Professional Documents
Culture Documents
OF THE WORLD'S
CHILDREN
1992
Il.,)t pan
/-0 '"
<f nr SIoor of ..
' ,."......... 4' .11''''''
_., Cli/rIr,.. ""'0' /It
(t
~,.,..,. c
n.._ 'II........ ~ 1"1
. ' :crill " ''' ,!" a-
J. e:w.t. _c...." -
'1J' OlJl111111
1SB.'i " '''ltll~S
UN/( ,1!F, UN!CH' ' ' - J U.N. '''-. N.. 1'. ....
N.Y. 100/1 U-tA.
IA1CIiY, , ...... "" ,~ CH. 11/1
a-w '" So . " ...
e- ...,- . aooc__ Crdorc. . - - IJ.L
a-., _ QoIIoo( t:J::
T_ _ <- ~--' '''''''''' 1lL
" - "..... ... In ' iii. IlL
I. Keeping the 'n.. 1990 W'orlo:/ S""""il/<1T CAildml mad, a 8=" prom;'" to tho
childrm of tho 11'900. It ..... . promise, lIIIKI!IK other Lhi..,., l<>
promise dnWcaIJy n>d~ clIild deatho ""d ch~d malnutrition, and to cmure
tha t ..u children have at I....' .. b3o.k oduntion, by <he end of W
"""tory. ThaI prom;'" ",,,,n now be ktp<..
Prof. l:tiO" fo< the growing minds and bc>di<'< of childrcn ohouId h" ..
2. First call .. firs' call on the raoun:a of th< adult W<>tld _ and childrrn Ilhould
for children be . ble ro count on that commilm<11t in good limeo .... d in bad .
Th. ril"ort prot.... the ti_ an<! the t.akh m millions of !he
l<>
-"
3. Fewer deaths,
world', childrtn io in . ynngy with, n<>I oppositi<>n It>, 1be off""" to
fewer births oIow population 1lfOWlh.
-"
Irn.. ....... in irnematiorud aid shoold he: based "" I . ",..ined and
5. Aid and need
IIIClISWlIble cornmiunem to mectiJl& minimlll1l human needs .
- - - - - - - - - - - - - --
6. The economic M1ion by th< ind~ nali""" 10 Iig:h= 'he hurd... of deb<
ond 10 <>pm ~ io .... ntill if «onomic ... fontl in <he:
environment u
lkvdol>in& world lO ....cceed in allowing in P<OPk w tun a
docen' ~ving.
9. The apartheid A ocw world <:>nI<r ohouJd op""",, lh<: opo rth<id of ~nd.. .,
vigorously .. the apmheid of nee.
of gender
10. Planning The wcll informed plannioa of b irth< ........ of th< mOlt rifocti>"I:
. nd leos' e:<pcn.ivl: ~ of imp roving tho quality of life on oorth.
births
-~
Fluio indi...ton, nutrition, t-lth, roOClllWn, d<mognphio
Statistical
iIl d;""",... economic indica''''", W<lmm, le$o populout wun\tkt;, "'"
tables "'~ of progrnI.
PANELS
Fg.
Fg.
1
2
r_;, ......""'fI"O"laity.byregict>,
~ d*:I "..nNilicn: PBSl
' 975·2O(X)
11l6O- 1990
Filii. ~ m-., ~ C<:N«39". c:I'*;hn ..... """ _ . .. "'" ',-'1/ DllI.Tl:rioa. 11ll31-1190
F ~ DeaIhJ~""" SIi~ .Irom""","",, _ _ di ', , ' ...
<>:U1II1M, 1991
" s E$lmated ...... '" ORT to InJlII $'1..- .. ' ..... " ~ IIQOd ().4 - - . 1964 -1968, by I'IKJ "9'"'
~-
l.li"o:l!r.!Mlr'rlOI'IaiI'I rate ~....,; lOLOIlMiiIy rate (mlI. 1960. lQll(l rw;I 1999.... ~ ~
" ,0 ""'" rod pmwy rd ...... 001 e<U::loIO\ ... a petOOn\IlglO '" tOlal_
"'
~ en ~ _
lI'J'II!ff"ffli " " " " ' _, ~ lle'>dc« '11 ~ 1968
PeroenIage '" Q!lnIr~ ~ ~ lCGEllllooaled to h """"'Y, detII~ , neaJm ..,
"' ,
0
~ am Old ~ III ~ '" CGE. by """""" 1_
ChM>r}es n ~ mal__ ond <:t*l heollIh ~ e-... 19t& 11l9Sl
" _ n pm-.y oct>ooI, by "'Il""', 1996-1_
(i(:m(Jo ..
" "
F",. 11
~
P8roIInlago '" l cllll bI-_ rid mft._ 1lId aIDcaIed to - . " " " _ -. 1_
',. " Ilaslc_ *~ .. ~ ol lOllll . " _ d<>"a (:(U"I!I'JM" 19B9
"'
No!"""" 1nrOl!<n _
F'II' 14 Po!roontage '" """"" g<MlIM'l8I"II ~ lIlIocaled to <lOl<I'lCe• .,.; ootiIII _ ... _ _
~ . 1 9n...-.a 1009
SUMMARY OFISSUES
The IX*t>caI a"ld ecoo 100 ,.:; ....... iQ8S Q! th!t las1 l/Yee ~ t>aw IT*M il . - . IhaI .. rew WQI1d erda' ..
emergO>g. 1'Ns ~ ·s SWte 01 the Wa"<r a Chilhit1 raport....n ICI a.>ntrb.tt ~ to!he;lQ9i'lda dIM! rew order
flQm 1he pe<specI'...e oIa ~ O'gIf'OZldion IOhk;h <XmllII i'll<l <;laily ~ 'N!th some of the ll'eatoot
!airQs 01 n Old.
1 .....
Th9IIt1o prQrnisu oI1he WOI'o:J s..rm.
let Cttillr1 sI'IcUd be ~ Ilnd 1M! II new world Of'do!t st>ouId
Dring "" Bnd to 1TDnutnti<Jn, ~ disease, Bnd _ eracy a'l'OIlI so mBrl\I "*"'" oIlhe """""'$
FIICI. A 'lLfWl\II' at..".", jOlP,J ~ <Ii> - r ~ mont .... "" "'"' ~ w>a _ p«mI>t)IIfIt
6 - . ~ t.I d fII cases 01 ~ _ -¥ dB8th NIl ctJuMd by h a""'liplIdSc:
.......... wflICtI<m ""'" be ~ or lIWIedIII "lOY /owc:osl.
- 1h:l! !!1e .... ....:,..!e c! '!lrst ell! V~· - =,*" ~~ p:.:t:;:etlc::1 *~;ro-"'n.i~;;1d:1"oros
ThaI ~ the issues Ii rnaIrlItriIlcln ~ Osoaase. lind wid8spreed ilile<ac:y ..... not ca-oImmed ""
3 (I rew WCf1d otdIlf' fMlIve9. Ihen il wiI be Io9Y IYliJCI' rroe diIIicUl to rlld""" the lllI8 01 pop<Jation
(1tIWlIl ard make ltollnVl!lili<lr1 to ~ ~ ""","","Ie ~.
Fact l l ' l - - .
Wd>
~1IbaA
as pTTIIlfy - . ...... _
l a a f ~~ il th!t .....
~ ~o;Zl~ t>' IhII P<'O' rrwP*r.
,_11/_" rJtto'<X.fJti '" OB9C"","",'<S
5 """". ~ mininulll'un&r1 _ 80d lor ~. In liIIIClAIl.,... Ihe prh:;pIo oI a lWst CIlII 10I
Faol: t_!tMn ltl" d IJ# lIid is JJb:;aJoo 10"""""'" !I'll Dai: . - d I1IIJ poor br - . . JriMrl' M.--.n. "*-
....rw~. _ Wr#f p/IrrirIg.
Thal intOOllllkloal aetJon 00 delli, aid. and trado ~ atlII\Il ~ etMr/lfVT'lIlI' In wt'Iid'IllCOnOn'ie
6
FIlCl'
I'fIb-rn .. 1ho ll8' !'~ ill 'Ml'Id cor> S<.a:OOd .. allOwing ils peopl&10""" a decOOllMrg.
TIM ~ (Je/)/ CtI$i$ "-'S rtI8t !Ill f)OOt WCtICl IS ""'" ttJ;ISb•• og sse 0lkvI , .r- ro me rJCfI ""Iicr>s.
PrcldGlb lilm tI !Ill ~ _ a:>sn /1lII poot _1I1i.<ltlw $5D Il6>rr II ~ r> bol ~
TlIalIl proosss of ~ !ItIDIAd bego in the OOoalopi"ll world and th!ll. ... SI8P with Itral
7 process, la11n9 day expencit.... ... die FdJslriIlized nations SI'"<>.Ad bII linI<8d to "II' aca ~
i .... rl l'll8maWnalllld lor de\ I ';:.o'''~ ..-.d lor the "*"ubon 01 common gIobaI .. cUto, ...
Fact: 1!>II ....,...,,!lOW sptIfl/. M !IlI WCtICl'. motrl>')' _ !M CQ ' ll>o led ..... ..."..,.... at me """"'" flBIt of
/>m¥Ity, The pools 0I!hf 'NM:! Slnml IrJr ~ _~ <bs/J(; ""*"::1IOnS i1 ~ Ind ~ find 8
_ """ - Icr '" <>'tim - <:cUd D8 /I1IlI 1>y ~ Itl" at ~ _ _ .. me '*" "•
';'11 wrxk11!1f>(1
1" "' /t>fI ~ ~
- - - - - - - - - - - - -
Tl\IIl the "'-'" 01 A!rica's debt 00 """"* on and that the <X>"ltinenl be !r'"'IO oulI\cief1l _
'*"" .,_
8
FOd: _
lll.lJPOIllO ,elam to .. .-.--l in 'egeneraq !he """""""'" of <l!o. ' , WI_.
l<Xl9y " crV)i ~ '" fJ6Y IItXL'I tnt t!>rd of !Ill _ <b> at il:r delJI:t. bm _ 8 808OItli", II
~ at ", iii eow-t ..,qp rd COSIi1g rho co. ..'" """"..-.' '""'" rn.. it$ 1ot8I...,.idi'O M thItt".Jth_
"'" ........ of ftS petpI1.
9
FllCI: I.Icre ~ a mI;::rI 0i1s .- fl/ldl)'OW ~ b«:aJw lhIJy ..... 1xm BmIo; me C3lJS8 a t _ iS lfJe_ ct
""".'.WIOI'
Thellhe responsille piar'o'WIg 01 bitre is OM 01 the mD6I 6IlocIMl and - _ _ ways at
10 ~ the ~ 01 ~ 00 """" • both row end in Ih8 Mt.re • and Il\IIl OM of lh& grmtasl
I,listal<ai 0/ 0l.I' tims is the lBik.nIlO rBllige!hal potootiaI.
F8cl: 0.... ~()OO a,gsI ........... _1JOft>"lO/1 00(11 day. ~ "..", CIIbm do """"" , - bI!caI.<w lhIJy_ _
bQ7l too Ill:lCr' ..,. II ~ Ili'lI'I or oecause lhIJy wn Ixm ro roo
mt1tt&'s """ ...... ~ to !ii'u Iltlh SiW','.
0.... .00.000 IaIll:I WO'1J!O'l cit.....-y _ /loICaL<'lo> If>8li <A:> '"" """" !Ill ~ or ftIIIl7*WlI or !lll ,;glll to. .
JI'Ie"'- 1¥>d ~ of lrlei" PlY"""'"'" '" _~ CQid """"""" hi rif,l. Ihtt tlllfI at _ _ /,IfOI'I1Il
_1aII1>y~~
-~
- - - 1- - -
THE STATE
OF THEWORLD'S
CHILDREN
1992
James P. Grant
i~
Agenda for a new order
This report is issued a l a time when the living through a revoludon. If so, it is a
world or der which has dominated the PQliti- revolution significantly differenl from 1'1:\'0 -
cal and economic life of the 20th century is lutions past. It is different, first of aU, in
visibly dying. It is offered, from me paru cu - that irs principal agcm is not violence hUI
lar perspective of UNICEFs experience in communication. And as ends arc often
working with some of humanity'. most inherent in means, it is also diffel'l:J\l in that
acute problems, as 11 contribution 10 the it ill a revolution which appears to be trans-
debate on the ot:'W world order which ill ferring power nOI 10 the few but 10 the
struggling to be born. many.
In the blink of an historical C)"C, the These arc profound differences In the
world has witnessnl the beginning of the process of historical change, differences
end for apartheid, the liberation of Ce ntral which gi\'e a new meaning 10 the idea of
and Eauem Europe, the Cl'lding of the 40- the oomrnunieations revolution. For in the
year cold war, lhe beginning of significam many coumne!< "'heR' poli tical and ec0-
reductions in arms expenditures, the virtual nomic change is now unfolding, it is the
abandonment of the idea of state econo mic power of communication that is allowing
monopoly , the narrowing of ideological the judgements , pro\'olting the comparisons,
divid"", th" . rn:ngthcning of the economic heighlening the frustrations and posing the
heartbeat of Asia, the tum away from dina. alterTUltivn. Mtv- y",,~ of somewhal ~pty
tonhip in vinualll' every republic of J.arin talk abou t the global villagc, it is as if the
America, and a new impuJ5<' toward. first \il1age rnttting Wef'C being held and
democracy, pluralism, and eccncmtc re- people were voting almost unanimously to
form in Africa. reject the political and economic aUl<x raeics
which have deprived them of choice with-
n" period o f history mal is most diffi.
OUI meeting their needs.
cult 10 understand is always one's own, but
the suddenness and SC1IIc of ~ changes, Then: have been unpleaslll11 rnnindcn of
in a landscape previously considered glacial the \'Ulnerabilily of this precess of change ,
in its rate of progress, suggests that we are bUI recent e\'enlll in the Suviel Union, and
THE STATE OFTHE WORLD'S CHILDREN 1992
particularly on the strn'tS of M OSI.' Q\\' and Despile an imcmational agenda that is
51. Pctcrsburg in August of 1991, ha,.., sent crowded with pressing political, economic,
a message of courage to people< aU over the and environmental problems, there is there-
world. in many capital cities today, meee is fore mere cause for hope on the human
an almost umgiblc sen$(; that some vital bal- horizon than perhaps at any other time in
encc mlill' 1:><: shifti ng, tha t the contour! of this ~n!UI)'. It may be that the } 'eal'll ahead
Iile possible mal' be: changing, that people will sho"" such optimism not to have been
lll'l." finding a new confidence in their own justified; hut wh at is not in doubt is that a
rights and abilities to participa te in the man- new order is emerging in our times.
agemen t of their own alTairs. And h may
a1ro be, although it shoul d be said only len_
tatively, that thCTC is a new ncrvOUSJlC$l, a
nev.' he<;itam:y, amo ng those who might be A new order for children
tempted to suppress those rights.
This repo rt s('Cks 10 conlribute III the
This advance for democracy is not excju- agenda of thai new order from the pen;pcc-
rive of a worldwide o'llani~alion which
si':dy led by, or ccnrsec to, xeecm end
Central Europe. Ten yean ago, mOSt of thc comes ;mo daily con tact with some of the
22 rep u blics of Central and South America greatest fll.iling$ of the old_
were gripped by dietll.torsrups; today, all but Those failings were the cemral issue of
one ha\'!: an elected govcmmcm, 1\ also me WorM SummJi fur Children held in late
appear> that Afric:iI may no\\' be embarked Scpu:mbc:r of 1990 al the United Nations
on a gradual political trlInsformation. 'The headquancrs in New York.. 11>c timing of
shock W3 \'<:S from Eastern Europe and the !he S"",,,,il, which brought lDgt:ther IS9
Soviet Union afl' rc\'crlxniting through tha t nations, more than 70 of them represemed
contincm " i!h a parti~..nar resonance because b)' their Presidents or Prime Ministers, could
tocy are coincidin8 "ilh the sudd en llJ1d not haye bttn more propitious. The ou!-
painful Ializaoon of the moral and fmancial come - an ~ programme for, among
Inadequacies of many of its elcisting em- oiher things, ending mass malIIUuitiOIl, pre-
nomic and political systems. Simulumeousl)', ''CI1lable disease, and widespread illileraey
the ending of the roId w"r is raising new bc:fore the end of the d=.Ide - amoumcd 10 a
hopes that the destinies of many nations in dclailed description of a IIl'W enter for the
Africa, omd in other pam of the dc'doping world's children (panel I ). 1bc e~nte
..-orId, may """,' be: detached from the super- of this agreement, at a time when the exist_
power rivalries which have so distorted ing ",-orId order is rapidly changing, means
international relationships in the POSI-"'l!1' that then: is today a bcucr chance than ever
era. Those ri'"lIl1ies have had mueh to do bc:fore offmding a place 0 11 the world's polil-
",ith !he llVt:I'-miliwi7.a.oon of the developing ical agenda for the right.s of duldrcn and for
world and "'i th the perpetuation of the kind mttting the minimum needs of all families.
of regimes which, in so many counnics and
fOT so many decades, have denied human It is therefore obligatory, al this tim~, for
rights and crushed human hopes. all individuals and org:ani7.ations charged
,
...i m lucb issua 10 emer
rqpoo$I1JiIi{}' {Of Coouvy to widely held opinion, this
lIS CuDy lIS pos!ibk inlO tho: dcbal<:! WI lie IJ'l:IlI cause is far from bcing hopcksa, We
ahead. For • new pace in work! hUtory is lui,.., a1rcad)' In''''~ thn:c quan~ of lhc
being turned, and if the needs or the poor- " 1Iy tQY.wds a world in which C"o'CI')' man ,
CSI quartcr O{ mankind, an d o{ Iho: childrm WIlman, and child lin ad cqua te food, dean
....lto an: the JIl()$1 ,'IIlnerable or all, llrl: water, basic health cere, and al least a
again rd~atcd to ihe (ootnotC'l of thaI primary educa tion. And then: is 00 techno-
page, then the new wo rld o rder which is logical or financial N rner to preven t the
writte n there will be: neither " 'orth)' of illl completion of thaI jnumcy in our times,
timn ncr capabk: o{ mcctilli me ehal1cllics
of the future, Reaching these qt:-o/d goal, is not a d is-
eeee cause and don not stand as a
dislrKtion. from tho: eew challenFs of our
Amid the many voices and Iho: many
danlorous issues thai wiD compete {or pri-
times. CRating the conditions in " irich
people can lIIC'Ct tbcir own and thriJ {:mti-
ority in Iho: debatcs 10 eeese, !his year's
lies needs for adequate nutrition, beahb
S_ '" W WlIrld', CAildmo rcpol'I is ~ and education is lID e:uc:ntial under-
Ihrrdon: • pka for Iho: ino;:hWon of the
pinning of cfforu to meet those ~
mucs wtlidI lend to be ipoml and W
voices wbic:h a~ normally silenL II is a
dWJc:nFs. As that mvcstmCl1t liber.les pee-
ple's productiYity, 10 it hdps ID 5Iimulate
Plc:a> particularly, {or me inclusion of ml*
KOllOl"ic gro....th ; aa it includes rather than
,"Oiccs silenced by pon n y and ilfucncy,
excludes peop le from political Ind ecunom-
for ecse woo arc silmecl by the effeeu of
ic life, 10 it helps 10 ounure tho: democl1l1lc
malnu uitiOll and pKVenllbk disease:, for
plQUSl.; .s it gi"cs peuple tho: confidence
those who are silenced by being born
and the means to reduce family size, 10 it
fema le, and for those many millions who
he lps to 510w population growth ; an d as it
an: silenced hy death a1mosl bc fon: thcir
Ji ves the poor a stake in the future, 10 it
lives have begun ,
Ilelps to safeguard the en\'iro nme nL
Specifically, !he rqxlI'IsubmilS 10 propo- For almost half a ccntwy, the w<lrld has
Ioitions {or lbc conaidcn.1ion of aU lbosc be:
+ been distracIed from these J1ClII\asb by mili-
they hca:h of Slale 01' mcm bm of tho: public: - - "" - ;onu
l2tY UJr1WU . ~ "" p
- - ~ ..... • iI ....
"'-"-,-
~DIUO .. W ar,
- who arc concerned to bcoomc invm"Oll in and the ~ war, or Ita,,,divattd our ph)..-
tho: d;"' nrim of the new world order ...1 lidl ica1 and 6nanc::ial raoura:a. our Kicla and
...ilI ",'(I/,,, O\'ft d'E Do:Xt lew )ftrS. Taken ~, OW' inFnuitY and irro3Cinalion,
Wp:Ihcr, they add up 10 a popos:allhar. end- and our human UlplCi:y and UiiKGIL 1'11.
ina ee abIolIlle po'I'Uty of QDC quanc:r 0{ 1hreaI: S ,tm.iiI.. n.: time hal tb:n:flft
mankiDd - tho: ITlOfC than orlC' bi1Iion pcopk QOOI'IC fclr 1be lIutd 10 U.....'dl .. ird' ID 1be
who 5IilI Ij"" m>d die 'Aim prc;.'alIJ.bk
hunga', divav, and illil:eracy • $houId rank
task ~ cnting the ...,ki C\" ~ absoItne
pll\'CIty, IrllIInutriOOn, iIiIaacy, and 1ft-
IIongsidc tbc issues of prcson-inr; the pc.cc ' 'mIallIc disease and to build . . . 1tM'Z'ds a
and prolCCIing the environment lIS priority new " uk! order ....hicb wil rdkcI manI::ind'.
itcmll "'" the agenda of IIw. new werid order. brighteslllOpQ r.othcr than ita darkest fan.
•
THE STATE OF THE WORLD'S CHILDREN 1992
4 111m rhe It"JU'irrg ro"SmSl<S around Ik 9 ThaI a nno llIOrid <min sholiid oppose ,he
imporlona of marlul teO""",it; polioo should "purlJreid ".f gtnder as rig<>TOUSfy us 1M
lie UUOt" panied by " =fKmding conse",,,. "punheid "/ rIlCl!.
On tlw. responsiMily 0/ govm nnenu w gUOl'll1l-
l<'<' basic irn!tSl "~"1S in f>Ulpk.
10 Thai W ruptmsible p/(l,,,,i'lg oj births i.<
5 Tlral in<:TellUS in imemooon,,1 uid should Me o/IM "'''11 e!J«~ mid /ea.1I e"f'tn.iw
1M bawl. on II Jusu.i"td and mtasurabk Wm- lC<Iys ".f i",prur;ing the qllalily 01 life Oil ta,,},
",i,m,m 10 " l«li"lI ",i"im''''' humull "ads - btJl1, ,,,,.. and i" l~ fulure - mid /halO'''' <>f
/llId for maimai"" ll, ill dijJiolll ri"'n, w W grtaleSl ...iJwk4 1)/ "'" lima iJ 1M I"il"re
priMipk 0/ a jim ca/l/or child"",. 10 rtaUu lhal pou nlial.
•
Keeping the promise
Proposition: Th<J1 W promise pj 1M World h umanitarian gOllls of this century - immu-
S u",,,.,; for Children shoulJ /Je kepi ami thas a ni7.ing 80% of the wo rld 's children againsl
"<'Ill UJI)1'/J orrkr should tm"n8 an nul ILl malnu_ six major d iseases by the cnd of 1990 _ was
Iritiim,prevml<Ibk diua.st, tlJId illiu=y going to be met (pllncl 3), That achieve-
among SO many ",illimu of IN; wur/d's dt.iJdrm ment i, now saving the lives of e ve r J
million children each year .' II has also
A quarter of a million of the ...'Odd's demonnraied, ailer a deca de-long effort,
young children ~ dying every Wttk,' and
mal the worl d now has the outreach capaci-
millions moee Ill"e surviving in the hal f-life of
ty 10 bridge the gap between mass-scale
malnunition and almost permanent ill hc:aIlh.
problem s a nd inexpensive solutions.
This is not a Ulrealencd lnIgedy or an
ln tluenced by that cxample, the Sun,m;1
impe nding crisis. II ha ppened today _ It wiU
concluded with a commioncnt,' now signed
happen again tomorrow. And by any objec-
by more than onc hu nd red and twenty
tive SlaIIda rd of scale or severity, this issue
heads of state, to begin ap plying today',
would rank in importance wi th any on the
=u1aled knowledge and inexpensive
human agenda. But in practice, suc h prob-
techniques 10 a range of basic problems fac-
term have had utue purchase on" priority
ing thc world's children (pa nel I).
because they llJl' primarily the problems of
the poo r and the powerless. Thc immunization achievement had also
The childKn who an: the virtims of p re- shown the usefulness of having a quantifi-
,'entablc malnutrition, disease, and iUitcnlC)' eble target as B focus for natio nal clfOlU and
inl~tiOnal support. The Su mm,i therefore
arc being moot shamefully failed by the pre-
scm wurld order. BUI in the last two yeln, formulated its conuniunenls lIS a range of
thai failun: has begun [0 feature on the specific goals which all nations wou ld strive
political agenda in a way that is unprece- to achieve by the end of mis century. 1llo)sc,
dented in UN ICEF's 4Q-year history. basic goals, s.et OUI in fun 011 page 61 ,
include: a rt:duetion of cluld death rates by
The most irnponam signal of IDaI new pri- atleast one thint (lig. I); a halving of mater-
ori!)' was UK: convening of !he WCWU Summil naI mortality rates; a halving of severe and
for ChiJdrm on 29 and 30 Septanbcr, \990. mooetlltc malnutrition among the under-
Over those two days, thc laJ&cst CVCT 1PIthet"- lives (fig. 2); 90% immunizatio n CO\'=l&C
ing of healh of stale met to consider !he (panel 13); a 95% fan in deaths from
possibility of bri~ to an =1, in our times, meas1ea; an end 10 polio and IC!llllus.; d~
me long-running tTagedy docnbed in the v..a ler and safc sanitation fOT an families; a
opening paragraphs of!his chap'''''. bal;ic education for an children and comple-
tion of primary school for at lcasl 80"A.; thc
availabmty, 10 all couples, of family planning
services; an d ohser.1OIl<:C hy all nations of the
C10ling fbi gap Com.<mlion .... 1m Riglus of t1u OHM.
The Sum mit me t at a point when it W:RS These goals were arrived al by a proc ess
becoming clear that one of the grea test of COIlsullation betw<:cn KQvemments and
,
THE STATE OFTHE WORLD'S CHILDREN 1992
and a OI'"e-ltWd nDJctIon n ctiId lIeolltos from TlisIlXlnl aid req..-ed llITlOI.f'IlS 10less 1h8I11%
~(3""" a.,-\. 0I !h11 ~ worId',CU'n!<'il rniIaIy expen.
~ 01' SO MIlI'IY WgaIS seams
AI. 1Y$1 !Iighl. ~. so,noymltooNgh a price, in!hll posIcdj
(Hf!r ambilIous. I3vt the 'OflIl fI;r aI . III "" one" _ ...", 10 _ Ire !MIS at II1!lI>j rrilIiors 01 eNd-
relationship betwelltl lIlem mak8S ~ leasible. Al'1.~ tha~d. many """"'Il"O'e,
~ d*:I rn>IruUiIion,!or ~ ~ lIbw 1h8 world's 'lila 01 populaIia1 growth. and
r«\oces cNd o:leaIhs. Ra<1JcedClllcldoalhs-.. mel<e thegeE'll$Sl 01all ~ ''' I$in the future.
•
Fig. 1 Child deaths the sP«iaJized agencies of the United
Natiuns. ThC)' are based on a review of the
~ l'fbrld Summit for ChiId~ ha'I \et the target 0/
~ one lhlrd O'ftItxtion In UnMf·""" d9th. by W specific, IO W<051 opportUnities now avail-
year 2000 (Of ~ reduction to 70 I"" 1000 birth< _ able. They therefore represent a comp-
whk~ illowt<).
rehensive programme for narrowing the p p
The chon <how1 the ~ .. in ff'dudng child that has bc:cn allowed 10 open ~twecn the
dNth. from \%0 to 1990. The whl!l! UIll"I indiat ~ availability of low-cost lechnologies and
the progreso N<:h region will ~ 10 ad>_ l the
)ONr 2000 LI~ ,,10 be m<"l . their application to those in need.
8
From pro mise to practice
------ _ -_.-
((IU1lrie<, the dednt N> ~ ~ by the _ (mi< a new p<;Ilitical priority for children and of
;nl ~ t to~ dumglhi<_period. a new promise of protection in the decade
_ lH:U _ _
ahead.
,
THE STATE OFTHE WORLD'S CHILDREN 1992
It is too early to tdl 10 ..'hat enax dx how thtymicht ~ sen"l: the S_Mii
dcdaralionI of the 5_ .., and the si&nina pis. The ~ okci:sion by ee
of tbc ecmw.u,;", rep resent rhetoric: whidI Netbmands 10 panl 57.5 million for debt
111;0 cdlo o:\'er mere WIlily down !he }'Un rdid for chiJdrm's progmnmes in
ahead. m $C)mC nations, it is &1rcady b«om-- Ecuador, Honduras, and Jamaica (whidl
ina clea r that !hey rqln:$enl • IOIid in tent will buy b.ek dd>t of II leaSI twice thai
which i, already being trsnslatcd in tO prac- am ount in local cum:ncies) is one of the
tical action (p anel 2). first tangible l'e$Ulu. To monitor tbe process,
the I.)(,velopmem Assislltl1ce Comrrane e of
One of the firsl tests will be the d rawing the Oriani :Q\tion fo r Economic: Coopenltion
up of the dctailc<l NJfit;maJ procrammcs of and Deve lopmenl (O ECD), which loosely
action for achieving W S um"';l pis. AU ooordinata the aid policies of the indusai·
<;Ol,Irltric. ~cd at the Su",...u I&J'CCd. atiud natioN, is eonsidcrina Ktting up the
10 formulate such p rogrammell by the end mo:d>&nisInI 10 analyse aid aIIoalions in
of 199 1. By Oaobcr 199 1, 60 counlric:s rdation to tht ~ goals.
had rc:adl£d this first saco: and tNt num-
ber is ItltpCCtUI to surpas$ 100 early irl In ee Iut 12 months, most "-k of
i 792. Sc:JrM llJiddie.iDoome dc-\'dopinc SI:ID: ita\ 'e m:onftnned 1beir commitmenrs
Q;IIlnU'irs web as Pml and MGieo hal''' II rqiomI poIiticII ga1hc:riop, induc1in&
begun impIcmcnting thcil' procn.mrllQ \hi: 1990 rroenina of lhc: South Asian Ass0-
knowin& lhat mosl of lhc funds "ill ha'"l: to ciation for ~ Coopc::nIinn, Ihc: jIInc
rome tIU'ou&h Ibc difficuJl PfOCe'" at re- 1991 SIllJUllit of the ()rganilatiIllI of
aUoa.tins inR:maI ~. 0\heT pro- Afrie&n Unity, the Jwy 1991 Ibao-
graJllJIXS, espccially those being m-wn up Americ::an SI1ll'tmiI in Gtiao:\aIaPn., !he
by the countries of $ul>-Sahatln Africa, October 1991 Commonwealtb Co n fercna:
will have little chance of bcinl put into in Zimbabwe, and the December 1991
practice unless at lcall SO% of the cost is Summit of Cenlrlll American leadet'1.
me l by inCT<'a!led aid . In lotal, it is est-
imated lbal the fmandal n lOultt$ Children • an d an end to the wont
required to reach all of the year 2000 gooh upem of . bsolule poverty - .rl: th~fo",
am Ount 10 an additional 520 billion • yaT. ' on the politi<;aI agenda as no:va" eercre.
O f that sum, twO dIirdI might be found b)' And if mectinp, d«bratioN and resolu-
the deYdopina councries themsdws and tions could impnm: nuaition. heIhIt, and
one thin! micfu be maoX .vU1Ibk in addi- td\Ic:ation, thm Ihc: priority of dUIdren in •
liorW aid (Ihouch dx ",,,poilion. will \wy Dew world ordc.'r wtJuld be assured.
from "'cion 10 rqioo) . The 520 billion
wtaI is about Ibc same as the worid ntNI
n- unprccedc:nttd politic:al eornmit-
IDCllU l'CplQC'Ol ID oppoI'tllllity not to be
~ on tbf: miliwy eRr» ......
misxd. It has b!& bf:.", bmm.trd that whal
As Igrecd at tbc S-u, many indusai· ..... I:adtina ...... not lbc InI:lIN or C'\'aI the
~ nations ha'"l: beea reviewin& Ib: ~ but the political vrilI 10 tickle
situation of dtildren in thc:iT own counuies these areal p roblems. TIle: C'\=tI o f thc "I
and examining their aid progn;mmes lO tee two > -eIn represenl the: gratest p romise
•
that h as ever been made to the w orld 's chil-
Rg. 2 Progress ~~"rt rn~lnutrftkm
dren, and the gTCatCSI opponunil)' for
The 1990 World s" mmir lot ClUJdrm ~ tile goa l at
haMng child ....Inurritioo by rhe yeo, 2000. As rhe building sus tained politiaJ suppon for their
chart W>ws, this wm ' KIUi~ 1'1\ Kcl!l",ation at past cause. It is now time for all co ncerned indi -
pt<>greol. Almo>! no compotative da~ em! fOf Africa. viduals and organiutions in all countries to
mobilize behind that co mmitmen t.
