      -                 97
                                           % of children who are: exclusively breastfed <6 months (Earliest 1999, Latest 2005)                                     36.6               16.2
                                           % of households consuming iodized salt                                                                                    -                 94
                                           Estimated HIV prevalence rate (aged 15–49), (Latest 2007)                                                                 -                <0.1
                                           Education
                                           Primary school enrolment ratio (gross)                                                                                   100                98
                                           Primary school enrolment ratio (net)                                                                                      88                92
                                           Primary school enrolment ratio (net male)                                                                                 88                92
                                           Primary school enrolment ratio (net female)                                                                               87                92
                                           Secondary school enrolment ratio (net male)                                                                               53                82
                                           Secondary school enrolment ratio (net female)                                                                             55                80
                                           Child Protection
                                           % of children registered at birth                                                                                          -                 94
                                           Number of children in public institutional care (age 0-17), (Earliest 2000)                                              467                315
                                            Number of children in non-public institutional care, (total), (Earliest 2005)                                            72                84
                                            Number of children with disabilities in public institutional care, (Earliest 2000)                                      649                477

                                           % of women 15-49 who believe a husband is justified in beating his wife/partner                                                 -             21
                                           % of children 2-14 years old who experience any form of psychological or physical punishment                                   -             69
                                           # of juveniles placed in closed correctional/punitive institutions and prisons (Latest 2005)                                  151            95

                                          Sources: State Statistical Office, Multiple Indicators Cluster Survey,State of the World’s Children, Transmonee
                                          * Unless otherwise specified




4   Working Towards Equity for Children
Progress for Some More than Others
While the country’s GDP growth has continued over the last decade, placing it in the category of an upper middle income country,
social sector reforms are lagging behind, disparities have increased and progress for children has been uneven.
Continuing high rates of child poverty and social exclusion; enduring disparities in access to services and in health and education;
and poor linkages between accountabilities, policies and budgetary allocations, are the three main challenges to achieving equity.
The following statistics provide a snapshot of the progress made and the continuing inequalities.

 Economic indicators                                                                                              1990*            2008*
 Unemployment (Earliest 1996)                                                                                      31.9             33.8
 Youth unemployment (15-24 years of age), (Earliest 1996)                                                          69.5             56.4
 % of households living under the relative poverty rate (70% medium consumption), (Earliest 1997 Latest 2009)
                                                                                                ,                   19              31.1
 % of children living under the relative poverty line (70% medium consumption) (Latest 2009)                         -              34.1
 GINI coefficient (Earliest 1990)                                                                                  0.223            0.315
Sources: State Statistical Office, Public Expenditure Review



  Child wellbeing indicators by wealth quintile                                                                  Poorest          Richest
                                                                                                                 Quintile         Quintile

  Under-five mortality (poorest 60% and richest 40%)                                                                25                    -
  Infant mortality (poorest 60% and richest 40%)                                                                   22                    -
  Children ages 18-29 months who have received all of the eight recommend vaccines                                 60                   77
  Children 36-59 currently attending early childhood education                                                     1.4                 24.7
  Primary school net attendance ratio                                                                             86.2                 99.9
  Primary school completion rate                                                                                  61.9                 99.6
  Secondary school net attendance                                                                                 33.7                 89.6
  Early marriage (% married before age 18)                                                                         19                    6
  % of children registered at birth                                                                               88.5                 99.1
  % of women 15-49 who believe under certain circumstances a husband is justified in beating his wife/             31.6                  8.1
  partner
  % of children 2-14 years old who experience any form of psychological or physical punishment                    72.1                 45.4

Sources: Multiple Indicator Cluster Survey
* Unless otherwise specified




                                                                                                                                              5
Introduction

S
       ince independence in 1991, the former        and others who would be better off living with        tween accountabilities, planning and expendi-
       Yugoslav Republic of Macedonia has           families or in smaller group homes are living in      tures, which hinder some policy commitments
       made steady progress in ensuring politi-     large institutions with inadequate care. While        from being transformed into programmatic
cal stability and economic growth in a multi-       new legal provisions and strategies to enhance        actions at both the central and local levels; and
ethnic state. Two decades on, the country is        the quality of justice for children deserve to be     third, strengthening national infrastructures for
now firmly placed as a middle income country,        applauded, more work is required to ensure the        child right monitoring and reporting.
and a candidate for membership in the Euro-         new juvenile justice provisions are fully imple-
pean Union.                                         mented and resourced.                                 Despite the good intentions of successive gov-
                                                                                                          ernments in this country, and the ratification of
These gains have indeed had a positive impact       Weak linkages between accountabilities, poli-         the Convention on the Rights of the Child and
on the lives of most children in the country.       cies and budgetary allocations hinder some            a range of other international human rights
However, not all children have benefited equally.    policy commitments from being translated              treaties, many children in the former Yugoslav
                                                    into actions at both the central and local levels.    Republic of Macedonia, are still not enjoying
The aggregate numbers show encouraging              Infrastructure for monitoring child rights, while     basic rights to education, health care, social
progress towards achieving the Millennium           functioning, needs to be strengthened.                protection and participation. If this situation is
Development Goals and an improvement in                                                                   not addressed, not only will this continue to af-
the situation of children and women. However,       As the country moves towards further integra-         fect the children concerned, but the impact will
looking under the surface, it is clear that many    tion with its European neighbours and the             be felt for generations to come.
children are still being left behind. Approxi-      economy continues to grow, it is essential that
mately 34 per cent of children live below the       measures are put in place to ensure ALL chil-         UNICEF is continuing to work with our partners
relative poverty line. Only six out of ten chil-    dren benefit. A greater emphasis on reaching           in both national and local government, civil
dren from the poorest quintile complete pri-        those in the bottom economic quintiles and            society, private sector and other international
mary school, compared to all ten of their peers     other vulnerable children will ensure the best        organizations and bilateral donors to make sure
from the richest quintile. The Roma are among       prospects for success.                                ALL children benefit from the country’s devel-
the most vulnerable, with only four in ten Roma                                                           opment.
children completing primary school. Children        As disparities and exclusion have grown over
with disabilities are also missing out on their     the past two decades, a greater focus on the
right to education: it is estimated that only 10    most vulnerable is essential. This strategy may
per cent of these children are in school.           be more difficult, but the returns in children’s
                                                    lives saved and enriched can be greater still.
Far too many children in the country still suf-                                                                                           Sheldon Yett
fer from abuse, exploitation and violence and       Our 2010-2015 Country Programme emphasise                                    UNICEF Representative
are denied other rights. Some, mainly Roma,         three strategies: first, redoubling the efforts of
children are not registered at birth. While there   the last two decades so that all children, are able
has been progress in the deinstitutionalisation     to benefit from inclusive and quaity services;
of children too many children with disabilities     second, strengthening the weak linkages be-


6    Working Towards Equity for Children
Only 14 per cent of preschool aged children attend formal preschool programmes. A child in a kindergarten in the municipality of Cair
                                                                                                                                        7
MOTHER AND CHILD HEALTH




                                          I
                                             n the initial years after its independence        became the first in the region to be certified
                                             in 1991, the country’s rapid growth was           as iodine-deficiency free. HIV/AIDS rates are at
                                             matched by major strides in mother and            less than 0.1 per cent.
                                          child health care. Mortality rates fell and immu-
                                          nization rates rose, to name just two positive       But more work is needed. Perinatal mortality is
                                          indicators. Yet the pace of improvement has          three times higher than the EU average and im-
                                          slowed in recent years and has failed to keep        munization coverage is far lower in rural areas
                                          up with the country’s broader economic gains.        and among some ethnic groups. The World
                                          UNICEF has been working with the Ministry of         Health Organization recommends that women
                                          Health, non-governmental agencies and others         have at least four health checks during pregnan-
                                          to develop strategies and action plans to help       cy, yet the national average is 2.8 health check
                                          the country make additional gains.                   - ups. Only four in ten pregnant women go for
                                                                                               regular check-ups during first three months, a
                                          As the country moved away from its social-           critical time to prevent complications. Pockets of
                                          ist past and through its economic and political      unimmunized children do exist, with significant
                                          transition, health initiatives helped prevent        disparities among the Roma and Albanian com-
                                          thousends of unnecessary deaths of children.         munities, and those living in rural areas.
                                          The country achieved the impressive results in       To overcome these deficiencies, UNICEF has
                                          reducing under-five mortality, from 36 per 1,000      developed the Health System Strengthen-
                                          live births in 1990 to 11 per 1,000 live births in   ing Project to help the Ministry of Health and
                                          2008. Skilled birth deliveries are almost univer-    other relevant public health groups improve
                                          sal outside of the Roma community. Immuniza-         their planning, budgeting and implementing of
                                          tion rates have been steady at around 95 per         public health programs for mothers and their
                                          cent for the past decade. In 2003, the country       children. This includes the creation of long-
8   Working Towards Equity for Children
term policies with clear and integrated targets,
instead of continuing to rely on short-term
projects that are updated from year to year, or
scrapped.

In practical terms, this means that as part of
a broader plan to improve mother and child
health care, medical equipment must be kept up
to standards, and outreach services expanded.
Health professionals must be adequately trained
to provide high quality and newly recommend-
ed vaccines, and curricula at medical and nurs-
ing colleges must meet the latest international
guidelines. Regional differences must also be
recognized so that medical resources are di-
vided in a way that ensures the neediest parts of
the country get adequate resources.

UNICEF is also undertaking a broad nutri-
tion plan to tackle anemia, one of the biggest
causes of complications during pregnancies.
One part of this strategy includes surveying
about 8,000 households to assess the quality
of their diets. The results of the survey will help
determine the scope of an anticipated UNICEF-
supported flour fortification program which will
ensure staple foods contain adequate min-
eral and vitamins to improve the health of the
mothers and decrease the number of complica-
tions at birth.
                                                      Mother and child in the village Studenicani during a visit from the local patronage nurse
                                                                                                                                                  9
1.1      Veles at the Forefront of UNICEF’S Immunization Program




               I
                  n the years just after independence,    development of outreach services to         nity nurses and introducing an inte-
                  when the country was no longer part     immunize unregistered children and          grated electronic immunization registry
                  of Yugoslavia’s comprehensive im-       people who move frequently as well as       that will be used to improve planning
               munization program, health officials        those living in rural and remote areas.     and forecasting, as well as become a
               rushed to find new sources of vaccines      Rather than waiting for patients to visit   tool for monitoring individual cover-
               and create a nationwide inoculation        hospitals to get immunized, UNICEF          age.
               program almost from scratch. Unfortu-      has worked with the government to
               nately, not all children were vaccinated   provide vaccines at community centers       The city of Veles, about an hour’s drive
               at that time, a fact that was confirmed     and other locations.                        south of the capital, provides a glimpse
               recently during an outbreak of mumps                                                   of how the government’s immunization
               among young people, an illness that        In keeping with its goal of develop-        system has improved under UNICEF’s
               would have been prevented had they         ing long-term strategies, UNICEF has        guidance, and what improvements will
               been immunized years earlier.              helped finalize a five-year National          be made in the future.
                                                          Immunization Strategy that began in
               Immunization rates are now well            2010. To prepare, UNICEF assessed the       Doctors in the main clinic there immu-
               over 90 per cent in most parts of the      state of the country’s immunization         nize about 60 babies a day and dis-
               country and among most ethnic and          program, including procurement and          abled children are immunized at higher
               wealth quintiles, thanks in part because   distribution, in 2008. With UNICEF sup-     rates than elsewhere in the country. To
               UNICEF provided large quantities of        port, the government will begin distrib-    reach the unimmunized, nine commu-
               vaccines and helped the government         uting polyvalent vaccines that do not       nity nurses go door to door to identify
               develop an effective immunization          require children to return for second       newborn infants, especially those who
               program.                                   and third doses. This will reduce the       are not registered at birth, according to
                                                          burden on parents and allow doctors to      the chief of community nursing, Radica
               With UNICEF help, the government has       spend more time on outreach services.       Dimovska. As a result of these efforts,
               been able to maintain a sustainable                                                    immunization rates in Veles are among
               system for vaccines supplies. More         The Immunization Strategy also fore-        the highest in the country at 95 per
               recently UNICEF has emphasized the         sees strengthening the role of commu-       cent.

10   Working Towards Equity for Children
Unfortunately, not all health clinics boast the
same results. Doctors and nurses are in short
supply, particularly in rural communities, and
some clinics lack vehicles to do outreach work.
There is also uneven cooperation between
health clinics and local non-profit groups that
could help raise awareness of the need to get
children immunized in remote and poorer com-
munities, and some ethnic groups.

In Gusalkovo, a farming village of ethnic Alba-
nians, nurses from Veles said that people feel
that looking after their tobacco crops should
take priority over the needs of children. That is
why raising the awareness of the importance
of ensuring children are immunized is a major
component of the multi-year immunization
strategy that UNICEF helped formulate.

“While the immunization strategy includes
plans to improve the efficiency of the supply
side of immunisation programme, it recogn-
ises that demand side barriers must also be
addressed, said Igor Veljkovik, UNICEF Health
           ”
Officer.



