Inequity is a choice

Around the world, millions of children do not have access to the building blocks they need to grow up healthy and strong. Immunizations, post-natal care, proper nutrition, and education – among the foundations of a productive and prosperous life – are out of reach for many.

Failure to reach those children now will fuel intergenerational cycles of disadvantage that will imperil their future, the future of their societies, and the future of the world. We have a clear choice to make: invest in accelerated progress for the children being left behind, or face the consequences of a far more divided and unfair world by 2030.

Those consequences are staggering to contemplate – at current trends, for example, by 2030, 167 million children will still be living in extreme poverty, 69 million children under the age of 5 will have died from mostly preventable causes and more than 60 million primary school-aged children will be out of school.

Here in Timor-Leste, lives of children have substantially improved over the past years, with more infants and children surviving to their fifth birthday, and with more children being immunized and going to school. However important challenges still need to be addressed to further advance the rights of all children in the country.

In Timor-Leste these challenges include, amongst others, inadequate quality of education and of child protection services, as well as poor sanitation. Many schools and health posts still lack adequate water and sanitation facilities, and in terms of overall access to improved drinking water and sanitation there are notable differences between urban and rural areas. Another key challenge is related to malnutrition among children under five years of age, although between 2009 and 2013 the rate of stunting (low height for age) as per the 2013 Timor-Leste Food and Nutrition Survey (TLFNS) was reduced by a notable  8 percentage points from 58.1 to 50.2 per cent, while wasting and underweight were also considerably reduced.  However this same study also found that malnutrition between municipalities varied, and that with the exception of Dili and Lautem municipalities, stunting prevalence in the other municipalities ranged from 46.5 per cent to 65.0 per cent.

Yet, this inequity – the disparities between and within societies – is not inevitable for children. It is the result of choices that we make as a society and as a global community.

Narrowing the gaps between rich and poor is something we can achieve. As UNICEF’s new State of the World’s Children 2016 report shows, there are steps we can take so that every child, even one born into the most challenging of environments, receives the care and education he or she needs to survive and thrive. It comes down to the policies we pursue and the approach we take.

Decision-makers, aid agencies, and non-governmental organizations should commit to a set of principles that promote equity. These principles start with using data to identify and track the children making the least progress, and then steering investments first to these children to help them catch up.

Equity is not a zero-sum game. Every child should advance. But increasing investment in those who start out at the greatest disadvantage is the best way to ensure that each child has a fair shot at reaching the same level. This is a proven formula to guide investment; a 2010 study by UNICEF demonstrated that an equity-focused approach can accelerate progress toward global health goals and can be cost-effective in low-income, high-mortality countries.

At the same time, it is critical that stakeholders take an integrated approach. This means addressing the overlapping deprivations and challenges children face. When a child has no access to proper healthcare, for instance, his or her ability to study will likely be diminished.

Importantly, pursuing equity is not about spending alone. It is about taking innovative approaches to old problems and using new technologies to help bring resources to the most in need. It is also about involving members of the community and families because those closest to children can have the greatest impact.

One of the most important lessons from the past 15 years is that approaches that focus on overall progress do not eliminate the disparities that put the poorest children at the highest risk. As a result, if we do not make a concerted effort to help the most disadvantaged, they are likely to fall behind as those more fortunate continue to advance.

In a few short months, the world will mark the first anniversary of the agreement of the Sustainable Development Goals. Last September, more than 200 leaders gathered at the United Nations in New York and agreed to an historic set of goals that aim to make significant advancements when it comes to health, education, poverty-reduction, and sustainability by 2030.

As governments around the world – including our own government – consider how best to meet their commitments to the goals, it is imperative that they take an equity approach.

Equity has gained new urgency. Climate change is exacerbating the risks to the most disadvantaged children: globally, more than half a billion children live in zones where the occurrence of flooding is extremely high, and nearly 160 million live in zones where the severity of drought is high or extremely high. At the same time, regional conflict and violence, and the ongoing refugee crisis, are putting more and more children in extreme danger and depriving them of what they need to thrive.

Within this challenging landscape, we must remember that inequity is not inevitable – if we choose to take the right approach, disadvantaged children can have a chance to realize their dreams of a better life.


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