Afghanistan Millennium Development Goals a Decade of Opportunities
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Afghanistan Millennium Development Goals A Decade of Opportunities 10 Years Report, 2005–2015 Afghanistan Millennium Development Goals A Decade of Opportunities 10 Years Report, 2005–2015 Contents Acknowledgements 7 Contents Abbreviations and acronyms 8 Progress legend 9 Foreword 11 Executive Summary 15 Afghanistan’s Millennium Development Goals 26 MDG 1 Eradicate extreme poverty and hunger 28 MDG 2 Achieve universal primary education 36 MDG 3 Promote gender equality and empower women 49 MDG 4 Reduce child mortality 67 MDG 5 Improve maternal health 77 MDG 6 Combat HIV, AIDS, malaria and other diseases 97 MDG 7 Ensure environmental sustainability 115 MDG 8 Develop a global partnership for development 123 MDG 9 Enhance security 137 Methodology 160 References 162 5 Acknowledgements The Millennium Development Goals (MDGs) 10 Years Report Task Force is a working group established from 18 Afghan government ministries and agencies Acknowledgements and 14 United Nations agencies. Without the direct and/or indirect contribution of the Task Force members, this report could not have been completed. The people who have contributed in the preparation and analysis of this report are gratefully appreciated, in alphabetical order: The Ministry of Economy’s MDGs team led by Mohammad Ismail Rahimi, General Directorate of Policy and Result-Based Monitoring, and his team, Ahmad Shakil Hazem, Acting Director of Economic Policy, and Khan Mohammad Alamyar, Sr. Poverty Analyst, as well as Jubair Ahmad Musazy and Fazelhaq, national technical consultants. Many thanks to the MDGs Task Force for their enormous effort in providing data, preliminary analysis of the indicators and goals from the ministries: Dr Atiqullah Zaki and Abdul Hamid from the Ministry of Agriculture, Irrigation and Livestock; Monyma Mansor and Mohammad Aman Omed from the Independent Election Commission; Abdul Salam from the Ministry of Interior Affairs; Abdulsami Saliamanzada and Ahmad Zamir Ghowar from the Ministry of Education; Atiqullah Maken and Gul Ghotay Azimin from the Ministry of Women’s Affairs; Dr Abdul Qadir Qadir and Dr Abrahemi from the Ministry of Public Health; Abdul Haseeb Arya from the National Environmental Protection Agency; Dr Osman Frotan and Wais Karimi from the Ministry of Counter Narcotics; and Hamid Akbar from the Ministry of Finance. Also special thanks to UNFPA Country Representative Dr Annette Sachs Robertson and Dr Wilfred Ochan, UNFPA Deputy Country Representative and their team: Abdul Hares Halimi and Dr Khalid Sharifi, who provided meaningful technical and financial support and led all United Nations agencies in contributing to the report. Exceptional appreciation is extended to our MDGs Task Force representation from the United Nations: UNDP, UN Women, UNHCR, UN-HABITAT, WFP, FAO, UNICEF, UNEP, UNCCC, UNODC, UNMAS and WHO as well as MACCA, which participated in each of the meetings organized by the Ministry of Economy for producing A Decade of Opportunities. Our joint work with United Nations agencies provided us this opportunity to establish a strong working network and produce more qualitative reports in the future. Finally, we want to thank all those who either directly or indirectly contributed to the enrichment of A Decade of Opportunities. We apologize in advance for anyone’s name we overlooked for their considerable contribution to this report. 7 Abbreviations and acronyms AHS Afghanistan Health Survey Abbreviations and acronyms Abbreviations ALCS Afghanistan Living Conditions Survey AMS Afghanistan Mortality Survey ANA Afghan National Army DOTS Directly Observed Therapy, Short Course EMIS Education Management Information System GDP Gross Domestic Product GER Gross Enrolment Rate IBBS Integrated Biological Behavioural Surveillance IED Improvised Explosive Devices IMSMA Information Management System for Mine Action ISAF International Security Assistance Force MACCA Mine Action Coordination Centre of Afghanistan MDGs Millennium Development Goals MEIFCS Mine and ERW Impact Free Community Survey MICS Multiple Indicator Cluster Survey MMR Maternal Mortality Ratio NACP National AIDS Control Programme NATO North Atlantic Treaty Organisation NEPA National Environmental Protection Agency NER Net Enrolment Ratio NPP National Priority Programmes NRVA National Risk and Vulnerability Assessment NTP National TB Control Programme OECD/DAC Organisation for Economic Co-operation and Development /Development Assistance Committee ODA Official Development Assistance ODP Ozone-Depleting Potential ODS Ozone-Depleting Substances SAFTA Agreement on the South Asian Free Trade Area STI Sexually Transmitted Infections TB Tuberculosis TVET Technical and Vocational Educational and Training TTC