Halving child malnutril ion: post trend5and
fulUre requiremenls, 5tlf'(ted coonlrie5,
M ia and the An1<;>rica5, /915·1000
80
Participation
lbe World S ummit few Childrm and the
70 Co.rwmie" on IIu Rights of IN Child arc
pan of a process th ai has alrea dy yielded
extraordinary p",ctical results in th e last
rew year.<. The key to that process has been
60
political co mmi tment rrcm national leader-
ships roU"''''ed by th e mobilization of a wide
range of n:s<>W"C(S to see tha t commitme nt
th rough . 'fbe immunizatinn achievement,
for e=pk, began in the 19805 with decle-
rations and publie commitments by political
lead ers; n has since bee n mmslated imo
actio n with the s upport of many hundreds
or thous:mds or people in both d evelop ing
and indus trialized worlds.
By the mid-1 9805, m ost heads of stale in
th e de veloping world had made and signed
politil;al oommitments 10 the 80% immu-
ANtIUAl .~
...n ~ ~ ".',lf""," nization goal (lig . 3). The sheer scale o f the
~Oll tronIl
---
professional and pu blic m ob ilization that
--...
( l t1 ~ l m)
foUowed is som etim es difficul l 10 grasp
5%
from th e pcnpccti\'e of the ind ustrialized
world. From lowly beginnings in the late
7% 19705 and early 19805, a system has bee n
90 95 2000 built which now rc-..ches OVer 100 million
infants - and their p are nts - on live separate
The IeYtI at malnutrition fOf l!19O i. ~ by tile mon
recenl ",Umate availa~e IOf each coo n II)'. occasions each yea r. Againsl aU logistiOll
Malnutrition b defined al rTIOfl! Uwl two nandard difficulties, this means th at O\'CT 500 million
deYiation~ bdow tile de$ita ble we;ght lot age, and separate contacts are now being made eac h
cil ikl ....fnW ilion rdl!fS 10 tile child poputatioo
unde< tile 19" at 1M . year between modem health services and
children.' The n:sull o f this elfon - the
- '-» - ''''
•
THE STATE OFTHE WORLD'S CHILDREN 1992
-
Mexico:
keeping the promise
Most 00U'IIt'ia are00'i preperr,g Nal:icw'>aI Pfo.
lI"" . '''''' 01 Acllcn (NPAa) b ,ee::hillll lhe gem
8QIged III trl!I 1990 Wcn1 &nmt b 0'\iIcnItl. By
ceeee 1991,60 00JI1ItIElS had IiM2ed 1hei' plans
tnd 1hal rurber Is ~ to Iaach aim:lst 100
by the tnd oI ltle _ . The targel!5 Ir>ct.dIl B ore-
1hi'd .9dlt::loon In d"il<l dMths. a I'dW>g 01 eNd
-_.
a main vW1ida for IIlCJVJlg !ho COU"llry towa'ds Ihe
j'6Ilr 2OOOgoals. F'FlONASO.- WllI OOW ~$1 .7
b5cn in 1991 - ~ 8% of !he QOI'& i " .d'S lOl8I
rc
Rg, J The Immunizat ion achievement largest intern ational operation ever mou nted
In ~ 1.Iu. 1970:1, ""'... immuMtion reached odt in peacetime - is that tk liva of a/moJl
ob<>ut IO~tol ~ ~ WOII<f . dl ild ren, 9.000 chi!dmo a lll «ing sawd It!try day
till: inlema~1 (ommurnty ~ !he ambitiou. target (fig, 4) , Another result is that there are
01 80 po;r<:... t Immunll.llion by 11M! ....t of 1990. The today almost 2 million children who are
durt sI\oWl. till: resulu of till: t....~ .r elfDtt.
walking, ronning and playing normally in
Increase in immunization(Overage, the developing world who would ha\-e been
childrtn under one year, all developing crippled by polio wen: it not for the intmu.
CWnlries, 198 1-1990 nil<ation effoRs of the last ten Y"an. And as
child malnutrition is caused mon: by the
'0' frequency of infection than by the lack of
food,' the prevention of disease on r.his
seale has also helped [0 protect the normal
growth of c"cn larger numbers of the
world's children. For the furnre, the Immu-
nization CffOR has laid the foundations of
an outreach system which can now begin to
make a"ailable other key elements of pri-
mal)' hCll!th care as well as delivering new
vaccines "" and when they become a,'ailablc
(panels 14 and IS).
Also in the early and mid- I980s. mon:
than SO of the devc!oping world's heads of
stale made a commitment to making widely
available a method of preventing dehydra -
tion known "" oral rehydratio n thmpy
(ORT). This simple and almost cosuees
technique can enab le pate nts themselves to
prevent or treat the dehydration induced by
diarrhoeal disease. At the time, ORT waS
lime knov.n outside scientific circles.
T oda y, the participation of millions of pee-
ple has carried this life-saving knowledge to
at least one third of aU the families in the
developing world (fig. 5) . The result is the
SlI\ing of over I million children's liv~
eaeh year.'
"
THE STATE OF THE WORLD'S CHILDREN 1992
dcWts of both 'oI'Orld wan. II rmWm one CMt ttne million d'OlcI clNW NIdI 'fNII.
of dlc bigesl killen of childTen in !he m od-
em world. A simple and inexpenli,.., DtooIhJ ~rtd and Jl iH occurring, from
melhod (If ueating or prevcn linll thai dchy. I'OCcine prevrnrabk distastJ, in milliom,
all dewloping coonloo, 199/
dtDtion hll1 been available for 20 yean. In
sak, II is I I if a cun:: for cancer had been
discovered and then TIOI used . Bu t today.
the lona-<lVerdue move to put the knowI-
edic and lhc: llU,:lln$ of pm 'cnnne the
deaths and tho: malnutrition !;auKd by diar-
rhoeal dix:asc: has now bqun in amcst.
Mobilizaticn on • IimiIar $CI.II: ...-ill be InS • promise to the dliIdre:D of the 1991lL
n ......, in all oountriet., if !he C'OmllliIr1lmtS It ...... pto:aniK to use uxby" knc:nv\alae.
malk by die: WlIrld s-.ir /tw Orildmt are tec:!lnoKlCY, lUOUl"CC:$, and c:ommunic::atiom
abo 10 be convmed into acme, m u, ~ I tl poOl£et their IiveI, their pooo"tb,
thcir hc:alth, and thcir ri&hts. It "'U •
ptQIni$e to end the quirt CI.laItIOPbe of
"The ptllCXA of wt\idl !he S-.it if
mamutritiol:l and ':1" Ie and iDiterIcJ. And
I*t. and !he MKW dwl&a it bas IIready
it "'U • promise to I:ttp thei:r IIC"C"lb and
broogIu Iboul, iI 1hem0ft &nOlher dirrlm-
the rigttts on the in[C'fNItitlnal qencb u •
lion of !he commllllia.liom revolution and _ work!. lll'de!' C'\"OI\-es itt ee lkClIde
the tncreuina: pvtic:ipIitilxl of people: ..'hich
is . , the eenrre of alntmlponr)' politial
and economic ctwJce.
"""'.
1lw promise m ust tlllW be kept.
"
THE STATE OF THE WORLD'S CHILDREN 1992
Immunization:
still a bargain
The i.9s of 3.2 ~ chilii'en 8 ';fiJIII!' llnl f\OIN ~ 01 00'iIL O'rm.nizalion in ordll< to
being S8'>'8d by \he i'mu'lizalIor1 9IlortlI of Ihe PfC"'iOa m:;lIlI ..... i i p I " oS J6 pIkroery - . an.
1980s.31nadcIti::ln, lha<e..... IIhlO!Il 2 ...... d\id.
The ~ Iegoacy of ~_ ill 8!1)'S'
"'" who "'. ".".. waI<rIg, ",.....;ng 80d pIayhg tern!hal 00'i makes rl'<)/flliloln 500 rriIIion oopera18
n:::tmlItt ... !hi OIl'> ' . _1\1 waId who would hlMl COt1tocts bel-. h8allll lIOlr\o'ic8s lrld diIdmn
oo.J ~ by IX*' ware ~ Il(Il t:< Ihe lIdlieY&
fMJf\j yeer.' Thal system .. ""'" bego ' .(l to be
mon1 oflheOO%~goS.
used to 09iver 0llW llital * ..."" 01prirmfy_
are such as ¥ilM1io A ond iodne .......... ,.. ,1>1••
Bol • irInI..ftz8tion W8$ the groolest p.Jtk
he3/lh SlJlXlI!I'SS S10IY of \he 19!IJs. ~ raTlllins lh9 Mucnmen remsins to tl8 tlaOfI. And the mortI1he
g&.tlest ~ I>eaIth c"r' e og&oIlhe 1990s. By system is used, !he _ II1lI ...-.II CQGI 01 each
tUdi'>g on v.haI has t-1 """""""I, ~ is possible servao ~ oeivers and tll9 mom SUS\<iI'IllllIe ~
10 p«MlI'II 8 fuoIhor 2 miIm c/"joj deBths9Ildl~. !l«:ol'l(ll.
BIId 10 ~ the~ of ~ EYen rT'I(Y9 f\IIdlwneol~. lhe lrnn'ulizatIon
ceeeee on o;ttI mahIIriIion BIId 0salliIIy. 9lIM has m;ld;I 8 ~ towards prrl'i!lOV
No! only the d9YeIoping ""-""d SllrIdo to gan h8aIItl an> by "_og "OCiaI ~ 80d
Pdio ..adicalb .. tor exan IPl&. would save Ihe ~ cherooIs bd'nl • mejor heolIth
lJrj[OO Stales CMIl" $11 4 Il"iIlcn a l'38f ... ~ ~ It has d... lIb. hoIpad """'" heo/lh
llIctla.' The C051 01 8f'3I:icaIion? ~ i1Io 8 so::iIlI on<! not jus! 8 rTI(I<iQII raspoo iSItikIy.
$100 rr6Jo a I'esrtor 1O)Wl'S.'
For many cI the t-Ilh """"""'" irwoIYed. <each-
ThlIlirslct ' ogeis to rllIS8 nmnzatlon IBveIs ilg for ~ iYtn..rlIzoti;)n goeIlIes " - ' I '~ .'I/
whenl CIMlfagI!I stl lags. l'l easImI mel !lOUIhlm alSO 10< " new Ides cI wt1Q Ihe .... <;USl<lITl!n In -
AIri::a. i'\"mrizabon reach&8 0I'l0\I 00ll.."1hlIllim in nD1 lhIl pIlQpio \\too WIll< It'roI..91 c:hc doooi bill
~...,lire poplJalloncl" QMlI\MlB. Goi'lg OOJI 011o
tho 1990s n'UII be to ~.. 1tI8 ~ ""
lh8 ~ lU reccu I!NI¥Y ItVa i1inl Wl need
Iha1Ihe Y- 200llatgel <i IlO'l' is ac!'IieI«ln~
01 .......... ldlio:> , has bl9-fl lh8 IlI"')CeSS ol <::tdMld
poM'ol and. - . . poesbe, in ~ &tnct.
MIl rtq.bt oontact ~ hea'th sevcee a'Id
The SOICOnd d r '99 is 10 begi'l rronIIorIng I'<lI werytmfoJ.
;un lrmlu:1iultlon lo:MlIs I>.Jl Ihe <:l8::kVt 01 <lisease. 'The 6Ibt II8S not GW( s ~ao ¢leollMJ ti'lg
The geM set by the IVI:I«ISLmn/! lorCIliI::h-l""" ptrnlItyhedlt>CMIS)'S1&m'. says alJNlCEF....
......naticn '" IlIIOOalaI lal!n;S l536.lXXI _ __ on lh8 irm.ni>alion lllIort n IIIe 1geOs, '~
8. ~. eradicatlQIO (J/ pOljo 1116,0):) cases a
yew), and 8 015% redl.dic:n in rr--.. _ has IIJSIJ ~ • tar ........ llElCIicrl of sociIlly
/awards " 100000WJ sodBI goal. A new l!M<I of
(84O.0c0 a yoor). ~1I8Sbe!r>de>S!:,led_'-h
TlTll. lhOOi ill lhe er r " ' " of ~ vooci1es stn't:es I¥ld!he ctm'IU>'ly I!Ji!IN/!D ... a tel' kMII
Il.dJ as hepallt\I B (panel 15) to Ihe 1r'rIrAlrizmior '"""poc!8lion _ COf1mtm8m 10_. TI>/IIsa, r.
sysIem nn::l Sl"llJlir9 .... """"""" on !he d*lren's lhe/ong It'!, lO'lI /1'18 ~ ba'III/iIsoI lhei'rVrJtri.
VllCCir<I ntiaIMIIp<nlI1 4). zati;)n II/IIcrI, _ lhe /at:.1cfs most IhIy 10 acetlU'll
lot ~ ~ _ 9>'9I'll<a' ~ lU"
8ul by tar me ~ ~ oIlhe decade tnij urNrn;Ji P "9' ",,"'''' ~ fa' il'IO<'lt I1IIIIl
,.. be to bIlgIn l:1uid'1g on the orgonizational ~ti;)n seM;es 10 lIaO'lllftdlMll'YdiId."
First call for children
Proposition: Thai 1M pri,lCipk 0/ 'fiTS! t;a/l capable of. And it is in institulionalising the
for chiJdrttl ' - mttlning Ural prol«/wn fin 1m ethic of fint can, in automatically embody-
growing IJodia and ",ina. of 1M young ought ing that principle in the conduct of its
10 haw a fin! f a ll 011 $lXitrUJ' rl.!()un:t.l - affairs, that manki nd has SO far failed to
Jlwuld b«.ome 'Ill uue(llcd emU; tJ/ " new tllItc the step folWllt"d for civilization which
n..md order. sueh B change wo uld represent.
The World S ummit for Clri/drm called ~allse the child has only onc opportu-
upon all runions 10 be guided by the princi- nity for growth , and because the proces s of
ple of a 'fIrs t caU for childttn' _ "" principle that growth is so subtle and susceptible, the
thaI 1M. wmriol 'Iuds of all children should essence of the principle of fll'St ClIU is that
be giwH high prioniy in lht. allm;IlW" of protcctioo should be not juSt B priority bu t
~,>US, in IHui '1' - as wtU as in good an absolute. 1n other "'-ortis, the ehild
tim. s, at national and i" umalimuJ kwh as should be: able to depe nd on that commit-
fL~1J as a/ family kwh. " lI ment at all timet and through all difficultiet,
rather than being at the mcn.J' of shifting
Til" principle of fIrSt call for children is circumstan ce an d competing priorities.
founded not only on the sands of senti-
ment. M 05[ of the mental and phpical In particular, the very essentials of eh~ d
de'~lopmcnl of the human being occurs in developme nt + love and caring attention,
the lirs! (1:';\' years of life. Those yean are normal phy sical growth, immunv.ation
me child's one and only chance 10 develop against disease, basic health ca re, and the
normall y in brain and body and 10 grow 10 opponunity 10 go 10 school - sho uld be a
his or her &\'oetic potential. If the ,'lllious wmmitrncnt which all societies make and
Stages of !hal de...dopmcm arc not comp- maintain in good times and in bad . That
lctcd at !he appropriate time, then lasting comm itment should not waver in times of
Wunagc may be done \0 the com plex pro- economic recession; it should not give " 'ay
cesses of growth . There is no Sl'cond to the short_lenn demands of structural
chan ce. It is on the bedrock of this physio- adjustm ent programmes; il should not bow
logical fact that the principII: of flf'St call is to the pressures of panlculu interest
bu~t. And it is lherefore a principle whieh groups; it should not fluctuate with the for_
dem ands that, even in the wcrst of rimes, runes of particular political parti es; it should
the protection afforded to children should not be shaken in times of turbulence or
be the la st clement of social prolection 10 IrBnsition ; it should not be: subo rdinalCd to
be relinquished fIIther than the first to be: an y ideology; il should not even be sus-
sacrificed. pended in times of "''aT or civil . trife. It is
in such times of stress that the principle of
·111e principle of first call is pflletiscd by fint call should be most tenaciously
many parents in all countries. But the pro- adhered 10 bUI is in practice most frequently
cess of ad vancing civili7.ation is C'S so:n lially relinquished .
a process of instirutionalising th""" [mer
feelings and Jtighet principia which human From UN1C Ii.F's perspecevc, il is the
beings int ermittently sho w themselves events of the last decade which dem and
"
THE STATE OF THE WORLD'S CHILDREN 1992
tha t this principle of fin ! call be vigorously countries of Africa an d La tin America."
advanced as a new world ord er begins to SlII've)'$ b}' UNESCO" have al.w shown
take shape. In crisis afte r crisi$, and in that the attempt 10 adjus t economics lO the
country after country, Utis organiz:ltion has debt crisis has caused school enrol ment
witncs~ the consequCIu;n of that princi- ratios among 6 tc 11 year-olds to fall in at
ple not being in place. Whether the cause least 50 of the most debt-ridden naOOM of
be the debt crisis and structUral adj uslmem the dC'o'doping world.
in Africa and Latin Ame rica, or me turbu-
knee of political and economic transition in We also m ow, !O mke another example,
Central and Eastern Euro pe , or the shifl in that it is young children who an: at this
the political ph~osophie$ of ma ny ind ustri- moment paying the heaviest price for the
alized countries (panel 5), or the outbreak Gulf war, In the first study of il:$ kind C'o'U
of War! in Africa" or in the Gulf, it is chil- undertaken, it has been found that child
dre n whose lives arc the most devastated, mortality rates ha ve increased steeply in
children who will bear the scats fOT longest, Iraq 01'eT the last year." Witho ut wide-
and chiJdrm who ate paying the ultimate spread acceptance of the principle of first
price with the loss of their one o pportunity call, mod ern warfare will continue to be I
to grow normaUy, (0 be educated, and 10 war againsl children (pand 6),
acquire the skills necessary to earn a living
Simi1arly, it is children who an: bearing
for the msel ves an d thei r families in the 2 1st
ce ntury. the brunt of the hardships being endured
by Central and Eastern Europe as old eco-
So little heM is paid 10 the consequence nomic SystClm finally collapse un der the
for children of the mistakes and excesses of weighl of their own inadequacies and
the adult world that there are virtually no nation after nation make' its brave transi-
ffie.:halilims for smsitively monitoring the ir tion (panel 4). A special study by
nutritional Status, their patterns of diKa5e, UNICEF's International Child Develop-
or their IC'o'C'ls of enrol ment in school. Even ment cenee in Aorcnce," published earlier
in times of turbulence an d transition, when this year, has sho wn that hc:lIth and eduea-
aU experience sa~ thai ehildl'tJl will be rion services have been su bject to some of
most at risk, it is still easier 10 asccrtllin the deepest spe nding CUI:$ and that the
how many video recorders have been nullitional staNs of many chil drl:I\ may
impo rted Or sold in any given mo nth than it alread y be threaten ed. In Albania _ the
is 10 find OUt wha t has happened (0 the won t case • approximately 20% of aU chil-
health and nullition of a nation's child ren. dren an: now malnourished and infam
mo n ality has doubled from its 1989 Ie>·d. "
Wc do m ow that it is children who ha ve
paid the heaviest price fo r the developing AI described in panel 5, chiIdrm have
world's debts. FragmenlJlrY evidence, also suffered most in the less dramatic transi-
pic<:cd together by UNICEF over the last tions in political and economic philosophy
decade, " has shown a picture of rising which have 0CCUlT'Cd in many of the: industri-
malnutrition, an d in some cases rising ch~d a1Ued nations over the last dcaKlc. " In the
deaths, in some of the most heavily indebted United States, for example, the proportion of
"
Fig . 5 One third use ORT childmlliving in poverty has risen from 14%
in me, 1960s to approximatdy 22% today."
ORT Isao ioe' pt'JIloM: mf!1hod by which f.mil~
lIw:m~ ClIn ~I itOd Ir eal ~ratian _
"*' k:h ki ~ more IN n two m~lion yotJr.g dlildl'M In the past, il !MY have been in some
NCh yelr. The le<;hnique hil' ~ t.1ughl to on e degree inevitable that the weU-being of ehil-
third oi l,," devoelopir.g worl<h fami lies 10 \he
1980. 00<1 b now ~ oting .,....,. one million oren should be subject 10 the vicissitudes of
d>ikl dn ths each yelr . the adul l world. But lodlI.y the very ba~;cs
of ehild protection, which Ire AI the same
Elfimated USf> of ORT 10 treot diorrtlMo time the very basics of protection for soci-
epi~ in children oged 0-4 yeotJ, ety' s futu~, need not be so ~y
1984-1988, by WHO region and910
relinquished. With toda y's new Cltpacities,
low-cost protection for the health, nutrition,
and educatinn of almost all children is pos-
sible in almost aU circumstances. By
I<
a
•,,
30
.$",,,~ ..~ (";..-,('.
• /# A new "..o rld orde r, if it is 10 represent
progress for civilization, must therefore
•
•E zo
25
~• .
•e again be tra nslated into ri~ing malnutritio n,
,-
education among ;ts children. Th" govero _
ORT ~ specilIy lorolI.Uled 0J3j rehydrollion Sollls.
sugar.I"~ <oIutionl. ood rewmmt'Oded ~ IUd$. ment of Indonesia, under economic
-.,,- - ---.:-., pressure from the slwnp in oil prices io the:
"
THE STATE OFTHE WORLD'S CHILDREN 1992
Eastern Europe:
transition with a human face
'Frs! cllIlo"~' is _ ~'~ i'I "S<xSlIl n::<>m&' hits also de<:il >ad. Mroirrun ~
tirrwI o! crioos. 'M>olher .. IlCOtlOII'Iic ,ec . •.. ~l beneIiIs. dliId~. oId·aoa
POlitical upheaval. 01 l'i"Il"Ifld conl1ic:1 . "l"'C'f1C lIB' '""" ... onddislllllltl' Pi')'. _ _ lhooreIJcaJ)'
poIoC:ies 10:& needed tG prolecl h ctikj's a.. mantained. to..l: ... po8ClJCe they haYlI ' - ' pored
opport\Iity to flOW norrnaIy ... rrind lI"Id body. ~ byWtalJoo. Canpar;es1\s'.1l8lso~
~~ IorrT'e1y providad to~'
UNICEF hils a<Mx:aIed ItOs 1> ' w;:ipIe lor th8
dMlIopi"g CO<.fIlt\e$ ... they ad<JIlC "'*""""'"
policies lQ IOQP'.II'<iIh \lebIlW'Id '.... if;. ~ Bull ~
!lmiIies. czec:tIosbJakia CUl sperdng oo l"eallh by
20% n 199:) lI"Id 00 e<:lUCalIOrl by 1 0'l6 In e!lCIl 01
UNICEF stu::!)'... PUbIst'Jed i'1 1991. !lhows !hat tho
ee last two .-s.
Pl; qie IS also reIevan1 lO ew...," ~ II ... paol. !he 1'lEld<q"")f 01 sctiIlI safe!l' nets IS a
CenlnllWld fastem Wope. rE&lIl 01 fJ'liscslc!o'aliorls abOVl the we9't they
The two pt. . '-1t1ICh in COO II'lOO', i'1 would haw to bew. PcIard. for ~. ~
bolh. .~ . has irl\IoMld 8P9"dog aJt8 51d !or ~ risng 10 400.000 and i";:o",,,,,
!hit ~ d Sl'bSidies (rI Ioo:l and 0IhIW tali-og by 5~ 10 10'J1,: irlltoa 8'o'EIf'lI. ~
p s
otOlls. Arld in bolh . lh8 capad\'y 01 fanikls to roseto 1.4 mIi::l1by Dec8 ,blo 1990und_aga
i .::o",es IeII by 27%.
•
..
early 19805, took a conscious decision to corridor.! of pea ce were kept open un til the
CUt back spending on industrial projecu end of the Wlf earlier this rear. (n Angola,
and on hospital buildin g in orde r to main- six such COrridOMl " 'eTC opened in 199 1. In
tain expenditures on rural health clinics, Iraq, UNICEF and WHO were able to
immun ization programmes, and primary ope n a channel for ship ping the meet
schools ," In thc 19805, Chile" an d Costa essential health supplies even at thc height
Rica n succeeded in maintaining the down- of the Gulf conmct,
ward trend in infant mortality by
estahliming specific nutrition and health
programmes to protect the poorest children Suc h C>lamples strike the sparks of hope
from thc h~rsh <:conomic ride of that for a principle which must become a steady
decade . Also in the 1980s, Botswana has flame in the )'CITS ahead . In every set-back
managed to shield its child ren from thc an d crisis, in every period of tr:ansition or
WOf'St effect s of severe drought by . etting turbulence, whether caused by natural dis-
up semitive moni toring s}'!Ilcms in order to aster, civ~ war, mU:l1Ia!ional conflict,
target government support, including food cccncrnic mismanagement, or political
subsidies. Zimbabwe, also, managed to pre- change, ;t should be axiomatic, nationally
vent any increase in cluld maln utrition and mterrul!ionaUy, to asi::: wha t the effect
during the droughts and recessions of the on children is likely to be and what specific
1980s an d it has do ne so by mean s of spe - policies arc needed 10 shield their growing
cific low-cost policies which have included minds and bodies from the sharpest edges
primary health care programmes, immu- of change,
nization services, dia rrhoeal disease comm 1
measures, su pplementary feeding pro-
In the atte mpt to i:::indle that flame, the
grammes, and NTal water supplies.
w(lrld now has the advantage of a virtually
universar agreement on the minimum pr<>-
There is also some evidcnce to suggcst teelion which mould be guaranteed 10
that the princi ple of Ilrst call may be begin- children, In the goals of the World S Ji",m;1
ning to cstablish itself even in times of war for CJti/drrn and the provisions (If the
and civil strife. EI Salvador has not aUowed Conwnlion on w Righu of w Child, are set
its long and bitter civil war to waive the out the agreed minimu m standards for the
rights of its children to the bencfits of protection of childre n's survival, health , and
immuniu.tion; on three separate 'da ys of ed ucatio n and thc agreed minimum pro tcc-
tranquility' each year for the last 5CVen tion required by all children, in all nation s,
rears that war has been suspended so that against exploitation and abuse whether in
almOSI all the nation 's children could be
war, at work, or in w horne,
vaccinated. More recendy , the ide;, of 'cor-
ride rs of tranquility ', through which
essential supplies can reach civilian families The wo rld therclore now has a set of
and their children, ha s been accepted in agreed criteria against which any and aU
Sudan (the Nile is also now open as a route nations can meaSure practical progress
for relief supplies), In Ethiop ia, two similar towwds a lICW order for children.
"
THE STATE OFTHE WORLD'S CHILDREN 1992
Under·five mortality rate (US MR) and I~al fertility rore (UR), 1960,1980and 1989.
400
""
,so
'00
\I"""- I 1989
,"
,"'
,...
- ....
,-
,"-
lU "'""
100
'0
0"
• , 6 ,
-----.--,----""T--C--.------,------,-----,,----
4 a 2 1
Total ferti lity rate
'-<.. """""- - - - .. ....... _ - -
•
Fewer deaths, fewer births
Proposition: Thai if /he wues of mI,l/nulri- contem porary issues. In general, lowering
rUm, (1f'efJmlabk di..."" and wilWpruuJ the ratt of child deaths helps also to lower
iUiUYrJ0'. <:ITt tiel r;o"jro"ud as a new world the rate of births because it increase.
tmkr ewJws, thm Ii 'IOiU be WI)' mud. m ore parental confiden"" in the pn::dietability of
difficuh 10 mUla 1M rllU oj /JI)/JuWIWn J:ro1Clh family building and reduces the need for
and Iff<Jlu 1M Irwuilioll u> tmlironmmUllly many binhs as a means of insuring
,w/airulbk dewlopmml. against, or comp ensating for, uie possibili-
ty of child death." "11 mighr ~ tJumghl, n
Public support for the csuse of protect- sal'l the 199 1 Hllm{Jn D~ll]pmffl l RtfXll1
ing children agains t malnutrition and from the Uni ted Nati ons Development
dis<:,.,., has sometimes been inhibited by the Program me, Klh<>I, if morw childrm Sur-
qwnCIll thaI, inlllimuch lIS IUch efforts fliwd, f>OPulalwn probkms fC l]uld gtl fOOn e.
wen: IUc«ssful, the y would ultimately be Quilt (he r<lJtl"St. Ferlilil)' Itn<u 1<1 drop
self-defeating bccaUSl: me)' would $CI'VC 'In'
ttilun fHl'"''fIls m,.,.. ctmfidtnt that <hel'r
only to cx.acerbatc the problem of rapid childrm ttiill su rvivt. n
population growth.
But the stre ngth of this n::lationsbip
This argument is mora1ly and demo-
betwec:n faUing deaths and falling births
gnIphically unsound. As last years Swu oj
depends on the particula r stage which a
the World 's Childmo showed in lome dcmil,
count!)· has reached (ftg. 6). In the earlier
reducing child deatlu is one of the most
stages, when under-five mortality rates flnt
pmo.'el'fuI of the forces which make up the
begin to faU from a vcry high level, parental
rein. of population growth .
confidence remains low and birth ratcs tend
Four factors are m Ol! strongly associat- to change little. Most countries in the
ed with falling birth l"lItcs. Thol e [our developing world have now completed this
h=men of the non-3pocalypse arc: rising phast. In the nc.>:t stage, when unde r-five
incom cs, female education, reduced ch~d morta lity rates begin to fall below 200 per
deaths, and the availablHty of family plan- 1,000 live births , the correlation between
ning. When pulling together, they exert falling deaths and falling binhs is still weak.
many times more control on birth rares But il is when cou ntries begin to bring
than any one of them acting alone. There child mortality rat es down below 150, as is
is therefore no conflict between meeting happening now in countries such as India,
the need , of pe<>pk and con troUing thc and to mo,'c toward s and through the 100
growth of population; indeed all of thc ban'ieT, that strong and consisrem panerns
propositi ons ad~=ccd in thi' report would of fertility change begin to emerge. At this
contri bute in some way toward. a mote stage, most co un tries begin to see a much
rapid ~winll-down in thc rate of population more rapid fall in the number of births for
gl'O",'lh . every furthtr advance thaI is made in
reducing child dea ths.
The particular link beN,ccn reduccd
child dea ths amt reduced births is one of Th is is good news which has so far gone
the lu.t unden tood and most vital of unh eard. For the great majority of coun-
"
THE STATE OF THE WORLD'S CHILDREN 1992
0vIr lh& sarre :xl year period, 0'0'Ilt8I 1lO'IIl'IY ;, 10'll0 0111I casIl benelits go 10 poor llmI8s with
chiIdrer\. ClII'w grOUpS havefaradrru::l1 b9tter: <:NfJ(
.. .•
ltJ8Uri1e<l Stales .and~lWTlOI'IQ lheelda'ti.
has dedioOld. [)MIn I1'IIintt by \)C1'eI"' ''' ~ llCti<::<l, hall ol " peoplil n IlOO' lfI'l'iias wilI1ol.t Cl'Iilt8n
lhe po oporIioo ,or older<;:lIimm (fl5<.)M-og InI"""'"'Y ~~ help to P<A tt8Tlabc:J,te the~
III by IOOnl then l"'O 1ti'd:I.
So WfroJ has a fl81ion with lhe demonslraled
capedIy to 'e<:U::e PO"'l'IY !lliIed to do 110 b' Its
......
iroI - as C>XlO98d to rrl'f 14'll. ol people n IlOO'
" ,"'
AlIIrnpIing to """91Ilhe!le lac1<n. !he repon
<hIdf8rl7 aIIrJ ~ .. Amori::lr. " a report /rtw'n anrbJlas t-JS! _ 4O'll. 01 !he rise...cf"id ~
--
lhe ~ ChIdmn's DefooI!Ie FI6Id to lhItdedioe 01 gc>YIltI'YJMlrl support.)usI- 3O'lll
(COF), deers the- way for lts _ _ by e><;:>Iodi>g to la&-1g real WlI98S """"'6I1he poor. lWl l;l!llL.W1dBr
3O'lI> to 1herise oIl1lClltlef -«tt ~
ThIt i\QI;I< i'ro1ge Qlthe blIId< (;fjd born 10 an CaIhg onItJollk'ilecl SIaIes touselts~
" ",," Iied, ~ rnottIt:o" Wilg on _ _ in to ....., ctjd ~ by thoI year 2000. h co=
a big dl\I s a ~..tCh fils fawIlf Ihiln croe ~ 1lIet .... (III HfIl iXN"rtY _Ill.lo'$'~ li'9
in W'I 01 America's ~ cI"ildrfn 1nnBr.,;ry_ wIrh IfI9 - . y ~ lWl flGt.C9t01 of
and Hspaoics8r8certl1irlya.er ·~l8d. bul a ~ of flU dli'im md lImatM!l the l'l8lb<l's
_.
