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for every child, every right
The Convention on the Rights of
the Child at a crossroads
for every child, every right ii
List of figures
1. Under-five mortality rate by region, 1989 and 2018 page 19
2. Under-five mortality rate by wealth quintile in low- and middle-income countries, page 19
1990–2018
3. Number of unvaccinated infants and national vaccination coverage trends for measles, page 22
1980–2018
4. Number of reported cases of measles (thousands) and vaccination coverage (%), page 23
2000–2018
5. Global number of natural disasters, 1989–2018 page 26
6. Out-of-school girls and boys of primary school age, 1989–2018 (millions) page 29
7. Population projection of primary- and secondary-school-age children from 2019 to 2068 page 30
8. Percentage of children with foundational numeracy and literacy skills, by grade completion page 30
9. Percentage of women aged 20 to 24 years who were first married or in union before page 34
age 18, by region
10. Percentage of women aged 20 to 24 years who were first married or in union before page 34
age 18, by wealth quintile and region
11. Levels of selected indicators in countries and areas by urban/rural, 2011–2016 page 39
12. Share of countries and areas with relative wealth disparity gaps page 40
(ratio of richest to poorest quintiles by urban/rural, 2011–2016)
13. Share of countries in which the poorest urban quintile fares worse than page 41
the poorest rural quintile, 2011–2016
14. Proportion of country-indicator pairs (39 indicators for each of 202 countries) according page 47
to data availability and progress towards global 2030 goals
15. Government health expenditure and under-five mortality rates (per 1,000 live births) page 51
iii
1
Achievements page 5
2
Challenges page 11
3
Issues page 17
4
Data page 45
5
Investment page 49
6
Action page 53
ANNEX
The Convention on the page 57
Rights of the Child
iv
Introduction
1
INTRODUCTION
Thirty years ago, the United Nations General Assembly adopted the
Convention on the Rights of the Child at a moment of rapid global
change marked by the end of apartheid, the fall of the Berlin Wall
and the birth of the World Wide Web. These developments and
more brought momentous and lasting evolution, as well as a sense
of renewal and hope for future generations. In a reflection of that
hopeful spirit, the Convention has since become the most widely
ratified human rights treaty in history.
Having achieved historic progress, In the three decades following the adoption of the
the Convention stands at a crossroads Convention on the Rights of the Child, in spite of an
exploding global population, we have reduced the
number of children missing out on primary school by
The expectations raised by the Convention have been almost 40 per cent. Three decades ago, polio paralyzed
met by historic gains achieved since 1989 in many or killed almost 1,000 children every day. Today, 99 per
aspects of children’s rights. Many of those gains are cent of those cases have been eliminated. Many of the
outlined in the ‘Achievements’ section of this report. interventions behind this progress – such as vaccines,
They are sweeping and undeniable. oral rehydration salts and better nutrition – have been
practical and cost-effective. The rise of digital and mobile
UNICEF Executive Director Henrietta H. Fore sums it technology and other innovations have made it easier
up as follows in an open letter to the world’s children and more efficient to deliver critical services in hard-to-
marking the Convention’s 30th anniversary: reach communities and to expand opportunities.
© UNICEF/UN0313115/Dejongh
For every child, every right 2
INTRODUCTION
Although the overall prevalence of child marriage has decreased globally, data in all
regions show that progress has been faster for children from the richest 20 per cent
of households, while progress has been slower among children from the poorest
quintile. In some countries – the most extreme examples – children may even be at a
somewhat higher risk of child marriage today than children were three decades ago.
1
Achievements
4
5
Part 1
Achievements
Historic advances on realizing – often the precursor to children’s redouble legislative, administrative,
children’s rights have occurred access to essential services – has social and educational measures to
risen steadily in many low- and middle- eliminate it.
since the Convention’s advent income countries, notably in Asia.
Despite these and many other
Gains in child survival and health On child protection, recent decades successes, in terms of both influence
are matched by leaps in access to have seen declines in the global and tangible results, the Convention
schooling and enhanced protection prevalence of girls who are married stands at a crossroads as it reaches
of children from harmful practices. In before age 18 and those who undergo its 30th anniversary. Its relevance
1990, almost 20 per cent of children female genital mutilation. We have and purpose remain undimmed. But
of primary-school age were not in also made advances in the adoption its realization – translating rights into
school; now this ratio is below 10 per of national legislation intended to results for children – has been mixed
cent globally. Gender disparity in eliminate other forms of violence and uneven. Most disturbingly, there
access to primary education has largely against children. is emerging evidence that some of
disappeared in most countries, with the gains made for children in the past
some exceptions in Africa, the Middle In 1988, before the Convention came three decades could be lost.
East and South Asia. into force, only three countries had
prohibited corporal punishment in In light of that evidence, the remainder
Although access to education for all settings. Today, there are 58 – a of this report will delve into a selected
children of lower-secondary age lags sign of enormous progress on the set of issues that need urgent attention.
behind primary school access, it has legislative front. However, violent It will call for a renewed commitment to
improved immensely; four out of five discipline remains a regular occurrence the Convention and to children. And it
children in this age cohort are now in the lives of millions of children will advocate for specific actions in the
enrolled in education. Birth registration worldwide, and governments need to effort to realize the rights of every child.
© UNICEF/UN0279229/John
Isaac/UN Photo
for every child, every right 8
CAPTION
LEFT: CAPTION
© UNICEF/UN0202133/Rich
TOP: In South Sudan, a 13-year-old boy is officially released from the ranks of an armed group in a ceremony that marks the start of the process
of reintegrating him into his community (© UNICEF/UN0202133/Rich). ABOVE: South Sudanese children set down their weapons to mark their
release from armed groups at a ceremony attended by more than 200 former child soldiers aged 11 to 17 (© UNICEF/UN0202138/Rich).
for every child, every right 9
In 2000, more than a decade after The Optional Protocol on the involvement of children
in armed conflict requires signatories to “take all
the adoption of the Convention on feasible measures” to ensure that members of their
the Rights of the Child, the United armed forces under the age of 18 do not take a
Nations General Assembly adopted direct part in hostilities. It further bans compulsory
recruitment of children. States parties must also take
two Optional Protocols on critical legal measures to prohibit independent armed groups
issues of growing concern: the from recruiting and using children in conflicts.
involvement of children in armed
conflict and the use of children for
sale, prostitution and pornography. Protecting children from sale,
A large majority of United Nations prostitution and pornography
Member States are parties to these
Optional Protocols, both of which The Optional Protocol on the sale of children, child
entered into force in 2002. A third prostitution and child pornography focuses on the
criminalization of these serious violations of children’s
Optional Protocol, which was rights. It emphasizes the importance of increased public
adopted in 2011 and entered into awareness and international cooperation in efforts to
force in 2014, allows children to combat them. And it requires punishment for offenders
– not only for those offering or delivering a child for purposes
bring complaints about violations of sexual exploitation, transfer of organs or forced labour,
directly to the Committee on the but also for anyone accepting the child for these purposes.
Rights of the Child.
Part 2
Challenges
Progress on realizing children’s right to In the above areas, among others, A tenuous global outlook, driven by
education is also a cause for concern. long-standing barriers of poverty, short-term political and economic
Globally, the number of out-of-school discrimination and marginalization uncertainties and longer-term
children at the primary level has continue to leave millions of the most trends, makes the future even more
remained largely static since 2007, as disadvantaged children unreached. uncertain. At their worst, forces such
increased access to primary education Armed conflicts, rising xenophobia and as climate change and rapid, unplanned
has barely kept pace with global child the global migration and refugee crisis urbanization could endanger some of
population growth – particularly in Africa. have a devastating impact as well. the gains made for children since the
Learning outcomes, too, are at issue, as Convention came into force.
a remarkably large number of children For children living in impoverished
are experiencing learning difficulties. areas, both rural and urban, geographic
distance from centres of prosperity
It is increasingly clear that children and also results in poorer services and
young people are leaving school and outcomes. Cultural, social, economic
formal education without the skills and and political obstacles often remain
competencies required to succeed entrenched despite years of efforts
in the competitive, globalized labour to remove them. Conflict and
market of the twenty-first century. humanitarian crisis disrupt services and
discourage social investment. Gender
In sanitation, a prerequisite for child gaps, while diminishing in some cases,
health, progress has led to a large jump persist in many areas of child rights
in the global population using safely that have seen strong gains, including
managed sanitation services: from access to sanitation and secondary
28 per cent in 2000 to 45 per cent in education. Girls also remain at a higher
2017, the latest year for which globally risk of bias and discrimination.
comparable estimates are available.
Despite this advance, only one in four In short, despite global improvements
countries is on track to achieve ‘nearly in gender equality, girls are still more
universal’ basic sanitation services by likely than boys to marry as children
2030. Progress is slowest in rural areas and do unpaid work. They are also at a
and among the poorest quintile significantly higher risk of gender-based
– 20 per cent – of households. violence and receive less education
than boys – though it is important to
And while the harmful practice of child note that boys from disadvantaged
marriage is in decline globally, many backgrounds also confront obstacles
countries have made little or no progress. to quality education, suffer from poor
This situation reflects the challenge of learning outcomes and are at a higher
addressing and changing gender norms risk of homicide and gang violence.
