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Realizing the Rights of the Child 196

Situation of the rights


of the child in Morocco
Nadia Sebti
Translated by Salomé Hangartner

Morocco is a constitutional monarchy with Ara­ ­ nited Nations, did genuine progress in this
U
bic as its official language and Islam as its re­ matter come about. At the institutional level,
ligion. The population of Morocco according to we thus see the creation of the National Obser­
the latest general census, carried out in 2004, is vatory of the Rights of the Child (Observatoire
estimated at 29.9 million inhabitants, 11.7 mil­ National des Droits de l’Enfant ONDE), com­
lion of whom are younger than 18 years of age. missioned to supervise the application of the
This latter figure by itself is proof of the stra­ Convention regarding the rights of the child in
tegic importance given to the matter of child­ 1994. This structure, although having the stat­
hood and to giving concrete expression to these ute of an association from the juridical point
rights. But only since the decade of the nine­ of view, enjoys substantial means and a cer­
ties, thanks to the new political will to initi­ tain power since it is chaired by a princess and
ate a democratic transition, bearing in mind was set up by the late King Hassan II in person.
the respect of Human Rights and instituting a ONDE has done important work in the area of
state governed by the rule of law, did the mat­ harmonizing national legislation with the Con­
ter of the rights of the child begin to take scope vention on the Rights of the Child, and it has
within the legal approach. Ratification of sev­ also developed the child’s right to participate
eral international conventions concerning Hu­ through the institution of the children’s parlia­
man Rights in 1993, specifically of the Conven­ ment. At the state level, several structures ded­
tion on the Rights of the Child (CRC) and the icated to human rights have been created and
Convention on all types of discrimination con­ they allow having the promotion and protec­
cerning women (CEDAW), as well as the Mo­ tion of the child’s rights to be included in gov­
roccan State’s compliance with the deadlines ernment policy. At the level of ministerial de­
for presenting the reports on the state of im­ partments, these are specifically the Ministry
plementation of the ratified Conventions to of Human Rights (created in 1993 and abolished
the sundry Human Rights Committees of the during the latest ministerial reorganization in
Situation of the Rights of the Child in Morocco 197

2004), the State Secretariat in charge of social shall regroup for the present paper under the
protection, the family, and youth, created in headings of the child’s right to survival, the right
1998 and renamed in 2004 to State Secretariat to protection, and the right to blossoming.
in charge of the family, youth, and incapacitat­
ed persons. To this we have to add everything The child’s right to survive in Morocco
we find within each ministerial department and This right is expressed at the level of the right to
which might concern childhood matters, name­ health and the right of access to health ser­vices
ly an office or specialized service in this area. for mother and child in Morocco. In this con­
We also have to mention the advisory council text, we have to underline the fact that impor­
for Human Rights, a national institution creat­ tant progress has been achieved in the course
ed in 1990, with the objective of assisting the of the past twenty years.
King in matters of Human Rights and, since its
reorganization in 2001, with 14 of its 45 mem­ Main progress achieved at the level of
bers representing NGOs, among them NGOs of maternal health
Human Rights and Childhood. According to various surveys carried out by the
The opening of the politico-social field, in Ministry of Health between 1980 and 2004, we
turn, facilitates the development of an emerg­ note a substantial decline of Moroccan wom­
ing civil society whose role is undeniably as en’s fertility and an increased use of contracep­
much at the level of advocating as at the level tion. The overall fertility index, which was 5.9
of direct actions to protect the child’s rights. children per woman at the beginning of the
On the legal plane, this dynamic will be­ eighties, declined by 32% at the beginning of
come evident by a genuine reform of legislative the nineties and by 58% at the beginning of the
dispositions with regard to the child in view of new millennium, reaching 4 and 2.5 children per
a harmonization regarding the international woman, respectively. Contraceptive prevalence
commitments of Morocco concerning this ­topic. passed from 19% in 1980 to 42% in 1992, and to
The significance of this reform is all the more 63% in 2004. The increased age at marriage and
important because it will touch upon texts of the programs of family planning developed by
which a non negligible part is based on Moslem the Ministry of Health since the seventies have
right and which, due to that, is extremely sen­ much to do with this drop in fertility. In paral­
sitive to modification. Specifically, this refers to lel, and in accordance with the latest data of the
family law, revised in 1993 and 2004, to the law population census and the family health sur­
on Kafala (type of adoption allowed by Mos­ vey, carried out in 2003–2004, there is a distinct
lem law) in 2002, to the law on marital status in improvement in prenatal care and obstetrics. In
2002, to the criminal code and the code of crim­ almost two thirds of all births, the mother has
inal procedure in 2003, the labor law of 2004, consulted a health professional at least once
and the law on citizenship in 2007. during her pregnancy and has been assisted by
All these elements move us to evaluate the specialized staff while giving birth, compared to
impact of these dynamics and these reforms only half of the births in 1997. This figure varies,
at the level of putting into practice the funda­ however, depending on the environment of res­
mental rights of the child in Morocco, which we idence (85% in an urban environ­ment against
Realizing the Rights of the Child 198