~ of America's 12 ~ pool ~ ... e<>:n:mic anrJ9OtS8! ruruv."
'Mile. Most 1M!' out3d9 bog dIiee. Mosl ~ i'l "Sili etilg cUd fK/IIfI'fY". on !he 0Ihet r.an:l,
hlfTiIies _ <:rif 0I'lII Of lv.o c!lben. And most
"would !i-'e the tIIIllot> a I>Jg& Itft'>i'>g s!a"1 (:1'1
belong 10 I'>OuSehold8 \flOI1ln aI Ieasl one PE"'WlI
/.aI::Idn91he~. ~ suI>s/!n:;lea'luse.
cri'ne, md<Xher pOO/Ems l/Igl.seem so cilwti'lg,"
Tho.t """" ~ lor rfsO"lg chid pa.8Ity In. Nod 1M C08l'? ~ " Ill' 1'10 /IIOOt'I6 1M oroII'
lim, lNI lnllIioI'I or benefits l)t'O\oided by goo.oern. _ . b.Jl1he COF puIS !he bII 8I $28 ~ a
mentto pooIlzIrrj\es withctti'en afId. sec:ord, lhe _ (lor .-.,g IM!IfY poor !lmIy with cf'ikten up
S!IlIIdy fill In real WOQIOS lWTlOI'IQ America'8....sl<i1ed.
10lhapc:wertyi>a\. Ths" less then 19l1 ol AmioIca's
ThlI lI'YlItll9" ~ ""'9" 01 ncn-superviooI'y
WCIlkln lei by ~t8y 20% ~ 1973
and 1990. AI the _ line. Ihl g'7>\"w.. u's _ ta:<
G/IP: ~ is alSO less Ihsr> 1heam:A.t'1l ~ each
.,.. tr; lila rid1Ilst 1'lIl ol A/'r'IlIiCa1S as a msUI 01
bmaksllJlllltl'l'lld ... the 1asl15 ~
Fig, 7 SpendIng on basin tries in Asia and Latin America have no w
passed through the earlier . rages of this
~mary hNlth CM1' and primary<.'<location art' two
01 tho m<»t important wayo 01 'inwning in people'. 1JlIn,ition, when birth ""tes mayor may not
!Iut 0/ 21 ~ cQtl n~ for which rom""rat* be affected, and are approaching or enter-
figuf'fS "'" ,,"illblo, only tIIrft gowmm<1lts alloclt<: ing the Slage during which furth er falls in
"""" thon Ml' fifth 01 ~, ~~itu .... to ~
!»sic ~rvice). child deaths could be expected to be asso-
ciated with much steeper falls in births. In
Expenditure on primary health care
other word" reductions in ehild death.
and primary ond 5ec:onOOry education,
cs a percentage of totol centrol have now reache d the point wherc signifi-
govemmem expenditure5, 5elected cant di,~dend. in falling binh ""tes arc
developing coomfies, / 988 ]jltely to be paid out for any further reduc-
tions in child d<:lths that can be achieved.
ZIM IlA 8WE
BOTSW ANA
0%
"" " 15
In Africa, where under-five mortalilY ratcs
in mOSI countries n::main in the 150 to 250
SIERRA LEONE 12 band, it is essential 10 hasten this U'ansition
MAURmus 12 in order 10 quickly bring to a close the
TANZAN 1.0\ 8 period during which population growth i,
NI GERIA 8 at its moot rapid.
SlJb-Saharan Africa
~1M elf,," 10 miua dlild illness and maJ~
MOROCCO 22
JORDAN 11 nutri tion and 10 mWr. the goals of 1M World
KUWAIT 11 Summit far Chi/drm", says Mauria: Strong,
Middle East & Nonh Africa Secretary-General of the first World
BANGlADESH 10 Envirrmmmi C<"'f nmu in Stockholm 20
SRtLANItA 8 years ago and of the World Corifnmu On
INDIA 7 Envirrmmenl and lNw/opmml to be held in
South Asia _ _ == Rio de Janeiro in 1992, "is crucial .ICI ~Iy
for in own .ake bul abo w a means of hdping
10 JIow f>01'Ulalion gmwlil and maRe pouihk
mvirrm mmlO1Jy rrmoilflJbk tkvelopmml in
IN. 2hl cmtury and beyond.. "
....... .,
... pmditu.... in countrlf:> with feder.1 S)':Iterm.
"""'\,
n
THE STATE OF THE WORLD'S CHILDREN 1992
Investing in people
~ ncu w fJfIU'iIrt ___ KCClltIy P'lblishcd n::pon of !be ~
artJfUNi 1M Uol/'O"fO'lU of ~ - * : ~ chaimt by fenner Pn:$idcrn
poIM;ia Ihottld 6e ~ by " _ N)~ of T anzania, has condudc'l1, "7M
fPOItdi'V llINUtOUlIS /IlII IN mpomibilily 0/ fWClU/IJ ~ of ~I i" w
~u '" plrnUtl« lNuic irrvulmmu in .so..u. <karl>' .1touJ !hal ~ K"I"Wu. Q
"",. tJi,roroIIJ ~ in Q cJima~ in ",hid! 1M bwi-
....ss J«UII'"", rJrriw. ....
Whether for idra1i5tic or sc:lf-inlcrulcd
reasons, monopoly state control of eco-
nomic life is an ide<! which has been given
o:tm!li~ field nials in the 20th century.
BU I U that I;C'fltury end$, it is an idea
lb~ I'GI~ of COVtnUll.tIll
whole time has gone. In panKular, if
stands d.iscredircd amana die minions of The /"Ok of ~I in dcvclopmml
pc:opIc whose ~ it ~ bul '111Josc is therdore brin& ~'$lw.tr:d. in many
n«ds it failed 10 meet. nationlI " ~ presenl time..
11'£ ~~ ul ttiit f~liR is iCiui'lOO Certain Qp«U oi mal roie :Itt obvious
(lI'IIy O\'tt F.&Stml Europ: and !he
llII;III bur. oucm IXJI 10 be forgotten. M.~
Soviet Ullion bur 1M:!" cvm Iargcr UQS of foroes QlIIII(l( acnaa~ economic JfO"'Ih in
eM de\"tloping "''Oriel. Free nwkd: a poIitialI VlC'UltIII. I>umbk peace, . --
ewnomics, thaugb f~ many .mous IbIc l iability, gu&I1Ulltt:S of Iepl and
problem. of their ewn, havc ~ propcrt)' n,:h1S, a reISOOIbly com~eru
shown lb:nuclv,," ID be: lIlOft' successful in ci>oil ~, !he: cko.'dopmau of infraltruc-
Mini the living standanls of the majority. rare, sou nd policie§ on money sup ply,
It .. therefore a truth now almost uni- taxation, inlcrnl and ~ch.ange rilles - aIr
venally Icknowledgo:d that the energy and thell~ are the 1'Oponlibilil)l of governm ent
enterprise of peoples an: Iibented only and aU I re pan of the framcwor!c with OUI
when people an: free to rmk c their own which Ihe polenti al oonmo ubon of market
decisions and miswkes and 10 reap ~ds roren is di.sip l tcd.
in rell.lion 10 lhcir 1aboofS.
BU! il is I1so im portant W ROle lNl the
The: idf:oloP-al cbums inlO which so kssons of m:enl experience - and psnicll·
much alCf'IY and commi~ has disap- Iatly the IUccnso of H OD« Kong, Japan,
peared ill the po5l-war paiod aR' 1Mref~ M.aIa)'s ia, Sinppon:, South Korea,
TWTOWina to aIJow moA COWIlries to sand Taiwan, and Thailand>" - SUliQI IXJI thai
on !he: oommon pound of. mvUt-£rin>dIy ~enl IboWd recre
from ~ ceo-
approKto 1<1 ~dapiilc"L 1lIis )ur'1 nonUc fJdd in order 10 allow the free pia)'
Woria' ~ Rq#n from dle World of market forcc:s nor ~= thai tome: linck
Bank, for cnmilG manhab fow dcodcs 'riplt NJancc' sbou1d be Khicved bctvo-een
of UI\'IIStmft'l1 L1pCiicilce in support of tim go·..e mmau and numts (" 'h.id! impljc,s
l."OI1dusion (pand 9). Similarly, dle oold - thaI 1M IWtl muM a1wa)'S be in opposition).
oping world"s own l'C\iew of progrns, the 'The chief lesson il rather !hal progrtll is
m01t rapid when governments .nd markclS
Fig. 8 Arms, debt and people woO: in intclligcnt partnermip with each
About ~o Jltf(e<l1 0/ ')OV'tmmtnl 'Pffiding in tho
~opi"9 WOIId .. _ 0<1 10 the milila!)' and the oth er."
Ol'rYi<ing 01 dKIt. In IOmII! ~ion" lIli' i' lWIce a, In the rethinking provoked by events in
mud' .. ~ u JPf"d on M alth and
fduc:alion combinfd. Eastern Europe and the Soviet Union, an
equally dear if Its' widely proclaimed cce-
Percentage of centrol government sensus is also emerging aboul what market
e}(pendi ture~(CGE) allocated to the forces cannot do, and therefore about what
military, debt urvicing, heallhand governments must do.
education, and aid received a~
percentage of CGE, by region. 1988 It is the responsibility of the State to:
---,;;;;:r o ConstrUct social safety nets to protect
the most vulnerable members of society and
set a minimu m level of well-being which
will be maintained even during economic
downturns.
o Ensure basic investmen ts in people and
especially in bask education and health
care.
OTH(R-
o Prcmcre fuU emplo}mem so that the
great ma;or;ty of citizens are able to meet.
their own and their families neros by their
own drom and thcir own earnings.
o Counterbalance the long-teno tcndency
OU T of market forces to confer marc oppo rtunity
on the already advantaged, thereby setting
, up a momentum rewards increasing
MILITARY ineq uality.
AI D REC£IVED o Intervene in those instances where the
Ieee play of market forces is dcmonmably
COun lCT 10 the public imerest. From
UNICEF's particular perspective, for exam-
ple, it is 110\ in the public interest 10 allow
millions of ehildren to become malnour_
_ _----,-r___,...""--
• loo\ld<$ I"",
__
:.....;....~
'..,...... : . . - ' .
,.i.;::,.-....
'
._,,,..
" .., 0lW,
~_"
ished because the free play of market forces
has persuaded millions of mothers to aban-
don breastfcedin g in favour of commercial
infant formulas (p anel 12) , Nor is it in the
public interesl for peer fam ilies the world
THE STATE OFTHE WORLD'S CHILDREN1992
War on children:
the 20th century's shame
PooIec\IrlIl the ~ IlWds IWld bodios of ~ lraIn18incMI ondimemarJonol wn.
\'<UI9 ctill;tlwl 8hoUd have rnt cal CI'1 eoc:ielIes'
Thesemany miIions ofchidren, physicalyana
""'"","0' in good Iine9 a"ld In bed. in boom 0<
rlKi Sl "JO " in peece 0( wer, Erl\renct;ng thai pm.. mentatv scarred by lIloI oonflIcts of !tBr _ 5 ,
~d '&$I cal' is lh&c:haIenge ci1ll8 199011. And
ere part 01 the generation on ....nk:h the fuwr"
rrusI be bul'1.
~O ~ ~ rroa OOsparBl&)r.-:led ltWlln ee
WOI!d's war ~ Themr. ,.... row"""", fa IIWCl11dw1<le ~
to cry OO! llQlW\sIlN. war CI'1 ctIIdren • aogalnst
... the Iasl dec:ade. more !harl ooa llr<l • Noll
rriIb"lcttilln hawboon kiIod InW3fS. .. Mete tn(lrl lho!le who """ the W<>apOM and those who
""PPIt tlMlm. H_ . must be fooqtt, tIIIwl, IIllhe
4 miIIon have boon ~ ""'Hod . li"rtls
~tad. brains <DrorJed,Il\'llIIV11 rd tumg
·"i'
j eest, ;;'h.::.:ro,_,;;.~.wkJ to; j)iViOC'.w nom".otii
10'11 - lMJugh borrtliIg. Iarld·.nr-. !rearms.
IOOtSt .fleets.
tort m ".,."., cI*ho "'" in I'IIIug8e ~ 1her& n """'" sil1IS 01 hope. Armed oorAct
beca of WlIr; a !l.nIlo< 12 rr6:ln I1lMI billhl!llr seems to be 'm io og with lh!IlIfl(i-,g rJ ItlIl ookl
~ WfJI. ThIl W<rt1 S<.mml: for O!tim opec;ticaIy
In 1991, lIlis lIIIa#lI8' 01.,.. io iOCllt olS <XlI'>- r.3lled fa ltla ~o!B$SlI1liaIMIldil'_
;., am. r:JWfJI end;" _ ~ •. kid
In- in the more !han 40 wars SIiIllIWlg bJghl. lt1e . - Cot»mriot> 0tI J1>IJ Rights of rhe ctrId,
ThIs 'waI on d*lr",,' ill a 20Ih """""y lrMImion. WhoCfl ~ dao:rerds 081/ 1'IlasibIII_
Oriy 5 % 01 the <::as<8\I9s in the FI"SI WQI\d Wet to ......... pra/IlC:tiJtl end ewe at c'lottm wile In!
W(!«I d\oiIilns. By the S8con;l Wor1d War, the prQ- fI!/oc:ted by I'mIt:ld <n'Ilfct', Ili'IlIV'I beI:r1l'l1lift8d
p:>"Iion had rigetl to 5O'lIo. Md. lIS lhe centu'y ~ by ~ 100 r'Iations.
the cMiIn lIl'o!n is IIOtITIEIIy about 00'll0 • IT(lSI 01
Sc:ml na':icns ~ beg<I1 ~ lh!I .....\Oi(;le
Ihem.....:wnen III1d~
Into p:actk:e. In B Sdwdor, eM WfJI has tleen
Thu Indirect etrects In aIfoost as CliMISIali'>lI. !UIIPE" ided 0lI ltne sapeo ale days 8'o'EII'Y ~ b'
Schools at>d cirics are dD!;ed or 00slr0yed. Food InIIBs1 seven ~ so tha1 cI'ilchn can be i'n-
IIUP$llY " - are brol<en. Walll< lind sanrtalion mtrized. "l.ebarIc::o'l,'days rJ ~ ""-d
$)'.18= bn.lal< dawn. MAon$ fl8e' to r~ chldrQr11C be wccio "led 8'«1 81 ttle ~ cl1tl8
CWfl.'II. Nwj 1WilIy$. hi r-.w ~ is !)l)ToI _ I n Sudan, bcIh sides~ tq-' to
by <:M::tren • d*:hn .-.ho miss lhI!IIr onlI d>lnoe 10 'culkh. rJ .-co', Itrn.!;JI'l WhoCfl-.ilaI "'-P"
grow normiII\I n mnct 80Id boct)', to be educated pliloa o;:cUd mach rriIons cf cMiaroa.1'I'IOStIy wcrroen
lnd to a<:QlOre!he _ to hi a pIooB In !lOCI6ly. ;oj c!*lftln, IRlpped In lI18 WfJI zilIl&. SimiBr
lIgi OOIlllii ilS ha.e ance blllIn IlllQCIi3Ied In AngcIa
The PSYd >c:logic8I WOI.o'lds _less Vi:Iille. 10 COle
s!lKti 0150 di'... e1 ctti'en n M:lm'Ttique, 42
hadlosl a fathero< rrott>a< b')I\OioIeno!I. 11 had seen
..00 ElhIcpla. .. hoQ. _ tiel rnedcaI II.q:lieB
_ ~ __ lIIt!"01 hoiV>lol!heGUlcor6cl.
01heard a paretlI beO'lg l<iIBd. 29 had I<iftr lised. ~ ad> ~ _to oee::mu !he I\lIliI ralIw
rruoer, 16 had boon kidlllIIlPEId, III hall boon u.. lt1e ~ WOIldwdI,! P'i*: ilIlinKln will
tmlalened Of be9t"" or staN8d. The~_ need lO haoden llQlli'\SIlt1e _ en d*hn';oj
SlIid tQ be .reprooenl8\Ml.... In \OIaI, on estmated imisllhat lhiI ......... IQ Olllin on J1>IJ 20lh CIInll.o:y
10 fl'Ii6Ion d1IldOWl In \Ile world r - sutrered s/"IctJd roJl be aIcwed lO seep <Mill Wo the 21.1-
"
over 10 be persuaded to spcnd 5500 million development experience which concluded :
a year on useless anti-diarrhocal drugs "salirfyitlfJ bark needs .""uM /raw priority
",tK:n oral rehydration therapy, the medically holh 011 grounds of C'1Uily and 10 =rai" ta>o-
OOlTCet treatment, is so low in cost that it is IIO>IIic grMJIth III <l rapid fXJCt. "'"
of little commercial interest.
In recent years, research has demonstrated
o Defend those elements of a humane the power of that investment in many dif-
and sustainable society to which the Is"" of ferem ways. World Bartl< studies bave
the market place attach little or no value. shown thai raising the average educational
This responsibility includes the protection level of the labour force by one year can
of the environment, the protection of the raise GDP by lI5 much as 9%." Other stud-
future, and the defence of mose who do nor ies have demonstrated thai four year! of
have sufficient influence or purchasing education, as opposed to none, can increase
power to translate human need into eco- agriculrur:al productivity by 10%.'" Research
nomic or political demand. OVer the year! in Australia, Bra;r,il,
Colombia, F.thiopia, Guatemala, India,
Indonesia, Kenya, and SielTll Leone have
shown that improved nutrition can increase
Invalio!: in people work productivity by IIp to 20%. Better
adult and child health has been shown 10
The other hll1f of the development con-
save millions of lost workdays. COlTCCting
sensus which has grown more solid as
child malnutri tion and iron deficiency
ideological divisions have narrowed is that it ana~a have been shown to reduct: absen-
is a responsib~ity of governments to ensure teeism, increase anention spans, and
that vinually aU members of SOl:iety have improve school results) '
adequate nutrition, primary health can,
clean water, safe sanitation, family planning But for the present purpose, such stud ~
services, and at least a primary education. ies are like striking matches in daylight. The
These basic investtnentS in people arc evidence that investing in people lays the
essential not only for humanitarian reasorn foundations for e.:onomie growth looms
and for the creation of civilized societies large before us in the shape of mose coun-
but also as the foundations for sustained tries which have succeeded in achieving
economic growth. A!< the outgoing rapid and sustained progress in the post-
President of the World Bank has said, in a ....·ar world. Liberating people's potential via
ICIICT 10 the Secretary-General of the: land reforms and univcn;al health and edu-
United Nations following the: World Summif cation services has been fundamental to
fi1r ChiMrm, "/mJeSlmenr i" hu"..." Cllpila/, that success in coun tries and regions sucb
iM/udi", importamly baJir: IwJIth Clln and lIS Japan, South Korea, and Taiwan
primary ~du<alw" for (hildren, is o"e of lhe (panel I I) . All of these have shown that
moIl tfft<:Jiu means of slimulming Iong-IeTm basic education and health for all are not
wmomic growth and imp_;"1 ,eneroJ wtl- jusl socia1 expenditures but e.:onomic
fa" ." The same conclusion was reached by investments, nOI just indulgences which can
the Sol/Ih Commirri<m', review of recent only be afforded after countries have
"
•
. , ~JOI#WU"S~ 0661 8\ilI8PGldOP8 ~ XlI.-.. lKll PlOQIl ·Oc!J"OOlI....,q
ijeoO (XX£ lOOoI EI<iI 10 I'J -... ot IlW!ll lUIlW to 0CIUll\I0<i.ui lIljI llll lP'!' l1"<lQI! 'l.O!l
SJEluew
-<.U9NJ6 &l8lS eo.u. ''lUIWJW ~ . 'q," 'ffl ',II.Q() -WlJOJU! ~ :>oGIlq 4l\M ~ fl ~
IIIB "WI.......... :>IG8Q , . - IfDlI!M ~ .......
UIl.lJroI:IIllIO JIlIlI S1I hau SIlllUll' . ~ WOJj "1S&\ee.tl .... P9QIJ -.... 01 pe)S/ilel
"'I II! .....:l ~ M!urJ,;! '<tlN OOJ ........ "'lJIl9Il ~ p.l8p&~eq PrOOsse..6:I>d \lll4l OS
PI'Cl.~ IOU Cl--oJO l.UJIllI.I'l "4IJOIlIj(1
II8llueip ~ OJ d1l8S &eM WEllSAs 8 '!X8N
'ut.!.eJ309/l !luollJ "4110 ~ PtA! ' llJ>I>Oo'o' ~ • U99S ......
~lluH.oJ691l1 OI~UClll'lQIOJdIltll~ P8Il pGJl <lI.i" '-"'WP "4l .. jO 1lIlIl-o "1I'I'lS!"OU
POOlSO! lO.l pull ~ 10 llJ'\ICl Clt;l 3>fUl 01 '!Nl8JfWI ~ III jO %Sl l!llll pue 'Il!lfiUIIIlUd
~ISOW"" ~"'llpGNqll toUlaIij PUll _ I ;;!p I'!'iIO'l ""'ll GIll... l/lU8P to 1lQSI1W
'.~ q IIiO IS-'J. jO aP.:Jo .)d IItII ~ l>l<.l UIllW EI<iIl9.lI '!II/lJIQ 000" .Iild III ~ SlIM
is
IfldSl!\lRJeeO 'l~PUlI' 'C,&;; :6 ' ~o.,(lno.ou, ~ lUI3lUIl8.II ~ •• ~ -."...00
'6 'f\! ~ UOO$ _ au.we6:>o:l8lll1J SIf'SW lllU jO ellllS , EI<iI jO ~ . <*1 M3Jp~ '$JI..,.
-\ll.'OU "'lI '" _ .~ -
8U!U "'lI 0 \ llUl!l4"" lItll JlUI'I"" 01 IlJ9>Il')'l' 4lIl'l'4 • uo J9l/Ill6Ol """" Oll1WOO po.j lIOUlIp "'II '''''ON
'l'JIIII OOO'S' ~ 01 lMIId HoOJ 1''''' ''~ "SPO!oJd """" uo £IOlN'l 'II!'" PI'>I"l"" ~
-
~iltli ~OOl VlOQIl.lElljllliJ!llOOllpe8 -
006'~ OJ ~ll:OJil'''' a1lJ9C1,1.ft.1 ~ 'peo '!" Q9'
P8'l CJ.f" ep:>ed fUlo'9$ ~ ~ '8WIJ /8IIOll 11
"""'l>d "I Iltln<>IClElql""," Ollllll 9El6IIl•..-:l
Q.l9MllI "" ,'OOlSOlUOIlIlJOOOl'l ·~au.l£lW "l$OO 1lf'lIIP"l/O"'11l ~ PNl ~ Il1
"1l>iIlI-"M W*l ~ '" pIIl'!'lJl uq Pf:'O'o' J1l!X1l """" lUQ1) "'lI " ~,.., .. - ~ ... '1\1'" '00
.,.,.... UOIUIOM JOOd OJ .$QO! ku98.oeo.uo, 000'9-e ~ I.O'!€) ">jS1ll1l<ll <>l pe~' ~ pw
1" "' ''' $\01) 8ll\ ''lU.I.IJ8.tIoJd ~ bJ9l'i
~ BIll SJIlPI!8I SlI "UO.JI*+I jO ..... lI4l """
..... IIlUUOIJ 8IllJO PI18lSU1 ~ III pw.oll ~"'I~IIil'JIm1lElU()1l4l1li>841lOOP~
_ ')f:leq'1OO e ~ 'LIl6\ 10 ~ 8IiJ.
1'18 "lIU!l.\wolOO "'lI MIJl9Q ao.a 9Id<>Od Sl! jO ~
. _ EI<iI JO -... IOO.IOOd ll4I "! "I'lOOd ""'l ~ "~ I8!01ldS OIl WIl1lAl9O
10 ~ 10 ~ OJ lnO llu\pooJ pue "~8q w::l119 oOOdlllOOl llllM "'lI
~ JO ~ 1luJly\oJd '~ __
tJllllS 1lIIlO5l1lf1l'1tl PNl1l<ll \l!4l 1ll-(lM"'lI \lMOI.l$
I,f:lnI:l :lIOtII8O 8\il1O ~ " '1\." "'0" "'11 'holoos
~ 1lllIl F'9JEI jO liOlOO 1S81l"'llXlU1l4l "" OI8l$
....""!"':! U8'J "41 ~ puB '(~ ~ P'" jii;;;;';'-'"!Wi
om -Piiiii iiW I.q •••~-....... PHi
lM:I pa.-Id8 """ll..... I I 6 !J""lIIS'*''Q) N/I.nu
po::I!'1l8l pw ''!l.Ot <>l ~ kI SJ1l'il ~
-cee SSG'Jl$IIQ 8lll OJ 'eplW llSllW EI<iI Cl '1UOfl p1l19CI(lQ 'jIlIIl kI sa; I; I I' 1Il9O" ''''J'' WCIJI ~
~ ~ ll4l OJ ',pnp iI\ll 01 PNlIll:l 'PJP.lI0UCl k10lllJ 'IlBllP \UIlIJI Sl! pocq:olJ
Ill'I'ddv OJ peppiP eqa Ollll ~ "" "'6'<lIl Glll lSllti1 S8\l D.ISe:) '600 ~ <>l 9B6 ~ WCIJI s:.-I ~ 1l<II "I
~ UO!IU' 9 ot.lplJllEl(iaJ I'lO 'lOOO' ell "'"*"
IItll ....... IOU PJI ~'* 'llI88Il 8IIl 'PIJOM EI<iI "1IeN..CN JCIl1J1!Wl1S'O ~ JCI ~
jO Sl.ed 19l1lO hJ8w U! 6lI \118 '.Il!JOllCl
~ ce '1.tJlI:llllSCO J() ~ B ~ so "'lIldod BJCUJ S! ~
oeM '9Sll9!lP 16'84pull ~ OJ ~ If>;)QIl pue "0Id00d ....... 9 lll!'J1 11'8 ".<Jilr<Xl a lOU '! ~
auop aq Ue:ll! I)U!M04S
:eJeao
Z661 N3~a'IIH O S,CITliOM. aH.L.!IO :iI.LV.LS :ilH.L
become prcepercue but the foundations COSt services for the few, and IC$S than half is
without ,,'hich widcspre~d prosperity will lI1Iocalcd to low-cost services for the rrumy
not be achieved. (fig. 7). In other ,,'OIds, only about 12% of
all government spending in the del'eloping
In other "vrd~, the I~ns of the lasl 40
world is devoted to imocsting in the: health
years suggest that development proceeds
and education of the 000'1" majoritv.
mO$t steadily when it walks on the IWO legs
of a m.an:.:t~friendly eeonomie policy and a
governmen t commitment to ensuring
investment in people. And as the eensensus Fig. 9 It can be done
on market-friendly economic policies villibly ~ World Summl! for Childrm loti. ~m bi liow
gathcn momentum, it is even more essen- goal ' for Ihe l'H' 2000. But Ihe Br.lilO.on . tote of
Cea,. {popu l.ltlon ~x miUion) h. l achiPled IOIlll! of
tial thal the other leg of the developmem Ihe mon bam 9011. In only three l'H" (ift panel 7).
consensus is also exercised.
Ch<Jnge~ in rekcled motemal and child
Unfortunotcly, 'investing in people ' has health indicotOfS, Ceara, 1986-1989
been the battle hymn of the international
development efron for futeen years with out
battle ever really being /Oined.
Indiutor ,...
Od/"" lun/Aug
""
~ cha roge
_ _-
govcrnrnerua might be adequate if allocated
according to need. But of the sums which are Unln. othctwi>e .\.Jted.1lgute< .ppIy to
child,,," "9fd 0.3 6 month.
allocated directly to health and education,
more than half ;s allocated to relative!}' high ..-.,- ..... ".,
- ~ ,- - - - - _ ..... .....
THE STATE OFTHE WORLD'S CHILDREN 1992
--
_ 01
_ _ _ _ l.f,()F' • • e .. ll""a"'" 11indIa
............" .... """"'tlI I ,tJ,r ... ot SoDI_~lItow... rrm,~_tl
• SIIIl<VI' ~ t:I _ ' '1 ""-'
c»4IOP-
ollIlIClnIl
!/Ie (J<dc. ....,....... .-0
incorI'e ljlOr9 Qo ;UlIie
d
dIn
..... ' - ' ......... oN: paIi:m 1'lilII- QlI"I
5co'-. ceonrlIa _ ~ K1 ' -.1 - . "O'e
Wllhrn.ch .... Cllt.-t............1hIl _ _
PO' *WM'* IbcU 2S"I llUt*: _lCiIlA ' - 10 ba CUI. liiOi"'1I09
o 11»-*1'" ... · ' t8lIO · ~ ol lU'k po"" ...
......... ( 8 ) ' ' *""
•
It ill estimated, for example, that 80% of Ednation
the 812 billion allocatc<! each year to water
Such distortions of public spending in
sup ply system s is spent on putting private favour of the better-off lll'C; aI!Io evident in
tap. in the homes of the relatively well-off, national education systems.
at a cost of approximately 5600 per perso n
served, and tnat only 20% goes to the pub- Depite decades of research findings
"'hich regularly dcmonsUlIte that invest-
lic ",c U. an d s\lInd-pipes which can bring
ment in priIMry education yields
clean ",ater to the poe r majority at a COSI
signifiClllltly higher rerurns in both social
of 530 to 550 per person served. '" progres s end economic growth ," govern -
Reallocating even a proportion of total ment . pending in almOSt all de.-c:loping
cxpen di1\ll'CS in favour of the poo r could counuies is heavily biased towards higher
therefore liberate en ough resources to education for the few rather than basic cdu-
achievc thc goal of safe water suppl\' for cation for the many.
almOSt every community in almost every
lltis i. not the path that has been fol-
country by the year 2000. lowed by those countries " 'hich have
achieved the mutually reinforcing goals of
A similar argument, with similar statis- universal education and sustained economic
tics, could be built around the themc of growth. In both Japan and South Korea, for
exam pic, universal primary edUl"lltion pre-
health caJ'C'. For man y times m<)rC money 10
ceded economic takc-o ff. And in both, this
be Spc1lt on cu rati"" than On preventivc
basic invcsnncnt in people was made at a
health is the norm; for 75% of public stage when their per capila incomes, in real
spending on health to serve only the richest tenos, wen: lower than in most developing
25% of the population is 001 unl)'Pical;Jl for countries today . Japan moved rapidly
mOn.' to be spent on sophisticated opera- toward. universal prim ary education at the
tions than on the 10w-cDSt control of mas. end of the last century. South Korea
disease is nOt uncommon;" for J()'% of ensured that almost all its children were in
health budgets 10 be spent 00 sending a primaty school at a sta~ when its per capita
privileged few for eeaeneru abroa d is not GN P was little more than SlOOper yClU"
unknown .... (panel II ) . Em phasis on serondar}' an d
higher educ ation came later and was not
made at the expense of primary education
The necessary rcstru<;turing of . ueh for the great majority. N or did it run ''CrY
expenditures may be difficult but it is n01 far ahead of the cwnomy'. capaeity to
impossiblc. On becomi ng independent, for absorb inelnsing num be rs of more highly
example, Bangladesh found itself with a educated people.
health system which devoled only 10% of Man y othe r counuics have taken the
its expenditure to rural health clinics serv- opposite course, fuumcing higher education
log the great majority of its popul ation. disproportionately with the result that up to
Today, that figure has been raised to 60%." half of all children fail to complete four
THE STATE OFTHE WORLD'S CHILDREN 1992
rcan in primary school while secondary lion of primary school by at lcast 8 0%)
and tertiary education absorbli an exagger- before the year 2000 ,
ated shan: of me budget in order to
produce many more graduates than the (fthat goal is to be mel, then an extraor_
economy can u""fuUy absorb. In India, dinary effon is called for in the early 1990&.
where bctw~n 60 and 70 children could be In particular, 10""-COSI waY' and means will
given primary education for the 0011 of have 10 be found of retaining or munting
training one unh"eniry student.'. approxi . erose who now drop OUI of school in the
mately half of the nation's children fail to r,"t year or two of fonnal education.
fmish primary school while the country as a Considerable PT'0KTC5S has been made in
whole produces more graduates than it can enrolling cllildren in school; the more diffi -
productively employ. Inevitably, one of the cult problem i. that up to half of those who
,(fem is a brain drain of uncmplo}'Cd but do enrol leave before be<:oming litel'llte (fig.
highly qualified peopk to the industrialized 10 and panel 10). Those children arc CSScn-
nations. In this way, a significant ~ of tiaUy being locked 0Il1 of the 21st century.
government spending on education is used Pioneering efforts in Bangladesh,"
10 su bsid.i2c the rich nations rather man to
Colombia, Z~mba!n':e, am! in many ether
achieve basic edace rion for all which , as aU countries in recent years, have shown lhat
experience suggests , is one of the corne r- access 10 a basic education for all children,
ston es of development. and com pletion of primary scnoot for the
For reasons of both justice and efficiency, g=lt majority, can be achieved at an
Ute overall effeel of educational expendi- affor dable COSt. Using such new methods,
rurc should be: (0 ",distribute incomes and the extra financial cos t of reaching these
equalize opportUnities. In most developing goals can be estimated at approximately
COUntries tOOllY, its effect is a1m0!11 me S5 billion a year throughOUt the 1990s. The
opposite. Most government s~nding nn costs of not achieving that goal "in be far
higher education is s~nding on the higher. World Bani: research over the Last
already advantaged; in Chile, the 10 )'ears has demonstrated many times thaI
Dominican Republic, and Uruguay, for "/Ill produaifniy of an uJuwud wor* f= is
example, mOre than 50% of all govern- Ihl moll rtlioble. mgine of IrWno",ic grotJ!/h.""
ment spending o n higher education is But the investment in education yields its
devoted to the children of families who dividends in many o thcr fonns. It confers
belong 10 the richcsi 20% of the po pula - the ability 10 continue learning, from a wide
tion. tn India, 50% of all government faIlge of SOUTCn, throughout adult life. It
spending on education is used 10 subsidize modernizes attitudCS'" and builds confi-
the best-educated 10%." dence in change. II stimulate. broader
panieipation in political life. It assists the
Within these inequities lies the potential process of allowing what is good in the I\C\\'
for a degree of R$tl'UCTIlring of educational to replace what is bad in the old. It brings
expenditures which could help 10 finance an al'.'3TCness of new ideas and new choices.
progress tow2t"d5 the goal of access 10 basic It raises the average age of marriage, makes
education for all children (and the comple- family planning more likely, and reduces
"
birth Tates. As Japan's Prime Minister,
Fig. 10 Disappearing pupils Toshiki Kaifu, told me aS$emblffi heads of
Over 90 Pft'(ftIt '" child ..." now uart IC~ in \he Slate at me World Summil to!" Childrm : "II
o.. .I ~.pi"g ""'IIid. BlIt m ~lionl do 001even ruch lhe
fourth gr_. """'t ~'" 10<1 in \he f"'lt ~' Of two. is "" aagpratimr To lily IMT TM policy 0/
prc"'()IUrg ~.dUl;lJ/W" ro'urilllled lhe vtry foun-
SlIrvivcll rates in primary school, by region, <lalion of Japan's rkwlopmmL 1" devtloping
1986· 1989 countries rM Jim priorliy should be ro inj/ilult
and i",prow btuk tdual /ion and raiu rJu liT-
Percentage of those starting primary school no<:y mit am""g d1ildrm .10 m To maNe IMm
who ruch grades 2 , 3 . and 4 1!J To liw wilh dignily. Norio",,' ~m """
10k. p/aa only whtn all pecpk hav< rk
Q/'POl'IU"i/y To rtaiw tducallon."