                                                    A pediatrician is making sure his patient is comfortable during
                                                    regular medical check-up at the local clinic in Veles
                                                                                                                      11
1.2      Safe Motherhood: Baby Friendly Hospitals




               O
                         ne of the most effective ways      UNICEF found that many pregnant           as baby-friendly, which means doc-
                         to reduce child mortality rates    women were not registered with            tors and their institutions are follow-
                         and improve the health of new-     gynaecologists and visit doctors far      ing a set of “baby-friendly” standards
               born children is to expand services          less frequently than needed. On aver-     endorsed by UNICEF and WHO. Dur-
               for and outreach to pregnant women.          age, pregnant women receive just 2.8      ing her four health checkups, doctors
               While mortality rates for children less      checkups instead of the four checkups     found that she had pregnancy-induced
               than five years old have been cut dra-        recommended by the World Health           high blood pressure, and was at risk
               matically, the country still has one of      Organization. As worrying, only four      of suffering from eclampsia, a condi-
               the highest rates of perinatal mortality     in ten pregnant women go for regu-        tion that can cause seizures and even
               (still births and deaths of newborns         lar checkups during the first three        death in mothers and their children.
               within first week after delivery) in Eu-      months, when many risks in the sec-
               rope, at of 14.6 per 1,000 live births, or   ond and third trimesters, and during      “I understood how serious the prob-
               nearly three times more than the EU          delivery, can be prevented.               lem was, so I was very grateful they
               average.                                                                               could diagnose it on time, Elizabeta
                                                                                                                               ”
                                                            At regular checkups, doctors and          said.
               UNICEF has been working with the             nurses can head off problems such as
               government to improve matters by             underweight births, infectious dis-       As a precaution, Elizabeta was sent to
               developing new training programs for         eases and high blood pressure. Some-      Skopje, the capital city, and the State
               health care workers, pushing for bet-        thing as simple as identifying anemia     Clinic, which was the best-equipped
               ter equipment in maternity wards and         in pregnant women and improving           to deal with any potential problems.
               providing additional tools to the coun-      their diets can reduce risks. So can      There, her son, Filip, was born prema-
               try’s community nurses, who are often        persuading pregnant women to give         ture and underweight at 1.6 kilograms.
               in the best position to help pregnant        up smoking, a leading cause of low        He was placed in an incubator and in
               mothers.                                     birth weights.                            time improved.

               In a comprehensive situation analy-          Take Elizabeta Ristova. The hospital in   Still, just a few days before Elizabeta
               sis of perinatal care in the country,        her town of Vinica has been certified      gave birth, another baby on the same

12   Working Towards Equity for Children
ward died from a severe cardiac anomaly, a
condition that if detected early could have
been prevented.

To respond to the system gaps, UNICEF has
supported the development of a National Safe
Motherhood Strategy. Part of the strategy
includes increasing resources for community
nurses so they can reach pregnant women
in economically marginalized communities,
such as the Roma, or in remote corners of the
country, where it is difficult to reach a doctor’s
office on a regular basis. As it is, only half of
all pregnant women benefit from current out-
reach services from community nurses.

UNICEF is updating training guidelines for
health professionals to ensure they receive
continuous education and comply with the
most recent clinical practices. Some training
guidelines are being entirely revised for the
first time in years. UNICEF is helping update
medical school curricula so the next genera-
tion of doctors and nurses has the best tools
possible.


                                                    Baby asleap while waiting for medical check-up in Veles
                                                                                                              13
EARLY CHILDHOOD DEVELOPMENT AND
                                           QUALITY EDUCATION




                                           T
                                                 he cornerstone of any society is its edu-    Only 15 per cent of children with disabilities attend
                                                 cational system because it helps produce     primary school. Only 60 per cent of Roma children
                                                 open-minded adults capable of building       enroll in primary schools, while only 40 per cent
                                           a vibrant country. The work of educating future    graduate, a much smaller percentage than from
                                           citizens starts early, at home with the family     other groups. Marked gaps also exist between
                                           and then in preschool and primary school.          the Roma and other ethnic groups in secondary
                                                                                              school attendance in particular for girls.
                                           This country has made many strides in the two
                                           decades since independence; 92 per cent of         With support from UNICEF the government has
                                                                                                                           ,
                                           children are now enrolled in primary school, for   started to increase investment in quality educa-
                                           instance, and the government hopes to achieve      tion, not just because it is a child’s right, but be-
                                           universal attendance by 2015.                      cause it is the key to developing human capital.

                                           But years of insufficient investment in educa-      UNICEF helped the government create a nation-
                                           tion have led to rundown facilities, unmotivated   al early childhood development (ECD) policy
                                           teachers, and poor student learning outcomes.      that, when implemented, will ensure increased
                                           Furthermore, just 14 per cent of preschool aged    access to quality preschool. The policy is based
                                           children attend formal preschool programmes,       on the understanding that from the day they
                                           one of the worst rates in Europe. This is partly   are born to their first day in primary school,
                                           because some parents mistakenly view kinder-       children develop the skills needed to succeed in
                                           gartens as just day care centers, but also be-     school. UNICEF has helped introduce ECD out-
                                           cause kindergartens are found in only 40 out of    reach services, including parenting education
                                           the country’s 84 municipalities.                   programs and playgroups for children.

14   Working Towards Equity for Children
With support from UNICEF the country has
                             ,
also embraced the Child-Friendly Schools ini-
tiative, a holistic and rights-based approach to
educational reform. The initiative provides six
standards and indicators: Inclusiveness; effec-
tiveness; gender-responsiveness; healthy, safe,
and protective environments for girls and boys;
democratic participation by children, teachers,
parents and community members, and; respect
for children’s rights and multiculturalism.

Years of limited investment in teacher pro-
fessional development prompted UNICEF to
support teacher and curricula development to
address quality deficiencies. The emphasis in
the classroom is often on acquiring knowledge
through memorization rather than on develop-
ing critical thinking skills. This is one reason
students in this country rank near the bottom in
Europe on math and literacy surveys.

UNICEF also supports life skills education sub-
ject as a compulsory subject and other multi-
culturalism extracurricular activities, to help
children cope with violence and promote diver-
sity and respect among ethnic groups.




                                                   A child playing in Skopje kindergarten “Bratstvo”
                                                                                                       15
2.1. Early Childhood Development: Preparing Children for School




               O
                       ne of the most critical periods in   give parents more parenting skills and     tivities. The center serves the village’s
                       a child’s development occurs be-     give children better social skills and     100 or so children. Mothers can bring
                       tween the ages of zero and six.      confidence.                                 children three years or younger twice a
               Yet a recent UNICEF-backed survey of                                                    week to playgroups, while the village’s
               Early Learning Development Standards         Only 14 per cent of preschool aged
               (ELDS) in this country revealed that the     children attend formal preschool pro-
               focus has been on children’s physical        grammes, one of the lowest rates in
               well-being and motor development,            the region. So UNICEF through its early
                                                                                   ,
               and not enough emphasis on cognitive,        childhood development (ECD) projects,
               social and emotional skills.                 has supported several interventions to
                                                            ensure that these children get the de-
               Kindergartens are the only type of early     velopment and learning opportunities
               childhood development (ECD) paid by          they need.
               the state, which covers 85 per cent of
               the cost. Even so, some parents can-         UNICEF has helped boost access to
               not afford to send their children to         preschool services at 20 centers around
               kindergarten. Other parents mistakenly       the country. One of those centers is in
               view them as little more than child care     the small, rural village of Logovardi,
               centers.                                     where UNICEF helped local authorities
                                                            and parents to transform a dilapidated
               This is why UNICEF is helping the gov-       building into an early childhood devel-
               ernment develop a national ECD policy.       opment center. (The municipality Bitola
               In addition to expanding the services        now runs the center.)
               offered by the 44 existing kindergar-
               tens, the policy aims to add more            There, parents learn parenting skills
               community-based ECD services. Once           and children of all ages have access to     Children playing in Skopje
                                                                                                        kindergarten “Bratstvo”
               implemented, the ECD policy will also        day care, basic education and social ac-

16   Working Towards Equity for Children
18 children between three- and six-years old
can visit the center three times a week for two
hours a session.

“One aspect of our activities is to prepare them
for school through learning their letters and
counting skills, along with songs, the seasons
and holidays, said Radka, a teacher at the
              ”
center, which her two sons also attend. “But we
stimulate their imaginations through creative
role-playing, storytelling and more. ”

A crucial factor in the success of the center
has been its acceptance by parents, who have
been open to the new methods and approaches
Radka and the other teachers are using. In the
long run, this cooperation will diminish the
educational disparity between rural and urban
communities.




                                                   A child playing in Skopje kindergarten “Bratstvo”
                                                                                                       17
2.2. Child-Friendly Schools: Multiculturalism and Respect for Children’s Rights




               O
                      ne of UNICEF’s core missions        ry school in Kicevo, where the residents    show unity between the school’s 800 Al-
                      in this country is to break down    are a mix of Macedonian, Albanians,         banian students, 350 Roma, 200 Mace-
                      walls and reduce disparities        Turkish and Roma. Lulzim Mehmedi, the       donians and 200 Turks.
               between ethnic groups, especially in       school’s principal, has worked hard to
               schools and classrooms, which are in-      convince skeptical parents and teachers     Children, with their parents’ permis-
               creasingly segregated. This polarisation   that the future of the school – and even    sion, toured the homes of families from
               can reinforce stereotypes and perpetu-     the country – is in working together        different ethnic groups. Older family
               ate tensions.                              and dissolving old boundaries between       members explained the history of their
                                                          ethnic groups.                              cuisine, holidays, religions and other
               To break this cycle, UNICEF has promot-                                                customs. Then students visited churches
               ed multiculturalism in schools in ethni-   “In the beginning, there were problems      and mosques, in many cases for the
               cally mixed municipalities so children     with parents who reacted to things in       first time.
               can gain a new perspective on how to       school, said Mehmedi, who grew up
                                                                 ”
                                                          in an Albanian village as a child and       Several students said they now meet
               grow together.                                                                         and play more freely with children from
                                                          learned Macedonian when he attended
                                                          high school in Kicevo. “But we gradually    other ethnic groups. “We communicate
               Building on the Child-Friendly Schools                                                 differently, said one boy. “We find each
                                                                                                                 ”
               initiative, eights schools in Kicevo,      included them and they overcame this
                                                          issue once they were informed of what       other and meet at different places and
               Struga and Kumanovo were included                                                      mix together more.  ”
               in a UNICEF pilot programme on mul-        was actually going on. ”
               ticulturalism as part of a UN joint pro-   The messages of multiculturalism are        The children have done role playing ex-
               gramme. The programme includes             everywhere at the school. In the lobby,     ercises in front of their parents to raise
               classes in Macedonian, Albanian and        an exhibit by the Green Club includes       awareness. Some students are taking
               other languages, and activities where      placards written in Albanian and Mace-      second-language classes in Albanian
               children interact with different ethnic    donian. The history of the school is also   and Macedonian. Extracurricular ac-
               groups, as well as parents and teachers.   written in two languages side by side.      tivities have been created, including
                                                          The logo of the school includes four        teaching students about business skills,
               One of the best examples of this new                                                   energy savings and other topics that
               approach is the Sande Shterjoski prima-    arms linked in the shape of a square to
                                                                                                      will be relevant in their later lives.
18   Working Towards Equity for Children
Even in Kicevo, one of the more successful
programs, problems remain. Some teachers and
parents still do not want to participate. The pop-
ulation of students is on the decline and Roma
students, from some of the most disadvantaged
families, do not always participate. Funding is
always tight; this year the school’s budget was
cut by 40 per cent and the school has a hard
time paying the school’s utilities, Mehmedi said.

Every three months, Mehmedi evaluates the
progress of the program using various bench-
marks created by UNICEF including self-eval-
                          ,
uations by teachers. UNICEF is also helping
schools like Mehmedi’s develop action plans
and set up working groups with teachers from
all grades to introduce and sustain change, said
Nora Sabani, an education specialist at UNICEF .

Mehmedi is hopeful that the multicultural mes-
sage is here to stay. “It is really about institu-
tional change, to do everything through team-
work, and to involve the local authorities, he
                                             ”
said. “That’s the key to sustainability.”