48% in rural areas), and on the edu­cational lev­ recommendations of the Committee on the
el (94% of women with a secondary education Rights of the Child (CRC/C/15/Add. 211 of the
or more give birth in a supervised environment 10/07/2003, items 46 and 47), increased atten­
compared to 49% of women without a formal tion has been given to the matter of the health
education). of adolescents from 2004 onward, since their
specific needs had been little known and there­
Main progress achieved at the level of the fore not been considered, even though they rep­
child’s health resent 20% of the population. From 2004 on­
One of the most important advances record­ ward, the Ministry of Health therefore began
ed in the area of children’s health is, without to create Youth Health Areas which offer clini­
doubt, the expansion of vaccination coverage cal services, where young people can be heard,
thanks to the Ministry of Health’s implemen­ oriented, and obtain information suitable for
tation of an extended program of inoculations and adapted to the specific needs of adolescents
(PEV) which has been the subject of a large scale with regard to health and reproductive health.
mobilization at the national level and which has In parallel, important activities of information
been funded completely by the State budget. and awareness-raising take place within schools,
Due to this, close to 9 children out of 10, or 89% through the creation of health clubs managed
of children between 12 and 13 months old, have by students who have been trained for this task,
been completely vaccinated and only 1.4% of and also within the frame of reference of youth
children have not received any of the foreseen centers and women’s homes that are dependent
vaccinations. The national program of immuni­ on the State Secretariat in charge of youth.
zation has allowed to significantly reduce sev­ We may also underline the progress made
eral causes of infant mortality, such as neona­ in the past ten years in the efforts to provide
tal tetanus, tuberculosis, measles, diphtheria, general access to healthy drinking water in ru­
whooping cough, and polio. Not a single case of ral areas, bearing in mind the direct impact on
polio has been recorded since 1987, and no case children’s health of access to healthy drinking
of diphtheria has been reported since 1995.1 water. Thus, the program of clustered drinking
At the nutrition level, thanks to the ac­ water supply to rural populations (PAGER) al­
tivities undertaken with regard to ­monitoring lowed to regulate the access to drinking water
children’s growth and the struggle against mal­ for 61% of the rural population of this country.2
nutrition, it was found that the growth retarda­ A very clear improvement of the bacteriologi­
tion (chronic malnutrition symptom) has been cal and physico-chemical quality of the supplied
reduced among children of five years or young­ water has also been recorded thanks to the fol­
er from 28% to 18%, and the prevalence of un­ low-up of the water quality of 75% of the vil­
derweight dropped from 20% in 1987 to 10% lages supplied by the Ministry of Health. These
in 2004. measures have had several positive effects on
Furthermore, subsequent to the analysis of the beneficiaries, specifically the reduction, or
the second Moroccan periodic report on the even elimination, of certain diseases related to
application of the Convention on the Rights of water (cholera), improved hygiene of the en­
the Child in 2003, and in conformity with the vironment and personal grooming, improved
Situation of the Rights of the Child in Morocco 199