Lower eo"
In addition to c<.:onomic growth in the
de':eloping world or increased aid from the
indus~cd nations, both of which are to
AAAB STATU be hoped for in !he IWOs, the "'sourccs for
Rea<:hing gr_' 2 .. 99'lII l .. 95'111 4 .93'111 investing in people might come from three
other sources. Thc first is IIOme dcgrco: of
restructuring of government spending in
thc developing world 10 shift rerourttS in
favour of !OW--<:t)ST services for the many
rather than high--<:t)St services for the Iew.
In many coun tries, for example, even a rel-
atively modest shift in this direction would
Ix: enough to invest in a basic education for
aU. The second possible lIOurCC is 3 similar
restructuring of existing aid programmes in
• order to devote 3 larger proportion to the
EA5TERN ASIA IJISk of investing in people's health and edu-
llo!oching g''<lt> 2 .. B7"III l .. 83'111 4 .. 78'l!>
cation. ThaT notion is the subject of the
next chapter of this report The third possi-
bility would be to tal<c full advanTage of the
fact that the greater knowledge, technology,
and communications capacity now available
SOtlTliU N ASIA holds Out the elcar possibility or investing in
llo!aching graoe. 2 .. 69'l11 3 .. 65'10 4 .. 59"l6 the health, nutrition, and education of the
rising generation at a much lower cost than
THE STATE OF THE WORLD'S CHILDREN 1992
Reducing poverty:
World Development Report
Tho 19l'lO~~rR!ll?orl~~ i'1wrlerenoe' and ooo:;aOOn as a Il"IElllSUfe 0(
1eI<t"..'.. .., its pag9S. !he Watd Bar>k damon· 'ifMlstmenl i1 1l"CJllle'. the B<ri: ~ lhaI
Sll<IIild that 1I1tI wortlI ~ rJ 1X7u'llrtY. mass COI.llII'es 1hiIl dd bid,' on bolh criI9:ia lJaI', on
......-..nribon.lIIera:;y.• hMth - c:o.Jd be 0Y\lfC0ITIIlI """ll'ag!l. boI :11% 8 i9<Jr. The co..o:1lries ...ti::Il dd
by <tired
wtic:I1 ~
l O""" ".Ihio were IIIso
g odlon and IM1lhe <::cUl1:I'ies
~ to 8d'49Y8
wei OIlortt one CIlteoonorly (regIrdess or vohich
onaj er- by 3.8% It l"*_80.( lho8e CO\.I'lIIies .....
t"iCt* rates d ecoooo,oic grOWl!>. '""-'l1l 10 anticipate Ihe Benk's 8lMce and
perform _1lQIlfYlI bolh oriIIri:t. had e m.dl mor<I
It! IhII decade 9iloa l/'e'I. ee emuaI World 1",1l'96$Va growth rate of 5.5% 8 i9l<. .., other
Dev8l:lpml'rI! ~ has dweIed n'Oe 011 IhIl
wiKiii, i/o; w10< iiOO;; up iU ca.......w;.,. moot
P'Sat1 ...... Q 1L poIiaos Yotic!> 1hIl BonklXIfl5lllooo 1IW1lhe IUn d irs pert,.
8 ~ Of 8 hi< d .. iOe to gowth.
Yellhs aar.. ill r'lOI 8'V<In-11llnjod Inlis !ICIUli1)o
h its 1991 f9IlClII. lhe Benk relums to lhe!hemll
d <:lied JXl"fl'1Y ~ argui'Ig fQr 00 """Ion
e eese two 83Pf!Cl' 01 de\ ' • • , IIlO ~ fll)icy. Its
~ (;(l<"(i'ues 10Dethai m2fflIIsC8IldOiI1Je
and _ """""'" and ~ amtion pm-
'M'CIIl\IlI'ld thai alllCQlOI l lc: growthill M ; li
g:;nvnes. "1tMIsIi'lg ;, peotJIe' , says !tI& repM,
"rtW<EtS _ r(JI;.JIll i1 ~ tmns tJut i'l1J8n1- IOttoegood ~ ltoa!<rod oIlJowth votlic::fl!he
World Bori. has assisted In the A-nemn feQiorl and
_&<1 economic r"""s· . Tho wo l·known IOHch has beneIiIad rlililhet lhs poor ~ Of ltie
Q:<amplllol ol..laP;wl and IhIl~ of Kt:woo"8 ........0lWl'lent) . Govemmao1 1n1...-.,11oo In lhu
died. And as i'I 1980. _It>e Benk sho:1lMld I!"Oll
IlCOIlOITlf, on 100 othllr hero, is 8lw<r)<ll 1"fl\lll"ded as
fmners with - . ku ~ 01 pMwy ooOl!lo:wl gUtty \.ltd pro.eo i'nlcenl.
....... sY......1lly ""'"' prodlx:tlve. Ihe 1991 report
(J>OIes SIIdas /rom h:Ia end lhe Plilllp p nes 10 lNs ill ar odds ..;m lhs ~ which lhs
show !hal bet teN 1OI..rished c:ttilIn I1l7'"UP10 be 6aIiI row a::NocBIes. lI'ld Ihe 0Cf"IlIIldic1b1 ecce-
not jo.ISI hea'tt"ieI bvI tigtw..mg iIl1ils. sionett:!Ufacas. As. rtfffl SIUdy" pcinlsOUl, IO'd
8lllha Barl< iIWl acIo 'OdE "'ges, l!le state has had
The 1991 _ 0 . . ' , ........, Rt!po#lllwetore
CI'lI'llIbJles 10the <XlIlftuIlnl:e rJ QPi"io:l !haIllC(Jl- a tI8El'uy hand in the rn:>sI ,. o::>:llmfU 1lCOl1Ol 11ies 01
thelast 40~.InHor'og"~,Japen , lhaRilpublic
omic growth and tu:natl -b<iIl9 lII'lol.ld be
lU$UIId ~ and !hal lhe two 10'(1
oIKoma. ~lI'ld Ta!wmgoyerrtnrllllSh!t'<9
rnrtuaIV ,.. ,lucir 'll. But ~ sticks cIoseIy tolt"otview hllo , ::: : I prtvale enterprlsetoen <MtaI diMiiOP-
thai gowo"j"~'s pIooo is in the -.a d oociBl rnt>"11 SIffiIeQf, They hlwe. !of e><arrPe. enacled
f\lndamenld lind I'llIOtrns. protecllld doo ,IIlOSlic pIl)-
....
...._ ' . '1 ra!l>e" lhIln eoolla,,1ic "'."""Q811elll l1aIrs. PfOO"(lIed E: 'Ecled iro:UI;';nes.. and ascrm-
•Ma><lrOOm lrMJstmert ., poopIe and lT1<lirTun
nat<Kl agejns! IIfOIl8flY and IirIInciaI hoIdngi'I In
,>1$ .eo otio<, i'I rna:rI<6ts' is lhe rob of lhe ElarV<', lavout <:J fldustnalllSllEts. Bo.1 as ee B¥Jk righIty
~
",*,15 DUl. lI'IBir gtMlil" . '1S ~ ., goeneraI,
To diiiiOOO.,bate!he S"""gi$ii ~ IIw!s<I
!WO dicta, !he f9IlClII ~ \he growth reo::td
ot inci>icblI O&.al:\liog o:JulIries VIilIl lhBif
cooIo'mily 10 this EIIM:e CMIf !hi Iasl 20 yen.
T--.g price listortioos as .
~ of 'mar\<8l
_......
lM:lidod iha two crucliII ~ the'( hawI no!
aIQwed ~ ~orticns >J pricvs lI'ld 6lCCl"IIlO go
rates; lIld the'( hawI rOCIl aIowed ~
poIIcias 10 De captUred lI'ld arrSt·jacketed tr,o
"
hu previousl y been thought possible (sec , 10W<o$1 o pponunities and represera a
for example panels 5 lUld 16). Put in practical programme, ,,~th a significant
anoth er way, the gap between the experi- political ccmmienern behind it. for 'invcat-
ence and technology now available and its ing in peo ple' over the neX! deca de. Tholt
large-scaie application is an opportunity to programme, adapled to rultiOnai needs llI1d
wring considera ble social and economic su pponed by the inlem.atiOn.al CQmmunlty,
rctum$ from relatively small investme nts. should become the essential complement to
the economic refurms that an: now begin-
The year 2000 goals ado pted at the ning in many countries of the de"e1oping
World Summit f(11" Children reflect these world.
"
THE STATE OF THE WORLD'S CHILDREN 1992
industrialize d nations to review present aid nations. All the evidence, most rttently
budgets in the light of the goals adopted. from a major survey of public op inion in
Na tional programm es of action, which meet Au. tralia," suggests that many "'ouId
indus trialized countries are preparing as a l1'\lIreh in the cause of abolishing mass mal-
follow-up to the Summir, will not be avail. nutrition, preventable ill-health, and
able u ntil after this report is pu blished, bu t widespread illiteracy among the world's
""vera! donor countries are known to be childml.
seeking to increase their ll1Iocations to pro.
grammes which will help to achieve me: It is especially important, at this time,
year 2000 goal.. In the United States, that this concern is expressed and thaI the
Congm,;s has made funding appropriations non-governmental organizatiotu and the
in fillCal 1992 totalling some S500 million concerned public in the indu.miafu:ed
for international follow-up on the commit - nations should also mobilin behind the
ments made II the World Summit for commitments mad e and the goals ag.=d at
Childrm and much largn- appropriations the Summit for Chi/drm, And one of the
for domestic programmes. In AusOlllia, aid most important wa\"s in which that public
allocations are being examined with a 'iew ca n contribute towards the achievement of
to shifting the balance in favour of pro- those goeis is through inL",asing the pres-
grammes which support the Summit goals. sure for aid to be used for invC'Sting in
ch~drcn.
In Norway, a white pape r will be: submitted
In parliamau On this subiea blc ;n \991. 'ille particular importance: of this poten -
In Germany, an a11-pany agreement in the tial contribution from the industrialized
Brmdl!Slng has commined the Development world lies in the fact that man\" of the pro-
Ministry to the policy that povcny aUC\ia. posals diSC11Med in this report, and many of
lion, with the participation of the poor the goals adop ted at the W",./d Summi' fqr
wm..,h~, will be: the central purpose of Childrrn, have a fundamental political
the aid programme. Switzerland, Canada, weakness. In many cases, they are asking
and the Nethe rlands ha"e all mken initiali,'es governments to give priority to 10ng-I~'T111
t""=tIs debt_n,:licf for the speci fic purpose needs or 10 the poorest and mt influential
of programmes to bcnefit children and """ tors of society . It i. Oftl'11 difficult for
accelerate progress towards the S ummit governments, confronted by short-term
goals. pressures and po"'erful vested interests, to
adopt changes whose political Or eeonomic
benefits are often nOt visible above the dec-
lora! horizon. Making intern ational aid
Pwpole or aid available specifically to finance such
changes is one of the very few ways of
Aid which is allocated to meeting the helping to compensate for this inherent
basic needs of the poo r, and particu larly to weakness. With sufficient public commit-
the nutritioo, health, and education of the ment in the indu.triafu:e d nations, aid could
childre n, would receive growing su pport culm the specific role of boosting the politi-
from th e public in the industrialized cal a11ractivCl1""S of programmes whose
•
principal beneficiaries would be the people
Fig. 11 Where aid goes and the causes with the least political rever-
Only aboul 15 ~f!11 of , n . id goo 10 heilth ,r"ld
educ~tiofl (olI leveb) on<! 10 ~tion ~rETIfJle$.
age _ the poor, the uninfluemial, the future,
0Mt ~I 2 pm:f!1t ~ to pntNl)' Iltalth UI'e 'M and the environment.
primory odu<:otion whidl on' the most 'und,omtnlal
.......us ,Of the poo< majority oIlhe developing world. Aid could , for example, be used to
Percentage of 10101bi·lateral and case the frictions that would inevitably be
multi·laleral aid allocated to heollh involved in the restructuring of govern-
and education 5ervk~, 1988" ment expendi rures discussed in chapler
the previous chapler. The principal diffi_
culty in shifting social expenditures in
favour of the poor majority is usually a
political one; increasing the proportion of
the budget spent on primary health care
or primary education represents, in effect,
a transfer of resources from the bener-crr
aod the politica.Uy influential 10 the poor
and the powerless. Where affluence is
inseparable from influence, thai tra nsition
will be very difficult indeed. Undc r thc
increasing number of democratic systems,
in which the greater numbers of the vot-
ing poor give them a degree of political
leverage, the tra nsition will be easier. But
even where govcrnmcnts arc willing 10
restructure budgetS in favour of th" poo r
majority, they arc often inhibited from
0.5% 1.3% doing so by the pressure of entrenched
3.'"
to primary to population other
10 veered interesls. Aid that is made avail-
education programme health care able specifically for the purpose of
in\'esting in primary health care or pri_
mary education, for example, could mean
'"
to .recondary
and higher
1.5%
to primary
llealth care
that thc rebalancing of alloca.tions inter-
nally is madc politically easier. And it is
education in the easing of such political obstacles to
essential change that the support of thc
internation al community could play a
• This figure dill.... ''''''' figuro 12 in nddng <>II donor
<oun\rie. ~ ....,.. of heiilh c_. IT<llti-lol....... ...... .. particular and vital role in the years
ahead.
bi-lmfil <tid prograOTVM>, m in UIing 'MlrId Bank data
.. ........ OECD doti(ondfor 1988 ralho< lhon 1989).
Problems of d8iniIion ;nl incornpalbililie> of feporting
mMod mNn lha1 tigum .... approximate only. Similarl)', aid could help to maintain the
___ <>0<:0 11000) r"' l principle of first caU for children (page 15) .
"
THE STATE OFTHE WORLD'S CHILDREN 1992
Education:
school staying power
Tho 19f1011 walla' I bws decade lei edl.w;a. by the Yl'l"' 2000. lt1a1 gooI can be mel, as Ihlt
lion. OJ! 01cwr 100 dIMIloplng <:<>.nriIIis..........,..m llXli'aOfdirwym:! Lis. $ 1"" ':sorT.......1nth8 19 708
by l.A'lESCO. two lIWdII Sfffl a dIlC:hl in ll:<j>IlIlIi- In! ZinbBbwtI in the 1geOs ha'w9 :mwn, The
II.<ilOI per ~ Irld t>Illl saw a &II in IhoI PI''it''"lioi' """""Clle altha BRAG sct>ocis in ~ has
of !heir ctildn:J1 nokId In primry schooL ' aIao dIic'QlSlJal9d h;lI ~ ill ~. ei VfIY lew
cost, l e> prrMde a _ _ lO lho&ectti'en
The caee. n rro8I CIISOO, was !he CVl in pWIIc (In:l ~..., gi1s) \lotio hlNe diopped M 01. 01'
SPEll do III forced on "*'Y <:oo.r>tfies by the oeoI ......... Sla/Ied ... lhoollicilll~!CI"o:;ICIIsystem
.,
crisis. The~ ill!hil1...-...s 01 ctOIa~
~inAlllcaa'ld~AmeOca.I\lM'IIosl
to ~
"* Most 01 the ctildn:J1 atlOldlg lhe 6AAC 8d>ools
lslllI' re;on fQnTeI ec:lI.o;alion.
opportIrity
bMIc _ to 'ry ibnle
.....become to _ard
,_ th8
Irld !hili'
8>.!! rc ~ ee ~ 200D ::oel :'::;':e:~
l1OC>8lies i't the years ahead. edo 'Cric>"l ... I'otoooe to 8S!UI""l a . - priorIly In lhe
A1rica ha<l baIn til ~ !"(lrd. T~
j'lIlWlIlmlOOiaIety lhIltd.
.................. e>peo dtlU was cut by /III"nOSI ~ in lhe la$k is rJ)t pmWfy 0IlII of t.J.*.Ing IIlIW
tho lYst halloIlt<Il98Cls. Asar8!ll.fl. !h& proporIion sd100is Irld IrlIifing new toaclD's. ~ is tm QUBfly
of Alr!ca's chiI\ht1 em>Ied in lhe f'o'ol ~ 01 01 lhe educaIJon on oilier wt'ich wll cletermino
pri'nary Iet1OolIelIrom 84 ... In 1geO lO llpflfOlCi.
l!II.lC(:$SS 0< l3iUlI "' ttl& 199Oe....
m:J!flfV 1Q9i, in 1990."
Deb! was not !he only cause. Educational S , ,, ,.. ~ "' ttl&list ~ at PfO'narY IlCh;)OIhae
POIcies ond nta:nalJonB' aid po"","'"'. Ilhwty n>a<:h8d high IeY8ls n aI mgocns '" Il1e
hIl'I6 dooe mora :0 proI«:t primry ....
<XUd
oratm.
8o.J <jeo,e ':pi'lllOOlld e><cepl AAIca.'" The ....,.,1caI
100 otllf\, ~ _ hIrY9- . deYol&d capacity to 8COJO" ,iOdoll"
all ~ is IIl8feIor8
to higher Illication for lhe 1llw ral!1ll<!tl;lr\ basi:: no! me pr'. dpaI prot:Wn . ~ ls el, aln "'l ", lI1e:fnlr
~ 01 prmary IlCh;)OI voIIicI\ COlr'IlS. AAd cI the
eQ.lcaIion b' 1M "'""Y.
reIiMrll age ~ In each cooni..n. final yew
-"
EvM 11'0..91 50 or more dtilIn can be pn:>- pr1naty Id>ool el l 01/ 1• ~ IS stlI t:ri; 47'l'. n Africa.
~Gliocatoon lot !he COS!
..ood IOlIh cniI or 539b n Asia (ro:ll nctIdi>g ~ r ; j 64'11> n l.aIWl
~stU<lerJl, 8<ld--.lt'oltq1 tl>o<.osardsol
l.ri.vsilygr8<ioBles JTlJSI choose ~ .....,.,.
~ nl8t' igoalioo .. mlnyCO\llb'lElll COI'tO.le ItI Olhet""lfOS . ttl& gr88l1T'lljorlly 01 ~ad
to dlMlte lisproponionalo "'6"'.". ' '''
to hol;fe' CIlIi:h'l n ttl& 1990s ... be I.O"iEdlcated no!
9l1lc:aIion! ' A ,elabYfll) smaI shll in IhIs baIanc» bA<'a"" It'"'f lid nol go to Id>ooltull>e<'a .... It'"'f
;;o<Jd, In "'""Y ClISIIS, IId'ioMl lI"IMlfsal priTlBry did not stay thera
llWcalIon IIIlll proWoo Ill.lCf1 \1OOtllr flIlIicl1al
~ lmm poo.:erty r ; j !till need lor ctiIdmn's
..,.....
tlerJIms In bO\I'I ec:on:::orroc: growth Irld soci8I
help ill home In! ill work.ttl& ITIilin
det:*tating ~ 18l8S is 1hII poor~ '" 1hII
"*"""
lor these
AId PfCQI'anmoo ' - r8flklrcold lhe biw. Less Il(U;:aIioo ptl)Jidad. 11 \0)0 manycases, Ih9 ......
ItIlII'l I,", "' aid llO'" to educIIlion md I8!ls lIwl IIf1C6 ....., SIWlll;:nI '" ttl& lICkI<:alb> on allof Is so
5'" cl lhls goes to primtry ect..ocation.'" The 19l1O olMousI)o poD" that, lIS a 1OlCIIO'lt tJt.ESOJ tepctl
World St.mmil fr;f0ltim SOI1ho1a'g9l ofllChloM1g puts. .p;ntlts and ~ r - no 0ftJ/Ilr I8IionIII
a basic lBveI 01 8OJcatiolI lor 8l1eas1 00'll.01 dtim dIOictJ /han Ill.."., wIIh IhiJ6 fee(' .OJ
•
That princip~ impUa protcetin&: the Iong- Public I Upport
tam inlCf'eSa of children IpinJ t C\"Cn the
_ in~ shDn-t cnn ptUIUr ClI for Tbe lise of tid in tttil _-:ay Yt"OUld ortd.
1<1 be .orltt:d OVI in pal'tna 'Ship 'lith dx
spmdi nc l:\ItI in nutrition prograJ nlDe$, pri-
rc:«iving nations. 11$ pcxmlial shouJd not
l'lWy health scrvi« s, or primary e<tuCllUon.
In the same way, many of the actions nCC'dcd be dissipa t~d by unn:asonable aetitudes
thc environment and achiC\' e SUlI- toward s 'condi tionali ty' on cithcr lid~ .
10 pn:ltm
W ithoul dx suppo rt of polil:icianf, press,
lainabk de-'dopmc.u also ~ I
cornrn itmenl to the Iorl& ICmI wtridl _ and ptIb1ic: in the inc!.UIlriaIiud W'Orid, lh=:
.iD be no significant inc:rns r in aid in the
~tI, hard-p ralCd by shon~crm
co nsidenuions, filId difficult to make. Aid years alw:ad. Tha t support will IKl1 be forth-
coming "ith Ollt ~gard to the purposes:
can nuke thlt comm itment mol'\' poUticaUy
which aid serves. llu: nttCSS aTy incla. sa
feasible. Similar Ifl\1dlC fltl apply, in Yal}"-
in internlllionaI ax! wiII thcrdort: depend 00
in&: dqrec s, 1<1 such cumti al invatm cnO in
people as primar y health can: SCfViccr.,
• sustained and tkmonstnbIc coounitmcnt,
basic .-ducat ion, land !'donns, Idnnd ng on the pan of aid donors and aid ~Vtt$,
to the tas k of enhln cinl the CI~city of the
fcmal~ equality, Or ~muctUring govern -
poores l, their health and nu tritioo, their
ment budll':tS in favQW of buic Knica fill"
"" ,.,.. tdUCltion and 1rIiniDg, their ability 10 Qa1
more exatro l 0'1'0" their own Ih<a, and 10
cam • faiT reward for thcir bboun , and 10
In otbtt words, the essence of this pro- meet their (lItt'n and their families' llCC'ds.
pos:al is that, in a new world creo, h id that rulfds thai purpose is the kind of
international aid should be consdo usly and aid which the majori ty of people in the
speci6aIIy U$C(J to hdp Jlf'e\'l:DI the: Impof_ dcvdopinc world Yt-anl 10 rca:M:: and kind.
tanl from bcine l ubftm d by the of aid whidi tbt mjori ty of people in tbt
irnmcdia~ industriali;ced work! wanl to give.
THE STATE OFTHE WORLD'S CHILDREN1992
•
The degree of dependence on such com- ytat'" - mere than all the aid recei\'ed, A
modities, and the steady deterioration in dismantling of those tariff and non-tariff
their rdIl ,'lllue, ill one of development's barricrs wollld, according to lMF managing
most intranSigent problems. And it is going director, Mjchel Ca mdessus, raise the
to get worse. As new t«hnologics, synthet- growth rate of del'eIoping countries by
ics, and management systems continue to nearly 3 percentage points, so yielding ben-
increase maou facrurin& efficiency, fewer efits l:QuaI to twice the aid urev recei\'(C,"
raw materials wiD be needed. And in the
l'eal'S ahead, the increasing usc of biotech-
nology could further undermine the trading
position of agricultural raw materials. Fig . 12 Aid for basin
fhI! twf/ve indUltNUZed (ountrie! rOf whkh
It seems that there is link the developing InlonNtion I, ""alloble give about 9 "'1(""1 01
lhtir 10110dir«tIy I'IIel!ting the most bask ~ ,
world can do to prevent this steady erosion 01 people In Ihe dewloping _ ,
of its prices and markets. It can attempt to
coordinate production, at least regionally, to Basic needs ' allocation aJ percentage of
avoid dep=sing prices funher by cverpro- folol aid, selecled donor counlrie5, 1989
duction. It can also anempt to strengtheo
its Oll, n research and development capacity
for proccssing more of its own raw materi-
als into semi_manufactured Or manu-
factured goods, But at the s.ame time, it
must attempt to diversify i15 exports to
reduce ill dependence on a crumbling
ecooomie base.
South Korea:
more education per dollar
n. rT"Il:-t -"'''''''''C1' deiO l"l8tor of l!>e In PlI'I. tt.~ lDmakB oaalfIoBIecItI'*
Hor9 Kcrtio
........ III.lCC:IIa IIIOries • ee
JIIplwl, lvm • 2.000 yM'-oid CC:nII.cia1 lrlldition III re·
~ds;,..,..... .. Swl/'lKcne.. T...... -eece 'P'C! lor 1tIIl.,;lul;:r,*l1*WOJ\. 'n;:.t"" ton
IhlI welIIh rJlhIli' _ IllIl;U'C8I tu , . 'MIIIfth
oIlhe IIlIA wcri:I\Illfll't::IlJti(:J1 lhlll ec:a........
''''
01 ,.,. l'u'rw> f--..olIOJ. Fram \IlIo _ _ tI8gRS _____ • t 'i.edlt'O'flbot
d tc(lI(),1i(; de< ' p ,e .... QI....", .... ! .... by~. . .
'-"'I' 'n'" canon. SCo"O. - . paley - t i . . . . . _
"'b-'119501. 'fIOlUlt_~SCUIl
lersslnCl. . . . ~ 31" 'j' ilMll dtfflD'II
Kow...._ ' b".at. . -=o'ld lTOItoltl-...lO.-rtlll pri'I-.y ...........
hIIIldIN-.uy. • t.. _n
'iI' lor iii .-d IICW"O .. Ill'- _ p;d< "" . .
.-.cl....,.
. .-y_.-
_ .... _ . Wtne. lis S I ~
Ie 'II........ blt....coo"""•
~~;=:dJ..-=;;:::b= f .~ ............. Eo.I _ 2S"- ollhe CCIIIIl of IIIi'IWy
~~. i ... ~ _ _.
..........-.-r..... I:¥~ho."1' .....
. '. ,~
Y-.l7r . . ...,.19501. . ........., __
~ two Of . . . In-. l'qllr (:(Ud be
. , . !WI let &co.r4ty-..GNP d CIf'l\IIIIlO~
IN'd.tqI ro:ltw_ ......
c.pU. Arcl bV l lilll. ,.. ~ . . lXUlWs
_ o,1ie llIk&-oll.l107' III d'UW'I __ ~ .
_ 1alPl"'OOIIClI. .
..., _
........,b/oIw,...,..
dIr , _ 1(1 CCM'ItfY. Fer Xl ~ ".
.-noIl
Fog gm'Wy KI'lIXlI Ir'd ~ tn 1IWd __ P"G - . .....n- ... pm., dloss ,.,. . . . .
on to 18C00.1 eo:U:riDn. .....-.:;l M. Thill _ I'I'lede " • ....."..... t¥.-
~ rIgicl 'I" _ ro:l Slricl .a"i .......,
In h Il'ne dec8del 1i"Ol ~~ Korea",
_
_
iIOi O", "'" grOWIl by ~. ~ . . . .
etrt ott.l't8ticn
ttwo WI\tI ,... ...,.ies.
~.SC!loOIiIe \lfl'ged onlhl!l Pll'arn1lIary.
~ 10 nuic. tnd
~lOl\iilId.l, TileCIllirS dlllOOI hiMllO Wf¥f'/
T...oIe8tlnsIl"ek8 So.Ih 1«Qol'. erie •••• IIllool dii::IPii ... tnd lhey ....e co '.... lStIIed for
o.riqu&, FQt. ~ ~ prWr-.y .,;to _ III Iow..... t¥ hql -...
....... llIgenils ......... '.... ' , ' . ll ltWl
p a:tic:ItI' "'t or. co.I""t, s.ccnct. • <Id., .......
.•*' ItIlll rn. ::alli.' b\' lliD"6'OI'." Far 30
FcuI\, SculIII<crIe clIcid!Id on • .,...... ",
80*'","""" CWO,I(llIIliI ~ IraTI one ~ 10
....
.,...,4*di'llon . .......... _
dGNP . . . .... 1hB-Vbhdf
In II'ICIr'l, SCUll ~. . h n
'
'11
. . . . '3"-
i._", h
pm-.y
- . .. ~ . . ' , ' 1(1 <:o:Ju*iI&, rruch
...,1O
~,.
ICflOCl (lIllIICIfy • diIlocJlIId
~CU ......
, I0 .......
Of_ ..
10 - ' - "'
"
DimIantlin& such Iralk baJricn, t!lrouIh moR' orhik al tho: AmI: ~ mairnainin&
a SlIlXft·fu1 completion ol the Jlft$ml lariff and other tnde barri~n whkh pre-
Uruauar round ol I1Ib undor the GmeraI YmI. the dtio"'dopina wortd from Incce. .
Aareallelll on Tariffs and Trade, ~ fuDy foDmtting !his ad\ia:. T1tirIl, the Ia~"$
thm:flll"l' proyidr mud> llCC<kd ox)"ICI' to am:ring indmdtW blnkrupu:y and debe in
the pi ........ of cccnomic mann in lhl: molt industrial eounlria act limill on cred-
dc.clopini 1O'Orid.. itors, IlOl: aIJoy.in& so much 10 be: ~
as 10 Ica\"e the d cbtoc unabIc to feW his Of
her family OJ ('VUl. 10 afford the lI'ICanI of
eamina a living; il is time !hal lhil COfI«pt
"", was applied to international uansactiom.