                                                     A child participating in a multiculturalism programme in Kicevo elementary school “Sande Shterjoski”
                                                                                                                                                       19
2.3. Child-Friendly Schools: Thinking Mathematics




               P
                     erhaps no subject is more critical    competitive. Young generations need to    At its core, Thinking Mathematics teach-
                     to a country’s well-being and po-     have the right skills to be able to thrivees students to search for creative ways
                     tential growth than mathematics.      in a robust environment.  ”               to solve math problems not just learn-
               It forms the basis of business, engineer-                                             ing by rote a single method introduced
               ing, finance, the sciences and a host of     UNICEF identified a solution: A pro-       by the teacher. Instead of just seek-
               other academic and economic fields.          gramme called Thinking Mathematics        ing answers, students are asked, and
               Unfortunately, students in this coun-       that makes a shift to learning maths      even rewarded, for finding alternatives.
               try have some of the lowest math test       “concepts” UNICEF brought programme Teachers are encouraged to use games
                                                                      .
               scores in Europe, a cause for concern.      experts to the country in 2009, when      and more interactive methods to inspire
                                                           they trained teachers from 50 schools in students.
               UNICEF analyzed this problem in 2009        theory and practice. The teachers then
               and determined that the low quality of      returned to their schools to roll out the “We are encouraging kids to think about
               instruction is one of main causes. Many     programme to other math teachers.         math and think logically, not just memo-
               teachers continue to use methods more                                                 rize formulas, said Lence Stefanoska,
                                                                                                                    ”
               suited to the country’s socialist past,     The goals were to use Thinking Math-      one of the two teachers at a primary
               when conformity was the goal, rather        ematics to change the way that math       school in Ohrid who was trained to
               than today, when businesses and the         is taught in the schools, and to raise    teach her colleagues how to use the
               government must compete with more           the level of math that students learn.    Thinking Mathematics method. “The
               nimble economic rivals across the           UNICEF and the Ministry of Education      evidence that this system works is when
               globe.                                      decided to focus on first applying these we give tests. The students are finding
                                                           new techniques to children in grades      new ways of solving problems.    ”
               “Teachers don’t teach students how          one through three, before they took
               to think, only mechanical drills to get     national math aptitude tests at age nine. Stefanoska’s students have embraced
               the right answers, said Nora Sabani,
                                 ”                         The new math program coincided with       the new approach. In a lesson on telling
               an education specialist at UNICEF “Be-
                                                  .        the introduction of a new national cur-   time, her 15 eight- and nine-year olds
               ing part of Europe, it’s important to be    riculum for primary schools.              bounced eagerly out their seats when


20   Working Towards Equity for Children
asked what time it was on a clock. “When did
you wake up, Stefanoska asked in one exam-
              ”
ple. Almost all the children shouted an answer.
She called on the quieter students to keep them
involved, and bunched them into small groups
to create a competition. “They want to be faster
and to check up on each other, she said.
                               ”

UNICEF and the government are now monitor-
ing the program to see what has worked and
what needs to be improved, and plans are afoot
to introduce Thinking Mathematics to all 350
primary schools in the country. Preparations
are also being made to improve literacy by
introducing a similar programme called “Read-
ing for Comprehension and Writing in the Early
Grades. ”




                                                   11 year old boy thinking mathematics – during a class on time measurement in Ohrid
                                                   elementary school “Bratstvo i edinstvo”
                                                                                                                                        21
CHILD PROTECTION



                                           D
                                                   espite recent strides, children throughout the   problems is an ambitious juvenile justice law that
                                                   country still suffer from abuse, exploitation    came into force in 2009 and for the first time treats
                                                   and violence. Six per cent of children under     children separately from adults and aims to help
                                           five years old are not registered at birth, limiting      children at risk. UNICEF not only helped the govern-
                                           their access to public services. Children are abused     ment draft the law, but also helped develop a multi-
                                           at home or on the streets, where some live and           faceted plan for implementing it.
                                           work. Orphans, children with disabilities and others
                                           are living in large institutions with inadequate care.   The plan includes teaching social workers, police-
                                           Children convicted of breaking the law are often         men, lawyers, mediators, judges and prosecutors
                                           put in prisons that lack restorative care. More effort   how to apply the law. UNICEF developed materials
                                           needs to be made in addressing prevention and            for curricula, training programs and, soon, manu-
                                           rehabilitation.                                          als, to ensure that all professionals working with
                                                                                                    children are equipped to carry out the law. UNICEF
                                           The scale of the problem is a concern. The country       is also working with the intra-ministry council to
                                           has the second highest juvenile offense rate in the      create a juvenile delinquency prevention strategy.
                                           region after Bulgaria, according to UNICEF’s Lost in
                                           Justice System Report (2007). Other research tells       One of the biggest challenges in helping children
                                           us that nearly 70 per cent of children 2 to 14 years     who have run afoul of the law is not just keeping
                                           old are subject to some form of physical or psycho-      them out of detention, but also finding other sup-
                                           logical abuse at home or by a caregiver; 16 per cent     port for them. To that end, UNICEF is working with
                                           are subject to severe physical punishment                a local non-governmental organization to develop
                                                                                                    a mentoring program for volunteers who would act
                                           To address these issues, UNICEF is helping the gov-      as big brothers and sisters.
                                           ernment strengthen child protection laws, regula-
                                           tions and standards; training the people who apply       UNICEF is helping the Center for Social Work create
                                           them; establishing databases to share information        a database that tracks children who need protective
                                           more efficiently and; improving monitoring to en-         care. Currently, all paperwork is done manually, is
                                           sure the quality of the services provided.               not done consistently and often does not capture
                                           The legal framework for solving some of these            the needed information. “Information varies from
22   Working Towards Equity for Children
worker to worker, so there is no reliable source of data,
                                                        ”
said Biljana Lubarovska, UNICEF child protection officer.
Traditionally, children who lack parental care, have dis-
abilities or have been victims of abuse have been put in
large institutions where children often receive inadequate
attention. UNICEF favours closing or transforming these
institutions and, when children cannot be reunited with
their biological parents, supports on a temporary basis
other family-based alternative care e.g. foster families and
smaller group homes where children can get more person-
alized care.
For parents who care for their children with disabilities,
UNICEF funded a pilot day care center with specially trained
social workers. The model was so successful that there
are now 21 centers in the country. Critically, the govern-
ment has taken them over and plans to open more. UNICEF
works with the centers to ensure the quality of their care.
Still, social workers remain overburdened and under-
funded. While the number of skilled social workers in the
country has increased 17 per cent between 2006 and 2008,
many of them continue to handle hundreds of cases and
are able to devote less than half their time to field work.
Compounding matters, deep budgets cuts were prompted
by the economic downturn. And as the country has be-
come more prosperous, foreign aid has declined, hurting
funding for these and other child protection services.
UNICEF remains committed to child protection, its second
largest programme in the country after education and early
childhood care. The organization plans to further develop
training programs for social workers and create special
modules for street children and other high risk groups. The
information in the new database on child protective ser-
vices should help in the creation of more effective policies
and make individual case management more efficient.             Roma children living in poverty in the outskrits of Skopje
                                                                                                                            23
3.1. A Family for the Most Forgotten Children




               A
                       s eight-year-old Lena finishes           Though they received basic parenting         Another pillar of UNICEF’s deinstitution-
                       singing, her family applauds,           skills, Zoica and Vanco were not fully       alization effort is the day care center like
                       everyone from her 20-year-old           prepared when Lena became confused           the one that Lena visits in Krusevo.
               sister, Ana, to her grandmother, Irena.         and afraid.
               The scene looks ordinary, but for one                                                        These family-based support centers
               detail: Lena is a foster child born with        UNICEF has been working with the             give parents of children with disabilities
               Down Syndrome.                                  Ministry of Labor and Social Policy to       a chance to take a break from caring for
                                                               address these and other shortcomings,        their children, who themselves have a
               Abandoned by her biological parents,            like the lack of standards and training to   place where they can receive therapy,
               Lena spent the first four years of her           help social workers introduce alterna-       and support to enhance their knowledge
               life in a state institution that lacked staff   tive forms of care and support services.     and skills that would help them enrol in
               trained to care for disabled children.          To that end, in 2006, UNICEF helped          the mainstream education system.
               Some five years ago, Zoica, a mother             establish basic standards for potential
               of two in the town of Krusevo, saw a            foster parents and developed a recruit-      As the example of Lena showed, there
               television report about Lena’s institution      ing program for the Center for Social        are responsible families waiting for the
               that affected her deeply. She and her           Work.                                        chance to foster a child. UNICEF’s at-
               husband, Vanco, decided they had room                                                        tempts to address the system’s short-
               for one more child.                             These efforts are part of UNICEF’s ongo-     comings will make it easier for other
                                                               ing efforts to promote deinstitutionaliza-   families open their doors – and hearts
               After applying at the local Center for So-      tion. Research has shown that a child’s      – to other foster children.
               cial Work to become foster parents, they        development is substantially enhanced
               waited for more than two years – a not          in a caring family environment. That is
               uncommon length – to get Lena. They             why UNICEF works to reunite children
               had no idea what disability their child         with their biological parents and, when
               would have, and they were nervous               that is impossible, to pair them with fos-
               when they learned about Lena’s.                 ter care parents on a temporary basis.


24   Working Towards Equity for Children
Research has shown that a child’s development is substantially enhanced in a caring family environment. Father and child in Strumica playground
                                                                                                                                                  25
3.2. More Care, Less Paperwork: A Day in the Life of a Social Worker




               I
                  t’s 8.30 a.m. and another demanding day       support to some 300 children with disabili-      ing only 40 per cent of their time in the field
                  is starting at the Center for Social Work     ties and 40 drug users who need treatment.       and the rest of the time in the office.
                  in Prilep. Strained budgets and a muddy       A few years ago, there were few or none of
               division of labor means that in addition         these cases reported at the center.              So the Center for Social Work in Prilep and
               to tackling the cases for which they were                                                         several other centers, at UNICEF’s encour-
               trained, the social workers Smilka, Liljana      And while the number of skilled social           agement, are restructuring their offices
               and Zoran are drowning in paperwork and          workers in the country has increased 17          so some employees can administer cash
               tasks that other, less-trained workers could     per cent between 2006 and 2008, the social       benefits while others can focus on specific
               handle.                                          workers in Prilep handle as many as 700          social welfare tasks.
                                                                cases each year, more than five times the
               Like their counterparts abroad, the trio         national average.                                Despite the restructuring effort that started
               supports vulnerable groups, complex and                                                           in 2007, the Center for Social Work in Prilep is
               time-consuming work that requires spe-           The job is “so stressful, we should qualify      still severely overloaded. But the social work-
               cific skills and multiple state agencies. But     for early retirement, joked Smilka, who
                                                                                     ”                           ers there are hopeful that over time, they will
               because they are shorthanded, the three so-      said that clients can be loud, aggressive or     have more time for fieldwork to help parents
               cial workers also distribute aid checks and      uncommunicative.                                 develop better care for their children, and to
               handle other basic tasks. At Prilep’s Center                                                      detect and support families and children at
               for Social Work, 30 full-time and six part-      UNICEF and the Ministry of Labour and            risk. That, in turn, should reduce the number
               time workers identify, verify and administer     Social Policy are trying to correct this im-     of cases of child abuse, juvenile delinquency
               social benefits to about 9,000 people.            balance by developing operating standards        and children who are abandoned.
                                                                for social workers, building a case manage-
               The number and types of reported cases has       ment database for the Centers for Social         “We may end up having thicker files, but
               mushroomed. The center in Prilep handles         Work and creating a professional develop-        they will be more detailed, says Snezana,
                                                                                                                                             ”
               about 180 divorce cases per year, some 30        ment programme for training staff.               the director of the center in Prilep. “With
               cases of domestic violence and about 90                                                           fewer individual cases, I will be able to
               cases of children at risk of being in conflict    Presently, social workers trained for a hands-   spend more time helping the children and
               with the law. In addition, the center provides   on work with vulnerable groups are spend-        families in need.”

26   Working Towards Equity for Children
Social worker in the Center for Social Work in Prilep drowning in paper-work
                                                                               27
3.3. Building a Justice System for Children




               O
                        n the outskirts of the capital of   There is even confusion about what            Creating the infrastructure to apply the
                        Skopje, Ranka Milanovic houses      sort of cases these institutions should       law is a challenge. So UNICEF is work-
                        37 children between the ages of     handle. Victims of abuse, for instance,       ing with the Ministry of Justice and the
               7 and 18. Some have been in trouble          should not be put with children who           Ministry of Labor and Social Policy to
               with the law and all of them are at risk     have broken the law. Remarkably, some         introduce educational and vocational
               if the rehabilitation and reintegration      children have admitted themselves to          programmes to help prevent juvenile
               programmes at this juvenile care insti-      these institutions.                           delinquency. UNICEF is supporting
               tution fail.                                                                               training courses for professionals who
                                                            In this vacuum, older residents harass        work with children. UNICEF is develop-
               The semi-open facility is designed to        younger ones. Educators do not have           ing standards essential for the adminis-
               give these children a second chance by       time to control what the children bring       tration of this system.
               providing elementary-level education,        back with them – including stolen goods
               while older residents attend secondary       – to the institution. Children in their       When these reforms are implemented,
               schools in the city.                         early teens smoke freely in the weath-        institutions like Ranka Milanovic will be
                                                            ered buildings. There are few entertain-      able to ensure that only those children
               Yet a lack of communication between          ment options in the facility.                 that need extra support are admitted,
               state agencies means these children                                                        and that the institutions are equipped to
               are often left on their own without          The new juvenile justice law addresses        provide children with rehabilitation and
               adequate ways to measure their prog-         many of these problems. The staff at          re-integration services.
               ress. The Ministry of Labour and Social      Ranka Milanovic and other institutions
               Policy administer institutions like Ranka    is supposed to be trained and knowl-          At a broader level, UNICEF is supporting
               Milanovic, which work with the local         edgeable of children’s rights. New pre-       alternatives to large institutions such as
               Centers for Social Work. But the over-       ventive measures, including education-        smaller group homes and foster fami-
               worked social workers are often unable       al, vocational and recreational activities,   lies.
               to allocate the time needed to monitor       will be introduced.
               the children.