school attendance of children (due to reduced occur before the age of three and 57% in the
water-carrying duties, mainly for young girls), course of the first month of life. The primary
and saved time allowing women to take up causes of infant mortality and morbidity con­
other activities which produce revenue.3 tinue to be infectious diseases (50%) and peri­
Without minimizing the importance of the natal ailments (37%).”4 Neonatal mortality is
progress achieved by the Moroccan state in the the main obstacle to achieving a more substan­
implementation of children’s rights in health, tial reduction of infant mortality in Morocco.
their state of health is still incomplete in view To respond to this situation, the Ministry of
of the persisting, major health problems which Health has adopted the strategy of taking inte­
Morocco tries to tackle by putting into practice gral charge of children’s illnesses (PCIME). This
new programs. new strategy, which has been implemented by
the WHO and UNICEF, integrates all children’s
Persisting problems health programs and aims at reducing the mor­
Among the major, persisting problems of pub­ tality and morbidity which are due to the main
lic health, there is in the first place the high children’s diseases by improving the quality of
mortality ratios of mothers and young children care for children, be it in case of illness or on the
compared to other countries of similar devel­- occasion of follow-up.5 Unfortunately, spread­
opment. ing this strategy at the national level is slowed
Actually, based on the latest data of the down by insufficient financial means.6
Population and Family Health Survey (EPSF) Furthermore, the rate of severe malnutri­
of 2003–2004, the maternal death rate is 227 of tion has increased substantially since 1987,
every 100,000 births over a period of 9 years, namely from 3% to 10% in 2004. The micronu­
that is, between 1995 and 2003. This rate has trient deficiencies affect a large part of children
not changed if we compare it to the one given and pregnant women. Thus 32% of children be­
by the National Survey of Maternal and Infant low the age of 5 years and 37.2% of pregnant
Health (ENSME) in 1997 which gave an estimat­ women suffer anemia due to iron deficiency,
ed rate of 228 per 100,000 births. In relation 41% of children below the age of 6 years suffer
to the dwelling environment, this rate is even vitamin A deficiency and 22% of children aged
more serious in rural areas where it reaches 267 6 to 12 years suffer of iodine deficiency. In this
deaths for 100,000 births. context, a study was made by UNICEF and the
Concerning the death rate of young chil­ Ministry of Health to measure the economic
dren, in other words the risk of dying before the impact of iodine deficiency in Morocco, which is
age of 5 years, the rate is still high, in spite of estimated to cause a loss in income correspond­
the fact that it has decreased by two thirds (2⁄3) ing to 1.48% of the Gross Domestic Product
during the period 1979–2003. According to the (GDP), or the equivalent of 3.7 billion dirhams.7
latest data of the 2003 survey, infant mortality This estimate is based on the substantial socio-
is still at 47 deaths per one thousand births. In economic consequences caused by the problems
other words, in Morocco, about five children out due to iodine deficiencies, such as “the reduc­
of 100 die before their fifth birthday. “Among tion of the physical and intellectual capacity and
the deaths occurring before the age of five, 78% loss of production, excessive and permanent
Realizing the Rights of the Child 200