Baby-friendly hospitals:
a million lives to save
I'M ~ lrcm ,.,.... ~ oA hcoIP\aIII wil bIIlleIV OIled '1J8Oy-f\ien<tf. lhIIl0 _ _ ....,
ttm:qIDUl lhe v.ortd <;(l\j:j teve e ~ by !he 1. _ . wrItIIn to_I_ \! ~ -1llUIt'oely
/rorII . 'b.lCe ~ !hIIm • 'bIrly.lIlIndy',
--
~edlO"_SllIIf
n. kl8ll it Ihe eres. aMn::e L'I • dIc8:;IHlnQ
...'.....,'10 lXlUlUlt' _~IhII towerdI """ 2. '*'.. te.IIh
3. ....... II po""'
_in .""'IlO"'""-
*,,••
.,.,...
C'iii pcIcv
h ....
ill _ iii< . fTQlI ~ _ ~
---
and"• ..,..••• oIb 9
"",-* , - ii ' ... ' • _ _ ..
..-moe..
.,.. • ...
...01_....,.-Ion...-.:- ' r-- • . .......... ~bt iQWilI'Inhlll..
tgm"..-.
" ,.......'_ ' I!'W\I-.cucl
t.. . .
III \IICltI<,...-.;n ~~ t :car.»K-'.iI-
trd men _ ' i . . . . . - , . _ &. gNel. W" ..... ..., laod Ol<i'ri< or. _
fId'9 it . . modlrn Mr. b ,.... ~"........,.""-:l
~ hnl ~ inlIIrior " ~
" . 11 oIIIn _-dl.Md we. _
$ll
., 1. pr8dill1UOI'1"",,"
1 1 0 _ iUijid.) ~
"*"" "r::cr• • n
htu'i. doV
....
. . . - - bclllla So • ~1Id I*lI' ., • POOl
eotmVlty_
It.tom dIi 'I
tw,o-,15_mortIIo:eIy1O
~..., . '"'"
10 <ill from pnounoniI. Itoon • bIrly _
men..,.
it .....
S. ........... bt ..... iQOIl'
9. Il'o"' i'IO -*'II _ 01 ~
.""'
. .
CIIIild
. . , l..e J!led,- ~ WI«) 8Itlr!'el. 1Nl ~ 0' ~1l1lO bo f "..:llill inla'U
men IIw1 ....... d'tieo' ClllJd t.. _ MIdtAIiII". ~ 01 b"
- . , V- I .. IIllllhIQ ""*
tlOIliIs roo\tW'o;l
1M b; BBI ,"I<:< !he fa-sl W 10 "" morwr. of ile.
10. toeIa" !hi
IIIPIX'1
tfell(jl\l
Qi'CII.C» llIId reIer moIhoinI 10 ltoI!irn OIl
disc:hage from '"" ~ 0' <:::friCt
r.... ~ ago. WHO ...., l.MCEf drew up.
'code d pr8dIce' b Ihe ~ 01 boll l,iI< I*1h .. I .. t,
Many worneni'ltnfd6' : '·lQworldllOnoI~
Thoee..no do ~ _ It<<i
. _... The c::odR .,.q,c 10 tIIo'I II p.bIc
~rd.~01 ~lcrn'la.
b <TIf 48 1lCtn.So !he WO'ktM:le
to.. ,* t ....
,"*9. Iln:hed i:lV lNCEF Inll
'b!II:Jt:""""
J\br,oo, IN f'IIO... ll"' ' - ~ _up
VM:linArNrl",frid,. 1991," ar r:ri1t._ _
.~d~IDr"P,, · ' ••• •••
""""II ..... _ 10 po..,.... bt ......,.
_ _ doil'll'''' ? McJIte:If-.d lhI ~ all...- • ...,. .lIO
"'*-1: Ilia'
_.~
IBn ","'ID
rrA:r-.oIlTlClhn. k'd""* .~.
hi . . ton. . . bd'I CII'1 dICiOI"",,*,-
ornau~",." ' .,. bt l 5 I 1lI: ..
gNe" bIt* . . bt!It Pi'"
. . 110 ~ b
h IUJll101 tJ ~ ndI I,nCIrI. QCm:
~
' .... It'll' wi! . . . ' - '
•
Soviet Union, iIC...craI of illl Republics, and the economic rcforTrul now in evidence could
the nations of !::astern Europe will aU absorb coincide with other favourable drcumstences
wst amounlll of investment capital. AI the 10 aUow an unprecedented period of gl'O"1h.
same time, reconstruction COSIS in Kuwait As the World Bank's review of prospects fot
and [ra q arc estimated at between 5150 and development in the 19905 has said: "The
5300 billion." But only by a mOn: dTastic l1f>PUrTI",ily for rapid dew/opmelll il fmlUr
resolution of ~ deb t crisis than any $0 far today J1fil1I al any Ii"", ;" hislDrJl. f"rnnaritmal
proposed, and a reversal of nct financial links, in w /om! of lTlMk 0JJd flow' of ;"fomw-
transfers to the developing world, can much tWn, imJeslJHl'Jl' ",ui udt,"""'gy, IIrt lll'O~
of the dcvctcplng world hope to n:gain me ""'" dum fimy yoal"S ago. M"dicirw, uUna,
ground lost in the last decade. and mginemng """" all mad. grtQl SlridQ; W.
~filJ all' (luulabk worldof~'idt . And fJO/icJ'
If the ....·ars and means can be found to mm.m """" a bel/no undmranding J1fil1I bef"""
CUI natio,," free from thill l.",den legacy, then of 1M oprilms for rkulopmml. ,,>,
Disarmament
Proposition: ThlJl a prow, of dffl,ili"'ma_ developing world as a whok , ju.t the
rum should btgi" i" w. dewlapi"l[ world o,ui import of armamcnlS absorbs an amou nt
I1ltU, in sup wilh lhal p1'OUSj, faIl,,,! ",i/iUlry equivalent (0 75% of au !he aid received ."
apmdiluns in W. i,uJ",lrialized "",it"" In general , it is in me very poorest coun -
lltould be /i,,1«d 10 signifiwtU ,-"=ases ;" tries where .pending on the milimry ill
inumammal aid far ckwlopmml and for 11~ highcsi (f'i. 14) . The 46 least developed
me/mitm of """,non gWba/. probIeml. countries - the poorest group of countries
in the world - spend as much on their mili-
Military spending in thc dcvelcplng
tary ~apacilY as on health and education
world, although vaf)·ing widely from region
combined.
to region, is running at approximately SI 50
billion a )·ear." [n Africa, a contincm still The cue eo'lS of this massive military
dcspcr:lte!y poor and despel1lle!y in ntt<! of spending, year afte r year, go beyond the
diversifying and industrializing illl eamo- destruction of war (panel 6) and the
mica, one third of an the maclUncty imponed divenion of SCllr<:c resources . Stimulated
each year is destined for me mi~tary. In the and sustained by superpower rivalries, a
"
THE STATE OFTHE WORLD'S CHILDREN 1992
China:
reaching 90%
After .... e>: b llOi ti"81 ~ eIlort ... lhB 1980&, the ooees 01 [pT. 8nll1l6% lor lfl!I!lrlI)I& measles shaL
largo! 01 ~8O'Jj,ol t!le"""""'fschildren by Tl"e _ ..... atDIIdY eYidenI In a "enp tal In
tIlI'* fnt biUidaJ'S hall been rtlllC:!llld by most ~~ lhaf'UTiMoIrret5Iil6
countries. 8uI ~ is not 1lIlllU\1l. ~icn"""" cases,lor """"""'. has atlppod fran <Mlf 2 ".",
...oIl ' - to rlsa f\rthIlf l <iseas<I b81 "" Mb , is to a \$.""to las$lh;,in l00.(XXI. PllIIo isa>:PllCl9d 10be
lXI o;fsIupIed. ~ measles <!elms are to tal by the eoll<laWld by 1995."
~ror QS%. ~ rdO is to be erlrlelI!lld. l eee-
lha _ lor IICfYIM'lg \lO'li, ha!I beo<llhBS)'Sl1llTl
natlll llllllnUS ;,,1O be .......ted. and l lhll poorB!Il
and m::>st ~ ct'tien .... 10 be ptO«lCtoo. 01 ~~ -V bir1h: tal docla's 1hefl rcIiIy
Ttat~ 'tItr; ee !'\':n:t S::,,,nii!()r ~ e:lCP'.e:! III PIQ"llS. ~. EMIly line me int80l is ()J8
lor..aeeiNliot\. Many00U"Ilrills haw IlIC!'IieWld 90'11>
!he """'" latlJ8l 0190'11> iT"m.ri1;Ilion lXMII'l'Cl" In III coYllI'I'I99 lor the ~ o:bse of OPT (It JX:6o (lI'iy to
CI.UlU'oes by the yew 2lXXl.
~ llJI(l !V$18io"Ir9 lflIl extnI 10'lli vM
Ial IJeIWld ""*' ~ do 00l rel...... lor me secco:l
Of Itwd doses or lor !he U1gla """""*'"
iiecIion at
'*"'* lISbig a 1aSI< lor Ihe 199011 ... react'IIng lhB age 01 rIne monltIs. In 0:W1a. lhII ~
-
proW
80% was to!tle 1900s. Bullis feBsibilir}' has l!IIready notIicaIion syslern moonsthai drop-oul ra!elll'8've
~ o:leo,OOO OSIr'llled in Ih8 world". most f4'" ..... been reWt:ed to less than~,
'" - - BCG
DPTl
- Polio3
- - - Measles
es
" " ""
milif1l)' culrure has com e to predominate in many of the developing co unaies to fulfil
many developin g nations in "",ent decadcs. thm potential of the years ahead.
Such a culture rends to be contemptuous of
democracy, indifferent to human rights, Demilitarization i. easier said than done,
and threatened by political, pcnonal, and not least because of the shCCT importance of
press freedoms. The total military biUin thc the military II!; employer (there arc eight
de,."loping world would therefore have to times as many soldiers in the dt\'eloping:
include the direct destruction of war, the world as there arc dOClOrs) ." To Case the
divernon of resources from investment in transitio n, and reduce the conflier bctw«n
people, the undermining of democracy, the military an d social eKpCnditwcs, more
growth of intemil oppress ion, and the thought might be gil~n to the potential role
SQUllndering of much of the support for of the armed forces in the war on poverty.
development among the public of the It is not uncommon for the military, with
industrialized world. their organizational capacities , their skilled
personnel, their rcchnologies, and their
With the endin g of the cold war, hopes tnlIIspon , to COme to the aid of civilian pop-
arc higher than for a generation or more ulations in time. of eme rgency or natural
that this biU mighr soon be reduced. disaster. In the process of demobilization, it
may be useful to extend that role by trans-
The ind ustrialized world can do mueh fusing the skills of the military into society
to help. It can convert military aid into through the construction of infrastruClUrC
economic aid in the interests of both peace and tlte training of civilians in such areas as
and development It can rclItriet arms sales literacy, engineering, electronics, mcdlanics,
and try to prevent arms suppliel1l from and communications.
expanding sales in the developing world to
co mpensate for declining markets in the The conversion to development purposes
ind ustrialized nations (th e five permanent of the massive investment in, and the
membe rs of the United N ations Security resources and slcill. of, the anned fOTCCS
Council account for 90% of the world's may yet be a long way down the TOlId. But
arms sales)." 11 can also begi n to insist were that journey to be mken, then many
that debt relief, aid, and new loans, be tied nations would find themselves ahle III
to red uctions in mililary spending, march more quickly rewards a more PTO$-
progress toward, democracy, and invest- percus future and a more dignified place in
mentS in the infrastructure of health and an e"ol"';ng new world orde r.
education rather than in the infrastructure
of war .
the poore$( half of mankind, arms ,pend- \he industrialized world would be sufficient
ing hu fallen by ap p roximately 3% a year 10 allow a doubling of aid budgc!s (0 the
for the last four yean. Following the dra- !lIrgct of 0.7% of GNP, - a tatgCt that was
malic disarmament proposals announced first agreed (0 in the 1960s.
or agr«d to by four of the five permanent
members o f the Security C oun cil in
Sep tember 1991, even largcr culS may be
In particular, a proportion of military
savings should be alloca ted to achieving \he
eXPf'clcd in the ~1':arJ ahead. Three quar-
len of all the industrialized world',
basic humaII goal. agreed al lasl year's
World Summ,i fot Chi1dretl. As a reminder,
milhary expendltuTCs of approx imau.'ly
580 0 billi on a year are cum:mly d evoted
\hc flnanclal cost of reaching all of these
10 me defence of Europe where me mili- goals - induding drastic reductions in mal-
tary lan d scape has been transformed. The
nutrition and disease and a basic education
po tential for cu ts in the 1990s i, therefore
for all children . would require additional
resources of approximalely 520 billion a
enormous.
year throughout \he 1990s. 'rnc dcveloping
Hut what is missing is any coherent and "'orld's proposed oonUlb utiun of tWO thirds
agreed pian 10 link even a small part of of ihai amouni wou ld require the allocation
these potm tiaU)' vast savings with 1M del- of approximately 10,," of its current military
pcratc need of the dc\'Cloping world for expenditure. The industrialized world's
renewed aid and invcsnncnL The aUocauon one.thin! share would amounl 10 I"" of its
of cvw S% of =01 milirnry spending in milillu'y spending,
•
conflict or environmental disaster. And as if yields, mass hunger, and mass migration to
in a frnal ane mp t to brea k the spirit of a the refugee camps where the problem Ilnally
continent, almosl 3 million African women becomes vi.ible to the oUllide world .
are also infected with th e AIDS ~'irus and I
million childreo h.a~"( been born HIV posi-
As. if these trials ""<.:1'C insufficient to
tive; in the dCCllde ahcad, it is estimated
exercise the talents of government. Africa
that 2 milli on children will die and 10
has aIio been a theatre for long-ru nning
million may be orpha ned by the disease. wars and frequent coup, d'iuu which have
lDtentaI nalon
.
led to the l,nIgcdies of soil el"O$ion, falling
THE STATE OFTHE WORLD'S CHILDREN 1992
Supershots:
children's vaccine initiative
~.". 3 ...", cHd daBIh!IllIlI rlCM' onlO OM eaniolr:" Vaecms e:I"l also rlCM' ee
bIIing llf"!"6"lled each year by i'IYnrizatIorI. BuI packaged n ~ .... wI'ic/'l releasil !her
Ihill IepIl'IS(II\tS less than a IIWd of fmuizaIioo's comoots ....... trne. lIiIIw 17aduo1v or in pUses.
poIenliaI oonlI'tlutIor1l<1 'MlfId 00Blth. IwJ ~ !ItlDIAd IlIso be p::esllle to mBke mosl
Two ........ ctti'tIn ci!I each 'r- be<al'lG!tIBy
""""'- less dopoIndIInI on ,«. igao alioo c
t>eIDng to It>e 209j; wI>O 8<fI still rlClI ~ wittl Tho POI 01 gctj aI till! ....-.d 01 Ito!I 'i 5 d ,
a.nar>ltt ~ """"""lIl A !unIw 5 to 6 miIion rartxNI is B singIo-slnI '!IUpIIf wocine' wI'*:h
people die .....-....ely !rom d 5 : ; : 51 """'=" eece <.:><>Ud OOgMln tochillhlosoon oft... bnh and wI'ic/'l
llIrnosl ca18inIy be ~ed by tre doM!kopnilia W<J\.Id pru!tlCIlte'n ltgIinsllll oIlJ ilJ o.xx:fs n1lIP'
of ...,.... vae:dr'tes.JI lnIeclions m -V low COSI.
.......... ..
,,, ..... "'..... "' " ,..".....
....
,....... ...... ,. ,.....,., ,,_ '......- ........
/he ChithJn's vaeen. In/IiatNe. ta.nchad boo
"''''''
~
~.
n.n gaO may lIlke two deeados or """'
&Ii n.U:d• ..w"gy h ......,00."" and
10
aims to .-row INs Q8Il bel--. the aetu8llW'Id \hle-, :' . '" VllCCines is 8lJlo8(ly 8YllieIPJle. By the
POlW"IIiaI CCIl'1I:ributio of inrnurilaIion ~. end of!hill dIc9de. ~ tna)' be possille 10 ad! rIii ;mr
14. present natlonaI chikl ITmnzaIion ~ III 01 to<lay's "llCci'w iI sirlgIeiieCIiOr'.
gnm-nes ס1lii< Ylt'JCi>ee againsl !IblIrI::uIOSis By tl>!I mid-l990s. ~release toohooologl'
diI:trttIIlfia. ~. fda. v.iooplllg Clllli'J'. and c:o.Jd 8loobe ~ i'rm..rWtioo. KX'M1 in the
m ':. wiIt1 some COI.W'!lr'Ies Biro oIIlri'lg ye6:Jw MlI'IlI 01 its ~esl talU'e - !he JlI'6'9"IIioo of
~ lVId, mora ~1'Mlll<lliliS B/pMeI 15~ Ole neco;lllll teI8IUI wtlich klIs lin llSIinated 536,000
(lllteel '9"$ofth&~·sVll<X:ti'lehWlMl
s
il1allslW>:.l an lIlkr'lOwr1 t'UJ'Cler 01 ~ e-9Y
is to llX\lWId ItO:o ""'9" to inc:UloI _ dallkI _ . The .-.bOrn CIliId ClII\ be protected bl'
vaccines ~ rI\ilIIJI'e (cl.mndy
"..,., Nric8n ct1iI:hn """" YIBI. """"",t<:<y
"*"'" Wf!( 1 ilmriMg the moIhllr. EklI1Nll ~.. SllYlI1ll
i Ijeclioi os e--tiTle (Of, ~, two_spaced
In1ectrlns (3 "..., chikl <lolaIfllI a j'tlIW). 111IlI 1i igiti.\ ir1e<:tIOnS firill ~ and III present, less
(2OO.CO)dm1toIa~ . oerIlIin_·S !Ilan 5O'If, 01 ""l)'TlEIIl ere prcI8Cted- A .-tme-....
~ as fOl!rVinJ!; (8CXl,OOl de9I!ls a .-}. as I\GI _ V3CCII'8 roN lftl8r dIMIlopmo<ll oIhn lIi>QIe:
lIS hepall!isA.""""'" ~ ~ ~ SIJ::It protec'.ioo end c:o.Jd IllfJicIY raise """",age."
~!<MIt. In;! AIDS.
De. !,_1\1
the vacdrIes is h!I/l1he batde. Then
come the Iogoslo» pooblems 01 ...........-.g wI<ltt-
&an 1I>ese.- lOCh iOlogiea leave rntJnI prol)-
I8ITOIS lnSC1Mld • how to t:mg . - vaoc:ines i1Io
~ end inexPeNMl ~ how to
spread use. Today'! veccoes eogains1 mm';! ~ prodI.o:bon Ind <:lUll!)' CCW'JtrO', how to
polo. """!lbeI~1or~, ......... bII k.apl
speed I.l:' IIeId trBs and k:e ... 'll proc:eo::Ues. l'llll
,eiigelated!lom POflI of manuIaclure to pginl of 01 _ _ e ~ PlIIboeo$lipwilbeneeded
1r'ieC:tQl. fUI~ eeerooui'es lcu'or1Ml berween go:MlO I ' IellS IWld the f800lItCh end dlMll-
~a ' 'lEICIiO' IS dlri'1g "'" Ibl year of ~ """ opmant cepscilies of the commercieJ WO/Id.""
lhildfop<llllatebet...-.1h9ht and ~ ilJection
is1llernai'l ~totqler~OC\YtII'IIg&. So llr, the de'. EI "P' re ~ of new VIlCCi'Ias .....
been d'iYen WgBIy tit !tie needs rd the IflBI'roiIts
/he CN:nIr!'s Vao::nt In/Iiati>ol lIIbo am. to 01 the rich i'I8lIO<lI. ., !he l~ on& 01 the ITlOel
lrin rElClll1l ~ In biotootJlOlcg)' 10 <illic>A ~ wll bit 10 .... ltlal -..ltMl to
<MJrCCmIl some at ltleSe po 0IlIi0 los."
1he~needS. buI~COiI 'llSicisloppor.
~ 1$ <'ON p::>sslbIa to .lCO/pol alol ....,.,."......ccinoo lUiti8s, 01 tl>!I poor WOlId.
been pan cause and pan result of the fact the sands of tariffs and quotas by which the
thai Sub-Saharan Africa as a whole hall supposedly fm:-m arl::et cronomics of the
been spending two and a halftimes as much Unite:d States, Japan, and thc Euro~an
on its miliiarY as on its health. services. Community continue to protect their own
producers.
Th e third external factor in Africa's crisis
is one which represents one of the greatest
&tenia! ft llSODI
international failings of this century.
The three principal eXlernal reaso"" for
Africa's decline have been the use of the A nCW slavery has shackled the Afrk an
cominem as a board for SU~rJlO"'er games, continent and its name is debt. The coun-
the relative faU in world prices for il$ raw tries of Sub-Saharan Afriea, including
most of the world's least developed coun-
materials, and the unsustainable weight of
il$ debts. tries, now o....-e s total of appro ximately
5 150 billion. Each year, Afri<."ll muggles to
Much of Africa emerged into indepen- pay about one th ird of the interest .....hich
dence just in rime to be ....'OOCC! by two falls due; the real is simply added to the
su~rpo we., representing rwo competing rising mountain of dcbt under which the
ideologies. Long perceived by many African hopes of a ccnrinent lle buried.
leaders as an advantage, it is elear that this
superpower rivalry has in faa made a tt'2gie The total inhumanity of what is now
contribution to the o\'Cmlilitari7.ation of the happening is reflected in the single fact th.at
continent and to the emergence and perpet_ even the small proportion of the interest
uation of the kind of military and autocratic which Afriea does manage to pay is absorb-
regimes which have led so many African ing a quartcr of all its export earnings" and
nations imo the abyss. costing the continent, each year, """" Ihon
iu total sfi't7lding "" dre health and Muastilm
Economic dependence on raw materials Df;/j ptopk (fig . Il).
has been a quieter calamity. The majority
of African countries havc been urged to To date , the results of the Paris Club
increase their earnings and pay their debts debt re-scheduling exerd sc and the
by exporting more of their primary com- Toront o Agreement arc <:TItirely inade-
modities. The response has been a 25% quate." Exeluding Egypt, the total of
increase in the volume of erose exports African debt written off is approximately 57
during the difficult decade of the 19805. billion out of thc S280 billion owed. The
BUI the steady faU in prices for Africa's raw consequent reduction in interest payments
materials, in relation to the cost of its amounts to about SO.2 bill ion out of the
imports, has mcant that its camin~ have S32 billion falling due and the 512 billion
fallen by approximately 30% in the laSt 10 lICIually being paid each yelr." Between
years." no w and the end of the century, even the
full implemcntation of the Toront o T erms
Ancmpts to csca.~ from this tr.lp by is unlikely to reduce Africa's outflow of
d;'-cmfying exports have quiddy run uno illlerest payments by any mon: than 5%."
"
THE STATE OF THE WORLD'S CHILDREN 1992
The most recent debt reduction prop- sluiced OUI of that desperal d y poor cone-
osals, the Trinidad TCrTll$, still do not nem in imCTCSI repa yments, lens of millions
represent even \~ beginnings of a ,.,lulion of children arc losing meir ooe oppommiry
commensurate with the scale of the prob- to grow nOrman}" to go 10 school l1JId
lem. The most generous notio n on the table become ~Ienl\e, l1JId 10 a<:quin: the slriI1s
(an d it is a long way from being a~) necessary for meir own and their cOlmm",'
.....,uld reduce Africa's total indebtedness by developmem in me yean to COme.
bet ween 520 an d 530 billion. That would
It is daimed mat the industriali:l.ed world
mean a reduction of perhaps 53 or 54 bil-
can do no better al the present time. YC1
lion a year in the ;n(C~1 due, but very little
ways have: been foun d to halve Egypt's $40
rWuetion in the actual interest paid. The
billion dcbl following me Gulf Waf and 10
greatest hope on the present hori~on. there-
make a similar ~"(}flcC$sion to Poland follow-
forc, is that Afril;ll will be slightly bener off
ing the liberation of Easte rn Europe:.
on paper willie in practice me financial
haemorrhage will continue unstaunched. It is claimed mal a more drastic reduc-
tion in Africa's debts would constitute a
In one of the most recent and cump...,· 'moral hazard' by rewarding these who do
hcnsi\"C analyses of Africa's debt and !he
nOI pay their debts. But the real moral haz -
cffom to reduce II, the economist Percy ard is surdy 10 the soul of a world which is
"'\istry comes \0 the "inaw.pabk amdusitm prepared 10 condemn a conunem 10 con-
!hal lhese t/fr:tr14 ~ 1101 b«n rom mnD~Jy tinued poverty, and a generation of its
<!Itaivl in Qdti4fJing w objectiw of I'fiieving children to malnutrition, fot me u ke of col-
fddnf In,r<fms mJfii:imdy for Afriam roumrio lecti ng 'meresl on moneys which were oflen
ILl Itavt! a T!aJOIwbk cha'laI <if r = in
ilTcsponsibly len! and moSI of which cannot
adlinling J,""'IUra! a4iustmmt, nraJt'tI)'. or possibly be repaid.
grmcth. ill l1u fommdile futurt, ""Ius prroiotu
tW."twry af>prf1Qdla 10 <WI rrlit! .,.,., aban~ It is also claimed mal debl forgiveness
dtmed in faoour of _ dramam 11I.1 would help to sustain failed economic poli-
ubsoluuJy 'IU;4W.ry and IOllg ~ =ion. '," cles. ROI the ma jority of African eountri""
have already begun implememing basic
economic reforms.
Events in Eastern Europe and the So\"i~1
Moral huard Union, coinciding \'li th a clearly marked
If a cuminem is not to be left behind as 'end of the road' fOf the kinds of pol itical
the rcsr of th" world struggl.,. towards a l1JId economic systems that have prevailed
new peace and a new prosperiI)', lhen across so much of Africa in recent decades,
cxtnordinaf)' mcasurn an" aaw called for. have had a profound effect on the eomi -
nent. M~t eoontries have now begun 10
T en yean of prevarication over this lJlke the: firsl steps towards dcmocracy, plu-
problem has al"""dy damaged not only the ralism, and mafl<et-om.n!"d economic
Africa of tod ay bul the Africa of lomorrow. refofTTl . The prospects for renewed eco-
WM e more than SI 0 billioo a ycar is hcing nomic growth and social progress should be
"
Fig. 14 W. r venus welf.re stronger in the 19905 than at any time in
The gr.ph (QIl\fa,u 1M ri... in military ~~iturt, the Last tw o decades.
(dWlM line:!.), v.ith 1M dKline in -Vore ~ .pencf~""",
(solid ~nes). in «I~ of 1M p<lOf8t Afric.n counm.. Wim these: changes, me hopes of a co n-
~ 1M " 'I two decadM. tinent have again been a waken ~d. If mose
hopes can not manage 10 escape from unde r
Perr:entage of cen trol government the weight of pas t deb ts, then the result will
e)(pendt/ures allocated to defence, and
again be the despair and frustra tion which
Jociol welfare, JeJected African countries, arc Ute natural habitat of dictatOR and
1971 0nd 1989
dema gogues. If Africa is 10 evoh..:: !o"..a rds
zs
•
Welfare _ _"Defense
e 20
e
I, The democratie tboiee
The new spirit moving in Africa today
- 15 was summed up in a recent address 10
i
~
c 10
Africa's heads of state delivered by me
N igerian President, Ibrahim Baba ngida:u
"'17Jue is no w ling subJliwu for a ~
fqlmd ami painfill (a mmilmoll ," home CD
L
re<mUlilUU our wcU.IW, W rt:fomr Our poHIild
JYsu:ms, ami 10 rtsfJ1l(IUrt: our «.onomw ...
'~y f!W ind«J wraud from lIS as
a ptop/t. Thai faa is rootd ;" OIlT huWry.
Equally undcniabk, hownJer, u me ftv;1 m.u
'/Jim 1M <Ill of fflVIJt:rillg thaI ~{lI ...
Afti=' kadenhip ii, gmeral did HOI git>t »Uldl
0 thaughl W rk logic and juslia of reinwsring
1972
thai sqvertigruy in ilS ptoples.
Wtllore ~wrt> irlduIle houJing and )/urn
de.m>nco!; <(lfrII'J'IIJr'W df:> ei<ll>< ,.eo,t Jlo'YI"f'I'I> Ie the "Dmlf" .rlCy is nos DIlly (m llu""tiV/l
._t
lick, !he <fo>abled. II>e elcSerty and the ~PIOYm;
family. malemity and d>iId aIlow.nce<; wer..~ "",,",eo
---.-. . .._,-.' .
lor the elderly, the disabled, . rod tM:lren; poIution
_I", "'l'll!Y and $<WI.OLOon.
.... , ,
oplwn bul a raliMulJ ami inA'iwbk OII/!. This
is 01'" act of our i"u:mal reparations whir),
kadenhip on this ronl;nOU "''' no IongD"
""""
THE STATE OFTHE WORLD'S CHILDREN 1992
Hepatitis B:
the seventh vaccine
The global ~ system. buII lb'Wlg the goes 0'1l0 WOIlo:twicIe '*' ..
chid 'nuorizsion
19l1Os 10 deA\'lJ' voo::ines llQ!IinsI ~ ~ t<lW ,tlIiiCl • 'll1Il% dill inI51Is), lheo lIIIl
dip/'IIIIeril, POlo. teIa"JuS• ...noop1'l1 00Jllh. a'ld cost e<:Ud IaII llSlow as $1.50....
" ' CO<Ad be lJ9ll(l in IhB 19!1Os tc control
........
hepatitis 8 • one ollh& world's gt8iIlesl ~ HEIV irmuizsIi<>ol .. particUarIy irrclcrtMt lei'
dtiflll. Not 0I:'tf 8f8 InleClI.:l c:tlil:tlln I1'llItI ~
lodBvelop~ hIlpelitis Band ai'nOslfoor
HapQt/till B ds rnn Pl(:(liIl I.MTf ~ 11m
AJC:6 "* I_
in a ~. Kis I'"'I"" aoble for abwI 809!.
of !II ""'" ~ and more casell oIlYer do,
(60 mIion ~) !hBn 1lIoOI:1cI."
trnes rro-e _ to d9WIOP lMlr CO'lOOr. 1hey ee
also Il1L.ldl more lI<eIy !hBn _ to become cur·
riIn ol lho a-. One quarter <:J lilOSII JdecuId
belotto IIle IiI(/&of ...... be<xlme caniers (ard 70'lli
One '*""' in six .., 1IIe world !'laS r:-'I h'ecled
wi:h the~. and '"'uo'«ely300rriIon ....
to 90'11o 01_ i'1Iecle<l tlelore bftt> by pIac«lIaI
~." QWj.lO-<tild illIeclIoI .. wIlid1 can
0CC<.r <bI".g play CJ" bed·S/I!W'o"lg "'" SIIi'II8Sions
d'roric~. The Wus"'~ (lIIIhcl.qllhe IUd1BIl 'i IiP8IillO. !lCltlies. cuts lIld intect«l insacI
body may rid itseII ollh9 i ,!ectioo ~ lWld is lI'SnS-
biles, is "'" ...... _ 0 1 ~B il d iU~.
rmted try a I'a"Ig8 01 bocIl' r-..ids. fl"tllO"iV ltJouj:1
sexual acIMly bul abo via CQ'llaCI YlOth """'.Mi. In YIew of lt1e laIIing cost of llle """""' and lhe
natedt:bxi, bV pIace1tal~II"""""'i!'llmmolher ~ olell!y iTm..rilalh:1. Wl-K) has oow
to oobom chiI<1l1f1d try skin lMIons. ~ _!he .8<XlO' ". dad thai hepatilill B be Jd.ded as ltoa
main If--.s of ~a ., ' " in cI'id<lln. '_ 1Il'IOOin&' in ill national cI'id ~
Abou1 a It'ird of a1 1holiEt Ir69ctlld with hep!ltIlis
pmgt.. ".OlS. So !.., 22o:unries,
EasI Asia andlhu _
mai-Iv"SaJIh.
