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<ul>“ We have dreams!” </ul><ul>A pre-Harmony Day talk and video screening at Family Planning NT, Darwin Australia presented on Friday 18 March 2005 by Chris Wardle Country Representative for Pakistan World Population Foundation (WPF) </ul>
<ul>Outline: </ul><ul><li>The on-the-ground reality in Pakistan;
WPF’s approach to working in what some regard as the ‘too sensitive’ area of human sexuality and development;
<ul>The on-the-ground reality </ul><ul><li>Step back and look at the big picture, thanks to: <www.bigpicturesmallworld.com> </li></ul><ul>..My DocumentsMy PicturesPresentations00_Big_Picture_Coda.swf </ul>
<ul>The on-the-ground reality (c’td) </ul><ul><li>Pakistan’s human development status is among the lowest in the world - r anked 127th on the 2001 Human Development Index (HDI).
Only half the population have access to clean drinking water and only 18% have access to proper sanitation facilities.
The gross participation rate of 58% in primary education compares poorly with developing countries of similar or lower GNP per capita. </li></ul>
<ul>The on-the-ground reality (c’td) </ul><ul><li>Pakistan’s population of 150 million is growing at a rate of 2.6% p.a.
The infant mortality rate is 89 per 1000 live births.
Maternal mortality rates range from conservative estimates of 350 deaths per 100,000 live births to above 600. </li></ul>
<ul>The on-the-ground reality (c’td) </ul><ul>Is the glass half full– or half empty? - thanks again to: <www.bigpicturesmallworld.com> ..My DocumentsMy PicturesPresentations01_HalfFull.swf </ul>
<ul>WPF’s approach </ul><ul>WPF’s work in Pakistan has an Adolescent Reproductive Health (ARH) focus and our strategic direction encompasses three key intervention strategies: </ul><ul><li>Advocacy - creating an enabling environment;
Resource production - locally-developed material to meet local needs; and
Research and programmes - as a vehicle for building the capacity and sustainability of civil society and Government organisations. </li></ul>
<ul>WPF’s approach (c’td) </ul><ul>Why a focus on Adolescent Reproductive Health (ARH)? </ul><ul><li>In the poorest countries, 30 to 40 percent of the total population is youth between the ages of 10 and 24.
One in four youth lives on less than US$1 per day.
Today’s youth will become – in one short decade – tomorrow’s parents, leaders, civilian labour force and armies. </li></ul>
<ul>WPF’s approach (c’td) </ul><ul>Adolescent Reproductive Health is a poverty issue: </ul><ul><li>Many youth may not survive to adulthood due to the devastation caused by HIV/AIDS, the consequences of early pregnancy, and unsafe abortion.
And far more will not thrive due to low levels of education, poor livelihood skills, and gender inequities.
These factors increase the vulnerability of youth to reproductive health problems, and together they will perpetuate the poverty of the next generation. </li></ul>
<ul>WPF’s approach (c’td) </ul><ul>Low levels of Adolescent Reproductive Health can and do negatively impact economic development: </ul><ul><li>When early and high-risk pregnancies, STIs and HIV/AIDS stop or delay an adolescent’s progression to healthy, productive adulthood, it is not only the individual who suffers the consequences.
Poor youth are less likely to finish school and more likely to marry earlier.
Poor adolescent females are three times more likely to give birth than wealthier females of the same age.
Moreover, poor youth are more vulnerable to sexual exploitation, as they may be forced to transactional sex. </li></ul>
<ul>WPF’s approach (c’td) </ul><ul>We focus on working with youth, as people under 25 comprise over 50% of the population in Pakistan: </ul><ul><li>Poor health status diminishes their personal capacity, lowers productivity, reduces earnings and a high prevalence of disease and poor health harms this nation’s economic performance.
Conversely, higher life expectancy - a key indicator of health status - stimulates economic growth and we believe it is essential to improve poor adolescent reproductive health, which remains a leading cause of death and disability - particularly for women in Pakistan. </li></ul>
<ul>Challenges and barriers </ul><ul><li>Pregnancies and births are predicted to almost double among adolescent Pakistani girls in the next 20 years.
Births will increase from almost 1.7 million in 2000 to 2.9 million in 2020 —an increase of 41 percent.
Between 1991 and 1995, the unmet need for family planning declined slightly for 15–19 year-olds from 24.7 to 21.7 percent, respectively.
However, it increased among older age groups (ages 20–24) from 24.5 percent in 1995 to 33.8 percent in 2000. </li></ul>
<ul>Challenges and barriers (c’td) </ul><ul><li>Constrained female mobility and undervaluing the education of girls.
Priority budgetary allocation for defence – rather than health and education. </li></ul>
<ul>Challenges and barriers (c’td) </ul><ul><li>Patriarchal dominance, the fragility of the male ego and child sexual abuse.
Moral panics, denial of sexuality and lack of a quality evidence base for programmes. </li></ul>
<ul>Strategies and resources </ul><ul><li>The Splinter </li></ul><ul>v_aapas_ki_baatain01_Child sexual abuse.DAT </ul>
<ul>Strategies and resources </ul><ul><li>Sakina must study </li></ul><ul>v_aapas_ki_baatain03_Early marriage.DAT </ul>
<ul>Strategies and resources </ul><ul><li>A question of masculinity </li></ul><ul>v_aapas_ki_baatain04_Family Planning.DAT </ul>
<ul>Where do we fit? </ul><ul>Time for another Big Picture reality check - thanks again to: <www.bigpicturesmallworld.com> ..My DocumentsMy PicturesPresentations02_UNEP.swf </ul>
<ul>WPF’s plans for the future </ul><ul>By giving greater policy attention and generating greater resources to population and reproductive health issues, the World Population Foundation’s aim is to assist with progressing the Millennium Development Goals in: </ul><ul><li>Reducing poverty, maternal and child mortality;