care-taking of imbeciles and mentally and phys­ of global health costs). On the other hand, the
ically retarded persons by the families and the disparities and inequalities of access to medical
community, schooling losses, ­psychological and care have to be pointed out, both regarding the
socio-economic costs of infant ­mortality.”8 In environment of residence (urban and rural), as
view of this major problem of public health, an well as socio-economic strata (population of the
integral strategy of fighting micronutrient defi­ poorest and richest quintiles).
ciencies has been put into practice since 2000.
It includes education on nutrition, preventive
and curative supplements for children under 2
years of age and for pregnant and breast-feed­
ing women, enriching of general staple foods
such as flour with iron, milk and table oil with
vitamin A, and adding iodine to salt.
Besides, a clear reduction in the practice of
breast-feeding children has been noted based
on the data of several national surveys on pop­
ulation and health carried out by the Health
Ministry in 1992, 1997, and 2003. “The per­
centage of children who have been exclusively
breast-fed at 6 months of age is 31%, and more
than two infants of every three are given addi­
tional food before the recommended age.”9 This
situation has been the reason why the Minis­
try of Health has worked out a national strate­
gy for promoting breast-feeding and good prac­
tices in nutrition in 2004, with the objective
of assuring exclusive breast-feeding for infants
up to 6 months.
In parallel, it is officially10 acknowledged
that the improvement of mothers’ and infants’
health, indeed the development of the health
sector in a global manner, necessarily has to go
through a correction of the dysfunctions and
major inequities that hamper any progress. On
the one hand, this has to do with insufficient
resources being allocated to public health in the
budget. At present, they represent 5% of the
general government budget and generate a good
part of the direct payments by households at
the level of financing health expenditures (59%
Realizing the Rights of the Child 278

Committee on the Rights of the Child, Second peri­- tion rose from 85% in 1990 to 97% in 2004. Bra-
odic reports of States parties due in 2000: zilians with access to an improved water source
India. 16/07/2003. CRC/C/93/Add.5. rose from 83% of the population in 1990 to
89% in 2003. See World Bank: World Develop-
Challenges and Successes in Addressing ment Indicators 2007, Washington, D.C. 2007.
Child Sex Tourism in Southeast Asia 4   See also UNICEF: The State of the World’s
Amihan V. Abueva Children 2007, New York, NY 2007.
1   ECPAT Australia, Travel with Care, 2000. 5   World Bank: World Development ­Indicators 2007,
2   ECPAT International and ECPAT ­Australia, ECPAT Washington, D.C. 2007.
Information Booklet, July 1996. 6   UNICEF: The State of the World’s ­Children 2007,
3   ECPAT International, Questions and New York, NY 2007.
­Answers about CSEC, 3rd edition 2006. 7   http://hdr.undp.org/hdr2006/statistics/
4   O’Grady, The ECPAT Story, 1996. 8   For any further information consider
5   ECPAT Global Monitoring Report, 2006. http://www.mindfully.org/Reform/2004/Brazil-
6   Ker Munthit, Associated Press, 2004-03-29. Homicide-1980-02-5mar04.htm
7   http://www.nytimes.com/ The New York Times, 9   See the Economist (US) dated July 31, 1993.
James Brooke. 10   See also Lusk, Mark and Derek T. Mason: Field-
8   Beddoe, Christine, 2006. work with Rio’s Street Children. In: Rizzini, Irene
9   Fry, Erika, “Closing the Loopholes,” S
­ unday (Ed.): Children in Brazil Today – A Challenge
Bangkok Post, 24/9/2006. for the Third Millennium. Editora Universitaria
10   Beddoe, Christine, “The End of the Line for Santa Ursula, Rio de Janeiro, 1994.
Child Exploitation,” 2006.
11   www.ecpat.net Situation of the Rights of the Child
12   www.thecode.org in Morocco
13   ECPAT Global Monitoring Report: Thailand, 2006. Nadia Sebti
14   ECPAT AccorGB.PDF 1   Ministère de la Santé, Direction de la ­population,
15   Child Wise, 2006. Division de la SMI “Santé de l’enfant au Maroc,
16   ECPAT International. situation et ­orienta­tion stratégique,” April 2005.
17   Beddoe, Christine, “The End of the Line for 2   “Etude de diagnostic de l’Approvisionnement
Child Exploitation,” 2006. en Eau Potable (AEP) du monde rural au Maroc –
18   Beddoe, Christine, “The End of the Line for ONEP/FAO September 2005”
Child Exploitation,” 2006. 3   Idem.
4   Plan d’Action National pour l’Enfance 2006–2015
“Street Children” in Brazil “Maroc digne de ses enfants,” e­ dited by
Karin Schmitt the Secrétariat d’Etat chargé de la famille, de
1   UNFPA: World Population Report 2007, New York, l’enfance et des p­ ersonnes handicapées, l’Obser­-
N.Y. 2007. vatoire National des Droits de l’Enfant and
2   The World Bank: Inequality and ­Economic Devel­ UNICEF.
opment in Brazil. A World Bank C ­ ountry Study, 5   Ministère de la Santé, Direction de la Population,
Washington, D.C. 2004. “Santé de l’enfant au Maroc, situation et
3   Brazil has achieved dramatic results in improving orientation stratégique,” April 2005.
living conditions: Infant mortality declined from 6   Ministère de la Santé, Direction de la Popu­lation,
around 50 per 1,000 live births in 1990 to 32 “Politique de Santé de l’Enfant au Maroc:
per 1,000 in 2004. Net enrollment in basic educa­
Notes 279