– the standards by which societies define
male and female behaviour – which are Meanwhile, new risks to children’s
among the drivers of child marriage. rights are emerging, with parents
Of the five countries with the highest doubting the value of key interventions
prevalence of child marriage in the such as immunization, for example.
world, four have not made significant Other ongoing challenges include
progress in the past decade. In many of complacency about children’s rights
the countries that have made progress among many governments, donors and
on child marriage, it is limited primarily to the public, and the burgeoning youth
the richest segments of society, leaving populations of low- and middle-income
the poorest girls vulnerable. countries in Africa and South Asia.
for every child, every right 13
2. CHALLENGES
It is time for a renewed to stamp out diseases, as we have to be heard; and by Article 5, which
commitment to the done with polio – eliminating 99 per empowers families and communities
cent of cases worldwide – we can to guide their children in learning to
Convention and to the accelerate progress despite setbacks. exercise their rights, consistent with
world’s children, particularly There is hope in the potential of digital their evolving capacities.
the most disadvantaged and mobile technology, and other
innovations; at their best, these tools Young people are going to have
As we celebrate the Convention’s can be used to share knowledge and an increasingly important role in
relevance and influence, it is also solutions, facilitating the delivery of shaping the future of childhood. As
imperative that we look at the gaps that essential services to hard-to-reach, such, established institutions have a
remain in realizing children’s rights and remote and marginalized communities. responsibility – and an opportunity – to
renew our commitment to accelerating find new ways of collaborating with
progress, particularly for the most Most of all, there is hope in the them and co-creating solutions and
marginalized and disadvantaged. For children and young people of the breakthroughs.
amid the doubts and fears, there is hope. world who – like Greta Thunberg and
Malala Yousafzai – are speaking out on We must understand that hard-won
There is hope in the fact that many issues that directly affect their lives, gains for children are often easily lost or
established and emerging partners such as climate change and protracted put at risk in a changing world, and that
are coming together to work on such conflict. As they demand urgent action reaching the hardest-to-reach 10 per
issues as the global learning crisis and and propose new solutions, many cent to 20 per cent of children is the
proposing innovative solutions, like the of these children and young people biggest challenge of all. It is time to learn
Global Learning Passport, to improve are emboldened by Article 12 of the from the past, confront the challenges of
educational access and quality. There Convention, which articulates their the present and secure a future in which
is hope that if we renew our efforts right to express their views freely and the rights of every child are realized.
Deborah Morayo
Adegbile, age 12, of
Nigeria, and Greta
Thunberg, age 16, of
Sweden (first and second
from left), were among
a group of children
who filed a complaint
to the United Nations
Committee on the Rights
of the Child in September
2019, protesting a lack of
government action on the
climate crisis.
© UNICEF/UNI207485/
Chalasani
for every child, every right 14
2. CHALLENGES
for every child, every right 15
2. CHALLENGES
Article 38 of the Convention calls on states to protect and care for chil-
dren affected by humanitarian crises. It reiterates that states must abide
by relevant humanitarian laws that govern armed conflict and protect
children younger than 15 from recruitment into armed groups and hostil-
ities. The Convention’s Optional Protocol on the involvement of children
in armed conflict provides additional protections (see page 9).
© UNICEF/UN073959/Clarke
3
Issues
16
17
Part 3
Issues
Data and evidence are the basis for understanding our progress
towards fulfilling the promise of the Convention on the Rights of the
Child. This chapter examines the data available for eight case examples,
highlighting where progress for children is stalling or reversing – and
where we must redouble efforts. These examples cover several thematic
issues, but they are not an exhaustive list by any means. Instead, they
are presented here to help illustrate, in broad outlines, some of the key
challenges ahead.
In this chapter:
for every child,
SURVIVAL | Child survival and the risks posed by poverty 18
every right
The Convention on IMMUNIZATION | Understanding the drivers of vaccine acceptance 20
in the push for universal immunization
the Rights of the Child
at a crossroads CLIMATE | The impact of a changing climate on children 24
© UNICEF/UN0264205/Brembati
18
3
Issues
SURVIVAL
Child survival and the
risks posed by poverty
Article 6 – Right to life, survival and development.*
Child mortality has fallen at historic rates since the early 1990s, but children from
the poorest households still face the highest risk of dying before age 5.
The world has witnessed a stunning Global child deaths have slower rate than mortality for other
reduction in child mortality over the more than halved since 1989, children under age 5. Neonatal mortal-
past 30 years. The numbers speak ity now accounts for almost half of all
with gains made in every
for themselves. In 1990, the year under-five deaths.
after the Convention was adopted, region and country, although
more than 12.5 million children died disparities are widespread Children living in conflict settings
before their fifth birthday, largely among and within countries are also more vulnerable; many of
due to preventable causes. By 2018, the countries with the highest rates
this number had fallen to just above of child mortality are caught up in,
5 million, a reduction of about While progress on child survival has or have recently been affected by,
60 per cent. Put another way, in not been even across regions, or armed conflict.
1990, 1 in 11 children did not reach among and within countries, almost
age 5; now, the ratio is 1 in 26. every group has seen at least some These disparities require urgent
gains. All regions apart from North attention. Indeed, they are already the
America have halved their under-five focus of various global, regional and
mortality rate since 1989 (Figure 1). national child-survival programmes.
Reducing newborn and child mortality
Even so, many children remain vulner- has become a top priority of primary
able. In 2018, an average of 15,000 health care systems, and eliminating
children under 5 died every day. And preventable child deaths is a key
while mortality has declined over the target of the SDGs.
past 30 years for children from house-
* Relevant articles of the holds at all wealth levels, children born But in the context of rapid change, past
Convention are referenced at the
beginning of each subsection in the poorest households are twice progress is no guarantee of continued
in this chapter. Please note that as likely to die, on average, as those success. Threats to child survival and
they are illustrative only; other
articles may well apply to many in the richest (Figure 2). Newborns development abound, perhaps none
of these complex issues. For are the most vulnerable, as neona- more pernicious than climate change
the full text of the Convention’s
preamble and its 54 articles, see tal mortality (i.e., death in the first and environmental degradation – as
the Annex beginning on page 57. 28 days after birth) has declined at a discussed later in this chapter.
for every child, every right 19
3. ISSUES SURVIVAL
FIGURE 1
The under-five mortality rate has declined by more than half since 1989
Under-five mortality rate by region, 1989 and 2018
200
Under−five mortality rate (deaths per 1,000 live births)
150
100
50
0
West and Eastern and South Middle East Latin America East Asia Europe and North Western WORLD
Central Africa Southern Africa Asia and North Africa and the Caribbean and the Pacific Central Asia America Europe
1989 2018 90% uncertainty intervals Source: United Nations Inter-agency Group for Child Mortality Estimation (2019).
FIGURE 2
The average risk of dying remains twice as high for children born
in the poorest households compared to the richest
Under-five mortality rate by wealth quintile in low- and middle-income countries,1990–2018
150
Under−five mortality rate (deaths per 1,000 live births)
100
Wealth quintiles:
Poorest
Second
50 Middle
Fourth
Richest
0
1990 1995 2000 2005 2010 2015 2018
Note: Shaded areas represent 90% uncertainty intervals around the median values.
Source: UNICEF analysis based on United Nations Inter-agency Group for Child Mortality Estimation, 2019.
20
3
Issues
IMMUNIZATION
Understanding the drivers of
vaccine acceptance in the push
for universal immunization
Article 6 – Right to life, survival and development.
Article 24 – Right to health and health care.