East. h!MI bIVJn rouIi'IO
B dMIlop dvoric~AI'larlhllllCU1el)!laoo HSV _ . ArIoltIeI' 00 COIrItries hlIYe pIoI
has passed, abaul ffil, to 10'll. 01 ~ IICtins pn:jecIs ..... ..",., Of planned....
bol<x>o'", carriers of 1M <:Iisee8e." AII!Il:Jo.ql not
....-swlIy sI'owi'lg any 8Y" "'*" 'tS. 000pi«l ptO-
QI ass:.,. lW'Id possibly fatal lF.w da'nage, they join
So lao. genIIIicaty .. Igi_eel HBV
used OOfl'lOo"e lhlio OO n'Aonpeople~and
r. been
Ih& 300 milIioI'l pool 01 ctworic ca-I\Q v.OO SP<llOO t>M bgeI\ la.nt! kI be""" 01 the sales1 ancl m:>BI
lh3 Wus In! perpeluale ~ from one lJIII"'O[O'1O efI8clMl 01 ill we:Qnes. NId boca .... hepatitis B is
a rro8Ijco" causeol ..... caroer. ther"lllW "3Cdnesara
~-
mnuvalioo~ hBpaIIIisB tIaS~!MiI ·
lll.lIB lor !IOITIll 1inl!. &l! bec!u'le !he II8CCire was
.........,.
i1 eIl9CI the W genel'<:allv engil'oo'ed C3lIOOI
deriYed from blood giverl by a carrier oI lhe v'tus, ~ ~ is tnerelote le<:l:"ricaI'I' !aasIlIo kI ..-..cicala
c:ooJd ~ b/l prodJoold in smaI q.oantltlils. The tIepetItis B. The woMW:Ie COSl is IkeIy 10 be lP"
cost. lJ'lliIlh& IaI8 1900s . was $ 110 par 1h'9ft.$'ItIl wards 01 $100 miIm a )OOO". WrtI> the ""'PIIfl'IM!
coo.rse.... Now.ll"fl'lIK: ""'-'1\1
I iQ'lUbIe 10pI'lXb:e Iwgar ~ oIthevacQoe
!'laS rnado ~ 1*1 - tile deIvery systoon - I!iteadi in pIaoe . and
wilh 90 rru:::h .......... hea/l:tl a l siese, ~ v.o::Ud Sl.nI\I
III a t:OllI 01 S2lKl per C(U!l8, K1tlIl nt'NI """""' be 1I1IhilI<atJla . the ~ """ nollol.n::l.
"Today, the clanumr fur ~lizatWn world as a whole. BU! fQl" Africa, the sheer
O1ld pony pluralism is 011 W aswu/n.ncy i" weight of the ball and chain of debt and
Ajrial. A. 1eaderJ, W<1 "1...1 0iUp1 and «Imply interesl repaymenlll now means that there is
rriu. W wU/le$ of lJrost whom IN reprlWll. no realistic possibility of forward rncvement
No amoum of for« W" flmWr Jrifk W righl until illl financial shackles are struck ofT.
of W gorxmed te ~, al 1Jniodi4 fr« and
fair Uu lilmS, 1M fau af o"y gql!ft"'mnIl.
"~ rawgu Qf civil u"rul righl <la"OSJ
/!fir tcltlinDll, lhe «I~UPlI reurrdaliml of A confmace for the Mricm child
tre4litJity far our human [>Qlnllwl, 1M imoler-
Whilc attempting to lackle these funda-
ab4 flow Qf milIiOlu of our humanily turned
mcnllII problema, most African nations arc
rtfttgttS from tMir />W" I<mds ... COfUlilUle a
also preparing National Programmes of
pmIfaIInll rtbuM 10 uur poliliuJl judgnnnu
Action with the specifie aim of meeting the
OM will ... ~ only 'l:iahlit 1Ji1nltlJ1;W is a
goals agreed at the WMId Summil fM
n..are mrbroa of lhe ~Iic OPlilm . UI Childrrn. The process of fimding progrestl
US taJu W ruol.... 1WfC, and amtmil ourulveJ
(awards such gools u halving malnutrition,
10 1M dismam!ing of all apparalUI of U""fJU-
reducing the impact of the most common
WI/alive Jl<'Wn, Sl ll ing a dau before lhe md
diseases, bringing clean water 10 all cern-
of this cenlury /or Its ~I. ~
munities, and ensuring that aU children
Pn::!lideru Babangida's call for ,;" umaJ have access 10 basic education, "ill be most
rtparolWtlJ ' is the l;Ouru~ 10 his call 'Jor difficult of all in the Sub-Saharan African
AjriallU a whok 10 fiehl ill ali pwible ways region. Latl': in 1992, the Organization of
W ;USI balllit for i" ttmaliotIaJ rtparotiorn African U nity inlends 10 call an internal-
llIa,,,,1 W centuria of humilia/ion arid ional conference to dmw attention 10 the
txp/(,iul/I·oll III whidl il /ta$ bun subjrcud ... action whieh Africa is already ta king to try
For AjriaJ, he colldutkd, "lJrol ./wu.1d be W 10 reach those goals and 10 5ttk the support
Prot- J/arli"e poinl of a 'lUO"i"gful N= of the international community in sustain-
World Ortkr." ing that action in the 1990s. Africa will
need to find at least SI. S billion a year
(n response 10 such call, and 10 the new
from lrs own resources, via a rc-ordcring of
spirit evident in Africa, and as a gesture of
illl inlemal priorities, but wiU need aboul
reparation for exploitation in the past and
the same amounl in international aid if
preparation for a new pannership in the
progress lowards these goals for its children
future, Africa should nOW be absolved of _ and its future - is 10 be maintained. 11Ic
mOSI of ilS debts. response " ill be one of the fint oppornmi-
The COSI to the industrializcd world ties for the world to reach OUI the hand of a
would be by no means crippling. Sub- new pal'l:nl':rllitip with Africa, and 10 signal
SaJtarv,n Africa·s tollII debt amOunts 10 only that Africa, 100, has a place in a new world
about 12% of the debts of the developing order.
THE STATE OFTHE WORLD'S CHILDREN 1992
,-
....,. T......... Th8Iilao"¢ T~. ~ Nam and
n-et1lBlJl.-.bsofmosl~"-~
In to'e«.:O. 3eo.CIXl C(lpiI:ls 0I1he IIllli:IlIII Yonb'I
_ ~ diIlrtlulId CIA 01 e pler..ecHc. 1 rriIi;n
l.WIQFa:t3IorUl9. '" T~. I rT'iIIlQn 1IolIIiIb8l'lCl In M,." • . 2OO.oo:l <Xlpieol oIlhe netIonII
.... crI ~ 01 f _ b' L.iIII ~ n ~ ' - ~ prob::ed b IlChxis, I'IlIIllII
~ 114_ ....- -.I _ _ 10..,;11 CIfllIW,_....,_.....".....n:l~
Tbe prlCtic:al costS of Ibis bias are !be care md nutrition, tbe mfuctioa of child
m:l1KC'd dl"c"ti...< :nesI of almost e:ver)' Olhc:r dc:alhs, the aettptaDOe of family planning,
aspect of lIM: de;.'dopmcllI pUllX.... tilt: mNction of . ~ &mil)' size, and
the: litenlc), of lIM: sl.lCC«din& JC'ntnotion."
BUI 10 di.aimiIllllC qainll girls in UH:
matter of edu cational opportUnity is per-
haps !he: biggest practical mistaltc of all. Th e education of girl . is therefore
Ova many yean and in many ~ounlriC$> another of 1hO$e extraordinary points of
the education of women hIlS been shown 10 kv~ which could advance the world
be: associated with me confIdence: to adopt towards many of !he other goah: dUo;uucd
new wa ys, the prop(ll:Sit)" to make ueater in thilI report. 11 is allO a principal means of
UK of IIXiaI service:J, U>c: ability 10 earn rishtina; one: of !he IJlOIl. evident of an
hightt incomes, the imPfO'~1 of dtild wronp in the aisting ...odd onkr.
Planning births
Proposition : TIoaI the raplmtibr. pla.,mi", 0/ which have IOn&: hung ever this II1UC. But
bil'lJu ;. _ of 1M moJ/ dJU;:liw and /eml such is the n.ngc of mmods now available,
apemiw fMj'1 of imptwing the quality "/ lift and such me expe rien ce mat hal been
"" fQ.rlh - /Ioih now and in 1M /uIUrI - imd gained in recent yean, thaI family planning
IMI 0ftlI! fJ/ 1M pmWl mis", 1w D/ GUT Ibm. is can now be promoted and pn.ensed in
1MjDiW,., 10 'Ir41iu dial po-w. "''')'S which an: sens.i~ to tk reJiaious
and ~ contours of almost aD toeierin.
Family pIannin£ could brine lOOR' 00w::-
The benefits of f~y planninc lIC'Cd be
firs 10 man: >'COP'"' aI "'" CO$! than any denied to 110 one.
Olhc:r sinIk 'tc:dmoIozy' now a\'tilabIc 10
Ibc human nee. But it is noll appttciau:d 1lJosc bendits 1nll1 be bridly _
widdy mooch dlal this would ItiD bc: IrUe
t\'en if then: ..~ DO such thina .. I popu - """"'"
F.... family plannina ccuJd ..se tbe:
IlItion plObltm .
lhu of peffiapI ODe: quarter 10 ODe: third of
10 pan, an . .. Iltlle... of the run mnae of tbe: soo.ooo women " 'ho DOW die ew:ry
the bmdiu avaiJabk from the .uponsiblc )UT from e. uxs re\aled 10 ~ and
planning of familic:s hn bem hidden from s:i-ing binh ." II could ll1so prevent
tho public \icw by thc douds of t'OlltreWenY unk:nll'q" mil lions of diubiliuO$ • many of
•
them painfuJ, pennanau. ~ ID(lI'e time for bttasIfecdin& and ftallin&,
and _ - which ~ the common 00Il:te'- and bdp$ 11,> pmmt the low birth Mi&ho
........
qumec of hi&h-risk and oftm unwante!d 'lriJich an: mongIy <iated wid! maInutri-
lion Ihm'litnn. rhc earticII yean oflifc."
Seeond, famiJy pIanninc eouId pn:wrll Sixth, family pIanninc improva the
many if not most of the ID(lI'e thaD 50,000 quality of life for dIiIdrm. The quality of
iIkpI IIbortiQns which ~ DOW performod child CIIl: - indudinc play and stimulation
on women twry sm,,1.- dIzy and whieb raull .. wdI 1$ halth and cducalioD _ inevitIliy
in the deaths of 150,000 )"OWII women rixs .. paIl:rtts arc able 10 invat moR of
every year.- their time, CDCTI)'. and money in brin&in&
u p a smaller number of children.
Third. hmily pbnning can dtastically
inlpl'O\'e the quality of WOlIKn·' I.ivc:I _ in For an of these ~, a re newed dTon
both lhort and long term - by red ucin8 the U) pUIWnily p1arutirtg I I the disposal of aU
phys ical and mental burdCIU of h1vina 100 'NOU.Id advance not one but many of the
many eh~dren tOO elose loaether. or al 100 bllic human goals for the year 2000 which
early OT 100 lilt<,: an a~. It can tncreese the WCTC agreed at the World Sum",i, /fir
time a vailable for women', education. for Childrm.
vocational tnIining, for cantina incomes, for
imp mvilll child care, for community activi- These benefits alone woul d be sufficient
ties, for pcnonal d evelopmen t, and for the to justify the claim of 'fam~y plannini for
I'CII and leisure which il vinuaUy unknown all' to a spc:cial priority in a new world
to millions of women in the de\"dopina; order. But it. would, of coo ne. aI,o hdp 10
worid today. raol\..., one of the Olhtt CJQI problems on
the human agenda - the pobk:m of nlpid
Founb, famiJy pbnning eouId III\~ !he population growth.
lives of ~ million children CKb year.
Family planninc would pK'VClll, precbni- A...p h,.....,... tdy en: prcanarw:y in du'CI: in
nantly, m.- births ..-hicb Ill: l:nown to be the de\dopirc world thia yar ...;a be IlOl
'hiP mk' • IlK: births ..1Ud\ ;m within two ooIy UlIp/:IlaJat bur. Ufl';l'lllted." TIx:n: ill
I ,__ lJIlIneI dl:mand for ibl:
)"Can of a prcwious birth, 01" to momen
thl:ft:f~
..ilo Ill: UDder 18 or avc:r 35 or who b .... lt:d&e and ibl: me:anI oHarniy plannin&.
a1l'c:tdy hi,..., three 01" four or moR
EYickncc from the w...u FnriJI·ry
chiIdlm.- Becaus: the CJQt mtjority 0{
Sl<fW)I sugem that if all ..-omm in the
child dcathlI an:: nooate!d with thac risk
oo.-eIoping ..uid who do IlOl -.ish to
facton, the _"dJ-informed limine and spac-
bcCOlTlC pregnant ....."., cm~ 10 eser-
ina: of births ~ Il:SUh in a far more thaD
p oponionau: rcductioIl in child dealha. eee that choice then the nlto: of population
c,.,w..1h ..·auld fan by approxirnalely 30%."
Fifth, family planning can signifK:ll\t1y By the: Yeal" 2025, mal fall would translate
improve the nutritional health of childn:n into I .] billio n fe\\'eI" ~le • rouahIy the
tJu-ouahout the developing world. Fe\\'U and equivalent of the population of China
more widely Ipf;ced births allow mothcn
.
today."
THE STATE OF THE WORLD'S CHILDREN 1992
E\= this long lilt of bmdil:li dca not nu, pmnu \:&tions of such 1)'I1C:J'Iisms
capture the potential comribution of family almost limitksl. And uniting them aU is
lIf'e
plannlns to the imprlWCmelli of the human the fact that family planning gi,'n people
ccndltion. For it fail, 10 record the syner- more control over Iheir own lives and
gisms which mean tha t the: total ben.. fi t eJUlbla them to brini aboul otlu:r impro ve-
WOI1Id be v cry much jp"Ct= !han the sum ments in almost C\'ef)' asP«t of those lives.
of the parts. WiUli n lM $phere of human h means better tlealth and wider opportuni-
hcallb, family planning rmu~ and i5 ties for hlllldrros of millions of women. II
mmol'CC'd by, P''4l- IOwwds almosl: all means fnr.:r demhI and be=r physical and
cxha imprtl\'t:mO:DlS in the beahh and ....d!- mm.tal lP_d, for hundn:ds of mil60ns of
beina: of bodl mothas llId childtm.. Tbe dtiIdn:n. It mtarII improved IItIrldmh of
timina: and spKina: of bi:Uls, for aample, Iivin& and lea w.in on ~ ~ II
kads 10 impt'O\'l:d hcaltb and nutrition, abo memI sIowtt popWaDon growth and
""hidI in tum leads to fC\\'tt dc:alhs; thi. an easinc of rlwiroruneDw !="Wft in tIx
helps to build confidc:na in family plannine fU~. Th~ CO$lJ, in rdarion w ~ bmt'-
and the lm dency lowards more widely lits, IlTr almost absu rdly .maD.
spaced births. An u pward spiral is the refore
Jet in motion. But there it also a wid.... circle Whrn 110 much stands to be achieved by
of synergis ms of which birth spacing and the mtttina or an ~xistinll demand and at
family planning stand dOK to the eewe. 110 \ow • roIt, it I«mJ ~ e 10 pro-
l.'cwu and IIlOn: widdy spaced births pose, for !he aamda of any lin' world
impnl\U thc: quality of women 's l,,~ of order, tlw In drOIt now be made. on In
dlild ean:, at Wnily life, of edlQUon; .n of c:ntirdy new seale, to pill tIx ~
thcs<: c:ontributt to IOcia1 and " .......nie and IN ...,.,.. of family pIanninc at the
pl .... _ . whX:b in mm conaibuus 10 the dispoq' of nuy eclUPk or dlild-beving
aider Ku-ptana" of family pbnniog • bd"on: tIx md of this present ttnfUlY.
•
Year 2000 goals
-_.
The fc6:Mr,g is 1he U isl 01 QOEIls, to be IIIllIinsd t,.,. lhII ,..... 2(0), ""*:t1 wem adopUld by lhe lM:ri1 $tim>! for
0>t1Im on $epIe'bo XI 1000. A/IlIr ""de9peed 0CI"IIl.CIllli lV'r'O"\iI QCM!O", eots Bn:llte...,.....:ills
ll'iI8d Nalions, ~ lIJgQtS .......... ooeldoted to bB 1eBsbIe r<l ' . dalf ....... diKJo r:M!t!he o::w..<9Il of tnI!I
~islusllj .
to bebIOI 70 per 1.1XO t.9 tlO1hI o VnuaI
bjne
ei"r1natoo 01 Wamh A dota:Jer IC\' an:!
dBfIaeo iCY dlloo 080 S-
o A I'olM'O 01 J'OIl18ml!l rrooaitv rat.... o AI Tn Ihv 10tasl<kI'lOw
~ Ihe 1"1'0,18"08 01 "'4'lX>'to"<l
U
!he wo:\d', 1.I"Ider-tves.
5afIl_1rId sri8tb"l fa alllmI8s.
Ba$i(: 1Kl":;lI!(r1 !or III tHd'''' Bn:l 0XfT(Ilati00 o!
$ri'r<lr/ ndI"",,", t1f 1Il1eesl 8al6.
.......
lhe speciej 10edng _
0 """"
~ in..
mlll"oo
;lCt
""
of . )tUlIl ct*l1hrol.o\tllhe
i'ii' Bn:l
CCUlIIIIls.
~ to be
---
oA NM-.g cI lh8 IK1JI hr8c)I rat8 .-.d thB o C' ' liiG!b, oIlaiOd 9i,)e 10 enebIe III ~
~,flllllilt 01 eopII ~ ~ e- lQ Ilfl5U'U ~ food llOO.X1IY.
Child heII/lh
) ProleclIcn b' !he rrmy rroIona cI d*.1rI:rl n
~ d!b'I l:lI(UI\'l_ In:! !he ...-..plIO r::e
o Tha "~"""""~Iol polio.
Bn:l ~. In III comies. 01 lhe m<:erIl)r o The~oIneonalll'1elEnoSPf 1995).
aclOflI9Cl ConYMbon on Ihe ~ '" 1he Ctid. Lo! o A 9O'llo reclIClic:I'1 I'l roeaIIieS cases rid • 9MIo
psrt\I::UW, 1tlII 1990s _ ..... ~ groM-og
&:>::4X&'" 01 It>e ide& of ~ P'Q\8CtiOrl fa
tod.>::Ilon l'1 "*"*'" -. 00''-00 to pr&-
--
ProtKtIon lor IIIrls I nd women ~ CO'Mef89lI d ~-(lId e:tti9'I and
F~ pIarri"g .... NJtim and -.;o"s to tl8 ......... tel!nJI i'rm..f'Wzation lor ~ .... the """'"
mads 8WiIallllI to 81 e:a.pes to ~ them to
~ ~ peg.eocieiS so::! tlOthS...r;cfl1<8
"too rrmy Bn:llOO close' Bn:l to womoo ...m ..... 'too
o• 25%
A hlWrg d child d8lllhs caused by cia'tola and
RIIioction .... lhIl l iCidal iOll d cia'illeal
\'O'Sl\I 0' too Oid'. •
') AI womoo 10 have access to ~ ClO'8. 8 o A <Te-1titl reWction ., c;hkj _ caused by
traned IItl6ndIlrlI ~ d liti d i er>:l .-nr b t'l9'- a<:Wl 'espfalory lileclia •.
tIsk ptego .. oc:ies 8J'ld otlsteIric "" 8 9l" des.
( U"Mlrs>II ~ 01 1he SPllCiPI nootlh Bn:l
a n.."" ...Iia,dll'*-worm ..........
o_"""""'"
rutrIboreI .-os fA JemIIIes llri'lg 88rIy d IidI iClOC,
"' ..... a .... P"9& "" and Rc:Iatfon. In a:lChOO til lhII ..".::a'.IiOO or IlI'irTlIlry sc:tOO
,- and its eqriHlS. lOday's -u.I
10 "'.... .... and itll $kiIs o::Ul be PJl aI lhIl o:isposaI
A ...a.dIcn "' 1he i ""*""... 01 lew blnn """1'1
(lBss!hlw1 2.5 1<gJ Ie> less!tl;w1 1Q%,
d III familios by "1Cbizir og toe:Iay'. wslly i "",I I I
~ -".
"
References
1 _ _ 0"", '
~ _ _ $v--.
r " e.- Ol o.. - .
Dr ,,~ ll1111i_
11 ~
..
__
-.= ,- = " ,..
~f\nl,
...-... ...
_ ', ' _.go
'lIlIO~.'IottO.o.-g lea ' 181 _da:llO'll:>' o, _ _ .""
.... . . . - . ... - . . , rei dIr ' ; ,• • 111 _ ..
2 _ _ 0"", - • ~ p......",. <II
- - . <JIOIlol 0 . . . - 9'1 _ --, 1.HCEF, _ _sa.
INI 1' -' , Il'II
191lO
Of N -.. ~ ,.,,
~. Y.tCl.a.-ll»1 . ~ _",,2
3 u-- _
1NI~ ..
.".., Cl _
_'_oo. .
~'. Fu'IcI, _
YC<1l. '1lI!IliI ~
"~_
0'1-' tI - . . - . ; J ~ Aoto::& lHCB', _
.,.. llMlO1', n. SIMI 0/.,.. ~1 a-. lllll' . 13 l..NCeP. lIr$l . . . . 5luOI ee fliI1OPiC. 11.- ~ Of
l.NCfF. _ V"""19\10 _ "" , lI" 0-.. _ p ' otll .. '11&1 A
• ~""' P_Tho_"' ... --.a-. ll8l. ..- - ~tlU:II',~_./oUnIf>
,.., ..... tIr ~ _ ea.-. ""'-_
~ PI-. ll1l1O
Oobll
.., ~ bJew:.a~_
_ ....... - , . - - ~ ., £nolion "
5~ __ ~ftnl.o-_
~
YoI. 32 . IlIl. 5T-el. _
~ f'lqram,
' . O><lo<d
~ ..
Do • "I~ """-'<:e. 'W'
,1 - . . . IJI'«:U " . :...- . .. <Xli ....... . . . . . .
_ . 0 - -', ~ """""" \IOl _ . Ni>. 1, lHCB'_ 1 O - ' Jo.Iy 1W1
_HDPr&~.e .,O).
'Jrtoio_l_ . . . _=
-,..
~
~ PIlIll. b' f'Iqor;l: lM9'
1; C<mIL GA,
Co =_ _
O>llf .., ""
T_ .., I"l:oli;y
, ..
" ' ll ' • . _ " " ' _ . . ..,. ..... ",~ ~ IMCU, I . . III 0IiII O. I •••
On;, Cl<:c:aw!0Il "-5 No. Z.
, ,_
. . . . DI . . . . ~ IlIl. l ($.U l, lI1IIlI _ _
~FIiIIl._F<XXl"".
, - -
Dioo...... rr c>gor-. 1'lc9."'.
....... lOt ~ '"
"<va",. Itopcn'. ~, $. " ' Siam, J, 11lI ea- _
a:JD91 a Po 1" WHO.~ 1l1li) Co • : _d Oltl ~ .. . . ~.w..,
lHCU'• • • •_ ... 0IiII De : 1 :.1 c.....
~ ~ __ _ CI<:c:aw! . No. ' 0.
10 " - y I . '
~'. ~ ct>oo_. '- 'lIQ, """ $Ill ' . 1 al
1~ Ng .j)II '9IlO
~
~ _ _ \OlIl1 Dr. _ ~ ont:oo<-GoorwW,
21,1 .............. CM.. MIo1rIo:lO. L., StMrnwt, .... rd ........ J.D"
CN:l Pl>l9ly ... ~ O'1brI'. on-... F<rcI. _ _ ClII"'_ ' .. 09. ,••,.. ~ rm.m,
l Z2C $lr8ll, N,W.• Wast1Iogt<> , D.c..lOOOl Val. >MI, No. 2, _-'l:<I, lli1llO. llileO _
.. _ Y'' '
2 1 G1lfIn, I(. rd Krighl. J.
e- "" -.....
lIlI 1960s _
~'
'ru- 0Ir
I.
'. Il: n.,
......... a.. '",•• i'!
Do<w" .'oI~ '''''',,_
23 _
~ 69-118, Olc!<lfd u--aty ~ ,981
V see, "" ~. ~, J.P, ..., ~. V.. 43 f1«U" . , Bi'ger. .... WSO Q f1no71.l1<l "" F'I1tIwy
0.. . • ••• ~ 5n!tgier ~. 0...- _ n., ~ 10 Oon:o'I' , ~
De ' ." •• Co.n:t. WUIi'JlCl' D,C. WOOIll !lin<. E<:l..eolion ..., ~ CM!ion,
~ r<l _ -..- Do<w"."
WWiyoo , D.C.. '1I9O
:zg _ -. _ 0.. "" . ' ~ 1991. p, 43,
_ - . WMIIi1glon, o.C.. lWl . . ._
__ ' 8IIJCI,.<loo l<>.--IIil;lan;l <lro I ~ "
_ 08. I •••• _ ND. 6.
...'.
:JJ .lOrI'wOon. 0" _ la>. L.. _ E<\.aIli:Io _ "..", Roport """' ltiII _ _ S6!oral SuM!I', .........
BlIcirn:y• ....,.,.,. HcpIh; ~ - . _ ,oe, d_$tuc>oos. _ _ ~
,~
4:l Con'ia, GA. 'GIooei So ~ioo<; •• 0.;C ~ iO>ll 01ilI;I
3 1 S. _ 19E16 r<l1.lcG.n..., .......... ' 9&7" -.: _ ... ltiII 21>1 ~ lld'il n 0.." ...-r
Cc:ItrOt, GA• ....-.g .. tVrw1 ~ , . -
Eleny Po-Kng, lMJ. ""'" 0*h1al TllO\Ili'l1 l1II'I 2151
~ _ !leo ' . ,•• "" !he Hi llis', _
Del ",..... l1II'I
_ 'IIEI9,AIoo,
'9lIJIl _
8II)<:wld; p. 179. Ln!I!Ia
Ol>. cil.. Po 43
~ " - ~..,.,.,- Y-
Elt.o:alion P\.l:lb"IIng ~, ttl<"9 Ko<"Q. IlI!lO
Clvog
"
...
_T_
"' ....,
~ ~ ----.
Dr_
_ r
CIa
_ .Kn:I""
. ........ 0.-:.
-... ... '0i0 1N)
...... _.
_ - . .. .... More. 0. _
1 5
"-
O ... m
.1l.."...Ibt~ 13~'_
V~
J.. _
- . . lolA. ....Ullf}rioll. 8 _
or I!M"I' pIomrlJ _ _
~ . "
d'~ ~
53 SIuc:Iod" • • ' ....iiliIJ-. P
l_tiOCJo 1119(1" _ Au.,.,." _ Oiiio".'.( 117 _ _
_ _ _ _ Mcw\oII(._::o_m
nv-...., 'TN; SlaG '" _ _
SJJ'N. C/IdCrIl ~ ~ lililO
. . . Silt ""-.,_ ...,. . . . Coi.......
~- - . , o.13"""'-Y '5lI7
56 -....01. I\lS _ _ lUll.. _
aou.. ... Da • ...
Ott, M.. _ c:.. d
0lIMii0I, Ill> 1• •
_ ...,
T1va
$I
Ou rI g.m "'*
FGn.R.. .. -. J . . ~.. _s.r-.J-
Ai .........,e ... _ _ """' _ _ CliIIomiiii
--
1wiIftitJ·. Da q,
a -_
DitIl ... 'Plco_
.......
_ " " . . _ _ O'I
'. 1
_1IboWV".... .... ,..
r_ _ Q;obd.ea-.., ..... or·]
~.,_iiliI - . . . .
'II C\Iolr:oU. ..........
~
~
DitIl
- -
j}.a.~ i;;;i
lIU P . '
_e-.......,.~
O>p
, ......- ~ _ ~
. . . . . . .. .....-
~ ~.
IllI _ , GX. Ille IMF. , . _ 8n:; _ A/rb'" J\ _ ton tot~. LNCU. _ lloIri, lQU '
1IO HItrw,
... ...
CI*'<l.J-..., i'tlltOiIt. J.. ~ ~o.vo
... p , ...... 0=
~p. laOobll~~ ••
Np'lli ton tot _ f'MlIl1
-,-
_ _ _ .... 0. . . .... _ _ '" ................ _ _
p." 12~GA.."
.-
.. aa- a..nl,M4Il~ . llO'I l ~1 _ _ n , • • • 0 . . l95OI', _ . . . .
__ . . . . . . . _ DIjO'I:i, pp. 175-1 U-
i50I _ - . . .... 1_32. _ ...0 , . . . ..
_ _ atGi:>47lo ••
Pli_:.. ~Plwt.1Qlll
"""&st__ ' . I*'J'1Io<vy
*'
"'" S/.1fe at INt Wcri:fs ~ '99r, " - ""'" 18 _o._OIn-Hl.,R., '-.,. _ _
l.t«:Ef _ or rn:m O><forll ~ ~
2 IWG GolrlM.. ""VA 1991 1000'. • -=-
.... ......, ,. , " "'" d~ :
:IlUD\' InUf«l tlr INI 'M>1(l
,-'Ii """" ....,.
Coo".U on ~ b AI. r - . M Mo<cI'I
3 ' - " " - Q*:I ~ 191Kl'. P"JllI'M' I8lXI'I '" 1990.l.N£SCO. _ yO'\<, 1000
11'1I Econarnoc _ Sociol Co.n:I of 1tIO lWOIO<I """"""-
\.NCB'. _ YaII, l'll "'-ell 199 \ I ii MIlO..... . Borgor, '1., _ ... Fcn9' A;:l to" ~
_ Tho ~ to l:\on:>rs'. PIt'lEEIWI3O,
•
ftilIC_-. c.w.
0M0icIn al
u.s.
~
199 1
Itl' e - ee.r..o. _
~
8P, E4ICIIbOII
8ntl ~
8ntl ~ I;lM$o(vI,
FIwJ<Jrt,oo DoIwa,...
WW. ...'''' , D.c., 11190
~ t)', -.~. ~
Kim-F;wto,t. PI....", ..
QtI ~ WHO. a.- 2Q o-ren. J. 8'\d <lfI ..Io<Q. J.. '~ II-. ~ 01
~ ~ <lfIo ' .. ... <:<l\.O'lI'eI', IUrM
6 LNICEF, NoiroI:t 1991 Doo " ,e. iI II-. l!lOO1l/1tl1 ~ Po 121, lI'>IIocI
- - . . Dopooa.ed 01 _ _ &::00 .. ,"" 8ntl
1 W<lI!I:l _ O...,'U1I'''' ~ PI<y _"'" al Sot>oi ....... _VO'\<, l Q6ll
~ GioboIl o...Mow'. EPl GoboI ~
G-<>o,.ip, WHO,GonYo. ' SIll , EPvGoMIl .3 21 ~ C. 8ntlllMln K., ' ~ " 11-.-"':
II-. eooo..,ic b Ire 19!1Os', a ....,...,
d'~
6 I'" 000""', 0.. RH.• Kim-Fooloy, Or. R. ..., O'er!, c.. _b' Ire Wor1a Coo .... .. OIl - . . . . b ,..,
'Rool>inII "" !lnlOtI; Oioo&se ConIrd ~ ~ ~_ 19!1O, ~ESCO. HfJw V(J'\<. 1000
~" ..... 1Il1ll:1o', I'IIC. o . - . ! goo
22 ftllO"",," ' "p. CII.
r_
!l 1'10IOo. Jon, .~ ~
Or a...
l'mu'ilIbon'. lHCff. ""'" [letj, Ai.4lSl 199J 23 _ _ to.... J.\>4' " ~' , 1111I SldiJIJ d
Ire _ . O>itt'otl 'm P. «l, urc::EF, __ v""'"
10 _ '" hi ilb " ..... , ... N pan,j II - - . I'om
CO'nIo GA rod Sipoo., s.. 0 - > It"<:! !Flo
'e
IO..... MirtaI. E<>:itI<:my. SJloII)o Nett _ 2. o.i'M18ntl (1ll..Nlng. "". CII,
-
~ Conl1lII WId ~ ~. 1.UCEf, _ _
25 /l;.'I$C «l.o:l!Itb> 6"lI:I1l--=r: _ _ iIdcaln'$,
0.. 0.. t •• , "' . .W'
c.onr.. Fknn::e,
WESCO, - . 11100
11 """"""....".-.., .. """Gb:>' -. ... lHCEF
. . - '" _ _ .iJy 11l1l 1 ~
2' _ _ c.r· ~Olhdl.
12 _ of !No ' ' ' ' ' - ' tno!Vn lor lllOO ~
_ N _ _ to.,.....;j ""'I' ~ Zl'llo <>'24,. 2l:I Mool cl II-. ~ ... ,, __ , in IN _ • _ tom
Mc:Gm. N.f" Sr<:loi1_ Ft. Kin, Y.e . nllQm. s-e.,
13 ....,....."" C...... ~ l.. ~ A. ..., WtiI. ~ _Doo 'l'. ~ " ~ _~,
J.D" Ct>Id IWorly ;,Mwbl, CtoIa'.,'. DeIer-.e F1.n:l. p. 185, HIlMIftj~ProA. \980
122 C - ' NW .• W io..... ' D.C. 2000 1
:19 mo.:.ntI llio::/Qlo'I, ~ l1:I ....lti<M.. II InI
"'!hi> _ ,,"""".... II'IiI ~ 11 _
frt'm fJfocIS 01"""*'" Q:nlicl (>l
" Mut11 VMQUICEF pCIIcy..-.s' ~ OIl Bo_!oo<lo",
_ a.....:
~ fl Ire 1!lQOs: A Glor>aI~ . se-
degi ImocottI.