28   Working Towards Equity for Children
All poverty indicators show that children experience poverty at a higher rate than do other demographic groups. Roma child living and working in Skopje suburbs
                                                                                                                                                                  29
CHILD FOCUSED GOVERNANCE



                                           S
                                                  ince 2003, the country has made steady         building, UNICEF is helping the government
                                                  progress in economic growth. However           make these linkages.
                                                  wealth generation has been uneven. Recog-
                                           nising that children are among the poorest demo-      At the national level UNICEF is working with
                                           graphic group, UNICEF has been working with           National Commission on Child Rights – an inter-
                                           the government and other partners to make sure        ministerial body responsible for monitoring
                                           children are benefiting from these developments.       the implementation of the national action plan
                                                                                                 for children and the Convention on the Rights
                                           All poverty measurements show that children           of the Child. The commission members have
                                           experience poverty at higher degrees than do          been trained by UNICEF in child rights monitor-
                                           other demographic groups. The latest national         ing and reporting. UNICEF is now working with
                                           statistics highlight that some 34 per cent of chil-   them to improve their efficiency and transpar-
                                           dren are living under the relative poverty line.      ency and is providing technical support to de-
                                                                                                 velop actions to address the recent recommen-
                                           However, making economic growth work for              dations of the UN Committee on the Rights of
                                           children is hampered by weak linkages among           the Child.
                                           accountabilities, planning and expenditures.
                                                                                                 UNICEF is also generating evidence and compil-
                                           All too often, the ability of the country’s policy    ing knowledge on global best practices in pro-
                                           planners to disperse public resources where           child and pro-poor economic and social policies.
                                           they are most needed has been limited by insuf-       Some of the more recent studies include studies
                                           ficient accurate and disaggregated data and            on Child Poverty, Child Focused Public Expendi-
                                           knowledge on best practices.                          ture and the Child-Well Being in Difficult Eco-
                                           Through providing technical guidance, generat-        nomic Times. Not only have these studies shed
                                           ing new studies on best practices and capacity        light on the situation of children in the country,


30   Working Towards Equity for Children
they have also provided policy makers with possible
solutions to ensure budget allocations and policies are
more equitable.

At the local level UNICEF is working with municipali-
ties to increase the ability of local politicians and of-
ficials to put children’s issues at the center of local
planning.

Through the Child-Friendly Municipality initiative,
UNICEF has helped 11 municipalities create local child
rights commissions and provided tools to help them
collect and analyze data on the situation of children in
their municipalities.

UNICEF has also trained administrators in each town
about child rights, how to view local laws through the
prism of children and how to monitor indicators like
mortality rates and the numbers of teachers that can
help them track their progress. To give children a loud-
er voice, UNICEF has also supported the creation of
youth councils in the 11 participating municipalities.




                                                            At the local level UNICEF is working with municipalities to increase the ability of local politicians
                                                            and officials to put children’s issues at the center of local planning. A family in Tetovo
                                                                                                                                                                    31
4.1 Invisible to the State: The Birth Registration Problem




               B
                      itola, the country’s second larg-      and education. Only six out of every ten    performed the birth died soon after.
                      est city, is relatively affluent. Yet   Roma children enrol in primary school       Samira’s birth was never registered so
                      on the city’s northern edge, most      and two of them are likely to drop out.     she cannot attend school. Her younger
               of the Roma population lives in shoddy        Of the four children who complete           brother, Leon, was born in a hospital,
               homes along muddy, garbage-strewn             primary school, only three will enrol in    yet he also lacks birth registration pa-
               streets. In some places, conditions are       secondary school, and only two will at-     pers.
               so bad that signs on local roads are cut      tend class.
               down and sold as scrap metal. The hard-                                                   “The family just didn’t have the money
               ship is endemic. Statistics show that         To reverse this cycle, UNICEF is sup-       to pay for the registration process, says
                                                                                                                                            ”
               Roma are two and a half times more            porting efforts to boost birth registra-    Goce Tosev, a field worker with a local
               likely to live in poverty than others in      tion rates, especially among the Roma.      NGO that has partnered with UNICEF to
               the country.                                  Working with several NGOs, UNICEF           identify unregistered children.
                                                             has identified the scope of the child reg-
               More than eight per cent of Roma par-         istration problem and raised awareness      UNICEF believes that providing one-off
               ents do not register their children at        of the issue in the population at large.    incentives for parents to register their
               birth, compared to six per cent in the                                                    children, or introducing hefty fines for
               population at large, because they are         In one project in 2009, 840 children were   families that fail to do so, is counter-
               suspicious of the government, do not          found without certificates in 24 munici-     productive. Instead, UNICEF has been
               understand the benefits of registering         palities. Frequently, these children have   working to establish sustainable pro-
               or are detered by the cost in doing so.       unregistered parents and live in poor       grams to facilitate child registration
               Many Roma also give birth at home             households.                                 through its Child Friendly Municipality
               without a doctor or other medical pro-                                                    initiative.
               fessional being present.                      Take Samira, 10-year old who has six
                                                             siblings. No one is employed in her         This plan provides the tools for trans-
               Without proper registration, Roma chil-       family, which includes her grandmother.     parent and participatory decision-
               dren cannot qualify for social benefits,       Samira was born at home without a           making where the voices, priorities and
               health care (including immunization)          doctor present, and the midwife who         rights of children are integrated into

32   Working Towards Equity for Children
local public policies and programs. Newly cre-
ated Child Rights Commissions on the munici-
pal level have been monitoring the condition of
children and producing policies to address the
needs of the most vulnerable. In Bitola, for in-
stance, the Child Rights Commission produced a
situational analysis and action plan that includes
the issue of unregistered children on the local
government’s agenda.

This systematic approach should reduce the
number of unregistered children and that pre-
ventive measures, such as the education of par-
ents about the benefits of registration, will be
taken to ensure that no child remains invisible to
the state.




                                                     Samira, 10 is living in Bajro, Roma settlement near Bitola. Her birth was never registered
                                                     so she cannot attend school
                                                                                                                                                  33
4.2. Building a Child-Friendly Municipality




               I
                  n countries like this one, where the      teachers, doctors and so on – receive         “We have the greatest respect for UNI-
                  central government is decentralizing      training from UNICEF on the rights            CEF which provides stimulus and sup-
                                                                                                              ,
                  power, and local governments have         of children and how to view and draft         port to make sure children are at the
               limited human or financial resources,         policies through the prism of children.       center of our focus, the mayor said,
                                                                                                                               ”
               delivering child-focused programs at         Under UNICEF’s guidance, the commis-          flanked by members of the commis-
               the community level can be challenging.      sion in Prilep created a local action plan,   sion. “In addition to training, UNICEF
                                                            or an agenda of child-friendly projects.      provides ideas that we can implement.
               That’s why UNICEF has been helping                                                         UNICEF helps municipalities take initia-
               local politicians and officials increase      Members of the commission also                tive at the local level.
                                                                                                                                 ”
               their ability to focus on education,         were taught how to create and moni-
               preschools, urban planning and other         tor benchmarks, such as immunization          One of the most substantive child-
               critical elements of child-friendly mu-      rates and student attendance that help        friendly initiatives is the formation of
               nicipalities.                                determine each municipality’s progress.       the youth council, which gives children
                                                            UNICEF donated computers and data             a greater voice in local politics. The
               There are now 11 municipalities that are     monitoring tools to the 11 municipalities     children formed their own commission,
               part of the “child-friendly municipali-      so they can input data for each of the 29     which is being expanded to include
               ties” initiative, up from six in 2006. One   benchmarks. That data is then measured        high schools and middle school stu-
               of the best functioning among them is        against other cities in the program, cre-     dents. UNICEF is supporting training for
               in Prilep, the country’s fifth largest city   ating a competitive environment where         students and youth in the eleven mu-
               where children are about one-quarter of      municipalities strive to improve the          nicipalities on how they can have their
               the population. Like other municipali-       lives of children at the local level.         voice heard in the policy-making pro-
               ties in the program, Prilep has set up its                                                 cess at the local level and decisions that
               own child rights commission composed         In his five years in office, Prilep’s mayor,    affect them, through organizing, sharing
               of members of the municipal council.         Marjan Risteski, has not just embraced        ideas and jointly petitioning municipal
                                                            UNICEF’s message, but used it as a plat-      lawmakers to take action that would
               Members of the commission – who              form for taking additional steps to im-       improve their lives.
               are at the same time, school principals,     prove the condition of the city’s children.

34   Working Towards Equity for Children
In Prilep, mailboxes have been placed in ev-
ery school so all children, not just those on the
council, can submit suggestions that are read
in city council meetings. Children, for instance,
suggested that bike trails be built and gymna-
siums be fixed. The city has acted on both re-
quests.

In all, the city has spent more than 5 million
Euros on various child-friendly projects during
the past five years, according to Mayor Risteski.
That has included the renovation of almost all
of the city’s schools, which have been repainted
with pastel colors to brighten the mood of stu-
dents.

The mayor appears to have taken to heart UNI-
CEF’s message that investing in children is not
just good for children, but society at large.

“With young educated citizens, the municipality
will grow much faster, the mayor said. “It pays
                      ”
off in the long term.
                    ”




                                                    There are now 11 municipalities that are part of the “child-friendly municipalities” Initiative.
                                                    Children playing in Prilep
                                                                                                                                                       35
MONITORING CHILD RIGHTS



                                           E
                                                ven the most ambitious strategies and         estimates of a range of indicators. The find-
                                                programmes are of little value if they        ings have been used extensively as a basis for
                                                are not based on strong evidence. Fur-        policy decisions and programme interventions,
                                           thermore, if programmes are not monitored          for the purpose of influencing public opinion
                                           and evaluated, there is no way of determining      a major source of data for monitoring national
                                           whether they have met the original objectives..    and international development goals and com-
                                                                                              mitments for children.
                                           That’s why UNICEF is helping to develop ac-
                                           curate, reliable and disaggregated data and        In a country like this one where overall national
                                           building the capacity of different groups to un-   statistics show relatively positive aggregate
                                           derstand how to use this information to moni-      outcomes for children, through providing data
                                           tor their own action plans and the situation of    disaggregated by ethnicity, wealth quintiles,
                                           children in the country.                           and many more categories, the data from MICS
                                                                                              has helped to understand and shape pro-
                                           Working with the State Statistical Office and       grammes to reach the most vulnerable. This
                                           other local research institutions, UNICEF is       is a key part of UNICEF’s equity based pro-
                                           supporting data collection on living standards,    gramme approach.
                                           health, early childhood development, educa-
                                           tion, protection from abuse, violence and many     UNICEF is also helping civil society organisa-
                                           other categories.                                  tions and government child rights commis-
                                                                                              sions better understand how to use data on
                                           The Multiple Indicator Cluster Surveys (MICS)      children. One element of this work has been
                                           is just one example of a household survey that     support to non-governmental organisations
                                           has enabled the country to produce statisti-       that focus on children to help them expand
                                           cally sound and internationally comparable         their capacity to do their jobs. Part of that


36   Working Towards Equity for Children
includes increasing their ability to collect and report
relevant statistics, as well share those statistics with
other potential allies.

UNICEF also works with these groups to develop the
rigorous skills needed to some degree take on the role
of unofficial ombudsman capable of constructively
analyzing government policies. In 2010, UNICEF helped
a group of non-governmental organizations prepare
a shadow report to the United Nation’s Committee on
Child Rights that acted as a counterweight to the gov-
ernment’s report on the progress made in protecting
children in this country.

“The NGOs submitted a shadow report which is inde-
pendent to the governments report, said Zoran Sto-
                                    ”
janov, UNICEF monitoring and evaluation officer. “In a
way it is used to add another voice to the official per-
spectives of the government and to provide a different
perspective on how to address the challenges in the
country.”