In Aden, Yemen, two children display the vaccination marks on their arms. They were part of a 2019 measles and rubella vaccination campaign
supported by UNICEF. © UNICEF/UN0284429/Fadhel
Threats to progress In general, progress towards universal vacci The great strides made since the
have appeared in recent nation has stagnated, with global DTP-3 implementation of EPI have clouded
coverage increasing by only 5 percentage historical memory of the large-scale
years, with millions of points in the past decade. Country-level epidemics that previously afflicted
infants still missing out advances have been uneven; alarmingly, much of the world. Perhaps success
some countries have experienced has instilled, for some, a sense that
Globally in 2018, an estimated declining coverage in routine immunization. the fight against vaccine-preventable
19.4 million infants were still missing And yet, the work of EPI programmes is diseases is already won. This false
out on routine immunization, a never-ending. Each year there are new sense of security may have contrib-
benchmark measure that entails birth cohorts, a growing world population uted to health-care providers in some
a child receiving three doses of and an expanding number of life-saving settings shifting their attention from
combined diphtheria, tetanus and vaccines, increasing the number of routine immunization to other prior-
pertussis vaccine (DTP-3). Most services that countries must deliver to ities. It may have left parents and
of these unreached children are every child, adolescent and mother. other caregivers feeling less urgency
from poor households and live in to vaccinate their children. This
underserved communities that are In some ways, it seems, the drive trend is especially perilous when it
either in remote locations, conflict- for universal immunization risks is coupled with widespread mistrust
affected areas or urban slums. becoming a victim of its own success. of providers and health systems.
for every child, every right 22
3. ISSUES IMMUNIZATION
FIGURE 3
An estimated 86% of children were vaccinated against measles in 2018
Number of unvaccinated infants and national vaccination coverage trends for measles, 1980–2018
100 100
80 80
70 70
Number of infants (in millions)
50 50
40 40
30 30
20 20
10 10
0 0
1980 1985 1990 1995 2000 2005 2010 2015 2018
UNICEF Region: West and Central Africa Eastern and Southern Africa Middle East and North Africa South Asia
East Asia and the Pacific Latin America and the Caribbean Europe and Central Asia Developed / industrialized countries
To be sure, immunization Weak health systems and vaccines – to be among the top 10
programmes have successfully supply chains in many low- and threats to public health. The global
increased the number of infants health community is united on the need
middle-income countries, and
vaccinated against measles in recent to address this issue, but we need to
decades as overall vaccination rising vaccine hesitancy, have better understand the underlying drivers
coverage has expanded in every contributed to the recent and inhibitors of vaccination uptake.
region (Figure 3). But a levelling dip in immunization rates
of progress in recent years has With more knowledge and innovation,
contributed to the worrisome spike in we can implement global and local
measles cases (Figure 4). Beyond weak systems, social solutions to strengthen health systems,
vulnerability and poor service delivery, outreach programmes and the supply
To prevent measles outbreaks, an emerging threat to immunization chain. The complex challenge is to
countries must achieve and sustain coverage comes from the rapid extend vital immunization services to
at least 95 per cent coverage amplification of misinformation every child in locally appropriate ways,
for the first and second doses of about vaccines and immunization while ensuring that parents trust their
measles vaccine. The world is still programmes on digital and social media. providers, are confident about the
far from achieving these targets; Misinformation creates confusion and safety of vaccines and have accurate
in 2018, global coverage totalled can erode trust among caregivers and information about the importance of
86 per cent for the first dose and communities. In turn, it can undermine vaccination.
69 per cent for the second. In progress in reaching all children
response, UNICEF, WHO and with the recommended schedule of Governments, the private sector,
other international agencies and childhood vaccines. traditional and social media,
organizations have stepped up international agencies and civil society
efforts to help governments make Faced with this challenge, WHO has all have a role to play. We must work
vaccines more accessible and declared ‘vaccine hesitancy’ – the closely together to prevent reversals of
boost parental acceptance and reluctance or refusal to immunize progress and realize every child’s right
uptake of immunization services. children despite the availability of to immunization.
FIGURE 4
Measles cases declined markedly after 2000, but this trend may be reversing
Number of reported cases of measles (thousands) and vaccination coverage (%), 2000–2018
1000 100
500 50
250 25
0 0
2000 2002 2004 2006 2008 2010 2012 2014 2016 2018
Source: Joint Reporting Form 2018, as of July 2019. WHO/UNICEF Estimates of National Immunization Coverage, 2018.
24
3
Issues
CLIMATE
The impact of a changing
climate on children
Article 24 – Health and health services including dangers and risks of environmental pollution.
Article 29 – Aims of education including (e) Development of respect for the natural environment.
Climate change poses significant risks to children’s health and well-being by heightening
threats of disease, food insecurity and diminished access to safe water and sanitation.
According to scientific reports Changing environments will there could be a surge in deaths in
from the United Nations and other increase the burden of disease areas that are newly affected by malaria
leading organizations, rising levels and other diseases due to changing
on children, particularly the
of greenhouse gases are contribut- environments – because immunity
ing to higher global temperatures, youngest and most vulnerable will be less common than it is in areas
altered weather patterns and more afflicted by such illnesses today.
extreme weather events (Figure 5). Rising temperatures and related
These changes could cause social, changes in the environment will Vector-borne diseases are most likely to
economic and political upheavals, any fundamentally shift existing disease affect rural areas but have the poten-
of which might well have an impact environments in ways that we have not tial to spread to urban centres as well.
on child mortality. However, climate yet mitigated, and to which we have not Cities are already suffering from rising
change will have its most direct yet adapted. The habitat for mosquitoes levels of air pollution, which was linked
impact on child survival through three that transmit malaria, dengue fever to one in eight deaths of children under
direct channels: changing disease and yellow fever will almost certainly age 5 in a 2012 report. Air pollution is
environments, greater food insecurity, expand, for example. So will the habitat also associated with increasing rates of
and threats to water and sanitation. for ticks that transmit encephalitis and asthma and other respiratory diseases.
Lyme disease.
Special attention will be needed in Africa,
These diseases already exact a terrible which has the world’s fastest-growing
cost. In 2017, the latest year for which child population. But as climate change
firm estimates are available, malaria affects the entire world, health systems
alone accounted for 266,000 deaths at the global, regional and national levels
of children under age 5 despite must all adapt quickly to meet this rising
widespread prevention efforts. And threat to children’s health.
for every child, every right 25
25
Rolando Ramos, age 18, helps with the family fishing business in Timor-Leste, but he also is studying for a career in medicine. “In the future, I
want to be a doctor so I can help my family and my community,” he said. © UNICEF/UN0186830/Soares
Greater food insecurity severe pressure in the coming years, to a child’s probability of surviving
will threaten children’s as warmer temperatures depress crop and thriving in the early years. WHO
yields. This effect is likely to be worst in estimates that climate change could
survival and development, the warmer regions of the global South lead to an additional 10 million children
particularly in countries and that already struggle with food insecu- suffering from stunting in 2050.
communities that already rity. In addition, a changing climate can
struggle with this risk exacerbate the food insecurities that To avert this possibility, the interna-
inevitably accompany conflict. tional system is already working to
aid regions that suffer from extreme
Many communities around the world Children are particularly vulnerable weather events; anticipate future
have long lived with food insecurity. to food insecurity. Even brief periods needs; and invest in creating more
Climate change is likely to exacer- of undernutrition can cause lifelong resilient agricultural systems. Such
bate the risk to these communities damage to their development and efforts must pay greater attention
and threaten others that are not yet make them more vulnerable to to the impact of increasing food
affected. Unless action is taken to non-communicable diseases later in insecurity on children and young
slow the pace of climate change, the life. Food insecurity also threatens people who, along with the elderly,
global food supply could come under maternal health, which is closely related will be among the worst affected.
for every child, every right 26
3. ISSUES CLIMATE
FIGURE 5
Natural disasters are more frequent in recent decades than in the 1990s
Global number of natural disasters, 1989–2018
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
Source: Emergency Events Database (EM-DAT), 2019. Brussels: University of Louvain, Centre for Research on
the Epidemiology of Disasters (CRED), www.emdat.be
for every child, every right 27
3. ISSUES CLIMATE
3
Issues
EDUCATION
Reaching out-of-school
children and improving
learning for all
Article 28 – Right to education.
Getting children into primary school, particularly girls, has been among the
greatest successes in human development of the past half century. But progress
has stalled in the past decade.
The massive growth of primary Population growth has levels in Africa, where the young
education is one of the greatest gains offset gains in putting child and adolescent populations
for children and young people in the are expanding rapidly. Over the
children into school globally
past three decades. The global number next 50 years, Africa will be the
of out-of-school children of primary- in the past decade continent with the largest cohort
school age dropped from 100 million of primary- and lower-secondary-
in 2000 to 59 million in 2018, and Despite this remarkable progress, the school-age children in the world
proportionately from about 15 per cent out-of-school population for primary (Figure 7 ). Expanded investment
to 8.2 per cent of the world’s primary- education has remained stagnant in education and skills training
school age population. Furthermore, since 2007 (Figure 6). In percentage is urgently required to meet this
the number of out-of-school girls terms, the reduction in the number growing demand.
fell by half between 1997 and 2018 of out-of-school children has just
– from 68 million to 32 million – largely about kept pace with the expansion An estimated 1.3 million additional
eliminating gender disparity in access in the total population of primary- teachers will be needed by 2030
to primary education in most countries. school-age children, particularly in just to maintain the current pupil-
Africa but also in South Asia. teacher ratio in Africa. For all
African countries to reach a ratio
The slow pace in reducing the global of around 23 students per teacher,
out-of-school population is a cause an additional 5.8 million teachers
for concern. Without faster progress, will be needed. Given the large
the number of children missing deficit of qualified secondary-school
out on education could increase at educators in Africa and elsewhere,
both the primary and secondary this presents a substantial challenge.
for every child, every right 29
3. ISSUES EDUCATION
FIGURE 6
The number of primary-school-age children out of school has declined over the past 30 years
Out-of-school girls and boys of primary school age, 1989–2018 (millions)
80
70
0
1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018
Source: UNESCO Institute for Statistics and United Nations Population Division (UNPD) database, 2019
Being in school is most And yet, there is preliminary evidence well be value in a renewed focus on
valuable if children really that even in the context of low-quality expanding access to primary education,
primary education, being in school in conjunction with stronger efforts to
learn – and recent evidence matters (Figure 8). Research on this solve the global learning crisis.