analyse de situation,” October 2005, (p. 106). provisoire March 2005 HC au plan, p. 21.
7   10 dirhams are the approximate e ­ qui­valent of 26   Op. cit. Plan d’Action National pour
EUR 7 and USD 8. l’Enfance 2006–2015.
8   Page 5 of the study carried out by UNICEF and the 27   Idem.
Ministry of Health: “The ­economic impact of
iodine deficiency in Morocco.” Un “Vide Juridique”? – Migrant Children:
9   Plan d’Action National pour l’Enfance 2006–2015: The Rights and Wrongs
“Maroc digne de ses enfants,” edited by the Se- Jacqueline Bhabha
crétariat d’Etat chargé de la famille, de l’enfance 1   United Nations, “World Economic and Social
et des ­personnes handicapées, l’Observatoire Survey 2004: International Migration,” Depart-
National des Droits de l’Enfant, and UNICEF. ment of Social and Economic Affairs, p. 25.
10   Ministère de la Santé: “Politique de santé: ac- 2   U.S. State Department, “Trafficking in Persons
quis, défis et objectifs-plan d’action 2005–2007.” Report,” June 3, 2005.
11   “Comprendre le travail des enfants au Maroc,” 3   Available at: http://www.unhchr.ch/html/
joint ILO-UNICEF-BM survey, March 2003. menu3/b/o_c_ref.htm (visited 02.06.2007).
12   Etude sur les filles domestiques âgées de moins 4   Available at: http://www.unhchr.ch/html/
de 18 ans dans la wilaya de Casablanca, Haut menu3/b/o_p_ref.htm (visited 02.06.2007).
commissariat au plan, Unicef and UNFPA, 2004. 5   Thus, in 1924, the League of Nations (the precursor
13   Plan d’action du programme de pays, to the United Nations) ­adopted the Declara-
CPAP 2007–2010, UNICEF, 2007. tion of the Rights of the Child, two of five
14   Plan d’action national de l’enfance 2006–2015, articles of which dealt with rights relevant to
Royaume du Maroc, December 2005. migrant children. As well, the 1946 ­Constitution
15   “Le Maroc Possible,” report on “50 years of human of the International ­Refugee Organization,
development in Morocco and perspectives to the precursor to the ­United Nations High Com­
the year 2025.” missioner for Refugees (UNHCR), included a
16   Idem, p. 100. group of orphans under 16 as one of four catego­-
17   Idem. ries of refugees in its definition.
18   “Charte Nationale pour l’Education et la 6   Available at: http://www.unhchr.ch/html/menu3/
Formation,” Commission relative à l’éducation b/k2crc.htm (visited 02.06.2007).
et la formation 1999. 7   1989 UN Convention on the Rights of the Child,
19   Action plan of the country program: “Programme Preamble, 5th indent.
de coopération Maroc/UNICEF 2007.” 8   An exception arises where the head of household
20   Cadre stratégique de développement du système is guilty of sexual or child abuse, and the depen­d­
éducatif, Ministère de l’Education Nationale, ent relatives cannot leave the abusive rela­tion­-
December 2004. ship for fear of deportation or other adverse
21   Idem. immigration consequences.
22   Le Maroc Possible, report on “50 ans de dévelop- 9   Applicants A86/2003 v. MIMIA, Federal Court of
pement humain au Maroc et perspectives pour Australia 2004.
2025,” page 111. 10   Jacqueline Bhabha and Susan Schmidt, “Seeking
23   Web site of the Secrétariat d’Etat Chargé de la Asylum Alone: Unaccompanied and Sepa­rated
Jeunesse, http://www.secj.gov.ma. Children and Refugee Protection in the U.S.,”
24   Op. cit. Plan d’Action National pour Cambridge, MA 2007, p. 5.
l’Enfance 2006–2015. 11   Matthew Weaver, “Deportee separated from
25   Enquête qualitative sur l’enfant, 2003 – rapport breastfeeding son,” The Guardian, May 22, 2007,
Authors 299