                                                           UNICEF is also helping civil society organisations and government child rights commissions
                                                           better understand how to use data on children. Young child in Bitola
                                                                                                                                                        37
5.1 Strengthening the Role of NGOs in Monitoring Child Rights




               T
                     he monitoring of children’s rights      and the government’s efforts to protect     Three training sessions were organised
                     can be done in many ways and            and promote them. Non-governmental          by the NGO with support from UNICEF
                     by many people, including the           organizations in this country support-      and the EU on CRC reporting require-
               government, non-governmental orga-            ing child rights have sometimes argued      ments, procedures and mechanism.
               nizations and others in civil society.        their cases armed more with passion         “In the beginning, we were afraid to
               One of the more creative and effec-           than with accurate data. So UNICEF          say this or that, said Tatjana Janevska,
                                                                                                                         ”
               tive methods, though, is for children to      supported their efforts to compile the      programme coordinator from Megjashi.
               participate in the monitoring. Not only       shadow report based on hard facts and       But through UNICEF “we managed to
                                                                                                                              ,
               are they more willing to speak freely to      to prepare a lucid presentation that        ensure our report was evidence-based
               each other, but the children doing the        would make the most convincing case         and that our recommendations are con-
               monitoring will learn more about their        to the Committee in Geneva.                 crete, not speculation. ”
               rights and develop critical skills, includ-
               ing how to survey and inform others           It was an arduous but rewarding pro-        With the aim of promoting child partici-
               and practice being an active citizen.         cess, said Zoran Stojanov, the UNICEF       pation, children in the NGOs surveyed
                                                             monitoring and evaluation officer in         another 2,300 peers in 16 municipalities
               That was the thinking behind having           charge of the project.                      on child rights. Over a four-month peri-
               children play a key role in the creation                                                  od they turned the findings into a report
               of the alternative, or shadow, report on      “It’s not a one-off activity, but the be-   from the children’s viewpoint.
               the status of child rights in the country.    ginning of a programme to strengthen
               The research for the report was con-          the role of civil society in monitoring,    For the first time, children in the country
               ducted in 2009 by an alliance of seven        reporting and advocating for children’s     elected two 17-year girls from Tetevo
               NGOs and presented to the United Na-          rights, he said.
                                                                    ”                                    and Strumica to go to Geneva to pres-
               tion’s Committee on the Rights of the                                                     ent the report, voice their concerns and
               Child in Geneva in February 2010. The         Megjashi, as one of the oldest and most     interact with Committee members.
               findings provided an independent as-           established child rights NGOs in the
               sessment of the state of children’s rights    country, took the lead in the alliance.


38   Working Towards Equity for Children
For some children, the process of compiling
the report was, in some ways, as important as
the results. At Majka, or Mother, a youth club
for teenagers in Kumanovo, about 20 children
helped compile their portion of the shadow
report. The children interviewed other children
in 14 schools in the area and added additional
research.

Some students said the findings of their re-
search were eye-opening.

The club members embraced the project be-
cause the questions they asked of others were
often directly related to their own backgrounds,
income levels, ethnic groups and so on, said
Margarita Avramovska, a teacher who helps run
Majka.




                                                   UNICEF is also helping civil society organisations and government child rights commissions bet-
                                                   ter understand how to use data on children. Young child in Bitola
                                                                                                                                                 39
Working Towards Equity for Children
Working Towards Equity for Children
Working Towards Equity for Children
Working Towards Equity for Children
Working Towards Equity for Children
Working Towards Equity for Children
Working Towards Equity for Children

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Working Towards Equity for Children