shows that many in-school question is stymied, however, by the
children are failing to difficulty of reaching out-of-school Pre-primary education is one area
acquire foundational skills children and understanding their needs. with massive potential to boost both
With the introduction of a new literacy educational access and quality learning.
and numeracy module in the UNICEF- It improves learning outcomes in the
Stagnation in access to education supported Multiple Indicator Cluster longer term and helps children master
comes at a time when the interna- Surveys (MICS), we are beginning to foundational reading and mathematics
tional community’s focus has largely address the data gap. skills in the early primary grades.
shifted from educational access Research shows that children who fall
to quality of learning. Alarming In Sierra Leone, for instance, a MICS behind in these areas rarely catch up later.
evidence that many primary school literacy and numeracy module showed
students graduate without basic that children between the ages of 7 and Higher rates of pre-primary school
skills has driven this shift. Globally, 14 still had better foundational skills than attendance are correlated with lower
only about half of children have the their out-of-school peers even if they dropout rates, reducing the number of
minimum competency in reading were receiving low-quality instruction out-of-school children. In places with
and numeracy at the end of primary – and even though many students no pre-primary education, instruction in
education. If children do not learn, who are currently out of school had Grades 1 and 2 is often of lower quality –
then much of society’s investment some schooling before dropping out. giving children less incentive to learn and
in education is simply wasted. This pattern suggests that there may parents less reason to keep them in school.
for every child, every right 30
3. ISSUES EDUCATION
FIGURE 7
By 2068, Africa will be home to more than 40% of the world’s school-age children
Population projection of primary- and secondary-school-age children from 2019 to 2068 (millions)
1,400
1,200
1,000
Number of children (millions)
800
600
400
200
FIGURE 8
Many children in lower secondary school lack primary-level foundational skills
Percentage of children with foundational numeracy and literacy skills, by grade completion
66
43 42
31
27
20
15
14
8 9
4 3
1 1
0 0
Out-of-school Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Lower
children Primary secondary
Source: The Sierra Leone Multiple Indicator Cluster Survey (MICS) 2017.
for every child, every right 31
3. ISSUES EDUCATION
We urgently need a These groups face unique challenges. out-of-school children as we tackle
renewed commitment For example, while wealthier the global learning crisis. We will need
households are usually more likely to targeted interventions to break down
to access, learning and send their children to school, wealth each group’s unique and specific
investment in education, does not necessarily reduce gaps in barriers to access. This will mean
particularly for the poorest access to education for children with not only building schools and hiring
and most marginalized disabilities. Humanitarian crises and teachers, but also finding innovative
conflict also greatly affect the number ways to reach marginalized populations.
of out-of-school children in specific
Reaching the remaining 8 per cent contexts – as in the Syrian Arab Republic, We must also work harder to address
of primary-school-age children where the gross enrolment rate in lower- the real barriers to quality education that
who are out of school globally will secondary schools dropped from 97 many girls still face. This will require
require different strategies than the per cent in 2012 to 64 per cent in 2013, more efforts to tackle restrictive gender
international community has deployed regressing progress by about 13 years. norms and practices such as child
in the past – and a keener focus on marriage, which hamper girls’ access to
equity. The children who remain out Worldwide, around 39 per cent of education; make schools safe and free of
of school today are typically among primary-school age children who are violence; and provide gender-responsive
the most marginalized, impoverished, out of school live in areas affected by school facilities and services in support
disadvantaged and hard to reach. They conflicts and natural disasters. of girls’ health and menstrual hygiene.
are children with disabilities, children
living in the streets and children from Over the next 30 years, as the number For girls and boys alike, it is time for a
minority ethnic or religious groups. of school-age children continues to renewed commitment to giving every
They are migrants, refugees and those grow – particularly in Africa – the child both access to primary education
who live in areas affected by armed international community must step and opportunities to learn and develop
conflicts or natural disasters. up efforts to extend access to to her or his potential.
© UNICEF/UNI206507
32
3
Issues
CHILD MARRIAGE
Ending a harmful practice
Article 19 – Right to protection from violence.
Article 24 – Right to health and health care.
Article 28 – Right to education.
Article 34 – Right to protection from sexual exploitation and abuse.
.
Child marriage is commonly Although child marriage has accelerated in the past decade
defined as a formal marriage or occurs among children of (Figure 9). In countries that have made
informal union before age 18. The progress, it correlates with enforceable
both sexes, it remains far
Convention does not contain an legal reforms and investments in
article specifically related to child more common for girls girls’ education and social protection
marriage, but many of its articles programmes. In addition, many such
are directly related to rights that Girls are six times more likely to be countries have scaled up behaviour-
child marriages tend to obstruct. married before age 18 than boys. Girls change interventions to shift gender
from impoverished socio-economic back- norms towards girls’ empowerment.
grounds are most likely to be affected.
In some regions, demographic factors
Child marriage is both a symptom related to imbalanced sex ratios have
and a result of deep-seated gender resulted in a ‘marriage squeeze’ – in
inequalities and restrictive gender which larger numbers of marriageable
norms, as well as poverty and a lack of men and smaller numbers of marriage-
economic opportunity. By effectively able women result in a delay in the
cutting off girls’ education and population’s age at marriage.
career prospects, it denies them the
development and life skills they need for As the international community reflects
full empowerment. It often leads to early on achievements for children in the past
pregnancies with associated health risks 30 years, the experiences of the coun-
to both the girl and the infant. Since tries that have made strong progress
the adoption of the Convention, child – and those that have achieved less –
marriage has become less common should inform future efforts to eliminate
around the world, and progress child marriage.
for every child, every right 33
3. ISSUES CHILD MARRIAGE
An adolescent girl in India participates in a karate class as part of a programme to empower adolescents, including girls at risk of child marriage.
© UNICEF/UN061998/Vishwanathan
The harmful practice Evidence shows that progress is But progress on ending child
of child marriage is possible in diverse contexts. The marriage remains uneven
largest relative declines over the
in decline globally within regions and countries
past decade have occurred in
some upper-middle to high-income
Macro-level factors, such as higher countries. These countries, which Despite these gains, millions of girls
social expenditures, economic already had low levels of child around the world remain at risk of child
growth and women’s empowerment, marriage, have reduced them marriage. At the national level, a number
tend to be associated with lower even closer to elimination. of countries have seen little or no progress
rates of child marriage as well. and require urgent action. Even within
These factors are mirrored at the The countries that have made the countries that have made substantial
household level, where girls and greatest absolute reductions are strides against child marriage, progress is
young women are far less likely to low- and middle-income countries in not always equal across regions.
be married before age 18 if they sub-Saharan Africa and South Asia
live in wealthier, more educated that had a high initial prevalence Globally, progress to date has been
households in which women have of child marriage. Declines in child stronger among the richer segments
more decision-making power and marriage in populous nations such of society, and millions of girls who
higher labour-force participation. as India have driven the global are among the world’s poorest remain
advance. vulnerable (Figure 10).
for every child, every right 34
3. ISSUES CHILD MARRIAGE
FIGURE 9
Child marriage has become less common over the past 25 years
Percentage of women aged 20 to 24 years who were first married or in union before age 18, by region
60
25 years ago
10 years ago
50
Today
40
30
Child marriage in
South Asia has
20 almost halved over
the past 25 years,
falling from 59% to
30% today
10
South West and Eastern and Middle East Latin Europe and East Asia WORLD
Asia Central Africa Southern and North America and Central Asia and Pacific
Africa Africa the Caribbean
Note: Analysis based on a subset of 97 countries with nationally representative data from 2012 to 2018, representing
62 per cent of the global population of women aged 20 to 24 years. Regional aggregates are based on at least 50 per cent
population coverage. Data was insufficient to calculate regional averages for North America and Western Europe. For additional
details on regional and global calculations, see Child Marriage: Latest trends and future prospects, UNICEF, New York 2018.
Source: UNICEF global databases, 2019, based on MICS, DHS and other nationally representative sources.
for every child, every right 35
3. ISSUES CHILD MARRIAGE
themselves – is the explicit and that address both girls and their to enforce new laws on child marriage
deliberate commitment of national communities are also important. without some measure of community
governments to invest in adolescent Awareness and empowerment ownership. And no community will take
girls and pursue laws and policies programmes are often most effective seriously the business of challenging
that protect girls’ rights. where local faith-based leaders can deep-set norms without firm evidence
be persuaded to ‘lead the charge.’ that the government is willing to
Legal reforms are most successful support that effort.
when they are accompanied by But it is a combination of various
incentives to comply with the law approaches that has been most With a strong commitment to
and meaningful consequences powerful. This combination may include equitable progress by both
for offenders. India, for example, enforceable legal reforms, investment governments and communities, we
provides incentives in the form of in adolescent girls, and scaled-up will be able to leverage the lessons
cash or in-kind transfers to families interventions squarely addressing of the past to protect girls from the
whose daughters remain unmarried gender norms at the community level. harmful practice of child marriage –
until a certain age. Interventions No government has the wherewithal and, ultimately, to eliminate it.