_ _ ~ h W a " - ' ~.10."'" A>rorco, :J) #r1 ""4'Sllll9O
2 ~, '99 1, - . . . . , ~ ...., lNCEF .
T~ ~ PKy . "' 1O lor no LnIecl _ :J) W::IorL c,G. SrNtI, P.G" \I&q'G'I, J.P. .. lit
e - '" D<sabIocI _llll83-1992l 'EWlonc:e b' """""""" .... to..,,_ .... ~
_ _ tom n.c:.o... _
in 1Ioazl', 11III16Joot
15 LN:;£F, _ B""4'Sl llWll, No>. ~ a 1 ~22
-
'li llllgi liliOi, '" . . . . - B Yao::dno Wo II1e EPr, ..-..g
35 o.tIaielioli 01 New VOIle INl CN<:li'M'. _ 01 II1e Wl<l aotlol ~ Gtoup on EF'l c.e,
_ . Wl<l,u . -, So\JIlO, .... 11l9O EQypt, l A-18 0Cl<:t>0< 11100
""'" IhII "IlP<4>i&II LtICEF ftIIId l,lIka E>alpt tor !hi! Tho \IlIO,.oe <II 70 ..... ~ <lea!l"III Pili 1000 ~ br1hs
'i.-Jl::a!o s dlI'"(ier fM! ~ fill. (l...lSMI'O, ecess to used Ie ddi'18iIle ee IWD t"o!t8' U5MR IJO'.'lS d
S8Ie _ • .,.,."..\0 _ ......u.s
ond II'Ield::alos
a;ulIrIes ""'" "'" two ~ ~ re6lcts h WOI1d
01 ~ 0XI'09'8QIl, ....nere tN:::EF is idantfoed &mrrit tor Otiel m:::<UIly QOI!II la1I8t. The U5MA
lIS a mai'1 !IOtICII, III UNICEF
WIIh an •on y.
- . . . ..... mor1<ed
In"
llO"l'*"" 818 ~ of "'" In:Ie< M rro1aiIy rate
o:YItries o.ri-o;llN 1990s by onot-hd Of kl 70
per ICW M biihs. ~ 18 iess. Hln:e, i' Iii
'""-....
"""'" possibia <:rit CO"'Pe/'Ieoo$'09 Of ~ 00<.I'lIrii!00 .a- !hIllllllar M JTO:'taIil)o \IOIlI. by IIlII
Ililt>:nII daIa _ been ~ . """"" IhII dma _ to and d b 1990s.. lXU'III'iI>!Is'"<>.jd bo!loroIllO 1h81WD
odi a P!"'1 of!hll COJ¢ry rlis ill Oicated na baln:l\e.
"'"~ ......
T """"-
TQ\aI{as~lOarTlllCfai.
" see IooInote 811h!1 end 0I1he_
y l.NCEF 1lSl>Toate; _ txllnoIe at !he on! d "" - .
USMReatimaIes lor inlflYidulol counlria . . derMd from do.. produc:ed by 1M UN Populatlan DlMIon
on .n 1nt1lrTl/llloM1Iy coo,.......ble bnt8 using -tou!I soun:ea. In ...... "...., theM esIJm8l... 1M)'
_ Ircm 1M ..IHl .... _ ng....... In ~ _ . - during "PP""x1ma.ty 1M _ two yeMf,
.... not blCOlllOlaled ~ theM HtimlItft.
..... lnIomIIItIon on 1M <Ioriv8tIon 01 1M U5MR IIgwn C8n be obIaInIIll by wrltlng to G"""-, s.nIor
AdYI_, Sl8t lstlc. Md Monltomg, UNICEF, 3 U,N, Pla2a, N8W Yo<It, NY 10011, U.s.A.
"
Index to countries
tl hi ~ ~ Cl:U*-arel8'i<ed n _ _ diG 0'dIJ d lt8' esti, I lllllO<nIlJ ... "0....·_
lht i. a ql\6l'tler$.o:Ic$ 9 hllllJ'k n~ nh ~ ....... liIl do::ar.-.bl*JW.
--......-
AVe.,
.,.. -......................."'"
,
82
G.i.e , ........
.. .............
~.
.. aa
eo
3
".'"",.
ea
-......---..
""- ."
-.......,....,
""\110•• ea 'm
tta A"","_
n. hb II I icc
-
Blii QIit::ltliIl, za
..........
l'a'\,..-...c FlIp. d
""'"
....
........ . .. n.
se
"
no 56
ta
".'". ""'
""'" -
Ftot.adti
-- " 53
-
ea za
• n.•
,aa eo
...... ....., '"" """'"
--
50 .......... 6'
, ."
-- --......
ta
..... -
io
Cllo'txdB
c.reoo'
,~
"""" ...
.... ""
36
"
ss
.'"""
".,., ".
""'"
"'"
.,..
"" .
e.- Ah:a'l Rep.
..
'""
"""" " -. ""'"
.,'""
.,."
-..
.....
9o\tdlolOiid
,~
"..""
--
"'*"""
""'".....
. -- n
~""-:!~
Ma ....... •
..,.,. '''''
• T.,.. TIilllId8"d TdllIgo "
..
''''n
""' ....
....... '"., ..
82
• '
--- ....
".. ........
,a;
"'" "so
.........
...- ... -
(;z1lC..........
"'"""
();vi ..... i Rep. '" -.. sa
'" "'-
82
.....
~Jqb&11i
.....
..
'"
• SO
..... .....
-
h ee
n
-=
r.ba't:cJ,e
It,.".
",
.,.
ss
--
""-
'.
'".,
."
"'"
'"
-
y~
.....
.....
....i. " --- ...-.. NIlI... ~
""" '"eo '" • '(I ..
• -
<>-- 'm "
'""rs
,
G ea
""" "'"'
"
TABLE l' BASIC INDICATORS
- - -
-, - _. .-
.-
_. -- - .- -.-'. ...-.. -- ---
. .
--
, ••"
......- ., ,._ ,. ". --- -'. -'. - -
•• - , • '
- --
• • "
• • • •• • •
• ••
, ..-
-- -- -- - ,.,.'.. ... . - .. . '" ",
,~ ~
~
m. • •
• • ••
•
••
-- '" ~ ~
m ,'ee" ,'" '" on ,. • •
,• = " •"
on
"
" ""
m
••"
...
"
"
'
•• ••
•m"
soe M ~
" W ", , U
• •" •"
"" m ,. •" '" •" •,. •
.." ,"
,' ,'" ",
" " • '"
'" ••" •• •"""
""
. -
.." --... ',.,.'. ,.... ,. ",.... .'- ,.. -,- .. .. " ..
, ,"'" "
" ,ea•" •eo •• •
. -
----
"
~
-
m
" ," • ,. •" •• •
W
•" ,-
.... -
-
••• '" •
. ,.. ,.,. ,,.. "'.. ,... - - .
m
m ".
- ' ao
••
-
~
.. '
,.
'.
.
.
.
, '" ," ' ,= "
m
m
'
'
. . ,.
'. .."
.. -
• -
..
,. . ..
""
,"•
~
" ,."
"• ,• n•
•
.. ,.
,U
• 'i::" , , " ,
- ,. '" '"
- '
.
~ M
•• m ,. " ,
~
..
".
-'-- - ,. ''. --'. - ---
~, ~ M
", ," "
• -
•
,
. , ,M
M
• • .,• •za '"•
•" '" ~
,"
",
,"
• •• ~
m, ..
m •• •• •• '"• "
. - - • -
~ (71 . , 00I
• • ",. • • • " •
,.
m
-~
' . ..
~
••
•• --- -= '. ''... ... '--. ...- .
~- ' m
,ro
,.
• ".
'" ••,
•,
~ .
12.0
u
~
•m ••
'"•
~
M
•• ••• •,•"
•• •" , '"
""• ••
•
•""
• """---
-
~
-
.
,.- ,. ,. '
.
,.
,
.
,.
m ", ," •
'"
'"
' ", •
.'
-
,,
.
-, -
-
U
'U
.. 'oo
" , ,oo •"
•
,• • • • ,"•
'0'0
••.. •• 0
".".
" ••
-
" "
••
.. -- -
"" - ,. m'
.
,.
..
m •
• 0
••
•-
" - -
•• 0' ,"•
••
,.,
,
.
. "
••
~
••" •"" '"••
". •• • "
•
•
~
..•• -
~ M
U
"
".
M
•• - ,. ,"
••" 'M •
•
- '"
.
.,., 'm • .. •• •. , "
- - • -
0 ~
, - •
", • ,,' •" '" 'm • "
•• "• ,•• •
• ..'. " m'" •"
~ U
• ,-
• --
" re:'.. .' ,.
'"
W
,. ".
. . - '-. ..
•• '" "
,~
~ ...
.. , ,m •
• • '"•
•• "," ,"
".
".• •
- •• ,. •• •• ',
m
•" W
• • ", ,"
" • "
_ _ _ _ " ............" <>ao' rX"- IllO;IIl _ _"," """""'Y _ _ " ..... lfI>IlI.
"
_. _ - -
. - --- -- .-•-• --•• -- --
_ . ,. _
-- . .-
.-
-:e.'!:._
----- ••
•.••
,m
'5'0.'
m
,, ~
--
.oo ~ >T
• " • • '
---
~
,..
•
•••
. . ..
-
OO'
u
..
''••..• ..• .,'"., ,,,"". •"• " .•• ,."....
••
••
,m
~'"
•
••
•••
••
om
••
'
•
•n :;:..""'"
.-""
..,,-_<# ..
,...
••
•• 'oo
•
'"
.. -
0 u "w
"• ••" •• m' • •
- •
~
'"
,oo
,.
oo,
. ""
• -
•
•
~
.
,
m
"," . . ..•• •"• ,.,aa"
•••
•, •• '"• ""• .,
11:» 1
-...
~
,0 10
" .. •
• ..oo
.-
•• == ••n •, . ..
'"
'oo . •"
~
..• -- '.. ..
m"
". .. 'oo
'"
•
•
--- -.~
'oo •
.. •
»
..
-.... ... . ,---,- ...
OO'
•"
~
m
'm
n
•..
,oo
•• 'm..• ,." •
,.
w
---
,~
'",
• ,oo .. •
~
" 'oo
•..• " m••
•• ,oo• ,•" ., , ,m • •" •• w
•• ... ",oo
'. ..... ..
'oo • , " "
..
•., "oo •• 'oo
''.. . .'.
•
.. -
• "
•
.. ,• '" "• • 'oo " ""
••• ~~ •• •,, ' m nn •• ,oo
"
•• 'oo• ".... •
~
.... .... ..
,"
..
•
..
~
'"•
.,, = ""nn
.'.
,, .
'6\~
,~
"
..
•ra ,oo•
,oo
' " ••
" w ~
.
',"'.. ~
,oo
,oo
--
-
0"" .. _ '"•." .. •""
• ..." "" ...
"
,"
,,s.>
..
~
'oo
.. .,
,, ..w.~
.. ..
, ,= ""
..
•• ,,, " •
•
~
..'"., ..
'OO
'oo
' w -
-----
........ -
•• ... •
• . ."".
•" .
..•" , .,"",
.
• '" •" '"•
.,
,•• "'" w'"
~,
- . ..
..
. •. •,
•, am ..
.
..
~
.
,
•.'SIlO
""
•
"•
,oo•
,oo
••
~
..... --
• '",oo
. "
,,,,
. .. - . . .. ..
~ F
'oo
",
,
~
--......_..... •
...." .••"
••
.••"
,•
,, '", "
,,, " •
• ~
, moo ••"
, "" "
,..'0
•,, ,om
,,
'om
, .... •"
•"
'oo
•• "
'
'"
'"• "" •'"
~
',.. --.........
on
"..• , 'OO
,,,
~ ~ F
"• ,,, •.
'W
". ' ~
,•, ,moo "" ' ••
:t::"' 0
•• • ".
, '" •" _ . . .
,om
•, "~.. ••" "
'OO
•"
'. - '. '.oo
~
'" •• " ' W
.= ,~
• • " ~ F
"
TABLE 2, NUTRITION
-.-- • -_.•
"
- -
,,-
--
.-
-
.- .-
-- --_.
,.- "·_.fII__
--- ~
,,, ,
• •,. • ••
-. -. ..
• ~
,,
-- •"
.'.'
•"' ••
",'
•• • •r •••
IT
•• ••" •• ••
0
0
0
---,- -
• 0.-.'
• .,..
~
u
• • ••z
>0'
• •
~
,. .. - .
~
.
•
•••
•
•
•
0
,. •
• •••
ee
• •
.... -
••"
""e
"
~
..
•
..
" .'
..
- '. .' ,..' ..' .' ,.,. . .
•
••
~
"
. "'rr •"
• •
' 0 ••n ,•
•
"' • •
.- • •
0 ",'
••"
IT
•
so
"
-- ... - .. ..
~ "
" • •• ~
•w
" •,. •• • • , ••
• •
••• :,..;..... ,.• • ••'"
>0
•" ••• • • ~
••"• ••"
0
• •
•u
•
••
,-
~
•
••
• ,.• •
• • •• ,. - •
,• •• ••
••
•
• ••
•• •
•
•
•
~
•
• •• •• , •
,
.
.
"
•• •
7
•
•
""•
••
•
••
•
• •
• "
--- .'.. '. '.
", '
"
-{"., ..
• • • , . ,. ,. . • • • •ee "
•• ..
•" •• ," "" ,
0
"" •• •• •• • •
•"'•
. ---
•••
~-
- '"" • • •
---- ,. - .. .. . -. ,. .... .. .
" • • •• ,.
• • • •
"
,. .
,"' 7
,
r
•
,
," '
•
••
,• ,,,• •
•• m•" • ••
- " • •• •
- • • '• • "
IT '
•• •
- .. .
"• • • • "',
- . "
• ".• • "
U
-
",'
.. -- ..
•"' • .a
••
.-
••• •
.' " •• •, ••
•
•
•
",• •
•
•
m
••
• m • •"
•
•• • •• "•
. ,-
• •
••
•• F.
- .. •• ••• •• ••" "
" •
•• ,. • - •
• •
• •
•
",'
• • •
•
••• • ••
U
0
"
_ __ _ ~_"" .. _ ot.... '1IlO~ ... mu1IIIt1_ "'_'J
"
..- --
..-- -- .- ..-
_ .
--..., - - - --- - - --- --- -
-.- - - -. ---
. ... -,- ~
- --~- -- ~--- ••
•• IIMI _ lI"lt_
••"'
•"
----
---
-~
~
"
.. .
•
•
~
.'
•
ta
~
"
•
"
" .
",
•"
" • "
•, '-,• '-•
r• ,• " ~
••
••
••• ••
••
••
."• •• •
.ro
. .-
• ~- --
_1ft·1OI
•
"'",
,
~
. .", • •. ,• ., •• •• •••• •. •,
. . .. •• •• • ,•
•.• • • • • •• • ••
•
~
" io- r
.oo
---'" .. •• . .
m eo
•• •
... -
n ~ e-
sc-
se
'
..
., •"'" •.'• •• ., , '"• ••".'" •••• s
.. -
~
• -
eo-
•
--
~
,•, w
OO'
q
e-
• • .. '" ,
~
, ". • ."•• ..•
.' e
,.'u-. • •
r-
•oo
• .-
• •.•' ,
• "" .' .• , ,. •• "•
~
•
"' -
.oo
"" ..•• •• "'
• • ."• , . ,.. .•
ra
.
. -
~
• .oo
_..
~ ~
••
•• • .
--- -
~ ,~
•, •
• , •.
sa
•••
•
--
.. tzt:
••
~
.,•, ..•. •• ..", •,
,
.'
' or
.'
eo- • .. •• ,.
., ". ,. " •
• •• .. .." •
r r
"
• • ,
'. •• •
,. ~
.oo
---
~ q
,• • ,
-
~
•• •• .. ,
... -
,• •" •• ... ,
lZll_~
,
••
••
,.
.oo -=_1_
•• :::=
• • ..
"• '"
~
.• •• " •
~
~ •
tr , •
,• . • ". •
r
••• '"
.' ."••• ,,,".. ••
."
,"
•
••
••m
... -
•••• --
-
~
ClW ..
e
,
•• .' ."•• ,.
•• ••,.'" .."
'"
•• .. .." ••
" •
'"
." ---
... ...
m
~
~
,• • •
•
•, " • "
•• ". " •
... ,.
• ,.,.'" •.." ,•
'"
".
'"
".
n. ---- .. ,•
••
"
• • " ...
".
•• .••, ."
••
•• ."
. ,•
,
,."..oo ••, """ ,•
e
-
••
". -..
~ ",
•• • ••
.
'" " ,
'" _
'" ....... •
• • •
".
'" •• " •,
',.. -
,"
••
'"
::"'.:~ ••
,• " "
~
r
'"•
".
••• ."
."
..
'" "" ,,
'"
." " •
"
TABLE 3' HEALTH
..-_ _...- - - ---
_.-. "-_
_.-
-- -.
_..-
...... -• -• -• -• -_-• -•
- - ..- - - • •
- --
- .. .
,,,
_
~
--.. --,-= -..- - -= .
•• •" "" •• » •" 0' •"
•
- -
~ ~
• •» •" = = = "
- -
0 ~
,•
- - - .. "' ~ ~ ~
_ • • " •,.
•••
.. --
--
..
,• tu. s
. _ . . ... ••
-
•• ..
,-
-, ..
'"
•"" ••
-
.. •
0
.. •
»
'"- • ••
»
...
-
= =
"'
••
=
"'
~
~.
'
~
~ »•
••"
.. - . ..
~
,-
• "
... ••• "'
,~
••" =
...- --..,.. .-..........- ---... -..
= "' ••
.- .. =
--
M
" ••• ••• ••
0
" ", ~ ,
~.
'" OM
~ ~
" • • • ~
•
.. -
"" •, • • •'" '"» •• ~
" , ••
M
~ ,~
M ••• ~" •
••• ••• •• • w.
•• ,- ••
--- - - - =
~
• • •• •"
- .. '
~
••
- .. .' .. --,..-- -..- -_..... ..-...=
••• ;"" ~
.. •
.. » •
• •"
•
••
•
'" •
• • , ••
•
~ M
• ••
••
•
- - = = =
0
..--
••• ::-
_ .. . ••
• ..
...
... ..
tr • •"
•• ••.. ••• ..
0
• •'"
» •
' "
• •••
•••
....-- ..- .... - -=
• rn.
-..-'- - .. ..
'M ,~
~
•• • • •
• •
• •
••
• •• • = •• ••
.. .. "' ON
" • '
--- "'" (1'1.,.
. .' .. -
.0. -•
- •
.. -
..
•• •• •• •• .- •
•••
-
Cbo d·..... •
•• .
- . .-
-
•
•••
-
• 0
•• •
".
- •• ••
,., ••
= n'
=,
.- •"
"m
,m •••
. -
.~,
•• _ •
.. -
.- •" •
..
" ...
---o. _ . .. _.. .. ..--.... ....-- ..---,_. -". -, .
--- . ,
•••
•
. .. .. •
•
••• -,
~
•"
• •
•n
• ••
• • •
~
~
0
M
"~
,~
.~
=
M
M
••
•• ••
~
•ro
"
••
•
.. --
•• •
-- . _ ••
-
n'
~
--
w
..
•• •'"
A'
•• •
...-- ....- ..-.' ..-- - ..
••.-
~
-
M no PO
~
M
•
~
no
»
••
. -
• • , •
•• 0- _ _ •• •• •" •• • •" • •
- "
~
= •"
-
~
••
,-- -.
• • ~
•• ..
_• •"
...
w •
.. ..-
_ . ..
•" • ••
..- - .- ••
•••
__"_...--.. . _d_
~
"
•"
• - -w •
•• •
w
w
• ..
~
»
w
•
..
•
191/0 "... . """"""' _ _ _ '/
•• •
.-,"
,
, ~,
.
..--- ..--
- -
-_ . _ ... - ..-...
-,"" ,.-•• -••" •-• -• -• ....--,• ..••- ......,-- ..-- --'.,- •--•••
..,..-
~_ .
••
----
~
0
•• -=- "" •" •" " '. " .. .- - -
"M il
, - ..
311O!'
m
. ~
~
ro
-- • m
"" eo
_. - ". - - ,"
ea
-----
•
,"" '-
.. .. ., .
~ ,~ ~ no
"
, ..
, ,
W ~ ~
.. .. "" ~
••
-..... ••
~
"
- "• ", • • • • ..
~ roo
•• ~ ~ "ee-
" .... ..
..
n.
.•• ..
....
wn
,.. ..
• ,, •
.- 2l!ll'
- --
m
••"
----....-
roo
•" • •• • • • .. .. .. .,
roo ro
" "
.. ". .- •• .. ,
m
•• ., ""
.." •• • • ,""'_.,.... - ..,.. .. ..·,, , ,•
~
" • •"~
•• · J. .
.- m 1- •
- --
~
-
~ ~,
-
•• ...-
..
e- nr
• , .
0 ~ O'
.-
••
0
•• ~~
~
~
,,
• ••
•, ,.• "• ••
.
' ..
so-
,ro
,.., ••
"
.. "...,. ..
m
WN
-- ". .,, ••
G'"''
roo
..
~.
roo .
'
, ,
m
.,
.sa
roo
•,
• '.
111'13
· .
-
~--
" ..• • ,. - ..
.. "-
.. ...
.. ..
..,.'. --=
•
• .- ~.
- • ,,-
· ,.
• J. _
,,-
roo
.. , •
,
roo
m
w
'. --~
,. • ". -, ,.
",. -- ,,-"' ..--
'
.-
''". -
oo oo
'W c.... "" .'.
,. " ,,,.
'"
'"
~
~
--
•W
· J.•
, -..- ..
~
., . •
.,
.- .-
~
.,
~ ,,
--.. - - -
,,, ,,. M
• . ,,,.
.,
'" ,
--
~
~
'"
'" :::.'" , ,.
'" " -
,"
,''... --- . ,ro ,. ,~
'. m
.~"""
.- .,
.-
om
,,- ,,,
.
.. ..-- - --
, .,
,~
roo
'" ~
w., •
.- ""'00 .,
m ,,
'" ~
-,
'.... --_."'
roo
~
,
,"
,re
'"
...
:::;""9 .. ,. • ~
..- ..- - ...
,,... "., .-
.-
'
• JU '
"., .-
roo
N
.-
N
",
roo
m
,,
,,
,,
n
TABLE 4, EDUCATION
-_.
- -
- _.- _. -
...
.-
-- - -- - - - - .... ' ----
_. ,~
.....
_ _ -
.......---
1_100)
M
- -
-• -• • - --• • -.. -, -• -• -• • -.. -• --
••
.-
"• •
a
,. ,• •" ""
", , "". .• ••• •, " ..• • •. •"" •• ..•". •.. .
" " a
"""
"
.... -
"
~
-
--
• e
m
," •, a
a
•
, •
,
----
• ..• • ""
•" • . • "" - ,.
• • ." " '. • " " " "
p
"" " "" " •" •" .
,
a
" ". ~
.
,c
"
"a
" •
• .. . -
" "
"" "" .. •. ... " "• •. "
•"
' .
n eo es
••"
,•
• '-
~
~
-..-- • • ..•
" "
.. .
" • " •" .. • •" .. '".. " " • • ..• •"
, • ,• "•
'
.." .. •
, •• •
• • "• " "
.. -
_en-'-OII)
"
• " • , ... ,.. .. • '. .• . .. " •• ••.
• • " "
"
•.." "" ."" . .. •" .."" •" ".•" • .. " "" •• ."
•
.. --
"
•"
~-
- " '"
..•" ." • •
"
~
.• ,. • • •
•,,
.• .." ",.• •.. ..• '
• ,.
,. ,.
,"
• •" ." •.
"
- -
u.,..,_ .......... •• •"
"" """ •" '". "•, .
m • • •"
" • •
••"
"" •,.,..
••"
---
~
..... .. . .
• ,w " "
"..• •" ,.
..•..". "" ,"• "
.."" ••
...... --
•
- ,"",
• •
m
,.. ,.
..'
.
. .
"
• ••
..
• ••
,•
' "'"" " ••
••
--
~
" " • * *"
" " •" "" •"
••" .- .."
..
.. .. ,. • ,. ..
m •, • •
•
""" •,. "••" • •, •" •"
.. .. ,.,"',,.. ,.
~
'
. .
• "
" " ,w•
," " •
•
-_. ... ---- - --
• - •• -
-- - -•
• - • -
•
•• --
- ••
,.
•
-. .-- ..
-
...
- -
... - --- --
-- -
-- --
u_,
••
•ea•
m
" ' . '
'
•. • • • • • .• • •" ••
n .
. '"
• •
tza
•• •• •
" ~
" • "sa
• - ,
.
' , " "" '" '"
,.
~
'" "
• ',.. • . •
• •
,
"•• -
" , • ' . ' .
". •
,. •
'" '"
•
•• • •• ••..
,
" rr
-- • ••
'. ,"
,.
m «o
" "
•• --
~
• • • • eee
'" •
m
• ,.
'" ,. ,.
,oo
," ,.
•• ,
••• •, .
,.
• -
.~
•• • •• •• '. • •, • • ,"'" "" reo
ce• reo
•• -
•• •" " '"
' .
• • '. ,
,m
. • "
---
~ 110"
" • •
m '"
' . •• •• •• • ••
•• -
" " , • ••
• •'. '. ,.• '. • • • • • ,•
• ee- ",
~ en ,m ~ ""
""
• -
• ~
r....::.
"
rr
~
•
• • • ••
••
~
"
"" "" • • •
m
'
m
.
ese m
,~
,. '
,.
.
'" '"
,"
, .•
• ".• • • • •, •• •
'" •• • , rz
"
"
,.--
,~ ,~
"
,. " "
0 0
••,. -
~--
• •
" " " . m m
m
, 0
,.. ,.,.
--- •••• •• • • .• ••". .... ,.•• '."• ,... •• •• •••••. •••,• ••...
",
m
, " "
"
"
,.,.''.. •.. •• • • ". ,. ,. .. ,. •. .• •
,. , '"
~
," " -..... "• ,~
• •
~
• •..
T...-. ~
• ~ ~
" ,
~
- ...,. ,'.. ,.• ,.,.• ,. ,. ,• ..•
~ ~
," ,""
',.'.. -- •
• "
'W
• " • • w m ~ W
• ""
... -
C>o<l ..... ~1'·
" " " "
•• • • • ... •... • " • . .. .. • • ..
• . ••, ..•,
,m m
..'", -
--
...
- • ••
"
•• •• • •
.. . • --
-
...
~
~
""
."
=
=,.
'
'"
.~
...•
'" ,.
,"
"
'
.,
• • ,. • ..
,ro
" .
"" "
" ,,ro
• •• ,• ..•
•..
•
'",ro
' . ,.
'ro " "
m
.., ....... • • -
-- -
W W
,.
•~
,.
'" ,"
," ,"
,. ...
• ...
,. '
"
.,ro
'. ,.
•
,.
•• • •. • "
", i!:.':
_x"..,
,.'. -
~
•
'''".. -...... • •
-
.,.
.'
-
-- -
,.
.. ,.
~
m
,. '"
,ro
'
'
•
.
.
,.
'" ,ro
•
,ro
,"
'"
.. ..
•
• ,.• •
,.
" ,.'"
"
'"
,"
'"
'" .. - • • -- '•.
'I0OI."'...
~~
~ •• '" _.
~
W
m
,. ",
m
' .
..
•
0
,.
...
,.
,.
'ro ,.•
..
,ro
•
,. • ,,"
• ,.
,ro
,m
,.
•
• ' .
•
•• "
,..
.
,ro ,ro
. w
"
"
,
a ! n~8liSlliS!:: 1Illj:y;111l 1ll~lS ~1 & ~ I/; ,';t l b.e ~ ! fll 1II':l1ll1 &I. ~1:I 1:!':l' l ea eea !tn~!;! t:I ~ I l!!lii ;. ::: .. 1~;;: w.,;:: I a ........ I .. ....,.,_
~
~
I 9:'
!! ifill ilff~I ifUff EWII Imli FitII ill (illt nUfJ HIill lHI! !!lli flmr Illifl! Fji11
., .. "' "' ~ 6 -~ .. '" .. "'0. -
,, I·-'·'I·-·',-I·,"'I-'···I·'·,-I! I'-'I--!--I·'·-'I'·'··1··"·1-···'1··'··1- 1· -11'110-. .. ., .. ~ 0 0; _ .. .. ., "' l.> .. !!l
i
... _"' ........ " ..10 .. ~........ .co. ~ .. .. .. .... 6..
.,"'1'_" -I' -"'1 """" ~ I, .. -",1' i:""'I.. plll_,1 E~eg;" 1 "'I:::'" -f"I"e- ·-I po"""I-sees! o· -1;"'1 ' ·1 ' _ 0 _ tolo "' .. tolo :;
I
§ ,
::a:;;: 1:;;:1 t eee t: I: b:t:~t:I t::t:: :~ eIta:t:: ~~I t: r:: 1=:<::: I t:gl.: t: ~I eesseII:: t:t: t:: 1::1 ':, 0;et: I~t:t:l:: t:: It:~;;;: 11;::;;: ~t;: 1~
~ ~ ~~ - ~ ~... .... ..
Ir
':::;:1: et::11: I:: (;;!:: ~ Io::s:t::l:f::: I~~ ~~~ Ito:~; !: ~ I t: !" I - .. . , "" I '
'" I"''''.... ...' ' 1'""" 1"-"1 ~ I" "' !" !" I " " " -~ 'I ". !"!"-
......... .. ..... il>!ll l~
j ,;;<0 .. e ~ I lUi.. :'!'" I <;l2H:I~tll l t1~ iO~t! 1 ~t!?I n'" III ~ llltil eee l:l ~ I ~tU~ lll )! I ~ e e ::l!tl l ~rJ1 ~ ::! :t I tJl!ll8l~!Il1 :t!tl~ :t!tlll:lill ~ l!! tlIl 11
I
I
...... ::51 ..5.... ,,1 ..,..... ::1: ........1;;-;: .. ;0:; 1_ :::.. ;;;10:: .. ;;; .... 0;;:;::: :::.. 1s: aa ".. I ;::.; " ....I e 0\;;;0; 21 121 ..~1:i2l1 til'!;;; t:! .. I.;
,'I',
• 5?
C5
-
I ~ ~u~1 MlMlil ua ~~ l l/;lSMl!l1 t: ~Jll1l~ l. M~ I t u u l !:!~u!!: 1 t.&.tlSs l &U l> lS IlSU,,!!: ls~l:I~ ~ 1 .llI;1!:lI;.t ! &
< 1IlIUI &t:l1 ~~lIlij':l'l MaI!t~ 1 &'ttl'l':': 1~U l!al ll 1!/l;~1 t.t;l; hll; l !l .l ~!>l!1 U !l!>l;'ll iIlillt.lIl!!:f t,&;U s jl;'lt.!!:l:lllll I; !!: t. !!: /;, I.!I ,, ". iJl
I; toS U I~;!;;!!: t ~ I t " !l to 1>1.e to t..l/l l ot .!: n /l;I' I eee 11Il 1H:l l:ltlo I !l Shill !lllll!l S~iIll IIlIil !l /l /l I!l ill iIl!Uil !llll !i!illl ll$iIl t1l:1lil j'
IllBIll8B 9'8 i'~1! eeeee ~ IiH!a'i' eeaaare ~ ~.!:I eeeee !lll1!1lI!:!:~ !!:lI:l<l&l!!: iSM!:!:!!: 1I:t.&to l u tla .M&I:l& II :II-
e'::l:~e 1~: e:li:;;1::1:: l::~ Il:i eel:t:i:: 1!:~.:: ~el e ~::: 1I: e~:;:; 1 :::: ~:: 1e1:1: l!::! !::!:I::!:' 1I: C::l::1::C:t:!:;:1 e: :!e:;el c IIli
t e ';'!lll to l ~Sl u s l ::l lllee ~ I ~ .la<J!!: I /'I &l !IlM:l1 " ~ tlI&11 !l ;0 I! !!: 51 Ulil to tl ll:l ~ ;; Willi a.... ;;; .. 1&; .t1ll!!.. 1.... 1tl1'l ;;;Iij ;;;!tl .. ~I e
'1I-
' ' ......1.." ·.. "' I"
~
.. -.."'I 1"'''--''1 ·- • I
......... ..... ,1 ....,"',.1
. .... ., , _ --~ I ._;:: .... . I·. t: '-I l.> .. t I"
... e ~ "m ,..''''!II 1: ............ "'~!:' ... : l: "'
-..1 ,....,..=1 ' ,• I-IIi
'..........1 1, ,..... .....