Technical Training Centres UNFPA United Nations Population Fund UNODC United Nations Office of Drugs and Crime UN DESA United Nations Department of Economic and Social Affairs WHO World Health Organization 8 Progress legend TARGET IS ACHIEVED Progress legend Progress The final target is already achieved. TARGET IS ON TRACK The country is on track to achieve the target. TARGET IS ACHIEVABLE The indicator is 0–2 years behind the target, but achievable. TARGET IS DIFFICULT TO ACHIEVE The indicator is difficult to achieve because it is currently 2–5 years behind the target. TARGET IS OFF TRACK The indicator is more than 5 years behind the target. NO DATA AVAILABLE Insufficient data to assess progress (no baseline, no target or no data for the years between the baseline and target, irrelevant indicator, etc.). 9 Foreword The Soviet invasion and its consequent conflicts inflicted severe material and social costs on our people. The material costs imposed on us between 1978 and 2001, as Foreword estimated by the World Bank, were $240 billion. The social costs are incalculable: more than a million martyred and most of the population experiencing a form of uprooting, whether forced into seeking refugee or internally displaced, should serve as inadequate proxies of our suffering. The cost in terms of human development is captured by our place at the very bottom of the Human Development Index in 2001. We have made significant progress since 2002. We must, however, marshal all of our governmental, cultural and societal assets and capabilities not only to meet the still unmet Millennium Development Goals (MDGs) but also the newly agreed Sustainable Development Goals (SDGs). To overcome the structurally persistent problems of poverty, inequality and insecurity whether based on gender, location or social position - we are launching a whole of the government and whole of the state strategy to create the conditions for sustainable realization of our Constitution, obligating the State to deliver on the rights and obligations befitting the equal citizens of a democratic polity. The Ten Year MDG Report allows us to take stock of our accomplishments and shortcomings, thereby providing a benchmark for meeting the SDGs. I would like to thank the Ministry of Economy for leading the MDG Monitoring and Evaluation Program as well as ministries and UN agencies for assisting in the preparation of this report. We look forward to partnering with states, international and regional organizations, civil society and the private sector to fulfill our 2020 commitments and SDGs on an accelerated basis. Our youth, who constitute the absolute majority of the population, and our women and the poor who constitute the majority, demand and deserve the life chances denied to us three decades. Mohammad Ashraf Ghani President of the Islamic Republic of Afghanistan 11 Foreword I am pleased to present the fifth in the series of Afghanistan Millennium Development Goals (MDGs) reports. Unlike the previous reports that covered annual periods, this overview evaluates Foreword the entire MDGs campaign in Afghanistan of 2005–15. The analysis reviews advances that have been achieved as well as areas where progress still lags. Afghanistan adopted the MDGs development strategy in 2004, five years after the Millennium Declaration was issued by the UN. In doing so the Islamic Republic joined forces with the league of countries committed to pursuing policies to ensure every individual’s rights to dignity, freedom, equality, a basic standard of living, and freedom from hunger and violence. The MDGs were adapted to Afghan circumstances. Security was added as a goal because of the extent that conflict and violence skew efforts to achieve socio-economic progress. In addition certain targets and indicators were tailored to on-the-ground realities. Despite strong countervailing circumstances, Afghanistan has progressed in its social, economic and political transition. The Government continues to reform systems and to build capacity and modern institutions. This assertion is validated by progress monitored by indicators established by the Tokyo Mutual Accountability Framework (TMAF). The transition to the Sustainable Development Goals will benchmark the continuation of these positive and formative trends. The Ten Year Report evaluates the track record of Afghanistan vis-à-vis the MDGs. In general there are three groupings of results. One category demonstrates progress achieved or on track. The second category groups sectors where progress is prospective and may be difficult to achieve on time but nevertheless seems likely despite delay. The third category reports marginal changes. The Afghan education and health sectors for the most part are in the first category of goals achieved. The MDGs of gender equality, environment, communication, and