FIGURE 10
The gap in child marriage prevalence between the richest and poorest has widened
in most parts of the world
Percentage of women aged 20 to 24 years who were first married or in union before age 18, by wealth quintile and region
South West and Eastern and Middle East and Latin America Europe and
Asia Central Africa Southern Africa North Africa and the Caribbean Central Asia WORLD
100
80
60
40
20
0
Around Today Around Today Around Today Around Today Around Today Around Today Around Today
1990 1990 1990 1990 1990 1990 1990
Richest Poorest
Note: Analysis based on a subset of 101 countries with nationally representative data from 2010 to 2018, representing 63 per cent of the global population of women aged
20 to 24 years. Values for "Today" are based on the latest available data per country within the specified year range; values for “Around 1990” correspond to the level of
child marriage 25 years prior. Regional aggregates are based on at least 50 per cent population coverage. Data were insufficient to calculate regional averages for East Asia
and the Pacific, North America and Western Europe.
Source: UNICEF global databases, 2019, based on MICS, DHS and other nationally representative sources.
for every child, every right 36
3. ISSUES CHILD MARRIAGE
Children experience gender inequality Integrating gender equality into UNICEF’s work
in their homes and communities from In line with the rights articulated in the Convention, gender
an early age. Unequal household equality is integrated into all areas of UNICEF’s work through
chores condition them into thinking its Gender Action Plan.
that these duties are exclusively Among many other efforts, UNICEF programmes seek to
women’s roles, for example, thereby increase quality maternal care and the professionalization of
curtailing generational change and the mostly female workforce of front-line community health
workers. UNICEF and partners recognize and empower
narrowing girls’ ambitions. Boys and women in the design and delivery of water, sanitation and
girls who witness gender-based hygiene ecosystems. And in schools and communities
violence in the home are more likely across the globe, we promote strategies to prevent gender-
based violence and discrimination.
to replicate violent relationships when
they are adults, as either perpetrators Programmatic work for gender equality also focuses
or victims. on increasing girls’ access to secondary education and
preventing child marriage and female genital mutilation.
In support of all this work and more, UNICEF collects,
quantifies and shares data on emerging and ongoing
challenges to gender equality and girls’ empowerment.
for every child, every right 37
3. ISSUES CHILD MARRIAGE
© UNICEF/UN0263755/Herwig
Girls hold banners as they prepare for a group photo during a Menstrual Hygiene Day event in the KBC-1 camp for
internally displaced persons in Kutkai, Shan State, Myanmar. © UNICEF/UN0337700/Oo
38
3
Issues
URBANIZATION
Urban advantages and
paradoxes for children
Article 2 – All children have the rights set forth by the Convention, without discrimination of any kind.
In general, urban dwellers are better On average, it is still true But some children in urban
off than their rural peers. They that children in urban areas are also at the same
enjoy higher incomes and levels
centres are better off than level or worse off than
of education, have access to more
plentiful job opportunities and children in rural areas on their peers in rural areas
markets, and benefit from better most indicators of survival
infrastructure and services. These and development A closer look at the evidence reveals
benefits have long been understood fissures in the urban advantage
as conferring an ‘urban advantage’ narrative, however. In reality, a
on people who live in cities and This narrative is borne out in the considerable part of the child popu-
metropolitan areas, including children. aggregate, according to a 2018 lation in urban areas has been left
As a result, much child survival and UNICEF analysis of 77 mostly low- behind, living in pockets of poverty
development programming has and middle-income countries. The and deprivation. UNICEF’s analysis
been focused on rural areas, where study examined 10 indicators of reveals enormous inequalities in urban
many of the poorest and most child well-being. On average, the areas, with children from house-
disadvantaged children reside. child population in urban areas holds in the richest quintile enjoying
fared better than the equivalent a large advantage on every indica-
rural cohort on every indicator tor over children from households
(Figure 11). in the poorest quintile (Figure 12).
for every child, every right 39
3. ISSUES URBANIZATION
FIGURE 11
On average, urban children fare better than rural across most indicators
Levels of selected indicators in countries and areas by urban/rural, 2011–2016
100%
80%
60%
40%
20%
0%
Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural
100%
Deaths per 1,000 live births
150
80%
60%
100
40%
50
20%
0% 0
Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural
75 percentile
50% of
countries median
25 percentile
Source: Advantage or Paradox: The challenge for children and young people growing up urban, UNICEF, 2018.
for every child, every right 40
3. ISSUES URBANIZATION
FIGURE 12
In one in five countries, stunting is at least four times as prevalent among the poorest urban children
as among the wealthiest
Share of countries and areas by relative wealth disparity gap, for urban and rural, 2011–2016 (%)
Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural Urban Rural
100
75
Percentage of countries
50
25
0
Water Sanitation Birth Birth Immunization Education HIV HIV Stunting Mortality
Score attendant registration knowledge, knowledge,
women men
* Relative wealth disparity is calculated as the ratio of the scores of the richest quintile to those of the poorest
quintile – except for stunting and under-five mortality (where higher values show worse conditions), for which
the ratio of scores of the poorest to the richest quintile is used.
Source: Advantage or Paradox: The challenge for children and young people growing up urban, UNICEF, 2018.
for every child, every right 41
3. ISSUES URBANIZATION
The large advantage of wealthier children in the poorest urban quintile In about one quarter of countries,
urban households pulls up the is at least twice as high as the rate the children in the poorest urban
averages for all children who live among their peers in the richest quintile have higher mortality rates
in cities, giving the impression that quintile in 8 of 10 of the countries than children from the poorest rural
they are better off than their rural analysed – and at least four times quintile. Globally, around 4.3 million
peers. This effect is especially higher in 2 of the 10 countries. children in urban areas face a higher
pronounced in cities and towns with risk of dying before their fifth birthday
large slums and many children living In some countries, children from than their rural counterparts.
in the streets. the poorest urban households fare
worse than their peers in rural areas
In half of the countries analysed, (Figure 13). For example, in 28 per
children in the poorest urban quintile cent of the countries analysed, these
are at least twice as likely to die children are less likely to receive
before their fifth birthday compared to routine immunization than children
their richest urban counterparts. The from the poorest rural households.
disparity is even wider for stunting, This result may reflect the greater
which results from poor child nutrition. intensity of vaccination outreach in
The prevalence of stunting among rural areas in recent decades.
FIGURE 13
In one in four countries, children among the poorest urban are more likely to die before
age 5 than their rural peers
Share of countries in which the poorest urban quintile fares worse than the poorest rural quintile, 2011–2016
30 28%
24%
20%
20
Percentage (%)
18%
15% 16%
14%
10%
10 8%
3%
0
Water Sanitation Birth Birth Immunization Education HIV HIV Stunting Mortality
attendant registration knowledge, knowledge,
women men
Source: Advantage or Paradox: The challenge for children and young people growing up urban, UNICEF, 2018.
for every child, every right 42
3. ISSUES URBANIZATION
Intensifying urbanization in sanitation and transportation, among people, will live in urban areas. In
many parts of the world is other factors – serves to entrench their Africa, the most rapidly urbanizing
exclusion and disadvantage. region, urbanization is already
likely to widen disparities occurring at a lower level of national
for children in urban areas Finally, inadequate safeguards for income than other regions – which
workers and daily wage earners may makes it harder to develop efficient
Although robust causal analysis result in parents from poor urban fami- and sustainable urban systems.
is lacking, practical experience lies working long hours and having to
suggests several reasons why the leave children unattended, without In a worrying sign, after a decline
urban advantage does not always needed nurturing care. from 2000 to 2014, the percentage of
hold. For example, sprawling the global urban population living in
unplanned urbanization has reduced To meet the Convention’s vision, we slums and informal settlements has
the proximity of many impoverished must reduce inequity within and across grown slightly. According to the latest
and marginalized urban households urban and rural areas by focusing more estimates, more than 1 billion people
to jobs and essential services. The sharply on urban human development, live in slums worldwide, with four out
quality of services on the urban including the survival and development of five of slum dwellers residing in
periphery is often poor; in some slum of children and young people in urban Asia and Africa.
areas, services may be non-existent. areas. SDG 11 addresses this issue
In addition, informal and insecure with ambitious but achievable goals, These trends suggest that the
residential status leave many as do the Habitat III goals for housing problems presented by urbanization
urban households excluded from and sustainable urban development. will only grow over time. But it
government-provided services. But progress has not been as rapid as does not have to be this way.