"'1" .. '" _ ...",
-" .. 1·',...;;1 ,......1-bo.........
"" .. " 1 ~ ~'- 1'_,-· " ·1 _b"' .~
0 "'....-..1'
I el ,
.......... - .."' '..1
".. -.. --,.1" 1"".... -'1 ' .,
- _.
-
-- - - - - - --
-
--
. - -
.. .
.. ..
.. ----
•
. ..
•
.. -
•• •• •• •••
..
••
• ••
" " •
• .- .-
,• " .,u
••
-
....... ,
u u
.. .. .. ..
~
•
,""n ~; ....
••
. .
'"u "" .. ..
,••
u
".. "u •• ••• "" ",, •• " " "•"" "
. - .. . . . .. .. ... .. ..
.,"., "" " "" • • • "" "u
,, ....
., -- ...... .-
••• .. .. .. • •
" •"•
•".• ,u•• " u
...". .." .... " ,.." .".
," •••
, "" • "
.."eo ". .." ..•, .. "
"
,•" "
"
... .. "
u
...--
u ee ••
"..
~
"ae
,"" "• •"
.
,
""
" "
"" •r•
...•" """ ,....
'.'
••"
" .. ...,
~
....
"
.... ..
.
----. .- _-
""
" ea u "•
",,
"
.. •" ee ••
..ea
u
••
•" = ..
n.. ., "
. ..
, ..
"
o•" " "• "
•
• .. ,•
a
• "
•
,
ea
••
....
""
," "..
" "• ..."
u
u
..
.....", ....
" "
.• -
".."
•• -
- .. ". "
"..
..
"
"
"
.
".
..
. ..
'.'
.
"
•.."
•• . • • " " ••
• ...•
, . ""
•"
"
••
".." .. ..
" u
.."" "•
, ...
• ,•n
"• .•"" .... ...
0
~
•. rr~
" ~
u
"
~
u
•
"" •
•
•
0
•
""
. ••
•
u
~
.. .. "
....... ..••
"
~-- ,,--
- - .. . "
• . .....•
••,. - .. . ...•
u u • •
,• ..• ".
-
,~
"..
~
..•.. .
••
.. .. ....., ...•
,~ ~ ~
~
," "
'•••.• -- ..
" . ".. " • .."• . .....
.. . . .."...•. ~ "" M
'"
-
~
•
... ..,..
U
,oo
•••• -
..
.. .. ~
.. ,.
..
~
"
".. " "• • •" .
•
. "..
,•
•
"
..".
W
..•, " ,
" ....
~ ~
•"•
...'" - - ~
". .
", . .. ..•, ..•• •.. .
..
~
,.
~
.. .
..
,•
, "•
•.
.. ,.•
~
. .
...... -- ,.o. .." ".. ..".. ..• •.... ....."
- ". ..
" '
~
~
~
~
... ..
.. . "
•"
."" •.. ••" ....
" .
,.•. ". ..""
0'
."•• -
'" , "
"-
" ., ".. ".., .."• •.. ... ......
.."" "" .."
•• "
'OO
~
•• -
'" -
......
..........
...
~
~
." ..
~
... ...."
"
- •. "" "• "• •" ..
•oo ~ "
~ ~
••
m ~~
'N
'N '
~
M
~
~
~
~ ..
N
N . .", "
~
..
TABLE 6' ECONOMIC INDICATORS
~.
••
~
-
- -
~. -_.
,._-
-- - ----- ---
--.
- -- ...
••
•
~.
--
...
- .. .-., - ---
-.
"
D_
~
D_
•
-'
~
,,,
-,. .' ...,
• ,• • " ..'. ,•. "ic-
.. ..
,. ~
.
••, .,"ro
"
,", ,
•
"
, •om• • ,. .. •• ".
e-
om ". '"
,
,• --.... --
•• " ,., , • "
,. .,.
,• "
•• .".
"
.
w
, " " "•
•"" ,
"•
"""•
-
~
•"• ,,
>rn
"" , •
-
m
""
.""
... .... m'. .
om
~
."
es "
,
"•
·1 .1
~"se W
, ,.,. se-,•
e-
.
~
-.•. "
," •"
" ",,
a
•,
..
,. , •.
•
,'.. " '... •
~ W
" •
.
.•"
>rn ·1 ,~ w
,. m
"
"."".
m
M
" ,
•
. ---
V
•
• ,-
-
•• ~~
~ .
."
w
,
m
., , • •
•... • s- "' .•
" "s
.
" s "•
..
>rn
" , ,
"•"" ...".. '.,, m
,
,,
,
., ..•, .' "• ,
"
':10'
~
e
,
"•
, •" •..
..", .. ..,. .." ,,
, llg
•
uc- , • om ,
'" ee, ",
•" " ,
•s ,, •
-ea
-- '.
· 1.8
•
U ~
• " , "
.. .-...
" ''''
-
"
.••". .......
•" •r •, ,••
• • ".
W
-----
"" ,.•" , • " ", •s ,
.. •..
•
•" -
- .,
" ..""
•,
•
•e
,•
e-
"
'"". ..••
",• " "
.,," "• ",•• "•.
-
•• ..
•" u" .,,..~
, ,,• ,, z..r
..
•
..•
U
W
""
• ie-
". •
,~
ee
.. •
•"
.
II
,., ••
" • • .. ,• " •"
. ,• ",• ••"
'..
"" "
_1.1
•, "·".
••
.. ."". ...• ..
~
..•.
~ " •• ••• •, "m ,• , ",
"
", ". , • •, •
.
" · 1,2 ee. •
~-
~--
__ rol --- ~.
_
-_.
....- ...
-..,- --.. -- -. - - - - .--,,.. -- ----
"
, ~-
~-
."
~-
- '
-
•. i:' -
.• ....,..-,... ••
• •• •• M
•
., • .-"
.," .,
m
"
•
N
, • •
oo• ", ""
--
~ ~
• .1:,Aop.
00 ~ <0
• • "s- a "• ,
" "
••• • • ,• "• •
.m M
•"
..... .. . .. " ••,
M
"o. • • ••"
", ;:;.- ........
n
"" • "" <0
.... .....
• ~
m.
=
~
= ..
M
""
.,
..
.,.•• ,
oo• "
"
, • ,•
, "
• 0
"
,
• •e " ,•
• ee ",
,
0
,..• • ea ea
• 0
-- ... ..
. .-
••
- "" " ", , •• . .. . .,
, w• •, "• "0'
.....-,- ......
~
• ,m 0
"
, ,
--- ...
0 0
. ---
'00 0
• ,
.... .. •,, ." •,
~
•• "
•
..
" •'"
• ... •" .
," • •. ." ,• •, "•
•
.. .
0
.. •• oo •.s-
..
~ M
••" ~,.,:: ., .
--
- ---
-
"
.-..,- .,.. ...
M
u
"
"
0
• " ... " ••
"• •
. ..•
,
~
-
" •, "oo •
..
,. -
••.oo • ••
,m a
"1,7
"••, • '" •
.... .... .
'0'50 ·2.'
." r~....,r_
•
." • , , • • • e-"
..
0
•••• :::=
.ro
''.. --
e..u _ _
~
.....-•• ..., ..
,"
esc
" ..,
0
~ . 0
"
• ,
"
••
- ..." ""
,""
.• "0
"oo
, •",
• •• ,• ••
••
--- ,,...--. ..
se
". ~ ~oo
\ ~ l .l(1 "ae "oo "
'"
'"
,,'
~
= " " 0
"oo
0
,• 0
... -
'"
" 0
'" .--... .
" " •
••
, <Ii, O
" , 0 ""
",•
.., ""
•
.
...,. -
,' ",. " , •
n.
,.
- ..
0
oo,•
- ""• 0
"
-.... ..
'0
." • •
.......
~
",. " 0
•
...,. -
.oo
,,'
,. W
•
0
" ", ,,
'" . ...
"' ... ' " ,,
0
•
••
on
•• -:::~
,roo
.."
",ro
- oo
" ""
",.
", ""n
,,
,
"•
", • ."" ,•
, •
.
_
_..._.-
TABLE7' WOMEN
-- ---
_.. -- - -- ..
-
.- - -
.., ... - - • -- -
--'-"-
.
•- - - --
- ,
•• •••
,,--:::-
~t-U·l
...-
,~
•
• 0
..
• ,
•,.
0
•,
•
•• -=-
--
,~
•r
• -,-
~-
....
--
~
•.
,.,
'.,
,~
• •..
• ..
•
•
"••
0
.
••
..
•
•
r
,,.,.
0
•
••"
•
•• --
.. 0
'.-
"n
,~
, 0
... - ••,
,~
,.
""
.... - -
~
•.'
'.'
,~
'
~
0
•
..
••
.•
•
• ,
••
~
•
,
.. , • ,
-
0
,.,,., 0
. -
• •
. " " ".
-=-
n ~
. .. .
0
•• ",
•• ••
, -
~
.,
,~
~
•w •" • • 's'o
m
,=
,., •" •••
n
• •"• ."s
.
...
...-
0 m
...... ,., ••" m
•"" ~
'.0
, 0
• • "•,. •n o.
-
ee
.•
".
•" ,-
e.-...... _ 101./ ~
0 •.. •
ee 0
••
~
m
••• ,- "O-ll
1011.'
••se • • •
--
,~
0 ~ m
.. ''''',9
...•
e •• 120
•• :::-
•• -
-- ,=
,~
,.,
•.
'00.0 •
0
•
••
0
••
ee
•"
••
••
0
•"
~" m
m
-
~ ,~
>
• ::I: '' 0 ' •• •• •• • •..n •"".
-
reo-
0
• 100.0
• " • "
0
•
....
•. - -- -(7"'""1 ,., .
n ..•" .
0
• •0 •
•• -
,m
•• ",a,. ,
--,.
'0'
• ~-
-
,~ 0 0
,., ,.•• •
.. - ,.•
'0. 0 ~
•
•" "'.0 "
•• •0
•,.
..•••
0
- -,.
'0' 0
.e
• ,,-,"'lb"""""'" ,.,
,~
'.'
0
•
•
•
0
• ••
•• •
. -
•
• ....
~
,= 0
0
. .
••
~
..•• •
seo-
,
-,--
,~
"
•"" ""
-- '.'
,= ..
M
•"
0
ee
,= =
,., •" •"
za
..• .
0 0 0
• •
. •
-'.
0 0
- ,=
0 n~ ~
0
• "'~ •. •
. ,•
,oo 0
n,
. • se
.....
"eo
,.,.,.••
•" ~ '.'
'0' • 0 0 0
0
,.,
-
•• =..
. ".
• . =
0
...... n~ n• 0
0
0
=
0
•
'.'
,~
,~
l!lllO~"'''''>"lOIIy_'''' _ ,~
•
'"
"
•'"
•
'oo
,"
=
•
_
_. --
--- ---
.. _., _.'---
",.,-- _.- - -- ..
-
.- - -
--- • • ,. -
," ,-
-
- - - N
•• ••
••"
•" ---
--
,",
,.,
'W,
~
••
•
• ,.•
•
'" =
,"• •"•
•"
..•"
0
"
•••".
•
'M
~
sco
.. - ,.••
- (21.""
• ,-
n"
n
--...---- ' 07.1
,~
,~
,~
,~
,oo "
••""
,oo
•
•"
•• •
•"n
"
••"
"e-
•
"
••"
..
•
oo·
••
•
'oo
,oo
=•
,oo
----
,~
'.,
M
" "
""
"n
~
........ ,.,
-,
,w,
••
•" ,.
'"
••
••
,oo
•••
"
••"
M
•
,oo
~
..
~
n"
"M
" • •"
'. , •" '"
• ~
-
•"" ..-
• --
....
,.,
' OII , ~
,
'Oil
~
.
• ,.,oo•• '"• •..
..
" ••
,.•" •
,.'.
,oo
, '"
•"
•" --....-
.~
,~
..
'.,
,~
"1(11.1
•• •"
•
'"• "•
•
••
" ,~
•n ,.•"
----
~
'
••• ,",,,' OO
' OO '"
""
"•"
n
• •
•• •••
,'. ..
'oo
••
---"'--- ••" • ••ee-
~ "M
110.'
•• ,"• •"
• • •"
,~
0
"
,~
" •
- - "
' OO
• -
,~
.. 'oo
'
,.. n • 0
',.. -
•,oo ,
,(l!j,S ,oo
••
",.• ,,..•
~
,""
T...-....,,_ 1, ~
" " w
'oo " -
• 'OO
•
,.,.'. '.
W'~
::::;: n •on
'. --
n Ul
'OO 'OO
'"
,"
•"ra"
.' •••
~,
•" "•"
.. ,,, • '•
~ m•.,
'"
--
eo", • '11'-
,~
,
,oo M
•OO ",
,". 'OO
'oo
,,'• ••
,"
'OO
"• 0
.,.., • ,.'",oo • •
~ '"11,1.1 0
,,''"
-- ,•
,~
lQlI.2
,~
....
Ill.'
,. ,
,~
,",
• 'oo
,,,'"•
•"
'"•
,",.
",
•
•
".
n'
"n '
M
,oo
,~
,~
••
,~
,"
0
•
,,
0
-
,oo
'" , '" •
,. --- '.
'" ....... • 'oo n
~
• ,
'"'" ",
,~
- • •
'
,",
,~
'OO
,"'au,
•• '"'oo
," n
•n
,~
,~
"0
'" ,", ee
,oo ,oo
,~
,oo
'N
" "
ss
TABLES' BASIC INDICATORS ON LESS POPUWUS COUNTRIES
-,
----- ••
-- - -
,. '. " "
- -
_
-
. .- -
.- - _
.-
-- . -
-
-
-•
--
• ••
.,
••
..
••
.. - -
-
.
'- -
-
.. - -
-
~
. -
- --
,. -
••
,
,•
~
,• -
•• -
m
v.
m - ... ,." •..•,
' ~
,
.
.
G "'
'M
=
'
.
M
••
m
G
•• -'
'2'0' "'
~
~
••
..
"w .w"' ••"
• ,~
•
.
-
.
~
.
•.• ..••• '.
•
-
• "' ~
..
• w
•-• = ..•• .. •
~ ~
••"' ""
.... -
M
• . ,.•
•" '..., ."'-
xo reo
"" --
~
• ""
G ~
- '..
"- ~
.- .. . . ,.
M
... . ..
.
",'
So<>r.... _ _
"" ,-
St.eh'
.... -
.
•
. .
."
" .,•
'
"
m
•.. ••
,"
"
••
.. M
- •
. .~
"'
~
• .. •.
..
•
,
." ". .. ....•
.
~
~
",
• •
..,• -
".. -
• ae•• ,m
• •
•--- . .. " ••• -
• ..•
~- M
~
~
",
".
..
~ ~
..
'M
"" -
. "
- ,. •
V
"
..... _
r........ CIoa>o_
.. -- • .. ~
•• .
"
In
.-
• " .."
.. "
..
..
•
,~
,,~
• " ....
•
.
•
~
~.."'"'
-
u .~
• • ..
•• ,- -- .
"• ".• ,.
.-, .... "•• •••
•.. ,.. • "
•
' 0'
•• • •"• .. ..
l I l . _ l. . ~
" an '
.. -
V U us- . .w·
•... --
.. .. •..• ..
~ ~
.
,w
,w
• --
..•• -
-
...-
- ~
• ,. ." •. ..
" " ". ",
to
...
..
OJ!
ca
18te
•
"
''Y':''
"
.
".
.•• ." .•" "" ,"..'.' ...,•• ..... ..•" ..•• "'... .•.
..
•• , ••
n
'00
•
"'.'
ssec
,,~
0
0
•".
~
• ~
--- .
•.••-=.--- N
,.
,.,. ,.,"
N N
!:.-
~
'. ••"
~ 0'
.. . .'" ., "" ...
~
U U
"" ,."
-- ,.
~ aa ~,
' 0
• as
.
ae ae
• .. .. .. ..
U 0'
, ..
- _ 1 2',101
,. ,'..
,. •
•• ..'.' ., ". .. " " .. ..
.. " = .. ..
~
...., .. .
...." ..." .."."
~
..---
••n ~-
. .. . ..
A t 0 aa
"
•• .. ...." . .." ." " .."
~ U
'- ~ 0.' O..
"" '" •
0
eo
"
0'
"
'".. ,"•
• .." .. ... .." .." ".
0'
.. ..
11<1, _ _ f\olI. ..
" ~
..
..,. ••
00
"" "
U
-
,0 • .0 ae
•"
0 U
m ee
.• " ." .. ,."" ..,.... ••"
0.' se- M
" 00
- ,"
..
~ so ae
" .."
•"
' 0
• -
••
. ..... " "" .."
m "0
• .... " ..
se
"" .,
0.'
," •"a
• .
m
..
~
"
-- . " " "
0
" "..
u
".." "
.1.1
• "" O.
".. "
"
,.~ ""
..
,."" ""0'
---
aa ca
.. ---
0 0
"z.a ""
" " ..",. ,." .. .." ..,."" ,."..
•
,.
,.
~ se
••" .• .,
•"
"•"- ,.
•• i:'~
~
~
,. ~
,.
e
•• V
•••" .." ,.
• .. " .. " .. ..",. ..,.
ae
"
.,.." ,. "
ae
0'
'
". ""
' .0 0., 0.0
"" .,
M
..
"" ".. " '.' . ,. " .."
.,
~ .-T.r ~
.. "
,.
....." ".... ..".
u
M
" ... ..
u
" ., .
.."... .." ..",."
"
00
''"'". -- . , ..,." .. .,
,~ 00
••m •"
" "" ..
" .. ,.
..
" . u
- ,., "..,.
,ro ' 0
"" "0,
" u ,.u
•• "" " ",. ."" " ". ,. u
... " u
.. - -- " .."
~
" "
" ..
,.'"'", "." ., ., u u
••""
,, .... .." .,.."" .... ..,., .." ,..
'0 u u
. ...." ...."
u
'... -.....
M
"• 0' u
"u "
_.....
w
'" V
"
Footnotes to Tables
Table 1:
.... ---
----
-
,- -
,w
--'.
'lI"J-~
""'"
,,"'
-- ---
--
---
-... ---
....
_ _ _ _a.-_
_
--
_ _ ..o.o.nr_
---
- ~- .,
~
-,-.
--- ,,,.
,'w-"
...,...
'-
--
----
T_&T_
~
'w
-
""
"
.......,
Table 2:
_,
.......
-- --
• • •
-----
----
....
""''' _i'
. _.
(> '?..",.-,::
---
""-
~-
~
-- --0
• •
_
1.1&_,
-.............- -,--
.a_
--
-.-,.
- ---
• , •
;YO
--
"~ -
...,--
...... -
--
......
---
"'''-' ,-- ._14'_
,."'- -
~
~
-............
•u ...._ .• ----'-
.-
c... _
--
"'=-'
.-_J
~
.-
~,-
~ u ..
---
~
--- _
-
~-
--
-- -~-
- ......
u __,
-- --
llD.....' _
......
u .. ;. ,~ -
-- ~-
;::::
.
~"""'9 ......
..,---
l>U_9_
--
DolO ""'" 9 _
' .~ ,m
no •
1.0 .... """"
--~
~
-
'm
....
._- -
'91$; _ ~ .....
;.....
::::...,., ..._1211_8_
_._--
,m
...... ..09.
---
_.w
_w
-- _.w
_ w
'9'11
_w
'1118
'ilIa.",
'lIfV;~_"'"
,gil
,.-
oro_
12-2:1_
~-
..._--
.~-
1~"""""
~-
- ~
~-
'"-
-_.
--.... --
.~-
0 ·303_
7'..:ll\_
BIIl
HO _ _. . , , _
&:._-
....:ulng_ .-
BIIl
_
-
1>_",
~
-....
0011 .........
---
--
;::::
~-
........ .,,,
.. _ ...... 11
... "'" 09 '
__
_ _ ",m _
-... -._---
--_
,.,
0.11_
'3~ · _
....
- • _ _ ':\-201 -.; _
--~-"'"
.n_
.~-
191""'B
,9ft·/II
_ ....
3· 3 l I _
2<-OO"",*"
---~
fl.SIl _ _ !lao1
,m
'"-
2"""_
2<136 .
336 ....
2<-311 _ ...
•
.--...
..--
,- -
- ......... --
..-
"""-
c"" _
-
~
-
.::: '.
:::u ... , .
•
--
~.
-----
.:toN _
-----
0
_a. _ _
_
_ A _ _
-- _&_._I . ... _,
Va
....
:::
00; '
--
----
_.__.. __!o"lo._ _- ::~:::.:.~ .
_ ~~"
Table 3 : ....
-- _ .. _-
_._-
_10-- _- ,,.-
, -
""""
-r::.__.....
_" -c_ _
_ .. _--
... _-
IlJ. [JOT ,
,,--
... lll'I. ....... _
,
__
-
,-
_
_ lO_ _
_._- , -
~ lll'I. _ _
_ .. _-
....-
- ,.
..-
......
, ~
--
~.-
_ .. _- -
DPl, _ _ '
---- _._-
1Pl. _ _
. - - ,~
_._-
~ ~
.--. _ .... _- -
- -
III, lPI' ....... _
_._-
"'lll'I _ _
-
T-..
-.-.-.. _.--
_.--
_._-
_ .. _-
, -
-
--- _._-
llPf, _ _
_ .. _-
-
- --
---.- _._-
~--
~
_10_-
_ .... _-
-,-- -
-
--'-...
'-
.--- _._-
_
_.._- -
. _- ,
-_-
-
, - .
- "'llf'1 . _ _
--
•• .....,
Table 4:
-"' ""'-
.... ------
N_ -~
-~
---_..."'
EducatiOn N_ -~
-~
.... -~
-~
"""'
-
N.
N_ -~
-~
'.
,.,
,~"
--
""" _I'WQ
....... ""'""I' I,m
---......
~
N
-----
_
......_
N.
N.
.....
I't1Ct -~
"'10
-~
-~
-~
'0... ...,_
----,.-
N.
-~
,.,
'.'
--...
....... _ M1Ct
N_ -~
-~
-~
N.
--
~
--
--- '.,.
-~
-~
....
~
N_
-~
,-
- --
---
--
N .
_ ~~ IQ
,.
-~
,.
,tiS
-~
-~
Table 6:
''''''''''''
---
""- --
--
~~
,.,
..
"n
,m
,.'tn;.n
--
IncflCalors ~~-
GN'",, _
GN'''''.-.11'.......... ,,
--
--
~.-
_lI'O"""_
CI*' ...
".
,.
".
".
,-,.
,.
".
--- --
~~-
ow
--
"" _lI'O"""_
_
,-,
___ _"'-.- ....
"0.0.-._
,.'.'...
_<lGoInooit,,- .....
- --
--
-~-
GW",, _ ,,tro-ill
-""
--
-- ,t"
,.,
,-".'.
-.-
-~- ,m
CIPlI_""
--
0IiP PI'
(H' "" _ ,9l\5'1III
--
~~-
""'''''--- ,-'.
't"
"
-- -- _- ... ,_.
... -
--
,~
~""'''''
CH> .... _ _ _
'"'
---- ....'.'
'OlI'-t'O
--
~
,--
~~-
--
... _--
~~-
'm
,w
,-
....,.,,m
-,-- --
~~-
--
.-
--
'Uri
,g,.
,m
_ _ <lL...
---,-
_0- --
--
~~- ,-....
,UIR
,m
--
(U'PO' _ _ _
'm
,m
- -- .. _... ..,-
.~.
'"'
,m
--
........ .,. '
-
.-"" ......
-- ,--..
'm
--
,m
'-
',....,&T_
,-- ,,m
,-....
---
,m
,-
,--
~,
~
"'*'"" ....... ,w
~~-
-- _.
Table 7:
w~
--
eo._""'
--
--~
.....
C<>6_"-'"
......
'm
'"'
.'......"
'm
~""'
--
---
0<>6_", ......
eu.._-.... ,--
--
..............ar'v.&'51I.
..... ...
....
--
Cuo6_ _
0»._-'"
-- ... -
,-.-"
--
eu",_ _ ",." ... 'm
,U". _
...
,--
~
--
eoo _ _ 'm
....
--
,m
....
--
'm
,(m Ii
..... --
c<>..
,-_
,m
..•.
,... ....
--
_~
Ii"
-
--- --
eo", .... - . , .
' ...
,~
,UII
_~
"/79. _ _....
,
u_
---
--_...... --
--
--
'-
--
,-......'.
---
--
m'
--- --
_0"".'_0.
--
e...-_ ....
..... ---
,-,-
,m
'm
--- --
~"
--
~-
--
~--
_0:-00
1m."""'"_ . _
'm
......'-
.-
--- ---.... ,- ,-_.......-
~~
So... "I'''" --
--
~
_0
.......
......0• 0
......
•.
,
.......
~_'''91019
,m
,m
--
eo. , . "" .....
'
---
_~
--
Con
--
--
'0_
---_
,. ..
1_<11_"-
"'"
--
'~7T
--
Coo.. ...,_co
'-
'0111;'""'9 .... & _
' 9U
,"rr
.... ,.,.
- ----
Table 8:
- --
---
--
-~ -
......
,.'
,
,,sec
--
---
Indicators
~''''''-
00 ess
.0_
~-
..,-
pop-
ccouree
,~-
-
--
'w
,'0'
-,-,--- ~-
,.Itt ....,,·,.........
-- ..,..
'.,
~
rH'".._
~- 'm
.. _ --
--
r.... DO' """"
--
-~-
--
,'.'
,-.......
,m
--
,
,
....... ,,-
--
--
--
--
,
...,...
,'
-- -- ,-,'......-
'-
,~
--
.~-
"""_'M
- --
GN'o<>_
--
G..P .......... ,-,..
''m
'
~-
.
----- --
--
--
.m
.~
_T___
-,--
-- --
~~-
--
--
••
••
._
••.
.a•••.•.
.~-
"..... &e - _
,- --
~--
--
---
~--
.-
•.m
•
- --
--
~~ -
.R
••
.m
.- ---
Table 9:
--
,.,.,
GN' "", _ _ _
CiN'..... _ _ _
<»1'"", _ _ _
.-.-.•.a_-
.~ -
ne
rate 01
occess ---.....,.
GN' w _ _ _
CiN' "", _ __
CiN'..... _ _ _
GN' OOt _ _ _
...---
f _ fo<l.lto. .. ~ ""I
-- .-..•--
GN' .....
lH' ___
.... _".,..... ...
--
CiN' W _ _ _
R CH> ..... _ _ _ 11l&NIll
GNP ..... _ _ _
CiN'"", _ __
..
Ii u! I <I li f Un IIi! lit' I u'i II Ii
III Iii f lii11li I II ~11!1' fii 1ii! I'iii 'Ilflil Ii
I§ §
!i ;h I :~IJ ;fl I' , t;JJ HI HIt ,hi! !Ii 'I
II! III il llJil rii 11 1111!!J1 liill!l ~ IiI If rill II!
f W~!
• -I g
mn IH !; ~i!
"l> I.
Uitl ~ Ii jPi if!
I • l ' II
I I I 8 I
HI! I' I!~' '!. t~, i I I' I
! II *1 .~!W!~ I!. I i
Ii t HilliiHh h I I In iii I
~ ii' iI' ~'l! III iW Ii! If If I ! •
Main sources - ---- -
_.-
--
- - - - - - - ---- -
- - - - -- -
OfITu_ : _ _ ()glo ; ' (lY>Q.
_10_:
•_
u.oo_~S<**
Q.ll.oaOvoo"_ '~
....
~-..;~
;,;. ~-Pop ' ,-..
---
0-_ ••
l."OIl<l_,~~_,_
Hcl'
- 'oakl
""..,
Wl)t:l_QlP"'''''~
1,It_
-, .....
- . g _ Cloi'''V...._
_ t_ ()I1*"_'~ _
_ & - . Hl.
.... _:
_ . . . . _!IrIrto.
-' _
'.
_ _ " '_~'....
'O••
. . . ..,.
'" ,"" _ _ 0\11O._ _'....
•
\n<.'lCliI' l' ' $ .....
\n<.'lCI'.l' _ .) UN "'"'"' Sew Yook, NY 101117. lISA
!r.<.'lC1lP ('. ...... 0I50t
P. . IlnN_ C l l_Il II G<Mva 10, _ _
tmrcr,p RqionaI Oft'_ fat ~ ..,.l s...nt>tm Mria
1', 0, l:Io>o ",0). N~ r.:mro
m.1CFP Rqiono) O!fi<c fat C<DmI fItId "'<>I MIlO
1'. 0. ..... . .), Ato<lion 04. C<loo d1......
e.."l<.'1CP.P 0l'Ii« fat "'" _ _ ....... e . -
~ _ 1' U . ........ c¥ ...
\n<.'lCa' Il<P:-l 0lIi<00 ""' &00 _
1'0. _ J. l lA, . . . . . 1010Il, ~
IlSIC1!1' a..,.. 08i0r fao . .. - F. - -.I _ Aln<:o
'.0. _UI 1l1 . " ' - , . . . .
l.I){JCD' ~ _ _ e - "-
\n<.1CPJ' 1"-, 7} l .-.Ii - . Nc.lldli 110Il0l, _
if:o>1Cf.POlllot ~
rO ._Qlo.o.-\_-..~.
S.s,... __
tISICD' 06>0 ~
n.... _n 1.......... S--..,
I -I , _~ 1-a..-,,,.......lC., To03'I< 101• .101-
THE STATE OF THE WORLD'S CHILDR EN 1992
The 1992 SWle of 1M World'. Child_ repon !hat these issues are I>eginnin& to appear on
.. issued al a time when the wolid order the pclitial agcndJ, in • way that is
wltich has dominated 1M political and un~ttd in UNICEF. 4O-year btoey.
economic life of the 20th CC11tury is visibly
dying. The repon is offm:d, from the TIle most imporwlI sign of thai new political
panicular J>e"pcctivc of UNlCEFs priority WlII the holdinjr; of the $eptemba"
expc:rimco: in worI<ing with some of \990 World S......",iljor ChildrPr. With O-"er
humanity'. most lICUlC problctm, 115 I 70 Presidcnlll and Priml: Minimn in
oonmbution 10 the debate on the ~ world 1I.ttendanc:e, it WlII \he largest plhcrin& of
order wh icb is Stl'\lgalina: 10 be born. IIeads ofStalC in history. And it met
Ip.elkally to di:scuss childrm.
The repon submits 10 spWf~ propositions;
taken together, lbI:y add up to I Jlf'OPCliW that Tbc outcome was • oommitm<:nt, now
ending the absolUle poverty of ()rlt quanti" of signed by Illfm than 120 ~s of state, to
mankind - the man: than one biI1ion people an ogrccd progrvnmc: for, among other
who sliD 1,,~
an d dk with prevaltabk lhings, ending lllIU malnutrition, »='Cfllllble
hunger, disease, and illiteraCY - should rank disease, and widespr=! iIliteraey before the
alongside the rdated is$u., of Preserv1na the en d of the de<:a<k. The Hnt of the 1q>On',
peace and pnxectina the environment as propositions is dUll this great promise 10 the
priority items on lhe agenda of that new world', children ohouJd now be kept.
WQrId ordtt.
Governments must lead. But the report
Thc report suggcsl$ that one of the most ttrettQ the imJ)OftatlCe of Il'IObili%ing aU
tlwneful failings of the old world order .. thaI pottible toeial resourc:eo behind the
a QIWttr of a million childtm :m being commitments WI have been madt and calJs
aIIO\Io~ 10 die, every ~ and that millions on aU concerned organizations and
more """ being alII<Immed to I half-life of individuals ttl become involved in '~
malnulririon and AIrtlo$t pr:nnanenI ill ht:ahb. the promise' .
By any ~ IWldard of scale or severity,
tim is an issuI: whic:h sbouId rank in '"A ..... IX'If ;" Wt1rld Iriswry is bM, rumed~
impor1lll'lCle " ith any on the human agenda. rondudeI UNICEF, "and if IJw -as ofIJw
But in the plIlI!, sud! problems have had little poI)tf:S' quatUT 11/ --..:t, and of W: dUIdretr
purchase on priaity bca.usc lhcy ..., primariJy UJht> "'" 1M ....., ~ ofaIJ, an <>,pin
.\he pi "blahS of the poor and the powerioss. rtkgaud ID IN 100_ of lhal ~ IJwn 1M
..... Wt1rld <mJn ",1Iidl is """/1m u.n. will 1M
Coinciding with the other great d1anga MiIMrwonhy 11/ iss lima ..". capahk 0/
occurring in the world, 1.h<:rl: are now signs -rUtt IJw ~ 0/ IN fimire. ~