  • 1. Working Towards Equity for Children 1
  • 2. 2 Working Towards Equity for Children
  • 3. Contents Progress for Children in Numbers .................................................................................................................4 Introduction ......................................................................................................................................................6 1. MOTHER AND CHILD HEALTH ..............................................................................................................8 1.1 Veles at the Forefront of UNICEF’s Immunization Program ............................................................. 10 1.2 Safe Motherhood: Baby Friendly Hospitals.......................................................................................12 2. EARLY CHILDHOOD DEVELOPMENT AND QUALITY EDUCATION .................................................14 2.1 Early Childhood Development: Preparing Children for School .......................................................16 2.2 Child-Friendly Schools: Multiculturalism and Respect for Children’s Rights .................................18 2.3 Child-Friendly Schools: Thinking Mathematics .................................................................................20 3. CHILD PROTECTION ............................................................................................................................22 3.1 A Family for the Most Forgotten Children ........................................................................................24 3.2 More Care, Less Paperwork: A Day in the Life of a Social Worker ..................................................26 3.3 Building a justice system for children................................................................................................28 4. CHILD FOCUSED GOVERNANCE .......................................................................................................30 4.1 Invisible to the State: The Birth Registration Problem ......................................................................32 4.2 Building a Child-Friendly Municipality ..............................................................................................34 5. MONITORING CHILD RIGHTS............................................................................................................36 5.1 Strengthening the Role of NGOs in Monitoring Child Rights ..........................................................38 6. PARTNERSHIPS FOR CHILDREN ........................................................................................................40 6.1 Child Friendly Journalism ...................................................................................................................42 3
  • 4. Progress for Children in Numbers The following provides a snapshot of indicators highlighting encouraging progress at the aggregate level for children in the former Yugoslav Republic of Macedonia over the last couple of decades – a period that witnessed both economic and political transition and a brief internal conflict. Country Basics Earliest Available Latest Available 1990* 2008* GNI per capita in US$ (Earliest 1994) 820 4140 Total population in thousands 1895 2041 Population in thousands, under 18 595 469 Population in thousands, under 5 (Earliest 1991) 154 112 Public expenditure in health as a % of GDP (Earliest 1995; Latest 2006) 5.5% 5.9% Public expenditure in education as a % of GDP 5.9% 5.7% Public expenditure in social protection as a % of GDP - 5% Health and Nutrition Under-five mortality rate (per 1,000 live births) 36 11 Infant mortality rate (per 1,000 live births) 32 10 Perinatal mortality (early neonatal and still births) per 1,000 births - 14.6 Immunization percentage, 1-year-old children immunized against: BCG 93 94 Immunization percentage, 1-year-old children immunized against: DPT 1 94 98 Immunization percentage, 1-year-old children immunized against: DPT 3 94 95 Immunization percentage, 1-year-old children immunized against: Polio 3 94 96 Immunization percentage, 1-year-old children immunized against: Measles - 98 Immunization percentage, 1-year-old children immunized against: HepB - 97 % of children who are: exclusively breastfed <6 months (Earliest 1999, Latest 2005) 36.6 16.2 % of households consuming iodized salt - 94 Estimated HIV prevalence rate (aged 15–49), (Latest 2007) - <0.1 Education Primary school enrolment ratio (gross) 100 98 Primary school enrolment ratio (net) 88 92 Primary school enrolment ratio (net male) 88 92 Primary school enrolment ratio (net female) 87 92 Secondary school enrolment ratio (net male) 53 82 Secondary school enrolment ratio (net female) 55 80 Child Protection % of children registered at birth - 94 Number of children in public institutional care (age 0-17), (Earliest 2000) 467 315 Number of children in non-public institutional care, (total), (Earliest 2005) 72 84 Number of children with disabilities in public institutional care, (Earliest 2000) 649 477 % of women 15-49 who believe a husband is justified in beating his wife/partner - 21 % of children 2-14 years old who experience any form of psychological or physical punishment - 69 # of juveniles placed in closed correctional/punitive institutions and prisons (Latest 2005) 151 95 Sources: State Statistical Office, Multiple Indicators Cluster Survey,State of the World’s Children, Transmonee * Unless otherwise specified 4 Working Towards Equity for Children
  • 5. Progress for Some More than Others While the country’s GDP growth has continued over the last decade, placing it in the category of an upper middle income country, social sector reforms are lagging behind, disparities have increased and progress for children has been uneven. Continuing high rates of child poverty and social exclusion; enduring disparities in access to services and in health and education; and poor linkages between accountabilities, policies and budgetary allocations, are the three main challenges to achieving equity. The following statistics provide a snapshot of the progress made and the continuing inequalities. Economic indicators 1990* 2008* Unemployment (Earliest 1996) 31.9 33.8 Youth unemployment (15-24 years of age), (Earliest 1996) 69.5 56.4 % of households living under the relative poverty rate (70% medium consumption), (Earliest 1997 Latest 2009) , 19 31.1 % of children living under the relative poverty line (70% medium consumption) (Latest 2009) - 34.1 GINI coefficient (Earliest 1990) 0.223 0.315 Sources: State Statistical Office, Public Expenditure Review Child wellbeing indicators by wealth quintile Poorest Richest Quintile Quintile Under-five mortality (poorest 60% and richest 40%) 25 - Infant mortality (poorest 60% and richest 40%) 22 - Children ages 18-29 months who have received all of the eight recommend vaccines 60 77 Children 36-59 currently attending early childhood education 1.4 24.7 Primary school net attendance ratio 86.2 99.9 Primary school completion rate 61.9 99.6 Secondary school net attendance 33.7 89.6 Early marriage (% married before age 18) 19 6 % of children registered at birth 88.5 99.1 % of women 15-49 who believe under certain circumstances a husband is justified in beating his wife/ 31.6 8.1 partner % of children 2-14 years old who experience any form of psychological or physical punishment 72.1 45.4 Sources: Multiple Indicator Cluster Survey * Unless otherwise specified 5
  • 6. Introduction S ince independence in 1991, the former and others who would be better off living with tween accountabilities, planning and expendi- Yugoslav Republic of Macedonia has families or in smaller group homes are living in tures, which hinder some policy commitments made steady progress in ensuring politi- large institutions with inadequate care. While from being transformed into programmatic cal stability and economic growth in a multi- new legal provisions and strategies to enhance actions at both the central and local levels; and ethnic state. Two decades on, the country is the quality of justice for children deserve to be third, strengthening national infrastructures for now firmly placed as a middle income country, applauded, more work is required to ensure the child right monitoring and reporting. and a candidate for membership in the Euro- new juvenile justice provisions are fully imple- pean Union. mented and resourced. Despite the good intentions of successive gov- ernments in this country, and the ratification of These gains have indeed had a positive impact Weak linkages between accountabilities, poli- the Convention on the Rights of the Child and on the lives of most children in the country. cies and budgetary allocations hinder some a range of other international human rights However, not all children have benefited equally. policy commitments from being translated treaties, many children in the former Yugoslav into actions at both the central and local levels. Republic of Macedonia, are still not enjoying The aggregate numbers show encouraging Infrastructure for monitoring child rights, while basic rights to education, health care, social progress towards achieving the Millennium functioning, needs to be strengthened. protection and participation. If this situation is Development Goals and an improvement in not addressed, not only will this continue to af- the situation of children and women. However, As the country moves towards further integra- fect the children concerned, but the impact will looking under the surface, it is clear that many tion with its European neighbours and the be felt for generations to come. children are still being left behind. Approxi- economy continues to grow, it is essential that mately 34 per cent of children live below the measures are put in place to ensure ALL chil- UNICEF is continuing to work with our partners relative poverty line. Only six out of ten chil- dren benefit. A greater emphasis on reaching in both national and local government, civil dren from the poorest quintile complete pri- those in the bottom economic quintiles and society, private sector and other international mary school, compared to all ten of their peers other vulnerable children will ensure the best organizations and bilateral donors to make sure from the richest quintile. The Roma are among prospects for success. ALL children benefit from the country’s devel- the most vulnerable, with only four in ten Roma opment. children completing primary school. Children As disparities and exclusion have grown over with disabilities are also missing out on their the past two decades, a greater focus on the right to education: it is estimated that only 10 most vulnerable is essential. This strategy may per cent of these children are in school. be more difficult, but the returns in children’s lives saved and enriched can be greater still. Far too many children in the country still suf- Sheldon Yett fer from abuse, exploitation and violence and Our 2010-2015 Country Programme emphasise UNICEF Representative are denied other rights. Some, mainly Roma, three strategies: first, redoubling the efforts of children are not registered at birth. While there the last two decades so that all children, are able has been progress in the deinstitutionalisation to benefit from inclusive and quaity services; of children too many children with disabilities second, strengthening the weak linkages be- 6 Working Towards Equity for Children
  • 7. Only 14 per cent of preschool aged children attend formal preschool programmes. A child in a kindergarten in the municipality of Cair 7
  • 8. MOTHER AND CHILD HEALTH I n the initial years after its independence became the first in the region to be certified in 1991, the country’s rapid growth was as iodine-deficiency free. HIV/AIDS rates are at matched by major strides in mother and less than 0.1 per cent. child health care. Mortality rates fell and immu- nization rates rose, to name just two positive But more work is needed. Perinatal mortality is indicators. Yet the pace of improvement has three times higher than the EU average and im- slowed in recent years and has failed to keep munization coverage is far lower in rural areas up with the country’s broader economic gains. and among some ethnic groups. The World UNICEF has been working with the Ministry of Health Organization recommends that women Health, non-governmental agencies and others have at least four health checks during pregnan- to develop strategies and action plans to help cy, yet the national average is 2.8 health check the country make additional gains. - ups. Only four in ten pregnant women go for regular check-ups during first three months, a As the country moved away from its social- critical time to prevent complications. Pockets of ist past and through its economic and political unimmunized children do exist, with significant transition, health initiatives helped prevent disparities among the Roma and Albanian com- thousends of unnecessary deaths of children. munities, and those living in rural areas. The country achieved the impressive results in To overcome these deficiencies, UNICEF has reducing under-five mortality, from 36 per 1,000 developed the Health System Strengthen- live births in 1990 to 11 per 1,000 live births in ing Project to help the Ministry of Health and 2008. Skilled birth deliveries are almost univer- other relevant public health groups improve sal outside of the Roma community. Immuniza- their planning, budgeting and implementing of tion rates have been steady at around 95 per public health programs for mothers and their cent for the past decade. In 2003, the country children. This includes the creation of long- 8 Working Towards Equity for Children
  • 9. term policies with clear and integrated targets, instead of continuing to rely on short-term projects that are updated from year to year, or scrapped. In practical terms, this means that as part of a broader plan to improve mother and child health care, medical equipment must be kept up to standards, and outreach services expanded. Health professionals must be adequately trained to provide high quality and newly recommend- ed vaccines, and curricula at medical and nurs- ing colleges must meet the latest international guidelines. Regional differences must also be recognized so that medical resources are di- vided in a way that ensures the neediest parts of the country get adequate resources. UNICEF is also undertaking a broad nutri- tion plan to tackle anemia, one of the biggest causes of complications during pregnancies. One part of this strategy includes surveying about 8,000 households to assess the quality of their diets. The results of the survey will help determine the scope of an anticipated UNICEF- supported flour fortification program which will ensure staple foods contain adequate min- eral and vitamins to improve the health of the mothers and decrease the number of complica- tions at birth. Mother and child in the village Studenicani during a visit from the local patronage nurse 9
  • 10. 1.1 Veles at the Forefront of UNICEF’S Immunization Program I n the years just after independence, development of outreach services to nity nurses and introducing an inte- when the country was no longer part immunize unregistered children and grated electronic immunization registry of Yugoslavia’s comprehensive im- people who move frequently as well as that will be used to improve planning munization program, health officials those living in rural and remote areas. and forecasting, as well as become a rushed to find new sources of vaccines Rather than waiting for patients to visit tool for monitoring individual cover- and create a nationwide inoculation hospitals to get immunized, UNICEF age. program almost from scratch. Unfortu- has worked with the government to nately, not all children were vaccinated provide vaccines at community centers The city of Veles, about an hour’s drive at that time, a fact that was confirmed and other locations. south of the capital, provides a glimpse recently during an outbreak of mumps of how the government’s immunization among young people, an illness that In keeping with its goal of develop- system has improved under UNICEF’s would have been prevented had they ing long-term strategies, UNICEF has guidance, and what improvements will been immunized years earlier. helped finalize a five-year National be made in the future. Immunization Strategy that began in Immunization rates are now well 2010. To prepare, UNICEF assessed the Doctors in the main clinic there immu- over 90 per cent in most parts of the state of the country’s immunization nize about 60 babies a day and dis- country and among most ethnic and program, including procurement and abled children are immunized at higher wealth quintiles, thanks in part because distribution, in 2008. With UNICEF sup- rates than elsewhere in the country. To UNICEF provided large quantities of port, the government will begin distrib- reach the unimmunized, nine commu- vaccines and helped the government uting polyvalent vaccines that do not nity nurses go door to door to identify develop an effective immunization require children to return for second newborn infants, especially those who program. and third doses. This will reduce the are not registered at birth, according to burden on parents and allow doctors to the chief of community nursing, Radica With UNICEF help, the government has spend more time on outreach services. Dimovska. As a result of these efforts, been able to maintain a sustainable immunization rates in Veles are among system for vaccines supplies. More The Immunization Strategy also fore- the highest in the country at 95 per recently UNICEF has emphasized the sees strengthening the role of commu- cent. 10 Working Towards Equity for Children
  • 11. Unfortunately, not all health clinics boast the same results. Doctors and nurses are in short supply, particularly in rural communities, and some clinics lack vehicles to do outreach work. There is also uneven cooperation between health clinics and local non-profit groups that could help raise awareness of the need to get children immunized in remote and poorer com- munities, and some ethnic groups. In Gusalkovo, a farming village of ethnic Alba- nians, nurses from Veles said that people feel that looking after their tobacco crops should take priority over the needs of children. That is why raising the awareness of the importance of ensuring children are immunized is a major component of the multi-year immunization strategy that UNICEF helped formulate. “While the immunization strategy includes plans to improve the efficiency of the supply side of immunisation programme, it recogn- ises that demand side barriers must also be addressed, said Igor Veljkovik, UNICEF Health ” Officer. A pediatrician is making sure his patient is comfortable during regular medical check-up at the local clinic in Veles 11
  • 12. 1.2 Safe Motherhood: Baby Friendly Hospitals O ne of the most effective ways UNICEF found that many pregnant as baby-friendly, which means doc- to reduce child mortality rates women were not registered with tors and their institutions are follow- and improve the health of new- gynaecologists and visit doctors far ing a set of “baby-friendly” standards born children is to expand services less frequently than needed. On aver- endorsed by UNICEF and WHO. Dur- for and outreach to pregnant women. age, pregnant women receive just 2.8 ing her four health checkups, doctors While mortality rates for children less checkups instead of the four checkups found that she had pregnancy-induced than five years old have been cut dra- recommended by the World Health high blood pressure, and was at risk matically, the country still has one of Organization. As worrying, only four of suffering from eclampsia, a condi- the highest rates of perinatal mortality in ten pregnant women go for regu- tion that can cause seizures and even (still births and deaths of newborns lar checkups during the first three death in mothers and their children. within first week after delivery) in Eu- months, when many risks in the sec- rope, at of 14.6 per 1,000 live births, or ond and third trimesters, and during “I understood how serious the prob- nearly three times more than the EU delivery, can be prevented. lem was, so I was very grateful they average. could diagnose it on time, Elizabeta ” At regular checkups, doctors and said. UNICEF has been working with the nurses can head off problems such as government to improve matters by underweight births, infectious dis- As a precaution, Elizabeta was sent to developing new training programs for eases and high blood pressure. Some- Skopje, the capital city, and the State health care workers, pushing for bet- thing as simple as identifying anemia Clinic, which was the best-equipped ter equipment in maternity wards and in pregnant women and improving to deal with any potential problems. providing additional tools to the coun- their diets can reduce risks. So can There, her son, Filip, was born prema- try’s community nurses, who are often persuading pregnant women to give ture and underweight at 1.6 kilograms. in the best position to help pregnant up smoking, a leading cause of low He was placed in an incubator and in mothers. birth weights. time improved. In a comprehensive situation analy- Take Elizabeta Ristova. The hospital in Still, just a few days before Elizabeta sis of perinatal care in the country, her town of Vinica has been certified gave birth, another baby on the same 12 Working Towards Equity for Children
  • 13. ward died from a severe cardiac anomaly, a condition that if detected early could have been prevented. To respond to the system gaps, UNICEF has supported the development of a National Safe Motherhood Strategy. Part of the strategy includes increasing resources for community nurses so they can reach pregnant women in economically marginalized communities, such as the Roma, or in remote corners of the country, where it is difficult to reach a doctor’s office on a regular basis. As it is, only half of all pregnant women benefit from current out- reach services from community nurses. UNICEF is updating training guidelines for health professionals to ensure they receive continuous education and comply with the most recent clinical practices. Some training guidelines are being entirely revised for the first time in years. UNICEF is helping update medical school curricula so the next genera- tion of doctors and nurses has the best tools possible. Baby asleap while waiting for medical check-up in Veles 13