advocates hoped it would be, and it is People move to cities for a variety
Environmental and health hazards such being outpaced by intensifying urbani- of benefits: opportunity, diversity,
as unprocessed waste and wastewater, zation in many poor nations. integration, economies of scale and
pollution and poor air quality also innovation. City governments and
heighten the risk of disease for children The global urban population is municipalities can and must leverage
from the poorest urban households. expanding by 80 million inhabitants these factors to address the needs
Furthermore, the context in which per year. By 2030, based on current and disadvantages of their poorest
children on the urban periphery grow trends, approximately 60 per cent of residents, particularly their children
up – lacking adequate housing, power, the world’s population, or 5.2 billion and young people.
for every child, every right 43
3. ISSUES URBANIZATION
© UNICEF/UN0334686/Nabrdalik VII
4
Data
44
45
Part 4
Data
The MDGs brought data to The Sustainable Development Progress towards the global 2030 goals
the forefront of efforts to Goals (SDGs) have further varies by region and country. Similarly,
the availability of comparable data on
spur human development, emphasized the importance of child-focused SDG targets varies widely
but measures of equity data in monitoring international among and within regions (Figure 14).
were largely missing development, given their
greater ambition and far Sub-Saharan Africa is most off-track
A surge of interest in internationally towards meeting the targets – a dire
wider range of indicators
comparable data occurred throughout reality for its vulnerable children. There
the era of the MDGs, which is little consolation in the fact that it is
encompassed eight global goals set As the MDG era ended, critical also the region with the most complete
largely by international agencies. Most appraisals arose, highlighting their set of data across the SDG indicators.
of the goals were related to children, top-down approach to data-driven By contrast, European countries are
with 60 associated indicators measured goal setting, their lack of country and on track for a larger share of indicators
at the national level. The MDGs were civil society involvement in conceiving than the nations of any other region –
meant to be realistic, achievable, data- ambitions and targets, and their but Europe is the second-worst region
driven and time-bound. exclusive focus on national aggregates. in terms of the proportion of indicators
The advent of the SDGs, covering for which data are missing.
Numerous advocacy-related initiatives the period from 2016 through 2030,
emerged, using data to measure partially addressed these caveats. The For high-income countries, some SDG
progress towards the MDGs and SDGs benefited from an extensive, indicators measure issues that do not
hold governments and development highly inclusive global consultation generally occur in these settings. In
partners to account. A recognition explicitly intended to ensure country some cases, data may not be collected
of data gaps also spurred efforts and civil society ownership. They even though the issues exist, or data
to improve measurement and data embody an ambitious, comprehensive may be collected in a form that is not
availability – particularly in previously agenda comprising 17 goals and 169 internationally comparable. In lower-
neglected areas such as early childhood targets, with equity as a core principle. income countries, the unavailability
development, neonatal health, of data is typically attributed to weak
adolescent health, child poverty and In adopting the SDG agenda, systems and a lack of technical and
gender equality. governments have also committed to financial capacity. But other factors
monitoring and reporting on the goals such as coordination failures and poor
This period also witnessed the and targets through 232 globally agreed data management may be equally
proliferation of profiles, scorecards indicators (complemented by additional relevant.
and dashboards. These tools served regionally and nationally defined
to translate available data into easily indicators). There are numerous links Whatever the reason, a scarcity of
understood formats and visualizations between the SDGs and the Convention, data about the situation of children
for use by decision makers, civil not least in connection with child constrains efforts to achieve the SDGs
society organizations and advocates. protection, which was overlooked by – and realize the rights of every child.
The multiplicity of tools, however, the MDGs. Achieving the goals would
sometimes resulted in unnecessary go a long way towards realizing the
duplication and confusion about which rights of every child.
ones should be used for what purpose
and how they related to each other.
for every child, every right 47
4. DATA
The SDG era presents an In the long run, countries that The most vulnerable children are often
opportunity to enhance collect and monitor their own data the ones we know the least about.
will be better able to achieve gains Many barriers to protecting children’s
governance of international and maintain accountability for rights – such as conflict, low state
development data and form a children’s rights. capacity, insufficient resources or
long-term, ethical strategy for migration status – are also bottlenecks
data collection, analysis and use Enhanced governance of international to collecting data. Thus, data gaps
development data should also address frequently occur when and where we
how countries can use non-traditional need good data the most. Building data
The increasingly complex data landscape and emerging sources of information capacity in these settings is a crucial
of the SDG era has underscored such as geospatial data, digital first step towards accelerated progress.
the urgent need for enhanced transaction data and unstructured
data governance on international textual data in combination with
development indicators, including those traditional surveys and administrative
that relate to the status of children. It is records. All these sources are needed
imperative that stakeholders coalesce for analyses to guide programming
around a long-term global vision and and planning, and for monitoring and
strategy for data collection and analysis. evaluation.
Those stakeholders are primarily national
governments but also the business Meanwhile, as children’s exposure to
sector, civil society and international digital technology increases, we must
agencies and donors. Their vision must be careful not to undermine their right
include strengthening information to privacy in our efforts to guarantee
systems and building capacity to use other rights, such as protection from
them at the country level. online harm and abuse.
FIGURE 14
Progress towards the global 2030 targets
Proportion of country-indicator pairs (39 indicators for each of 202 countries) according to data availability
and progress towards global 2030 targets
70
11 27 12 21 data
14 34
10
60 18 17
No data
21
17 20 20
50 13 23 15 24
23 24
24
40 22
30
50 48
20
44 44 45 41 43 43
39 38
31 34 32
27
10
WORLD East Asia Europe and Eastern and Latin America Middle East South West and
and the Pacific Central Asia Southern Africa and the and North Asia Central Africa
Caribbean Africa
5
Investment
48
49
Part 5
Investment
in services (e.g., education, primary Gauging the impact Examining the distribution
health care, social protection, child of public spending on and equity of spending opens
protection and WASH) that have a
children is also challenging a rich vein of analysis for
major direct impact on the well-being of
children and women. because data-quality understanding the potential
issues make it difficult to impact of public expenditures
Public spending on universities, for isolate causal effects on child outcomes
example, is generally not classified
as government expenditure related
to children per se, as most university Measuring the impact of public Despite these limitations, it is still
students are over the age of 18. spending requires data on both useful to examine associations
spending and child outcomes, which between public spending and child
Second, we must address the reality presents a further challenge. In many outcomes based on existing data.
that budget support is easier to identify countries, data availability and quality Adding an equity dimension to the
for some rights than for others. For are weak, household surveys are few analysis can provide rich insights
instance, securing access to health, and administrative data are incomplete into a government’s performance in
education or WASH requires major or difficult to access. protecting children.
investment in physical infrastructure,
which usually can be measured through Isolating the causal impact of spending As an illustration, consider a real-world
budgets. It is often more difficult to on child outcomes is also difficult. analysis of the relationship between
capture expenditure on child protection, Statistical analyses often present linear the level of government spending, the
which is often not as obvious. While we correlations between certain public distribution of these expenditures and
readily assign a cost to expenditures expenditures and child outcomes to their potential correlation with under-five
on services and infrastructure, it is make targeted advocacy points. Such child mortality rates in 16 countries. In
much harder to cost out budgets for analyses might argue, for example, this case, the distribution of expenditure
behaviour change – even though such that more or better spending on health has been estimated using benefit
change is essential to ensure many of care and education leads to better child incidence analysis (BIA) of public
the rights related to child protection. health and learning. investment in health. BIA measures
the share of government spending that
A third consideration is the availability But these correlations are often not accrues to each wealth quintile based
of budget data and classifications, and robust and do not account for other on the utilization of services. To account
the disaggregation of data on spending. contributing factors that affect child for the lagged impact of investment,
It may be necessary to distinguish outcomes, such as economic growth under-five mortality is measured (in
between capital expenditures such as or cultural dynamics. Nor do they often most of the 16 countries) 5 to 10 years
those for construction of facilities – which consider synergies and cumulative after the year in which the expenditure
are often one-off outlays – and recurrent effects of investments in social took place.
spending such as salaries. There is also sectors other than the ones under
a variation in the scope of spending that observation. For instance, safe water The results of the analysis (Figure 15)
governments report. Some report only and good nutrition are known to be indicate that under-five mortality rates
central government expenditures. Others strong positive contributors to lowering are higher in countries that invest
use wider measures of public-sector childhood disease burdens for children relatively few public resources on
expenditure encompassing state entities – but spending in these sectors may health as a share of GDP and invest
and corporations, and provincial and local not be considered in public expenditure such resources in an inequitable way.
government financing. reviews on child health. These countries show a high share of
public-expenditure utilization accruing
Unless public-spending data are highly to children from households in the
disaggregated, it is virtually impossible to higher wealth quintiles.
measure how well government budgets
are reaching the most marginalized
children and communities with social
services. It is also very difficult to
determine how equitable that spending is.
for every child, every right 51
5. INVESTMENT
Countries that spend moderate Over the next 30 years, spending on disadvantaged if they do not obtain a
amounts and invest those resources children will remain a litmus test of fair share of public spending to help
in moderately equitable ways have governments’ commitment to realizing realize their rights. To the extent that
medium levels of under-five mortality. their rights and maximizing available public expenditures have an impact on
Countries that invest the most resources for this purpose. Metrics of child outcomes, governments must be
resources in the most equitable ways spending levels, trends and distribution sure to allocate resources where they
have the lowest under-five mortality should be included in government will do the most good for vulnerable
rates. These results are consistent finance statistics. This information will children and young people.