Anne Rüffer, 1957, author, documentary filmer, and Yves Schumacher is a communication consultant in
publisher of rüffer & rub, lives Zurich. As the deputy chairman
and works in Zurich. of the board of AIDS & Child,
he is responsible for public rela­
tions work of the foundation.
He traveled to Romania while
the Ceauşescu regime was still in
power and was in charge of sev-
eral humanitarian missions of the foundation
on site after the regime’s overthrow.
Karin M. Schmitt, Head Foundation Strategy
and Special Programs of No-
vartis Foundation for Sustain- Nadia Sebti is currently program officer at the ­Centre
able Development, is in charge d’Etudes en Droits Humains
of the Foundation’s strategy, et Démocratie in Morocco. She
communi­cations and the man- holds a Bachelor of Public Law
agement degree and did graduate study in
of health development programs administrative sciences with
in Africa and South East Asia. Her past work in the faculty of juridical, econom-
the Foundation included building up community ic, and social sciences of the
organizations in Brazil to University Mohammed V in Rabat, Morocco; she
approach the root causes of street childhood and also obtained a post-graduate college diploma
child destitution for more than ten years. She in “Droits Fondamentaux” (Basic Rights) from
was involved in the development of agricultural the University of Nantes and the Agence Uni­
extension services in Laos for about five years versitaire de la Francophonie. She has been
and income generation programs in Bangladesh. work­ing in the area of human rights for the past
At present, Karin’s programs are concerned twelve years and has acquired professional expe-
with the development and dissemination of best rience as project manager in this field, both
practices in the psycho­social care and support with government as well as non-government
of children affected by HIV-AIDS, poverty and organizations. Among her latest work we may
violence in ­Africa (a regional program covering mention her contribution to the report on
13 countries in sub-Saharan Africa) and com­ “L’analyse de la situation de l’enfant au Maroc:
munity health programs in Sri Lanka. Karin’s 2000–2005” (Analysis of the situation of
involvement in her programs is on multiple lev- children in Morocco: 2000–2005) on behalf of
els, starting from organizational capacity UNICEF which served as a basis for elaborating
building, human resources development, strate- the cooperation program between Morocco
gic orientation to organizational self-reliance and UNICEF 2007–2011.
and the application of the latest state-of-the-art
knowledge and practices in the subjects ad-
dressed by her programs. Besides her extensive
contributions to the Foundation’s articles
of interest, Karin M. Schmitt has co-authored
many publications together with Klaus M.
Leisinger. See www.novartisfoundation.org.

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