  • 14. EARLY CHILDHOOD DEVELOPMENT AND QUALITY EDUCATION T he cornerstone of any society is its edu- Only 15 per cent of children with disabilities attend cational system because it helps produce primary school. Only 60 per cent of Roma children open-minded adults capable of building enroll in primary schools, while only 40 per cent a vibrant country. The work of educating future graduate, a much smaller percentage than from citizens starts early, at home with the family other groups. Marked gaps also exist between and then in preschool and primary school. the Roma and other ethnic groups in secondary school attendance in particular for girls. This country has made many strides in the two decades since independence; 92 per cent of With support from UNICEF the government has , children are now enrolled in primary school, for started to increase investment in quality educa- instance, and the government hopes to achieve tion, not just because it is a child’s right, but be- universal attendance by 2015. cause it is the key to developing human capital. But years of insufficient investment in educa- UNICEF helped the government create a nation- tion have led to rundown facilities, unmotivated al early childhood development (ECD) policy teachers, and poor student learning outcomes. that, when implemented, will ensure increased Furthermore, just 14 per cent of preschool aged access to quality preschool. The policy is based children attend formal preschool programmes, on the understanding that from the day they one of the worst rates in Europe. This is partly are born to their first day in primary school, because some parents mistakenly view kinder- children develop the skills needed to succeed in gartens as just day care centers, but also be- school. UNICEF has helped introduce ECD out- cause kindergartens are found in only 40 out of reach services, including parenting education the country’s 84 municipalities. programs and playgroups for children. 14 Working Towards Equity for Children
  • 15. With support from UNICEF the country has , also embraced the Child-Friendly Schools ini- tiative, a holistic and rights-based approach to educational reform. The initiative provides six standards and indicators: Inclusiveness; effec- tiveness; gender-responsiveness; healthy, safe, and protective environments for girls and boys; democratic participation by children, teachers, parents and community members, and; respect for children’s rights and multiculturalism. Years of limited investment in teacher pro- fessional development prompted UNICEF to support teacher and curricula development to address quality deficiencies. The emphasis in the classroom is often on acquiring knowledge through memorization rather than on develop- ing critical thinking skills. This is one reason students in this country rank near the bottom in Europe on math and literacy surveys. UNICEF also supports life skills education sub- ject as a compulsory subject and other multi- culturalism extracurricular activities, to help children cope with violence and promote diver- sity and respect among ethnic groups. A child playing in Skopje kindergarten “Bratstvo” 15
  • 16. 2.1. Early Childhood Development: Preparing Children for School O ne of the most critical periods in give parents more parenting skills and tivities. The center serves the village’s a child’s development occurs be- give children better social skills and 100 or so children. Mothers can bring tween the ages of zero and six. confidence. children three years or younger twice a Yet a recent UNICEF-backed survey of week to playgroups, while the village’s Early Learning Development Standards Only 14 per cent of preschool aged (ELDS) in this country revealed that the children attend formal preschool pro- focus has been on children’s physical grammes, one of the lowest rates in well-being and motor development, the region. So UNICEF through its early , and not enough emphasis on cognitive, childhood development (ECD) projects, social and emotional skills. has supported several interventions to ensure that these children get the de- Kindergartens are the only type of early velopment and learning opportunities childhood development (ECD) paid by they need. the state, which covers 85 per cent of the cost. Even so, some parents can- UNICEF has helped boost access to not afford to send their children to preschool services at 20 centers around kindergarten. Other parents mistakenly the country. One of those centers is in view them as little more than child care the small, rural village of Logovardi, centers. where UNICEF helped local authorities and parents to transform a dilapidated This is why UNICEF is helping the gov- building into an early childhood devel- ernment develop a national ECD policy. opment center. (The municipality Bitola In addition to expanding the services now runs the center.) offered by the 44 existing kindergar- tens, the policy aims to add more There, parents learn parenting skills community-based ECD services. Once and children of all ages have access to Children playing in Skopje kindergarten “Bratstvo” implemented, the ECD policy will also day care, basic education and social ac- 16 Working Towards Equity for Children
  • 17. 18 children between three- and six-years old can visit the center three times a week for two hours a session. “One aspect of our activities is to prepare them for school through learning their letters and counting skills, along with songs, the seasons and holidays, said Radka, a teacher at the ” center, which her two sons also attend. “But we stimulate their imaginations through creative role-playing, storytelling and more. ” A crucial factor in the success of the center has been its acceptance by parents, who have been open to the new methods and approaches Radka and the other teachers are using. In the long run, this cooperation will diminish the educational disparity between rural and urban communities. A child playing in Skopje kindergarten “Bratstvo” 17
  • 18. 2.2. Child-Friendly Schools: Multiculturalism and Respect for Children’s Rights O ne of UNICEF’s core missions ry school in Kicevo, where the residents show unity between the school’s 800 Al- in this country is to break down are a mix of Macedonian, Albanians, banian students, 350 Roma, 200 Mace- walls and reduce disparities Turkish and Roma. Lulzim Mehmedi, the donians and 200 Turks. between ethnic groups, especially in school’s principal, has worked hard to schools and classrooms, which are in- convince skeptical parents and teachers Children, with their parents’ permis- creasingly segregated. This polarisation that the future of the school – and even sion, toured the homes of families from can reinforce stereotypes and perpetu- the country – is in working together different ethnic groups. Older family ate tensions. and dissolving old boundaries between members explained the history of their ethnic groups. cuisine, holidays, religions and other To break this cycle, UNICEF has promot- customs. Then students visited churches ed multiculturalism in schools in ethni- “In the beginning, there were problems and mosques, in many cases for the cally mixed municipalities so children with parents who reacted to things in first time. can gain a new perspective on how to school, said Mehmedi, who grew up ” in an Albanian village as a child and Several students said they now meet grow together. and play more freely with children from learned Macedonian when he attended high school in Kicevo. “But we gradually other ethnic groups. “We communicate Building on the Child-Friendly Schools differently, said one boy. “We find each ” initiative, eights schools in Kicevo, included them and they overcame this issue once they were informed of what other and meet at different places and Struga and Kumanovo were included mix together more. ” in a UNICEF pilot programme on mul- was actually going on. ” ticulturalism as part of a UN joint pro- The messages of multiculturalism are The children have done role playing ex- gramme. The programme includes everywhere at the school. In the lobby, ercises in front of their parents to raise classes in Macedonian, Albanian and an exhibit by the Green Club includes awareness. Some students are taking other languages, and activities where placards written in Albanian and Mace- second-language classes in Albanian children interact with different ethnic donian. The history of the school is also and Macedonian. Extracurricular ac- groups, as well as parents and teachers. written in two languages side by side. tivities have been created, including The logo of the school includes four teaching students about business skills, One of the best examples of this new energy savings and other topics that approach is the Sande Shterjoski prima- arms linked in the shape of a square to will be relevant in their later lives. 18 Working Towards Equity for Children
  • 19. Even in Kicevo, one of the more successful programs, problems remain. Some teachers and parents still do not want to participate. The pop- ulation of students is on the decline and Roma students, from some of the most disadvantaged families, do not always participate. Funding is always tight; this year the school’s budget was cut by 40 per cent and the school has a hard time paying the school’s utilities, Mehmedi said. Every three months, Mehmedi evaluates the progress of the program using various bench- marks created by UNICEF including self-eval- , uations by teachers. UNICEF is also helping schools like Mehmedi’s develop action plans and set up working groups with teachers from all grades to introduce and sustain change, said Nora Sabani, an education specialist at UNICEF . Mehmedi is hopeful that the multicultural mes- sage is here to stay. “It is really about institu- tional change, to do everything through team- work, and to involve the local authorities, he ” said. “That’s the key to sustainability.” A child participating in a multiculturalism programme in Kicevo elementary school “Sande Shterjoski” 19
  • 20. 2.3. Child-Friendly Schools: Thinking Mathematics P erhaps no subject is more critical competitive. Young generations need to At its core, Thinking Mathematics teach- to a country’s well-being and po- have the right skills to be able to thrivees students to search for creative ways tential growth than mathematics. in a robust environment. ” to solve math problems not just learn- It forms the basis of business, engineer- ing by rote a single method introduced ing, finance, the sciences and a host of UNICEF identified a solution: A pro- by the teacher. Instead of just seek- other academic and economic fields. gramme called Thinking Mathematics ing answers, students are asked, and Unfortunately, students in this coun- that makes a shift to learning maths even rewarded, for finding alternatives. try have some of the lowest math test “concepts” UNICEF brought programme Teachers are encouraged to use games . scores in Europe, a cause for concern. experts to the country in 2009, when and more interactive methods to inspire they trained teachers from 50 schools in students. UNICEF analyzed this problem in 2009 theory and practice. The teachers then and determined that the low quality of returned to their schools to roll out the “We are encouraging kids to think about instruction is one of main causes. Many programme to other math teachers. math and think logically, not just memo- teachers continue to use methods more rize formulas, said Lence Stefanoska, ” suited to the country’s socialist past, The goals were to use Thinking Math- one of the two teachers at a primary when conformity was the goal, rather ematics to change the way that math school in Ohrid who was trained to than today, when businesses and the is taught in the schools, and to raise teach her colleagues how to use the government must compete with more the level of math that students learn. Thinking Mathematics method. “The nimble economic rivals across the UNICEF and the Ministry of Education evidence that this system works is when globe. decided to focus on first applying these we give tests. The students are finding new techniques to children in grades new ways of solving problems. ” “Teachers don’t teach students how one through three, before they took to think, only mechanical drills to get national math aptitude tests at age nine. Stefanoska’s students have embraced the right answers, said Nora Sabani, ” The new math program coincided with the new approach. In a lesson on telling an education specialist at UNICEF “Be- . the introduction of a new national cur- time, her 15 eight- and nine-year olds ing part of Europe, it’s important to be riculum for primary schools. bounced eagerly out their seats when 20 Working Towards Equity for Children
  • 21. asked what time it was on a clock. “When did you wake up, Stefanoska asked in one exam- ” ple. Almost all the children shouted an answer. She called on the quieter students to keep them involved, and bunched them into small groups to create a competition. “They want to be faster and to check up on each other, she said. ” UNICEF and the government are now monitor- ing the program to see what has worked and what needs to be improved, and plans are afoot to introduce Thinking Mathematics to all 350 primary schools in the country. Preparations are also being made to improve literacy by introducing a similar programme called “Read- ing for Comprehension and Writing in the Early Grades. ” 11 year old boy thinking mathematics – during a class on time measurement in Ohrid elementary school “Bratstvo i edinstvo” 21
  • 22. CHILD PROTECTION D espite recent strides, children throughout the problems is an ambitious juvenile justice law that country still suffer from abuse, exploitation came into force in 2009 and for the first time treats and violence. Six per cent of children under children separately from adults and aims to help five years old are not registered at birth, limiting children at risk. UNICEF not only helped the govern- their access to public services. Children are abused ment draft the law, but also helped develop a multi- at home or on the streets, where some live and faceted plan for implementing it. work. Orphans, children with disabilities and others are living in large institutions with inadequate care. The plan includes teaching social workers, police- Children convicted of breaking the law are often men, lawyers, mediators, judges and prosecutors put in prisons that lack restorative care. More effort how to apply the law. UNICEF developed materials needs to be made in addressing prevention and for curricula, training programs and, soon, manu- rehabilitation. als, to ensure that all professionals working with children are equipped to carry out the law. UNICEF The scale of the problem is a concern. The country is also working with the intra-ministry council to has the second highest juvenile offense rate in the create a juvenile delinquency prevention strategy. region after Bulgaria, according to UNICEF’s Lost in Justice System Report (2007). Other research tells One of the biggest challenges in helping children us that nearly 70 per cent of children 2 to 14 years who have run afoul of the law is not just keeping old are subject to some form of physical or psycho- them out of detention, but also finding other sup- logical abuse at home or by a caregiver; 16 per cent port for them. To that end, UNICEF is working with are subject to severe physical punishment a local non-governmental organization to develop a mentoring program for volunteers who would act To address these issues, UNICEF is helping the gov- as big brothers and sisters. ernment strengthen child protection laws, regula- tions and standards; training the people who apply UNICEF is helping the Center for Social Work create them; establishing databases to share information a database that tracks children who need protective more efficiently and; improving monitoring to en- care. Currently, all paperwork is done manually, is sure the quality of the services provided. not done consistently and often does not capture The legal framework for solving some of these the needed information. “Information varies from 22 Working Towards Equity for Children
  • 23. worker to worker, so there is no reliable source of data, ” said Biljana Lubarovska, UNICEF child protection officer. Traditionally, children who lack parental care, have dis- abilities or have been victims of abuse have been put in large institutions where children often receive inadequate attention. UNICEF favours closing or transforming these institutions and, when children cannot be reunited with their biological parents, supports on a temporary basis other family-based alternative care e.g. foster families and smaller group homes where children can get more person- alized care. For parents who care for their children with disabilities, UNICEF funded a pilot day care center with specially trained social workers. The model was so successful that there are now 21 centers in the country. Critically, the govern- ment has taken them over and plans to open more. UNICEF works with the centers to ensure the quality of their care. Still, social workers remain overburdened and under- funded. While the number of skilled social workers in the country has increased 17 per cent between 2006 and 2008, many of them continue to handle hundreds of cases and are able to devote less than half their time to field work. Compounding matters, deep budgets cuts were prompted by the economic downturn. And as the country has be- come more prosperous, foreign aid has declined, hurting funding for these and other child protection services. UNICEF remains committed to child protection, its second largest programme in the country after education and early childhood care. The organization plans to further develop training programs for social workers and create special modules for street children and other high risk groups. The information in the new database on child protective ser- vices should help in the creation of more effective policies and make individual case management more efficient. Roma children living in poverty in the outskrits of Skopje 23
  • 24. 3.1. A Family for the Most Forgotten Children A s eight-year-old Lena finishes Though they received basic parenting Another pillar of UNICEF’s deinstitution- singing, her family applauds, skills, Zoica and Vanco were not fully alization effort is the day care center like everyone from her 20-year-old prepared when Lena became confused the one that Lena visits in Krusevo. sister, Ana, to her grandmother, Irena. and afraid. The scene looks ordinary, but for one These family-based support centers detail: Lena is a foster child born with UNICEF has been working with the give parents of children with disabilities Down Syndrome. Ministry of Labor and Social Policy to a chance to take a break from caring for address these and other shortcomings, their children, who themselves have a Abandoned by her biological parents, like the lack of standards and training to place where they can receive therapy, Lena spent the first four years of her help social workers introduce alterna- and support to enhance their knowledge life in a state institution that lacked staff tive forms of care and support services. and skills that would help them enrol in trained to care for disabled children. To that end, in 2006, UNICEF helped the mainstream education system. Some five years ago, Zoica, a mother establish basic standards for potential of two in the town of Krusevo, saw a foster parents and developed a recruit- As the example of Lena showed, there television report about Lena’s institution ing program for the Center for Social are responsible families waiting for the that affected her deeply. She and her Work. chance to foster a child. UNICEF’s at- husband, Vanco, decided they had room tempts to address the system’s short- for one more child. These efforts are part of UNICEF’s ongo- comings will make it easier for other ing efforts to promote deinstitutionaliza- families open their doors – and hearts After applying at the local Center for So- tion. Research has shown that a child’s – to other foster children. cial Work to become foster parents, they development is substantially enhanced waited for more than two years – a not in a caring family environment. That is uncommon length – to get Lena. They why UNICEF works to reunite children had no idea what disability their child with their biological parents and, when would have, and they were nervous that is impossible, to pair them with fos- when they learned about Lena’s. ter care parents on a temporary basis. 24 Working Towards Equity for Children
  • 25. Research has shown that a child’s development is substantially enhanced in a caring family environment. Father and child in Strumica playground 25