for expenditures on either outpatient enable advocates of children’s rights
or in-patient services, and for to assess the quantity and quality of
expenditures measured as a proportion child-related public expenditures. Such
of either the total government budget assessments, in turn, will support
or GDP. accountability and incentivize stronger
performance – particularly for the
The above analysis suggests the critical children whose rights are most at risk.
importance of not only the amount that
governments spend on child-related These children tend to come from
sectors, but also the quality and equity the poorest households. They are
of that spending. already vulnerable, and they are doubly
FIGURE 15
Under-five mortality rate is affected by both the level and equity of health expenditure
Government health expenditure and under-five mortality rates (per 1,000 live births)
99
Low (or relatively lower) U5MR
Intermediate levels of U5MR
Under-five mortality rate (deaths per 1,000 live births)
59
73
70
79 78 54
Not Equitable
33
50
49
41 25 Somewhat Equitable
24
19
Very Equitable
Level of Expenditure
Part 6
Action
Although the world has What will it take to realize Join UNICEF’s global
changed, a child is still a child the rights of every child? dialogue on fulfilling the
promise of the Convention
Children have long been a rallying Reports like this one on the rights
point for the world, allowing nations to of children and young people often We don’t have all the answers to
set aside their differences and self- end with a stirring call to action. these questions now. But we want
interest to support the youngest and The call usually entails some to find them. And so, over the next
most vulnerable. A child is a child, common appeals to, for example: 12 months, UNICEF plans to conduct
wherever she or he lives, irrespective strengthen the evidence base; apply a global dialogue on what it will take to
of nationality, ethnicity, religion, gender, the principles of equity and gender make the promise of the Convention
disability or socioeconomic status. equality in programming; invest in a reality for every child. The discourse
Realizing the rights of every child must what works in existing programmes will be inclusive, involving children and
again become as much of a global and interventions; expand resources; young people, parents and caregivers,
priority as it was when the Convention involve young people in co-creating educators and social workers,
was adopted. solutions and breakthroughs; communities and governments, civil
and generate sustained political society, the private sector and the
It will take decisive action to turn this commitment and support. media. And it will influence the way we
rhetoric into reality. The world has do business in the future.
changed considerably even in the All these elements are necessary to
decade since UNICEF’s last major bring about change. But perhaps the We want to know from you what it will
flagship report on the Convention. In stagnation and backsliding in some take for us all to care just a bit more
the preceding pages, this report has areas of child well-being cited in this about what happens to children, others’
highlighted some of those changes. report – and the immensity of current as well as our own, and not just when
and future challenges – require new a tragedy befalls them. Just as we
The climate crisis, for example, has modalities to complement what we smile when we see a small child, we
worsened and threatens to undermine have called for in the past. Perhaps need to feel empathy and compassion
many of the gains made for children in these are needed to truly revitalize the for the children we don’t see – those
the past 30 years unless we take bold rights of children as a global cause. who are poor and destitute, orphaned,
action. Unplanned urbanization has marginalized, suffering from mental
swelled the number of children living in What will it take? Will it require a illness, unprotected, uneducated,
slums. Demographic transition has led child to show adults what is needed unable to reach their potential in life.
to sharp increases in child and youth by example, making us wake up The excluded and the invisible.
populations in some countries and steep and take collective responsibility for
drops in others, each of which presents children, as it has for climate change? The Convention is proof that the world
challenges to realizing children’s rights. Will it require a government to take can take bold and decisive action
At the same time, politics has become bold steps, making the rights and in support of a better future for all.
more polarized, characterized by a sharp well-being of children a number-one When it was first proposed, many
divergence of views about the future national priority in both words and people didn’t believe it would ever
course of countries around the world. deeds? Will it require a corporation happen, or that the world needed a
Technology and mobility have brought to treat its contribution to children’s bill of rights for children. Thirty years
unprecedented opportunities for many, futures as a business priority, later, it is abundantly clear that such
but they are not without risks or costs, accounting for that contribution on as bill is more necessary than ever.
and they are still failing to fully benefit an annual basis along with revenue We must reclaim the pioneering
millions – particularly the poorest and growth and profits? Or will it require spirit of 1989. Never resting on our
most marginalized. bold new institutional arrangements to laurels, we must, instead, work
catalyse change, such as a global bill together to ensure that the Convention
Our challenge today is to advance the of rights – not just for those under age remains a living document and
vision of the Convention in the context 18 but also extending to young people becomes a guiding light for every
of these changed circumstances. up to the age of 24? country, community and family.
for every child, every right 55
6. ACTION
A note on sources
Climate Action and Support Trends, Key Drivers of the Changing Prevalence
UN Climate Change Secretariat, 2019 of Child Marriage in Three Countries in
This report has been South Asia: Working Paper, UNICEF, 2018
developed by the Climate and Health Country Profiles,
WHO, 2015 Quantitative Risk Assessment of the
UNICEF Division of Data, Effects of Climate Change on Selected
Analytics, Planning and Climate Change and Land, Causes of Death, 2030s and 2050s,
Intergovernmental Panel on Climate
Monitoring; Office of Change, 2019
WHO, 2014
3. States Parties shall ensure that the institutions, services and Article 9
facilities responsible for the care or protection of children shall 1. States Parties shall ensure that a child shall not be separated
conform with the standards established by competent authorities, from his or her parents against their will, except when competent
particularly in the areas of safety, health, in the number and authorities subject to judicial review determine, in accordance
suitability of their staff, as well as competent supervision. with applicable law and procedures, that such separation is
necessary for the best interests of the child. Such determination
Article 4 may be necessary in a particular case such as one involving
States Parties shall undertake all appropriate legislative, abuse or neglect of the child by the parents, or one where the
administrative, and other measures for the implementation of parents are living separately and a decision must be made as
the rights recognized in the present Convention. With regard to the child’s place of residence.
to economic, social and cultural rights, States Parties shall
undertake such measures to the maximum extent of their 2. In any proceedings pursuant to paragraph 1 of the present
available resources and, where needed, within the framework article, all interested parties shall be given an opportunity to
of international co-operation. participate in the proceedings and make their views known.
Article 5 3. States Parties shall respect the right of the child who is
States Parties shall respect the responsibilities, rights and separated from one or both parents to maintain personal
duties of parents or, where applicable, the members of the relations and direct contact with both parents on a regular
extended family or community as provided for by local custom, basis, except if it is contrary to the child’s best interests.
legal guardians or other persons legally responsible for the
for every child, every right 59
ANNEX THE CONVENTION ON THE RIGHTS OF THE CHILD
(e) Promote, where appropriate, the objectives of the present 4. States Parties shall promote, in the spirit of international
article by concluding bilateral or multilateral arrangements or cooperation, the exchange of appropriate information in the
agreements, and endeavour, within this framework, to ensure field of preventive health care and of medical, psychological and
that the placement of the child in another country is carried out functional treatment of disabled children, including dissemination
by competent authorities or organs. of and access to information concerning methods of rehabilitation,
education and vocational services, with the aim of enabling
Article 22 States Parties to improve their capabilities and skills and to
1. States Parties shall take appropriate measures to ensure that a widen their experience in these areas. In this regard, particular
child who is seeking refugee status or who is considered a refugee account shall be taken of the needs of developing countries.
in accordance with applicable international or domestic law and
procedures shall, whether unaccompanied or accompanied by Article 24
his or her parents or by any other person, receive appropriate 1. States Parties recognize the right of the child to the enjoyment
protection and humanitarian assistance in the enjoyment of of the highest attainable standard of health and to facilities for
applicable rights set forth in the present Convention and in the treatment of illness and rehabilitation of health. States Parties
other international human rights or humanitarian instruments shall strive to ensure that no child is deprived of his or her right
to which the said States are Parties. of access to such health care services.
2. For this purpose, States Parties shall provide, as they consider 2. States Parties shall pursue full implementation of this right
appropriate, co-operation in any efforts by the United Nations and, in particular, shall take appropriate measures:
and other competent intergovernmental organizations or
non-governmental organizations co-operating with the United (a) To diminish infant and child mortality;
Nations to protect and assist such a child and to trace the
parents or other members of the family of any refugee child in (b) To ensure the provision of necessary medical assistance and
order to obtain information necessary for reunification with his health care to all children with emphasis on the development
or her family. In cases where no parents or other members of of primary health care;
the family can be found, the child shall be accorded the same
protection as any other child permanently or temporarily deprived (c) To combat disease and malnutrition, including within the
of his or her family environment for any reason , as set forth in framework of primary health care, through, inter alia, the
the present Convention. application of readily available technology and through the
provision of adequate nutritious foods and clean drinking-water,
Article 23 taking into consideration the dangers and risks of environmental
1. States Parties recognize that a mentally or physically disabled pollution;
child should enjoy a full and decent life, in conditions which
ensure dignity, promote self-reliance and facilitate the child’s (d) To ensure appropriate pre-natal and post-natal health care
active participation in the community. for mothers;
2. States Parties recognize the right of the disabled child to (e) To ensure that all segments of society, in particular parents
special care and shall encourage and ensure the extension, and children, are informed, have access to education and
subject to available resources, to the eligible child and those are supported in the use of basic knowledge of child health
responsible for his or her care, of assistance for which application and nutrition, the advantages of breastfeeding, hygiene and
is made and which is appropriate to the child’s condition and to environmental sanitation and the prevention of accidents;
the circumstances of the parents or others caring for the child.
