Titled The State of Asia Pacific’s
Children 2008, shows that our country has the highest level of under
five-year-old deaths in the South Pacific.
The figures are, in this day and age, alarming; Unicef quotes 73 deaths
per 1,000 births as the current Papua New Guinea level.
Given that PNG has now passed the halfway time span towards meeting the
United Nations Millennium Development Goal of 2015 to cut the child
death rate by two thirds, the challenge appears almost non-achievable.
There is no mystery about the cause of these deaths.
A burgeoning child birth rate adds extra stress to an already inadequate
system of child birth facilities, particularly in more inaccessible and
remote areas.
The long-established threats to the survival of the young PNG child
remain depressingly the same – pneumonia, diarrhoea and malnutrition.
On top of these familiar negatives, we can add vast inequalities in
income, in geography, gender and ethnicity.
PNG is a land of many environments – the world’s largest ocean washes
our shores with many of our people in isolated island communities.
Towering mountains dot the backbone of the country; some areas are
inhospitably cold and subsistence crops can be hard to sustain.
Other regions have extensive savannah grasslands whose borders are often
flooded by the many rivers that snake through their midst.
Childbirth in such circumstances is never easy.
A woman about to deliver in a remote Sepik or an isolated Highlands
community has little to depend upon when ready to give birth except the
traditions of her people.
In a hard season, with food at a minimum, such a woman is already at
risk.
Add the scarcity of accessible transport, the poorly maintained or
non-existent roads, the often neglected airstrips or the difficulties of
getting a mother experiencing a troubled birth to medical assistance
many kilometres down a flooded river, the miracle is that the total of
child deaths is not significantly higher.
Even in urban and peri-urban areas, the young child is at considerable
risk.
Despite valiant attempts to educate young mothers, the sight of infants
with soft drink bottles forced into their tiny mouths, or being offered
totally unsuitable take-away food to eat, is all too familiar.
Nor is there widespread recognition that the state of the mother’s
health is crucial to the successful birth and early survival of the
child.
Underweight mothers, mothers who prove to be diabetic, women who suffer
during pregnancy from domestic violence, and women who simply have no
concept of the child-birth process other than that proffered from within
the village are at high risk of losing their children.
Cultural practices that see the mother as merely a part of a process
that gifts the father with another child also add to the maternal death
rate.
The idea that the pregnant mother deserves exceptional care in order to
successfully give birth and nurture the child through the early years
has yet to take root in the bulk of the country.
We are all aware of the parlous state of our rural health services, of
the low regard such facilities attract from warring tribesmen who seem
determined to stay mired in the past and of the ignorance of young women
about the processes their bodies are going through during pregnancy and
childbirth.
It is easy enough to blame an uncaring Government – easy and false. To
wave a magic wand and populate the country with a satisfactory level of
medical facilities and with properly trained staff would require the
allocation of huge sums of money simply not available to any one sector
of our economy.
Yet, we must make the attempt to carve inroads into those tragic
figures.
This calls for not only the injection of all possible funds into the
health sector, but the speedy development of trained staff with a level
of dedication and commitment not always seen on the ground.
Both governments and communities must join to achieve the millennium
development health goals in the name of our mothers and the next
generation. |
|
The decent work imperative
By SK JOMO and JOHAN SCHOLVINK
OVER the past decade, the
ranks of the unemployed have swollen to close to 190 million worldwide.
That number captures only a fraction of the problem, since 80% of the
global workforce is in the informal sector, without any unemployment
benefits or other social protection.
It is estimated that at least 43.5% of workers – 1.3 billion people – do
not earn enough to lift themselves and their families above the
US$2-a-day poverty line.
Recent World Bank poverty recalculations are expected to raise the
number even higher. Evidently, the global economy's growth in recent
decades – including the last half-decade when many developing countries
did quite well – has not created enough good jobs.
Nor have current economic and social policies compensated much for this
shortfall. Beyond the rising number of unemployed and underemployed,
conditions for many of the employed have been deteriorating as well in
most countries, especially for workers with little education and few
skills.
Globally, casual labour, outsourcing, and job contracting and
subcontracting are becoming the norm, weakening entitlements for workers
and creating more job insecurity.
According to a recent report by the United Nations, The Employment
Imperative: Report on the World Social Situation, national policies
aimed at counteracting these trends and lowering unemployment have
largely failed.
The report shows that in their desire to remain or become more
competitive, governments and employers around the world have taken many
steps to increase labour market flexibility. But this has merely
contributed to greater economic insecurity and inequality, while failing
to achieve either full or productive employment, as promised.
Perhaps even more compelling, services' share of total global employment
reached 42.7% last year, well ahead of agriculture (34.9%) and industry
(22.4%).
Many service-sector jobs are low-paying, precarious, and not covered by
formal mechanisms of social protection.
Meanwhile, many more of the unemployed now have to demonstrate that they
are "deserving" of unemployment assistance, which is increasingly given
on a discretionary basis, contingent on fulfilment of specified
behavioral obligations.
In other words, entitlement to unemployment benefits is ceasing to be a
social right. While recognising the challenges in designing policies to
address such problems, there is an urgent need to move beyond rhetoric.
Collective efforts by the international community, national governments,
and civil society, including the private sector, are required to meet
the employment challenge in the 21st century.
At the international level, cooperation and coordination among countries
are needed to counteract the pressures of the current "race to the
bottom" in the global competition for investment and markets.
At the national level, reform of social protection systems in developed
countries, and the expansion of such systems in developing countries,
should seek to ensure greater economic security as well as labour
flexibility.
Governments have been promoting individual savings accounts for
pensions, health, and unemployment insurance; often, these are either
mandatory or subsidised through tax incentives.
As individual savings accounts figure increasingly in social protection
systems, governments need to provide adequate economic security for
those who cannot benefit from such social protection schemes.
Decent work – promoted by the International Labour Organisation since
1999 – means productive, rewarding, and secure jobs that provide safe
working conditions, fair income, and social protection for the employed
and their families.
Decent employment is the surest way for the poor to escape poverty, and
must therefore be a priority of any serious effort to reduce poverty on
a sustained basis. Decent work for all is not a policy option, but an
imperative.
Note:
SK Jomo, UN assistant
secretary general for economic development, was in 2007 awarded the
Wassily Leontief prize for advancing the frontiers of economic thought.
Johan Schölvinck is director of the division for social policy and
development, UN department of economic and social affairs.
Decent work also implies equality of opportunity and treatment as well
as good prospects for both personal development and social inclusion.
This includes freedom for workers to express concerns, organise, and
participate in decisions that affect their lives.
Ultimately, people will judge any change by what it means for their own
lives.
Secure and decent employment is surely at the top of most personal
agendas, as it should be with respect to national agendas.
Decent employment is the surest way for the poor to escape poverty, and
must therefore be a priority of any serious effort to reduce poverty on
a sustained basis. Decent work for all is not a policy option, but an
imperative. - onlineopinion
* SK Jomo, UN Assistant Secretary
General for Economic Development, was in 2007 awarded the Wassily
Leontief Prize for Advancing the Frontiers of Economic Thought. Johan
Schölvinck is Director of the Division for Social Policy and
Development, UN Department of Economic and Social Affairs. |