Millennium Development Goals :
Lanka’s achievements and challenges ahead
The Millennium Development Goals (MDG) Country Report 2014, compiled
by the Institute of Policy Studies of Sri Lanka (IPS) was recently
launched in Colombo with the United Nations (UN) and the Government.
In this article, Senior Visiting Fellow at IPS, Wimal Nanayakkara
takes a look at how far Sri Lanka has come in achieving these goals.
In 2000, world leaders signed the Millennium Declaration, which was
followed by a set of Millennium Development Goals (MDGs), to be achieved
by 2015. There are 44 MDG indicators of which 27 have clear targets.
Table 1 gives a snapshot of the status of MDGs at national level for Sri
Lanka. The table also compares the status of the indicators in the base
year (1990 or closest) with the current status (2013 or closest).
Sri Lanka has achieved the targets for 13 of these indicators by
2012-13 (based on available data) and 11 were ‘on track’ to be achieved
by 2015. Only two indicators were off track. Free education, universal
healthcare, and a number of welfare programs which were implemented for
more than six decades have contributed to the impressive results in
education, health and living conditions. More recent policies and
programs related to MDGs have helped to accelerate the progress and
achieve some targets well ahead of schedule.
Poverty
While Sri Lanka has made considerable progress pertaining to most of
the indicators at national level, there are still considerable regional
variations, which need the attention of regional planners and policy
makers. Few of the identified gaps and regional variations are
highlighted below, which may help in taking suitable action to make an
effective final push towards achieving MDGs in all the regions of the
country.
The details on Sri Lanka’s MDG achievements, gaps and regional
variations, and some suggestions to minimise those, are given in the
‘Millennium Development Goals Country Report – 2014’. Sri Lanka has
achieved the target of halving poverty at the national level seven years
before 2015 deadline. National poverty incidence declined from 26.1 % in
1990-91 to 6.7 % in 2012-13. All districts, except those in the Northern
and Eastern Provinces and Moneragala district in Uva Province, have
already achieved the target of halving poverty.
Schooling
In the Moneragala district, poverty increased to 20.8 % in 2012/13,
even though it had achieved the MDG target in 2009/10 with a poverty
rate of 14.5 %. The Jaffna and Ampara districts, which were earlier
affected by the separatist war have progressed well since 2009/10.
Poverty in Jaffna declined from 16.1% in 2009/10 to 8.3% in 2012/13,
while in Ampara district poverty fell from 11.8 % to 5.4 % during the
same period. The regional disparities clearly indicate the need for
continuous monitoring and focused attention of planners and policy
makers.
Poverty Gap Ratio (PGR), which measures the depth of poverty, has
also declined sharply since 1995: The PGR fell from 6.6 %in 1995/95 to
1.2 % in 2012/13, indicating an overall reduction in the level of
poverty even for those below the poverty line.
However, income inequality gap persists. As such, the focus of policy
may need to be on regional economic development, which will create more
employment opportunities across all the regions, especially for women.
Another important factor which needs urgent attention is targeting of
social protection programs, which will help the most vulnerable groups
in the country.
Sri Lanka has been successful in achieving all three targets related
to Universal Primary Education: More than 97.8% of the children aged six
to 10 years and more than 95% of the children aged 11 to 14 years, are
attending school in all the districts by 2012/13, showing the
effectiveness of making education compulsory for children aged five to
14 years in 1998.
However, after 14 years of age, a decline in the percentage of
children is observed in all districts. Only 86% of those aged 15 to 16
years are in school and only around 60 % continue their education after
16 years, at national level.
Regional variations are high. It is important, therefore, to increase
the compulsory age for schooling to 16 years, as early as possible. It
is also critical for Sri Lanka to improve the quality of education, as
well as the education outcomes at secondary and tertiary levels.Sri
Lanka has already reached gender parity in primary education.
In secondary and tertiary education, the proportion of girls to boys
exceeds 100%, indicating that more boys leave school earlier than girls,
which may need the attention of education planners. Another factor which
needs attention is the very low representation of women (5.8%) in
Parliament.
Free health care services for all, including preventive health
services, for more than six decades, have helped Sri Lanka, in reducing
infant, child and maternal mortality to a very low level compared to
most other countries in the region.
'On track'
Sri Lanka is on track to achieve the target of reducing both the
under-five and infant mortality rates by two-thirds the level of the
base year (1990) by the end of 2015. The proportion of one-year-old
children immunised against measles increased from 95.5% in 1993 to 99.0%
in 2011.
However, proportion declined to 95% in 2012, which needs the
attention of health authorities. Maternal Mortality Ratio (MMR) declined
from 92 deaths per 100,000 live births in 1990 to 33.3 in 2010 and is
‘on track’ to achieve the target.
The proportion of births attended by skilled attendants, almost
reached the target of 99.8% by 2010.
The Family Health Bureau (FHB) of Sri Lanka has taken many
initiatives in recent years to enhance the quality of maternal and child
care.
Although Sri Lanka has done well in improving maternal and child
health, nutrition status of children under five years, is still a major
concern, as more than one fifth of the children under five years, are
under weight.
Although Sri Lanka remains a low HIV/AIDS prevalence country, the
number of cases is gradually increasing: Through 2012, 1,649 HIV cases
and 432 AIDS cases have been reported.
As such, continuous monitoring, proper detection and improvement of
the facilities for treatment are needed, if the disease is to be
controlled. Sri Lanka has managed to bring down malaria cases down from
around 400,000 in the early 1990s to 124 cases by 2011 and has no
malaria related deaths since 2007.
The country should be vigilant to prevent a reoccurrence, as the
disease has re-emerged whenever mechanism for preventions has weakened.
Tuberculosis (TB) still remains a public health problem in Sri Lanka.
Around 8,000 new cases are reported every year.
TB prevalence rate shows a slight decline from 118 per 100,000 people
in 1990 to 115 in 2004 and since then rate has stabilised.
Overall treatment success rate has increased from 78.6% in 2000 to
around 85% since 2004. Among the main challenges in controlling the
disease are: maintaining adequate staff, reaching population groups with
limited access to services, scaling up TB control services among
returning migrants and the resettled population in the Northern and
Eastern Provinces, overcoming TB-related stigma and financial
sustainability.
Way forward
Although Sri Lanka has made significant progress towards achieving
the majority of the MDGs, at national level, further efforts are needed
to minimise regional disparities.
It is also important to sustain and further improve the progress
beyond 2015.
Sri Lanka will also have to gear itself to handle the 17 Sustainable
Development Goals (SGDs) and accompanying targets, proposed by the UN,
which are expected to be adopted, in September, 2015.
Wimal Nanayakkara is a Senior Visiting Fellow at the Institute of
Policy Studies of Sri Lanka (IPS). Among the IPS Research Team who
contributed in the preparation of the MDG Country Report 2014 are: Wimal
Nanayakkara, Ganga Tilakaratne, Sunimalee Madurawala, Chatura Rodrigo,
Suwendrani Jayaratne, Ashani Abayasekera, Ayodya Galappattige and
Yolanthika Ellepola. |