(f) To develop preventive health care, guidance for parents and
3. Recognizing the special needs of a disabled child, assistance family planning education and services.
extended in accordance with paragraph 2 of the present article
shall be provided free of charge, whenever possible, taking into 3. States Parties shall take all effective and appropriate measures
account the financial resources of the parents or others caring with a view to abolishing traditional practices prejudicial to the
for the child, and shall be designed to ensure that the disabled health of children.
child has effective access to and receives education, training,
health care services, rehabilitation services, preparation for 4. States Parties undertake to promote and encourage international
employment and recreation opportunities in a manner conducive co-operation with a view to achieving progressively the full
to the child’s achieving the fullest possible social integration realization of the right recognized in the present article. In
and individual development, including his or her cultural and this regard, particular account shall be taken of the needs of
spiritual development developing countries.
for every child, every right 62
ANNEX THE CONVENTION ON THE RIGHTS OF THE CHILD
2. States Parties shall take legislative, administrative, social and (b) No child shall be deprived of his or her liberty unlawfully
educational measures to ensure the implementation of the present or arbitrarily. The arrest, detention or imprisonment of a child
article. To this end, and having regard to the relevant provisions of shall be in conformity with the law and shall be used only as a
other international instruments, States Parties shall in particular: measure of last resort and for the shortest appropriate period
of time;
(a) Provide for a minimum age or minimum ages for admission
to employment; (c) Every child deprived of liberty shall be treated with humanity
and respect for the inherent dignity of the human person, and
(b) Provide for appropriate regulation of the hours and conditions in a manner which takes into account the needs of persons of
of employment; his or her age. In particular, every child deprived of liberty shall
be separated from adults unless it is considered in the child’s
(c) Provide for appropriate penalties or other sanctions to ensure best interest not to do so and shall have the right to maintain
the effective enforcement of the present article. contact with his or her family through correspondence and visits,
save in exceptional circumstances;
Article 33
States Parties shall take all appropriate measures, including (d) Every child deprived of his or her liberty shall have the right
legislative, administrative, social and educational measures, to prompt access to legal and other appropriate assistance, as
to protect children from the illicit use of narcotic drugs and well as the right to challenge the legality of the deprivation of his
psychotropic substances as defined in the relevant international or her liberty before a court or other competent, independent
treaties, and to prevent the use of children in the illicit production and impartial authority, and to a prompt decision on any
and trafficking of such substances. such action.
for every child, every right 64
ANNEX THE CONVENTION ON THE RIGHTS OF THE CHILD
2. States Parties shall take all feasible measures to ensure that (iii) To have the matter determined without delay by a compe-
persons who have not attained the age of fifteen years do not tent, independent and impartial authority or judicial body in a
take a direct part in hostilities. fair hearing according to law, in the presence of legal or other
appropriate assistance and, unless it is considered not to be in
3. States Parties shall refrain from recruiting any person who the best interest of the child, in particular, taking into account
has not attained the age of fifteen years into their armed forces. his or her age or situation, his or her parents or legal guardians;
In recruiting among those persons who have attained the age
of fifteen years but who have not attained the age of eighteen (iv) Not to be compelled to give testimony or to confess guilt; to
years, States Parties shall endeavour to give priority to those examine or have examined adverse witnesses and to obtain the
who are oldest. participation and examination of witnesses on his or her behalf
under conditions of equality;
4. In accordance with their obligations under international
humanitarian law to protect the civilian population in armed (v) If considered to have infringed the penal law, to have this
conflicts, States Parties shall take all feasible measures to decision and any measures imposed in consequence thereof
ensure protection and care of children who are affected by an reviewed by a higher competent, independent and impartial
armed conflict. authority or judicial body according to law;
Article 39 (vi) To have the free assistance of an interpreter if the child cannot
States Parties shall take all appropriate measures to promote understand or speak the language used;
physical and psychological recovery and social reintegration of a
child victim of: any form of neglect, exploitation, or abuse; torture (vii) To have his or her privacy fully respected at all stages of the
or any other form of cruel, inhuman or degrading treatment or proceedings.
punishment; or armed conflicts. Such recovery and reintegration
shall take place in an environment which fosters the health, 3. States Parties shall seek to promote the establishment of laws,
self-respect and dignity of the child. procedures, authorities and institutions specifically applicable to
children alleged as, accused of, or recognized as having infringed
Article 40 the penal law, and, in particular:
1. States Parties recognize the right of every child alleged as,
accused of, or recognized as having infringed the penal law to be (a) The establishment of a minimum age below which children shall
treated in a manner consistent with the promotion of the child’s be presumed not to have the capacity to infringe the penal law;
sense of dignity and worth, which reinforces the child’s respect
for the human rights and fundamental freedoms of others and (b) Whenever appropriate and desirable, measures for dealing with
which takes into account the child’s age and the desirability of such children without resorting to judicial proceedings, providing
promoting the child’s reintegration and the child’s assuming a that human rights and legal safeguards are fully respected.
constructive role in society.
4. A variety of dispositions, such as care, guidance and supervision
2. To this end, and having regard to the relevant provisions orders; counselling; probation; foster care; education and vocational training
of international instruments, States Parties shall, in particular, programmes and other alternatives to institutional care shall be available
ensure that: to ensure that children are dealt with in a manner appropriate to their
well-being and proportionate both to their circumstances and the offence.
(a) No child shall be alleged as, be accused of, or recognized as
having infringed the penal law by reason of acts or omissions Article 41
that were not prohibited by national or international law at the Nothing in the present Convention shall affect any provisions which are
time they were committed; more conducive to the realization of the rights of the child and which
may be contained in:
(b) Every child alleged as or accused of having infringed the
penal law has at least the following guarantees: (a) The law of a State party; or
(i) To be presumed innocent until proven guilty according to law; (b) International law in force for that State.
for every child, every right 65
ANNEX THE CONVENTION ON THE RIGHTS OF THE CHILD
4. The Committee may request from States Parties further PART III
information relevant to the implementation of the Convention.
Article 46
5. The Committee shall submit to the General Assembly, through The present Convention shall be open for signature by all States.
the Economic and Social Council, every two years, reports on
its activities. Article 47
The present Convention is subject to ratification. Instruments
6. States Parties shall make their reports widely available to the of ratification shall be deposited with the Secretary-General of
public in their own countries. the United Nations.
Article 45 Article 48
In order to foster the effective implementation of the Convention The present Convention shall remain open for accession by any
and to encourage international co-operation in the field covered State. The instruments of accession shall be deposited with the
by the Convention: Secretary-General of the United Nations.
(d) The Committee may make suggestions and general 2. An amendment adopted in accordance with paragraph 1 of the
recommendations based on information received pursuant to present article shall enter into force when it has been approved
articles 44 and 45 of the present Convention. Such suggestions by the General Assembly of the United Nations and accepted
and general recommendations shall be transmitted to any State by a two-thirds majority of States Parties.
Party concerned and reported to the General Assembly, together
with comments, if any, from States Parties. 3. When an amendment enters into force, it shall be binding on
those States Parties which have accepted it, other States Parties
still being bound by the provisions of the present Convention
and any earlier amendments which they have accepted.
for every child, every right 67
ANNEX THE CONVENTION ON THE RIGHTS OF THE CHILD
Article 51 Article 52
1. The Secretary-General of the United Nations shall receive and A State Party may denounce the present Convention by written
circulate to all States the text of reservations made by States at notification to the Secretary-General of the United Nations.
the time of ratification or accession. Denunciation becomes effective one year after the date of
receipt of the notification by the Secretary-General.
2. A reservation incompatible with the object and purpose of
the present Convention shall not be permitted. Article 53
The Secretary-General of the United Nations is designated as
3. Reservations may be withdrawn at any time by notification the depositary of the present Convention.
to that effect addressed to the Secretary-General of the United
Nations, who shall then inform all States. Such notification Article 54
shall take effect on the date on which it is received by the The original of the present Convention, of which the Arabic,
Secretary-General Chinese, English, French, Russian and Spanish texts are equally
authentic, shall be deposited with the Secretary-General
of the United Nations. In witness thereof the undersigned
plenipotentiaries, being duly authorized thereto by their respective
Governments, have signed the present Convention.
OPTIONAL PROTOCOLS
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