  • 26. 3.2. More Care, Less Paperwork: A Day in the Life of a Social Worker I t’s 8.30 a.m. and another demanding day support to some 300 children with disabili- ing only 40 per cent of their time in the field is starting at the Center for Social Work ties and 40 drug users who need treatment. and the rest of the time in the office. in Prilep. Strained budgets and a muddy A few years ago, there were few or none of division of labor means that in addition these cases reported at the center. So the Center for Social Work in Prilep and to tackling the cases for which they were several other centers, at UNICEF’s encour- trained, the social workers Smilka, Liljana And while the number of skilled social agement, are restructuring their offices and Zoran are drowning in paperwork and workers in the country has increased 17 so some employees can administer cash tasks that other, less-trained workers could per cent between 2006 and 2008, the social benefits while others can focus on specific handle. workers in Prilep handle as many as 700 social welfare tasks. cases each year, more than five times the Like their counterparts abroad, the trio national average. Despite the restructuring effort that started supports vulnerable groups, complex and in 2007, the Center for Social Work in Prilep is time-consuming work that requires spe- The job is “so stressful, we should qualify still severely overloaded. But the social work- cific skills and multiple state agencies. But for early retirement, joked Smilka, who ” ers there are hopeful that over time, they will because they are shorthanded, the three so- said that clients can be loud, aggressive or have more time for fieldwork to help parents cial workers also distribute aid checks and uncommunicative. develop better care for their children, and to handle other basic tasks. At Prilep’s Center detect and support families and children at for Social Work, 30 full-time and six part- UNICEF and the Ministry of Labour and risk. That, in turn, should reduce the number time workers identify, verify and administer Social Policy are trying to correct this im- of cases of child abuse, juvenile delinquency social benefits to about 9,000 people. balance by developing operating standards and children who are abandoned. for social workers, building a case manage- The number and types of reported cases has ment database for the Centers for Social “We may end up having thicker files, but mushroomed. The center in Prilep handles Work and creating a professional develop- they will be more detailed, says Snezana, ” about 180 divorce cases per year, some 30 ment programme for training staff. the director of the center in Prilep. “With cases of domestic violence and about 90 fewer individual cases, I will be able to cases of children at risk of being in conflict Presently, social workers trained for a hands- spend more time helping the children and with the law. In addition, the center provides on work with vulnerable groups are spend- families in need.” 26 Working Towards Equity for Children
  • 27. Social worker in the Center for Social Work in Prilep drowning in paper-work 27
  • 28. 3.3. Building a Justice System for Children O n the outskirts of the capital of There is even confusion about what Creating the infrastructure to apply the Skopje, Ranka Milanovic houses sort of cases these institutions should law is a challenge. So UNICEF is work- 37 children between the ages of handle. Victims of abuse, for instance, ing with the Ministry of Justice and the 7 and 18. Some have been in trouble should not be put with children who Ministry of Labor and Social Policy to with the law and all of them are at risk have broken the law. Remarkably, some introduce educational and vocational if the rehabilitation and reintegration children have admitted themselves to programmes to help prevent juvenile programmes at this juvenile care insti- these institutions. delinquency. UNICEF is supporting tution fail. training courses for professionals who In this vacuum, older residents harass work with children. UNICEF is develop- The semi-open facility is designed to younger ones. Educators do not have ing standards essential for the adminis- give these children a second chance by time to control what the children bring tration of this system. providing elementary-level education, back with them – including stolen goods while older residents attend secondary – to the institution. Children in their When these reforms are implemented, schools in the city. early teens smoke freely in the weath- institutions like Ranka Milanovic will be ered buildings. There are few entertain- able to ensure that only those children Yet a lack of communication between ment options in the facility. that need extra support are admitted, state agencies means these children and that the institutions are equipped to are often left on their own without The new juvenile justice law addresses provide children with rehabilitation and adequate ways to measure their prog- many of these problems. The staff at re-integration services. ress. The Ministry of Labour and Social Ranka Milanovic and other institutions Policy administer institutions like Ranka is supposed to be trained and knowl- At a broader level, UNICEF is supporting Milanovic, which work with the local edgeable of children’s rights. New pre- alternatives to large institutions such as Centers for Social Work. But the over- ventive measures, including education- smaller group homes and foster fami- worked social workers are often unable al, vocational and recreational activities, lies. to allocate the time needed to monitor will be introduced. the children. 28 Working Towards Equity for Children
  • 29. All poverty indicators show that children experience poverty at a higher rate than do other demographic groups. Roma child living and working in Skopje suburbs 29
  • 30. CHILD FOCUSED GOVERNANCE S ince 2003, the country has made steady building, UNICEF is helping the government progress in economic growth. However make these linkages. wealth generation has been uneven. Recog- nising that children are among the poorest demo- At the national level UNICEF is working with graphic group, UNICEF has been working with National Commission on Child Rights – an inter- the government and other partners to make sure ministerial body responsible for monitoring children are benefiting from these developments. the implementation of the national action plan for children and the Convention on the Rights All poverty measurements show that children of the Child. The commission members have experience poverty at higher degrees than do been trained by UNICEF in child rights monitor- other demographic groups. The latest national ing and reporting. UNICEF is now working with statistics highlight that some 34 per cent of chil- them to improve their efficiency and transpar- dren are living under the relative poverty line. ency and is providing technical support to de- velop actions to address the recent recommen- However, making economic growth work for dations of the UN Committee on the Rights of children is hampered by weak linkages among the Child. accountabilities, planning and expenditures. UNICEF is also generating evidence and compil- All too often, the ability of the country’s policy ing knowledge on global best practices in pro- planners to disperse public resources where child and pro-poor economic and social policies. they are most needed has been limited by insuf- Some of the more recent studies include studies ficient accurate and disaggregated data and on Child Poverty, Child Focused Public Expendi- knowledge on best practices. ture and the Child-Well Being in Difficult Eco- Through providing technical guidance, generat- nomic Times. Not only have these studies shed ing new studies on best practices and capacity light on the situation of children in the country, 30 Working Towards Equity for Children
  • 31. they have also provided policy makers with possible solutions to ensure budget allocations and policies are more equitable. At the local level UNICEF is working with municipali- ties to increase the ability of local politicians and of- ficials to put children’s issues at the center of local planning. Through the Child-Friendly Municipality initiative, UNICEF has helped 11 municipalities create local child rights commissions and provided tools to help them collect and analyze data on the situation of children in their municipalities. UNICEF has also trained administrators in each town about child rights, how to view local laws through the prism of children and how to monitor indicators like mortality rates and the numbers of teachers that can help them track their progress. To give children a loud- er voice, UNICEF has also supported the creation of youth councils in the 11 participating municipalities. At the local level UNICEF is working with municipalities to increase the ability of local politicians and officials to put children’s issues at the center of local planning. A family in Tetovo 31
  • 32. 4.1 Invisible to the State: The Birth Registration Problem B itola, the country’s second larg- and education. Only six out of every ten performed the birth died soon after. est city, is relatively affluent. Yet Roma children enrol in primary school Samira’s birth was never registered so on the city’s northern edge, most and two of them are likely to drop out. she cannot attend school. Her younger of the Roma population lives in shoddy Of the four children who complete brother, Leon, was born in a hospital, homes along muddy, garbage-strewn primary school, only three will enrol in yet he also lacks birth registration pa- streets. In some places, conditions are secondary school, and only two will at- pers. so bad that signs on local roads are cut tend class. down and sold as scrap metal. The hard- “The family just didn’t have the money ship is endemic. Statistics show that To reverse this cycle, UNICEF is sup- to pay for the registration process, says ” Roma are two and a half times more porting efforts to boost birth registra- Goce Tosev, a field worker with a local likely to live in poverty than others in tion rates, especially among the Roma. NGO that has partnered with UNICEF to the country. Working with several NGOs, UNICEF identify unregistered children. has identified the scope of the child reg- More than eight per cent of Roma par- istration problem and raised awareness UNICEF believes that providing one-off ents do not register their children at of the issue in the population at large. incentives for parents to register their birth, compared to six per cent in the children, or introducing hefty fines for population at large, because they are In one project in 2009, 840 children were families that fail to do so, is counter- suspicious of the government, do not found without certificates in 24 munici- productive. Instead, UNICEF has been understand the benefits of registering palities. Frequently, these children have working to establish sustainable pro- or are detered by the cost in doing so. unregistered parents and live in poor grams to facilitate child registration Many Roma also give birth at home households. through its Child Friendly Municipality without a doctor or other medical pro- initiative. fessional being present. Take Samira, 10-year old who has six siblings. No one is employed in her This plan provides the tools for trans- Without proper registration, Roma chil- family, which includes her grandmother. parent and participatory decision- dren cannot qualify for social benefits, Samira was born at home without a making where the voices, priorities and health care (including immunization) doctor present, and the midwife who rights of children are integrated into 32 Working Towards Equity for Children
  • 33. local public policies and programs. Newly cre- ated Child Rights Commissions on the munici- pal level have been monitoring the condition of children and producing policies to address the needs of the most vulnerable. In Bitola, for in- stance, the Child Rights Commission produced a situational analysis and action plan that includes the issue of unregistered children on the local government’s agenda. This systematic approach should reduce the number of unregistered children and that pre- ventive measures, such as the education of par- ents about the benefits of registration, will be taken to ensure that no child remains invisible to the state. Samira, 10 is living in Bajro, Roma settlement near Bitola. Her birth was never registered so she cannot attend school 33
  • 34. 4.2. Building a Child-Friendly Municipality I n countries like this one, where the teachers, doctors and so on – receive “We have the greatest respect for UNI- central government is decentralizing training from UNICEF on the rights CEF which provides stimulus and sup- , power, and local governments have of children and how to view and draft port to make sure children are at the limited human or financial resources, policies through the prism of children. center of our focus, the mayor said, ” delivering child-focused programs at Under UNICEF’s guidance, the commis- flanked by members of the commis- the community level can be challenging. sion in Prilep created a local action plan, sion. “In addition to training, UNICEF or an agenda of child-friendly projects. provides ideas that we can implement. That’s why UNICEF has been helping UNICEF helps municipalities take initia- local politicians and officials increase Members of the commission also tive at the local level. ” their ability to focus on education, were taught how to create and moni- preschools, urban planning and other tor benchmarks, such as immunization One of the most substantive child- critical elements of child-friendly mu- rates and student attendance that help friendly initiatives is the formation of nicipalities. determine each municipality’s progress. the youth council, which gives children UNICEF donated computers and data a greater voice in local politics. The There are now 11 municipalities that are monitoring tools to the 11 municipalities children formed their own commission, part of the “child-friendly municipali- so they can input data for each of the 29 which is being expanded to include ties” initiative, up from six in 2006. One benchmarks. That data is then measured high schools and middle school stu- of the best functioning among them is against other cities in the program, cre- dents. UNICEF is supporting training for in Prilep, the country’s fifth largest city ating a competitive environment where students and youth in the eleven mu- where children are about one-quarter of municipalities strive to improve the nicipalities on how they can have their the population. Like other municipali- lives of children at the local level. voice heard in the policy-making pro- ties in the program, Prilep has set up its cess at the local level and decisions that own child rights commission composed In his five years in office, Prilep’s mayor, affect them, through organizing, sharing of members of the municipal council. Marjan Risteski, has not just embraced ideas and jointly petitioning municipal UNICEF’s message, but used it as a plat- lawmakers to take action that would Members of the commission – who form for taking additional steps to im- improve their lives. are at the same time, school principals, prove the condition of the city’s children. 34 Working Towards Equity for Children
  • 35. In Prilep, mailboxes have been placed in ev- ery school so all children, not just those on the council, can submit suggestions that are read in city council meetings. Children, for instance, suggested that bike trails be built and gymna- siums be fixed. The city has acted on both re- quests. In all, the city has spent more than 5 million Euros on various child-friendly projects during the past five years, according to Mayor Risteski. That has included the renovation of almost all of the city’s schools, which have been repainted with pastel colors to brighten the mood of stu- dents. The mayor appears to have taken to heart UNI- CEF’s message that investing in children is not just good for children, but society at large. “With young educated citizens, the municipality will grow much faster, the mayor said. “It pays ” off in the long term. ” There are now 11 municipalities that are part of the “child-friendly municipalities” Initiative. Children playing in Prilep 35
  • 36. MONITORING CHILD RIGHTS E ven the most ambitious strategies and estimates of a range of indicators. The find- programmes are of little value if they ings have been used extensively as a basis for are not based on strong evidence. Fur- policy decisions and programme interventions, thermore, if programmes are not monitored for the purpose of influencing public opinion and evaluated, there is no way of determining a major source of data for monitoring national whether they have met the original objectives.. and international development goals and com- mitments for children. That’s why UNICEF is helping to develop ac- curate, reliable and disaggregated data and In a country like this one where overall national building the capacity of different groups to un- statistics show relatively positive aggregate derstand how to use this information to moni- outcomes for children, through providing data tor their own action plans and the situation of disaggregated by ethnicity, wealth quintiles, children in the country. and many more categories, the data from MICS has helped to understand and shape pro- Working with the State Statistical Office and grammes to reach the most vulnerable. This other local research institutions, UNICEF is is a key part of UNICEF’s equity based pro- supporting data collection on living standards, gramme approach. health, early childhood development, educa- tion, protection from abuse, violence and many UNICEF is also helping civil society organisa- other categories. tions and government child rights commis- sions better understand how to use data on The Multiple Indicator Cluster Surveys (MICS) children. One element of this work has been is just one example of a household survey that support to non-governmental organisations has enabled the country to produce statisti- that focus on children to help them expand cally sound and internationally comparable their capacity to do their jobs. Part of that 36 Working Towards Equity for Children
  • 37. includes increasing their ability to collect and report relevant statistics, as well share those statistics with other potential allies. UNICEF also works with these groups to develop the rigorous skills needed to some degree take on the role of unofficial ombudsman capable of constructively analyzing government policies. In 2010, UNICEF helped a group of non-governmental organizations prepare a shadow report to the United Nation’s Committee on Child Rights that acted as a counterweight to the gov- ernment’s report on the progress made in protecting children in this country. “The NGOs submitted a shadow report which is inde- pendent to the governments report, said Zoran Sto- ” janov, UNICEF monitoring and evaluation officer. “In a way it is used to add another voice to the official per- spectives of the government and to provide a different perspective on how to address the challenges in the country.” UNICEF is also helping civil society organisations and government child rights commissions better understand how to use data on children. Young child in Bitola 37
  • 38. 5.1 Strengthening the Role of NGOs in Monitoring Child Rights T he monitoring of children’s rights and the government’s efforts to protect Three training sessions were organised can be done in many ways and and promote them. Non-governmental by the NGO with support from UNICEF by many people, including the organizations in this country support- and the EU on CRC reporting require- government, non-governmental orga- ing child rights have sometimes argued ments, procedures and mechanism. nizations and others in civil society. their cases armed more with passion “In the beginning, we were afraid to One of the more creative and effec- than with accurate data. So UNICEF say this or that, said Tatjana Janevska, ” tive methods, though, is for children to supported their efforts to compile the programme coordinator from Megjashi. participate in the monitoring. Not only shadow report based on hard facts and But through UNICEF “we managed to , are they more willing to speak freely to to prepare a lucid presentation that ensure our report was evidence-based each other, but the children doing the would make the most convincing case and that our recommendations are con- monitoring will learn more about their to the Committee in Geneva. crete, not speculation. ” rights and develop critical skills, includ- ing how to survey and inform others It was an arduous but rewarding pro- With the aim of promoting child partici- and practice being an active citizen. cess, said Zoran Stojanov, the UNICEF pation, children in the NGOs surveyed monitoring and evaluation officer in another 2,300 peers in 16 municipalities That was the thinking behind having charge of the project. on child rights. Over a four-month peri- children play a key role in the creation od they turned the findings into a report of the alternative, or shadow, report on “It’s not a one-off activity, but the be- from the children’s viewpoint. the status of child rights in the country. ginning of a programme to strengthen The research for the report was con- the role of civil society in monitoring, For the first time, children in the country ducted in 2009 by an alliance of seven reporting and advocating for children’s elected two 17-year girls from Tetevo NGOs and presented to the United Na- rights, he said. ” and Strumica to go to Geneva to pres- tion’s Committee on the Rights of the ent the report, voice their concerns and Child in Geneva in February 2010. The Megjashi, as one of the oldest and most interact with Committee members. findings provided an independent as- established child rights NGOs in the sessment of the state of children’s rights country, took the lead in the alliance. 38 Working Towards Equity for Children
  • 39. For some children, the process of compiling the report was, in some ways, as important as the results. At Majka, or Mother, a youth club for teenagers in Kumanovo, about 20 children helped compile their portion of the shadow report. The children interviewed other children in 14 schools in the area and added additional research. Some students said the findings of their re- search were eye-opening. The club members embraced the project be- cause the questions they asked of others were often directly related to their own backgrounds, income levels, ethnic groups and so on, said Margarita Avramovska, a teacher who helps run Majka. UNICEF is also helping civil society organisations and government child rights commissions bet- ter understand how to use data on children. Young child in Bitola 39